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Journal of the Korean Academy of Rehabilitation Medicine 2004;28(6):565-573.
The Usefulness of Revised Version of the Korean Spinal Cord Independence Measure (KSCIM-R).
Seo, Jeong Hwan , Jeong, Young Chang , Ko, Myoung Hwan , Park, Sung Hee
Department of Rehabilitation Medicine and Institute for Medical Science, Chonbuk National University Medical School, Korea. jeongpiano@yahoo.co.kr
개정된 한국어판 척수독립성 지수의 유용성
서정환, 정영창, 고명환, 박성희
전북대학교 의과대학 재활의학교실 및 임상의학연구소
Abstract
Objective
The aim of this study was to investigate the suitability of the Revised version of the Korean Spinal Cord Independence Measure (KSCIM-R), which is a functional evaluation tool for spinal cord injury.
Method
Thirty patients with spinal cord injury were enrolled. The KSCIM was modified to as KSCIM-R. Inter- rater reliability and relative sensitivity of KSCIM-R were evaluated by two raters, biweekly.
Results
The Kappa coefficient of the various individual tasks in the KSCIM-R ranged between 0.71 and 0.95 (mean: 0.82), which was higher than the previous version, KSCIM. High correlations were found between the total KSCIM-R scores of the paired raters (r=0.95, p<0.01), and between KSCIM-R scores and total FIM scores (r=0.90, p<0.01). The KSCIM-R detected all the functional changes detected by FIM total scoring, however the FIM missed changes in 16 (16%) of 102 sequential test batteries, which was detected by KSCIM-R total scoring.
Conclusion
These results demonstrated that the KSCIM-R is reliable and more sensitive than the FIM and KSCIM in reflecting the functional changes of SCI patients. (J Korean Acad Rehab Med 2004; 28: 565-573)
Key Words: Function, Revised version of the Korean Spinal Cord Independence Measure, Spinal cord independence measure, Functional independence measure, Spinal cord injury
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