본문 바로가기
HOME> 논문 > 논문 검색상세

논문 상세정보

한국전문물리치료학회지 = Physical Therapy Korea v.17 no.1, 2010년, pp.43 - 52   피인용횟수: 2

지역사회에 거주하는 노인을 대상으로 한 한글판 동적보행지수의 타당성
Validation of the Korean Translated Dynamic Gait Index in Community-Dwelling Elderly

박소연    (전주대학교 대체의학대학 물리치료학과   ); 황수진    (노인요양원 사랑의 집  );
  • 초록

    The Dynamic Gait Index (DGI) was developed and widely used as a clinical tool to assess balance performance during gait. The purpose of this study was to validate the Korean translated DGI using Rasch analysis. A total of 105 community-dwelling elderly was participated in this study (age range = 65~95 years; mean = 78.0 years). The translated DGI showed sound item psychometric properties, and the 8 items were arranged in order of difficulty for the total participants. The most difficult item was 'Steps' and the easiest item was 'Level surface'. Also, each of the original 4 rating scale categories satisfied the Linacre's essential criteria suggestions for optimal rating scale category effectiveness. Although, thirty eight person (36.2%) showed the maximal high score, but the most of them was no history of fall in the preceding year. For subjects who has falling history, all of the person's ability was arranged within the item's difficulty. The 8-item Korean translated DGI can be used to measure gain in elderly person with balance disorders without compromising important clinical measurement characteristics in Korea.


  • 주제어

    Balance .   Dynamic Gait Index .   Elderly .   Falling.  

  • 참고문헌 (41)

