[논문]Reliability of the Korean Version of the Trunk Impairment Scale in Patients With Stroke

Seo, Hyun-Du; Kim, Nam-Joe; Chung, Yi-Jung

Reliability of the Korean Version of the Trunk Impairment Scale in Patients With Stroke 원문보기

The purpose of this study was to establish the reliability of the Trunk Impairment Scale (TIS) translated into Korea in patients with stroke. It also aims to score the quality of trunk movement and to be a tool for the treatment. The TIS consists of three subscales that static sitting balance, dynamic sitting balance and co-ordination. The TIS score ranges from a minimum of 0 to a maximum of 23. Twenty-five stroke patients (13 males, 12 females) were examined by two physiotherapists. Interrater and test-retest reliability were assessed. Kappa and weighted kappa values for the items of the trunk assessment of the TIS ranged from .67 to 1.00. Intraclass correlation coefficients for interrater and test-retest agreement were .95 and .97. Cronbach alpha coefficients for internal consistency range from .87 to .97. The TIS provide reliable assessments for the trunk and are valid scales for measuring trunk performance in patients with stroke. TIS can be used as a guideline for treatment and the assessment of quality of trunk activity.

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문제 정의

Thus, the necessity of tools to evaluate trunk mobility and its stability has been raised. The purpose of this study is to introduce the TIS into Korea, as well as to prove its reliability. In addition, this study is expected to be a guideline on the qualitative observation of trunk movements and the trunk alignment of patients with stroke.
The purpose of this study is to prove the reliability of the TIS and its usability. In kappa value and weighted kappa value, test-retest agreement and inter-rater agreement were between .

가설 설정

The 4 tasks of the dynamic sitting balance are suitable to evaluate bilateral trunk contraction or extension (Verheyden et al, 2004). In this study, trunk coordination, static sitting balance and dynamic sitting balance were considered in the TIS. Consequently, it is expected to be a guideline for medical treatment, though all trunk functions may not be evaluated.

제안 방법

Each observer examined twice time a group of 25 patients, amounting to 25 patients in total. In this study, every item of the scale was performed three times to avoid a possible scoring bias if a patient reached the maximum score after one or two attempts.
0 for window. Test-retest reliability was measured by comparing the results of the therapists who examined the patient twice. To determine inter-rater reliability, the results of the both therapists who observed the patient simultaneously were compared.
During that time no treatment was offered. The observations were planned every half hour, so at least two different patients were evaluated before seeing the same patient again. To further minimize recall bias, the observers filled in the score sheet but did not add up the scores.
The study was aimed at the clinical examination of post-stroke trunk impairment, and introducing translation. The Trunk Impairment Scale (TIS) to Korean.

대상 데이터

Allocation of the patients to the observers as well as the order of the two observations were randomized. Each observer examined twice time a group of 25 patients, amounting to 25 patients in total. In this study, every item of the scale was performed three times to avoid a possible scoring bias if a patient reached the maximum score after one or two attempts.
Patients were recruited through direct contact at a K university hospital and gathered stroke inpatients and outpatients on a volunteer basis with physiotherapy. Twenty-five stroke patients (13 female and 12 male) were included in study.
The participants consisted of 11 patients with cerebral hemorrhage, 14 patients with ischemia with cerebral vessel’s problems, 9 patients with right hemiplegia, 15 patients with left hemiplegia, 1 patient with quadriplegia.
Patients were recruited through direct contact at a K university hospital and gathered stroke inpatients and outpatients on a volunteer basis with physiotherapy. Twenty-five stroke patients (13 female and 12 male) were included in study. The participants consisted of 11 patients with cerebral hemorrhage, 14 patients with ischemia with cerebral vessel’s problems, 9 patients with right hemiplegia, 15 patients with left hemiplegia, 1 patient with quadriplegia.

데이터처리

The agreement rate was also determined with regard to all items. In respect to the subtotal of 3 scopes and the total score of TIS, test-retest reliability and inter-rater reliability were evaluated by intraclass correlation coefficients ICC (3,1). Cronbach’s alpha was calculated to check whether the subtotal is contradictory to the total.

이론/모형

The procedure used to produce the Korean version of the TIS was the forward translation method. This step is the translation into Korean of the original version of the TIS.

성능/효과

As the results, the sub-scale and total TIS scores showed significant differences between stroke patients and healthy individuals (p<.0001).
Verheyden et al (2005) compared stroke patients and control groups to evaluate the decision of the TIS. The TIS total score was compared with both the Barthel Index (r=.86), by means of the Spearman rank correlations for determining construct validity, and the Trunk Control Test for concurrent validity. As the results, the sub-scale and total TIS scores showed significant differences between stroke patients and healthy individuals (p<.

후속연구

The purpose of this study is to introduce the TIS into Korea, as well as to prove its reliability. In addition, this study is expected to be a guideline on the qualitative observation of trunk movements and the trunk alignment of patients with stroke.

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Reliability of the Korean Version of the Trunk Impairment Scale in Patients With Stroke 원문보기

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Reliability of the Korean Version of the Trunk Impairment Scale in Patients With Stroke 원문보기

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