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)
  • Received : 2016.01.13
  • Accepted : 2016.02.22
  • Published : 2016.02.25

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

References

  1. 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.
  2. 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. https://doi.org/10.18857/jkpt.2015.27.1.43
  3. 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. https://doi.org/10.1016/j.ridd.2014.05.024
  4. 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.
  5. 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. https://doi.org/10.1177/1545968308316474
  6. 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. https://doi.org/10.2466/pms.2003.96.3c.1173
  7. Lexell JE, Downham DY. How to assess the reliability of measurements in rehabilitation. Am J Phys Med Rehabil. 2005;84(9):719-23. https://doi.org/10.1097/01.phm.0000176452.17771.20
  8. 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. https://doi.org/10.1111/j.1469-8749.2003.tb00963.x
  9. Rose J, Wolff DR, Jones VK et al. Postural balance in children with cerebral palsy. Dev Med Child Neurol. 2002;44(1):58-63. https://doi.org/10.1017/S0012162201001669
  10. 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. https://doi.org/10.1097/00002060-199907000-00008
  11. 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. https://doi.org/10.1111/j.1469-8749.2001.tb00184.x
  12. 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. https://doi.org/10.1590/S1413-35552012005000026
  13. 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. https://doi.org/10.1097/01.PEP.0000068117.48023.18
  14. 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. https://doi.org/10.1055/s-0032-1327774
  15. 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.
  16. 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. https://doi.org/10.1016/S0149-7634(97)00048-1
  17. 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. https://doi.org/10.1589/jpts.22.43
  18. 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. https://doi.org/10.1589/jpts.22.35
  19. 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. https://doi.org/10.1017/S0012162206000934
  20. 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. https://doi.org/10.1589/jpts.27.3645
  21. Horak FB. Clinical measurement of postural control in adults. Phys Ther. 1987;67(12):1881-5. https://doi.org/10.1093/ptj/67.12.1881
  22. 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.
  23. 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. https://doi.org/10.1016/S0966-6362(96)01103-4
  24. 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. https://doi.org/10.5535/arm.2013.37.1.41
  25. 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. https://doi.org/10.1016/j.ridd.2013.01.034
  26. 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. https://doi.org/10.1155/NP.2005.211