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Reliability and validity of the Turkish version of Fullerton Advanced Balance Scale in cerebral palsy
Institution:1. Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey;2. Department of Physiology, Faculty of Medicine, Bezmialem Vakif University, Fatih, Istanbul, Turkey;3. Department of Biostatistics, Faculty of Medicine, Ankara University, S?hhiye, Ankara, Turkey;4. Division of Physiotherapy and Rehabilitation, KTO Karatay University, School of Health Sciences, Konya, Turkey;1. Ziauddin University, 128/2 14th Street off Khayaban e Muhafiz Phase 6 Defence Housing Authority Karachi, Pakistan;2. Shaheed Mohtarma Benazir Bhutto Medical College Liyari, Parsa citi, Garden East, Karachi, Pakistan;3. Dow University of Health Sciences, Bridge View Apartment, Frere Town, Clifton Block 8, Karachi 75600, Pakistan;1. Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milano, Italy;2. Dipartimento di Meccanica, Politecnico di Milano, Milano, Italy;3. Exercise Physiology and Physical Assessment Laboratory, Serra Gaúcha University Center, Caxias do Sul, Brazil;4. Integrated Colleges of Taquara (FACCAT), Taquara, Brazil;1. Gillette Children’s Specialty Healthcare, St. Paul, MN, United States;2. Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN, United States;1. School of Arts, Sciences and Humanities, Universidade de São Paulo, EACH-USP, São Paulo, SP, Brazil;2. Biomedical Engineering Laboratory and Neuroscience Program, Universidade de São Paulo, EPUSP, PTC, São Paulo, SP, Brazil;3. Neural Engineering Research Laboratory, Center for Biomedical Engineering, University of Campinas, Brazil;4. Department of Electronics and Biomedical Engineering, School of Electrical and Computer Engineering, University of Campinas, Brazil;1. Laboratório de Estudos da Motricidade Humana, Av. Generalíssimo deodoro 01, Belém 66073-00, PA, Brazil;2. Instituto de Ciências Exatas e Naturais, Universidade Federal do Pará, R. Augusto Corrêa, 01, Belém 66093-020, PA, Brazil;3. Doctoral and Masters Program in Physical Therapy, UNICID, 448/475 Cesário Galeno St., São Paulo, SP, Brazil;4. Département des Sciences de la Santé, Programme de physiothérapie de l′université McGill offert en extension à l′UQAC, Saguenay, Québec, Canada;5. Physical Therapy and Neuroscience Departments, Wertheims'' Colleges of Nursing and Health Sciences and Medicine, Florida International University (FIU), Miami, FL, United States;6. Centro de Ciências Biológicas e da Saúde, Universidade do Estado do Pará, Tv. Perebebuí, 2623 - Marco, Belém, PA 66087-662, Brazil;7. Laboratório de Cognição Motora, Departamento de Anatomia, Universidade Federal do Pará, Rua Augusto Corrêa 01, Belém 66075-110, PA, Brazil;8. Programa de Pós Graduação em Ciências do Movimento, Universidade Federal do Pará, Av. Generalíssimo deodoro 01, Belém 66073-00, PA, Brazil;9. Departamento de Ciência da Computação, Instituto Federal de São Paulo, Piracicaba, Brazil;10. Instituto de Ciências Biológicas, Universidade Federal do Pará, Rua Augusto Corrêa 01, Belém 66075-110, PA, Brazil
Abstract:BackgroundThe Fullerton Advanced Balance Scale (FAB) is a multi-item balance assessment test designed to measure balance in relatively higher functioning individuals. The aim of this study was to examine the reliability and validity of the Turkish version of the FAB (FAB-T) in children with cerebral palsy (CP).Research questionIs the Turkish version of the Fullerton Advance Balance Scale valid and reliable in determining balance problems in children with cerebral palsy and determining the underlying cause of this condition?MethodsForty-six children with CP participated in this study. Rasch analysis was used to investigate item adherence. Internal consistency of the FAB-T was established using Cronbach's alpha coefficient. Test-retest reliability was also evaluated. In addition, to assess concurrent validity, FAB-T scores were compared with the Pediatric Balance Scale (PBS) using the Spearman correlation coefficient.ResultsThe FAB-T showed satisfactory internal consistency (Cronbach's alpha value=0.94) and excellent test-retest reliability (ICC=0.99). The FAB and the PBS exhibited concurrent positive validity (r = 0.913; p < 0.001). All items of the FAB-T were found to fit the Rasch Model (Chi-square 16.01(df=20), p = 0.716).SignificanceThe FAB-T is a reliable and valid tool that can be used to measure balance skills and to identify the source of the problem in children with CP.
Keywords:Cerebral palsy  Validity  Balance  Diplegia  Hemiplegia
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