• 대한임상전기생리학회지
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• 제10권1호
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• pp.29-37
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• 2012

Purpose : The purpose of this study was to establish intra-rater, inter-rater, test-retest reliability, and concurrent validity of figure-of-8 walk test in people with stroke. Methods : The subjects of this study were 17 patients who were diagnosed with a stroke. Subjects were tested twice by the same raters, with 1 day between tests. Subjects were assessed by two physical therapists. Test-retest reliability was calculated using intraclass correlation coefficients (ICC). The concurrent validity was demonstrated by spearman correlation of F8WT with 10m walking test (10MWT), timed up and go test (TUG), Berg balance scale (BBS), dynamic gait index (DGI) and four square step test (FSST). Results : Intra-rater, inter-rater, test- retest of F8WT time, showed high reliability. Intra-rater, inter-rater, test-retest of F8WT steps demonstrated high reliability. Intra-rater, inter-rater, test-retest of F8WT total smoothness score showed below moderate reliability. There was a significant positive correlation of F8WT time with 10MWT, TUG, FSST. There was a significant negative correlation of F8WT time with DGI, BBS. There was a significant positive correlation of F8WT steps with 10MWT, TUG, FSST. There was a significant negative correlation of F8WT steps with DGI. There was a significant positive correlation of F8WT test total smoothness score with BBS. Conclusion : The time, and number of steps in F8WT show high inter, intra-rater, test-retest reliability. The F8WT smoothness shows below moderate reliability. The F8WT shows high concurrent validity with other comparable balance, and walking tests. The F8WT is a valid and reliable measure for assessing walking function in patients with a stroke.

• 디지털융복합연구
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• 제15권12호
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• pp.71-77
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• 2017

교육수요자와 대학 간의 원활한 양방향 소통을 위해서는 올바른 시스템을 갖춘 만족도조사가 병행되어야 한다. 본 연구는 교육수요자 만족도조사의 실시과정에서 기인하는 불성실응답의 원인을 지적하면서 학생들의 성실한 응답을 유도할 수 있는 신뢰성 제고방안에 대해 논의한다. S대학교의 사례를 분석한 결과 강제적인 온라인 평가방식으로 인해 높은 응답률은 얻었지만, 불성실한 일관적 응답의 비율이 높게 나타났다. 이에 조사의 신뢰도를 확인하고 조사방법의 개선을 위해 재조사를 진행하였다. 연구결과 대표성 있는 표본조사를 통해 일관적 응답패턴은 감소하였고 자료의 분포는 정규분포를 충족하는 것으로 나타났다. 그리고 이러한 심층적인 원인과 해결방안을 파악하고자 포커스 그룹 인터뷰를 진행하였다. 마지막으로 교육수요자 만족도조사의 신뢰성을 확보하기 위한 다각적인 시도 및 연구가 필요하다는 점을 밝히면서 신뢰성 제고방안에 대해 제언한다.

• 한국전문물리치료학회지
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• 제18권1호
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• pp.37-46
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• 2011

The purpose of this study was to investigate intra-rater reliability and determine the validity of electromyography (EMG) measurements to represent muscle activity and ultrasonography (US) to represent muscle thickness during manual muscle testing (MMT) to external abdominal oblique (EO) and lumbar multifidus (MF). Twenty healthy subjects were recruited for this study and asked to perform MMT at differing levels. The subjects' muscle activity using EMG was measured by a ratio to maximum voluntary contraction (MVC) and root mean square (RMS) methods. The subjects' muscle thickness using US was measured by raw muscle thickness and change ratio of thickness to maximum (MVC) or resting condition. In three trials, measurements were performed on each subject by one examiner. The intra-rater reliability of measurements of EMG and US to EO and MF was calculated using intra-class coefficients. The intra-rater reliability of all measurements was excellent (ICC=.75~.98) in EMG and US. The conduct validity was calculated by one-way ANOVA with repeated measurements to compare whether the EMG and US measurements were different between MMT at different levels. There was only a significant difference between all grades at %MVC thickness measurement of US. These results suggest that a %MVC thickness measurement of US was a more sensitive and discriminate in all manual muscle testing grades. This information will be useful for the selection of US measurement and analysis methods in clinics.

