Annals of Neurology Journal - May 2012 - (Page 652k)
Supplemental content for: Validation of the Charcot–Marie–Tooth Disease Pediatric Scale as an Outcome Measure of Disability (642–652)
Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2) (NCS Pearson, Upper Saddle River, NJ, USA): Balance subtest.
Background/Purpose: The BOT-2 is an individually administered test that uses engaging, goal-directed activities to measure a wide array of motor skills in individuals <21 years. We are using the BOT-2 subtest of balance. Tests of standing and walking balance include: standing with feet apart on a line (eyes open/closed); walking forward on a line and walking forward heel-to-toe on a line; standing on one leg on a line (eyes open/closed); standing on one leg on a balance beam (eyes open/closed); and standing heel-totoe on a balance beam.16 The BOT-2 incorporates age-equivalent normative data and is regarded as a reliable and valid measure of motor ability.17 Course set-up
General Directions Perform using the portion of the running course from the ‘examiner throwing line’ to the ‘end line’ and the target on the wall (see diagram above). Place the target on the wall at the appropriate level for the child’s height, with the bottom of the target at the examiner’s eye level. For items using the balance beam, place the beam at the ‘end line’. For each item, conduct a second trial only if the child does not earn the maximum score on their first trial. Before administering each item, teach the task to the child using verbal and non-verbal directions as necessary to ensure the child’s understanding of the task. Tests should be performed barefoot and without an assistive device. If assistive devices are required (e.g. AFO) they should be clearly documented with footwear details, and repeated at follow-up. For those unable to perform Balance due to CMT severity, score 0 Points. See over the page for BOT-2 Balance Subtest Instructions:
J Burns et al and the Inherited Neuropathies Consortium 2011
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