본문 바로가기
KERD
논문KCI 등재

뇌성마비 아동을 대상으로 실시한 한국어판 아동 균형 척도의 라쉬분석

Application of Rasch Analysis to the Korean Version of the Pediatric Balance Scale in Children With Cerebral Palsy

김경모
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2017.02|한국전문물리치료학회지 (Physical Therapy Korea)|제24권 제1호|pp. 41-50|DOI https://doi.org/10.12674/ptk.2017.24.1.041

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

BalanceRasch analysisPediatric balance scale
주제분류물리치료학

초록

Background: The Pediatric Balance Scale (PBS) was developed to assess of balance ability in children with balance problem. The PBS was translated into Korean and its reliability had been studied. However, it had need to be verified using psychometric characteristics including item fit and rating scale. Objects: The purpose of this study was to investigate the item fit, item difficulty, and rating scale of the Korean version of PBS using Rasch analysis. Methods: In total, 40 children with cerebral palsy (CP) (boy=17, girl=23) who were diagnosed with level 1 or 2 according to the Gross Motor Function Classification System participated in this study. The PBS was performed, and was verified regarding the item fit, item difficulty, rating scale, and separation index and reliability using Rasch analysis. Results: In this study, the ‘transfer’, and ‘turning to look behind left and right shoulders while standing still’ item showed misfit statistics. in total 40 children with CP. Also, ‘transfer’, ‘standing unsupported with feet together’ and ‘standing with one foot in front’ items showed misfit statistics in diplegia CP group. Regardless of the classification of CP, the most difficult item was ‘standing on one foot’, whereas the easiest item was ‘sitting with back unsupported and feet supported on the floor’. The 4 rating scale categories of PBS were acceptable with all criteria. Both item and person separation indices and reliability showed acceptable values. Conclusion: The PBS has been proven reliable, valid and is an appropriate tool, but it needs to modify the items of PBS according to CP classification.

Abstract

Background: The Pediatric Balance Scale (PBS) was developed to assess of balance ability in children with balance problem. The PBS was translated into Korean and its reliability had been studied. However, it had need to be verified using psychometric characteristics including item fit and rating scale. Objects: The purpose of this study was to investigate the item fit, item difficulty, and rating scale of the Korean version of PBS using Rasch analysis. Methods: In total, 40 children with cerebral palsy (CP) (boy=17, girl=23) who were diagnosed with level 1 or 2 according to the Gross Motor Function Classification System participated in this study. The PBS was performed, and was verified regarding the item fit, item difficulty, rating scale, and separation index and reliability using Rasch analysis. Results: In this study, the ‘transfer’, and ‘turning to look behind left and right shoulders while standing still’ item showed misfit statistics. in total 40 children with CP. Also, ‘transfer’, ‘standing unsupported with feet together’ and ‘standing with one foot in front’ items showed misfit statistics in diplegia CP group. Regardless of the classification of CP, the most difficult item was ‘standing on one foot’, whereas the easiest item was ‘sitting with back unsupported and feet supported on the floor’. The 4 rating scale categories of PBS were acceptable with all criteria. Both item and person separation indices and reliability showed acceptable values. Conclusion: The PBS has been proven reliable, valid and is an appropriate tool, but it needs to modify the items of PBS according to CP classification.

참고문헌 (23)

