Cross-Cultural Adaptation and Validation of the Korean Version of the Neck Disability Index

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Study Design.Validation of a translated, culturally adapted questionnaire.Objective.The purpose of this study is to translate and culturally adapt the Neck Disability Index (NDI) and to validate the use of the derived version in Korean patient.Summary of Background Data.Although several valid measures exist for measurement of neck pain and functional impairment, these measures have yet been validated in Korean version.Methods.The NDI was linguistically translated into Korean, and prefinal version was assessed and modified by a pilot study. The reliability and validity of the derived Korean version was examined in 78 patients with degenerative cervical spine disease. Test-retest reliability, internal consistency, and construct validity were investigated by comparing Visual Analogue Scale (VAS) and Short Form Health Survey (SF-36) scores.Results.Factor analysis of Korean NDI extracted 2 factors with eigenvalues >1. The intraclass-correlation coefficient of test-retest reliability was 0.93. Reliability, estimated by internal consistency, had a Cronbach alpha value of 0.82. The correlation between NDI and VAS scores was r = 0.49, and the correlation between NDI and SF-36 scores was r = −0.44. The physical health component score of SF-36 was highly correlated with NDI, and the correlation between VAS scores and the mental health component scores of SF-36 was high.Conclusion.The derived Korean version of the NDI was found to be a reliable and valid instrument for measuring disability in Korean patients with cervical problems. The authors recommend its use in future Korean clinical studies.

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