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Assessment of the Concurrent Validity and Reliability of the Persian Version of the Pediatric Balance Scale in Schoolchildren with Down Syndrome

Document Type : Research Article (s)

Authors

1 Department of Corrective Exercise & Sport Injury, Faculty of Physical Education and Sport Sciences, Allameh Tabataba’i University, Tehran, Iran

2 Department of Sports Medicine, Sport Sciences Research Institute, Tehran, Iran

3 Department of Corrective Exercise & Sports Injury, Allameh Tabataba’i University, Tehran, Iran

Abstract

Background: Individuals with Down Syndrome face numerous challenges related to movement and balance. The present study evaluated the reliability and concurrent validity of the Persian version of the Pediatric Balance Scale in schoolchildren.
Methods: In this cross-sectional correlational study, 37 students (23 girls and 14 boys) with Down Syndrome aged 7 to 15 were recruited through convenience sampling technique. The participants were selected from special education schools in the spring of 2024. Initially, the procedure for performing the tests was taught to the children. Then, at a two-week interval (one session per week for a child), the tests were administered by two independent examiners. The Timed Up and Go, Pediatric Balance Scale, and Standing Stork Test were used to assess balance. The statistical tests used in this study were the intra-class correlation coefficient and Pearson’s correlation coefficient, at a 95% confidence level.
Results: Pearson’s correlation test revealed a substantial correlation between Pediatric Balance Scale and Standing Stork Test (r=0.585, P<0.001), and an inverse correlation between Pediatric Balance Scale and the Timed Up and Go test (r=-0.606, P<0.001). These correlation coefficients indicated a moderate to strong relationship between these tests and Pediatric Balance Scale. Based on the intra-class correlation coefficients obtained, the within-evaluator (ICC=1.000) and between-evaluator (ICC=0.973) agreements were high and reliable.
Conclusions: Pediatric Balance Scale appears to have excellent reliability and appropriate concurrent validity for assessing balance in schoolchildren with Down Syndrome. Therefore, it is recommended that this balance scale be used to evaluate balance in these individuals.

Highlights

Rahman Sheikhhoseini: (Google Scholar)

 

How to Cite: Shahbaz-Borujeni M, Sheikhhoseini R, Mohammadi F, Piri H. Assessment of the Concurrent Validity and Reliability of the Persian Version of the Pediatric Balance Scale in Schoolchildren with Down Syndrome. Int. J. School. Health. 2025;12(4):225-233. doi: 10.30476/intjsh.2025.106269.1501.

