• 한국산학기술학회논문지
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• 제12권11호
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• pp.5102-5109
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• 2011

이 연구는 뇌졸중 환자의 참여제한을 측정하는 도구인 한국판 London Handicap Scale의 타당도와 신뢰도를 알아보기 위해 실시되었다. 외래 재활치료를 받고 있는 뇌졸중 환자 54명을 대상으로 하였다. 한국판 LHS의 문항내적일치도는 Cronbach's ${\alpha}$ 값이 .791이었고, 급간내상관계수는 .983으로 신뢰도가 높았다. 구성타당도를 알아보기 위해 탐색적 요인분석을 실시한 결과, 한국판 LHS는 2개의 요인으로 구성되며 설명력은 72.32%인 것으로 나타났다. 한국판 LHS와 한국판 수정바델지수와는 경제상태 항목을 제외하고 모든 항목에서 유의한 상관성이 있는 것으로 나타났다(r=-.454 ~ -.819)(p<.01). 한국판 LHS의 신뢰도와 타당도가 높기 때문에, 임상에서 뇌졸중 환자의 참여제한을 측정하는 도구로 사용되는데 적절한 것으로 여겨진다.

• 한국전문물리치료학회지
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• 제19권1호
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• pp.76-85
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• 2012

The purpose of this study was to identify the factors determining the participation restriction of chronic stroke patients based on international classification of functioning, disability, and health (ICF) model. Sixty-eight stroke patients participated. The participants were assessed participation restriction using the Korean version of London handicap scale (K-LHS), modified Barthel index (K-MBI) to measure activities of daily living, Berg balance scale (K-BBS) to assess balance, and the center for epidemiologic studies depression (K-CES-D) to gauge depression. Also, 3 minutes walking test (3MWT), gait velocity, asymmetric posture, and family support were assessed. A stepwise multiple regression analysis was used to explore the factors determining participation restriction. There were no significant different in the K-LHS and K-MBI results by gender (p>.05). Correlations between the K-LHS and K-MBI (r=-.656), K-BBS (r=-.543), K-CES-D (r=.266), 3MWT (r=-.363), gait velocity (r=.348), and family support (r=-.389) were significant (p<.05). Also, the K-MBI and family support were the factors that determined participation restriction (p<.05) and that 40.2% of the variation in the K-LHS can be explained. Therefore, it is suggested that evaluation and intervention of patient's activity level and extent of family support is necessary to reduce participation restriction of chronic stroke patients.