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한국어판 Shoulder Pain And Disability Index의 신뢰도와 타당도

Reliability and Validity of the Korean version of Shoulder Pain And Disability Index

이관우|정경심|정이정|서현두
특수교육재활과학연구소 (The Research Institute for Special Education & Rehabilitation Science)|2012.06|특수교육재활과학연구|제51권 제2호|pp. 319-336|DOI http://dx.doi.org/

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키워드

신뢰도reliabilityvalidity타당도internal consistency내적일치도Shoulder Pain And Disability Index(SPADI)
주제분류기타사회과학

초록

본 연구의 목적은 Shoulder Pain And Disability Index(SPADI)를 한국어로 번안하여 평가-재평가간의 신뢰도 및 기준관련 타당도를 검증하는 것이다. 본 연구는 어깨의 근골격계 통증 및 기능장애가 있는 52명의 환자가 참가하였다. 통증 평가(pain subscale) 5문항과 장애 평가(function/disability subscale) 8문항 등 총 13개의 평가 항목을 자가보고형식의 설문지로 작성하였다. 신뢰도는 급간내 상관계수(ICC2,1)를 이용하였고, 내적 일치도는 크론바 알파 값을 이용하였다. NRS, DASH, ROM 점수의 결과를 상호 연관하여 기준관련 타당도를 검사하였다. 평가-재평가간 신뢰도는 .991로 높은 신뢰도를 나타내었으며, 내적 일치도는 크론바 알파 .942로 높게 나타났다. SPADI는 NRS(r=.946), DASH(r=.935), ROM(r= -.927) 점수와 p<.01 수준의 유의한 상관관계가 있었다. 한국어판 SPADI는 신뢰도와 다른 기능을 평가하는 척도와 높은 타당도가 있음을 알 수 있었다. 따라서 한국어판 SPADI는 어깨의 근골격계 통증 및 기능장애 환자의 상태를 평가하기 위한 유용한 임상 도구이다.

Abstract

The purpose of this study was to establish reliability and validity of the Shoulder Pain And Disability Index(SPADI) translated into Korean for people with shoulder musculoskeletal pain and dysfunction. Fifty-two subjects(22 males, 30 female) with shoulder musculoskeletal pain and dysfunction enrolled in the study. They completed a standardized, self-administered questionnaire that included the pain subscale 5 item and the function/disability subscale 8 items, in a total of 13 assessment items. Reliability was determined by intraclass correlation coefficient (ICC) and Cronbach’s alpha by internal consistency. Validity was examined by correlating the SPADI scores to the NRS, DASH, ROM scores. Test-retest reliability of the translated versions of the SPADI was excellent ICC(2,1)=.991 (95%CI .984~.995) and Cronbach’s alpha value for SPADI was found to be .942 and this was statistically significant (p<.01). The correlations between the SPADI and the criterion-related validity calculating Pearson’s correlation coefficient were r=.946(p<.01) for NRS and r=.935(p<.01), for DASH and r=-.927(p<.01) for ROM. We concluded that the Korean version SPADI was shown to be a reliable and valid instrument for the assessment of shoulder musculoskeletal pain and dysfunction.

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