뇌졸중 환자들을 위한 한국어판 Motor Assessment Scale의 신뢰도
Reliability of the Korean version of Motor Assessment Scale in Patients with Stoke
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초록
본 연구는 뇌졸중 환자를 대상으로 Motor Assessment Scale(MAS)를 한국어로 번안하여 측정자간, 검사-재검사간의 신뢰도를 검증하기 위해 연구되었다. 본 연구에서 뇌졸중 환자 중 다양한 회복단계에 있으며 다른 발병기간을 가진 손상정도가 다른 23명을 대상으로 시행되었다. MAS의 측정자간 신뢰도는 23명의 물리치료사가 무작위로 추출된 20명의 기능적 능력을 비디오로 기록하여 평가하였고 측정자내 신뢰도는 무작위로 추출된 9명의 뇌졸중 환자의 기능적 능력을 7명의 물리치료사가 3주 간격으로 2번의 평가를 시행하였다. 그 결과 한국어판 MAS의 항목별 측정자간 신뢰도는 모든 항목에서 ICC=.99 이상으로 매우 높은 신뢰도를 나타내었고 항목별 측정자내 신뢰도는 1번 항목(ICC=.75)과 3번 항목(ICC=.79)에서 보통의 신뢰도를 나타내었으며, 다른 항목에서는 모두 높은 신뢰도를 나타내었다(ICC=.87 ~ .99). 따라서 한국어판 MAS는 뇌졸중 환자의 기능적 능력을 평가하기 위한 신뢰도가 높은 임상 도구이다.
Abstract
The purpose of this study was to establish reliability of the Motor Assessment Scale translated into Korean for patients with stroke. The MAS was administered to assess eight components of motor function. They completed a standardized, supine to side lying onto intact side, supine to sitting over the side of the bed, balanced sitting, sitting to standing, walking, upper arm function, hand movement, advanced hand activities. Twenty-three physiotherapists assessed the functional movements of twenty-three patients (14 males, 9 females) with stroke according to the MAS. Interrater and intrarater reliability was determined by intraclass correlation coefficient (ICC). Interrater reliability of the translated version of the MAS was good ICC=.99 and the intrarater reliability of the translated versions of the MAS was also good ICC=.87~.99 without items 1 and 3. We concluded that the Korean version of the MAS has demonstrated to be a reliable instrument for the assessment of patients with stroke.
참고문헌 (20)
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