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Ghent Developmental Balance Test: a new tool to evaluate the balance performance in toddlers and preschool children

Alexandra De Kegel UGent, Tina Baetens UGent, Wim Peersman UGent, Leen Maes UGent, Ingeborg Dhooge UGent and Hilde Van Waelvelde UGent (2012) PHYSICAL THERAPY. 92(6). p.841-852
abstract
Background: Balance is a fundamental component of movement. Early identification of balance problems is important to plan early intervention. The Ghent Developmental Balance Test (GDBT) is a new assessment tool to monitor balance from the moment of independent walking to 5 years of age. Objective: The purpose of this study was to establish the psychometric characteristics of the GDBT. Methods: To evaluate test-retest reliability, 144 children were tested twice on GDBT by the same examiner, and to evaluate inter-rater reliability, videotaped GDBT test sessions of 22 children were rated by 3 different raters. To evaluate the known-group validity of GDBT, z-scores on GDBT were compared between a clinical group (n=20) and a matched control group (n=20). Concurrent validity of GDBT scores with the subscale standardized scores of Movement Assessment Battery for Children-Second edition (M ABC-2), the Peabody Developmental Motor Scales–Second Edition (PDMS-2), and the balance subscale of Bruininks Oseretsky Test-Second Edition (BOT-2) was evaluated in a combined group of the 20 children from the clinical group and 74 children who are developing typically. Results: Test-retest and inter-rater reliability was excellent for the GDBT total score, with intra class correlation coefficients of 0.99 and 0.98, standard error of measurement values of 0.21 and 0.78, and small minimal detectable differences of 0.58 and 2.08 respectively. The GDBT was able to distinguish between the clinical group and the control group (t(38)=5.456, p<0.01). Pearson correlations between the z-scores on GDBT and the standardized scores of specific balance subscales of the M ABC-2, PDMS-2 and BOT-2 were moderate to high, whereas correlations with subscales measuring constructs other than balance were low. Conclusion: The GDBT is a reliable and valid clinical assessment tool for the evaluation of balance in toddlers and preschool-aged children.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
DETECTABLE CHANGE, COORDINATION DISORDER, TEST-RETEST RELIABILITY, CEREBRAL-PALSY
journal title
PHYSICAL THERAPY
Phys. Ther.
volume
92
issue
6
pages
841 - 852
Web of Science type
Article
Web of Science id
000304899000006
JCR category
REHABILITATION
JCR impact factor
2.778 (2012)
JCR rank
5/63 (2012)
JCR quartile
1 (2012)
ISSN
0031-9023
DOI
10.2522/​ptj.20110265
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2119984
handle
http://hdl.handle.net/1854/LU-2119984
date created
2012-05-30 09:52:30
date last changed
2015-06-17 10:03:25
@article{2119984,
  abstract     = {Background: Balance is a fundamental component of movement. Early identification of balance problems is important to plan early intervention. The Ghent Developmental Balance Test (GDBT) is a new assessment tool to monitor balance from the moment of independent walking to 5 years of age. 
Objective: The purpose of this study was to establish the psychometric characteristics of the GDBT.
Methods: To evaluate test-retest reliability, 144 children were tested twice on GDBT by the same examiner, and to evaluate inter-rater reliability, videotaped GDBT test sessions of 22 children were rated by 3 different raters. To evaluate the known-group validity of GDBT, z-scores on GDBT were compared between a clinical group (n=20) and a matched control group (n=20). Concurrent validity of GDBT scores with the subscale standardized scores of Movement Assessment Battery for Children-Second edition (M ABC-2), the Peabody Developmental Motor Scales--Second Edition (PDMS-2), and the balance subscale of Bruininks Oseretsky Test-Second Edition (BOT-2) was evaluated in a combined group of the 20 children from the clinical group and 74 children who are developing typically.
Results: Test-retest and inter-rater reliability was excellent for the GDBT total score, with intra class correlation coefficients of 0.99 and 0.98, standard error of measurement values of 0.21 and 0.78, and small minimal detectable differences of 0.58 and 2.08 respectively. The GDBT was able to distinguish between the clinical group and the control group (t(38)=5.456, p{\textlangle}0.01). Pearson correlations between the z-scores on GDBT and the standardized scores of specific balance subscales of the M ABC-2, PDMS-2 and BOT-2 were moderate to high, whereas correlations with subscales measuring constructs other than balance were low. 
Conclusion: The GDBT is a reliable and valid clinical assessment tool for the evaluation of balance in toddlers and preschool-aged children.},
  author       = {De Kegel, Alexandra and Baetens, Tina and Peersman, Wim and Maes, Leen and Dhooge, Ingeborg and Van Waelvelde, Hilde},
  issn         = {0031-9023},
  journal      = {PHYSICAL THERAPY},
  keyword      = {DETECTABLE CHANGE,COORDINATION DISORDER,TEST-RETEST RELIABILITY,CEREBRAL-PALSY},
  language     = {eng},
  number       = {6},
  pages        = {841--852},
  title        = {Ghent Developmental Balance Test: a new tool to evaluate the balance performance in toddlers and preschool children},
  url          = {http://dx.doi.org/10.2522/\unmatched{200b}ptj.20110265},
  volume       = {92},
  year         = {2012},
}

Chicago
De Kegel, Alexandra, Tina Baetens, Wim Peersman, Leen Maes, Ingeborg Dhooge, and Hilde Van Waelvelde. 2012. “Ghent Developmental Balance Test: a New Tool to Evaluate the Balance Performance in Toddlers and Preschool Children.” Physical Therapy 92 (6): 841–852.
APA
De Kegel, A., Baetens, T., Peersman, W., Maes, L., Dhooge, I., & Van Waelvelde, H. (2012). Ghent Developmental Balance Test: a new tool to evaluate the balance performance in toddlers and preschool children. PHYSICAL THERAPY, 92(6), 841–852.
Vancouver
1.
De Kegel A, Baetens T, Peersman W, Maes L, Dhooge I, Van Waelvelde H. Ghent Developmental Balance Test: a new tool to evaluate the balance performance in toddlers and preschool children. PHYSICAL THERAPY. 2012;92(6):841–52.
MLA
De Kegel, Alexandra, Tina Baetens, Wim Peersman, et al. “Ghent Developmental Balance Test: a New Tool to Evaluate the Balance Performance in Toddlers and Preschool Children.” PHYSICAL THERAPY 92.6 (2012): 841–852. Print.