Article

OBJECTIVE: To identify measures of standing balance validated in pediatric
populations, and to determine the components of postural control captured in each tool. DATA SOURCES: Electronic searches of MEDLINE, Embase, and CINAHL databases
using key word combinations of postural balance/equilibrium,
psychometrics/reproducibility of results/predictive value of tests, and
child/pediatrics; gray literature; and hand searches.
STUDY SELECTION: Inclusion
criteria were measures with a stated objective to assess balance, with pediatric
(</=18y) populations, with at least 1 psychometric evaluation, with at least 1
standing task, with a standardized protocol and evaluation criteria, and
published in English. Two reviewers independently identified studies for
inclusion. There were 21 measures included. DATA EXTRACTION: Two reviewers
extracted descriptive characteristics, and 2 investigators independently coded
components of balance in each measure using a systems perspective for postural
control, an established framework for balance in pediatric populations. DATA
SYNTHESIS: Components of balance evaluated in measures were underlying motor
systems (100% of measures), anticipatory postural control (72%), static stability
(62%), sensory integration (52%), dynamic stability (48%), functional stability
limits (24%), cognitive influences (24%), verticality (9%), and reactive postural
control (0%). CONCLUSIONS: Assessing children's balance with valid and
comprehensive measures is important for ensuring development of safe mobility and
independence with functional tasks. Balance measures validated in pediatric
populations to date do not comprehensively assess standing postural control and
omit some key components for safe mobility and independence. Existing balance
measures, that have been validated in adult populations and address some of the
existing gaps in pediatric measures, warrant consideration for validation in
children.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS