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 establi...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Movement Disorder Society
2018-01-01
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| Series: | Journal of Movement Disorders |
| Subjects: | |
| Online Access: | http://www.e-jmd.org/upload/jmd-17058.pdf |
| _version_ | 1797715978513022976 |
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| author | Jinse Park Seong-Beom Koh Hee Jin Kim Eungseok Oh Joong-Seok Kim Ji Young Yun Do-Young Kwon Younsoo Kim Ji Seon Kim Kyum-Yil Kwon Jeong-Ho Park Jinyoung Youn Wooyoung Jang |
| author_facet | Jinse Park Seong-Beom Koh Hee Jin Kim Eungseok Oh Joong-Seok Kim Ji Young Yun Do-Young Kwon Younsoo Kim Ji Seon Kim Kyum-Yil Kwon Jeong-Ho Park Jinyoung Youn Wooyoung Jang |
| author_sort | Jinse Park |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-12T08:14:48Z |
| format | Article |
| id | doaj.art-568d502311664008bab7b24ce90e78c2 |
| institution | Directory Open Access Journal |
| issn | 2005-940X 2093-4939 |
| language | English |
| last_indexed | 2024-03-12T08:14:48Z |
| publishDate | 2018-01-01 |
| publisher | Korean Movement Disorder Society |
| record_format | Article |
| series | Journal of Movement Disorders |
| spelling | doaj.art-568d502311664008bab7b24ce90e78c22023-09-02T18:56:16ZengKorean Movement Disorder SocietyJournal of Movement Disorders2005-940X2093-49392018-01-01111242910.14802/jmd.17058210Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson’s DiseaseJinse Park0Seong-Beom Koh1Hee Jin Kim2Eungseok Oh3Joong-Seok Kim4Ji Young Yun5Do-Young Kwon6Younsoo Kim7Ji Seon Kim8Kyum-Yil Kwon9Jeong-Ho Park10Jinyoung Youn11Wooyoung Jang12 Department of Neurology, Haeundae Paik Hospital, Inje University, Busan, Korea Department of Neurology & Parkinson’s Disease Centre, Guro Hospital, Korea University, Seoul, Korea Department of Neurology, Konkuk University School of Medicine, Seoul, Korea Department of Neurology, Chungnam National University Hospital, Daejeon, Korea Department of Neurology, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea Ewha Womans University School of Medicine, Ewha Womans University Mokdong Hospital, Seoul, Korea Department of Neurology, Korea University College of Medicine, Ansan Hospital, Ansan, Korea Department of Neurology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea Department of Neurology, Chungbuk National University College of Medicine, Cheongju, Korea Department of Neurology, College of Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea Department of Neurology, College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, KoreaObjective 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.http://www.e-jmd.org/upload/jmd-17058.pdfParkinson’s diseaseTinetti mobility testgaitbalance |
| spellingShingle | Jinse Park Seong-Beom Koh Hee Jin Kim Eungseok Oh Joong-Seok Kim Ji Young Yun Do-Young Kwon Younsoo Kim Ji Seon Kim Kyum-Yil Kwon Jeong-Ho Park Jinyoung Youn Wooyoung Jang Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson’s Disease Journal of Movement Disorders Parkinson’s disease Tinetti mobility test gait balance |
| 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 | Parkinson’s disease Tinetti mobility test gait balance |
| url | http://www.e-jmd.org/upload/jmd-17058.pdf |
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