The purpose of this study was to assess the agreement of manual muscle testing (MMT) and test-retest reliability of a hand held dynamometer for the posterior gluteus medius muscle, with and without lumbar stabilization, using a pressure biofeedback unit for patients with low back pain. The pressure biofeedback unit was used to minimize the substitute motion of the lumbopelvic region during hip abduction in patients lying on their side. Fifteen patients with low back pain participated in this study. A tester determined the MMT grades of the posterior gluteus medius with and without the pressure biofeedback unit. Active hip abduction range of motion with an inclinometer and the strength of their posterior gluteus medius using a hand held dynamometer were measured with and without the pressure biofeedback unit in the MMT position. The agreement of the grade of muscle strength in the MMT, and intra-rater reliability of both the active hip abduction range of motion and the strength of posterior gluteus medius were analyzed using the weighted kappa and intraclass correlation coefficient (ICC), respectively. The agreement of MMT with the pressure biofeedback unit (weighted kappa=.92) was higher than the MMT (weighted kappa=.34)(p<.05). The inclinometer with pressure biofeedback unit measurement of the active hip abduction range of motion had an excellent intra-rater reliability (ICC=.90). Also, the hand held dynamometer with pressure biofeedback unit measure of strength of the posterior gluteus medius had a good intra-rater reliability (ICC=.85). Therefore, the test for muscle strength with pressure biofeedback unit will be a reliable method for the determination of the MMT grades or amount of posterior gluteus medius muscle strength and the measurement of the range of motion for hip abduction in patients with low back pain.

The current research identified the impacts of WOM(Word-of-Mouth) regarding dining experience and the factors which were likely to influence them. Specifically, this study is examined from the perspective of WOM recipient`s in on-line settings. For the purpose of this research, online survey was used and a total 203 online questionnaires of respondents who had experienced restaurant reviews and recommendations via internet last 6 month were analyzed. Overall, the results indicated that in aspects of WOM recipients, the impacts of WOM were ``visit intention``, ``re-WOM intention`` and ``source credibility`` affected ``WOM acceptance`` in this process. Additionally, ``online homophily`` and ``message vividness`` had a positive effects(p<0.001) on builiding source credibility. By clarifying the process between on-line WOM of restaurant consumers and their actual visit, this study intend to provide basis which can be used for restaurant industry`s effective marketing activity.

본 연구는 국내 콘크리트교량설계기준에 신뢰도기반 저항계수를 적용하기 위한 기초 연구로, 구조물의 설계강도를 산정하기 위하여 사용하는 저항계수체계에 따른 설계결과와 신뢰도지수를 비교분석하는 연구를 수행하였다. 현재 국내에서 적용하는 단면저항계수 및 유럽에서 사용하는 재료저항계수를 적용하여 콘크리트 빔 교량들에 대하여 동일한 설계를 수행한 결과를 비교분석하였다. 콘크리트 구조의 강도를 산정하는데 관련된 재료, 치수 및 해석의 불확실성을 고려하여 설계의 안전율인 신뢰도지수를 산정하고, 신뢰도지수에 큰 영향을 미치는 설계변수에 대한 민감도 분석을 수행하였다. 휨강도와 전단강도에 대하여 설계를 수행하였으며, 현행 국내 도로교설계기준, 미국 AASHTO LRFD, 유럽 Eurocode의 저항계수를 적용한 결과 국내 기준의 저항계수에 따른 설계의 신뢰도지수가 가장 컸으며, 활하중의 통계분포 형식에 따라 신뢰도지수에 차이가 있음을 보였다. 콘크리트 보의 휨과 전단에 대한 신뢰도지수에 미치는 영향은 철근의 항복강도와 활하중이 가장 큼을 민감도 분석결과를 통하여 알 수 있었다.

