• 제목/요약/키워드: Reliability of Measurement

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어깨관절의 수동적 내회전 관절 가동범위의 측정 방법에 따른 신뢰도와 상완골두의 전방 활주 거리 비교 (A Comparison of Reliability and Anterior Glide Distance of Humerus Head of Passive Shoulder Internal Rotation Range of Motion Measurement Methods)

  • 김현숙;이원휘;정성대
    • 한국전문물리치료학회지
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    • 제17권3호
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    • pp.1-10
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    • 2010
  • The purpose of this study was to measure intra-rater and inter-rater reliability and range of motion for measurement of passive shoulder internal rotation range of motion and to compare anterior glide distance of humeral head in three methods. Fifty healthy subjects and fifty patients with shoulder musculoskeletal pain were recruited for this study. The subjects' passive shoulder internal rotation range of motion was measured by visual estimation, manual stabilization, and pressure biofeedback unit methods. In two trials, measurements were performed on each subject by two examiners. Intraclass correlation coefficient (ICC(3,1)) was used to determine the reliability of each measurement. The intra-rater reliability of the three methods was excellent (ICC=.77~.93) in both groups. The inter-rater reliability of the visual estimation method was poor (ICC=.20, .29), the manual scapular stabilization method was poor and fair (ICC=.09, .50), and the pressure biofeedback unit method was excellent (ICC .86, .75) in the experimental and control groups. In the experimental group, the difference of examined range of motion by each examiner was significant in the visual estimation method and manual scapular stabilization method, but there was an insignificant difference between the groups is the pressure biofeedback unit method. This result suggests that the intra-rater and inter-rater reliability of a pressure biofeedback unit was better than the other methods. The difference in distance of the anterior glide of humeral head was insignificant among all the methods. The pressure biofeedback unit method was the most reliable method, so it is proposed to be a new and reliable method to measure internal rotation range of motion.

The Reliability of the Pediatric Functional Muscle Testing in Children with Developmental Delay

  • Seo, Hye-Jung;Kim, Joong-Hwi
    • The Journal of Korean Physical Therapy
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    • 제27권4호
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    • pp.183-189
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    • 2015
  • Purpose: The aim of this study was to examine the test-retest and inter-rater reliability of the pediatric functional muscle testing (PFMT) when applied to children with developmental delay. Methods: Sixteen children with developmental delay (seven females, nine males) participated in this study. For the inter-rater reliability, each was scored on the PMFT by two pediatric physical therapists with more than 8 years of clinical experience on the same day. For assessment of the test-retest reliability, one therapist tested the children again within 10 days. The second measurement was performed by taking a first measurement in video. Intraclass correlation coefficient (ICC) was calculated to determine the test-retest and inter-rater reliability of the PFMT, and Chronbach's alpha was used to measure internal consistency. Results: The results of this study were as follows: 1) The test-retest ICC of the score of the infant action month and the right side of the PFMT was from 0.53 to 1.00 and from 0.63 to 0.99, respectively. 2) The inter-rater ICC of the score of the infant action month and the right side of the PFMT was from 0.66 to 1.00 and from 0.64 to 1.00, respectively. 3) Chronbach's alpha was 0.93. The internal consistency indicated excellent. Conclusion: In conclusion, this study showed that the test-retest and inter-rater reliability of the PFMT was relatively high, except for a few items. Therefore, it can be suggested that the PFMT will be a useful tool for measurement of muscle strength for children with developmental delay if it be some modifications.

Reliability and Concurrent Validity of Korean Version of the Trunk Control Measurement Scale (K-TCMS) for Children with Cerebral Palsy

  • Ko, Jooyeon;Jung, Jeewoon
    • The Journal of Korean Physical Therapy
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    • 제29권1호
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    • pp.16-26
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    • 2017
  • Purpose: This study was conducted to develop a Korean version of the trunk control measurement scale (TCMS) and examine the reliability and concurrent validity of the K-TCMS in children with cerebral palsy. Methods: Subjects for the study were 23 children with cerebral palsy (CP)(mean age: 84.70 months) recruited from one CP clinic. For the interrater and test-retest reliabilities, four raters (A, B, C, D) measured the K-TCMS two times using video clips with an interval of two weeks. For the concurrent validity, the Korean version of the gross motor function measure (K-GMFM) was chosen. Inter-rater reliability and test-retest reliability of the three K-TCMS subscale (static sitting balance, dynamic sitting balance and dynamic reaching) scores and the total scores were investigated using the intra-correlation coefficient ($ICC_{3,1}$). Spearman's correlation coefficient (r) was calculated to investigate the concurrent validity. Results: The inter-rater reliability of the K-TCMS subscales and total scores were all high ($ICC_{3,1}=0.968-0.992$). For the test-retest reliability, $ICC_{3,1}=0.827-0.962$. The concurrent validity between the K-TCMS's total and three subscale scores and K-GMFM's total score were r=0.600-0.667. Conclusion: The results suggest that the K-TCMS can be used in clinical and research settings as a standardized tool for CP children. The K-TCMS might be also useful for selecting treatment goals and planning interventions for children with cerebral palsy.

