School of Health and Rehabilitation Sciences, The University of Queensland, Physiotherapy, Brisbane, Australia.
School of Health and Rehabilitation Sciences, The University of Queensland, Physiotherapy, Brisbane, Australia.
Arch Phys Med Rehabil. 2019 Apr;100(4):695-702. doi: 10.1016/j.apmr.2018.12.021. Epub 2019 Jan 9.
To evaluate the reproducibility, including reliability and agreement, of the Kids Balance Evaluation Systems Test (Kids-BESTest) and the short form of Kids-BESTest (Kids-Mini-BESTest) for measuring postural control in school-aged children with cerebral palsy.
Psychometric study of intrarater, interrater, and test-retest reliability and agreement.
Clinical laboratory and home.
Convenience sample of children (N=18) aged 8 to 17 years with ambulant cerebral palsy (CP) (Gross Motor Function Classification System I-II) with spastic or ataxic motor type.
Not applicable.
Postural control was assessed using the Kids-BESTest and the Kids-Mini-BESTest. An experienced physiotherapist assessed all children in real time and the testing session was videotaped. The same physiotherapist viewed and scored the video twice, at least 2 weeks apart, to assess intrarater reproducibility. Another experienced physiotherapist scored the same video to determine interrater reproducibility. Thirteen children returned for a repeat assessment with the first physiotherapist within 6 weeks and their test-retest performance was rated in real time and with video.
Excellent reliability was observed for both the Kids-BESTest (intraclass correlation coefficient [ICC] 0.96-0.99) and Kids-Mini-BESTest (ICC 0.79-0.98). The smallest detectable change was good to excellent for all Kids-BESTest agreement analyses (5%-9%), but poor to good for Kids-Mini-BESTest analyses (9%-16%).
The Kids-BESTest shows an excellent ability to discriminate postural control abilities of school-aged children with CP and it has a low smallest detectable change, suitable for use as a preintervention and postintervention outcome measure. Although the Kids-Mini-BESTest is 5 to 10 minutes shorter to administer, it has poorer reproducibility and focuses only on falls-related balance, which excludes 2 domains of postural control.
评估 Kids Balance Evaluation Systems Test（Kids-BESTest）和 Kids-BESTest 短版（Kids-Mini-BESTest）测量脑瘫学龄儿童姿势控制的可重复性，包括可靠性和一致性。
内部、外部和重测信度及一致性的心理测量学研究。
临床实验室和家庭。
便利样本为 8 至 17 岁、可走动的脑瘫（CP）（粗大运动功能分类系统 I-II）、痉挛或共济失调运动类型的儿童。
不适用。
使用 Kids-BESTest 和 Kids-Mini-BESTest 评估姿势控制。一位经验丰富的物理治疗师实时评估所有儿童，测试过程录像。同一位物理治疗师至少间隔 2 周两次观看和评分视频，以评估内部信度。另一位经验丰富的物理治疗师对同一视频进行评分，以确定外部信度。13 名儿童在 6 周内返回给第一位物理治疗师进行重复评估，他们的重测表现实时和录像评分。
Kids-BESTest（组内相关系数 [ICC] 0.96-0.99）和 Kids-Mini-BESTest（ICC 0.79-0.98）的可靠性均极佳。所有 Kids-BESTest 一致性分析的最小可检测变化都较好到极佳（5%-9%），但 Kids-Mini-BESTest 分析的最小可检测变化较差到较好（9%-16%）。
Kids-BESTest 显示出极好的区分脑瘫学龄儿童姿势控制能力的能力，其最小可检测变化较低，适合作为干预前和干预后结果的测量工具。虽然 Kids-Mini-BESTest 的实施时间要短 5 至 10 分钟，但它的可重复性较差，仅关注与跌倒相关的平衡，排除了姿势控制的 2 个领域。