After stroke, many people have problems with balance during movement. Balance is essential for the optimal functioning of the locomotor system and the performance of many activities of daily living. The Functional Gait Assessment (FGA) is a clinical tool for evaluating balance ability during walking. The test consists of ten tasks, seven tasks of the Dynamic Gait Index and three additional tasks. The purpose of this study was to evaluate the reliability and internal consistency of data obtained with the Korean version of the FGA when used with people after suffering a stroke. One-hundred participants, at least three months poststroke and able to walk at least six meters with or without a walking aid, participated in the study (age range=30~83 years; ). Two physical therapists and two physical therapy students rated the FGA. Intrarater and interrater reliability of the FGA were assessed using kappa statistic and intraclass correlation coefficients (2,1). The internal consistency of the FGA was assessed using the Cronbach alpha. The Cronbach alpha was good (=.86~.93). The intrarater (intraclass correlation coefficient=.92~.95) and interrater reliability (intraclass correlation coefficient=.91, .95) of the total scores administered by the therapists and students were good, whereas the reliability for single item scores when administered by the physical therapists was moderate to good (kapa value=.42~.97). This study found that intrarater and interrater reliability for total FGA scores and internal consistency were good. Therefore, the Korean version of the FGA can be used as a reliable tool to assess the functional gait performance of patients after stroke.

The purpose of this study was to investigate intra-rater reliability and determine the validity of electromyography (EMG) measurements to represent muscle activity and ultrasonography (US) to represent muscle thickness during manual muscle testing (MMT) to external abdominal oblique (EO) and lumbar multifidus (MF). Twenty healthy subjects were recruited for this study and asked to perform MMT at differing levels. The subjects' muscle activity using EMG was measured by a ratio to maximum voluntary contraction (MVC) and root mean square (RMS) methods. The subjects' muscle thickness using US was measured by raw muscle thickness and change ratio of thickness to maximum (MVC) or resting condition. In three trials, measurements were performed on each subject by one examiner. The intra-rater reliability of measurements of EMG and US to EO and MF was calculated using intra-class coefficients. The intra-rater reliability of all measurements was excellent (ICC=.75~.98) in EMG and US. The conduct validity was calculated by one-way ANOVA with repeated measurements to compare whether the EMG and US measurements were different between MMT at different levels. There was only a significant difference between all grades at %MVC thickness measurement of US. These results suggest that a %MVC thickness measurement of US was a more sensitive and discriminate in all manual muscle testing grades. This information will be useful for the selection of US measurement and analysis methods in clinics.

본 연구는 도시생태계 보전 및 복원을 위한 기반으로 활용되고 있는 비오톱조사자료의 현장조사 정확도를 검증하고자 하였다. 이를 위해 서울시 관악구 산림지역을 대상으로 2000년과 2005년의 비오톱 현장조사 결과를 바탕으로 인공위성영상에서 확인가능한 상록침엽수림을 추출한 후 두 현장조사결과에 기초하여 현장조사의 정확성을 검증하였다. 분석결과 현장조사에 의한 세부 현존식생의 면적비율은 시기와 조사자의 차이에도 약 92%의 높은 유사도를 보였으나, 두 조사에서 동일한 식생유형이 지리공간상 일치하는 지역은 약 60%에 불과하였다. 인공위성영상에서 추출한 상록침엽수의 위치 분석 결과 2000년 조사와는 69.4%, 2005년과는 80.0%가 일치하는 것으로 분석되었는데, 인공위성 영상 판독오류를 감안했을 때 비교적 높은 정확도를 보이고 있었다. 지금까지 비오톱조사시 현장조사에 의한 식생구분 에 대한 정확성 검증이 이루어지지 않고 수행되어 왔으나, 향후 자료의 갱신이나 신규 사업에 있어서는 정확도 검증이 무엇보다 중요하며 이에 대한 구체적 기준마련이 필요하다고 판단된다.

