A systematic review and meta-analysis of outcome measures to assess coordination among children

Nidhi Sharma1, Manu Goyal1, Adarsh Kumar Srivastav2

  • 1Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana-133207, Ambala, Haryana, India.

Insights

This study evaluated coordination outcome measures for children aged 4-17, finding the Korperkoordinationtests fur Kinder (KTK) to have excellent quality, though other measures need improved psychometric properties for reliable use.

Area of Science:

  • Pediatric motor development
  • Clinical outcome assessment
  • Psychometric evaluation

Background:

  • Coordination assessment is crucial for clinical and research applications in children.
  • Selecting appropriate outcome measures requires understanding their psychometric properties.

Purpose of the Study:

  • To systematically review and evaluate coordination outcome measures for children aged 4-17 years.
  • To assess the psychometric properties of available coordination assessment tools.

Main Methods:

  • Conducted a comprehensive literature search across multiple databases (PubMed/Medline, Scopus, Cochrane, Ovid-SP, PEDro) from inception to August 2021.
  • Included experimental studies in English focusing on children and coordination.
  • Utilized an adapted COSMIN checklist for psychometric evaluation and assessed study quality using risk of bias, Level of Evidence, Grades, and PEDro scores.

Main Results:

  • 12 trials were included from 1082 screened articles, with gross motor coordination frequently assessed.
  • Meta-analysis of the Korperkoordinationtests fur Kinder (KTK) indicated high heterogeneity (I² = 93%).
  • Outcome measures demonstrated high reliability (93%) but limited criterion validity (46%) and moderate responsiveness (73%).

Conclusions:

  • The KTK exhibited excellent methodological quality compared to other measures.
  • Many coordination outcome measures possess limitations in their psychometric properties.
  • There is a need for the development and refinement of coordination scales with superior psychometric properties for pediatric populations (4-17 years).
Abstract