TY - JOUR
T1 - Psychometric properties of functional postural control tests in children: A systematic review
AU - Johnson, C.
AU - Hallemans, A.
AU - Goetschalckx, M.
AU - Meyns, P.
AU - Rameckers, E.
AU - Klingels, K.
AU - Verbecque, E.
N1 - Funding Information:
None. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Publisher Copyright:
© 2022 Elsevier Masson SAS
PY - 2023/5/1
Y1 - 2023/5/1
N2 - Background: Postural control deficits are one of the most common impairments treated in pediatric physiothera-peutic practice. Adequate evaluation of these deficits is imperative to identify postural control deficits, plan treat-ment and assess efficacy. Currently, there is no gold standard evaluation for postural control deficits. However, the number of studies investigating the psychometric properties of functional pediatric postural control tests has increased significantly.Objective: To facilitate the selection of an appropriate pediatric functional postural control test in research and clinical practice. Methods: Systematic review following the PRISMA guidelines. PubMed, Web of Science and Scopus were sys-tematically searched (last update: June 2022; PROSPERO: CRD42021246995). Studies were selected using the PICOs-method (pediatric populations (P), functional assessment tools for postural control (I) and psycho-metric properties (O). The risk of bias was rated with the COSMIN checklist and the level of evidence was determined with GRADE. For each test, the postural control systems were mapped, and the psychometric properties were extracted.Results: Seventy studies investigating 26 different postural control tests were included. Most children were healthy or had cerebral palsy. Overall, the evidence for all measurement properties was low to very low. Most tests (95%) showed good reliability (ICC>0.70), but inconsistent validity results. Structural validity, internal consistency and responsiveness were only available for 3 tests. Only the Kids-BESTest and FAB cov-ered all postural control systems.Conclusion: Currently, 2 functional tests encompass the entire construct of postural control. Although reliabil-ity is overall good, validity results depend on task, age and pathology. Future research should focus on test batteries and should particularly explore structural validity and responsiveness in different populations with methodologically strong study designs.(c) 2022 Elsevier Masson SAS. All rights reserved.
AB - Background: Postural control deficits are one of the most common impairments treated in pediatric physiothera-peutic practice. Adequate evaluation of these deficits is imperative to identify postural control deficits, plan treat-ment and assess efficacy. Currently, there is no gold standard evaluation for postural control deficits. However, the number of studies investigating the psychometric properties of functional pediatric postural control tests has increased significantly.Objective: To facilitate the selection of an appropriate pediatric functional postural control test in research and clinical practice. Methods: Systematic review following the PRISMA guidelines. PubMed, Web of Science and Scopus were sys-tematically searched (last update: June 2022; PROSPERO: CRD42021246995). Studies were selected using the PICOs-method (pediatric populations (P), functional assessment tools for postural control (I) and psycho-metric properties (O). The risk of bias was rated with the COSMIN checklist and the level of evidence was determined with GRADE. For each test, the postural control systems were mapped, and the psychometric properties were extracted.Results: Seventy studies investigating 26 different postural control tests were included. Most children were healthy or had cerebral palsy. Overall, the evidence for all measurement properties was low to very low. Most tests (95%) showed good reliability (ICC>0.70), but inconsistent validity results. Structural validity, internal consistency and responsiveness were only available for 3 tests. Only the Kids-BESTest and FAB cov-ered all postural control systems.Conclusion: Currently, 2 functional tests encompass the entire construct of postural control. Although reliabil-ity is overall good, validity results depend on task, age and pathology. Future research should focus on test batteries and should particularly explore structural validity and responsiveness in different populations with methodologically strong study designs.(c) 2022 Elsevier Masson SAS. All rights reserved.
KW - SQUARE STEP TEST
KW - PEDIATRIC-BALANCE-SCALE
KW - TEST-RETEST RELIABILITY
KW - ERROR SCORING SYSTEM
KW - MINIMAL DETECTABLE CHANGE
KW - LATERAL REACH TESTS
KW - REFERENCE VALUES
KW - GO TEST
KW - CEREBRAL-PALSY
KW - YOUNG-CHILDREN
U2 - 10.1016/j.rehab.2022.101729
DO - 10.1016/j.rehab.2022.101729
M3 - (Systematic) Review article
C2 - 36669385
SN - 1877-0657
VL - 66
JO - Annals of Physical and Rehabilitation Medicine
JF - Annals of Physical and Rehabilitation Medicine
IS - 4
M1 - 101729
ER -