The purpose of this study was to establish reliability and validity of the Northwick Park Neck Pain Questionnaire (NPQ) translated into Korean for neck pain patients. Sixty-two subjects (35 males, 27 females) with neck pain enrolled in the study. They completed a standardized self-administered questionnaire that included pain intensity, sleeping, sensory at night, duration of symptoms, carrying, reading and watching television, working, social activities, and driving. Reliability was determined by intraclass correlation coefficient (ICC) and Cronbach's alpha by internal consistency. Validity was examined by correlating the NPQ scores to the Visual Analog Scale (VAS) score. Test-retest reliability of the translated versions of the NPQ was good ICC(2,1)=.83 (95%CI=.85~.95). Cronbach's alpha value for NPQ was found to be .87 and this was statistically significant (p<.05). The criterion-related validity coefficients was .75 (p<.01). We concluded that the Korean version NPQ was shown to be a reliable and valid instrument for the assessment of neck pain.

The aim of this study was performed to determine the inter-rater reliability of the Stroke Rehabilitation Assessment of Movement (STREAM) translated in Korean. This was a new clinical measurement tool for evaluating the recovery of voluntary movement and basic mobility following stroke. A direct-observation reliability study was conducted on 20 patients who had strokes and were in a rehabilitation setting. Subjects were assessed by two physical therapists. The reliability of the STREAM scores was demonstrated by weighted kappa statistics for inter-rater agreement on scores for individual items ranged from .83 to 1.0, intraclass correlation coefficients for total score was .99, and for subscale scores was ranged from .96 to .99. The internal consistency of the STREAM scores was demonstrated by Cronbach alphas of greater than .99 on the subscales and overall. These high levels of reliability support the use of the STREAM translated in Korean instrument for the measurement of motor recovery following stroke.

The purposes of this study were to compare the reliability and validity of an 88-item version of the Gross Motor Function Measure (GMFM-88) and a 66-item version of GMFM (GMFM-66) in children with cerebral palsy (CP). The GMFM was completed in 154 children with CP (age range = 6~12). The internal consistency of the GMFM was calculated by Cronbach's for judging reliability. The reliability of GMFM-88 and GMFM-66 were both above .99. The validity of measurement obtained by the GMFM was assessed by examining the unidimensionality of items and by comparing Gross Motor Function Classification System (GMFCS) levels with tests of the GMFM. Both the GMFM-88 and GMFM-66 were satisfied with unidimensionality. Discriminant validity was demonstrated on significant decreases in scores with increasing GMFCS levels in both measurements. However, GMFM-66 was a more sensitive discriminant in GMFCS level 1 and level 2 and in level 2 and level 4. This study reported a comparison of the reliability and validity of GMFM-88 and GMFM-66. The results of this study have implications for the information on the psychometric properties of two versions of GMFCS. This information will be useful for the selection of tools in clinics.

The purpose of this study was to measure intra-rater and inter-rater reliability and range of motion for measurement of passive shoulder internal rotation range of motion and to compare anterior glide distance of humeral head in three methods. Fifty healthy subjects and fifty patients with shoulder musculoskeletal pain were recruited for this study. The subjects' passive shoulder internal rotation range of motion was measured by visual estimation, manual stabilization, and pressure biofeedback unit methods. In two trials, measurements were performed on each subject by two examiners. Intraclass correlation coefficient (ICC(3,1)) was used to determine the reliability of each measurement. The intra-rater reliability of the three methods was excellent (ICC=.77~.93) in both groups. The inter-rater reliability of the visual estimation method was poor (ICC=.20, .29), the manual scapular stabilization method was poor and fair (ICC=.09, .50), and the pressure biofeedback unit method was excellent (ICC .86, .75) in the experimental and control groups. In the experimental group, the difference of examined range of motion by each examiner was significant in the visual estimation method and manual scapular stabilization method, but there was an insignificant difference between the groups is the pressure biofeedback unit method. This result suggests that the intra-rater and inter-rater reliability of a pressure biofeedback unit was better than the other methods. The difference in distance of the anterior glide of humeral head was insignificant among all the methods. The pressure biofeedback unit method was the most reliable method, so it is proposed to be a new and reliable method to measure internal rotation range of motion.

