Yoon Mi-Jeong, Paek Sungwoo, Lee Jongbin, Hwang Youngdeok, Kim Joon-Sung, Yoo Yeun-Jie, Hong Bo Young
Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Rehabilitation Medicine, Ajou Rehabilitation Clinic, Ulsan, Korea.
Ann Rehabil Med. 2024 Aug;48(4):281-288. doi: 10.5535/arm.230040. Epub 2024 Aug 30.
To determine the normative values of the Korean version of the Modified Barthel Index (K-MBI) score for typically developing children in Korea and assess its suitability for use in children.
Rehabilitation physicians and occupational therapists with children were invited through an online platform to participate in a survey assessing their children's performance of activity of daily living (ADL) using the K-MBI. The questionnaire encompassed queries on sociodemographic information of children and the assessment criteria outlined in the K-MBI. The standardized K-MBI scores by age were estimated using the nonlinear least squares method.
The analysis incorporated responses from a total of 206 individuals. K-MBI total scores showed a rapid increase over the first 8 years of life, with 99% of children achieving a score of 90 or higher by age 8. Mobility scores exhibited a swift increase during early childhood, surpassing 90% of the maximum score at 3 years of age and nearing 100% at 7 years of age. In contrast, self-care scores demonstrated a more gradual advancement, achieving approximately 100% of the maximum score by the age of 10 years.
Age-specific normative values for K-MBI scores of typically developing children were established, which can be used as a reference in clinical care. While the K-MBI captured the overall trajectory of children's ADL development, it did not discern subtle differences across various developmental stages. There is a need for the development of more refined assessment tools tailored specifically to children.
确定韩国版改良巴氏指数（K-MBI）评分在韩国正常发育儿童中的常模值，并评估其在儿童中的适用性。
通过在线平台邀请有孩子的康复医师和职业治疗师参与一项调查，使用K-MBI评估他们孩子的日常生活活动（ADL）表现。问卷包括有关儿童社会人口学信息的问题以及K-MBI中概述的评估标准。使用非线性最小二乘法估计按年龄标准化的K-MBI评分。
分析纳入了总共206人的回复。K-MBI总分在生命的前8年迅速增加，99%的儿童在8岁时得分达到90分或更高。运动能力评分在幼儿期迅速增加，在3岁时超过最高分的90%，在7岁时接近100%。相比之下，自我照顾评分的进展较为缓慢，到10岁时达到最高分的约100%。
建立了正常发育儿童K-MBI评分的年龄特异性常模值，可作为临床护理的参考。虽然K-MBI捕捉了儿童ADL发展的总体轨迹，但它没有区分不同发育阶段的细微差异。需要开发更精细的专门针对儿童的评估工具。