    1. 김태호, 공원태, 박소연. 경부통증 대상자에 대한 코펜하겐 경부기능장애척도의 래쉬 분석. 한국데이터정보과학회지. 2009;20(5):845-855.     
    2. 권용철, 박종한. 노인용 한국판 Mini-mental State Examination (MMSE-K)의 표준화 연구 제1편: MMSE-K 개발. 신경정신의학. 1989;28:125-135. 
    3. 박소연. 노인의 낙상에 영향을 주는 요인을 평가하기 위한 ABC-BBS의 적용: 사전연구. 한국전문물리치료학회지. 2008;15(2):44-53.     
    4. 박소연. 한국판 대동작 기능 평가도구의 Rasch 분석. 연세대학교 대학원, 박사학위논문, 2005. 
    5. 박소연, 오재섭, 이충휘. 수정된 오스웨스트리 허리기능 장애 설문지의 라쉬분석: 산업장에서의 업무관련 요통환자를 대상으로. 한국전문물리치료학회지. 2008;15(3):26-34.     
    6. 이정아, 이충휘, 박소연 등. 한국판 버그 균형척도 평가도구의 라쉬분석. 한국전문물리치료학회지. 2006;13(3):49-56. 
    7. 이충휘, 박소연. 대동작 기능 평가도구(GMFM)의 Rasch 분석; 사전연구. 한국전문물리치료학회지. 2004;11(2):9-16. 
    8. 황수진, 이충휘, 박소연. Activities-Specific Balance Confidence(ABC) 척도에 대한 라쉬분석의 적용. 한국전문물리치료학회지. 2007;14(1):37-45. 
    9. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention. Guideline for the prevention of falls in older persons. J Am Geriatr Soc. 2001;49(5):664-672. 
    10. Bond TG, Fox CM. Applying the Rasch Model: Fundamental measurement in the human sciences. 2nd ed. NJ, Lawrence Erlbaum Associates Inc., 2007. 
    11. 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. 
    12. Chiu YP, Fritz SL, Light KE, et al. Use of item response analysis to investigate measurement properties and clinical validity of data for the dynamic gait index. Phys Ther. 2006;86(6):778-787. 
    13. Chou WC, Tinetti ME, King MB, et al. Perceptions of physicians on the barriers and facilitators to integrating fall risk evaluation and management into practice. J Gen Intern Med. 2006;21(2):117-122. 
    14. Dibble LE, Lange M. Predicting falls in individuals with Parkinson disease: A reconsideration of clinical balance measures. J Neural Phys Ther. 2006;30(2):60-67. 
    15. Dunn JE, Rudberg MA, Furner SE, et al. Mortality, disability, and falls in older persons: The role of underlying disease and disability. Am J Public Health. 1992;82(3):395-400. 
    16. Herman T, Inbar-Borovsky N, Brozgol M, et al. The dynamic gait index in healthy older adults: The role of stair climbing, fear of falling and gender. Gait Posture. 2009;29(2):237-241. 
    17. Hall CD, Schubert MC, Herdman SJ. Prediction of fall risk reduction as measured by dynamic gait index in individuals with unilateral vestibular hypofunction. Otol Neuroto. 2004;25(5):746-751. 
    18. Jonsdottir J, Cattaneo D. Reliability and validity of the dynamic gait index in persons with chronic stroke. Arch Phys Med Rehabil. 2007;88(11):1410-1415. 
    19. Josephson KR, Fabacher DA, Rubenstein LZ. Home safety and fall prevention. Clin Geriatr Med. 1991;7(4):707-731. 
    20. Lajoie Y, Gallagher SP. Predicting falls within the elderly community: Comparison of postural sway. reaction time, the Berg balance scale and the Activities-specific Balance Confidence (ABC) scale for comparing fallers and non-fallers. Arch Gerontal Geriatr. 2004;38(1):11-26. 
    21. Lawton G, Lundgren-Nilsson A, Biering-Sorensen F, et al. Cross-cultural validity of FIM in spinal cord injury. Spinal Cord. 2006;44(12):746-752. 
    22. Legters K. Fear of falling. Phys Ther. 2002;82(3):264-272. 
    23. Linacre JM. Optimizing rating scale category effectiveness. J Appl Meas. 2002;3(1):85-106. 
    24. McConvey J, Bennett SE. Reliability of the dynamic gait index in individuals with multiple sclerosis. Arch Phys Med Rehabil. 2005;86(1):130-133. 
    25. Nelson RC, Amin MA. Falls in the elderly. Emerg Med Clin North Am. 1990;8(2):300-324. 
    26. Oliver D, Daly F, Martin FC, et al. Risk factors and risk assessment tools for falls in hospital in-patients: A systematic review. Age Ageing. 2004;33(2):122-130. 
    27. Park S, Yi C. Scaling of the Korean Version of the GMFM. Physical Therapy Korea. 2005;12(4):20-25. 
    28. Perell KL, Nelson A, Goldman RL, et al. Fall risk assessment measures: An analytic review. J Gerontol A Bioi Sci Med Sci. 2001;56(12):M761-766. 
    29. Rasch G. Probabilistic Models for Some Intelligence and Attainment Tests. Chicago, Univ Chicago Press, 1980. 
    30. Resnick B. Falls in a community of older adults: Putting research into practice. Clin Nurs Res. 1999;8(3):251-266. 
    31. Shumway-Cook A, Baldwin M, Polissar NL, et al. Predicting the probability for falls in community-dwelling older adults. Phys Ther. 1997a;77(8):812-819. 
    32. Shumway-Cook A, Gruber W, Baldwin M, et al. The effect of multidimensional exercise on balance, mobility, and fall risk in community-dwelling older adults. Phys Ther. 1997b;77(1):46-57. 
    33. Shumway-Cook A, Woollacott .MH. Motor Control: Translating research into clinical practice. 3rd ed. Philadelphia, Lippincott Williams & Wilkins, 2006. 
    34. Speechley M, Tinetti M. Falls and injuries in frail and vigorous community elderly persons. J Am Geriatr Soc. 1991;39(1):46-52. 
    35. Swift CG. Care of older people: Falls in late life and their consequences-implementing effective services. BMJ. 2001;322(7290):855-857. 
    36. Tinetti ME, Doucette JT, Claus EB. The contribution of predisposing and situational risk factors to serious fall injuries. J Am Geriatr Soc. 1995;43(11):1207-1213. 
    37. Tinetti ME, Mendes de Leon CF, Doucette JT, et al. Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. J Gerontol. 1994;49(3):M140-147. 
    38. Tromp AM, Smit JH, Deeg DJ, et al. Predictors for falls and fractures in the Longitudinal Aging Study Amsterdam. J Bone Miner Res. 1998;13(2):1932-1939. 
    39. Whitney SL, Hudak MT, Marchetti GF. The dynamic gait index relates to self-reported history in individuals with vestibular dysfunction. J Vestib Res. 2000;10(2):99-105. 
    40. White LJ, Velozo CA. The use of Rasch measurement to improve the Oswestry classification scheme. Arch Phys Med Rehabil. 2002;83(6):822-831. 
    41. Wright BD, Masters GN. Rating Scale Analysis. Chicago, Mesa Press, 1982. 
  • 이 논문을 인용한 문헌 (2)

