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요통환자의 일반적 특성에 따른 한국어판 오스웨스트리 장애 설문지의 라쉬분석

A Rasch Analysis of the Korean Version of Oswestry Disability Questionnaire According to General Characteristics of Patients

김경모|박소연|이충휘
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2011.05|한국전문물리치료학회지 (Physical Therapy Korea)|제18권 제2호|pp. 35-42

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참고문헌

주제분류물리치료학

초록

Three hundred and fourteen low back pain patients completed the Korean version of the Oswestry Disability Questionnaire (KODQ) and the Rasch analysis was then applied to identify the inappropriate items and to determine ODQ item difficulties according to a subject’s characteristics. For women and youths, the ‘sex life’ item showed misfit statistics, whereas for older subjects it was the ‘pain intensity’ and ‘standing’ items. Also, in the acute low back group the ‘pain intensity’, ‘standing’ and ‘sex life’ items showed misfit statistics. For all subjects, the most difficult item was ‘pain intensity’, whereas the easiest item was ‘walking’. But for the older and acute groups ‘lifting’ was the most difficult item and for those who have a visual analogue scale score of 3 or less ‘sitting’ was the most difficult item. These results show that differential item functioning is present in several items according to sex, age, acute and chronic pain, and VAS score. This study may be useful for adjusting the KODQ item difficulties for low back pain patients with different characteristics.

Abstract

Three hundred and fourteen low back pain patients completed the Korean version of the Oswestry Disability Questionnaire (KODQ) and the Rasch analysis was then applied to identify the inappropriate items and to determine ODQ item difficulties according to a subject’s characteristics. For women and youths, the ‘sex life’ item showed misfit statistics, whereas for older subjects it was the ‘pain intensity’ and ‘standing’ items. Also, in the acute low back group the ‘pain intensity’, ‘standing’ and ‘sex life’ items showed misfit statistics. For all subjects, the most difficult item was ‘pain intensity’, whereas the easiest item was ‘walking’. But for the older and acute groups ‘lifting’ was the most difficult item and for those who have a visual analogue scale score of 3 or less ‘sitting’ was the most difficult item. These results show that differential item functioning is present in several items according to sex, age, acute and chronic pain, and VAS score. This study may be useful for adjusting the KODQ item difficulties for low back pain patients with different characteristics.

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