Journal of Korean Physical Therapy Science (대한물리치료과학회지)

Korean Physical Therapy Science (대한물리치료과학회)
권호 표지

The study on Correlation between Gross Motor Performance Measure and Pediatric Balance Scale in Children with Cerebral palsy

뇌성마비 아동의 대동작 수행평가(GMPM)와 아동용 균형척도(PBS) 사이의 상관성 연구

  • Kim, Hyo-Won (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan) ;
  • Ahn, So-Youn (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 김효원 (부산가톨릭대학교 물리치료학과) ;
  • 안소윤 (부산가톨릭대학교 물리치료학과)
  • Received : 2015.10.04
  • Accepted : 2015.10.20
  • Published : 2015.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background : This study verified a correlation between gross motor performance measure (GMPM) and pediatric balance scale (PBS) for children, which are most widely used for assessment of children with cerebral palsy. Methods : The study subjects are 20 children aged between five and 13 who were diagnosed with cerebral palsy. Their mean age was $8.15{\pm}2.96years$ and consists of 15 males and 5 females. The subjects were divided into three groups according to muscle tone and motility disorders and then GMPM and PBS were assessed. In the assessment items in the GMPM, alignment, coordination, dissociated movement, stability, and weight shift were measured. The PBS consists of sitting to standing, standing to sitting, moving between chairs, standing without using hands, standing with one foot, turning 360 degrees, turning to look behind, retrieving object from floor, and reaching forward with outstretched arm while standing. A correlation of the collected data was analyzed using SPSS 18.0 for windows. Results : From Significant correlations were shown between items of GMPM and PBS as well as total scores of GMPM and PBS. Among them, coordination and weight transfer in the GMPM items had a high correlation with the PBS. In addition, the higher the GMPM total score was, the higher the PBS score was. Conclusion : This study result showed a significant correlation between GMPM and PBS, and this relation can be used to pediatric physical examination.

