뇌졸중 환자에 대한 기능적 보행평가, 버그 균형척도, 일어나 걸어가기 검사의 동시 타당도
Concurrent Validity of the Functional Gait Assessment, Berg Balance Scale, and Timed Up and Go Test in Patients With Stroke
1
조회
0
다운로드
18
인용
0
참고문헌
초록
Balance is a complex motor skill that depends on interactions between multiple sensorimotor processes and environmental and functional contexts. Many rehabilitation specialists believe that balance assessment under multitask conditions may be a more sensitive indicator of balance problems and falls than balance assessment in a single-task context. Functional Gait Assessment has many tasks that allow for testing under multitask conditions. The purpose of this study was to determine the concurrent validity between the Functional Gait Assessment (FGA), Berg Balance Scale (BBS), and Timed “Up & Go” Test (TUG) in patients with stroke. One hundred and five participants with at least 3 months post stroke and able to walk at least 6 m with or without a mono cane, participated in this study. Concurrent validity between the FGA, BBS, and TUG was assessed using Spearman rank order correlation. The FGA correlated with the BBS (r=.80, p<.01) and TUG (r=-.77, p<.01). The good and moderate correlation between the FGA, BBS, and TUG establishes the concurrent validity of the FGA in patients with stroke. These measures provide clinicians with valuable information about patients' functional balance capabilities.
Abstract
Balance is a complex motor skill that depends on interactions between multiple sensorimotor processes and environmental and functional contexts. Many rehabilitation specialists believe that balance assessment under multitask conditions may be a more sensitive indicator of balance problems and falls than balance assessment in a single-task context. Functional Gait Assessment has many tasks that allow for testing under multitask conditions. The purpose of this study was to determine the concurrent validity between the Functional Gait Assessment (FGA), Berg Balance Scale (BBS), and Timed “Up & Go” Test (TUG) in patients with stroke. One hundred and five participants with at least 3 months post stroke and able to walk at least 6 m with or without a mono cane, participated in this study. Concurrent validity between the FGA, BBS, and TUG was assessed using Spearman rank order correlation. The FGA correlated with the BBS (r=.80, p<.01) and TUG (r=-.77, p<.01). The good and moderate correlation between the FGA, BBS, and TUG establishes the concurrent validity of the FGA in patients with stroke. These measures provide clinicians with valuable information about patients' functional balance capabilities.
참고문헌 (36)
- 권오윤, "최신물리치료학개론. 2판" (2005), 탑메디오피아
- 노형진, "한글 SPSS 10.0 기초에서 응용까지" (2001), 형설출판사
- 원종임, "뇌졸중 환자에 대한 기능적 보행평가의 신뢰도", 한국전문물리치료학회지, 18(1), pp.64~73 (2011), 한국전문물리치료학회
- 이충휘, "물리치료사와 작업치료사를 위한 연구방법론. 3판" (2007), 계축문화사
- 정한영, "한글화된 Berg 균형검사법의 신뢰도 분석", Annals of Rehabilitation Medicine, 30(6), pp.611~618 (2006), 대한재활의학회
- Andresen EM, "Criteria for assessing the tools of disability outcomes research", Arch Phys Med Rehabil, 81, pp.15~20 (2000)
- Berg KO, "Clinical and laboratory measures of postural balance in an elderly population", Arch Phys Med Rehabil, 73(11), pp.1073~1080 (1992)
- Berg KO, "Measuring balance in the elderly: Validation of an instrument", Can J Public Health, 83(2), pp.7~11 (1992)
- Blum L, "Usefulness of the Berg Balance Scale in stroke rehabilitation: A systemic rev", Phys Ther, 88(5), pp.559~566 (2008)
- Bogle Thorbahn LD, "Use of the Berg Balance Test to predict falls in elderly persons", Phys Ther, 76(6), pp.576~583 (1996)
- Chiu YP, "Use of item response analysis to investigate measurement properties and clinical validity of data for the dynamic gait index", Phys Ther, 86(6), pp.778~787 (2006)