Gas welding is a very important and useful technology in the fabrication of railroad cars and commercial vehicle structures. However, since the fatigue strength of gas-welded joints is considerably lower than that of the parent material due to stress concentration at the weld, the fatigue-strength assessment of gas-welded joints is very important for the reliability and durability of railroad cars and the establishment of a criterion for long-life fatigue design. In this paper, in order to save time and cost for the fatigue design, an accelerated life-prediction method that is based on the theory of statistical reliability was investigated. Its usefulness was verified by comparing the (Δσa)R-Nf relationship that was obtained from actual fatigue test results with the (Δσa)R-(Nf)ALP relationship that was derived from accelerated life testing. And the reliability of the predicted life was evaluated. The reliability of the accelerated life-prediction on the base of actual test data was analyzed to be (81～86)% of the actual test life of the fillet-type gas welded joint.

Reliability has been considered as a one of the major design measures in various industrial and military systems. The main objective is to suggest a mathematical programming model and a hybrid parallel genetic algorithm(HPGA) for the problem that determin

This study was undertaken to develop the scapulometer, a measuring tool for scapular winging, and to determine the reliability of scapulometer. Thirty subjects with scapular winging greater than 2 cm participated in this study. Two examiners measured scapular winging using the scapulometer. Standardized measurement position of each subject was as follows: neutral position of shoulder and wrist, flexion of elbow, and cuff weight of 5% and 10% of body weight (BW) to neutral wrist. The interrater and intrarater reliability were calculated with an intraclass correlation coefficient (ICC) with 95% confidence interval (CI) and standard error of measurement (SEM) at 5% BW and 10% BW. The level of scapular winging was tested between 5% BW and 10% BW with a paired t-test. The interrater reliability was shown to be high at 5% BW (ICC(2,k)=.955, 95% CI=.900~.979, SEM=.07) and at 10% BW (ICC(2,k)=.968, 95% CI=.930~.985, SEM=.06). The intrarater reliability was shown to be high at 5% BW (ICC(2,k)=.921, 95% CI=.842~.961, SEM=.09) and at 10% BW (ICC(2,k)=.906, 95% CI=.813~.954, SEM=.10). The level of scapular winging was significantly different between 5% BW and 10% BW. Conclusively, it is demonstrated that the scapulometer is an objective and qualitative measurement tool for scapular winging.

본 연구의 목적은 집단논리적사고력검사의 이용 목적에 따라 일반화가능도이론을 적용하여 문항과 피험자만을 고려한 단일국면의 오차원, 그리고 문항과 피험자, 그리고 영역을 고려한 다국면의 오차원을 분석하는 데 있다. 연구는 지방 소재 초 중 고등학생 총 1016명을 대상으로 이루어졌으며, 21문항의 GALT 완본을 40분 동안 실시하고, 이 중 축소본에 해당하는 12문항을 별도로 추출하여 일반화가능도이론을 이용한 신뢰도 분석에 이용하였다. 자료의 분석을 위해 일반화가능도이론을 적용하여 p×i설계와 p×(i:h)설계로 나누어 G 연구와 D 연구를 실시하였다. 분석결과는 다음과 같다. 첫째, 완본과 축소본을 p×I설계로 D 연구를 수행한 결과 완본의 경우 21문항을 평가했을 때 0.87로 적정 수준의 일반화가능도 계수인 0.80을 상회하였으며, 13문항에서도 적정 수준의 일반화가능도 계수에 도달하였다. 축소본의 경우 12문항을 평가했을 때 0.77로 적정 수준의 일반화가능도 계수에 미치지 못하였으며, 최소 15문항 이상에서 신뢰도가 적정 수준에 도달하였다. 둘째, 축소본을 p×(I:H)설계로 D 연구를 수행한 결과 6영역에 대해 영역별로 2문항씩 구성될 경우 0.71로 적정 수준의 일반화가능도계수인 0.80 보다 낮게 측정되었으며, 최소 영역별 5문항 이상에서 신뢰도가 적정 수준에 도달하였다.