Keywords

References

  1. 고명숙, 이남현, 이정아, 전혜선. 한글판 아동 균형척도(Pediatric Balance Scale)의 측정자간 신뢰도. 한국전문물리치료학회지. 2008;15(1):86-95.
  2. 고명숙, 정재훈, 전혜선. 뇌성마비 아동의 소아균형검사(PBS)와 대동작기능평가(GMFM)와의 상관관계. 대한물리의학회지 2010;5(2):281-288.
  3. 고주연, 김기원. 일부뇌성마비 아동을대상으로 한아동 균형척도의 검사-재검사, 측정자간 및 내의 신뢰도. 한국전문물리치료학회지. 2010;22(4):43-48.
  4. 김장곤, 김형렬, 신영일. 뇌성마비 아동의 사물조작능력과 기능적 수행능력과의 관련성. 대한작업치료학회지. 2011;19(1):83-91.
  5. 박소연, 고명숙, 이충휘. 대동작 기능 평가도구, 대동작 수행능력 측정도구, 그리고 시공간적 보행변수와의 상관관계. 한국전문물리치료학회지. 2004;11(2):63-70.
  6. 박은영. 경직형 뇌성마비 아동의 손 기능 분류 체계와 기능적 수행도 평가 간의 상관. 한국콘텐츠학회논문지. 2009;9(7):248-256.
  7. 박혜정, 이충휘, 조상현, 권혁철. 발달지연 아동 및 뇌성마비 아동의 평가실태와 물리치료사들의 평가에 대한 인식도 조사. 한국전문물리치료학회지. 2000;7(1):1-21.
  8. 손성민. 선 자세에서 강제적인 체중이동훈련이 편마비 환자의 균형과 시공간적 보행 양상 및 근활성도에 미치는 영향. 대구대학교 대학원. 박사학위논문. 2014.
  9. 원종임. 뇌졸중 환자의 낙상 예측을위한 평가도구 비교. 한국전문물리치료학회지. 2014;21(2):37-47.
  10. 이동진, 김성렬, 송창호. 뇌졸중 환자의 균형, 기능적 보행, 시지각, 일상생활 평가도구의 상관성. 대한물리치료학회지. 2009;21(2):39-45.
  11. 이영정. 뇌졸중 환자에서 Fugl-Mayer 평가척도와 보행 속도, Time up&Go 검사와의 상관관계. 한국전 문물리치료학회지. 2004;11(1):1-17.
  12. 이정림, 조상현, 권오윤, 이영희. 뇌성마비 아동에서 대동작기능평가와 보행의 시공간적 변수와의 관계. 한국전문물리치료학회지. 2001;8(1):20-34.
  13. 이충휘, 박소연, 고명숙. 대동작 운동 수행능력 측정도구의 측정자간 신뢰도. 한국전문물리치료학회지. 2003;10(4):17-2.
  14. 한지혜, 고주연. 전자게임을이용한 가상현실프로그램이 경직성 뇌성마비 아동의 균형과 일상생활활동에 미치는 영향. 한국콘텐츠학회논문지. 2010;10(6):481-486.
  15. 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
  16. Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, Jacobsson B, Damiano D. Proposed definition and classification of cerebral palsy, April 2005. Developmental Medicine & Child Neurology. 2005;47(8):571-576. https://doi.org/10.1017/S001216220500112X
  17. Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83(2): 7-11.
  18. Boyce WF, Gowland C, Rosenbaum P, Lane M, Plews N, Goldsmith C, Russell D, Wright V, Potter S, Harding D. The gross motor performance measure: validity and responsiveness of a measure of quality of movement. Phys Ther. 1995;75(7):603–613. https://doi.org/10.1093/ptj/75.7.603
  19. Boyce WF, Gowland C, Russel DJ, Goldsmith C, Rosenbaum P, Plews N, Lane M. Consensus methodology in the development and content validation of a gross motor performance measure. Physio Canada. 1993;45(2):94-100.
  20. Cohen H, Blatchly CA, Gombash LL. A study of the clinical test of sensory interaction and balance. Phys Ther. 1993;3(6):346-351.
  21. Damiano DL, Abel MF. Relation of gait analysis to gross motor function in cerebral palsy. Dev Med Child Neurol. 1996:38(5);389-396.
  22. Drouin LM, Malouin F, Richards CL, Marcoux S. Correlation between the gross motor function measure scores and gait spatiotemporal measures in children with neurological impairments. Dev Med Child Neurol. 1996:38(11);1007-1019.
  23. Fowler EG, Brunstrom JE, Coster WJ, Damiano D, Henderson RC, Kolobe TH, Morgan DW, Pitetti KH, Rimmer JH, Rose J, Stevenson RD, Thorpe DE. Promotion of physical fitness and prevention of secondary conditions for children with cerebral palsy: Section on pediatrics research summit proceedings. Phys Ther. 2007;87(11):1495-1510. https://doi.org/10.2522/ptj.20060116
  24. Franjoine MR, Darr N, Held SL, Kott K, Young BL. The performance of children developinng typically on the pediatric balance scale. Pediatr Phys Ther. 2010;22(4):350-359. https://doi.org/10.1097/PEP.0b013e3181f9d5eb
  25. 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):114-128. https://doi.org/10.1097/01.PEP.0000068117.48023.18
  26. Gowland C, Boyce WF, Goldsmith CH, Rosenbaum PL, Russell DJ, Wright V. Reliability of the gross motor performance measure. Phys Ther. 1995;75(7):597-602. https://doi.org/10.1093/ptj/75.7.597
  27. Hur JJ. Review of research on therapeutic interventions for children with cerebral palsy. Acta Neurol Scand. 1995;91(6):423-432. https://doi.org/10.1111/j.1600-0447.1995.tb09803.x
  28. Katz-Leurer M, Keren O, Lewitus H, Meyer S, Rotem H. Functional balance tests for children with traumatic brain injury: within-session reliability. Pediatr Phys Ther.2008;20(3):254-258. https://doi.org/10.1097/PEP.0b013e3181820dd8
  29. Keenan MA, Perry J, Jordan C. Factors Affecting Balance and Ambulation Following. Stroke Clin Orthop Relat Res. 1984;(182):165-171.
  30. Ko JY, Kim MY. Inter-rater reliability of the K-GMFM-88 and the GMPM for children with cerebral palsy. Ann Rehabil Med. 2012;36(2):233-239. https://doi.org/10.5535/arm.2012.36.2.233
  31. Msall ME, Braun S, DiGaudio K, Duffy LC, Granger CV, LaForest S. WeeFIM normative sample of an instrument for tracking functional independence in children. Clin Pediatr(Phila). 1994;3(7):431-438.
  32. Natalia de A. C. Duarte, Claudia Santos Oliveira, Luanda Andre Collange Grecco, Nelci Zanon, Renata Calhes Franco. Correlation between Pediatric Balance Scale and Functional Test in Children with Cerebral Palsy. J. Phys. Ther. Sci. 2014;26(6):249-253.
  33. O'Connell M, George K, Stock D. Postural sway and balance testing: a comparison of normal and anterior cruciate ligament deficient knees. Gait Posture. 1998;8(2):136-142. https://doi.org/10.1016/S0966-6362(98)00023-X
  34. O'Shea TM. Cerebral palsy. Semin Perinatol. 2008:32(1); 35-41. https://doi.org/10.1053/j.semperi.2007.12.008
  35. Pavao SL, Barbosa KA, Rocha NA,Sato Tde O. Functional balance and gross motor function in children with cerebral palsy. Res Dev Disabil. 2014;35(10):278-283. https://doi.org/10.1016/j.ridd.2013.10.029
  36. Podsiadlo D, Richardson S. The timed "Up & Go". : a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  37. Ries LG, Michaelsen SM, Monteiro VC, Soares PS. Allegretti KM. Cross-cultural adaptation and reliability analysis of the Brazilian version of Pediatric Balance Scale. Rev Bras Fisioter. 2012;16(3):205-215. https://doi.org/10.1590/S1413-35552012005000026
  38. Russell DJ Cadman DT, Rosenbaum PL, Gowland C, Hardy S, Jarvis S. The gross motor function measure: a means to evaluate the effects of physical therapy. Dev Med Child Neurol. 1989:31(3);341-352.
  39. Sorsdahl AB, Moe-Nilssen R, Strand LI. Observer reliability of the gross motor performance measure and the quality of upper extremity skills test, based on video recordings. Dev Med Child Neurol. 2008;50(2):146-151. https://doi.org/10.1111/j.1469-8749.2007.02023.x
  40. Woollacott M, Hutchinson S, Ciol M, Kartin D, Price R, Shumway-Cook A. 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):45-61.
  41. Whitney SL, Poole JL, Cass SP. A review of balance instruments for older adults. Am J Occup Ther 1998;52(8):666-671 https://doi.org/10.5014/ajot.52.8.666