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Evaluation of Postural Stability in Children: Current Theories and Assessment Tools
Abstract
Children with many types of motor dysfunction have problems maintaining postural stability. Because maintenance of postural stability is an integral part of all movements, therapists evaluate and treat to improve postural stability in these children. This article reviews current pediatric assessment tools for postural stability and issues affecting testing this construct in children. The tests and measurements are classified according to their testing purpose and the National Center for Medical Rehabilitation Research disablement framework, focusing on the impairment and functional limitation dimensions. Postural stability is defined from a systems perspective with tests related to the sensory, motor, and biomechanical systems described. Reliability and validity information on the measurements is discussed. Relatively few measurements of postural stability in children are available that have acceptable reliability and validity documentation. Suggestions for research on test development in this area are discussed.
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“To date, it is known that children with CP show deficits in anticipatory postural adjustments, 4 -9 and reactive postural adjustments, 10 -12 as well as sensory 4,13 and musculoskeletal components 14,15 of postural control, compared with children with typical development.”
From Exercise interventions improve postural control in children with cerebral palsy: a systematic review (2015) · cites this paper as [13]
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Items 201–216 of 216
Polimiyozit-Dermatomiyozit ve Rehabilitasyonu
Güngör, F. (2024) · doi:10.5152/0413
Reyhan, A. Ç. (2024) · doi:10.5152/0410
Sistemik Skleroz ve Rehabilitasyonu
Karaaslan, T. C. (2024) · doi:10.5152/0406
Ailevi Akdeniz Ateşi ve Rehabilitasyonu
Uzun, N., & Albayrak, A. (2024) · doi:10.5152/0415
Steroid Miyopatisi ve Rehabilitasyonu
Hüseyinsinoğlu, B. E., & Tahran, Ö. (2024) · doi:10.5152/0414
Romatizmal Hastalıklarda Ortezleme
Karaaslan, T. C., & Mustafaoğlu, R. (2024) · doi:10.5152/0417
Fibromiyalji Sendromu ve Rehabilitasyonu
Yılmaz, M. (2024) · doi:10.5152/0412
Ovacık, U. (2024) · doi:10.5152/0404
Romatolojik Hastalıklarda Fizyoterapi ve Rehabilitasyon: Kanıta Dayalı Perspektif
Albayrak, A., YEKDANEH, A. A., Hüseyinsinoğlu, B. E., Cilbir, C. E., Akyürek, E., Kısa, E. P., Türkmen, E., Güngör, F., Kuş, G., Leblebici, G., et al. (2024) · doi:10.5152/0400
Çocukluk Çağı Romatizmaları ve Rehabilitasyonu
Tarakçı, E. (2024) · doi:10.5152/0416
EUCAPA 2026 - Book of Abstracts
European Federation of Adapted Physical Activity (2026) · European Journal of Adapted Physical Activity · doi:10.5507/euj.2026.010
Influence of Foot Morphology on Postural Sway During Childhood
Arippa, F., Leban, B., Porta, M., et al. (2026) · Annals of Biomedical Engineering · doi:10.1007/s10439-026-04251-1
Identifying Children’s Hidden Balance Strategy in mCTSIB using Clustering Techniques
Lapawong, W., Uttama, S., Yingyongsaksri, S., Kunritt, J., & Rueangsirarak, W. (2026) · International Joint Conference on Computer Science and Software Engineering · doi:10.1109/jcsse68839.2026.11596911
“Despite these risks, traditional assessments like the hand-scored P-CTSIB lack the diagnostic precision to identify specific biomechanical breakdowns in the kinetic chain [5].”
Goodwin, M. K. (2015) · SUNScholar (Stellenbosch University)
Weber, M. E. (1999) · Language arts journal of Michigan
Metadata
- Authors
- Westcott, S. L., Lowes, L. P., & Richardson, P. K.
- Affiliations
- Texas Woman's University (US)
- Corresponding author
- Westcott, Sarah L
- ORCID
- Lowes, Linda Pax
- Venue
- Physical Therapy
- Publisher
- Oxford University Press (OUP)
- Published
- 1997-06-01
- Volume
- 77
- Issue
- 6
- Pages
- 629-645
- ISSN
- 0031-9023 (ISSN-L)
- 1538-6724
- OpenAlex
- W2166491219
- Cited by
- 215
- References
- 0
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 24 · 2023: 4 · 2022: 5 · 2021: 8 · 2020: 6 · 2019: 9 · 2018: 10 · 2017: 9 · 2016: 8 · 2015: 19 · 2014: 14 · 2013: 8 · 2012: 11
- FWCI
- 6.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Physical Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Health Sciences › Medicine › Rehabilitation › Cerebral Palsy and Movement Disorders
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- postural stability, children, motor impairment, test reliability, test validity, sensory systems, motor system, biomechanics, test development
- MeSH terms
- Activities of Daily Living, Adolescent, Age Factors, Biomechanical Phenomena, Child, Child, Preschool, Postural Balance, Humans, Infant, Posture, Sensation Disorders, Vestibular Function Tests, Reproducibility of Results, Physical Therapy Modalities
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