PMID- 34541984
OWN - NLM
STAT- MEDLINE
DCOM- 20221122
LR  - 20230112
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 44
IP  - 23
DP  - 2022 Nov
TI  - Reliability, validity, and minimal clinically important differences of the 
      Japanese version of the early clinical assessment of balance in children with 
      cerebral palsy.
PG  - 7283-7289
LID - 10.1080/09638288.2021.1977859 [doi]
AB  - PURPOSE: We aimed to translate the Early Clinical Assessment of Balance (ECAB) 
      from English to Japanese and examine the content validity, inter-rater 
      reliability, intra-rater reliability, construct validity, and minimal clinically 
      important difference (MCID) for children with cerebral palsy (CP). METHODS: The 
      ECAB was translated into Japanese per international standards. The study included 
      106 children with CP and, aged 1.5-12 years. The ECAB, the Gross Motor Function 
      Classification System (GMFCS), and the Gross Motor Function Measure 66 Basal & 
      Ceiling (GMFM-66-B&C) were measured. The content and construct validity were 
      examined based on therapist feedback and correlations between the ECAB and 
      GMFM-66-B&C. The inter-rater reliability and the intra-rater reliability were 
      examined by the intra-class correlation coefficient (ICC). The MCID was 
      calculated by the anchor-based method with the GMFM-66-B&C. RESULTS: High content 
      validity (more than 80% agreement), inter-rater and intra-rater reliability (ICC 
      = 0.99 & 0.99, respectively), and construct validity (r = 0.96) were 
      demonstrated, with MCID values of 7.39, 5.32, and 6.88 observed for the GMFCS 
      I/II, III, and IV/V, respectively. CONCLUSION: The Japanese version of the ECAB 
      is a reliable and valid measure of balance ability in children with CP. 
      Furthermore, the MCID of the ECAB was established, appears to be useful in 
      helping to provide rehabilitation.Implications for RehabilitationThe Japanese 
      version of the Early Clinical Assessment of Balance is easy, safe, and low-cost, 
      and has high reliability and validity for assessing balance ability in children 
      with cerebral palsy.The use of the Japanese version of the Early Clinical 
      Assessment of Balance is beneficial for determining the therapeutic effect, 
      appropriate treatment, and prediction of prognosis regarding balance ability in 
      children with cerebral palsy.The minimal detectable change of the Japanese 
      version of the ECAB suggest that a score exceeding 6 is a true change and the 
      minimal clinically important difference of the Japanese version of the ECAB 
      suggest that the scores exceeding 8, 6, and 7 for the GMFCS I/II, III, and IV/V, 
      respectively, is a clinically useful change.
FAU - Inoue, Takahito
AU  - Inoue T
AD  - Division of Rehabilitation Medicine, Hokkaido Medical Center for Child Health and 
      Rehabilitation, Sapporo, Japan.
FAU - Izumi, Hiroto
AU  - Izumi H
AD  - Division of Rehabilitation Medicine, Hokkaido Medical Center for Child Health and 
      Rehabilitation, Sapporo, Japan.
FAU - Nishibu, Hisato
AU  - Nishibu H
AD  - Division of Rehabilitation Medicine, Hokkaido Medical Center for Child Health and 
      Rehabilitation, Sapporo, Japan.
FAU - Himuro, Nobuaki
AU  - Himuro N
AUID- ORCID: 0000-0003-2609-0510
AD  - Department of Public Health, School of Medicine, Sapporo Medical University, 
      Sapporo, Japan.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210919
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Child
MH  - Humans
MH  - *Cerebral Palsy/rehabilitation
MH  - Motor Skills
MH  - Minimal Clinically Important Difference
MH  - Reproducibility of Results
MH  - Japan
OTO - NOTNLM
OT  - Cerebral palsy
OT  - balance
OT  - measurement
OT  - minimal clinically important difference
OT  - reliability
OT  - translation
OT  - validity
EDAT- 2021/09/21 06:00
MHDA- 2022/11/23 06:00
CRDT- 2021/09/20 08:46
PHST- 2021/09/21 06:00 [pubmed]
PHST- 2022/11/23 06:00 [medline]
PHST- 2021/09/20 08:46 [entrez]
AID - 10.1080/09638288.2021.1977859 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2022 Nov;44(23):7283-7289. doi: 10.1080/09638288.2021.1977859. 
      Epub 2021 Sep 19.