- de Oliveira CB, "Balance control in hemiparetic stroke patients: Main tools for evaluation", J Rehabil Res Dev, 45(8), pp.1215~1226 (2008)
- Engberg W, "Balance-related efficacy compared with balance function in patients with acute stroke", Physiother Therory Pract, 24(2), pp.105~111 (2008)
- Freter SH, "Relationship between timed 'up and go' and gait time in an elderly orthopaedic rehabilitation population", Clin Rehabil, 14(1), pp.96~101 (2000)
- Geurts AC, "Dual-task assessment of reorganization of postural control in persons with lower limb amputation", Arch Phys Med Rehabil, 72(13), pp.1059~1064 (1991)
- Jonsdottir J, "Reliability and validity of the dynamic gait index in persons with chronic stroke", Arch Phys Med Rehabil, 88(11), pp.1410~1415 (2007)
- Liston RA, "Reliability and validity of measures obtained from stroke patients using the Balance Master", Arch Phys Med Rehabil, 77(5), pp.425~430 (1996)
- Lundin-Olsson L, "Attention, frailty, and falls: The effect of a manual task on basic mobility", J Am Geriatr Soc, 46(6), pp.758~761 (1998)
- Lundin-Olsson L, ""Stops walking when talking" as a predictor of falls in elderly people", Lancet, 349(9052), pp.617~ (1997)
- Mao HF, "Analysis and comparison of the psychometric properties of three balance measures for stroke patients", Stroke, 33(4), pp.1022~1027 (2002)
- McConvey J, "Reliability of the Dynamic Gait Index in individuals with multiple sclerosis", Arch Phys Med Rehabil, 86(1), pp.130~133 (2005)
- Nordin E, "Timed "Up & Go" Test: Reliability in older people dependent in activities of daily living focus on cognitive state", Phys Ther, 86(5), pp.646~655 (2006)
- Okumiya K, "The timed "up & go" test is a useful predictor of falls in community-dwelling older people", J Am Geriatr Soc, 46(7), pp.928~930 (1998)
- Podsiadlo D, "The timed "Up & Go": A test of basic functional mobility for frail elderly persons", J Am Geriatr Soc, 39(2), pp.142~148 (1991)
- Resnick B, "Falls in a community of older adults: Putting research into practice", Clin Nurs Res, 8(3), pp.251~266 (1999)
- Rosėn E, "Fear of falling, balance, and gait velocity in patients with stroke", Physiother Therory Pract, 21(2), pp.113~120 (2005)
- Salbach NM, "Responsiveness and predictability of gait speed and other disability measures in acute stroke", Arch Phys Med Rehabil, 82(9), pp.1204~1212 (2001)
- Shumway-Cook A, "Motor Control: Theroy and Practical Applications", pp.323~324 (1995), Williams & Wilkins
- Stevenson TJ, "Detecting change in patients with stroke using the Berg Balance Scale", Aust J Physiother, 47(1), pp.29~38 (2001)
- Thieme H, "Reliability and validity of the functional gait assessment (German version) in subacute stroke patients", Arch Phys Med Rehabil, 90(9), pp.1565~1570 (2009)
- van de Port IG, "Susceptibility to deterioration of mobility long-term after stroke: A prospective cohort study", Stroke, 37(1), pp.167~171 (2006)
- Walker ML, "Reference group data for the functional gait assessment", Phys Ther, 87(11), pp.1468~1477 (2007)
- Whitney SL, "The dynamic gait index relates to self-reported fall history in individuals with vestibular dysfunction", J Vestib Res, 10(2), pp.99~105 (2000)
- Wrisley DK, "Functional gait assessment: Concurrent, discriminative, and predictive validity in community-dwelling older adults", Phys Ther, 90(5), pp.761~773 (2010)
- Wrisley DM, "Reliability, internal consistency, and validity of data obtained with the functional gait assessment", Phys Ther, 84(10), pp.906~918 (2004)
- Wrisley DM, "Reliability of the dynamic gait index in people with vestibular disorders", Arch Phys Med Rehabil, 84(10), pp.1528~1533 (2003)
