Reliability of Static and Dynamic Balance Tests and Their Interrelationships in Children With Cochlear Implants

IF 2 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-08-24 DOI:10.1111/cch.70159

Fatma Kübra Çekok, Ayşenur Gökşen, Özgül Akın Şenkal, Turhan Kahraman

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引用次数: 0

Abstract

Background

Children with cochlear implants are at increased risk of vestibular dysfunction and balance impairments, yet the reliability of commonly used static and dynamic balance assessments has not been thoroughly evaluated in this population. This study aimed to assess the reliability of static balance tests (single-leg stance test [SLST] and tandem Romberg test [RT], performed with eyes open [EO] and eyes closed [EC]), dynamic balance tests (timed up and go test [TUG] and figure-of-eight walk test [F8WT]) and Paediatric Balance Scale (PBS), which includes both static and dynamic components, and to examine relationships among these tests in children with cochlear implants.

Methods

Sixty-two children with cochlear implants, aged 7–13 years, performed all the balance tests. Two test sessions were conducted by the same physiotherapist on separate days within the same week.

Results

All balance tests demonstrated excellent intrarater reliability, with ICCs ranging from 0.906 to 0.985. The PBS showed excellent internal consistency (Cronbach's alpha = 0.88). Strong correlations were observed among static balance tests, and moderate correlations were found among dynamic tests. Correlations between static and dynamic tests were weaker. The PBS correlated strongly with static tests and moderately with dynamic tests.

Conclusion

All tests demonstrated excellent intrarater reliability, with PBS also showing excellent internal consistency. While these findings confirm the reliability of the assessments, validity was not examined and should be addressed in future research to establish their clinical utility in this population.

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植入人工耳蜗儿童静、动平衡测试的可靠性及其相互关系

背景植入人工耳蜗的儿童前庭功能障碍和平衡障碍的风险增加，但常用的静态和动态平衡评估的可靠性尚未在该人群中得到充分评估。本研究旨在评估静态平衡测试（单腿站立测试[SLST]和串联Romberg测试[RT]，分别在睁眼和闭眼时进行[EO]和[EC]）、动态平衡测试（计时行走测试[TUG]和八字形行走测试[F8WT]）和儿科平衡量表（PBS）的可靠性，其中包括静态和动态成分，并研究这些测试在人工耳蜗植入儿童中的关系。方法对62例7 ~ 13岁的人工耳蜗植入儿童进行平衡测试。两次测试由同一名物理治疗师在同一周内的不同日子进行。结果所有平衡试验均具有良好的内部信度，ICCs范围为0.906 ~ 0.985。PBS具有良好的内部一致性（Cronbach’s alpha = 0.88）。静态平衡试验之间存在强相关性，动态试验之间存在中度相关性。静态和动态测试之间的相关性较弱。PBS与静态试验相关性强，与动态试验相关性中等。结论所有试验均具有良好的内部信度，PBS也具有良好的内部一致性。虽然这些发现证实了评估的可靠性，但有效性尚未得到检验，应在未来的研究中加以解决，以确定其在该人群中的临床应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.