건강한 성인의 경장근 두께 측정에 대한 초음파영상법의 신뢰도 (Reliability of Ultrasonography for The Longus Colli in Asymptomatic Subjects)

  • 이진아;김선엽
    • The Journal of Korean Physical Therapy
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    • 제23권4호
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    • pp.59-66
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    • 2011
  • Purpose: The objective of this study was to evaluate the inter- and intra-examiner reliability of ultrasonography (US) for measuring the thicknesses and cross-sectional area of the longus colli muscle (LCM) in healthy subjects. Methods: Twenty-five healthy adults participated in this study as subjects and two examiners attended to the study. LCM size was measured at the level of the thyroid cartilage. All subjects were randomly allocated to one of the three different methods. Method 1 was that the examiner A conducts the first measurement and one hour later conducts the second measurement and twenty four hours later conducts the third measurement, respectively. Method 2 was that the examiner B conducts the measurements in the same way as the examiner A. Method 3 was that the examiners A and B randomly conduct the measurements twice at an interval of one hour. Results: The intra-class correlation coefficient (ICC) for the intra-examiner reliability ranged from 0.78 to 0.98 at rest and 0.57 to 0.98 during contraction for the examiner A. The $ICC_{3,3}$ for the intra-examiner reliability ranged from 0.60 to 0.96 at rest and 0.57 to 0.92 during contraction for the examiner B. The $ICC_{2,3}$ for the inter-examiner reliability ranged from 0.80 to 0.91 at rest and 0.84 to 0.93 during contraction. Conclusion: The findings of this study indicate that US is a reliable method for measuring the LCM size.

Evaluating the Reliability of Short-Form Berg Balance Scales and Short-Form Postural Assessment Scales in Chronic Stroke Survivors

  • Seung-Heon An;Dae-Sung Park
    • Physical Therapy Rehabilitation Science
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    • 제13권2호
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    • pp.143-151
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    • 2024
  • Objective: This study aims to assess the test-retest reproducibility of the Short Form Berg Balance Scale (SF-BBS) and the Short Form Postural Assessment Scale for Stroke (SF-PASS) among chronic stroke survivors, focusing on their reliability for consistent measurements over time. Design: A cross-sectional study design Methods: Thirty chronic stroke survivors participated in this study, undergoing evaluations with SF-BBS and SF-PASS scales at two different points, separated by a seven-day interval. The analysis focused on test-retest reliability, employing statistical measures such as the Intra-Class Coefficient (ICC2,1), Standard Error of Measurement (SEM), Minimal Detectable Change (MDC), and MDC%, the Bland-Altman plot to assess the limits of agreement and the extent of random measurement error. Results: The study found notable test-retest reproducibility for both SF-BBS and SF-PASS, with ICC values demonstrating strong reliability (0.932 to 0.941, with a confidence interval of 0.889 to 0.973). SEM values for SF-BBS and SF-PASS were reported as 1.34 and 0.61, respectively, indicating low measurement error. MDC values of 3.71 for SF-BBS and 1.69 for SF-PASS suggest that the scales have an acceptable level of sensitivity to change, with reliability metrics falling below 20% of the maximum possible score. Conclusions: The findings suggest that both SF-BBS and SF-PASS exhibit high intra-class correlation coefficients, indicating strong test-retest reliability. The SEM and MDC values further support the scales' reproducibility and reliability as tools for evaluating mobility and dynamic balance in chronic stroke survivors. Therefore, these scales are recommended for clinical use in this population, providing reliable measures for assessing progress in rehabilitation.

직장인들의 건강수준 평가를 위한 측정도구의 신뢰도와 타당도 분석 (Reliability and Validity on Measurement Instrument for Health Status Assessment in Occupational Workers)

  • 고상백;장세진;강명근;차봉석;박종구
    • Journal of Preventive Medicine and Public Health
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    • 제30권2호
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    • pp.251-266
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    • 1997
  • In order to test scaling assumption, and to assess the validity, reliability, and acceptability of the Short form 36(SF-36) health survey questionnaire, we conducted a survey. Samples were 296 workers who had been employed in small sized companies. All scale passed for item internal consistency(100% sucess rate) and item discriminant validity(100% success .ate). Reliability coefficients were ranged from the lowest 0.51 to the highest of 0.85. For 87.5% of the total workers, inconsistent responses were not observed. Only 3.0% of the total workers failed two or more checks. Factor analysis was performed using principal axis factor method and quartimax rotation. In this survey, the SF-36 retained available psychometric properties even when used in a generally healthy worker group. But further study with some consideration to develope health status measurement is expected : first, the definition of health status should be rationalized. Second, the measurement of outcome is an important consideration in evaluations of quality of care. But ambiguities hinder understanding of this important topic. Third, internal consistency should be interpreted with caution as an indication reliability because it ignores potentially important sources of variation that can occur over time.

