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A Study of the Usefulness of Pediatric Balance Scale as a Prediction Indicator for Gross Motor Function Classification System in Children with Cerebral Palsy  

Lim, Hyoung-Won (Department of Physical Therapy College of Health Sciences Dankook University)
Publication Information
The Journal of Korean Physical Therapy / v.28, no.1, 2016 , pp. 22-26 More about this Journal
Abstract
Purpose: The purpose of this study was to evaluate the relation between PBS scores and GMFCS levels and to examine whether pediatric balance scale (PBS) scores were useful for predicting gross motor functional classification system (GMFCS) levels in children with cerebral palsy. Methods: This cross-sectional study was performed conducted for to evaluatione of PBS and GMFCS using in 26 children with cerebral palsy (16 males and 10 females with GMFCS level I to III). PBS total and item scores at different levels of GMFCS were measured. Results: The hHigh PBS item average scores obtained from standing and postural change dimensions except sitting dimension were observed at the low levels of GMFCS and these results were statistically significant (p<0.05). The relation between PBS (standing and postural change dimensions) and GMFCS levels were was significantly different, except the relation between PBS sitting dimension and GMFCS levels showing a ceiling effect. Conclusion: GMFCS is designed to for classificationy of gross motor functions emphasizing on walking movement and PBS is was developed to for evaluatione of functional balance. Based on the results of this study showing high relation between GMFCS levels and PBS scores, PBS scores can be used for predicting GMFCS levels.
Keywords
Cerebral palsy; Pediatric balance scale; Gross motor function classification system;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Palisano RJ, Cameron D, Rosenbaum PL et al. Stability of the gross motor function classification system. Dev Med Child Neurol. 2006;48(6): 424-8.   DOI
2 Lim HW. Correlation between the selective control assessment of lower extremity and pediatric balance scale scores in children with spastic cerebral palsy. J Phys Ther Sci.2015;27(12):3645-49.   DOI
3 Horak FB. Clinical measurement of postural control in adults. Phys Ther. 1987;67(12):1881-5.   DOI
4 Correa JC, Correa FI, Franco RC et al. Corporal oscillation during static biped posture in children with cerebral palsy. Electromyogr Clinl Neurophysiol. 2007;47(3):131-6.
5 Newell KM, Slobounov SM, Slobounova BS et al. Short-term non-stationarity and the development of postural control. Gait Posture. 1997; 6(1):56-62.   DOI
6 Kwon TG, Yi SH, Kim TW et al. Relationship between gross motor function and daily functional skill in children with cerebral. Ann Rehabil Med. 2013;37(1):41-9.   DOI
7 Pavao SL, dos Santos AN, Woollacott MH et al. Assessment of postural control in children with cerebral palsy: a review. Res Dev Disabil. 2013; 34(5):1367-75.   DOI
8 Woollacott MH, Shumway-Cook A. Postural dysfunction during standing and walking in children with cerebral palsy: What are the underlying problems and what the new therapies might improve balance? Neural Plast. 2005;12(2-3):211-9.   DOI
9 Kang JH, Kim CY, Ohn JM et al. The effect of hinged ankle-foot orthosis on walking function in children with spastic diplegic cerebral palsy: A Cross-Sectional Pilot Study. J Kor Phys Ther. 2015;27(1):43-9.   DOI
10 Liao HF, Jeng SF, Lai JS et al. The relation between standing balance and walking function in children with spastic diplegic cerebral palsy. Dev Med Child Neurol. 1997;39(2):106-12.
11 Pavao SL, Barbosa KA, Sato Tde O et al. Functional balance and gross motor function in children with cerebral palsy. Res Dev Disabil. 2014; 35(10):2278-83.   DOI
12 Lexell JE, Downham DY. How to assess the reliability of measurements in rehabilitation. Am J Phys Med Rehabil. 2005;84(9):719-23.   DOI
13 Seo HJ, Kim JH, Choi MJ et al. The effects of gluteal taping on pelvic alignment, trunk stability, and balance during sitting in children with unilateral cerebral palsy. J Kor Phys Ther. 2014;26(5):308-14.
14 Gan SM, Tung LC, Tang YH et al. Psychometric properties of functional balance assessment in children with cerebral palsy. Neurorehabil Neural Repair. 2008;22(6):745-53.   DOI
15 Liao HF, Hwang AW. Relations of balance function and gross motor ability for children with cerebral palsy. Percept Mot Skills. 2003;96 (3Pt2): 1173-84.   DOI
16 Liao HF, Mao PJ, Hwang AW. Test-retest reliability of balance tests in children with cerebral palsy. Dev Med Child Neurol. 2001;43(3):180-6.   DOI
17 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.   DOI
18 Rose J, Wolff DR, Jones VK et al. Postural balance in children with cerebral palsy. Dev Med Child Neurol. 2002;44(1):58-63.   DOI
19 Cherng RJ, Su FC, Chen JJ et al. Performance of static standing balance in children with spastic diplegic cerebral palsy under altered sensory environments. Am J Phys Med Rehabil. 1999;78 (4):336-43.   DOI
20 Ries LG, Michaelsen SM, Soares PS et al. Cross-cultural adaptation and reliability analysis of the Brazilian version of Pediatric Balance Scale (PBS). Rev Bras Fisioter. 2012;16(3):205-15.   DOI
21 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.   DOI
22 Ko JY, Kim GW. Test-retest, Inter-rater, and Intra-rater Reliability of a Pediatric Balance Scale in Children with Cerebral Palsy. J Kor Phys Ther. 2010;22(4):43-8.   DOI
23 Yi SH, Hwang JH, Kim SJ et al. Validity of pediatric balance scales in children with spastic cerebral palsy. Neuropediatrics. 2012;43(6):307-13.   DOI
24 Palisano R, Rosenbaum P, Walter S et al. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39(4):214-23.
25 Woollacott MH, Burtner P, Jensen J et al. Development of postural responses during standing in healthy children and children with spastic diplegia. Neurosci Biobehavl Rev. 1998;22(4):583-9.   DOI
26 Kim GW, Ko JY, Baek SG . The reliability of a pediatric balance scale based on the raters' clinical work experience and test experience. J Kor Phys Ther. 2010;22(6):35-42.   DOI