• Title/Summary/Keyword: Barthel index

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A Longitudinal Study of Self-Concept and Functional Independence in Adolescents with Progressive Muscular Dystrophy (진행성 근이영양증 청소년이 자아개념과 기능적 독립성에 대한 종단적 연구)

  • Kang, Soon-Hee
    • Journal of Korean Physical Therapy Science
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    • v.2 no.3
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    • pp.633-643
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    • 1995
  • A longitudinal study of self-concept and functional independence in 22 adolescents with progressive muscular dystrophy is reported. 30 adolescents with progressive muscular dystrophy completed Korean Self-Concept Scale, Modified Barthel Index, and a questionnaire examining demographic and medical factors. Functional independence was measured by Modified Barthel Index. Two years later, 22 of the 30 adolescents with progressive muscular dystrophy completed same Korean Self-Concept Scale and Modified Barthel Index. Adolescents with progressive muscular dystrophy were not changed on self -concept scores between test and retest. At retest adolescents with progressive muscular dystrophy scored significantly lower than at test on Modified Barthel Index. Compared to scale norms, subjects had significantly lower Total Self, Physical Self, Social Self, Self Satisfaction, Self Behavior scores. Age, years of education, and functional independence were significantly related self-concept. Functional independence was significantly related years of education.

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Function Evaulation and Related factors in The Elderly (노인의 기능 평가 및 관련요인)

  • Kang, Jeom-Deok;Kim, Jong-Bong
    • Journal of Korean Physical Therapy Science
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    • v.8 no.1
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    • pp.813-820
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    • 2001
  • Objectives: The objective of this study was to investigate function evaulation and related factors in the elderly. Methods: Korean version of ADL and IADL were measured for 40 normal in the Elderly in July 15-20. 2000. Their ages were 65 or more in years. 14 items from Modified Barthel Index and 14 items from Modified Lambeth Disability Screening Questionnaire were used. Results: The frequency of disability was the highest in Heavy homework(85.0%) folliwed by Walking on level 50 yards or moer(5.0%), Up&down stairs for 1 flight(5.0%) in 28 items from Modified Barthel Index and Modified Lambeth Disability Screening Questionnaire. Conclusions: Results indicated that no smoking and drinking at onset had high Modified Barthel Index. Modified Lambeth Disability Screening Questionnaire was associated with age.

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Interobserver Reliabilities of Modified Barthel Index, and Motor Assessment Scale in Stroke Patients (Modified Barthel Index 및 Motor Assessment Scale을 이용한 검사자간의 신뢰도 검사)

  • Ko, Seong-Gyu;Kim, Chun-Bae
    • The Journal of Korean Medicine
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    • v.20 no.1 s.37
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    • pp.60-65
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    • 1999
  • We have conducted a study of the interobserver reliabilities of Modified Barthel Index and Motor Assessment Scale with 30 patients hospitalized with strokes in the department of circulatory internal medicine, Sang Ji University Oriental Hospital. The observations were performed by two staff and residents in the circulatory internal medicine department. Raters were assigned in random pairs to individual patients. Evaluations were performed independently by the two observers. In order to minimize the impact of fluctuations in the patients' clinical status, the second set of observations immediately followed the first. Each patient was used for only one pair of evaluations. The results were as follows. 1. Mean kappa value of 13 items in Modified Barthel Index(MBD was 0.742, which indicated excellent interobserver reliability. The kappa values indicated almost $perfect({\kappa}:\;0.81-1.00)$ for 4, substantial for $9({\kappa}:\;0.61-0.80)$, and moderate for $2({\kappa}:\;0.41-0.60)$ of 13 items. All items. except Grooming item, showed statistically significant interobserver agreement(p<0.01) 2. Mean kappa value of 8 items. except General tonus, in Motor Assessment Scale(MAS) was 0.823, which indicated excellent interobserver reliability. and this value of Motor Assessment Scale was more high than MBI' s value. 0.81. The kappa values indicated almost perfect for 5, substantial for 3 of 8 items. All items showed statistically significant interobserver agreement(P<0.01).