  1. Bond TG, "Applying the Rasch Model:Fundamental measurement in the human sciences", pp.219~243 (2007), Lawrence Erlbaum Associates Inc.
  2. Chang WC, "Rasch analysis for outcomes measure : Some methodological considerations", Arch Phys Med Rehabil, 76(10), pp.934~939 (1995)
  3. Dallmeijer AJ, "Differential item functioning of the Functional Independence Measure in higher performing neurological patients", J Rehabil Med., 37(6), pp.346~352 (2005)
  4. Nancy Darr, "Psychometric Properties of the Pediatric Balance Scale Using Rasch Analysis", Pediatric Physical Therapy, 27(4), pp.337~348 (2015), Ovid Technologies (Wolters Kluwer Health)[DOI]
  5. Duncan PW, "Rasch analysis of a new stroke-specific outcome scale: The Stroke Impact Scale", Arch Phys Med Rehabil, 84(7), pp.950~963 (2003)
  6. Franjoine MR, "Pediatric balance scale : a modified version of the berg balance scale for the school-age child with mild to moderate motor impairment", Pediatr Phys Ther, 15(2), pp.114~128 (2003)
  7. Mary Rose Franjoine, "The Performance of Children Developing Typically on the Pediatric Balance Scale", Pediatric Physical Therapy, 22(4), pp.350~359 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
  8. Hadders-Algra M, "Development of postural control during the first 18 months of life", Neural Plast, 12(2-3), pp.99~108 (2005)
  9. Huxham FE, "Theoretical consideration in balance assessment", Aust J Phsiother, 47(2), pp.89~100 (2001)
  10. 김경모, "요통환자의 일반적 특성에 따른 한국어판 오스웨스트리 장애 설문지의 라쉬분석", 한국전문물리치료학회지, 18(2), pp.35~42 (2011), 한국전문물리치료학회
  11. Penelope J. Klein, "Rasch Analysis of the Fullerton Advanced Balance (FAB) Scale", Physiotherapy Canada, 63(1), pp.115~125 (2011), University of Toronto Press Inc. (UTPress)[DOI]
  12. 고명숙, "한글판 아동 균형척도(Pediatric Balance Scale)의 측정자간 신뢰도", 한국전문물리치료학회지, 15(1), pp.86~95 (2008), 한국전문물리치료학회
  13. Liao HF, "The relation between standing balance and walking function in children with spastic diplegic cerebral palsy", Dev Med Child Neurol, 39(2), pp.106~112 (1997)
  14. Linacre JM, "Optimizing rating scale category effectiveness", J Appl Meas, 3(1), pp.85~106 (2002)
  15. Lunz ME, "Measuring the impact of judge severity on examination scores", Appl Meas Educ, 3(4), pp.331~345 (1990)
  16. Rosenbaum PL, "Prognosis for gross motor function in cerebral palsy:Creation of motor development curves", JAMA, 288(11), pp.1357~1363 (2002)
  17. Rosenbaum P, "A report:The definition and classification of cerebral palsy April 2006", Dev Med Child Neuro Suppl, 109(Suppl 109), pp.8~14 (2007)
  18. Shimizu K, "The development of equilibrium function in childhood", Proceedings of the 12th international symposium on posture and gait (1994)
  19. Shumway-Cook A, "Effect of balance training on recovery of stability in children with cerebral palsy", Dev Med Child Neurol, 45(9), pp.591~602 (2003)
  20. van der Heide JC, "Postural control during reaching in preterm children with cerebral palsy", Dev Med Child Neurol, 46(4), pp.253~266 (2004)
  21. Evi Verbecque, "Psychometric properties of functional balance tests in children: a literature review", Developmental Medicine & Child Neurology, 57(6), pp.521~529 (2015), Wiley-Blackwell[DOI]
  22. Woollacott MH, "Postural dysfunction during standing and walking in children with cerebral palsy: What are the underlying problems and what new therapies might improve balance?", Neural Plast, 12(2-3), pp.263~272 (2005)
  23. Wright BD, "Reasonable mean-square fit values", Rasch Meas Trans, 8(3), pp.370~ (1994)

관련 논문AI추천

Psychometric Properties of the WeeFIM in Korean Children With Cerebral Palsy박소연, 박은영한국전문물리치료학회 · 한국전문물리치료학회지2010 · 제17권 제4호한글판 아동 균형척도(Pediatric Balance Scale)의 측정자간 신뢰도고명숙, 이남현, 이정아, 전혜선한국전문물리치료학회 · 한국전문물리치료학회지2008 · 제15권 제1호Comparison of the Pediatric Balance Scale and Fullerton Advanced Balance Scale for Predicting Falls in Children With Cerebral Palsy김경모한국전문물리치료학회 · 한국전문물리치료학회지2016 · 제23권 제4호GMFM-88과 GMFM-66의 신뢰도와 타당도 비교박소연, 박은영한국전문물리치료학회 · 한국전문물리치료학회지2010 · 제17권 제3호Reliability and Validity of the Korean Translation of the Pediatric Evaluation of Disability Inventory in School-Aged Children With Cerebral Palsy김원호, 박소연, 박은영한국전문물리치료학회 · 한국전문물리치료학회지2010 · 제17권 제4호뇌성마비 아동을 대상으로 한 한국판몸통손상척도(K-TIS)의 측정학적 적합성 연구정혜림, 최영은특수교육재활과학연구소 · 특수교육재활과학연구2020 · 제59권 제4호

이 간행물의 다른 논문 (10건)

기능적 발목 불안정성을 가진 대상자에게 동적 자세 안정성 훈련과 연성 발목 보조기가 다중 한발 뛰기 수행에 미치는 효과 비교박규남, 차윤상pp. 1-8근전도 바이오피드백을 이용한 숏 풋 운동이 정적으로 선 자세 동안 발의 안쪽 세로활 유지에 미치는 영향차상민, 오재섭, 문동철, 강민혁pp. 9-18기능적 테이핑이 어깨둘레근 수술 후 환자의 어깨관절 통증과 근력, 관절가동범위에 미치는 즉각적 영향문유리, 김선엽pp. 19-29Wii 균형 게임과 자가 거울 균형 운동이 만성 뇌졸중 환자의 균형 및 무릎관절 고유수용성 감각에 미치는 효과 비교전혜선, 심경섭pp. 30-40학령기 경직성 뇌성마비 아동 부모의 삶의 질과 아동의 삶의 질 및 기능과 일상생활활동 수행 수준의 관련성오덕원, 이예슬pp. 51-60
원문 보기