Annals of Rehabilitation Medicine

Cardiopulmonary rehabilitation

Translation, Cultural Adaptation, and Validation of a Korean Version of the Information Needs in Cardiac Rehabilitation Scale: Seungsu Jeong, Heeju Kim, Won-Seok Kim, Won Kee Chang, Seungwoo Cha, Eunjeong Choi, Chul Kim, Sherry L. Grace, Sora Baek; Ann Rehabil Med 2023;47(5):403-425. Published online October 27, 2023; DOI: https://doi.org/10.5535/arm.23042

Objective
To translate and culturally adapt the Information Needs in Cardiac Rehabilitation (INCR) questionnaire into Korean and perform psychometric validation.
Methods
The original English version of the INCR, in which patients are asked to rate the importance of 55 topics, was translated into Korean (INCR-K) and culturally adapted. The INCR-K was tested on 101 cardiac rehabilitation (CR) participants at Kangwon National University Hospital and Seoul National University Bundang Hospital in Korea. Structural validity was assessed using principal component analysis, and Cronbach’s alpha of the areas was computed. Criterion validity was assessed by comparing information needs according to CR duration and knowledge sufficiency according to receipt of education. Half of the participants were randomly selected for 1 month of re-testing to assess their responsiveness.
Results
Following cognitive debriefing, the number of items was reduced to 41 and ratings were added to assess participants’ sufficient knowledge of each item. The INCR-K structure comprised eight areas, each with sufficient internal consistency (Cronbach’s alpha>0.7). Criterion validity was supported by significant differences in mean INCR-K scores based on CR duration and knowledge sufficiency ratings according to receipt of education (p<0.05). Information needs and knowledge sufficiency ratings increased after 1 month of CR, thus supporting responsiveness (p<0.05).
Conclusion
The INCR-K demonstrated adequate face, content, cross-cultural, structural, and criterion validities, internal consistency, and responsiveness. Information needs changed with CR, such that multiple assessments of information needs may be warranted as rehabilitation progresses to facilitate patient-centered education.

Citations

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Identification of patient-reported core information needs and associated factors in hospitalized patients with heart failure: A network analysis
Mei Yang, Yilin Zhang, Wenjie Fang, Wenjie Sun, Ziwei Geng, Xiuzhen Fan
Heart & Lung.2025; 74: 27. CrossRef

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Brain disorders

Korean Version of the Longer-Term Unmet Needs After Stroke Questionnaire: Sora Baek, Won-Seok Kim, Yul-Hyun Park, Yun Sun Jung, Won Kee Chang, Gowun Kim, Nam-Jong Paik; Ann Rehabil Med 2023;47(5):367-376. Published online October 4, 2023; DOI: https://doi.org/10.5535/arm.23044

Objective
To translate the 22-item Longer-term Unmet Needs after Stroke (LUNS) questionnaire, validate it in the Korean stroke population, and assess the reliability of face-to-face and telephone surveys.
Methods
Sixty-six adult patients with stroke from Seoul National University Bundang Hospital and Kangwon National University Hospital were involved in the validation. Participants were interviewed twice using the LUNS Korean version: first, a face-to-face survey for validation, and second, a telephone survey for test-retest reliability. Participants completed the Frenchay Activities Index (FAI) and Short Form 12 (SF-12) Mental and Physical Component Summary (MCS and PCS) scores at the first interview. For concurrent validity, the differences in health status (FAI, SF-12 MCS and PCS) between the groups that reported unmet needs and those that did not were analyzed for each item. Cohen’s kappa and percentage of agreement between the first and second administrations were calculated for each item to determine the test-retest reliability.
Results
The average age of the participants was 61.2±12.8 years and 74.2% were male. Fifty-seven patients were involved in the second interview. Depending on the unmet needs, SF-12 MCS, PCS, and FAI were significantly different in 12 of 22 items. In the test-retest reliability test, 12 items had a kappa of 0.6 or higher, and two had a kappa of <0.4.
Conclusion
The LUNS instrument into Korean (LUNS-K) is a reliable and valid instrument for assessing unmet health needs in patients with stroke. In addition, telephone surveys can be considered reliable.