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A Study of Functional Evaluation in Stroke Patients (뇌졸중 환자의 기능평가에 대한 연구 -Modified Barthel Index 및 PULSES Profile에 의한 평가성적을 중심으로-)

  • Ahn Jung-Kuk;Lim Hye-Hyun;Ahn So-Yoon
    • The Journal of Korean Physical Therapy
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    • v.4 no.1
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    • pp.43-57
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    • 1992
  • This study was conducted from August, 1980 to March, 9991 to the 40 subjects who were admitted to Kosin Medical Center and received rehabilitation treatment and discharged under the impression of stroke. The objectives are to evaluate the function of the activites of daily living and comprehensive function and find the status of rehabilitation treatment by Modified Barthel Index and PULSES Profile when first requested or rehabilitation treatment(T1), at 2 weeks after rehabilitation treatment(T2), at discharge(T3) and at the time of ambulatory treatment after 2 weeks(T4). The study materials were clinical charts and functional evaluation sheets, and the results are as follows : 21 subject$(52.5\%)$ were male, 19 subjects$(47.5\%)$ were female, and the age distribution was from 19 to 70 in age, the average age was 52.7. By the classification of diagnosis, 21 subjects$(52.5\%)$ were cerebral hemorrhage, 8 subjects$(20.2\%)$ were cerebral thrombosis, 6 subjects$(15.0\%)$ were cerebral embolism, and 5 subjects$(12.5\%)$ were cerebral infarction. The Barthel Index scores were 35.7, 54.5, 71.8, 88.7 on the average at T1, T2, T3, T4 respectively. The PULSES scores were 16.4, 13.7, 11.4, 8.7 on the average at T1, T2, T3, T4 respectively. Regarding the Pearson's correlation coefficient between the Barthel Index scores and the PULSES scores, it was -0.7991(P>0.001) at T1 and -0.8986(P>0.001) at T3, then beth of correlations were very high.

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Clinical Observation for Prognosis Utilizing Brain Computerized Tomography Findings and Barthel Index In Acute Cerebral Infarction (급성 뇌경색 환자의 Brain-CT 소견과 Barthel ADL을 이용한 예후에 관한 고찰)

  • Lee, Won-Chul
    • The Journal of Korean Medicine
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    • v.18 no.2
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    • pp.316-325
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    • 1997
  • In a 36-month period, 23 selected Patients with Acute Cerebral Infarction were studied utilizing Computerized Tomography, Barthel Index in an attempt to correlate Brain Computerized Tomography findings with 1week, 4weeks rehabilitation and evaluate the influences of the size and location of the lesion. The study suggested that the size of the lesion had impact on 4 weeks rehabilitation. There was significant different between the patients with Middle Cerebral Artery Pial Territory Infarction(I.P.B.M.C.A.) lesion and the patients with Lacunar Infarction(L.I.), Striatocapsular Infarction(S.C.I.), Internal Watershed Infarction(I.W.I.) lesion, but there was no significant difference between the patients with L.I. lesion and the patients with S.C.I. lesion and the patients with I.W.I. lesion. The size and location of the lesion should be considered together in predicting the functional outcomes of Acute Cerebral Infarction.

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Correlations of the Stroke Rehabilitation Assessment of Movement, Berg Balance Scale, and Modified Barthel Index in Patients With Acute Stroke (급성기 뇌졸중 환자에서 Stroke Rehabilitation Assessment of Movement와 Berg Balance Scale, Modified Barthel Index와의 상관관계)

  • Chung, Yu-Hoe;Song, Eun-Ji;Lee, Kang-Noh;Ahn, Jun-Su;Seong, Jun-Hyuk;Song, Mun-Seong
    • Physical Therapy Korea
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    • v.18 no.2
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    • pp.52-59
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    • 2011
  • The purpose of this study was to examine the relationship of the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), and the Modified Barthel Index (MBI) in the acute stroke care setting. Twenty patients with their first stroke were evaluated using STREAM, BBS, and MBI initially and at 4 weeks. The data was analyzed using the independent t-test, paired t-test, and the Pearson product moment correlation analysis. The scores on the STREAM were strongly associated with the scores on both the BBS and MBI (with Pearson correlation coefficients ranging from .88 to .95), and there was significant improvement between the initial scores and those obtained four weeks later for STREAM, BBS, and MBI (p=.001, p=.001, p<.001). The results suggest that STREAM may be able to reflect functional recovery and to assess voluntary movement in patients who have suffered an acute stroke.

Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients (만성 뇌졸중 환자들의 체간 조절 평가의 재현성과 Barthel Index구분을 위한 임상 유용성)

