PURPOSE: The purpose of this study was to systematically analyze the reliability and validity of the Korean-version of the balance assessment tools. METHODS: Two reviewers of this study independently evaluated the titles of articles and abstracts of studies published until December 2016 through elec...
PURPOSE: The purpose of this study was to systematically analyze the reliability and validity of the Korean-version of the balance assessment tools. METHODS: Two reviewers of this study independently evaluated the titles of articles and abstracts of studies published until December 2016 through electronic databases (RISS, NDSL, KISS, DBpia) using the keywords "Balance or posture or postural control or postural stability", "Test or assessment or measurement or outcome measure or assessment tool or measurement tool", "Korean version", "Reliability" and "Validity". Regarding the questions considered suitable for the purpose of this study, consensus was reached after reading the full text. Selecting journals suitable for the purpose of the study, they were analyzed as data. RESULTS: The reviewers selected nine papers suitable for the purpose of this study, and Korean-version of the balance assessment tools, included the Berg Balance Scale (BBS), Activities-specific Balance Confidence (ABC) scale, Postural Assessment Scale for Stroke (PASS), Motor Assessment Scale (MAS), Trunk Impairment Scale (TIS), Falls Efficacy Scale (FES), Tinetti-Balance scale, Fullerton Advanced Balance (FAB) scale, and Function In Sitting Test (FIST). Our study showed that the reliability and validity of the Korean-version of the balance assessment tools were high. CONCLUSION: The Korean-version of the balance assessment tools with high reliability and validity would enable physical therapists to make a more accurate evaluation of balance.
PURPOSE: The purpose of this study was to systematically analyze the reliability and validity of the Korean-version of the balance assessment tools. METHODS: Two reviewers of this study independently evaluated the titles of articles and abstracts of studies published until December 2016 through electronic databases (RISS, NDSL, KISS, DBpia) using the keywords "Balance or posture or postural control or postural stability", "Test or assessment or measurement or outcome measure or assessment tool or measurement tool", "Korean version", "Reliability" and "Validity". Regarding the questions considered suitable for the purpose of this study, consensus was reached after reading the full text. Selecting journals suitable for the purpose of the study, they were analyzed as data. RESULTS: The reviewers selected nine papers suitable for the purpose of this study, and Korean-version of the balance assessment tools, included the Berg Balance Scale (BBS), Activities-specific Balance Confidence (ABC) scale, Postural Assessment Scale for Stroke (PASS), Motor Assessment Scale (MAS), Trunk Impairment Scale (TIS), Falls Efficacy Scale (FES), Tinetti-Balance scale, Fullerton Advanced Balance (FAB) scale, and Function In Sitting Test (FIST). Our study showed that the reliability and validity of the Korean-version of the balance assessment tools were high. CONCLUSION: The Korean-version of the balance assessment tools with high reliability and validity would enable physical therapists to make a more accurate evaluation of balance.
현재 많은 한글화된 균형 평가도구들이 신뢰도와 타당도를 검증하여 제시되고 있으나 이에 대한 체계 적인 분석이 이루어지지 않았다. 이에 본 연구의 목적은 한글화된 균형 평가도구들의 신뢰도와 타당도를 체계적으로 분석하고 제시하여 임상에서 물리치료사들이 정확한 평가를 위해 활용하고자 한다. 아울러 균형 평가도구의 임상 가이드라인을 위한 기초 자료로도 활용될 수 있을 것이다.
제안 방법
한글화된 균형 평가도구들의 제작은 먼저 타국가의 평가도구를 한국어로 번역하고, 그것을 다시 역번역하여 이후 원문과 역번역 본간의 언어의 구조적 유상성과 의미 전달의 유사성을 평가하여 최종 감수를 거쳐 번역을 완성하는 과정을 거친다.
