만성 뇌졸중 환자의 국제 기능ㆍ장애ㆍ건강 분류와 임상 평가도구의 상관관계
The Correlation Between ICF and Clinical Assessment Tools in Chronic Stroke Patients
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본 연구는 임상에서 사용하고 있는 국제 기능ㆍ장애ㆍ건강 분류(ICF)의 d4. 이동 항목의 세부항목과 객관적이고 표준화된 기능적 평가도구인 10MWT, BBS, DGI, TUG와의 연관성을 알아보고자 하였다. G 광역시 소재에 있는 C 재활요양병원과 W 종합병원에서 뇌졸중으로 입원한 만성 뇌졸중 환자 40명을 대상으로 실시하였다. ICF 교육 100시간을 이수한 숙련된 치료사 2명이 10MWT, BBS, DGI, TUG에 해당하는 항목인 ICF d4. 이동 항목의 세부항목(d4103. 앉기, d4104. 서기, d4105. 허리 굽히기, d4106. 신체 중심 이동하기, d4153. 앉은 자세 유지, d4154. 선 자세 유지, d4452. 뻗기, d4500. 단거리 보행, d4503. 장애물 돌아서기, d4551. 오르기)으로 연결시켜 추출하였다. 수행치와 능력 평가치는 임상 경력 5년 이상의 물리치료사가 측정하였다. ICF d4. 이동 항목의 세부항목과 10MWT, BBS, DGI, TUG와의 상관관계는 피어슨 상관계수를 이용하여 분석하였다. 피어슨 상관관계 분석에서 ICF d4. 이동 항목의 세부항목과 임상 평가도구간에 서로 유의한 상관관계가 있었다. ICF d4153. 앉은 자세 유지는 10MWT (r=.72)와 중등도의 양의 상관관계가 있었으며, d4106. 신체 중심 이동하기는 BBS (r=-.81), d4452. 뻗기는 DGI (r=-.84)와 높은 음의 상관관계가 있었으며, d4153. 앉은 자세 유지는 TUG (r=.78)와 높은 양의 상관관계가 있었다. 따라서 ICF의 활동 영역인 d4. 이동 항목의 세부항목들이 임상 평가도구와 상관관계가 있었으며, ICF d4. 이동 영역들이 임상에서 개인의 기능적 상태 수준을 파악하고, 평가 및 중재 목표를 설정하는데 유용하게 사용될 것이다.
Abstract
The purpose of this study was to investigate the association between the d4. Mobility subcategories of the International Classification of Functioning, Disability, and Health (ICF) that are used in clinical practice, and objective, standardized functional assessment tools such as 10m Walking test (10MWT), Berg Balance Scale (BBS), Dynamic Gait Index (DGI), and Timed Up and Go test (TUG). 40 chronic stroke patients admitted to C rehabilitation hospital and W general hospital in Gwangju metropolitan city. Two experienced therapists who have completed 100 hours of ICF training assessed mobility based on 10 subcategories of d4. Mobility, which correspond to 10MWT, BBS, DGI, and TUG (d4103 sitting, d4104 standing, d4105 bending, d4106 shifting the body’s center of gravity, d4153 maintaining a sitting position, d4154 maintaining a standing position, d4452 reaching, and d4500 walking short distances, d4503 walking around obstacles, and d4551 climbing). The performance and ability assessments were conducted by physical therapists with at least 5 years of clinical experience. The correlation between the subcategories of ICF d4. Mobility and 10MWT, BBS, DGI, and TUG was analyzed using the Pearson correlation coefficient. There were significant correlations between the d4. Mobility and the clinical assessment tools. There was a moderate positive correlation between d4153 (maintaining a sitting position) and 10MWT (r=.72); there was a high negative correlation between d4106 (shifting the body’s center of gravity) and BBS (r=-.81), and between d4452 (reaching) and DGI (r=-.84); and there was a high positive correlation between d4153 (maintaining a sitting position) and TUG (r=.78). There were significant correlations between the d4. Mobility subcategories and the clinical assessment tools. d4. Mobility will be useful in identifying the functional status of individuals in clinical practice and establishing evaluation and intervention goals.
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