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A Systematic Review on Measurement Instruments of Bilateral Upper Extremity Function

양측 상지 기능 평가도구에 관한 체계적 고찰

  • Lee, Joo-Hyun (Dept. of Occupational Therapy, Graduate School of Yonsei University) ;
  • Lee, Ye-Jin (Dept. of Occupational Therapy, Graduate School of Yonsei University) ;
  • Park, Ji-Hyuk (Dept. of Occupational Therapy, Yonsei University)
  • 이주현 (연세대학교 대학원 작업치료학과) ;
  • 이예진 (연세대학교 대학원 작업치료학과) ;
  • 박지혁 (연세대학교 작업치료학과)
  • Received : 2015.11.30
  • Accepted : 2016.01.31
  • Published : 2016.01.30

Abstract

Objective : This study was conducted to review about instrument for bilateral upper extremity assessment. Methods : We searched published papers in Medline database. The keywords used in the search were 'upper extremity' and 'motor activity', 'activities of daily living' and 'assessment', 'instrument', 'disability evaluations'. In total of 68 papers, 44 assessment instruments was extracted. We analyzed about numbers, subjects, methods, reliability, validity, responsiveness of assessment instruments about bilateral upper limb function comparing unilateral, combined bilateral and unilateral instruments. Results : The numbers of bilateral measurement tool were 2 in a total of upper extremity measurement tools. Also, subjects were patients with stroke and measurement was based on performance. The reliability, validity and responsiveness of tools were high. Conclusions : Futher study will be needed to development and research about instrument of bilateral upper extremity.

목적 : 본 연구는 양측상지기능 평가도구의 체계적 고찰을 통해, 대상자, 평가방법, 신뢰도, 타당도, 민감도 등을 분석하여 임상 및 연구에서의 자료로 활용하고자 하였다. 연구방법 : 2014년 12월 한달 동안 PubMed 데이터베이스에서 'upper extremity'와 'motor actiity' 'activities of daily living'와 'assessment instrument' 'disability evaluations'의 키워드로 검색하여, 최종적으로 68개의 연구에서 44개의 상지기능 평가도구를 추출하였다. 추출된 평가도구에서 양측상지기능 평가도구의 비율, 대상자, 측정방법, 신뢰도, 타당도, 민감도를 비교분석하였다. 결과 : 상지기능 평가도구 중 양측상지기능 평가도구는 2개로 가장 적었다. 모두 뇌졸중 환자를 대상으로 하였으며, 환자의 양측 상지수행을 통해 환측의 기능을 측정하는 평가도구였다. 평가도구의 신뢰도, 타당도, 민감도는 높은 것으로 조사되었다. 결론 : 본 연구를 통해 양측상지기능 평가도구의 개발 및 연구가 필요하며, 이를 통해 양측상지기능 치료 효과를 보기 위한 평가도구로 활용될 수 있기를 기대해 본다.

Keywords

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