J Mov Disord.
2018 Jan;11(1):24-29. 10.14802/jmd.17058.
Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson's Disease
- Affiliations
-
- 1Department of Neurology, Haeundae Paik Hospital, Inje University, Busan, Korea.
- 2Department of Neurology & Parkinson's Disease Centre, Guro Hospital, Korea University, Seoul, Korea. parkinson@korea.ac.kr
- 3Department of Neurology, Konkuk University School of Medicine, Seoul, Korea.
- 4Department of Neurology, Chungnam National University Hospital, Daejeon, Korea.
- 5Department of Neurology, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
- 6Ewha Womans University School of Medicine, Ewha Womans University Mokdong Hospital, Seoul, Korea.
- 7Department of Neurology, Korea University College of Medicine, Ansan Hospital, Ansan, Korea.
- 8Department of Neurology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.
- 9Department of Neurology, Chungbuk National University College of Medicine, Cheongju, Korea.
- 10Department of Neurology, College of Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
- 11Department of Neurology, College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
- 12Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- 13Neuroscience Center, Samsung Medical Center, Seoul, Korea.
- 14Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
- KMID: 2405199
- DOI: http://doi.org/10.14802/jmd.17058
Abstract
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.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- An Analysis of the Reliability and Validity of a Korean Version of the Mobility and Gait Assessment Tools for Patients with Stroke
- The Validity and Reliability of the EMC Device; For the Checking ofthe Mobility of the First Ray of the Foot
- The Validity and Reliability of a Screening Questionnaire for Parkinson's Disease in a Community
- Construction of the Mobility to Participation Assessment Scale for Stroke (MPASS) and Testing Its Validity and Reliability in Persons With Stroke in Thailand
- Parkinson Anxiety Scale: A Validation Study for the Brazilian Population