• Imaging Science in Dentistry
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• 제35권2호
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• pp.97-103
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• 2005

Purpose : To determine if ultrasonography is a reliable technique to assess masseter muscle sites within intra- and interobserver and the scanning level and/or the muscle condition affect local cross-sectional dismension (LCSD) measurements of masseter muscle. Materials and Methods : 10 subjects without sign and symptom of temporomandibular disorders and missing posterior teeth were examined by ultrasonography. Bilateral ultrasonographic examinations were performed with a linear (B-scan) 7.5 MHz small-part transducer to register LCSDS of the masseter muscle on three different levels. Scans were made on relaxed and clenching condition. Three oral and maxillofacial radiologists measured at two sessions with a time interval of at least 5 minutes. Results : Variables such as 'condition' and 'level' had a significant effect on muscle measurements (p<0.05). There was no significant difference between 'sessions'(p>0.05) and 'observers' (p>0.05). LCSDS on lower scan level were significantly thinner than those on upper and middle level. Those on clenching condition were significantly thicker than those on relaxed condition (p<0.05). The scanning level with the highest reproducibility was middle with clenching condition (ICC=0.90, $MSE=0.55\%$). Conclusion : The data suggested that ultrasonography was a reliable method for measuring LSCD of masseter muscle in intra- and Interobserver and middle scan level showed the most reliable data.

• 한국통신학회논문지
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• 제34권2B호
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• pp.188-202
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• 2009

국가 간에 이동하는 인구가 급증하고 있는 현재, 국내 외 운전면허증은 쉽게 복제가 가능하며, 위조된 면허증을 감지하기 어려운 문제점을 갖고 있다. 그리고 국가 상호간에 운전자의 법규 위반 사항을 관리하고 통제하기 어려운 불편함이 증가되고 있다. 운전면허증은 대부분의 국가에서 개인 신분 증명 수단으로 사용되고 있기 때문에 보안성 및 안전성이 그 무엇보다도 중요하며, 분실, 도용 도난으로 인한 부정사용 방지가 요구되고 있다. 따라서 본 논문은 ISO/IEC 18013-3에서 정의하고 있는 ICC기반 국제통용운전면허증의 보안성 및 운용성을 강화하는 효율적인 상호인증 및 운용기법을 제안한다.

• 통상정보연구
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• 제16권2호
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• pp.89-109
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• 2014

에스컬레이션 조항의 목적은 외부가격 메카니즘에 따라 신용장금액을 증가시키기 위한 것이다. 이것은 금속이나 석유제품거래에서 발견된다. 신용장의 에스컬레이션 조항은 그 조항이 실행 가능한 것으로 신용장을 구성하느냐 여부에 대한 의문을 야기시킨다. 신용장 이외의 근거에 대한 참조는 신용장을 신용장 이외의 다른 약정에 구속시키는 비 서류적 조건이라는 것이다. 그러나 객관적이고, 쉽게 얻을 수 있는 지표에 대한 참조는 신용장 약정을 모호하게 하는 것이 아니고, 객관적 자료로 입증할 수 있다는 점에서 비서류적 조건이 아니다. 가능한 해결책은 UCP에서 신용장의 비서류적 조건 중 일부를 유효한 것으로 인정하는 것이다. 예컨대 신용장에 언급된 지표는 UCP가 적용되는 신용장거래에서도 ISP98이나 URDG75에 규정된 것처럼 무시하지 않는 것이다. 비서류적 조건이 "중심적이고 기초적"인 것이라면, 그것은 당사자가 비독립적인 지급약정을 할 의도가 있은 것으로 보인다. 당사자 간의 갈등을 극복하는 가장 공통적인 수단은 에스컬레이션 조항이 포함된 신용장을 발행하되, 개설은행의 최대지급약정의 한도를 설정하는 것이다.

• Journal of Korean Neurosurgical Society
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• 제60권4호
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• pp.441-447
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• 2017

Objective : Computed tomography (CT)-based method of three dimensional (3D) analysis ($MIMICS^{(R)}$, Materialise, Leuven, Belgium) is reported as very useful software for evaluation of OPLL, but its reliability and reproducibility are obscure. This study was conducted to evaluate the accuracy of $MIMICS^{(R)}$ system, and inter- and intra-observer reliability in the measurement of OPLL. Methods : Three neurosurgeons independently analyzed the randomly selected 10 OPLL cases with medical image processing software ($MIMICS^{(R)}$) which create 3D model with Digital Imaging and Communication in Medicine (DICOM) data from CT images after brief explanation was given to examiners before the image construction steps. To assess the reliability of inter- and intra-examiner intraclass correlation coefficient (ICC), 3 examiners measured 4 parameters (volume, length, width, and length) in 10 cases 2 times with 1-week interval. Results : The inter-examiner ICCs among 3 examiners were 0.996 (95% confidence interval [CI], 0.987-0.999) for volume measurement, 0.973 (95% CI, 0.907-0.978) for thickness, 0.969 (95% CI, 0.895-0.993) for width, and 0.995 (95% CI, 0.983-0.999) for length. The intra-examiner ICCs were 0.994 (range, 0.991-0.996) for volume, 0.996 (range, 0.944-0.998) for length, 0.930 (range, 0.873-0.947) for width, and 0.987 (range, 0.985-0.995) for length. Conclusion : The medical image processing software ($MIMICS^{(R)}$) provided detailed quantification OPLL volume with minimal error of inter- and intra-observer reliability in the measurement of OPLL.