The purposes of this study were to examine inter-rater reliability of the Manual Ability Classification System (MACS) by children's age and to identify the correlation between the MACS and the Gross Motor Function Classification System (GMFCS) in children with cerebral palsy (CP). Twenty-six children with CP older than two years participated. Children with CP were classified according to the MACS and the GMFCS by two physical therapists. Inter-rater reliability was analyzed using the Intraclass Correlation Coefficients (ICCs). The results showed that the reliability of the MACS for children aged 2~3 years was .88 and for children aged above 4 years was .98 (p<.05). Children with quadriplegia had a higher level of MACS than children with spastic hemiplegia and diplegia. A moderate relationship between the MACS and the GMFCS was found in all children (rater 1, r=.631; rater 2, r=.438). The MACS will be used for classification of children with CP according to the manual abilities. Thus, it offers a reliable method for communicating between therapists about the manual ability of children with CP who are older than 2 years.

현재 한국에서는 거짓말탐지검사의 채점과정에서 '일관성' 기준을 사용하고 있다. 본 연구에서는 현재 한국에서 사용하고 있는 거짓말탐지검사 기법의 채점 기준 중 '일관성' 기준의 실증적 타당성을 검증하고자 하였다. 구체적으로는 한국에서 이루어지고 있는 거짓말탐지검사의 채점과정에서 '일관성'을 실제로 고려하고 있는지의 여부를 검증한 후 '일관성'을 고려하여 채점하는 경우와 그렇지 않은 경우에서 거짓말탐지검사 결과의신뢰도(Cronbach' α)와 정확성이 어떻게 달라지는지를 파악하였다. 본 연구는 실제 현장에서 '일관성'을 고려하여 채점 한 원채점자료와 '일관성'을 고려할 수 없도록 가공하여 채점한 실험채점자료를 분석하였다. 원채점자료와 실험채점자료는 동일한 검사관들이 채점하도록 하였다. 그 결과 현재 한국에서는 거짓말탐지검사의 채점과정에서 '일관성'을 고려하고 있는 것이 확인되었다. 신뢰도는 원채점자료가 .93, 실험채점자료가 .91로 비슷한 수준이었다. 정확성은 검찰의 기소 여부와 거짓말탐지검사 점수에 의한 판정을 지표로 사용한 잠재계층분석(N=182)의 결과를 실제 거짓말 여부를 판단하는 기준으로 사용했을 때 원채점자료에서 76.9%, 실험채점자료에서 61.5%로 나타났다. 논의에서는 이러한 결과가 나타난 원인과 한국에서 사용하고 있는 '일관성' 기준이 거짓말탐지검사 채점에서 갖는 유용성에 대하여 논의하였다.

Objectives: This research is about the reliability of pulse wave analyzer and heart rate variability analyzer which are often used in the oriental medical clinics. Materials and Methods: Pulse wave analyzer and heart rate variability analyzer's reliability were compared with other devices-bioelectrical impedance analyzer, thermographer and transcranial sonography-. For each device, they were measured three times in a row. Here are the results of measuring intraclass correlation coefficients between first and second, and the ones between first and third. Results: 1. For pulse wave analyzer, seven items are higher than 0.7 in intraclass correlation coefficients, fourteen items are higher than 0.5 and eleven items are higher than 0.5. 2. Heart rate variability analyzer show that an item is higher than 0.9 and two are higher than 0.7. three items are higher than 0.5 and four are lower than 0.5. 3. For bioelectrical impedance analyzer, thermographer and transcranial sonography, nineteen items are higher than 0.9 and two are higher than 0.7. Conclusion: Pulse wave analyzer and heart rate variability analyzer showed low test-retest reliability compared to the one of bioelectrical impedance analyzer, thermographer and transcranial sonography. But both of analyzer's reliability are more than midium quality. Diagnosis trough these analyzers have a utility value. More research will be needed. 

