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Original Article

Development of the Korean Version of Modified Barthel Index (K-MBI): Multi-center Study for Subjects with Stroke.

Jung, Han Young , Park, Byung Kyu , Shin, Hee Suk , Kang, Yoon Kyoo , Pyun, Sung Bom , Paik, Nam Jong , Kim, See Hyun , Kim, Tae Hyun , Han, Tai Ryoon
Journal of the Korean Academy of Rehabilitation Medicine 2007;31(3):283-297.
1Department of Rehabilitation Medicine, Inha University College of Medicine, Korea.
2Department of Rehabilitation Medicine, Pusan National University College of Medicine, Korea.
3Department of Rehabilitation Medicine, Gyeongsang National University College of Medicine, Korea.
4Department of Rehabilitation Medicine, Korea University College of Medicine, Korea.
5Department of Rehabilitation Medicine, University of Ulsan College of Medicine, Korea.
6Department of Rehabilitation Medicine, Seoul National University College of Medicine, Korea. tairyoon@snu.ac.kr
7Department of East-West Medical Science, Graduate School of East-West Medical Science, Kyung Hee University, Korea.
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Objective
To develop a Korean version of Modified Barthel Index (K-MBI) for subjects with stroke and to test the reliability and validity of K-MBI. Method: Six senior physiatrists translated the 5th version of MBI into K-MBI and we administered K-MBI to 30 subjects with stroke. Fifteen different examiners working at the 5 different university hospitals evaluated video-recorded examination cases independently to test the reliability and validity of K-MBI. We analyzed intra- and inter-rater reliabilities of the K-MBI by the Kendall's coefficient of concordance and Spearman's correlation coefficients, respectively. Cronbach's alpha coefficient was used for assessing internal consistency of the K-MBI and Spearman's correlation between the K-MBI and Brunnström stage was employed to evaluate the validity of the K-MBI. Results: The intra-rater reliabilities of physiatrists, resident physicians of rehabilitation medicine and occupational therapists were 0.93∼1.00, 0.87∼0.99, and 0.97∼1.00 (p< 0.01), respectively. The inter-rater reliabilities were 0.93∼0.98 (p<0.01) and Cronbach's alpha was 0.84 (p<0.01) as the internal consistency reliability of K-MBI. For construct validation study, each item of K-MBI had significant correlation with total score of K-MBI (r=0.54∼0.78, p< 0.01). Conclusion: The K-MBI is a reliable and valid instrument for measuring functional status of subjects with stroke. (J Korean Acad Rehab Med 2007; 31: 283-297)

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