DOI QR코드

DOI QR Code

Validity and Reliability of the Korean Version of the London Handicap Scale

한국판 London Handicap Scale의 타당도와 신뢰도

  • Choi, Yoo-Im (Dept. of Occupational Therapy, College of Health & Welfare, Howon University) ;
  • Kim, Won-Ho (Dept. of Physical Therapy, College of Ulsan) ;
  • Park, Eun-Young (Dept. of Secondary Special Education, College of Education, Jeonju University)
  • 최유임 (호원대학교 보건복지대학 작업치료학과) ;
  • 김원호 (울산과학대학 물리치료과) ;
  • 박은영 (전주대학교 사범대학 중등특수교육과)
  • Received : 2011.09.22
  • Accepted : 2011.11.10
  • Published : 2011.11.30

Abstract

The purpose of the this study was to identify validity and reliability of the Korean version of the London Handicap Scale (K-LHS) measuring participation restriction for stroke survivors within outpatient rehabilitation setting. 54 stroke patients participated. The reliability was good with a Cronbach's ${\alpha}$ and intraclass correlation coefficient of .791 and .983, respectively. The results of exploratory factor analysis was that the K-LHS was constructed two factors and explanation power was 72.32%. There are significant correlation between K-MBI and subitems of K-LHS (r=-.454 ~ -.819)(p<.01), except economic item. Because the K-LHS seems to be a valid and reliable, thus, it is considered to be appropriate as a tool to measure participation restriction of stroke patients in clinical practice.

이 연구는 뇌졸중 환자의 참여제한을 측정하는 도구인 한국판 London Handicap Scale의 타당도와 신뢰도를 알아보기 위해 실시되었다. 외래 재활치료를 받고 있는 뇌졸중 환자 54명을 대상으로 하였다. 한국판 LHS의 문항내적일치도는 Cronbach's ${\alpha}$ 값이 .791이었고, 급간내상관계수는 .983으로 신뢰도가 높았다. 구성타당도를 알아보기 위해 탐색적 요인분석을 실시한 결과, 한국판 LHS는 2개의 요인으로 구성되며 설명력은 72.32%인 것으로 나타났다. 한국판 LHS와 한국판 수정바델지수와는 경제상태 항목을 제외하고 모든 항목에서 유의한 상관성이 있는 것으로 나타났다(r=-.454 ~ -.819)(p<.01). 한국판 LHS의 신뢰도와 타당도가 높기 때문에, 임상에서 뇌졸중 환자의 참여제한을 측정하는 도구로 사용되는데 적절한 것으로 여겨진다.

