Validation of Korean Version of the London Chest Activity of Daily Living Scale in Patients With Chronic Obstructive Pulmonary Disease

Choi, Jun Tak; Seo, Jeong-Hwan; Ko, Myoung-Hwan; Park, Sung-Hee; Kim, Gi-Wook; Won, Yu Hui

doi:10.5535/arm.2018.42.2.329

Cited by 6 publications

(3 citation statements)

References 26 publications

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“…20,21 The hand-held dynamometry has good reliability (intraclass correlation coefficient, 0.84 -0.87) and is suitable for measuring mean changes in muscle force generation for groups of people with COPD. 22,23 Measurements were repeated 3 times in the dominant limbs, and average values were recorded.…”

Section: Peripheral Muscle Strengthmentioning

confidence: 99%

“…15 The London Chest Activity of Daily Living scale is a commonly used measure, with many language validation studies. 12,[22][23][24][25] It has 15 items related to 4 domains, including self-care, domestic, physical, and leisure. Each item score ranges from 0 to 5 (the total score ranges from 0 to 75), and higher scores show increased limitation during ADL.…”

Section: Adlmentioning

confidence: 99%

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Factors Influencing Activities of Daily Living in Subjects With COPD

et al. 2018

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BACKGROUND: Activities of daily living (ADL) are important for an independent life. As COPD progresses, the ability to complete ADL is usually reduced. Knowing the possible factors that influence the ability to perform ADL may allow better targeting of appropriate rehabilitation programs to increase the independence levels and/or to prevent further decreases in patients with COPD. Therefore, the aim of this study was to investigate ADL performance as measured by the London Chest Activity of Daily Living scale, which is a commonly used measure in patients with COPD. METHODS: This cross-sectional study included 44 clinically stable subjects who were not taking antibiotics and had not made any changes in their medications for at least three weeks with a COPD diagnosis based on Global Initiative for Chronic Obstructive Lung Disease. Demographic characteristics, pulmonary function, ADL measured by the London Chest Activity of Daily Living scale, functional exercise capacity via the 6-min walk distance, disease-related symptoms measured by the COPD Assessment Test, and peripheral and respiratory muscle strength were evaluated. A multiple linear regression (stepwise) analysis was used to determine the variables that have the greatest influence on ADL (ie, the London Chest Activity of Daily Living scale score). RESULTS: The London Chest Activity of Daily Living scale score had moderate correlations with the COPD Assessment Test score (r ‫؍‬ 0.31, P ‫؍‬ .041), maximum expiratory pressure value (r ‫؍‬ ؊0.37, P ‫؍‬ .01), 6-min walk distance (r ‫؍‬ ؊0.48, P ‫؍‬ .001), knee extensor muscle strength (r ‫؍‬ ؊0.47, P ‫؍‬ .001), handgrip strength (r ‫؍‬ ؊0.44, P ‫؍‬ .003). The 6-min walk distance, COPD Assessment Test score and maximal expiratory pressure values were significant and independent determinants of the London Chest Activity of Daily Living scale, with 40.1% of the variance in subjects with COPD. CONCLUSIONS: Functional exercise capacity, disease-related symptoms, and expiratory muscle strength have the greatest influence on ADL in the subjects with COPD. The level of independence to perform ADL can be increased by improving functional exercise capacity, reducing symptoms, and increasing expiratory muscle strength in subjects with COPD.

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Section: Peripheral Muscle Strengthmentioning

confidence: 99%

Section: Adlmentioning

confidence: 99%

Factors Influencing Activities of Daily Living in Subjects With COPD

et al. 2018

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“…Scores range from 0 to 25, and the higher the score, the more information required. Several symptom‐related questionnaires, such as the Korean version of COPD Assessment Test (K‐CAT) 14 ; the modified Medical Research Council (mMRC) dyspnea scale; the Korean version of strength, assistance with walking, rising from a chair, climbing stairs and falls questionnaire (K‐SARC‐F) 15 ; and the Korean version of the London Chest Activity of Daily Living (K‐LCADL) 16 scale were also conducted at their first visit.…”

Section: Methodsmentioning

confidence: 99%

The Korean‐Lung Information Needs Questionnaire: Translation, validation and clinical implications in comprehensive pulmonary rehabilitation

Kim

Park

Yoon

et al. 2022

Clinical Respiratory J

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Purpose Chronic obstructive pulmonary disease (COPD) is characterized by airflow limitation and persistent respiratory symptoms. Several symptom‐related questionnaires have been validated to improve understanding for patient with COPD. We aimed to systematically translate the English version of the Lung Information Needs Questionnaire (LINQ) into Korean and to verify the reliability, validity and clinical implications in comprehensive pulmonary rehabilitation (PR). Methods The original version of LINQ was translated into Korean by two translators and reviewed by the translation committee. It was then reverse translated back into English. The committee compared the reconciled version in Korean and the original version in English. A cognitive debriefing was performed on the pre‐final version, and a final version, K‐LINQ, was obtained. A test‐retest method for the analysis of reliability was performed within 2 weeks. Concurrent validity analysis was performed using Pearson correlation test of the K‐LINQ and other evaluation tools. Results A total of 110 patients were enrolled. The length, readability, understanding and suitability of the questionnaire rated well in scores for face validity of 52 Korean patients with COPD. No significant correlation was derived from the total K‐LINQ and each domain with other scales such as mMRC, K‐CAT and K‐LCADL. The intra‐class correlation coefficient of total score K‐LINQ showed high reliability. Patients who attended PR showed significantly poor pulmonary function or more severe symptoms. In addition, a significantly lower score in total score and exercise domain of K‐LINQ were confirmed in the group of PR attendees. Conclusions We translated the LINQ into Korean, implemented cross‐cultural adaptation and verified its validity and reliability. K‐LINQ can now be useful in various clinical and research fields in the Republic of Korea and could serve a complementary role and become an axis of successful treatment strategies, including a comprehensive PR programme.

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