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가속도 센서를 이용한 이동거리 측정 시스템 연구 (A Study on the Moving Distance Measurement System using a Accelerometer Sensor)

  • 박승훈;김성우;임재환;류지열
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2012년도 춘계학술대회
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    • pp.283-285
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    • 2012
  • 본 연구에서는 정확한 운동량 측정을 위하여 가속도 센서, MCU, 그리고 블루투스를 이용하여 운동량 측정 시스템을 모듈화하여 실시간 무선으로 이동거리 정보를 알아내는 간편한 운동량 측정 시스템을 제작하여 모의실험 및 분석하였다. 그 결과를 기성품과 신뢰성 및 정확도를 비교해 보았다. 결과를 토대로 소형 및 운동화 실장이 가능한 운동량 측정시스템을 제작하고자 하였다.

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외복사근과 다열근에 대한 초음파 영상과 표면 근전도 측정방법의 신뢰도와 타당도 (Reliability and Validity of Ultrasound Imaging and sEMG Measurement to External Abdominal Oblique and Lumbar Multifidus Muscles)

  • 김창용;최종덕;김선엽;오덕원;김진경
    • 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.

영상처리를 이용한 향균성 시험방법 신뢰성 개선 (Enhancing Reliability of Antibacterial Test Methods using Image Processing)

  • 엄원용;박재우;김지훈;강진우
    • 한국산학기술학회논문지
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    • 제18권10호
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    • pp.597-602
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    • 2017
  • 본 논문에서는 군에서 사용하는 텍스타일 재료에 대한 항균성 시험방법의 신뢰성 확보 방안을 제시하고자 하였다. 항균성은 일반적으로 세균의 증식을 억제하고 유해한 균을 제거하는 것을 말하며, 항균성을 측정하는 시험방법은 텍스타일 재료의 특성과 형태에 따라 다양한 방법이 있다. 항균성 시험방법인 KS K 0693 '텍스타일 재료의 향균성 시험방법'에 따르면, 콜로니 수를 측정할 때 시험자가 육안으로 세어 측정한다. 이때 시험자의 숙달수준에 따른 측정오차가 발생할 가능성이 크며 자동화되지 않아 비교적 시간이 오래 걸린다. 이러한 단점을 개선하기 위해 영상처리 기술을 적용하여 향균도를 측정하는 방법을 제안한다. 시험자료는 '방탄헬멧 부유대조립체 완충패드'의 외피소재를 대상으로 하고, 공인시험기관에서 발급된 시험 성적서에 첨부된 배양배지 영상을 사용하였다. 배양배지 영상을 전처리 한 후 분할 및 이진화 처리 후 영상 내 입자의 수를 세어 콜로니수를 확인하는 방법을 제안한다. 제안하는 방법을 적용한 항균도 측정결과와 기존 시험방법의 측정결과를 비교한 결과, 제안하는 방법은 기존의 시험방법을 통한 항균성 측정결과 대비 0.9%p 정도의 차이를 보였다. 제안하는 방법은 측정자의 오차를 제거하여 신뢰성을 확보할 수 있으며 측정 시간이 짧다는 장점이 있다.

Comparisons of Test-Retest Reliability of Strength Measurement of Gluteus Medius Strength between Break and Make Test in Subjects with Pelvic Drop

  • Jeon, In-Cheol
    • The Journal of Korean Physical Therapy
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    • 제31권3호
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    • pp.147-150
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    • 2019
  • Purpose: The purpose of this study was to compare the reliability of unilateral hip abductor strength assessment in side-lying with break and make test in subjects with pelvic drop. Hip abduction muscles are very important in the hip joint structures. Therefore, it is essential to evaluate their strength in a reliable way. Methods: Twenty-five subjects participated in this study. Unilateral isometric hip abductor muscle strength was measured in side-lying, with use of a specialized tensiometer using smart KEMA system for make test, of a hand held dynamometer for break test. Coefficients of variation, and intra class correlation coefficients were calculated to determine test-retest reliability of hip abductor strength. Results: In make test, maximal hip abductor strength in the side-lying position was significantly higher compared with break test (p<0.05). Additionally, Test-retest reliability of hip abductor strength measurements in terms of coefficients of variation (3.7% for make test, 16.1% for break test) was better in the side-lying position with make test. All intraclass correlation coefficients with break test were lower than make test (0.90 for make test, 0.73 for break test). Conclusion: The side-lying body position with make test offers more reliable assessment of unilateral hip abductor strength than the same position with break test. Make test in side-lying can be recommended for reliable measurement of hip abductor strength in subjects with pelvic drop.