Test-retest reliability of the pediatric clinical test of sensory interaction for balance in 4-6 years old children
AbstractBackground and Aim: The pediatric clinical test of sensory interaction for balance (P-CTSIB) evaluates the functional maturity of vestibular, visual, and proprioceptive systems and the quality of sensory interactions between these systems. This test is a simple and inexpensive tool used in the clinical tests of balance performance. The current study aimed at examining the internal consistency and test-retest reliability of the P-CTSIB test in preschool children.Methods: The present study was performed on 38 children aged 4 to 6 years in preschools and kindergartens of Tehran, Iran. The test consists of 12 positions including visual positions (eyes open, eyes closed, and wearing a visual-conflict dome), support surface (standing on a hard surface and a foam) and the position of the feet (feet together and heel-toe position). The subjects were evaluated in each of the P-CTSIB test positions twice.Results: Cronbach’s alpha coefficients for standing duration, antero-posterior sway, and lateral sway were 0.92, 0.77, and 0.84, respectively. The intraclass correlation coefficient (ICC) ranged from 0.70 to 0.92 for standing duration, 0.27 to 0.89 for antero-posterior sway, and 0.31 to 0.87 for lateral sway.Conclusion: The results of this study showed that the internal consistency of the P-CTSIB test in 4-6-year-old children was significant. This test has a high reliability in the feet together position. Therefore, the P-CTSIB test with feet together is suggested as a reliable clinical measure to assess children’s balance.
2. Christy JB, Payne J, Azuero A, Formby C. Reliability and diagnostic accuracy of clinical tests of vestibular function for children. Pediatr Phys Ther. 2014;26(2):189-90. doi: 10.1097/PEP.0000000000000040.
3. De Kegel A, Dhooge I, Peersman W, Rijckaert J, Baetens T, Cambier D, et al. Construct validity of the assessment of balance in children who are developing typically and in children with hearing impairments. Phys Ther. 2010;90(12):1783-94. doi: 10.2522/ptj.20100080.
4. Pavlou M, Whitney S, Alkathiry AA, Huett M, Luxon LM, Raglan E, et al. The pediatric vestibular symptom questionnaire: a validation study. J Pediatr. 2016;168:171-7.e1. doi: 10.1016/j.jpeds.2015.09.075.
5. Balatsouras DG, Kaberos A, Assimakopoulos D, Katotomichelakis M, Economou NC, Korres SG. Etiology of vertigo in children. Int J Pediatr Otorhinolaryngol. 2007;71(3):487-94. doi: 10.1016/j.ijporl.2006.11.024.
6. Shumway-Cook A, Woollacott MH. The growth of stability: postural control from a development perspective. J Mot Behav. 1985;17(2):131-47. PMID: 15140688
7. Wolff DR, Rose J, Jones VK, Bloch DA, Oehlert JW, Gamble JG. Postural balance measurements for children and adolescents. J Orthop Res. 1998;16(2):271-5. doi: 10.1002/jor.1100160215.
8. Goebel JA. Should we screen hearing-impaired children for vestibular dysfunction? Arch Otolaryngol Head Neck Surg. 2003;129(4):482-3. doi: 10.1001/archotol.129.4.482.
9. Hirabayashi S, Iwasaki Y. Developmental perspective of sensory organization on postural control. Brain Dev. 1995;17(2):111-3. PMID: 7542846.
10. Pandian TJS, Ukamath S, Jetley N, Prabhu R. Clinical test of sensory interaction in balance (CTSIB): Concurrent validity study in healthy Indian children. J Pediatr Neurol. 2011;09(03):311-8. doi: 10.3233/jpn-2011-0499.
11. Gagnon I, Swaine B, Forget R. Exploring the comparability of the sensory organization test and the pediatric clinical test of sensory interaction for balance in children. Phys Occup Ther Pediatr. 2006;26(1-2):23-41. PMID: 16938824
12. Steindl R, Kunz K, Schrott-Fischer A, Scholtz AW. Effect of age and sex on maturation of sensory systems and balance control. Dev Med Child Neurol. 2006;48(6):477-82. doi: 10.1017/s0012162206001022.
13. Crowe TK, Deitz JC, Richardson PK, Atwater SW. Interrater reliability of the pediatric clinical test of sensory interaction for balance. Phys Occup Ther Pediatr. 1991;10(4):1-27. doi: dx.doi.org/10.1080/J006v10n04_01.
14. Shumway-Cook A, Horak FB. Assessing the influence of sensory interaction of balance. Suggestion from the field. Phys Ther. 1986;66(10):1548-50. PMID: 3763708
15. Westcott SL, Crowe TK, Deitz JC, Richardson PK. Test-retest reliability of the pediatric clinical test of sensory interaction for balance (P-CTSIB). Phys Occup Ther Pediatr. 1994;14(1):1-22. doi: dx.doi.org/10.1080/J006v14n01_01.
16. Geldhof E, Cardon G, De Bourdeaudhuij I, Danneels L, Coorevits P, Vanderstraeten G, et al. Static and dynamic standing balance: test-retest reliability and reference values in 9 to 10 year old children. Eur J Pediatr. 2006;165(11):779-86. doi: 10.1007/s00431-006-0173-5.
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