Validation of Korean Version of Coma Recovery Scale-Revised (K-CRSR)

Objective To determine the validity and reliability of the Korean version of the Coma Recovery Scale-Revised (K-CRSR) for evaluation of patients with a severe brain lesion. Methods With permission from Giacino, the developer of the Coma Recovery Scale Revised (CRSR), the scale was translated into Ko...

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Main Authors: Hee Jun Han, Ee Jin Kim, Hae Jin Lee, Sung Bom Pyun, Kyung Lim Joa, Han Young Jung
Format: Article
Language:English
Published: Korean Academy of Rehabilitation Medicine 2018-08-01
Series:Annals of Rehabilitation Medicine
Subjects:
Online Access:http://www.e-arm.org/upload/pdf/arm-2018-42-4-536.pdf
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author Hee Jun Han
Ee Jin Kim
Hae Jin Lee
Sung Bom Pyun
Kyung Lim Joa
Han Young Jung
author_facet Hee Jun Han
Ee Jin Kim
Hae Jin Lee
Sung Bom Pyun
Kyung Lim Joa
Han Young Jung
author_sort Hee Jun Han
collection DOAJ
description Objective To determine the validity and reliability of the Korean version of the Coma Recovery Scale-Revised (K-CRSR) for evaluation of patients with a severe brain lesion. Methods With permission from Giacino, the developer of the Coma Recovery Scale Revised (CRSR), the scale was translated into Korean and back-translated into English by a Korean physiatrist highly proficient in English, and then verified by the original developer. Adult patients with a severe brain lesion following traumatic brain injury, stroke, or hypoxic brain injury were examined. To assess the inter-rater reliability, all patients were tested with K-CRSR by two physiatrists individually. To determine intra-rater reliability, the same test was re-administered by the same physiatrists after three days. Results Inter-rater reliability (k=0.929, p<0.01) and intra-rater reliability (k=0.938, p<0.01) were both high for total K-CRSR scores. Inter- and intra-rater agreement rates were very high (94.9% and 97.4%, respectively). The total K-CRSR score was significantly correlated with K-GCS (r=0.894, p<0.01), demonstrating sufficient concurrent validity. Conclusion K-CRSR is a reliable and valid instrument for the assessment of patients with brain injury by trained physiatrists. This scale is useful in differentiating patients in minimally conscious state from those in vegetative state.
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spelling doaj.art-af0ac2a0dfcf4d0eb3983e1c89a8f6ad2023-09-02T08:55:20ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532018-08-0142453654110.5535/arm.2018.42.4.5364013Validation of Korean Version of Coma Recovery Scale-Revised (K-CRSR)Hee Jun Han0Ee Jin Kim1Hae Jin Lee2Sung Bom Pyun3Kyung Lim Joa4Han Young Jung5 Department of Physical and Rehabilitation Medicine, Inha University College of Medicine, Incheon, Korea Department of Physical and Rehabilitation Medicine, Inha University College of Medicine, Incheon, Korea Department of Physical and Rehabilitation Medicine, Inha University College of Medicine, Incheon, Korea Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Seoul, Korea Department of Physical and Rehabilitation Medicine, Inha University College of Medicine, Incheon, Korea Department of Physical and Rehabilitation Medicine, Inha University College of Medicine, Incheon, KoreaObjective To determine the validity and reliability of the Korean version of the Coma Recovery Scale-Revised (K-CRSR) for evaluation of patients with a severe brain lesion. Methods With permission from Giacino, the developer of the Coma Recovery Scale Revised (CRSR), the scale was translated into Korean and back-translated into English by a Korean physiatrist highly proficient in English, and then verified by the original developer. Adult patients with a severe brain lesion following traumatic brain injury, stroke, or hypoxic brain injury were examined. To assess the inter-rater reliability, all patients were tested with K-CRSR by two physiatrists individually. To determine intra-rater reliability, the same test was re-administered by the same physiatrists after three days. Results Inter-rater reliability (k=0.929, p<0.01) and intra-rater reliability (k=0.938, p<0.01) were both high for total K-CRSR scores. Inter- and intra-rater agreement rates were very high (94.9% and 97.4%, respectively). The total K-CRSR score was significantly correlated with K-GCS (r=0.894, p<0.01), demonstrating sufficient concurrent validity. Conclusion K-CRSR is a reliable and valid instrument for the assessment of patients with brain injury by trained physiatrists. This scale is useful in differentiating patients in minimally conscious state from those in vegetative state.http://www.e-arm.org/upload/pdf/arm-2018-42-4-536.pdfVegetative stateMinimally conscious stateComa Recovery Scale RevisedConsciousness
spellingShingle Hee Jun Han
Ee Jin Kim
Hae Jin Lee
Sung Bom Pyun
Kyung Lim Joa
Han Young Jung
Validation of Korean Version of Coma Recovery Scale-Revised (K-CRSR)
Annals of Rehabilitation Medicine
Vegetative state
Minimally conscious state
Coma Recovery Scale Revised
Consciousness
title Validation of Korean Version of Coma Recovery Scale-Revised (K-CRSR)
title_full Validation of Korean Version of Coma Recovery Scale-Revised (K-CRSR)
title_fullStr Validation of Korean Version of Coma Recovery Scale-Revised (K-CRSR)
title_full_unstemmed Validation of Korean Version of Coma Recovery Scale-Revised (K-CRSR)
title_short Validation of Korean Version of Coma Recovery Scale-Revised (K-CRSR)
title_sort validation of korean version of coma recovery scale revised k crsr
topic Vegetative state
Minimally conscious state
Coma Recovery Scale Revised
Consciousness
url http://www.e-arm.org/upload/pdf/arm-2018-42-4-536.pdf
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