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Feasibility and Concurrent Validity of Pediatric Performance-Based Postural Control Subtests Using a Pressure-Sensitive Exergaming Device: A Cross-Sectional Study

Jorn Ockerman, A. van Bladel, Edouard Auvinet, Jelle Saldien, H. Van Waelvelde, Lynn Bar-On

International Journal of Sports Physical Therapy, 2025

Abstract

Background Postural control deficits are common among children with and without disabilities. Performance-based postural control tests provide both quantitative and qualitative insights into the severity of these deficits but are underutilized in clinical practice. Digitizing existing postural control tests could increase their overall implementation. # Purpose This study examined the feasibility and validity of ‘Matti’, a pressure-sensitive device, as a tool for recording simple continuous data for two performance-based postural control subtests: the time in seconds during the One-Board Balance Test (OBBT) and the number of jumps during the Lateral Jump Test (LJT), in typically developing children. # Study Design Cross-sectional study # Methods Both conventional and digitized versions of both the OBBT and LJT were administered. The conventional test condition was rated by an observer, while the digitized version was scored by both an observer and analysis software using Matti’s sensor data. Correlation analyses, comparisons of the mean or median, and Bland-Altman plots were used to assess concurrent validity and level of agreement between conventional and digitized test conditions, as well as between observed and digital outcomes of the digitized test condition. The level of enjoyment between conventional and digital testing was evaluated using a Smiley-o-Meter. # Results Forty-six children (average age 8.98 (±1.04) years, 10 female) participated in this study. Digitized…

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Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.

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