Performance of Activities of Daily Living in Typically Developing Children in Korea: Normative Value of K-MBI
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Objective: To determine the normative values of the Korean version of the Modified Barthel Index (K-MBI) score for typically developing children in Korea and assess its suitability for use in children.Methods: Rehabilitation physicians and occupational therapists with children were invited through an online platform to participate in a survey assessing their children’s performance of activity of daily living (ADL) using the K-MBI. The questionnaire encompassed queries on sociodemographic information of children and the assessment criteria outlined in the K-MBI. The standardized K-MBI scores by age were estimated using the nonlinear least squares method.Results: The analysis incorporated responses from a total of 206 individuals. K-MBI total scores showed a rapid increase over the first 8 years of life, with 99% of children achieving a score of 90 or higher by age 8. Mobility scores exhibited a swift increase during early childhood, surpassing 90% of the maximum score at 3 years of age and nearing 100% at 7 years of age. In contrast, self-care scores demonstrated a more gradual advancement, achieving approximately 100% of the maximum score by the age of 10 years.Conclusion: Age-specific normative values for K-MBI scores of typically developing children were established, which can be used as a reference in clinical care. While the K-MBI captured the overall trajectory of children’s ADL development, it did not discern subtle differences across various developmental stages. There is a need for the development of more refined assessment tools tailored specifically to children.
Abstract
Objective: To determine the normative values of the Korean version of the Modified Barthel Index (K-MBI) score for typically developing children in Korea and assess its suitability for use in children.Methods: Rehabilitation physicians and occupational therapists with children were invited through an online platform to participate in a survey assessing their children’s performance of activity of daily living (ADL) using the K-MBI. The questionnaire encompassed queries on sociodemographic information of children and the assessment criteria outlined in the K-MBI. The standardized K-MBI scores by age were estimated using the nonlinear least squares method.Results: The analysis incorporated responses from a total of 206 individuals. K-MBI total scores showed a rapid increase over the first 8 years of life, with 99% of children achieving a score of 90 or higher by age 8. Mobility scores exhibited a swift increase during early childhood, surpassing 90% of the maximum score at 3 years of age and nearing 100% at 7 years of age. In contrast, self-care scores demonstrated a more gradual advancement, achieving approximately 100% of the maximum score by the age of 10 years.Conclusion: Age-specific normative values for K-MBI scores of typically developing children were established, which can be used as a reference in clinical care. While the K-MBI captured the overall trajectory of children’s ADL development, it did not discern subtle differences across various developmental stages. There is a need for the development of more refined assessment tools tailored specifically to children.
참고문헌 (16)
- Mlinac ME, "Assessment of activities of daily living, self-care, and independence", Arch Clin Neuropsychol, 31, pp.506~516 (2016)
- Kang MG, "Trends in frailty prevalence among older adults in Korea : a nationwide study from 2008 to 2020", J Korean Med Sci, 38, pp.e157~ (2023)
- Mayer RS, "Rehabilitation of individuals with cancer", Ann Rehabil Med, 46, pp.60~70 (2022)
- Uchida K, "Outcome prediction for patients with ischemic stroke in acute care : new three-level model by eating and bladder functions", Ann Rehabil Med, 45, pp.215~223 (2021)
- Brock KA, "Evaluating the effectiveness of stroke rehabilitation : choosing a discriminative measure", Arch Phys Med Rehabil, 83, pp.92~99 (2002)
- Ottenbacher KJ, "The reliability of the functional independence measure : a quantitative review", Arch Phys Med Rehabil, 77, pp.1226~1232 (1996)
- Lee SY, "Determining the cut-off score for the modified Barthel Index and the modified Rankin Scale for assessment of functional independence and residual disability after stroke", PLoS One, 15, pp.e0226324~ (2020)
- Jeong BL, "Adaptation of the Korean-translated version of the Pediatric Evaluation of Disability Inventory and cross-cultural research : preliminary study", Korean J Occup Ther, 17, pp.121~132 (2009)
- Nair KP, "Disabilities in children with Duchenne muscular dystrophy : a profile", J Rehabil Med, 33, pp.147~149 (2001)
- Jalali R, "Prospective assessment of activities of daily living using modified Barthel’s Index in children and young adults with low-grade gliomas treated with stereotactic conformal radiotherapy", J Neurooncol, 90, pp.321~328 (2008)
- Shah S, "Improving the sensitivity of the Barthel Index for stroke rehabilitation", J Clin Epidemiol, 42, pp.703~709 (1989)
- Jung HY, "Development of the Korean Version of Modified Barthel Index(K-MBI) : multi-center study for subjects with stroke", J Korean Acad Rehabil Med, 31, pp.283~297 (2007)
- James S, "A systematic review of activities of daily living measures for children and adolescents with cerebral palsy", Dev Med Child Neurol, 56, pp.233~244 (2014)
- Lim Y, "Psychometric properties of the Modified Barthel Index for children with rare disorders", Korean J Occup Ther, 28, pp.111~120 (2020)
- Hyun SE, "Early neurodevelopmental assessments of neonates discharged from the neonatal intensive care unit : a physiatrist’s perspective", Ann Rehabil Med, 47, pp.147~161 (2023)
- Fricke J, "Inter-rater reliability of the original and modified Barthel Index, and a comparison with the Functional Independence Measure", Aust Occup Ther J, 44, pp.22~29 (1997)