Keywords

References
  1. Baumgardner DJ, Chicoine B. Challenges of Pediatric Disease in Adulthood. J Patient Cent Res Rev. 2020;7(2):142-146. doi: 10.17294/2330-0698.1756. PubMed PMID: 32377547; PubMed Central PMCID: PMC7197890. ##
  2. Mazurek D, Wyka J. Down syndrome-genetic and nutritional aspects of accompanying disorders. Rocz Panstw Zakl Hig. 2015;66(3):189-94. PubMed PMID: 26400113. ##
  3. Kaur A, Kaur A. Maternal MTHFR polymorphism (677 C-T) and risk of Down's syndrome child: meta-analysis. J Genet. 2016;95(3):505-13. doi: 10.1007/s12041-016-0657-7. PubMed PMID: 27659321. ##
  4. Zago M, Duarte NAC, Grecco LAC, Condoluci C, Oliveira CS, Galli M. Gait and postural control patterns and rehabilitation in Down syndrome: a systematic review. J Phys Ther Sci. 2020;32(4):303-314. doi: 10.1589/jpts.32.303. PubMed PMID: 32273655; PubMed Central PMCID: PMC7113426. ##
  5. Qian G, Perzanowska E, Wilczyńska D, Kozakiewicz M, Yu H, Marcelina H, et al. Exploring the impact of home-based Vojta therapy on gait performance in individuals with Down syndrome: a preliminary feasibility study. Front Neurol. 2025;16:1537635. doi: 10.3389/fneur.2025.1537635. PubMed PMID: 40134697; PubMed Central PMCID: PMC11932913. ##
  6. Baharudin NS, Harun D, Kadar M. An Assessment of the Movement and Function of Children with Specific Learning Disabilities: A Review of Five Standardised Assessment Tools. Malays J Med Sci. 2020;27(2):21-36. doi: 10.21315/mjms2020.27.2.3. PubMed PMID: 32788838; PubMed Central PMCID: PMC7409574. ##
  7. Moriyama CH, Massetti T, Crocetta TB, Silva TDD, Mustacchi Z, Guarnieri R, et al. Systematic Review of the Main Motor Scales for Clinical Assessment of Individuals with down Syndrome. Dev Neurorehabil. 2020;23(1):39-49. doi: 10.1080/17518423.2019.1687598. PubMed PMID: 31726906. ##
  8. Kalantari M, Alimi E, Irani A, Nazeri A, Akbarzade Baghban A. Content and face validity of Pediatric Balance Scale in children with spastic cerebral palsy. J Rehab Med. 2016;5(3):104-110. doi: 10.22037/jrm.2016.1100209. Persian. ##
  9. Franjoine MR, Gunther JS, Taylor MJ. Pediatric balance scale: a modified version of the berg balance scale for the school-age child with mild to moderate motor impairment. Pediatr Phys Ther. 2003;15(2):114-28. doi: 10.1097/01.PEP.0000068117.48023.18. PubMed PMID: 17057441. ##
  10. Jalili Bafrouei M, Seyedi M, Mirkarimpour S H. Validity, Reliability, and Cross-cultural Adaptation of the Persian (Farsi) Version of Profile Fitness Mapping Back Questionnaire. Physical Treatment. 2024;14(4):291-302. doi: 10.32598/ptj.14.4.541.3. ##
  11. Jalili Bafrouei M, Seyedi M, Mirkarimpour S H. Validity and Reliability of the Persian Version of Profile Fitness Mapping Neck Questionnaire. Physical Treatment. 2025;15(2):119-130. doi: 10.32598/ptj.15.2.541.4. ##
  12. Her JG, Woo JH, Ko J. Reliability of the pediatric balance scale in the assessment of the children with cerebral palsy. J Phys Ther Sci. 2012;24(4):301-5. doi: 10.1589/jpts.24.301. ##
  13. Mohammed AH. Correlation between Balance and Attention in Children with Attention Deficit Hyperactivity Disorder. Int J Pharm Res Allied Sci. 2019;8(3):126-30. ##
  14. Alghadir AH, Al-Eisa ES, Anwer S, Sarkar B. Reliability, validity, and responsiveness of three scales for measuring balance in patients with chronic stroke. BMC Neurol. 2018;18(1):141. doi: 10.1186/s12883-018-1146-9. PubMed PMID: 30213258; PubMed Central PMCID: PMC6136166. ##
  15. Gatenio-Hefling O, Tzemah-Shahar R, Asraf K, Dilian O, Gil E, Agmon M. Revisiting the “Timed Up and Go” test: a 12-s cut-off can predict Hospitalization Associated Functional Decline in older adults. GeroScience. 2025;47:1039-1048. doi: 10.1007/s11357-024-01280-3. ##
  16. Bischoff HA, Stähelin HB, Monsch AU, Iversen MD, Weyh A, von Dechend M, et al. Identifying a cut‐off point for normal mobility: a comparison of the timed ‘up and go’ test in community‐dwelling and institutionalised elderly women. Age Ageing. 2003;32(3):315-20. doi: 10.1093/ageing/32.3.315. PubMed PMID: 12720619. ##
  17. Hutagalung AP, Akhmad I, Irfan M. Development of test and measurement tools standing stork test android based. Kinestetik J Ilmiah Pendidik Jasmani. 2023;7(2):293-304. doi: 10.33369/jk.v7i2.27333. ##
  18. Lengkana AS, Rahman AA, Alif MN, Mulya G, Priana A, Hermawan DB. Static and dynamic balance learning in primary school students. International Journal of Human Movement and Sports Sciences. 2020;8(6):469-476. doi: 10.13189/saj.2020.080620. ##
  19. Schober P, Vetter TR. Correlation Analysis in Medical Research. Anesth Analg. 2020;130(2):332. doi: 10.1213/ANE.0000000000004578. PubMed PMID: 31934907. ##
  20. Zolghadr H, Sedaghati P, Daneshmandi H. The effect of selected balance/corrective exercises on the balance performance of mentally-retarded students with developmental coordination disorder. Physical Treatments. 2019;9(1):23-30. doi: 10.32598/PTJ.9.1.23. ##
  21. Ziaei B, Azizi-Malamiri R, Nassadj G. The Effect of Long-Term Application of Kinesiotape on the Function and Balance of Children with Spastic Cerebral Palsy: A Narrative Review. J Res Rehabil Sci. 2019;15(2):115-22. doi: 10.22122/jrrs.v15i2.3429. Persian. ##
  22. Ockerman J, Velghe S, VAN Bladel A, Auvinet E, Saldien J, Klingels K, et al. Checks and balances: a meta-analysis on the known-groups validity of functional postural control tests in children. Eur J Phys Rehabil Med. 2024;60(4):656-670. doi: 10.23736/S1973-9087.24.08187-5. PubMed PMID: 38842066; PubMed Central PMCID: PMC11407102. ##
  23. Blomqvist S, Wester A, Sundelin G, Rehn B. Test–retest reliability, smallest real difference and concurrent validity of six different balance tests on young people with mild to moderate intellectual disability. Physiotherapy. 2012;98(4):313-9. doi: 10.1016/j.physio.2011.05.006. PubMed PMID: 23122437. ##
  24. Szopa A, Domagalska-Szopa M. Postural Stability in Children with Cerebral Palsy. J Clin Med. 2024;13(17):5263. doi: 10.3390/jcm13175263. PubMed PMID: 39274473; PubMed Central PMCID: PMC11396330. ##
  25. Nnodim JO, Yung RL. Balance and its Clinical Assessment in Older Adults - A Review. J Geriatr Med Gerontol. 2015;1(1):003. doi: 10.23937/2469-5858/1510003. PubMed PMID: 26942231; PubMed Central PMCID: PMC4773046. ##
  26. Martin K, Natarus M, Martin J, Henderson S. Minimal detectable change for TUG and TUDS tests for children with Down syndrome. Pediatr Phys Ther. 2017;29(1):77-82. doi: 10.1097/PEP.0000000000000333. PubMed PMID: 27984476. ##
  27. Beerse M, Lelko M, Wu J. Biomechanical analysis of the timed up-and-go (TUG) test in children with and without Down syndrome. Gait Posture. 2019;68:409-414. doi: 10.1016/j.gaitpost.2018.12.027. PubMed PMID: 30594868. ##
  28. Erden A, Acar Arslan E, Dündar B, Topbaş M, Cavlak U. Reliability and validity of Turkish version of pediatric balance scale. Acta Neurol Belg. 2021;121(3):669-675. doi: 10.1007/s13760-020-01302-9. PubMed PMID: 32077065. ##
  29. Kim GM. Application of Rasch analysis to the Korean version of the Pediatric Balance Scale in children with cerebral palsy. Phys Ther Korea. 2017;24(1):41-50. doi: 10.12674/ptk.2017.24.1.041. Korean. ##
International Journal of School Health
Volume 12, Issue 4 - Serial Number 47
October 2025
Pages 225-233
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