노인의 보행에 대한 평가 도구의 신뢰도와 타당도 조사 연구 = Reliability and Validity of Gait Assessment Tools for Elderly Person

다국어 초록 (Multilingual Abstract)

Purpose: The examine the Reliability and Validity of the modified Emory Functional Ambulation Profile (mEFAP), Tinetti. Gait (TG), Timed Up & Go Tes t (TUG), Comfortable Gait Speed (CGS), Berg Balance Scale (BBS) in assessing gait function and balance in elderly person. Methods: The 45 community-dwelling subjects were participated in this study. Reliability was determined by intra-class correlation coefficient (ICC$_{3,1}$), Bland and Altman method (Standard Error of Measurement (SEM), Smallest Real Difference (SRD)). Results: Validity was examined by correlation the mEFAP, TG, TUG, CGS, BBS. The intra-rater reliability were High (ICC$_{3,1}$ : mEFAP=0.95, TG=0.96, TUG=0.94, CGS=0.96, BBS=0.92) and Absolute reliability were excellent (SEM: mEFAP=1.90, TG=0.21, TUG=0.28 CGS=0.25, BBS=0.52), (SRD: mEFAP=5.26, TG=0.58, TUG=0.77, CGS=0.69, BBS=1.44). There were significant correlations between assessment tool (r=.0.58$\sim$0.78, p<0.01) indicating good validity. Our results provide strong evidence that the assessment tool has good reliability, validity for assessing elderly person undergoing rehabilitation. Conclusion: The gait assessment tool is a useful scale for measuring walking function and recovery in elderly person.

참고문헌 (Reference)

1 안승헌, "뇌졸중 환자의 균형과 기능 수행 및 보행 검사를 위한 평가도구의 비교 : BBS, TUG, Fugl-Meyer, MAS-G, C·MGS, MBI" 한국전문물리치료학회 14 (14): 64-71, 2007

2 이한숙, "뇌졸중 환자에서 BBS, STI, MBI, TUG, FRT, 낙상과의 상관관계" 대한물리치료학회 20 (20): 1-6, 2008

3 안승헌, "노인의 기능 수행 평가 도구의 적용과 비교" 한국코칭능력개발원 9 (9): 161-170, 2007

4 Thorbahn LD, "Use of the Berg balance test to predict falls in elderly persons" 76 (76): 576-583, 1996

5 Bogl Thorbahn LD, "Use of the Berg Balance Test to predict falls in elderly persons" 76 (76): 576-585, 1996

6 Shamay S, "The timed up & go test: its reliability and association with lower‐limb impairments and locomotor capacities in people with chronic stroke" 86 (86): 1641-1647, 2005

7 Podisadlo D, "The timed "Up & Go": a test of basic functional mobility for frail elderly persons" 39 (39): 142-148, 1991

8 Liaw LJ, "The relative and absolute reliability of two balance performance measures in chronic stroke patients" 30 (30): 656-661, 2008

9 Means KM, "The obstacle course: a tool for the assessment of functional balance and mobility in the elderly" 33 (33): 413-429, 1996

10 Simondson JA, "The mobility scale for acute stroke patients: concurrent validity" 17 (17): 558-564, 2003

11 Schulz BW, "The effects of age and step length on joint kinematics and kinetics of large out‐and‐back steps" 23 (23): 609-618, 2008

12 Thompson P, "Test‐retest reliability of the 10‐metre fast walk test and 6‐minute walk test in ambulatory school‐aged children with cerebral palsy" 50 (50): 370-376, 2008

13 Hurkmans HL, "Techniques for measuring weight bearing during standing and walking" 18 (18): 576-589, 2003

14 Bland JM, "Statistical methods for assessing agreement between two methods of clinical measurement" 1 (1): 307-310, 1986

15 Behrman AL, "Sensitivity of the Tinetti Gait Assessment for detecting change in individuals with Parkinson's disease" 16 (16): 399-405, 2002

16 Richman J, "Research methodology and applied statistics. in: Part 3: measurement procedures in research" 32 : 253-257, 1980

17 Morris S, "Reliability of measurements obtained with Parkinson disease" 81 (81): 810-818, 2001

18 Pomeroy VM, "Reliability of measurement of tempo‐spatial parameters of gait after stroke using GaitMat II" 18 (18): 222-227, 2004

19 Hunt SM, "Reliability of a population survey tool for measuring perceived health problems: a study of patients with osteoarthrosis" 35 (35): 297-300, 1981

20 Sahin F, "Reliability and validity of the Turkish version of the Berg Balance Scale" 31 (31): 32-37, 2008

21 Kegelmeyer DA, "Reliability and validity of the Tinetti Mobility Test for individuals with Parkinson disease" 87 (87): 1369-1378, 2007

22 Liaw LJ, "Psychometric properties of the modified Emory functional ambulation profile in stroke patients" 20 (20): 429-437, 2006

23 Mehrholz J, "Predictive validity and responsiveness of the Functional Ambulation Category in hemiparetic patients after stroke" 88 (88): 1314-1319, 2007

24 Shumway‐Cook A, "Predicting the probability for falls in community‐dwelling older adults using the timed up & go test" 80 (80): 896-903, 2000

25 Tinetti ME, "Performance oriented assessment of mobility problems in elderly patients" 34 (34): 119-126, 1986

26 Holt G, "Outcome after surgery for the treatment of hip fracture in the extremely elderly" 90 (90): 1899-1905, 2008

27 Baer HR, "Modified Emory functional ambulation profile an outcome measure for the rehabilitation of poststroke gait dysfunction" 32 (32): 973-979, 2001

28 Van Loo MA, "Inter‐rater reliability and concurrent validity of walking speed measurement after traumatic brain injury" 17 (17): 775-779, 2003

29 양경희, "Hemiplegic Motor Behavior Tests의 타당도와 신뢰도에 대한 연구" 대한작업치료학회 15 (15): 55-65, 2007

30 Iinattiniemi S, "Exercise and risk of injurious fall in home‐dwelling elderly" 67 (67): 235-244, 2008

31 Lim MR, "Evaluation of the elderly patient with an abnormal gait" 15 (15): 107-117, 2007

32 Moe‐Nilssen R, "Estimation of gait cycle characteristics by trunk accelerometry" 37 (37): 121-126, 2004

33 Wolf SL, "Establishing the reliability and validity of measurements of walking time using the Emory Functional Ambulation Profile" 79 (79): 1122-1133, 1999

34 Park H, "Effect of combined exercise training on bone, body balance, and gait ability: a randomized controlled study in community‐dwelling elderly women" 26 (26): 254-259, 2008

35 Stretton CM, "Determinants of physical health in frail older people: the importance of self‐efficacy" 20 (20): 357-366, 2006

36 Goldsmith CH, "Criteria for clinically important changes in outcomes: Development, scoring and evaluation of rheumatoid arthritis patient and trial profiles. OMERACT Committee" 20 (20): 561-565, 1993

37 Piper B, "Chronic venous disorders and injection drug use: impact on balance, gait, and walk speed" 35 (35): 301-310, 2008

38 Steffen TM, "Age and gender‐related test performance in community dwelling elderly people: Sixminute walk test, Berg balance scale, timed up & go test, and gait speeds" 82 (82): 128-137, 2002

39 Shore WS, "A comparison of gait assessment methods: Tinetti and GAITRite electronic walkway" 53 (53): 2044-2045, 2005