Balance assessment with decreased base of support for children with disabilities

Background Children’s ability to achieve an appropriate motor development is largely associated with their capacity to control balance. Furthermore, accomplishing balance tasks with a narrowed base of support is a necessary precursor to engaging in everyday functional activities and developing more...

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Bibliographic Details
Main Authors: Guilherme M. Cesar, Madison Giebler, Thad W. Buster, Judith M. Burnfield
Format: Article
Language:English
Published: The Korean Pediatric Society 2024-12-01
Series:Clinical and Experimental Pediatrics
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Online Access:http://www.e-cep.org/upload/pdf/cep-2024-00780.pdf
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Summary:Background Children’s ability to achieve an appropriate motor development is largely associated with their capacity to control balance. Furthermore, accomplishing balance tasks with a narrowed base of support is a necessary precursor to engaging in everyday functional activities and developing more complex balance abilities. Purpose To investigate the relationship between the tandem stance (TS) and the single-limb stance (SLS) items of the Pediatric Balance Scale (PBS) assessment tool with the PBS total score in children with impaired balance. Methods Forty-two children (22 with neurological disabilities, 10.7±3.1 years; 20 typically developing [TD], 8.3±2.7 years) performed all 14 PBS items. Linear regressions separately determined the impact of TS and SLS on total PBS score in both groups. Bland-Altman plots expressed agreement between the balance measurements. Results For children with disabilities, only the SLS entered the model, explaining 64.5% of the variance in total PBS score. A high level of agreement was observed between the SLS and total PBS scores. For TD children, only the TS entered the model, explaining 45.2% of the variance in the total PBS score. A high level of agreement was observed between the TS and total PBS scores. Conclusion Our findings support the practical and efficient use of a single balance task to assess balance ability in children with disabilities.
ISSN:2713-4148