Interrater Reliability of the Star Excursion Balance Test

Gribble, Phillip A.; Kelly, Shalonda; Refshauge, Kathryn M.; Hiller, Claire E.

doi:10.4085/1062-6050-48.3.03

Cited by 171 publications

(116 citation statements)

References 23 publications

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“…Furthermore, the inter-rater reliability of the HSEBT was high, with ICC values ranging from 0.90 to 0.98. FR inter-rater ICC values between 0.73 and 0.98 have been reported [22,27,28], while SEBT values range from 0.81 to 0.93 [21,24,26,29]. Even though our ICC results showed high HSEBT inter-rater reliability, the repeated measure ANOVA results suggested that in five of the 20 tests at least one rater differed systematically from the other raters ( Table 2).…”

Section: Discussioncontrasting

confidence: 44%

Reliability and Validity of the Hand Reach Star Excursion Balance Test

Eriksrud

Federolf

Sæland

et al. 2017

JFMK

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Abstract:Measuring dynamic postural control and mobility using task-based full-body movements has been advocated. The star excursion balance test (SEBT) is well-established, but it does not elicit large upper body joint movements. Therefore, the hand reach star excursion balance test (HSEBT) was developed. The purpose of the current study was to assess the inter-rater and test-retest reliability and validity of the HSEBT. Twenty-nine healthy male subjects performed ten HSEBT reaches on each leg on four different occasions, led by three different raters. Reach distances were recorded in centimeters and degrees. Then, twenty-eight different healthy males performed the HSEBT while using a standard motion capture system. Reliability was assessed using the intraclass correlation coefficient (ICC) (range 0.77-0.98). Stability of measurement was assessed using the standard error of measurement (SEM) (range 0.3-2.8 cm and 1.7 • -2.6 • ) and coefficient of variation (CV) (range 2.1-14.6%). Change scores were obtained using minimal detectable change (MDC 95 ) (range 0.9-7.9 cm and 4.7 • -7.2 • ). Observed (Max m ) and calculated (Max kin ) maximum hand reach measurements showed good to excellent correlations. Bland Altman analysis established a fixed bias for all tests, which can be partially explained by the kinematic calculations. In conclusion, the HSEBT is a valid and reliable full-body clinical tool for measuring dynamic postural control and functional joint mobility.

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Section: Discussioncontrasting

confidence: 44%

Reliability and Validity of the Hand Reach Star Excursion Balance Test

Eriksrud

Federolf

Sæland

et al. 2017

JFMK

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“…This measurement has been shown to exhibit excellent intrarater and interrater reliability. 9,23 Composite scores were calculated as the average of the individual normalized reach distances for each direction. Side-to-side differences in reach distance (asymmetry) were calculated for each trial in each direction and for the composite score as the absolute difference in reach distance (centimeters) between limbs.…”

mentioning

confidence: 99%

Star Excursion Balance Test Anterior Asymmetry Is Associated With Injury Status in Division I Collegiate Athletes

Stiffler¹,

Bell²,

Sanfilippo³

et al. 2017

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Retrospective cohort. Background Star Excursion Balance Test (SEBT) performance differs by sport in healthy collegiate athletes, and lower extremity injury rates also vary by sport, sex, and athletic exposure. The relationship between SEBT performance and injury risk has not been evaluated with consideration of these additional variables, which may be necessary to fully describe the relationship between SEBT performance and injury risk. Objectives To assess the association between preseason SEBT performance and noncontact injury occurrence to the knee or ankle in Division I collegiate athletes when controlling for sport, sex, and athletic exposure. Methods Star Excursion Balance Test performance, starting status, and injury status were reviewed retrospectively in National Collegiate Athletic Association Division I collegiate athletes from a single institution. A total of 147 athletes were healthy at the time of preseason SEBT testing and either remained healthy (n = 118) or sustained a noncontact injury to the knee or ankle (n = 29) during their sport's subsequent competitive season. Side-to-side asymmetries were calculated in each direction as the absolute difference in reach distance between limbs. Star Excursion Balance Test reach distances and asymmetries were compared between groups using multivariable regression, controlling for sport, sex, and athletic exposure (starter, nonstarter). Receiver operating characteristic curves were used to determine optimal sensitivity and specificity for significant models. Results When controlling for sport, sex, and athletic exposure, SEBT side-to-side asymmetry in the anterior direction, expressed as an absolute or normalized to limb length, discriminated between injured and noninjured athletes (area under the curve greater than 0.82). Conclusion Assessing side-to-side reach asymmetry in the anterior direction of the SEBT may assist in identifying collegiate athletes who are at risk for sustaining noncontact injuries to the knee or ankle. Level of Evidence Prognosis, level 2b. J Orthop Sports Phys Ther 2017;47(5):339–346. Epub 29 Mar 2017. doi:10.2519/jospt.2017.6974

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“…The popularity of the different SEBT protocols is mainly based on their relative low cost and ease of use in comparison to posturographic tests, as well as on their within-session reliability [1,3,[7][8][9] and their applications to injury prevention in clinical, sport, and research settings [10][11][12][13][14][15][16][17]. In this sense, low SEBT scores have been related with several injuries, such as recurrent ankle sprain and chronic instability [13][14][15]18], anterior cruciate ligament injury [11,16,17,19,20], and chronic low-back pain [12].…”

Section: Introductionmentioning

confidence: 99%