대상 데이터
리뷰어들은 본 연구에 목적에 맞는 9개 문헌에 자료를 채택했으며, 한글화 된 균형 평가도구들로는 Berg 균형 척도(Berg Balance Scale, BBS), 활동 특이성 균형 자신감 척도(Activities-specific Balance Confidence, ABC scale), 뇌졸중의 자세 평가 척도(Postural Assessment Scale for Stroke, PASS), Motor Assessment Scale (MAS), Trunk Impairment Scale (TIS), 낙상 효능 척도(Falls Efficacy Scale, FES), 티네티 균형 척도(Tinetti-Balance Scale), 플러턴 어드밴스드 균형 척도(Fullerton Advanced Balance Scale, FAB scale), 기능적 앉기 검사(Function In Sitting Test, FIST)가 있었으며, 각각의 신뢰도와 타당도를 알아보았다.
성능/효과
본 연구는 체계적인 문헌 고찰을 통해 한글화된 균형 평가도구들을 확인하고, 그 신뢰도와 타당도를 분석하였다. 그 결과 한글화된 평가도구들은 높은 신뢰도와 타당도를 갖고 있었다. 높은 신뢰도와 타당도를 갖는 한글화된 균형 평가도구들은 임상에서 치료사들이 균형 능력을 평가하는데 유용하게 사용될 수 있을 것이다.
그 결과 한글화된 평가도구들은 높은 신뢰도와 타당도를 갖고 있었다. 높은 신뢰도와 타당도를 갖는 한글화된 균형 평가도구들은 임상에서 치료사들이 균형 능력을 평가하는데 유용하게 사용될 수 있을 것이다.
후속연구
본 연구의 제한점은 체계적인 문헌 고찰을 통해 자료를 수집하였으나 electronic databases로 RISS, NDSL과 KISS 그리고 DBpia만을 사용했으며, 2016년 12월 이후 출간된 문헌과 등재 되지 않은 문헌이나 회색 문헌은 검색하지 못하였다. 아울러 기능적 동작 수행을 통한 평가 방법인 Sit to stand test (Cho 등, 2013), Step test (Lee 등, 2017)와 같은 기능적 동작 수행을 통한 평가 방법과 수정된 PASS (Lee 등, 2014), 수정된 TIS (An과 Park, 2015) 같은 수정된 평가도구 그리고 아동 균형 평가도구(PBS)(Ko 등, 2008)는 배제하였다.
질의응답
핵심어
질문
논문에서 추출한 답변
균형은 어떤 특성에 영향을 받는가?
균형은 지지면 내에서 체중심을 유지하는 능력 (Shumway-Cook과 Woollacott, 2007) 혹은 넘어지지 않고 특정 상태를 유지(maintaining), 성취(achieving), 회복 (restoring)하는 인체의 능력으로 운동계, 감각계 그리고 물리적 특성(physical properties)에 영향 받는다고 하였다(Pollock 등, 2000). 이런 균형은 일상생활을 수행하고 사회 참여에 있어서 가장 기본적으로 요구되는 신체 활동 능력이다(Mayo 등, 2002).
균형이란?
균형은 지지면 내에서 체중심을 유지하는 능력 (Shumway-Cook과 Woollacott, 2007) 혹은 넘어지지 않고 특정 상태를 유지(maintaining), 성취(achieving), 회복 (restoring)하는 인체의 능력으로 운동계, 감각계 그리고 물리적 특성(physical properties)에 영향 받는다고 하였다(Pollock 등, 2000). 이런 균형은 일상생활을 수행하고 사회 참여에 있어서 가장 기본적으로 요구되는 신체 활동 능력이다(Mayo 등, 2002).
효과적인 치료를 위해서는 환자에 대한 정확한 균형 평가가 필요한데 이러한 균형 평가를 통해 얻는 이점은 무엇인가?
효과적인 치료를 위해서는 환자에 대한 정확한 균형 평가가 우선되어야 한다. 평가는 균형 문제의 원인을 밝혀내고, 치료 계획을 수립하며, 결과 측정에 사용된다. 또한 환자와 보호자 교육에 필요한 정보를 제공하고 이를 통해 신뢰를 얻게 한다. 뿐만 아니라 재활 전문가들 사이에 정보 공유를 위한 자료가 되며, 근거 중심 물리치료에 중요한 부분이다(Horak, 1997; APTA, 2001).
참고문헌 (30)
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