• 대한후두음성언어의학회지
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• 제30권1호
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• pp.21-27
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• 2019

Background and Objectives : Voice disorder is recognized as a major problem because it negatively affects the elderly's social participation and quality of life. The purpose of this study was to examine the validity and reliability of Korean aging voice index (KAVI), which assesses the quality of life related to the voice of the elderly. Materials and Method : This study was conducted on 211 elderly people aged 65 years or older : 111 patients with voice disorder (mean age 69.8, range 65-80 years) and 100 nomorphonic participants (mean age 70.6, range 65-82 years). Aging voice index was translated into Korean and used and Korean voice-related quality of life (KVQOL) was conducted to verify KAVI. The validity (item validity, concurrent validity, and construct validity) and reliability (test-retest reliability and internal consistency reliability) of KAVI. Results : The item validity (ICC=0.895) and construct validity (r=0.765) showed a high correlation, respectively. And concurrent validity (r=0.748), test-retest reliability (0.851), and internal consistency reliability (${\alpha}=0.832$) were statistically significant in voice disorder group. In addition, there was a significant difference between the voice disorder and the nomorphonic group in AVI total score. Conclusion : KAVI is a validated and reliable quality of life tool that will be useful for assessing the presence and effectiveness of interventions in clinical settings.

• 한국전문물리치료학회지
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• 제26권3호
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• pp.99-105
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• 2019

Background: Although magnetic resonance imaging is accurate, it is expensive to measure the movement of temporomandibular joint. The three-dimensional (3D) motion analysis system is an inexpensive measurement tool. Objects: This study examined the reliability of quantifying the mouth opening and lateral mandibular shift and differences between individuals with and without temporomandibular disorder (TMD) using the hygienic method of surface markers on the skin with 3D ultrasound-based motion analysis. Methods: This study included 24 subjects (12 with and 12 without TMD). Temporomandibular joint motion during mouth opening was recorded using two surface markers with 3D ultrasound-based motion analysis. An intraclass correlation coefficient [ICC (3,k)] was used to confirm the intrarater reliability of quantifying kinematic temporomandibular joint motion, and an independent t-test was used to evaluate differences in maximal mouth opening and lateral mandibular shift between the two groups. Results: Assessment of mouth opening and lateral mandibular shift showed excellent test-retest reliability with low standard error of measurement. The lateral mandibular shift and opening-lateral mandibular shift ratio were significantly increased in the TMD group during maximum mouth opening (p<.05). However, no significant difference in maximal mouth opening was observed between the groups with and without TMD (p>.05). Conclusion: This hygienic and simple surface marker method can be used to quantify the mouth opening and lateral mandibular shift at the end-range of mouth opening. The TMD group showed an increased lateral mandibular shift movement at the end-range of mouth opening. The lateral mandibular shift movement can be regarded as a symptom in the diagnosis and treatment of TMD.

• Investigative Magnetic Resonance Imaging
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• 제23권3호
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• pp.228-240
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• 2019

Purpose: The aim of this study is to evaluate the T2 value of the articular cartilage of the glenohumeral joint in rotator cuff disease displayed on 3.0T MRI and to apply it in clinical practice. Materials and Methods: This study involved sixty-two patients who underwent shoulder MRI containing T2 mapping. The mean T2 value was measured by placing a free hand ROI over the glenoid or humeral cartilage from the bone-cartilage interface to the articular surface on three consecutive, oblique coronal images. The drawn ROI was subsequently divided into superior and inferior segments. The assessed mean T2 values of the articular cartilage of the glenohumeral joint were compared and evaluated based on the degree of rotator cuff tear, the degree of fatty atrophy of the rotator cuff, and the acromiohumeral distance. Results: ICC values between two readers indicated moderate or good reproducibility. The mean T2 value for the articular cartilage of the glenoid and humeral head cartilage failed to show any significant difference based on the degree of rotator cuff tear. However, the mean T2 values of articular cartilage, based on fatty atrophy, tended to be higher in fatty atrophy 3 or fatty atrophy 4 groups while some subregions displayed significantly higher mean T2 values. There was no correlation between the acromiohumeral distance and the mean T2 values of the articular cartilage of the glenoid and humeral head. Conclusion: T2 mapping of the glenohumeral joint failed to show any significant difference in quantitative analysis of the degenerative change of the articular cartilage based on the degree of rotator cuff tear. However, it also offers quantitative information on the degenerative change of cartilage of the glenohumeral joint in patients with rotator cuff tear and severe fatty atrophy of the rotator cuff.