Keywords

References

  1. T. Kwok, et al., "Quality of Life of Stroke Survivors: A 1-year Follow-up Study", Archives of Physical Medicine and Rehabilitation, Vol. 87, No. 9, pp. 1177-1182, 2006. https://doi.org/10.1016/j.apmr.2006.05.015
  2. J. Woo, Y. K. Yuen, R. Kay, and M. G. Nicholls, "Survival, Disability, and Residence 20 months After Acute Stroke in a Chinese Population: Implications for Community Care", Disability and Rehabilitation, Vol. 14, No. 1, pp. 36-40, 1992. https://doi.org/10.3109/09638289209166425
  3. S. B. O'Sullivan, and T. J. Schmitz, Physical Rehabilitation 5th ed. F. A. Davis, Philadelphia, 2007.
  4. C. Jenkinson, J. Mant, J. Carter, D. Wade, and S. Winner, "The London Handicap Scale: A Reevaluation of Its Validity Using Standard Scoring and Simple Summation", Journal of Neurology, Neurosurgery, and Psychiatry, Vol. 68, No. 3, pp. 365-367, 2000. https://doi.org/10.1136/jnnp.68.3.365
  5. W. H. van Brakel, et al., "The Participation Scale: Measuring a Key Concept in Pubic Health", Disability and Rehabilitation, Vol. 28, No. 4, pp. 193-203, 2006. https://doi.org/10.1080/09638280500192785
  6. WHO, World Health Organization. International Classification of Functioning, Disability and Health. Geneva. 2001.
  7. W. H. Brakel, et al., "The Participation Scale: Measuring a Key Concept in Pubic Health", Disability and Rehabilitation, Vol 28, No. 4, pp. 193-203, 2006. https://doi.org/10.1080/09638280500192785
  8. S. D'Alisa, et al., "How Does Stroke Restrict Participation in Long-term Post-stroke Survivors?", Acta Neurologica Scandinavica, Vol. 112, No. 3, pp. 57-162, 2005.
  9. M. Seki, H. Takahashi, and N, Chino, "Characteristics of Hemiplegic Out-patients With Stroke Who Try to Remove Their Clothes Unnecessarily". Gan To Kagaku Ryoho. Vol. 28, No. 1, pp. 71-74, 2001.
  10. J. P. C. Chau, et al., "Determinants of Participation Restriction Among Community Dwelling Stroke Survivors: A Path Analysis", BMC Neurology, Vol. 7, No. 9, pp. 49, 2009.
  11. J. Desrosiers, et al., "Predictors of Long-term Participation After Stroke", Journal of Disability and Rehabilitation, Vol 28, No. 4, pp. 221-230, 2006. https://doi.org/10.1080/09638280500158372
  12. J. Desrosiers, et al., "Long-term Changes in Participation After Stroke", Topics in Stroke Rehabilitation, Vol. 13, No. 4, pp. 86-96, 2006. https://doi.org/10.1310/tsr1304-86
  13. K. L. Salter, et al., "Assessment of Participation Outcomes in Randomized Controlled Trials of Stroke Rehabilitation Interventions", International Journal of Rehabilitation Research, Vol. 30, No. 4, pp. 339-342, 2007. https://doi.org/10.1097/MRR.0b013e3282f144b7
  14. H. Y. Jung, K. M. Kim, and M. Y. Chang, "Measurement Tools for Occupational Therapy for Stroke Patients: A Systemic Review", Journal of Korean Society of Occupational Therapy, Vol. 17, No. 3, pp.79-95, 2009.
  15. R. Harwood, P. Gompertz, and S. Ebrahim, "Handicap One Year After a Stroke: Validity of a New Scale", Journal of Neurology, Neurosurgery and Psychiatry. Vol. 57, No. 7, pp. 825-829, 1994. https://doi.org/10.1136/jnnp.57.7.825
  16. V. Poulin, and J. Desrosiers. "Participation After Stroke: Comparing 'Proxies and Patients' Perception", Journal of Rehabilitation Medicine, Vol. 40, No. 1, pp. 28-35, 2008. https://doi.org/10.2340/16501977-0115
  17. G. G. Whiteneck, et al., "Quantifying Handicap: A New Measure of Long-term Rehabilitation Outcomes", Archives of Physical Medicine and Rehabilitation, Vol. 73, No. 6, pp. 519-526, 1992.
  18. R. Perenboom, and A. M. J. Chorus, "Measuring Participation According to the International Classification of Functioning, Disability and Health(ICF)", Disability and Rehabilitation, Vol. 25, No. 11, pp. 577-587, 2003. https://doi.org/10.1080/0963828031000137081
  19. R. Harwood, et al., "Measuring Handicap: The London Handicap Scale, a New Outcome Measure for Chronic Disease", Quality in Health Care. Vol. 3, No. 1, pp. 11-16, 1994. https://doi.org/10.1136/qshc.3.1.11
  20. A. Goonetilleke, "Validity of the London Handicap Scale", Journal of Neurology, Neurosurgery, and Psychiatry, Vol. 58, No. 1, pp. 125-126, 1995.
  21. A. Westergren, and P. Hagell, "Initial Validation of the Swedish Version of the London Handicap Scale", Quality of Life Research, Vol. 15, No. 7, pp. 1251-1256, 2006. https://doi.org/10.1007/s11136-006-0054-4
