CAJ | 학술논문

目的：汉化眩晕症状量表（ Vertigo Syndrome Scale 中文版， VSS-C 量表），并通过评估以眩晕为主要症状的椎动脉型颈椎病患者对VSS-C量表进行信效度、反应度检验。方法：征得原量表作者同意后，按照相关指南及要求，将原量表汉化为VSS-C量表。将VSS-C量表应用于健康对照组（21名）和椎动脉型颈椎病患者（52例），对照组在2周内独立完成VSS-C量表评定2次；患者组在3周内独立完成VSS-C评定3次（在第3次评定前接受为期1周的手法康复治疗），同时与SF-36健康调查量表评定结果对照。通过两次VSS-C量表的评定结果相关性分析来测试其重测信度，以科隆巴赫α系数来评定VSS-C 量表的内部一致性。将VSS-C量表的结果与 SF-36健康调查量表的各个维度进行相关性分析来评定VSS-C量表的效度。比较患者组第2次和第3次的VSS-C量表结果评定其对于手法康复治疗的反应度。结果：VSS-C 量表两次测验组内相关系数均大于0.9（ P＜0.05），两个子量表的科隆巴赫α系数均在0.7以上，总体VSS-C 量表的科隆巴赫α系数大于0.85。 VSS-C 量表各个项目与所属子量表之间相关系数值均大于0.5；VSS-C量表与SF3-6健康调查量表中相应的亚项目之间相关系数值均大于0.5；VSS-C量表经限定抽取公共因素法行因子分析，所抽取的2个公因子在各条目中所占比重与原版VSS量表中所属子量表大致相符。患者组和对照组VSS-C量表评分分别为22.9±9.2和10.6±10.2，两者之间差异有统计学意义（ P ＜0.01）；患者组手法治疗前后VSS-C量表评分分别为24.4±10.0和23.0±9.3，差异也有统计学意义（ P＜0.01）。结论：VSS-C量表在评价椎动脉型颈椎病患者眩晕程度上具有较好的信度、效度及可重复性。
목적：한화현훈증상량표（ Vertigo Syndrome Scale 중문판， VSS-C 량표），병통과평고이현훈위주요증상적추동맥형경추병환자대VSS-C량표진행신효도、반응도검험。방법：정득원량표작자동의후，안조상관지남급요구，장원량표한화위VSS-C량표。장VSS-C량표응용우건강대조조（21명）화추동맥형경추병환자（52례），대조조재2주내독립완성VSS-C량표평정2차；환자조재3주내독립완성VSS-C평정3차（재제3차평정전접수위기1주적수법강복치료），동시여SF-36건강조사량표평정결과대조。통과량차VSS-C량표적평정결과상관성분석래측시기중측신도，이과륭파혁α계수래평정VSS-C 량표적내부일치성。장VSS-C량표적결과여 SF-36건강조사량표적각개유도진행상관성분석래평정VSS-C량표적효도。비교환자조제2차화제3차적VSS-C량표결과평정기대우수법강복치료적반응도。결과：VSS-C 량표량차측험조내상관계수균대우0.9（ P＜0.05），량개자량표적과륭파혁α계수균재0.7이상，총체VSS-C 량표적과륭파혁α계수대우0.85。 VSS-C 량표각개항목여소속자량표지간상관계수치균대우0.5；VSS-C량표여SF3-6건강조사량표중상응적아항목지간상관계수치균대우0.5；VSS-C량표경한정추취공공인소법행인자분석，소추취적2개공인자재각조목중소점비중여원판VSS량표중소속자량표대치상부。환자조화대조조VSS-C량표평분분별위22.9±9.2화10.6±10.2，량자지간차이유통계학의의（ P ＜0.01）；환자조수법치료전후VSS-C량표평분분별위24.4±10.0화23.0±9.3，차이야유통계학의의（ P＜0.01）。결론：VSS-C량표재평개추동맥형경추병환자현훈정도상구유교호적신도、효도급가중복성。
Objective: To develop a Chinese version of Vertigo Symptom Scale ( VSS-C) and to examine its reliability and validity .Methods:The VSS was translated into Chinese and developed a Chinese version VSS ( VSS-C ) with the consent of the author .The VSS-C scale was tested in 52 subjects with cervical spondylosis of vertebral artery type ( CSA group ) and 21healthy subjects ( control group ) .In CSA group VSS-C scale and SF-36 scale investigation was performed for 2 times with 1 week interval , after receiving 1-week orthopedic rehabilitation the patients were evaluated with the VSS -C and SF-36 scale;while subjects in control group received the investigation twice in two weeks.The reliability of the scale was evaluated with Cronbach's alpha method and the correlation between SF-36 scale and the VSS-C were also evaluated for the validity . Results:The internal consistency of VSS-C was good with Cronbach's alpha of 0.886 . Test-retest reliability was also very good with an intraclass correlation coefficient ( ICC) between two time points , being 0.970 for VSS-C,0.965 for VSS-AA and 0.992 for the VSS-VER.Regarding concurrent validity ,significant low correlation was found between the VSS-AA and VSS-VER ( r=0.379 ,P<0.05 ) .Significant expected correlation was detected between the VSS-C and SF-36 ( r>0.5 ,P<0.05 ) .The independent-samples t test results ( t=6.261 ,P<0.01 ) of the CSA group and the control group showed that the VSS-C was able to distinguish healthy people from CSA patients . The paired-samples t test results ( t =5.513 , P <0.01 ) showed that VSS-C reflected the improvement of patients after treatment of Chinese massage manipulation .Conclusion:The Chinese version of VSS has a high comprehensibility , internal consistency and validity, and it can be a useful instrument for evaluation of patients with cervical spondylosis of vertebral artery type in China .