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Title: | Checks and balances: a meta-analysis on the known-groups validity of functional postural control tests in children | Authors: | Ockerman, Jorn VELGHE, Silke Van Bladel, Anke Auvinet, Edouard Saldien, Jelle KLINGELS, Katrijn Bar-on, Lynn VERBECQUE, Evi |
Issue Date: | 2024 | Publisher: | EDIZIONI MINERVA MEDICA | Source: | European Journal of Physical and Rehabilitation Medicine (Print), | Status: | Early view | Abstract: | INTRODUCTION: Pediatric physical therapists commonly treat children with postural control deficits. Ideally, pediatric functional postural control tests should therefore be able to identify postural control deficits in children with various disorders. Despite a plethora of available tests, evidence for their validity - especially known -groups - remains scarce. This review aims to determine the known -group validity of available functional postural control tests to differentiate various pediatric pathological groups of different ages from their typically developing (TD) peers. EVIDENCE ACQUISITION: PubMed, Web of Science and Scopus were systematically searched (last update: February 2023; PROSPERO: CRD42023408982). Forty case -control studies with a pathological pediatric sample (N.=1331) and TD peers (N.=1889) were included and selected for data -extraction and -analysis. Risk of bias was assessed using the SIGN checklist and level of evidence was scored using GRADE. Random -effect meta -analyses were performed to estimate pooled standardized mean differences (SMD) for the various test types and subclassified based on pathology and/or age. EVIDENCE SYNTHESIS: When compared with TD peers, children with underlying pathologies performed significantly worse on pediatric functional postural control test batteries (SMD=-2.21), the Timed Up and Go Test and variants (SMD=2.30), the One Leg Stance test and variants (SMD=-2.14), while the Reach tests showed a smaller difference (SMD=-1.19). Subclassification within the meta -analyses showed that pathology was an influencing factor for the test batteries and the one leg stance test and variants. Age was an influencing factor for the reach tests. None of the included functional postural control tests exceeded a low level of evidence. CONCLUSIONS: Pediatric functional postural control tests that assess multiple aspects of postural control (such as test batteries) seem to offer higher known -groups validity than single -task tests ( e.g. reach tests). The underlying pathology has a larger impact on the validity of these tests than age. There remains an overall low level of evidence for the known -groups validity of pediatric functional postural control tests indicating the need for research with more homogenous groups and norm reference data. | Notes: | Verbecque, E (corresponding author), Hasselt Univ, Fac Rehabil Sci, Rehabil Res Ctr REVAL, B-3590 Diepenbeek, Belgium. evi.verbecque@uhasselt.be |
Keywords: | Children;Postural balance;Reproducibility of results | Document URI: | http://hdl.handle.net/1942/43264 | ISSN: | 1973-9087 | e-ISSN: | 1973-9095 | DOI: | 10.23736/S1973-9087.24.08187-5 | ISI #: | 001240443000001 | Rights: | This is an open access article distributed under the terms of the Creative Commons CC BY-NC-ND license which allows users to copy and distribute the manuscript, as long as this is not done for commercial purposes and further does not permit distribution of the manuscript if it is changed or edited in any way, and as long as the user gives appropriate credits to the original author(s) and the source (with a link to the formal publication through the relevant DOI) and provides a link to the license. Full details on the CC BY-NC-ND 4.0 are available at https://creativecommons.org/licenses/by-nc-nd/4.0/. | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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R33Y9999N00A24060501.pdf | Early view | 2.55 MB | Adobe PDF | View/Open |
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