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Journal of the Korean Academy of Rehabilitation Medicine 2004;28(5):422-435.
Reliability and Validity of Korean Version of National Institutes of Health Stroke Scale: Multi-center study.
Lee, Kyoung Moo , Jang, Yo Han , Kim, Yun Hee , Moon, Seung Kook , Park, Joo Hyun , Park, Si Woon , Yu, Hee Jeong , Lee, Sam Gyu , Chun, Min Ho , Han, Tae Ryoon
1Department of Rehabilitation Medicine, Chungbuk National University College of Medicine, Korea. mayhjang@hanmail.net
2Department of Rehabilitation Medicine, Sungkyunkwan University School of Medicine, Korea.
3Department of Rehabilitation Medicine, The Catholic University of Korea College of Medicine, Korea.
4Department of Rehabilitation Medicine, National Rehabilitation Center, Korea.
5Department of Psychiatry, University of Ulsan College of Medicine, Korea.
6Department of Rehabilitation Medicine, Chonnam National University Medicial School, Korea.
7Department of Rehabilitation Medicine, University of Ulsan College of Medicine, Korea.
8Department of Rehabilitation Medicine, Seoul National University College of Medicine, Korea.
한글판 미국 국립 보건원 뇌졸중 척도의 신뢰도 및 타당도 ⁣다기관 연구⁣
이경무, 장요한, 김연희1, 문승국, 박주현2, 박시운3, 유희정4, 이삼규5, 전민호6, 한태륜7
충북대학교 의과대학 재활의학교실, 1성균관대학교 의과대학 재활의학교실, 2가톨릭대학교 의과대학 재활의학교실, 3국립재활병원 재활의학과, 4울산대학교 의과대학 정신과학교실, 5전남대학교 의과대학 재활의학교실, 6울산대학교 의과대학 재활의학교실, 7서울대학교 의과대학 재활의학교실
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 Spear-man correlation coefficient.
Results
According to inter-tester reliability for Korean version of NIHSS, rho value reached over 0.70, with over 0.72 concerning test-retest reliability. The test on concurrent validity with the original NIHSS reached over 0.70 at rho value, with over 0.653 for MMSE, Motricity index, Brunnstrom stage.
Conclusion
Newly developed Korean version of NIHSS showed high inter-tester and test-retest reliabilities, together with high concurrent validity with the original and other impairment scales, to be regarded to be used as primary impairment scale for patients with stroke. (J Korean Acad Rehab Med 2004; 28: 422-435)
Key Words: National Institutes of Health Stroke Scale, Stroke, Impairment


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