DOI QR코드

DOI QR Code

한국어판 플러턴 어드밴스드 균형 척도의 신뢰도와 타당도 연구

Reliability and Validity Study on the Korean Version of the Fullerton Advanced Balance Scale

  • 김경모 (백석대학교 보건학부 물리치료학과)
  • Kim, Gyoung-mo (Dept. of Physical Therapy, Division of Health Science, Baekseok University)
  • 투고 : 2016.01.02
  • 심사 : 2016.02.02
  • 발행 : 2016.02.19

초록

Background: The assessment tool developed in other countries should be translated into Korean language using rigorous methodological approaches in order to be used in Korea. Because these procedures are insufficient for establishing the cross-cultural and linguistic equivalence, the need for statistical methods is raised. The Fullerton Advanced Balance Scale was translated into Korean and the content validity was verified through the back translation method, but the reliability and validity have not yet been proven by statistical methods. Objects: The purpose of this study was to investigate the reliability and validity of the Korean version of the Fullerton Advanced Balance Scale (KFAB) by statistical methods in elderly people. Methods: A total of 97 elderly adults (39 males and 58 females) participated in this study. Internal consistency of the KFAB was measured using Cronbach's alpha and an intraclass correlation coefficient (ICC) was used to assess test-retest reliability between the two measurement sessions. Concurrent validity was measured by comparing the KFAB responses with the Korean version of the Berg Balance Scale (KBBS) using the Spearman correlation coefficient. Construct validity of the KFAB was measured using the exploratory factor analysis to evaluate the unidimensionality of the questionnaire. The significance level was set at ${\alpha}=.05$. Results: The internal consistency of the KFAB was found be adequate with Cronbach's alpha (.96), and test-retest reliability was excellent as evidenced by the high ICC (r=.996). Concurrent validity showed high correlation between the KFAB and KBBS (r=.89, p<.001). Construct validity was evaluated using exploratory factor analysis. The result from Bartlett test of sphericity was statistically significant (p<.001), and the value of Kaiser-Meyer-Olkin measure of sampling adequacy was .93. Exploratory factor analysis revealed the existence of only one dominant factor that explained 76.43% of the variance. Conclusion: The KFAB is a reliable, valid and appropriate tool for measuring the balance functions in elderly people.

