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Inter-rater·absolute reliability and concurrent validity of Tinetti-gait scale(Korean version) in stroke patients

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2014, 9(2), pp.201-211
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

Seung Heon An 1,  이동건 2,  lee yunbok 3,  Lee GyuChang 2

1국립재활원
2경남대학교
3동서대학교

Candidate

ABSTRACT

Purpose : The purpose of this study was to investigate the inter-rater·absolute reliability and the concurrent validity of the Tinetti-gait scale that was translated into Korean for chronic stroke patients. Method : Fifty-two patients with post-stroke participated in this study. Inter-rater reliability was analyzed by Intraclass Correlation Coefficient (ICC3,1) and Kappa coefficient, and absolute reliability was analyzed by the Standard Error of Measurement (SEM), and the Minimal Detectable Change (MDC). Concurrent validity was analyzed by correlating between the Tinetti-gait scale and physical functions. The physical functions were measured by using the Dynamic Gait Index(DGI), 10m walking test(10WT), One Leg Standing Test of affected/non-affected side(OLST), Sit to Stand test(STS), (Fugl Meyer assessment of Lower Extremity(FM-LE). Results : The inter-rater reliability of the Tinetti-gait scale was high; ICC(3,1) =.91 (95% CI=.85∼.95) (very reliable), the range of Kappa coefficient were .73∼.92 (substantial∼good). The inter-rater agreement of the each item in Tinetti-gait scale ranged from .74 to .92 (95 % CI=.59∼.95) (reliable∼very reliable). The SEM and MDC were .56 and 1.55, respectively. In the results of concurrent validity, there were moderate positive correlation between Tinetti-gait scale and DGI (r=.78), 10WT (r=.74), OLST (r=.65∼.73), FM-LE (r=67). And there was moderate negative correlation between Tinetti-gait scale and STS (r=-79) (p<.01). Conclusion : The Tinetti-gait scale(Korean version) was a reliable and valid tool to measure gait ability in patients with chronic stroke. Thus, it could be a useful tool for examining a gait ability of post-stroke patients. Further study should be conducted to investigate the usability to predict fall risk of post-stroke patients of the Tinetti-gait scale.

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