Performance of Activities of Daily Living in Typically Developing Children in Korea: Normative Value of K-MBI

Mi-Jeong Yoon1, Sungwoo Paek1, Jongbin Lee2

  • 1Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

PubMed

Insights

This study establishes normative values for the Korean version of the Modified Barthel Index (K-MBI) in children, providing a benchmark for assessing daily living activities. Results show rapid development in mobility and self-care skills during early childhood.

Area of Science:

  • Pediatrics
  • Rehabilitation Medicine
  • Developmental Pediatrics

Background:

  • The Modified Barthel Index (MBI) is a widely used tool for assessing activities of daily living (ADL).
  • Establishing normative data is crucial for interpreting scores in specific populations, such as typically developing children.
  • The Korean version of the Modified Barthel Index (K-MBI) requires age-specific normative values for pediatric use.

Purpose of the Study:

  • To determine the normative values of the K-MBI for typically developing children in Korea.
  • To evaluate the suitability of the K-MBI for assessing ADL in pediatric populations.

Main Methods:

  • A survey was distributed online to rehabilitation physicians and occupational therapists.
  • Participants' children completed the K-MBI, assessing performance in activities of daily living.
  • Sociodemographic data and K-MBI criteria were collected; age-specific scores were estimated using nonlinear least squares.

Main Results:

  • Data from 206 children were analyzed.
  • K-MBI total scores increased rapidly in the first 8 years, with 99% reaching ≥90 by age 8.
  • Mobility scores improved swiftly, reaching >90% by age 3 and near 100% by age 7; self-care scores advanced more gradually, reaching ~100% by age 10.

Conclusions:

  • Age-specific normative K-MBI values for Korean children were established for clinical reference.
  • The K-MBI reflects overall ADL development but may lack sensitivity for subtle developmental changes.
  • Further development of pediatric-specific assessment tools is recommended.
Abstract

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