목적 : 본 연구에서는 SCIM III를 국내에 소개하고 SCIM III의 검사자간 신뢰도와 타당도를 제시하고자 시행되었다. 연구방법 : 척수손상 환자 31명을 대상으로 두 명의 검사자가 SCIM III을 시행하여 검사자간 일치율과 Kappa계수를 통하여 검사자간 신뢰도를 제시하였고, SCIM III과 더불어 FIM평가를 동시에 실시하여 그 상관관계를 제시함으로써 공인타당도를 구하였다. 결과 : 본 연구 결과 SCIM III의 두 검사자간 일치율은 67%이상이었으며, 19개 세부항목 중 16개 항목은 80%이상이었다. 또한 SCIM III에서 Kappa 계수의 범위는 .62～1.00이었다. 첫 번째 검사자와 두 번째 검사자에 의한 SCIM III와 FIM 총점간 상관계수는 각각 .97, .98로 높은 상관관계를 보였다. 결론 : 척수손상환자의 일상생활동작을 평가하기 위한 SCIM III의 검사자간 신뢰도와 공인타당도는 높은 것으로 나타났으며, 추후 검사-재검사 신뢰도, 문항의 난이도와 척도의 적합성을 확립한다면 앞으로 국내에서 SCIM III의 활용이 가능할 것이다.

The purpose of this study was to determine the reliability and validity of the fear-avoidance beliefs questionnaire (FABQ) in assessing Korean patients with low back pain. We performed translation and cross-cultural adaptation of the questionnaire and enrolled 52 patients (18 males and 34 females) with low back pain. The subjects completed a standardized self-administered questionnaire that included the FABQ assessment along with evaluations for the visual analogue scale (VAS), Oswestry disability index (ODI), self-rating anxiety scale (SAS), and Beck depression inventory-Korean version (K-BDI). The reliability of the obtained data was determined by evaluating the internal consistency on the basis of the intraclass correlation coefficient (ICC) and the Cronbach's alpha values, while the validity of the data was examined by correlating the FABQ scores to the VAS, ODI, SAS, and K-BDI scores. The translated versions of the FABQ showed good test-retest reliability: ICC (3, 1)=.90 (FABQ for physical activity) and .97 (FABQ for work) these values were statistically significant (p<.01). The Cronbach's alpha value for FABQ was .90 (p<.01). FABQ moderately correlated with pain, disability, anxiety, and depression (p<.01). The results of this study indicate that the Korean version of the FABQ is a reliable and valid instrument for measuring fear-avoidance beliefs in Korean patients with low back pain.

본 연구에서는 일반화가능도 이론을 이용하여 폴리그라프 검사에 사용된 관련 질문의 개수와 반복측정 횟수 (차트의 수), 채점자 수가 폴리그라프 검사의 신뢰도에 미치는 영향을 평가하였다. 검찰청에서 형사피의자를 대상으로 Backster ZCT를 사용한 폴리그라프 검사자료 중 31명의 폴리그라프 검사자료를 표본추출하였으며, 31명의 검사자료를 13명의 채점자가 수치적 채점방법을 이용하여 채점한 점수에 대하여 일반화가능도 이론을 적용하여 분석하였다. 분석결과, 피검사자의 변량성분이 43.97%로 가장 컸으며, 다음으로 잔여오차변량성분이 16.84%, 피검사자와 반복측정 횟수의 상호작용오차변량성분이 12.17%, 피검사자와 반복측정 횟수, 관련 질문 개수의 삼원상호작용오차변량성분이 10.31%였으며, 나머지 변량성분은 모두 7% 미만이었다. 관련 질문의 개수와 반복측정 횟수, 채점자의 수에 따른 일반화가능도 계수를 산출한 결과, 바람직한 일반화가능도 계수인 0.80 이상을 보이는 조건은 관련 질문 2개 이상과 반복측정 3회 이상, 채점자 2명 이상의 조합인 것으로 나타났다.