Reliability and Validity of Korean Version of National Institutes of Health Stroke Scale -Multi-center study-

한글판 미국 국립 보건원 뇌졸중 척도의 신뢰도 및 타당도 -다기관 연구-

Lee, Gyeong-Mu;Jang, Yo-Han;Kim, Yeon-Hui;Mun, Seung-Guk;Park, Ju-Hyeon;Park, Si-Un;Yu, Hui-Jeong;Lee, Sam-Gyu;Jeon, Min-Ho;Han, Tae-Ryun
이경무;장요한;김연희;문승국;박주현;박시운;유희정;이삼규;전민호;한태륜

  • Published : 20041000

Abstract

Objective: To assess the inter-tester and test-retest reliability and validity after developing of Korean version of National Institutes of Health Stroke Scale (NIHSS). Method: This research was conducted on 27 patents with stroke with less than 12 months since the onset of disease. Five physiatrists translated NIHSS into Korean. Video taping were used for objective scorings. Four physiatrists conducted scorings in order to seek for inter-tester reliability and one conducted scorings three weeks interval for test-retest reliability. Six physiatrists conducted scorings in order to seek for concurrent validity with the original NIHSS and four conducted scorings for validity with other impairment scale. Each score was analyzed based on Spearman Objective: To assess the inter-tester and test-retest reliability and validity after developing of Korean version of National Institutes of Health Stroke Scale (NIHSS). Method: This research was conducted on 27 patents with stroke with less than 12 months since the onset of disease. Five physiatrists translated NIHSS into Korean. Video taping were used for objective scorings. Four physiatrists conducted scorings in order to seek for inter-tester reliability and one conducted scorings three weeks interval for test-retest reliability. Six physiatrists conducted scorings in order to seek for concurrent validity with the original NIHSS and four conducted scorings for validity with other impairment scale. Each score was analyzed based on Spearman.

Keywords

References

  1. 박주현, 양승한, 박수열: 뇌졸중 환자에서 기능 평가 도구인 Activity Index의 타당도. 대한재활의학회지 1998; 22: 483-489
  2. 이방훈, 이강목: 장애환자 평가도구로서의 10 ADLs. 대한재활의학회지 1989; 13: 227-232
  3. Brott TG, Adams HP Jr, Olinger CP, Marler JR, Barsan WG, Biller J, Spilker J, Holleran R, Eberle R, Hertzberg V, Rorick M, Moomaw CJ, Walker M: Measurements of acute cerebral infarction: a clinical examination scale. Stroke 1989; 20: 864-870 https://doi.org/10.1161/01.STR.20.7.864
  4. Bushnell CD, Johnston DC, Goldstein LB: Retrospective assessment of initial stroke severity: comparison of the NIH stroke scale and the Canadian neurological scale. Stroke 2001; 32: 656-660 https://doi.org/10.1161/01.STR.32.3.656
  5. Goldstein LB, Baretels C, Davis JN: Interrater reliability of the NIH stroke scale. Arch Neurol 1989; 46: 660-662 https://doi.org/10.1001/archneur.1989.00520420080026
  6. Goldstein LB, Chilukuri V: Retrospective assessment of initial stroke severity with the Canadian Neurological Scale. Stroke 1997; 28: 1181-1184 https://doi.org/10.1161/01.STR.28.6.1181
  7. Herndon RM: Clinical stroke scales. In: Clark WM, Hourihane JM, editors. Handbook of neurologic rating scales, 1st ed, New York: Demos Vermande, 1997, pp161-186
  8. Kasner SE, Chalela JA, Luciano JM, Cucchiara BL, Raps EC, McGarvey ML, Conroy MB, Localio AR: Reliability and validity of estimating the NIH stroke scale score from medical records. Stroke 1999; 30: 1534-1537 https://doi.org/10.1161/01.STR.30.8.1534
  9. Lai SM, Duncan PW, Keighley J: Prediction of functional outcome after stroke: comparison of the Orpington Prognostic Scale and the NIH Stroke Scale. Stroke 1998; 29: 1838-1842 https://doi.org/10.1161/01.STR.29.9.1838
  10. Mahoney FI, Barthel DW: Functional evaluation: The Barthel Index. Md State Med J 1965; 14: 61-65
  11. Muir KW, Weir CJ, Murray GD, Povey C, Lees KR: Comparison of neurological scales and scoring systems for acute stroke prognosis. Stroke 1996; 27: 1817-1820 https://doi.org/10.1161/01.STR.27.10.1817
  12. Powers DW: Assessment of the stroke patient using the NIH stroke scale. Emerg Med Serv 2001; 30: 52-56
  13. Schlegel D, Kolb SJ, Luciano JM, Tovar JM, Cucchiara BL, Liebeskind DS, Kasner SE: Utility of the NIH stroke scale as a predictor of hospital disposition. Stroke 2003; 34: 134-137 https://doi.org/10.1161/01.STR.0000048217.44714.02