PMID- 23291508 OWN - NLM STAT- MEDLINE DCOM- 20130726 LR - 20220409 IS - 1873-3379 (Electronic) IS - 0891-4222 (Linking) VI - 34 IP - 3 DP - 2013 Mar TI - Validity, responsiveness, minimal detectable change, and minimal clinically important change of Pediatric Balance Scale in children with cerebral palsy. PG - 916-22 LID - S0891-4222(12)00275-2 [pii] LID - 10.1016/j.ridd.2012.11.006 [doi] AB - This study examined criterion-related validity and clinimetric properties of the pediatric balance scale (PBS) in children with cerebral palsy (CP). Forty-five children with CP (age range: 19-77 months) and their parents participated in this study. At baseline and at follow up, Pearson correlation coefficients were used to determine criterion-related validity by analyzing the correlation between the PBS, including PBS-static, PBS-dynamic, and PBS-total, and criterion measures, including the Gross Motor Function Measure-66 items (GMFM-66) and Functional Independence Measures for Children (WeeFIM). Responsiveness was examined by paired t test and by standardized response mean (SRM). The minimal detectable change (MDC) was analyzed at the 90% confidence level, and the minimal clinically important differences (MCID) was estimated by anchor-based and distribution-based approaches. The PBS with GMFM-66 and WeeFIM showed fair-to-excellent concurrent validity at pretreatment and follow up and predictive validity. The SRM values of all PBS scales were 0.75. For the PBS-static, PBS-dynamic, and PBS-total, the MDC(90) values were 0.79, 0.96, and 1.59, and the MCID ranges were 1.47-2.92, 2.23-2.92, and 3.66-5.83, respectively. Improvement of at least MDC values on the PBS can be considered a true change, not measurement error. A mean change must exceed the MCID range on PBS to be considered clinically important change. Therefore, all PBS scales were moderately responsive to change. Clinicians and researchers can use these clinimetric data for PBS to determine if a change score represents a true or clinically meaningful effect at posttreatment and follow up. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Chen, Chia-ling AU - Chen CL AD - Department of Physical Medicine and Rehabilitation, Chang Gung Memorial hospital, Linkou, Tao-Yuan, Taiwan. FAU - Shen, I-hsuan AU - Shen IH FAU - Chen, Chung-yao AU - Chen CY FAU - Wu, Ching-yi AU - Wu CY FAU - Liu, Wen-yu AU - Liu WY FAU - Chung, Chia-ying AU - Chung CY LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20130103 PL - United States TA - Res Dev Disabil JT - Research in developmental disabilities JID - 8709782 SB - IM MH - Cerebral Palsy/*diagnosis/rehabilitation MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Infant MH - Limit of Detection MH - Male MH - Neurologic Examination/statistics & numerical data MH - *Postural Balance MH - Reproducibility of Results EDAT- 2013/01/08 06:00 MHDA- 2013/07/28 06:00 CRDT- 2013/01/08 06:00 PHST- 2012/08/27 00:00 [received] PHST- 2012/11/07 00:00 [revised] PHST- 2012/11/07 00:00 [accepted] PHST- 2013/01/08 06:00 [entrez] PHST- 2013/01/08 06:00 [pubmed] PHST- 2013/07/28 06:00 [medline] AID - S0891-4222(12)00275-2 [pii] AID - 10.1016/j.ridd.2012.11.006 [doi] PST - ppublish SO - Res Dev Disabil. 2013 Mar;34(3):916-22. doi: 10.1016/j.ridd.2012.11.006. Epub 2013 Jan 3.