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Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson’s Disease

OBJECTIVE: Postural instability and gait disturbance are the cardinal symptoms associated with falling among patients with Parkinson’s disease (PD). The Tinetti mobility test (TMT) is a well-established measurement tool used to predict falls among elderly people. However, the TMT has not been establ...

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Autores principales: Park, Jinse, Koh, Seong-Beom, Kim, Hee Jin, Oh, Eungseok, Kim, Joong-Seok, Yun, Ji Young, Kwon, Do-Young, Kim, Younsoo, Kim, Ji Seon, Kwon, Kyum-Yil, Park, Jeong-Ho, Youn, Jinyoung, Jang, Wooyoung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Movement Disorder Society 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5790627/
https://www.ncbi.nlm.nih.gov/pubmed/29381888
http://dx.doi.org/10.14802/jmd.17058
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author Park, Jinse
Koh, Seong-Beom
Kim, Hee Jin
Oh, Eungseok
Kim, Joong-Seok
Yun, Ji Young
Kwon, Do-Young
Kim, Younsoo
Kim, Ji Seon
Kwon, Kyum-Yil
Park, Jeong-Ho
Youn, Jinyoung
Jang, Wooyoung
author_facet Park, Jinse
Koh, Seong-Beom
Kim, Hee Jin
Oh, Eungseok
Kim, Joong-Seok
Yun, Ji Young
Kwon, Do-Young
Kim, Younsoo
Kim, Ji Seon
Kwon, Kyum-Yil
Park, Jeong-Ho
Youn, Jinyoung
Jang, Wooyoung
author_sort Park, Jinse
collection PubMed
description OBJECTIVE: Postural instability and gait disturbance are the cardinal symptoms associated with falling among patients with Parkinson’s disease (PD). The Tinetti mobility test (TMT) is a well-established measurement tool used to predict falls among elderly people. However, the TMT has not been established or widely used among PD patients in Korea. The purpose of this study was to evaluate the reliability and validity of the Korean version of the TMT for PD patients. METHODS: Twenty-four patients diagnosed with PD were enrolled in this study. For the interrater reliability test, thirteen clinicians scored the TMT after watching a video clip. We also used the test-retest method to determine intrarater reliability. For concurrent validation, the unified Parkinson’s disease rating scale, Hoehn and Yahr staging, Berg Balance Scale, Timed-Up and Go test, 10-m walk test, and gait analysis by three-dimensional motion capture were also used. We analyzed receiver operating characteristic curve to predict falling. RESULTS: The interrater reliability and intrarater reliability of the Korean Tinetti balance scale were 0.97 and 0.98, respectively. The interrater reliability and intra-rater reliability of the Korean Tinetti gait scale were 0.94 and 0.96, respectively. The Korean TMT scores were significantly correlated with the other clinical scales and three-dimensional motion capture. The cutoff values for predicting falling were 14 points (balance subscale) and 10 points (gait subscale). CONCLUSION: We found that the Korean version of the TMT showed excellent validity and reliability for gait and balance and had high sensitivity and specificity for predicting falls among patients with PD.
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spelling pubmed-57906272018-02-05 Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson’s Disease Park, Jinse Koh, Seong-Beom Kim, Hee Jin Oh, Eungseok Kim, Joong-Seok Yun, Ji Young Kwon, Do-Young Kim, Younsoo Kim, Ji Seon Kwon, Kyum-Yil Park, Jeong-Ho Youn, Jinyoung Jang, Wooyoung J Mov Disord Original Article OBJECTIVE: Postural instability and gait disturbance are the cardinal symptoms associated with falling among patients with Parkinson’s disease (PD). The Tinetti mobility test (TMT) is a well-established measurement tool used to predict falls among elderly people. However, the TMT has not been established or widely used among PD patients in Korea. The purpose of this study was to evaluate the reliability and validity of the Korean version of the TMT for PD patients. METHODS: Twenty-four patients diagnosed with PD were enrolled in this study. For the interrater reliability test, thirteen clinicians scored the TMT after watching a video clip. We also used the test-retest method to determine intrarater reliability. For concurrent validation, the unified Parkinson’s disease rating scale, Hoehn and Yahr staging, Berg Balance Scale, Timed-Up and Go test, 10-m walk test, and gait analysis by three-dimensional motion capture were also used. We analyzed receiver operating characteristic curve to predict falling. RESULTS: The interrater reliability and intrarater reliability of the Korean Tinetti balance scale were 0.97 and 0.98, respectively. The interrater reliability and intra-rater reliability of the Korean Tinetti gait scale were 0.94 and 0.96, respectively. The Korean TMT scores were significantly correlated with the other clinical scales and three-dimensional motion capture. The cutoff values for predicting falling were 14 points (balance subscale) and 10 points (gait subscale). CONCLUSION: We found that the Korean version of the TMT showed excellent validity and reliability for gait and balance and had high sensitivity and specificity for predicting falls among patients with PD. The Korean Movement Disorder Society 2018-01 2018-01-23 /pmc/articles/PMC5790627/ /pubmed/29381888 http://dx.doi.org/10.14802/jmd.17058 Text en Copyright © 2018 The Korean Movement Disorder Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Park, Jinse
Koh, Seong-Beom
Kim, Hee Jin
Oh, Eungseok
Kim, Joong-Seok
Yun, Ji Young
Kwon, Do-Young
Kim, Younsoo
Kim, Ji Seon
Kwon, Kyum-Yil
Park, Jeong-Ho
Youn, Jinyoung
Jang, Wooyoung
Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson’s Disease
title Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson’s Disease
title_full Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson’s Disease
title_fullStr Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson’s Disease
title_full_unstemmed Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson’s Disease
title_short Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson’s Disease
title_sort validity and reliability study of the korean tinetti mobility test for parkinson’s disease
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5790627/
https://www.ncbi.nlm.nih.gov/pubmed/29381888
http://dx.doi.org/10.14802/jmd.17058
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