  22. R. H. Harwood, and S. Ebrahim, "Measuring the Outcomes of Day Hospital Attendance: A Comparison of the Barthel Index and London Handicap Scale", Clinical Rehabilitation, Vol. 14, No. 5, pp. 527-531, 2000. https://doi.org/10.1191/0269215500cr346oa
  23. A. Hershkovitz, et al., "Is a Day Hospital Rehabilitation Programme Associated With Reduction of Handicap in Stroke Patients?", Clinical Rehabilitation, Vol. 18, No. 3, pp. 261-266, 2004. https://doi.org/10.1191/0269215504cr731oa
  24. R. S. Lo, et al., "Cross-cultural Validation of the London Handicap Scale and Comparison of Handicap Perception Between Chinese and UK Populations", Age and Ageing. Vol. 36, No. 5, pp. 544-548, 2007. https://doi.org/10.1093/ageing/afm052
  25. C. V. Ganger, G. L. Albrecht, and B. B. Hamilton, "Outcome of Comprehensive Medial Rehabilitation: Measurement by PULSES Profile and the Barthel Index", Archives of Physical Medicine and Rehabilitation, Vol. 60, No. 4, pp. 145-154, 1979.
  26. H. Y. Jung, et al., "Development of the Korean Version of Modified Barthel Index (K-MBI): Multi-center Study for Subjects With Stroke", Journal of Korean Academy Rehabilitation Medicine, Vol. 31, No. 3, pp. 283-297, 2007.
  27. D. E. Beaton, et al., "Guidelines for the Process of Cross-cultural Adaption of Self-report Measures", Spine. Vol. 25, No. 24, pp 3186-3191, 2000. https://doi.org/10.1097/00007632-200012150-00014
  28. R. A. Deyp, "Measuring the Functional Status of Patients With Low Back Pain", Archives of Physical Medicine and Rehabilitation, Vol. 69, No. 13, pp. 1044-1122, 1988.
  29. T. Kwok, et al., "A Comparison of the Long-term Health Related Quality of Life and Handicap of Stroke Patients in Mainland China and Hong Kong", Health Services Insights, Vol. 3, No. 2, pp. 13-20, 2010.
  30. R. Lo, et al., "Cross-cultural Validation of the London Handicap Scale in Hong Kong Chinese", Clinical Rehabilitation, Vol. 15, No. 2, pp. 177-185, 2001. https://doi.org/10.1191/026921501670857768
  31. R. S. K. Lo, et al., "Handicap and Its Determinants of Change in Stroke Survivors: One-year Follow-up Study", Stroke, Vol. 39, No. 1, pp. 148-153, 2008. https://doi.org/10.1161/STROKEAHA.107.491399
  32. J. M. Binkley, et al., "The Lower Extremity Functional Scale (LEFS): Scale Development, Measurement Properties, and Clinical Application. North American Orthopaedic Rehabilitation Research Network", Physical Therapy, Vol. 79, No. 4, pp. 371-383, 1999.
  33. S. Kutlay, et al., "The Interval Scaling Properties of the London Handicap Scale: An Example From the Adaptation of the Scale for Use in Turkey", Clinical Rehabilitation, Vol. 25, No. 3, pp. 248-255, 2011. https://doi.org/10.1177/0269215510380829
  34. J. C. Nunnally, and I. H. Bernstein, Psychometric Theory. New York, McGraw-Hill, Inc, 1994.
  35. T. J. Seong, Validity and Reliability(re), pp. 35-128, Seoul, Hakjisa, 2002.
  36. C. H. Lee, Research Methodology for Physical Therapists and Occupational Therapists, pp. 63-70, Seoul, Gyechuk Cultural History, 2002.
  37. E. Y. Park, Development of Employer's Criteria Judged Critical to Employment of Persons With Mental Retardation, PhD Thesis, Kongju University, 2007.
  38. Y. J. Lee, Understanding Factor Analysis, Seoul, Seokjeong, 2002.
  39. S. J. Yi, H. J. Lee, and Y. K. Woo, "Validity and Reliability of the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)-VA3.0 in Hip and Knee Osteoarthritis Patients", Journal of the Korean Academy of University Trained Physical Therapists, Vol. 15, No. 2, pp. 20-28, 2008.
  40. J. W. Sturm, et al., "Handicap After Stroke: How Does It Relate to Disability, Perception of Recovery, and Stroke Subtype?: The North East Melbourne Stroke Incidence Study (NEMSIS)", Stroke, Vol. 33, No. 3, pp. 762-768, 2002. https://doi.org/10.1161/hs0302.103815

Cited by

  1. Correlation Between Selective Motor Control Test and Functional Performance Evaluation in Children With Spastic Cerebral Palsy vol.12, pp.7, 2012, https://doi.org/10.5392/JKCA.2012.12.07.232
  2. Factor Analysis of Core Values of Professionalism in Physical Therapy vol.13, pp.12, 2012, https://doi.org/10.5762/KAIS.2012.13.12.5901
  3. The Validity, Reliability and Discriminative Index of the Korean Version of Modified Barthel Index(K-MBI) in Stroke Patients vol.13, pp.9, 2012, https://doi.org/10.5762/KAIS.2012.13.9.4119