뇌성마비 아동을 대상으로 한 한국판몸통손상척도(K-TIS)의 측정학적 적합성 연구
Technical Adequacy of Korean Version of Trunk Impairment Scale (K-TIS) in Children With Cerebral Palsy
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초록
본 연구의 목적은 한국판몸통손상척도(K-TIS)가 뇌성마비 아동의 몸통조절능력을 측정하는 검사 도구로의 신뢰도와 타당도를 검증하고자 하였다. 뇌성마비로 진단받은 아동 57명을 대상으로 한국판몸통손상척도(K-TIS), 한국판대동작기능평가(K-GMFM), 대동작기능분류체계(K-GMFCS)를 측정하여 K-TIS의 신뢰도와 타당도를 분석하였다. K-TIS의 동시 타당도를 알아보기 위해 K-GMFM의 앉기 영역 간의 상관관계를 알아본 결과, K-TIS의 총점 및 하위영역들의 모든 항목들은 K-GMFM의 앉기 영역과 유의한 상관이 있는 것으로 나타났으며(p<0.05), K-TIS의 판별 타당도를 알아보기 위해 K-GMFCS의 기능 수준에 따른 K-TIS의 총점과 차이를 알아본 결과 유의한 차이가 있었다(p<0.05). K-TIS의 내적일치도를 분석한 결과 K-TIS 전체 항목에 대한 Cronbach's α는 .942를 나타냈다. K-TIS는 뇌성마비 아동의 몸통조절능력을 측정하기에 충분한 신뢰도와 타당도룰 가지고 있는 평가도구임을 확인하였으며, 임상적으로 유용하게 사용될 수 있을 것으로 생각된다.
Abstract
The objective of this study is to verify the reliability and validity of Korean-version of Trunk Impairment Scale (K-TIS) as a test instrument for measuring the trunk control ability of children with cerebral palsy. This study analyzed the reliability and validity of Trunk Impairment Scale (K-TIS), by measuring the K-TIS, the Korean version of Korean-version of Gross Motor Function Measure -88 (K-GMFM-88), and the Korean-version of Gross Motor Function Classification System (K-GMFCS), targeting a total of 57 children diagnosed with cerebral palsy. In the results of understanding the correlation between domains of sitting in the K-GMFM-88 to understand the concurrent validity of K-TIS, all the items of the subdomains and the total score of K-TIS showed significant correlations with the domain of sitting in the K-GMFM-88 (p<0.05). In the results of understanding the total score and differences of K-TIS according to the function level of K-GMFCS to understand the discriminant validity of K-TIS, there were significant differences (p<0.05). In the results of analyzing the internal consistency of K-TIS, the Cronbach's α of all the items of K-TIS was .942. The results of this study verified that K-TIS would be a test instrument fully equipped with the reliability and validity sufficient to measure the trunk control ability of children with cerebral palsy. Utilizing K-TIS could be beneficial in a clinical site.
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