The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Test-retest, Inter-rater, and Intra-rater Reliability of a Pediatric Balance Scale in Children with Cerebral Palsy

일부 뇌성마비 아동을 대상으로 한 아동균형척도의 검사 - 재검사, 측정자간 및 내의 신뢰도

  • Ko, Joo-Yeon (Department of Physical Therapy, Bundang CHA General Hospital) ;
  • Kim, Gi-Won (Department of Physical Therapy, Dong-Nam Health College)
  • 고주연 (분당차병원 물리치료실) ;
  • 김기원 (동남보건대학 물리치료과)
  • Received : 2010.03.15
  • Accepted : 2010.06.16
  • Published : 2010.08.25
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Abstract

Purpose: This study was designed to determine the test-retest, inter-rater, and intra-rater reliability of the Pediatric Balance Scale (PBS) when applied to children with cerebral palsy (CP). Methods: Subjects were out-patient children with cerebral palsy at four CP clinics in Gyeonggyi-do and Chungcheong nam-do. For test-retest and inter-rater reliability studies, the PBS was used twice on 7 separate days by twenty-four children with CP. To assess intra-rater reliability, 10 CP subjects were selected by random sampling. Four pediatric-trained physical therapists with 2-13 years of clinical experience scored the children’s performance blindly, while replaying videotaped data. Results: There was no significant difference in total scores (ICC 3,1=0.89, 0.93, 0.90, and 0.91) measured by each of the four therapists on two occasions. The Inter-rater reliability assessed the 1st and 2nd time was high (1stICC 3,1=0.91, 2nd ICC 3,1=0.93). The intra-rater reliability measured by each of the four therapists using the 2nd scores was also high (ICC 3,1=0.98, 0.99, 0.97, and 0.98). Conclusion: The PBS is reliable. We believe that it can be used in characterizing children with CP.

Keywords

References

  1. Kluding P, Swafford B, Cagle P et al. Reliability, responsiveness, and validity of the Kansas university standing balance scale. J Geriatr Phys Ther. 2006;29(3):93-9. https://doi.org/10.1519/00139143-200612000-00003
  2. Ferdjallah M, Harris GF, Smith P et al. Analysis of postural control synergies during quiet standing in healthy children and children with cerebral palsy. Clin Biomech (Bristol, Avon). 2002;17(3):203-10. https://doi.org/10.1016/S0268-0033(01)00121-8
  3. Seo SK, Kim SH, Kim TY. Evaluation of static balance in postural tasks and visual cue in normal subjects. J Kor Soc Phys Ther. 2009;21(4):51-6.
  4. Franjoine MR, Gunther JS, Taylor MJ. Pediatric Balance scale: a modified version of the berg balance scale for the school-age child with mild to moderate motor impairment. Pediatr Phys Ther. 2003;15(2):114-28. https://doi.org/10.1097/01.PEP.0000068117.48023.18
  5. Nashner LM, Shumway-Cook A, Maarin O. Stance posture control in select groups of children with cerebral palsy: deficits in sensory organization and muscular coordination. Exp Brain Res. 1883;49(3)393-409.
  6. Salem Y, Godwin EM. Effects of task-oriented training on mobility function in children with cerebral palsy. Neuro Rehabilitation. 2009;24(4)307-13.
  7. Katz-Leurer M, Rotem H, Lewitus H et al. Relationship between balance abilities and gait characteristics in children with post-traumatic brain injury. Brain Inj. 2008;22(2):153-9. https://doi.org/10.1080/02699050801895399
  8. Gan SM, Tung LC, TangYH et al. Psychometric properties of functional balance assessment in children with cerebral palsy. Neurorehabil Neural Repair. 2008;22(6):745-53. https://doi.org/10.1177/1545968308316474
  9. Woollacott M, Shumway-Cook A, Hutchinson S et al. Effect of balance training on muscle activity used in recovery of stability in children with cerebral palsy: a pilot study. Dev Med Child Neurol. 2005;47(7):455-61. https://doi.org/10.1017/S0012162205000885
  10. Ko MS, Lee NH, Lee JA et al. Inter-examiner reliability of the Korean version of the pediatric balance scale. Journal of the Korean Academy of University Trained Physical Therapists. 2008;15(1):86-95.
  11. Gage WH, Winter DA, Frank JS et al. Kinematic and kinetic validity of the inverted pendulum model in quiet standing. Gait Posture. 2004;19(2):124-32. https://doi.org/10.1016/S0966-6362(03)00037-7
  12. Mayagoitia RE, Lotters JC, Veltink PH et al. Standing balance evaluation using a triaxial accelerometer. Gait Posture. 2002;16(1):55-9. https://doi.org/10.1016/S0966-6362(01)00199-0
  13. Bartlett D, Birmingham T. Validity and reliability of a pediatric reach test. Pediatr Phys Ther. 2003;15(2):84-92. https://doi.org/10.1097/01.PEP.0000067885.63909.5C
  14. Song JY, Choi JS. The usability study for gross motor function classification system as motor development prognosis in children with cerebral palsy. J Kor Soc Phys Ther. 2008;20(1):49-56.
  15. Arnaud C, White-Koning M, Michelsen SI et al. Parent-reported quality of life of children with cerebral palsy in Europe. Pediatrics. 2008;121(1):54-64. https://doi.org/10.1542/peds.2007-0854
  16. Shumway-Cook A, Hutchinson S, Kartin D et al. Effect of balance training on recovery of stability in children with cerebral palsy. Dev Med Child Neurol. 2003;45(9):591-602.
  17. Burtner PA, Qualls C, Woollacott MH. Muscle activation characteristics of stance balance control in children with spastic cerebral palsy. Gait Posture. 1998;8(3):163-74. https://doi.org/10.1016/S0966-6362(98)00032-0
  18. Hadders-Algra M, Carlberg EB. Postural control: a key issue in developmental disorders. London, Mac Keith Press, 2008:74.
  19. Laffel G, Blumenthal D. The case for using industrial quality management science in health care organizations. JAMA. 1989;262(20):2869-73. https://doi.org/10.1001/jama.262.20.2869
  20. Palisano RJ. Review of research on reliability and validity of the movement assessment of infants. Pediatr Phys Ther. 1989;1(4):157-220. https://doi.org/10.1097/00001577-198901040-00001
  21. Kott KM, Held SL. Effects of orthoses on upright functional skills of children and adolescents with cerebral palsy. Pediatr Phys Ther. 2002;14(4):199-207. https://doi.org/10.1097/00001577-200214040-00005