• 제목/요약/키워드: Intraclass Correlation Coefficient

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봉우리밑충돌증후군 환자의 날개 어깨뼈 평가에 대한 신뢰도 검사 및 날개 어깨뼈와 어깨뼈 안정성에 대한 상관성 연구 (Reliability Test for Winged Scapula and Correlation between Winged Scapula and Scapular Stability in Patients with Subacromial Impingement Syndrome)

  • 김영훈;김태규;김수용
    • PNF and Movement
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    • 제20권3호
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    • pp.399-408
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    • 2022
  • Purpose: This study investigated the differences in winged scapula between the symptomatic side and asymptomatic side, the reliability of the winged scapula test, and the correlation between winged scapula and the stability of the scapula in patients with subacromial impingement syndrome. Methods: Twenty-four patients with unilateral subacromial impingement syndrome participated in this study. Winged scapula was compared between the symptomatic and asymptomatic sides using a scapulometer. The reliability of the scapulometer was assessed by calculating the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimal clinically important difference (MCID). The correlation between winged scapula and the results of the upper quarter Y-balance test were also obtained. Conclusion: Winged scapula was significantly greater on the symptomatic side compared with the asymptomatic side (p < 0.05). High to excellent ICCs were obtained for the winged scapula test, and SEM and MCID values were obtained for winged scapula (SEM: 0.2-0.3 cm, MCID: 0.6-0.8 cm); however, winged scapula and the results of the upper quarter Y-balance test were not correlated. Conclusion: The scapulometer is useful for measuring winged scapula in patients with subacromial impingement syndrome.

식이섭취조사방법과 조사일수에 따른 한국 젊은 여성의 영양소 섭취 수준의 비교 (Comparison of the Levels of Nutrient Intakes by Different Dietary Methods and Days of Dietary Studies Among Young Females in Korea)

  • 오세영
    • Journal of Nutrition and Health
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    • 제29권9호
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    • pp.1021-1027
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    • 1996
  • This study examined the patterns of nutrient intakes measured by 1-, 3-, 7-day recalls and records as well as food frequency questionnaire among 59 females volunteers enrolled in the university in Seoul, Korea. Over a 4 month period, a modified Willett food frequency questionnaire was administered once, and a 24-hour dietary recall was conducted 12 times and a weighted dietary record 14 times. From these 12 recalls and 14 records, 1-, 3-, 7-day data were randomly selected. For energy and 11 nutrients, group mean intakes derived from food frequency questionnaire were higher than from recalls and records. Group mean intakes from recalls and records showed little differences depending on days of dietary studies and dietary methods. Measures of agreement were calculated by weighted kappa and intraclass correlation coefficient values calculated for quintile categories while comparing to the results of 26 days recalls and records. Weighted kappa values ranged from 0.11 for riboflavin to 0.36 for vitamin C for and 1-day recall, and from 0.21 for iron to 0.31 for energy for the 1-day record. Weighted kappa values were increased as the number of days of dietary studies increased (0.34-0.57 for the 3-day recalls, 0.27-0.50 for the 3-day records, 0.50-0.68 for the 7-day recalls, and 0.50-0.65 for the 7-day records). Weighted kappa values for food frequency questionnaire were higher than the 1-day data, but lower than the 3-and-7day data(0.34 for energy, 0.31 for iron and 0.22 for vitamin C). Intraclass correlation coefficients ranged from 0.21 for vitamin A to 0.57 for calcium. The degrees of agreement by different methods and days of dietary study are lower in our study compared to agreement by different methods and days of dietary study are lower in our study compared to those in previously published studies for Western populations, partly due to the differences of data analysis methods as well as of dietary patterns between those samples and ours.

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Comparison of 2 root surface area measurement methods: 3-dimensional laser scanning and cone-beam computed tomography

  • Tasanapanont, Jintana;Apisariyakul, Janya;Wattanachai, Tanapan;Sriwilas, Patiyut;Midtbo, Marit;Jotikasthira, Dhirawat
    • Imaging Science in Dentistry
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    • 제47권2호
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    • pp.117-122
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    • 2017
  • Purpose: The aim of this study was to compare the use of 3-dimensional (3D) laser scanning and cone-beam computed tomography (CBCT) as methods of root surface measurement. Materials and Methods: Thirty teeth (15 maxillary first premolars and 15 mandibular first premolars) from 8 patients who required extractions for orthodontic treatment were selected. Before extraction, pre-treatment CBCT images of all the patients were recorded. First, a CBCT image was imported into simulation software (Mimics version 15.01; Materialise, Leuven, Belgium) and the root surface area of each tooth was calculated using 3-Matic (version 7.01, Materialise, Leuven, Belgium). After extraction, all the teeth were scanned and the root surface area of each extracted tooth was calculated. The root surface areas calculated using these 2 measurement methods were analyzed using the paired t-test (P<.05). Correlations between the 2 methods were determined by calculating the Pearson correlation coefficient. The intraclass correlation coefficient(ICC) was used to assess intraobserver reliability. Results: The root surface area measurements ($230.11{\pm}41.97mm^2$) obtained using CBCT were slightly greater than those ($229.31{\pm}42.46mm^2$) obtained using 3D laser scanning, but not significantly (P=.425). A high Pearson correlation coefficient was found between the CBCT and the 3D laser scanner measurements. The intraobserver ICC was 1.000 for 3D laser scanning and 0.990 for CBCT. Conclusion: This study presents a novel CBCT approach for measuring the root surface area; this technique can be used for estimating the root surface area of non-extracted teeth.

