뇌졸중 환자들을 위한 한국어판 Rivermead Mobility Index의 신뢰도와 타당도
Validity and Reliability of the Korean version of Rivermead Mobility Index in Patients with Stroke
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초록
Rivermead Mobility Index는 운동 기능 평가를 위해서 개발된 도구이며 국외에서는 이미 여러 나라의 언어로 번안된 버전들로 신뢰도와 타당도 연구가 이루어져 널리 쓰이고 있어 이러한 RMI를 한글화하여 그 신뢰도와 타당도를 검증함으로써 임상에서 뇌졸중 환자의 운동 기능 평가를 쉽고 간편하게 할 수 있는 방법을 모색하고자 본 연구를 실시하였다. 연구 대상자는 경기도 소재 L 재활병원에 입원 중인 환자들 중 무작위로 37명(남자 15명, 여자 12명)을 선정하였다. 본 연구를 위해 1명의 물리치료사가 평가를 실시하였고, 번안 작업을 위해 2명의 물리치료사와 1명의 영문번역자, 그리고 2명의 번역가와 교수, 언어 전문가등이 참여하여 평가를 진행하였다. 그 결과에서, RMI의 검사-재검사 간 신뢰도는 ICC=.984로서 높은 신뢰도를 나타내었고, 내적 일치도 또한 Cronbach’s 알파계수가 .796으로 높게 나타났으며, STREAM과 BI와의 동시 타당도 또한 .848, .702로 높은 타당도를 나타내었다. 결론적으로 한국어판 RMI는 높은 신뢰도와 타당도를 나타내어 향후 뇌졸중 환자를 위한 임상평가 도구로 사용할 수 있을 것이라 판단된다.
Abstract
The purpose of this study was to establish the reliability and validity of the Korean version of Rivermead Mobility Index (K-RMI) for the evaluation of the mobility in patients with stroke. The RMI was translated into Korean by two physical therapists one civilian, two translators, one professor, and one language expert. Thirty-seven patients with stroke were evaluated through the K-RMI by a different physical therapist. Reevaluation was assessed in order to obtain the test-retest reliability by the same physical therapist after 7 days. The test-retest reliability was good, proven by the Intra correlation coefficient (ICC) score of .984. Cronbach’s alpha coefficiency of the performance score of the K-RMI was .796. The STREAM and BI was used to verify the validity of K-RMI. The Spearman test between K-RMI and K-STREAM and between K-RMI and K-BI were .848 and .702 respectively. The K-RMI is a highly reliable and valid outcome measurement to evaluation of mobility for patients with stroke.
참고문헌 (26)
- 서현두, "한국어판 Shoulder Pain And Disability Index의 신뢰도와 타당도", 특수교육재활과학연구, 51(2), pp.319~336 (2012), 특수교육재활과학연구소[DOI]
- 안승헌, "뇌졸중 환자의 한국판 Falls Efficacy Scale의 신뢰도와 타당도", 특수교육재활과학연구, 51(3), pp.363~381 (2012), 특수교육재활과학연구소
- 이관우, "하지의 근골격계 기능장애 환자들을 위한 한국어 판 Lower Extremity Functional Scale의 신뢰도와 타당도", 특수교육재활과학연구, 50(3), pp.451~467 (2011), 특수교육재활과학연구소
- 양경희, "Hemiplegic Motor Behavior Tests의 타당도와 신뢰도에 대한 연구", 대한작업치료학회지, 15(2), pp.55~65 (2007), 대한작업치료학회
- Ada, L., "Strengthening interventions increase strength and improve activity after stroke : a systematic review", Aust J Physiother, 52(4), pp.241~248 (2006)
- Beaton, D. E., "Guidelines for the process of cross-cultural adaptation of self-report measures", Spine, 25(24), pp.3186~3191 (2000)
- Carr, J. H., "Investigation of a new motor assessment scale for stroke patients", Phys Ther, 65(2), pp.175~180 (1985)
- Chen, H. M., "The test-retest reliability of 2 mobility performance tests in patients with chronic stroke", Neurorehabil Neural Repair, 21(4), pp.347~352 (2007)
- Chiou, I., "Values of activities of daily living : a survey of stroke patients and their home therapists", Phys Ther, 65(6), pp.901~906 (1985)
- Collen, F. M., "The Rivermead Mobility Index : a further development of the Rivermead Motor Assessment", Int Disabil Stud, 13(2), pp.50~54 (1991)
- Collin, C., "The Barthel ADL Index : a reliability study", Int Disabil Stud, 10(2), pp.61~63 (1988)
- Daley, K., "Reliability of scores on the Stroke Rehabilitation Assessment of Movement (STREAM) measure", Phys Ther, 79(1), pp.8~23 (1999)
- Darter, B. J., "Gait training with virtual reality-based real-time feedback : improving gait performance following transfemoral amputation", Phys Ther, 91(9), pp.1385~1394 (2011)
- Franchignoni, F., "Psychometric properties of the Rivermead Mobility Index in Italian stroke rehabilitation inpatients", Clin Rehabil, 17(3), pp.273~282 (2003)
- Green, J., "A test-retest reliability study of the Barthel Index, the Rivermead Mobility Index, the Nottingham Extended Activities of Daily Living Scale and the Frenchay Activities Index in stroke patients", Disabil Rehabil, 23(15), pp.670~676 (2001)
- Gresham, G., "Post-stroke rehabilitation : assessment, referral and patient management. Post-Stroke Rehabilitation Guideline Panel. Agency for Health Care Policy and Research", Am Fam Physician, 52(2), pp.461~470 (1995)
- Hsueh, I. P., "Comparison of psychometric properties of three mobility measures for patients with stroke", Stroke, 34(7), pp.1741~1745 (2003)
- Lennon, S., "The modified Rivermead Mobility Index : validity and reliability", Disabil Rehabil, 22(18), pp.833~839 (2000)
- Nichols-Larsen, D. S., "Factors influencing stroke survivors’ quality of life during subacute recovery", Stroke, 36(7), pp.1480~1484 (2005)
- Pavan, K., "Crosscultural adaptation and validation of the Rivermead Mobility Index in stroke patients within the brazilian cultural and language context", Arq Neuropsiquiatr, 68(1), pp.52~55 (2010)
- Roorda, L. D., "Excellent cross-cultural validity, intra-test reliability and construct validity of the Dutch Rivermead Mobility Index in patients after stroke undergoing rehabilitation", J Rehabil Med, 40(9), pp.727~732 (2008)
- Rosamond, W., "Heart disease and stroke statistics -- 2007 update: A report from the American Heart Association statistics committee & stroke statistics subcommittee", Circulation, 115(5), pp.e69~171 (2007)
- Schindl, M. R., "Evaluation of a German version of the Rivermead Mobility Index(RMI)in acute and chronic stroke patients", Eur J Neurol, 7(5), pp.523~528 (2000)
- Srebnik, D. S., "Psychometric properties and utility of the problem severity summary for adults with serious mental illness", Psychiatr Serv, 53(8), pp.1010~1017 (2002)
- Wade, D. T., "The Barthel ADL Index: a standard measure of physical disability?", Int Disabil Stud, 10, pp.64~67 (1988)
- Wlodyka-Demaille, S., "French translation and validation of 3 functional disability scales for neck pain", Arch Phys Med Rehabil, 83(3), pp.376~382 (2002)