키워드

참고문헌

  1. Baker DI, King MB, Fortinsky RH, et al. Dissemination of an evidence-based multicomponent fall risk-assessment and -management strategy throughout a geographic area. J Am Geriatr Soc. 2005;53(4): 675-680. https://doi.org/10.1111/j.1532-5415.2005.53218.x
  2. Berg KO, Maki BE, Williams JI, et al. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil. 1992;73(11):1073-1080.
  3. Bogle Thorbahn LD, Newton RA. Use of the Berg balance test to predict falls in elderly persons. Phys Ther. 1996;76(6):576-583. https://doi.org/10.1093/ptj/76.6.576
  4. Boulgarides LK, McGinty SM, Willett JA, et al. Use of clinical and impairment-based tests to predict falls by community-dwelling older adults. Phys Ther. 2003;83(4):328-339.
  5. Brauer SG, Burns YR, Galley P. A prospective study of laboratory and clinical measures of postural stability to predict community-dwelling fallers. J Gerontol A Biol Sci Med Sci. 2000;55(8): M469-M476. https://doi.org/10.1093/gerona/55.8.M469
  6. Duncan PW, Weiner DK, Chandler J, et al. Functional reach: A new clinical measure of balance. J Gerontol. 1990;45(6):M192-M197. https://doi.org/10.1093/geronj/45.6.M192
  7. Fortinsky RH, Baker D, Gottschalk M, et al. Extent of implementation of evidence-based fall prevention practices for older patients in home health care. J Am Geriatr Soc. 2008;56(4):737-743. http://dx.doi.org/10.1111/j.1532-5415.2007.01630.x
  8. Hall CD, Schubert MC, Herdman SJ. Prediction of fall risk reduction as measured by dynamic gait index in individuals with unilateral vestibular hypofunction. Otol Neurotol. 2004;25(5):746-751. https://doi.org/10.1097/00129492-200409000-00017
  9. Hernandez D, Rose DJ. Predicting which older adults will or will not fall using the Fullerton Advanced Balance Scale. Arch Phys Med Rehabil. 2008; 89(12):2309-2315. http://dx.doi.org/10.1016/j.apmr. 2008.05.020
  10. Hulin CL, Drasgow F, Komocar J. Applications of item response theory to analysis of attitude scale translations. J Appl Psychol. 1982;67(6): 818-825. https://doi.org/10.1037/0021-9010.67.6.818
  11. Kaiser HF. An index of factorial simplicity. Psychometrika. 1974;39(1):31-36. https://doi.org/10.1007/BF02291575
  12. Kim AY, Lim EY. Effects of different types of practice in cross-cultural test adaptation of affective measures. Korean Journal of Psychology: General. 2003;22(1):89-113.
  13. Kim GM. Content validity of a Korean-translated version of a Fullerton Advanced Balance Scale: A pilot study. Phys Ther Korea. 2015;22(4):51-61. http://dx.doi.org/10.12674/ptk.2015.22.4.051
  14. Kim SG, Nam CW, Yong MS. The effects of increase in baggage weight on elderly women's lower extremity muscle activation during gait. Arch Gerontol Geriatr. 2014;59(3):574-576. http://dx.doi.org/ 10.1016/j.archger.2014.07.015
  15. Korea Centers for Disease Control and Prevention. Current characteristics of injury among older adults by injury mechanism [Internet]. Cheongju, 2009 Oct 16 [Cited 2016 Jan 5]. Available from: http://www.cdc.go.kr/CDC/info/CdcKrInfo0301. jsp?menuIds=HOME001-MNU1132-MNU1138-M NU0037-MNU1380&cid=12356
  16. Lee JA, Yi CH, Park SY, et al. Application of Rasch analysis to the Korean Berg Balance Scale. Phys Ther Korea. 2006;13(3):49-56.
  17. Legters K. Fear of falling. Phys Ther. 2002;82(3): 264-272.
  18. Nevitt MC, Cummings SR, Kidd S, et al. Risk factors for recurrent nonsyncopal falls. A prospective study. JAMA. 1989;261(18):2663-2668.
  19. Park EY, Park SY. Comparison of reliability and validity between GMFM-88 and GMFM-66 in children with cerebral palsy. Phys Ther Korea. 2010;17(3):40-47.
  20. Rose DJ, Lucchese N, Wiersma LD. Development of a multidimensional balance scale for use with functionally independent older adults. Arch Phys Med Rehabil. 2006;87(11):1478-1485. https://doi.org/10.1016/j.apmr.2006.07.263
  21. Schlenstedt C, Brombacher S, Hartwigsen G, et al. Comparing the Fullerton Advanced Balance Scale with the Mini-BESTest and Berg Balance Scale to assess postural control in patients with Parkinson disease. Arch Phys Med Rehabil. 2015;96(2):218-225. http://dx.doi.org/10.1016/j.apmr. 2014.09.002
  22. Son WS. A comprehensive approach for adapting psychological tests. Korean Journal of Psychology: General. 2003;22(2):57-80.
  23. Whitney S, Wrisley D, Furman J. Concurrent validity of the Berg Balance Scale and the Dynamic Gait Index in people with vestibular dysfunction. Physiother Res Int. 2003;8(4):178-186. https://doi.org/10.1002/pri.288

피인용 문헌

  1. The Analysis on the Reliability and Validity of Korean-Version Balance Assessment Tools vol.12, pp.4, 2017, https://doi.org/10.13066/kspm.2017.12.4.139
  2. Comparison of the Berg Balance and Fullerton Advanced Balance Scale for Predicting Falls in Patients With Chronic Stroke vol.25, pp.1, 2018, https://doi.org/10.12674/ptk.2018.25.1.039
  3. The reliability and validity of the Korean version of the Fullerton Advanced Balance scale in children with cerebral palsy pp.1532-5040, 2019, https://doi.org/10.1080/09593985.2018.1469058
  4. Rasch Analysis of the Korean Version of the Fullerton Advanced Balance Scale vol.24, pp.4, 2016, https://doi.org/10.12674/ptk.2017.24.4.020
  5. 협응이동훈련이 경도인지장애노인의 낙상물리요인에 미치는 영향 vol.15, pp.2, 2016, https://doi.org/10.13066/kspm.2020.15.2.65