Susceptance를 이용한 피부수화도 측정 장비의 개발 및 평가 (Development and Evaluation of skin Hydration Measure System using the Suscepance Method)

  • 김홍식;장우영;신건수;조백환;김인영;김선일
    • 대한의용생체공학회:의공학회지
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    • 제29권6호
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    • pp.493-501
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    • 2008
  • In this paper, a novel system is proposed to measure skin hydration using the susceptance method. This system largely consists of a low-voltage(${\pm}2.6$ V) driven circuit and minimized electrodes of size($5{\times}5mm^2$). To evaluate the accuracy of the novel system in measuring skin hydration, skin hydration values from 105 subjects are measured by the proposed system. The measurements are then compared to those obtained by the golden reference device based on the capacitance method in terms of Intraclass Correlation Coefficient(ICC) and correlation coefficient. All measurements are performed on 7 sites, which are forehead, Crow's foot, cheek, chin, volar forearm, dorsal forearm, and back of the hand, in a room where the temperature and humidity are maintained at an uniform level of $22{\pm}2^{\circ}C$ and $50{\pm}5%$, respectively. ICC values are above 0.9(p=0.001), signifying that the skin hydration values measured by the two methods show a good level of reliability. Correlation coefficient between the two methods is also 0.562(p=0.001). Based on these results, it is expected that the proposed system may be applicable in a variety of clinical or cosmetic areas.

뇌졸중 환자들의 한국판 Tinetti-보행 척도의 측정자간·절대적 신뢰도와 동시 타당도 (Inter-rater·absolute Reliability and Concurrent Validity of Tinetti-gait Scale (Korean version) in Stroke Patients)

  • 안승헌;이동건;이윤복;이규창
    • 대한물리의학회지
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    • 제9권2호
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    • pp.201-211
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    • 2014
  • 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. METHODS: Fifty-two patients with post-stroke participated in this study. Inter-rater reliability was analyzed by Intraclass Correlation Coefficient ($ICC_{3,1}$) 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.

Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography

  • Mahn Jeong Ha;Seung Han Yu;Jung Hwan Lee;Hyuk Jin Choi;Byung Chul Kim
    • Journal of Trauma and Injury
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    • 제36권1호
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    • pp.8-14
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    • 2023
  • Purpose: The aim of this study was to assess the agreement between intraoperative transcranial sonography (TCS) and postoperative computed tomography (CT) in patients with traumatic brain injuries. Methods: We performed a retrospective cross-sectional study of 35 patients who underwent TCS during surgery, among those who presented to a regional trauma center and underwent decompressive craniectomy between January 1, 2017 and April 30, 2020. Results: The mean difference between TCS and CT in measuring the midline shift was -1.33 mm (95% confidence interval, -2.00 to -0.65; intraclass correlation coefficient [ICC], 0.96; P<0.001). An excellent correlation was found between TCS and CT in assessing contralateral subdural hematomas (ICC, 0.96; P<0.001) and focal hematoma lesions (ICC, 0.99; P<0.001). A very good correlation between TCS and CT was found for measurements of ventricle width (ICC, 0.92; P<0.001). Conclusions: TCS during surgery is considered an effective diagnostic tool for the detection of intraoperative parenchymal changes in patients with traumatic brain injuries.

깃각 자동측정 프로그램의 신뢰도와 타당도 평가 (An Evaluation of the Reliability and Validity of the Automatic Pennation Angle Measuring Program)