    1. 2011. "" 대한물리치료학회지 = The journal of Korean Society of Physical Therapy, 23(3): 1~5     
    2. Kim, Gyoung-mo 2016. "Application of Rasch Analysis to the Korean Version of the Fullerton Advanced Balance Scale" 한국전문물리치료학회지 = Physical Therapy Korea, 23(1): 46~54     

 저자의 다른 논문

  • 박소연 (14)

    1. 2008 "노인의 낙상에 영향을 주는 요인을 평가하기 위한 ABC-BBS의 적용: 사전연구" 한국전문물리치료학회지 = Physical Therapy Korea 15 (2): 44~53    
    2. 2008 "수정된 오스웨스트리 허리기능 장애 설문지의 라쉬분석: 산업장에서의 업무관련 요통환자를 대상으로" 한국전문물리치료학회지 = Physical Therapy Korea 15 (3): 26~34    
    3. 2009 "대학생의 온라인게임 중독과 수근관증후군과의 상관성" 한국전문물리치료학회지 = Physical Therapy Korea 16 (1): 61~69    
    4. 2009 "경부통증 대상자에 대한 코펜하겐 경부기능장애척도의 래쉬 분석" Journal of the Korean Data & Information Science Society = 한국데이터정보과학회지 20 (5): 845~855    
    5. 2010 "뇌졸중 환자의 기능수준에 따른 FIM 신체적 기능 항목의 라쉬분석" 한국전문물리치료학회지 = Physical Therapy Korea 17 (2): 51~59    
    6. 2010 "GMFM-88과 GMFM-66의 신뢰도와 타당도 비교" 한국전문물리치료학회지 = Physical Therapy Korea 17 (3): 40~47    
    7. 2010 "Psychometric Properties of the WeeFIM in Korean Children With Cerebral Palsy" 한국전문물리치료학회지 = Physical Therapy Korea 17 (4): 41~48    
    8. 2010 "Reliability and Validity of the Korean Translation of the Pediatric Evaluation of Disability Inventory in School-Aged Children With Cerebral Palsy" 한국전문물리치료학회지 = Physical Therapy Korea 17 (4): 69~76    
    9. 2011 "요통환자의 일반적 특성에 따른 한국어판 오스웨스트리 장애 설문지의 라쉬분석" 한국전문물리치료학회지 = Physical Therapy Korea 18 (2): 35~42    
    10. 2011 "국내 노인을 대상으로 한 낙상예방 운동프로그램이 근력증가에 미치는 효과: 메타분석" 한국전문물리치료학회지 = Physical Therapy Korea 18 (3): 38~48    

 활용도 분석

  • 상세보기

    amChart 영역
  • 원문보기

    amChart 영역

원문보기

무료다운로드
유료다운로드

유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.

원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.

NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.

이 논문과 함께 이용한 콘텐츠
이 논문과 함께 출판된 논문 + 더보기