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Limited English proficiency, acculturative stress, and quality of life among Korean American patients with chronic hepatitis B
Hee-Soon Juon, Gilbert C Gee, Julia G Katcher, Daniel Yang, Katherine Smith, Ann C Klassen
Journal of Migration and Health.2026; 13: 100406. CrossRef
Psychometric validation of the Chinese version of the longer-term Unmet Needs after Stroke monitoring tool for stroke patients
Fanling Li, Chang Gao, Yan Qu, Xiaohong Hu, Yue Ma, Wenxuan Ding, Xiaomei Li, Jingjun Zhang
Disability and Rehabilitation.2025; 47(13): 3452. CrossRef

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3 Web of Science
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Quantitative Assessment of Proprioception Using Dynamometer in Incomplete Spinal Cord Injury Patients: A Preliminary Study: Won Kee Chang, Yun Suk Jung, Mi-Kyoung Oh, Keewon Kim; Ann Rehabil Med 2017;41(2):218-224. Published online April 27, 2017; DOI: https://doi.org/10.5535/arm.2017.41.2.218

Abstract
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Objective

To investigate the feasibility of a knee proprioception evaluation using a dynamometer as a tool for evaluating proprioception of the lower extremities in patients with incomplete spinal cord injury (SCI), and to explore its usefulness in predicting the ambulatory outcome.

Methods

A total of 14 SCI patients (10 tetraplegic, 4 paraplegic; all AIS D) were included in this study. The passive repositioning error (PRE) and active repositioning error (ARE) were measured with a dynamometer, along with tibial somatosensory evoked potential (SSEP) and abductor hallucis motor-evoked potential (MEP). Ambulatory capacity was assessed with the Walking Index for Spinal Cord Injury II (WISCI-II), both at the time of the proprioception test (WISCI_i) and at least 6 months after the test (WISCI_6mo).

Results

The PRE showed a negative correlation with WISCI_i (r=-0.440, p=0.034) and WISCI_6mo (r=-0.568, p=0.010). Linear multiple regression showed the type of injury, lower extremities motor score, MEP, and PRE accounted for 75.4% of the WISCI_6mo variance (p=0.080).

Conclusion

Proprioception of the knee can be measured quantitatively with a dynamometer in patients with incomplete SCI, and PRE was related to the outcome of the ambulatory capacity. Along with the neurological and electrophysiological examinations, a proprioception test using a dynamometer may have supplementary value in predicting the ambulatory capacity in patients with incomplete SCI.

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Tae Sung Park, Myung-Jun Shin, Yong Beom Shin, Sang Hun Kim
The Journal of Spinal Cord Medicine.2023; 46(6): 941. CrossRef
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Reza Heydari Armaki, Keramatollah Abbasnia, Alireza Motealleh
Journal of Sport Rehabilitation.2021; 30(3): 430. CrossRef
Associations between upper extremity functioning and kinematics in people with spinal cord injury
Lamprini Lili, Katharina S Sunnerhagen, Tiina Rekand, Margit Alt Murphy
Journal of NeuroEngineering and Rehabilitation.2021;[Epub] CrossRef
Ankle proprioception during gait in individuals with incomplete spinal cord injury
Charline Dambreville, Benoit Pairot de Fontenay, Andreanne K. Blanchette, Jean‐Sebastien Roy, Catherine Mercier, Laurent Bouyer
Physiological Reports.2019;[Epub] CrossRef
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Lei Zhang, Yan Zeng, Ji Qi, Taiyuan Guan, Xin Zhou, Yancheng He, Guoyou Wang, Shijie Fu
BioMed Research International.2018; 2018: 1. CrossRef