  • 김종순
    • PNF and Movement
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    • 제17권2호
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    • pp.329-337
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    • 2019
  • Purpose: Ultrasound imaging is commonly used to measure the pennation angle of human skeletal muscles in vivo. However, manual assessment of the pennation angle using ultrasound images is subjective and time-consuming and requires a high level of examiner skill. The architectural analysis of human skeletal muscles is thus challenging. Automated approaches using image processing techniques are therefore required to estimate the pennation angle in ultrasound images. The purpose of this study was thus to assess the intra-tester and inter-tester reliability and validity of the pennation angle using an automatic measurement program. Methods: Twenty-two healthy young adults (mean age = 22.55 years) with no medical history of neurological or musculoskeletal disorders voluntarily participated in this study. Ultrasound imaging was used to measure the pennation angle of the gastrocnemius muscle at rest. One examiner acquired images from all the participants. The intra-tester and inter-tester reliability were evaluated using the intraclass correlation coefficient (ICC) to estimate reliability. Validity was measured using Pearson's correlation coefficient. Results: The intra-rater reliability was excellent for the automatic pennation angle measuring program and the manual pennation angle assessment method (ICC>0.95). The inter-rater reliability was also excellent for both methods (ICC>0.93). All the correlation coefficients for the automatic pennation angle measuring program and the manual pennation angle assessment method were 0.79, which indicated a significantly positive correlation (p<0.05). Conclusion: Pennation angle measurement using the automatic pennation angle measuring program showed acceptable reliability and validity. This study therefore demonstrated that the automatic measuring program was able to automatically measure the pennation angle of skeletal muscles using ultrasound images, and thus made it easy to investigate skeletal muscle architecture.

HLM을 이용한 버스차두간격 편차에 미치는 요인분석 (서울시사례를 중심으로) (Identifying Key Factors to Affect Bus Headway Deviation using Hierarchical Linear Model (Seoul Case Study))

  • 이호상;김도경;김영찬;황경수
    • 대한교통학회지
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    • 제27권6호
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    • pp.119-127
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    • 2009
  • 버스의 정시성은 노선특성 및 운수회사의 특성에 의해 많은 영향을 받는 것으로 알려져 왔으나, 과학적인 분석이 미흡한 실정이다. 따라서, 본 연구에서는 노선 및 운수회사 특성에 따른 정시성(차두간격편차 요인)을 모형화 하기 위하여 상관분석 및 선형회귀분석(OLS, Ordinary Least Square)을 통하여 최적설명변수를 선택하고, 위계적인 자료구조를 고려하여 위계적 형태의 자료분석에 많이 사용되는 위계적선형모형(HLM, Hierarchical Linear Model)을 적용하여 정시성에 미치는 요인을 분석하였다. 분석결과, ICC가 0.10으로 분석되어 정시성에 미치는 영향 중 노선특성에 의한 영향이 90%, 회사특성에 의한 영향이 10%로 나타나 OLS보다 HLM 적용이 더 적합한 것으로 나타났다. 버스의 정시성은 노선변수 수준에서 운행대수, 평균차두간격, 대당승객수 순으로 영향이 큰 것으로 나타났으며, 운행대수가 많고 대당승객수가 많은 노선은 정시성과 반비례하고, 평균차두간격과는 비례관계로 분석되었다. 회사변수 수준에서는 회사규모(관리대수)가 클수록, 일반회사 보다는 입찰간선회사가 정시성에 양(+)의 영향을 주는 것으로 분석되었다. 향후 정시성 평가관리시 노선별 운행대수, 평균차두간격, 운수사별 관리차량대수에 의한 영향을 고려하는 것이 필요하며, 정시성을 향상시키기 위해서는 노선의 연장을 짧고, 운수사의 규모가 클 수록 유리하다 할 수 있다.

전방 보행기와 후방 보행기가 뇌성마비아동의 보행 특성과 신체 정렬상태에 미치는 영향 (The Effects of Anterior Walker and Posterior Walker on Gait Parameters and Body Alignment of Children With Cerebral Palsy)

  • 이재호;원종임
    • 한국전문물리치료학회지
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    • 제7권2호
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    • pp.55-65
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    • 2000
  • The purpose of this study was to compare the effects of anterior walker and posterior walker on gait parameters and body alignment of children with cerebral palsy. The intraclass correlation coefficient was .99 for intertester reliability. Intratester reliability was between .96 and .99. The use of posterior walker increased gait velocity and facilitated more upright posture. The measurement of joint angle program was found to be reliable to measure range of motion. This study has a limitation of generalizing the results to all children with cerebral palsy. Research is required to investigate the effect of posterior walker on energy efficiency.

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뇌성마비 아동 사물조작 능력 분류 체계의 부모-치료사 간의 신뢰도 (Reliability between Parents and Therapists of the Manual Ability Classification System for Children with Cerebral Palsy)

  • 김장곤
    • PNF and Movement
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    • 제7권2호
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    • pp.21-26
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    • 2009
  • Purpose : The aim of this study was to determine the reliability of parents and therapists-assessed manual ability using the Manual Ability Classification System (MACS) for children with cerebral palsy Methods : Subjects were 136 children with cerebral palsy using rehabilitation programs in 16 welfare centers. Reliability was determined using the intraclass correlation coefficient (ICC). Parents and therapists assessed manual ability of children using MACS. Result : The 136 children (Male 73, Female 63) mean age was 7y 5mo years [range 3y 11mo - 13y 5mo]. The overall agreement between parents-assessed and therapists- assessed MACS was good (ICC = 0.84, 95% confidence interval 0.77-0.88). Conclusion : The MACS offers a reliable method for population-based research and communicating about the manual ability of children with CP.

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