Pediatric Balance Scale: Difference between revisions
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== Objective | == Objective == | ||
The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in school-aged children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points.<ref name=":0">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.</ref> | The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in school-aged children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points.<ref name=":0">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.</ref> | ||
== Intended Population | == Intended Population == | ||
The Pediatric Balance Scale is intended for use with school-aged children with mild to moderate | The Pediatric Balance Scale is intended for use with school-aged children with mild to moderate motor impairments. Pilot testing was performed on children aged 5 to 15 years.<ref name=":0" /> | ||
== Method of Use | == Method of Use == | ||
=== Equipment === | === Equipment<ref name=":0" /> === | ||
* Adjustable height bench | * Adjustable height bench | ||
* Chair with back support and arm rests | * Chair with back support and arm rests | ||
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Optional equipment that may be helpful includes: 2 child size footprints, blindfold, brightly colored object at least 2 inches in size, flash cards, 2 inches of adhesive-backed hook Velcro, two 1 foot strips of loop Velcro. | Optional equipment that may be helpful includes: 2 child size footprints, blindfold, brightly colored object at least 2 inches in size, flash cards, 2 inches of adhesive-backed hook Velcro, two 1 foot strips of loop Velcro. | ||
=== Item Descriptions === | === Item Descriptions<ref name=":0" /> === | ||
# Sitting to standing | # Sitting to standing | ||
# Standing to sitting | # Standing to sitting | ||
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=== Reliability === | === Reliability === | ||
Reliability testing performed with a sample of 20 children ages 5-15 years old with mild to moderate motor impairments showed good test-retest reliability (ICC=0.998) and good interrater reliability (ICC=0.997).<ref name=":0" /> | |||
=== Validity === | === Validity === | ||
Validity testing performed with a sample of 30 children ages 4-10 years old with spastic cerebral palsy in GMFCS Levels I-III showed a strong correlation between the Pediatric Balance Scale and the self-care (r=0.73, p<0.001) and mobility (r=0.82, p<0.001) dimensions of the Pediatric Disability Evaluation Inventory (PEDI).<ref>Duarte Nde A, Grecco LA, Franco RC, Zanon N, Oliveira CS. Correlation between pediatric balance scale and functional test in children with cerebral palsy. J Phys Ther Sci 2014;26(6):849-53.</ref> | |||
= | Validity testing performed with a sample of 23 children ages 6-15 years old with spastic cerebral palsy (hemiplegia or diplegia) showed a strong correlation (r=0.797, p<0.05) between the Pediatric Balance Scale and the Selective Control Assessment of Lower Extremity (Scale).<ref>Lim H. 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.</ref><br><span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span> | ||
== Links == | == Links == | ||
General instructions, equipment list, and scoring criteria are available at this link: [https://journals.lww.com/pedpt/Fulltext/2003/01520/Pediatric_Balance_Scale__A_Modified_Version_of_the.6.aspx Pediatric Balance Scale]. | |||
== References == | == References == | ||
<references /> | <references /> | ||
Revision as of 17:47, 17 June 2018
Objective[edit | edit source]
The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in school-aged children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points.[1]
Intended Population[edit | edit source]
The Pediatric Balance Scale is intended for use with school-aged children with mild to moderate motor impairments. Pilot testing was performed on children aged 5 to 15 years.[1]
Method of Use[edit | edit source]
Equipment[1][edit | edit source]
- Adjustable height bench
- Chair with back support and arm rests
- Stopwatch or watch with a second hand
- Masking tape (1 inch wide)
- Step stool 6 inches in height
- Chalkboard eraser
- Ruler or yardstick
- Small level
Optional equipment that may be helpful includes: 2 child size footprints, blindfold, brightly colored object at least 2 inches in size, flash cards, 2 inches of adhesive-backed hook Velcro, two 1 foot strips of loop Velcro.
Item Descriptions[1][edit | edit source]
- Sitting to standing
- Standing to sitting
- Transfers
- Standing unsupported
- Sitting unsupported
- Standing with eyes closed
- Standing with feet together
- Standing with one foot in front
- Standing on one foot
- Turning 360 degrees
- Turning to look behind
- Retrieving object from floor
- Placing alternate foot on stool
- Reaching forward with outstretched arm
Evidence[edit | edit source]
Reliability[edit | edit source]
Reliability testing performed with a sample of 20 children ages 5-15 years old with mild to moderate motor impairments showed good test-retest reliability (ICC=0.998) and good interrater reliability (ICC=0.997).[1]
Validity[edit | edit source]
Validity testing performed with a sample of 30 children ages 4-10 years old with spastic cerebral palsy in GMFCS Levels I-III showed a strong correlation between the Pediatric Balance Scale and the self-care (r=0.73, p<0.001) and mobility (r=0.82, p<0.001) dimensions of the Pediatric Disability Evaluation Inventory (PEDI).[2]
Validity testing performed with a sample of 23 children ages 6-15 years old with spastic cerebral palsy (hemiplegia or diplegia) showed a strong correlation (r=0.797, p<0.05) between the Pediatric Balance Scale and the Selective Control Assessment of Lower Extremity (Scale).[3]
Links[edit | edit source]
General instructions, equipment list, and scoring criteria are available at this link: Pediatric Balance Scale.
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 1.4 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.
- ↑ Duarte Nde A, Grecco LA, Franco RC, Zanon N, Oliveira CS. Correlation between pediatric balance scale and functional test in children with cerebral palsy. J Phys Ther Sci 2014;26(6):849-53.
- ↑ Lim H. 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.
