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Interrater and Intrarater Reliability for Three Clinical Measures of Balance and Gait in Individuals With Hemiparetic Stroke

뇌졸중 환자률 대상으로 한 균형 및 보행에 관한 3가지 임상평가도구의 측정자간 및 측정자내 신뢰도

  • Woo, Young-Keun (Department of Physical Therapy, College of Alternative Medicine, Jeonju University) ;
  • Park, So-Yeon (Department of Physical Therapy, College of Alternative Medicine, Jeonju University) ;
  • Hwang, Su-Jin (Institute of Health Science, Yonsei University) ;
  • Kim, Hyouk-Il (Department of Physical Therapy, Glory Hospital) ;
  • Yoo, Kyoung-Hoon (Department of Physical Therapy, Glory Hospital)
  • 우영근 (전주대학교 대체의학대학 물리치료학과) ;
  • 박소연 (전주대학교 대체의학대학 물리치료학과) ;
  • 황수진 (연세대학교 보건과학연구소) ;
  • 김혁일 (글로리병원 물리치료실) ;
  • 유경훈 (글로리병원 물리치료실)
  • Received : 2011.03.06
  • Accepted : 2011.03.20
  • Published : 2011.06.30

Abstract

Purpose : Many researchers have attempted to identity the reliability used in clinical examination of balance and gait performance for individuals of hemiparetic stroke. The study aims to evaluate whether the reliabilities of three popular clinical measures of balance and gait performance was consistency regardless of applicate experience of those clinical measures compared with previous studies for persons with hemiparetic stroke. Methods : A total of three hemiparetic stroke populations and twenty-six physical therapists were recruited from Glory hospital, Inchen, Korea in this study. The three clinical measures, involving Berg balance test (BBT), dynamic gait index (DGI), and Tinetti performance-oriented mobility assessment (POMA), were assessed in two sessions that were seven days apart. Results : The POMA was showed a good intrarater and interrater reliabilities in people with hemiparetic stroke regardless of measure's experience in clinical field. However BBT and DGI were showed below moderate intrarater and interrater reliabilities. Conclusion : The POMA could be a reliable measure to evaluate functional postural stability and gait performance in hemiparetic stroke patients compared with other two clinical measures regardless of measure's experience of physical therapists.

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