Comparison of Appropriateness of the Korean Version of MBI and the Korean Version of the PEDI for Evaluating the Activities of Daily Living on Infants With Cerebral Palsy (영유아 뇌성마비의 일상생활 평가에 있어서 K-MBI와 한글 PEDI의 적합성 비교)

신원호; KWON， JEONG YI (권정이); 박흥석; Sun Ha Jee (지선하); Jeong Byoung Lock (정병록); CHUNG MO Nam (남정모)

Comparison of Appropriateness of the Korean Version of MBI and the Korean Version of the PEDI for Evaluating the Activities of Daily Living on Infants With Cerebral Palsy

Korean Journal of Occupational Therapy
Abbr : Korean J of Occup Ther
2013, 21(3), pp.125-137
Publisher : Korean Society Of Occupational Therapy
Research Area : Medicine and Pharmacy > Working Therapeutics

신원호 ¹, KWON， JEONG YI ², 박흥석 ¹, Sun Ha Jee ³, Jeong Byoung Lock ⁴, CHUNG MO Nam ³

¹삼성서울병원 재활의학과 작업치료실
²성균관대학교
³연세대학교
⁴상지영서대학교

Accredited

ABSTRACT

Objective : This study aimed to apply the Korean version of the Modified Barthel Index (K-MBI) and the Korean version of the Pediatric Evaluation of Disability Inventory (PEDI) on infants with cerebral palsy, and on non-disabled infants, to compare the appropriateness of these tools when evaluating the activities of daily living in infants with cerebral palsy. Methods : The subjects of this study included 66 infants with cerebral palsy and 68 non-disabled infants aged between 1 and 5. The data collected were statistically analyzed using SPSS version 18.0 and MedCalc version 12.3. For a discriminative power comparison, a receiver operating characteristics (ROC) analysis was utilized. An independent t-test was conducted to compare the scores between the two groups. Results : Both the K-MBI and the Korean version of the PEDI showed a statistically significant difference between infants with cerebral palsy and non-disabled infants. In the case of the K-MBI, the difference was the greatest for“ ambulation,”followed by“ chair/bed transfer”and“ stair up/down.”The Korean version of the PEDI, on the other hand, showed the greatest difference in the mobility category, followed by the selfcare and social function categories in the Korean version of the PEDI. The AUC comparison, which was conducted to compare the discriminative ability of the two tools, determined that its total, functional skills, and caregiver assistance for the Korean version of the PEDI were significantly broader than for the K-MBI. Conclusion : The Korean version of the PEDI had a better discriminative power than the K-MBI, which is currently used as a criterion to determine the level of disabilities of infants with brain lesions. In clinical practice, it is necessary to compliment or replace the current methods used to assess an infant’s development through the use of tools that more properly diagnose and evaluate the infant’s level of disability.

KEYWORDS

Activities of daily living, Cerebral Palsy, Infants, K-MBI, PEDI

Citation status

* References for papers published after 2023 are currently being built.

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