  • Seung-Heon An;Dae-Sung Park
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.3
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    • pp.55-63
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    • 2024
  • PURPOSE: This study examined the test-retest reliability and clinical utility of the Modified Trunk Impairment Scale (mTIS), Trunk Control Test (TCT), and Postural Assessment Scale for Stroke - Trunk Control (PASS-TC) in patients with chronic stroke. METHODS: Thirty-eight stroke patients were reassessed using the mTIS, TCT, and PASS-TC with a seven-day interval between assessments. The test-retest reliability was evaluated using the intraclass correlation coefficient (ICC2,1), the standard error of measurement (SEM), the minimal detectable change (MDC), and MDC%, as well as Bland-Altman analysis. The relationship between the mTIS, TCT, PASS-TC scores, and the Barthel Index (BI) was also investigated. RESULTS: The test-retest reliability for the mTIS, TCT, and PASS-TC was high, with ICC values ranging from .91 to .94 (95% confidence interval: .83-.97). The MDCs for the mTIS and TCT were 2.35 and 13.9, respectively, while the MDC for the P ASS-TC was 2.54, all below 20% of the maximum possible score, indicating reliable measurement. The optimal mTIS cut-off score for distinguishing between mild (75-95 points) and severe (50-74 points) dependence on the BI was ≥ 9.5, with an accuracy of 79%. Patients with an mTIS score ≥ 9.5 (out of 15) showed an 18-fold higher likelihood of achieving a mild level of functional independence than those with a score < 9.5. CONCLUSION: The mTIS, TCT, and PASS-TC showed high test-retest reliability and no systematic errors in chronic stroke patients. The MDC values were reliable, indicating meaningful change. Among these, the mTIS is a sensitive and a useful tool for predicting functional independence in clinical practice and is straightforward to apply.

A Clinical Study about Gait Disturbance of Patient who Diagnosed Spinal Cord Concussion after Traffic Accident (교통사고 후 척수진탕으로 인한 양하지 부전마비 환자 1례에 대한 증례보고)

  • Choi, Yi Jeong;Lee, Bong Hyo;Lee, Yun Kyu;Kim, Jae Su;Lee, Hyun Jong;Jung, Tae Young;Lim, Sung Chul
    • Journal of Acupuncture Research
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    • v.30 no.2
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    • pp.81-90
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    • 2013
  • Objectives : The purpose on this study is to report clinical effects of oriental medicine for gait disturbance after traffic accident. Methods : The patient was treated using electro-acupuncture, 8 constitution acupuncture, herbal medicine, moxibustion and physical treatment. The effects for gait disturbance have measured with modified barthel index(MBI) and that for lower back pain have measured with visual analog scale(VAS). Results : 1. The Modified barthel index gradually increased according to treatment time. 2. The VAS of low back pain decreased to less than half. Conclusion : Oriental medical treatment showed positive effect on gait disturbance after traffic accident.

Physical Functions in Follow-up Convergency Care by Discharge Locations (퇴원장소에 따른 융합적 돌봄을 위한 신체기능연구)

  • Bok, Soo-Kyung;Song, Youngshin
    • Journal of the Korea Convergence Society
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    • v.13 no.2
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    • pp.313-320
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    • 2022
  • Discharge plans should be considered during rehabilitation depending on the location specified by the patients. This study aims to compare the demographics and rehabilitation function according to discharge location in people with rehabilitation one month after discharge. Among 300 discharged patients, 146 were discharged to their homes, 154 were transferred to facilities such as nursing homes. The results showed that rehabilitation function that scored using the modified Barthel Index were different according to discharge location. That is, the modified Barthel Index scored greater in home discharged patients than counter group. However, the home discharged patient's physical function and daily activities showed scores that required rehabilitation. Differentiated strategies should be needed for home and facility visit rehabilitation programs for rehabilitated patients.

The Correlation Among the Activity of Daily Living, the Manual Ability and the Gross Motor Function (뇌성마비 아동의 일상생활활동 수행능력과 사물조작기능, 대동작기능의 상관관계 연구)

  • Ko, Yu-Jeong
    • The Journal of Korean Academy of Sensory Integration
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    • v.10 no.1
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    • pp.11-20
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    • 2012
  • Objective : The purpose of this study is intended to provide useful information about the disability evaluation indicators, the Modified Barthel Index (MBI) as a measurement tool for assessing the ability to perform activities of daily living through the correlation between the Modified Barthel Index (MBI) and the Manual Ability Classification System (MACS), and Gross Motor Function Classification System (GMFCS). Methods : The subject was 82 children with cerebral palsy. The validity was aexamined by calculation of correlation between the Modified Barthel Index (MBI), the Manual Ability Classification System (MACS) and Gross Motor Function Classification System (GMFCS). Results : There were a good significant correlation between the MBI and MACS (r = -.765, p <0.001), the MBI and the GMFCS (r = -.851, p < 0.001) and the MACS and the GMFCS (r = .615, p <0.001). Conclusion : The close correlation between the MBI that is used as the basis of grading cerebral palsy and high reliability and validity of the MACS, GMFCS suggest that disability evaluation indicators, the MBI could be useful for children with disabilities.

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