Postural control at 4 years in very preterm children compared with term‐born peers

Lorefice, Lucy E; Galea, Mary P.; Clark, Ross; Doyle, Lex W.; Anderson, Peter J.; Spittle, Alicia J

doi:10.1111/dmcn.12550

Cited by 25 publications

(24 citation statements)

References 32 publications

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“…The results showed that children born preterm achieved worse results in the tests compared to the control group. Another study consistent with the present one was documented by Lorefice et al [20]. It involved comparing 4-year-olds born prematurely and at term.…”

Section: Discussionsupporting

confidence: 88%

Balance in children born prematurely currently aged 6–7

Dziuba

Drzał–Grabiec

Truszczyńska-Baszak

et al. 2017

Biomedical Human Kinetics

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SummaryStudy aim: Premature birth is one of the major problems of obstetrics, leading to numerous complications that are associated with prematurity, for instance balance disorders. The aim of the study was to assess the impact of premature birth on the ability to maintain balance in children commencing their school education. Material and methods:The study included children aged 6-7 years. The study group consisted of 59 children (31 girls and 28 boys, mean age 6.38 ± SD 0.73) born prematurely between 24 and 35 weeks of gestation. The control group consisted of 61 children (28 girls and 33 boys, mean age 6.42 ± 0.58) born at term. The research utilized standardized test tools -one-leg openeyed and closed-eyed standing test, one-leg jumping test -and an original questionnaire survey. Results: The children born at term achieved better results in the majority of tests. The comparison of girls and boys born prematurely and at term showed no statistically significant difference between them in terms of dynamic balance, static balance or total balance control. The comparison of the tests performed on the right and left lower limb in prematurely born children showed no statistically significant differences. Conclusion: Premature birth affects the ability to maintain body balance. The results of the study indicate the need to develop coordination skills that shape body balance in prematurely born children.

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Section: Discussionsupporting

confidence: 88%

Balance in children born prematurely currently aged 6–7

Dziuba

Drzał–Grabiec

Truszczyńska-Baszak

et al. 2017

Biomedical Human Kinetics

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“…Postural control depends on the integration of sensory, motor and cognitive systems [2], and deficits in postural control may result from impairments in any or all of these systems [3]. Deficits in postural control have been shown to contribute to activity limitations experienced by children with a wide range of conditions, for example: Cerebral Palsy [4], Developmental Coordination Disorder [5][6][7], Spina Bifida [8], Down syndrome [9], Autistic Spectrum Disorders [10], premature birth [11,12] and sensorineural hearing loss [13]. However, each of these studies has examined only certain sub-components of postural control due to the lack of a comprehensive clinical assessment for children.…”

Section: Introductionmentioning

confidence: 99%

Reproducibility of the Balance Evaluation Systems Test (BESTest) and the Mini-BESTest in school-aged children

et al. 2017

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This study evaluated the intra-rater, inter-rater and test-retest reproducibility of the FullBESTest and Mini-BESTest when assessing postural control in children. Thirty-four children aged 7-17 years participated in intra-rater and inter-rater evaluation, and 22 children repeated assessment six weeks later for evaluation of test-retest reliability.Postural control was assessed using the Full Balance Evaluation Systems Test (FullBESTest) and the short-form Mini-BESTest. Intra-rater, inter-rater and test-retest reproducibility were examined using video assessment. Test-retest reproducibility was also assessed in real-time. Reproducibility was examined by agreement and reliability statistics. Agreement was calculated using percentage of agreement, Limits of Agreement and Smallest Detectable Change. Reliability was calculated using Intra-class Correlation Coefficients. Results showed that the reliability of Total Scores was excellent for the Full-BESTest for all conditions (all ICCs>0.82), whereas the MiniBESTest ranged from fair to excellent (ICC=0.56 to 0.86). Percentage of Domain Scores with good-excellent reliability (ICCs>0.60) was slightly higher for the FullBESTest (66%) compared to the Mini-BESTest (59%). Smallest Detectable Change scores were good to excellent for the Full-BESTest (2% to 6%) and for the BESTest (5% to 10%) relative to total test scores. Both the Full-BESTest and MiniBESTest can discriminate postural control abilities within and between days in schoolaged children. The Full-BESTest has slightly better reproducibility and a broader range of items, which could be the most useful version for treatment planning. We propose minor modifications are recommended to improve reproducibility for children, and indicate the modified version by the title Kids-BESTest. Future psychometric research is recommended for specific paediatric clinical populations.

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“…One prior study has examined its use as an assessment tool in pediatrics, which demonstrated an ability to discriminate between four year old children who were born very pre-term and those born at term. 15 Despite this promising preliminary evidence, no studies have examined its utility in the acute injury setting, nor specifically examined the optimal balance assessment to perform in a pediatric population with concussion.…”

Section: Introductionmentioning

confidence: 99%

Investigating the Feasibility and Utility of Bedside Balance Technology Acutely After Pediatric Concussion

Rhine

Byczkowski

Clark³

et al. 2016

Clinical Journal of Sport Medicine

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Objective To examine postural instability in children acutely following concussion, using the Wii Balance Board. We hypothesized that children with traumatic brain injury would have significantly worse balance relative to children without brain injury. Design Prospective case-control pilot study Setting Emergency department of a tertiary urban pediatric hospital Participants Cases were a convenience sample aged 11 to 16 years old who presented within six hours of sustaining concussion. Two controls, matched on gender, height, and age, were enrolled for each case that completed study procedures. Controls were children who presented for a minor complaint that was unlikely to affect balance. Interventions Not applicable Main Outcome Measure The participant’s postural sway, expressed as the displacement in centimeters of the center of pressure during a timed balance task. Balance testing was performed using four stances (single or double limb, eyes open or closed). Results Three of the seventeen (17.6%) cases were too dizzy to complete testing. One stance, double limbs eyes open, was significantly higher in cases vs. controls (85.6 vs 64.3 centimeters, p=0.04). Conclusions A simple test on the Wii Balance Board consisting of a two-legged standing balance task with eyes open discriminated children with concussion from non-injured controls. The low cost and feasibility of this device make it a potentially viable tool for assessing postural stability in children with concussion for both longitudinal research studies and clinical care.

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Postural control at 4 years in very preterm children compared with term‐born peers

Cited by 25 publications

References 32 publications

Balance in children born prematurely currently aged 6–7

Balance in children born prematurely currently aged 6–7

Reproducibility of the Balance Evaluation Systems Test (BESTest) and the Mini-BESTest in school-aged children

Investigating the Feasibility and Utility of Bedside Balance Technology Acutely After Pediatric Concussion

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