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Çѱ¹¾îÆÇ Neck Disability IndexÀÇ ¹®È­Àû °³ÀÛ°ú Ÿ´çµµ

Cross-Cultural Adaptation and Validation of the Korean Version of the Neck Disability Index

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¼Û°æÁø ( Song Kyung-Jin ) - ÀüºÏ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø Á¤Çü¿Ü°úÇб³½Ç

ÃÖº´¿Ï ( Choi Byung-Wan ) - ±¤ÁÖº¸Èƺ´¿ø Á¤Çü¿Ü°ú
±è¼³Àü ( Kim Sul-Jeon ) - ±¤ÁÖº¸Èƺ´¿ø Á¤Çü¿Ü°úÇб³½Ç
À±¼±Áß ( Yoon Sun-Jung ) - ÀüºÏ´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø Á¤Çü¿Ü°úÇб³½Ç

Abstract

¸ñ Àû: ÇÑ±Û ¹ø¿ª°ú ¹®È­Àû Â÷À̸¦ Àû¿ëÇÑ Çѱ¹¾îÆÇ Neck Disability Index (NDI)¸¦ °³¹ßÇϰí Çѱ¹ ȯÀÚ¿¡°Ô Àû¿ëÇÏ¿© ±× Á¤´ç¼º°ú À¯¿ë¼º ¿©ºÎ¸¦ È®ÀÎÇØ º¸°íÀÚ ÇÏ¿´´Ù.

´ë»ó ¹× ¹æ¹ý: ¿µ¹®ÆÇ NDI¸¦ Çѱ¹¾î·Î ¹ø¿ªÇϰí ÀÀ´äÁ¡ ¼³Á¤ÀÛ¾÷À» ÅëÇØ °ËÅäÇÏ¿´´Ù. ¿Ï¼ºµÈ ÃÖÁ¾º»À» ÅðÇ༺ °æÃß Áúȯ ȯÀÚ 60¿¹¸¦ ´ë»óÀ¸·Î ½Å·Úµµ¿Í Ÿ´ç¼º ¿©ºÎ¸¦ È®ÀÎÇÏ¿´´Ù. ¼³¹® °á°úÀÇ Àç¼³¹® ½Å·Úµµ¿Í ³»Àû ÀÏÄ¡µµ¸¦ È®ÀÎÇÏ¿´°í µ¿½Ã¿¡ ½ÃÇàÇÑ visual analog scale (VAS)°ú Short Form (SF)-36À» ÀÌ¿ëÇÑ ºñ±³¸¦ ÅëÇÏ¿© °øÀΠŸ´çµµ¿Í ±¸¼º Ÿ´çµµ¸¦ ºÐ¼®ÇÏ¿´´Ù.

°á °ú: Àç¼³¹® ½Å·ÚµµÀÇ °³Ã¼ °£ ÀÏÄ¡ °è¼ö´Â 0.927À̾ú°í ³»Àû ÀÏÄ¡µµÀÇ Cronbach¡¯s ¥á´Â 0.82·Î ½Å·Ú¼ºÀ» º¸¿© ÁÖ¾ú´Ù. NDI¿Í VAS °ª °£ÀÇ »ó°ü°ü°è´Â r=0.489 (p=0.002)À̾ú°í NDI¿Í SF-36°£ÀÇ »ó°ü°ü°è´Â r=?0.44 (p£¼0.01)À̾ú´Ù. ƯÈ÷ NDI °ªÀº SF-36ÀÇ ½ÅüÀû ±¸¼º ¿µ¿ª°ú ³ôÀº »ó°ü°ü°è¸¦ º¸¿´À¸¸ç, VAS °ªÀº SF-36ÀÇ ½É¸®Àû ±¸¼º ¿µ¿ª°ú »ó°ü°ü°è°¡ ³ô¾Ò´Ù.

°á ·Ð: Çѱ¹ÆÇ NDI´Â °æÃߺΠÁúȯÀ» °¡Áö´Â ȯÀÚÀÇ Àå¾Ö Á¤µµ¸¦ ÃøÁ¤Çϴµ¥ ½Å·Úµµ°¡ ³ô°í Ÿ´çÇÑ °Ë»ç·Î Çѱ¹ÀÎÀÇ ÀÓ»óÀû ¿¬±¸¿¡ ÀúÀÚµéÀÇ Çѱ¹ÆÇ NDIÀÇ »ç¿ëÀÌ À¯¿ëÇÒ °ÍÀ¸·Î »ý°¢µÈ´Ù.

Purpose: To translate and culturally adapt a Korean version of the Neck Disability Index (NDI), as well as to validate its use in Korean patient.

Materials and Methods: The NDI was linguistically translated into Korean and the prefinal version was assessed and modified by a pilot study. The Korean version was tested on 60 patients with degenerative cervical spine disease to verify the reliability and validity. The test-retest reliability, internal consistency, concurrent validity, and construct validity were examined by a comparison with the VAS and SF-36.

Results:The intraclass correlation coefficient of test-retest reliability was 0.927. The reliability estimated by the internal consistency reached a Cronbach¡¯s alpha of 0.82. The correlation of the NDI with VAS was r=0.489 (p=0.002) and correlation between NDI and SF-36 was r=?0.44 (p£¼0.01). The physical health component score of SF-36 showed a high correlation with the NDI as well as a high correlation between VAS and mental health component scores of SF-36.

Conclusion: The Korean version of the NDI is a reliable and valid instrument for measuring the disability in Korean patient with cervical problems and can be useful in future clinical studies in Korea.

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Neck Disability Index;Cross-cultural adaptation;Validity;Neck Disability Index
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KCI
KoreaMed
KAMS