The Reliability of the Star Excursion Balance Test and Lower Quarter Y-Balance Test in Healthy Adults: A Systematic Review

Powden, Cameron J.; Dodds, Teralyn K.; Gabriel, Emily

doi:10.26603/ijspt20190683

Cited by 119 publications

(105 citation statements)

References 24 publications

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“…In the exercise group, the YBT anterior score increased from (69.1; IQR = 8. ; IQR = 6.3; p-value = 0.014) among football players in the exercise group. However, the changes were lower than Minimal Detection Changes (MDC) which were obtained on previous study (ANT-5.87%, PM-7.84%, PL-7.55%) [56].…”

Section: Secondary Outcomecontrasting

confidence: 66%

“…The right lower limb reach distance for the ANT, PM, and COM directions after the exercise program increased (4.5%, 5.7%, 5.7%, respectively) and for the left limb for ANT direction (3.6%) in the exercise group at post-training. However, the changes were not considered as true change and clinically meaningful change because this change was lower than the Minimal Detection Change (MDC) which were obtained in a previous study (ANT—5.87%, PM—7.84%) [ 56 ]. According to the available literature from scientific databases, there is no MDC data for composite at YBT.…”

Section: Discussionmentioning

confidence: 99%

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Impact of Three Strengthening Exercises on Dynamic Knee Valgus and Balance with Poor Knee Control among Young Football Players: A Randomized Controlled Trial

2021

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The observed dynamic knee valgus and the limited dynamic balance described in the literature are modifiable risk factors for injuries in athletes. Therefore, identification and appropriate prevention are crucial in managing the development of young athletes. The aim of the study was to assess the effectiveness of three exercises strengthening the muscles: gluteal medius, popliteal and tibialis posterior to reduce dynamic knee valgus and improve the dynamic balance of the lower limbs in young football players with poor knee control. A total of 134 footballers were assessed for eligibility, and finally 45 participants (age 12–15) met the inclusion criteria. Participants were assessed with 2D video kinematic analysis during single-leg squats to assess the knee valgus angles and the dynamic balance (Y-Balance Test). No significant interactions between groups (Control and Exercise) and time (baseline and after 6 week) were noted for dynamic valgus for the left and right knee (p > 0.05). For the dynamic balance, there were statistically significant results, but not clinically relevant for anterior, posteromedial, and composite direction for the right lower limbs and for the anterior direction for left lower limbs in the exercise group. However, there were no significant differences (p > 0.05) in all of the YBT scores for both lower limbs between groups. This study demonstrated that there were no statistically significant differences in dynamic knee valgus angles and dynamic balance values after 6 weeks of exercise program in young footballers with poor knee control. Future randomized trials should focus on more comprehensive exercises, where possible using biofeedback methods to improve knee kinematics.

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Section: Secondary Outcomecontrasting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Impact of Three Strengthening Exercises on Dynamic Knee Valgus and Balance with Poor Knee Control among Young Football Players: A Randomized Controlled Trial

2021

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“…SEBT has previously been shown to be a reliable measure and has been validated for use as a dynamic test for predicting the risk of lower limb injury [ 33 ]. Furthermore, the results of a recent systematic review showed that the SEBT has great inter- and intra-rater reliability [ 34 ]. The SEBT consists of eight-line grids, extending from the center point, with 45 degree angles between them.…”

Section: Methodsmentioning

confidence: 99%

Predicting Injury Status in Adolescent Dancers Involved in Different Dance Styles: A Prospective Study

et al. 2020

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The positive effects of dance on health indices in youth are widely recognized, but participation in dance is accompanied with a certain risk of injury. This prospective study aimed to investigate injury occurrence and to evaluate the possible influences of specific predictors on the occurrence of musculoskeletal problems and injuries in adolescent dancers. Participants were 126 dancers (21 males; 11–18 years), who were competitors in the urban dance, rock and roll, and standard/Latin dance genres. Predictors included sociodemographic factors, anthropometric/body build indices, sport (dance) factors, and dynamic balance. The outcome variable was injury status, and this was evaluated by the Oslo Sports Trauma Research Centre Overuse Injury Questionnaire (OSTRC). Predictors were evaluated at baseline, and outcomes were continuously monitored during the study period of 3 months. During the study course, 53% of dancers reported the occurrence of a musculoskeletal problem/injury, and dancers suffered from an average of 0.72 injuries over the study period (95% CI: 0.28–1.41), giving a yearly injury rate of 280%. Gender and dance styles were not significantly related to the occurrence of injury. Higher risk for injury was evidenced in older and more experienced dancers. Dynamic balance, as measured by the Star Excursion Balance Test (SEBT), was a significant protective factor of injury occurrence, irrespective of age/experience in dance. Knowing the simplicity and applicability of the SEBT, continuous monitoring of dynamic balance in adolescent dancers is encouraged. In order to prevent the occurrence of musculoskeletal problems/injuries in youth dancers, we suggest the incorporation of specific interventions aimed at improving dynamic balance.

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“…20 Equal halves of the length and width of the test foot were positioned in each quadrant of the SEBT and marked to ensure accurate repositioning between trials. 34 Participants performed maximal reaches with the uninvolved limb followed by a single, light toe-touch on the tape measure. A trial was discarded if the participant’s hands did not remain on her hips, stance foot position or heel contact was not maintained, or balance was lost.…”

Section: Methodsmentioning

confidence: 99%

Acute Effects of Increased Joint Mobilization Treatment Duration on Ankle Function and Dynamic Postural Control in Female Athletes With Chronic Ankle Instability

Holland

Hughes

Croix

2020

Orthopaedic Journal of Sports Medicine

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Background: Chronic ankle instability (CAI) is linked to mechanical and functional insufficiencies. Joint mobilization is purported to be effective at treating these deficits. Purpose: To examine the effect of different treatment durations of a grade IV anterior-to-posterior ankle joint mobilization on weightbearing dorsiflexion range of motion (WB-DFROM), posterior talar glide (PG), and dynamic postural control in individuals with CAI. Study Design: Controlled laboratory study. Methods: A total of 48 female athletes (mean age, 22.8 ± 4.8 years) with unilateral CAI participated in this study. Participants were randomly assigned to 1 of 3 treatment conditions: 30 seconds, 60 seconds, and 120 seconds. Treatment was provided to the injured limb on 3 separate occasions 48 hours apart and consisted of a Maitland grade IV anterior-to-posterior talar joint mobilization based on the participant’s initial group assignment. WB-DFROM; PG; and the anterior (ANT), posteromedial (PM), and posterolateral (PL) reach directions of the Star Excursion Balance Test were measured bilaterally before and after each treatment. The uninjured limb acted as a control. Data were analyzed using 2-way mixed-model analyses of variance, and effect sizes were calculated through use of Hedges g. Results: Significant differences were detected after all treatment sessions for all outcome measures ( P ≤ .001) and between treatment groups after sessions 1, 2, and 3 for all outcome measures ( P ≤ .001). Effect sizes were very large or huge for all treatment groups for WB-DFROM, PG, and ANT reach direction. Substantial variation was found in effect sizes for PM and PL measures. Conclusion: Accessory mobilization is an effective treatment to induce acute changes in ankle motion and dynamic postural control in patients with CAI, with longer treatment durations conferring greater improvements. Clinical Relevance: This study adds clarity to the use of joint mobilization treatments and will add to the current clinical practice strategy for patients with CAI.

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The Reliability of the Star Excursion Balance Test and Lower Quarter Y-Balance Test in Healthy Adults: A Systematic Review

Cited by 119 publications

References 24 publications

Impact of Three Strengthening Exercises on Dynamic Knee Valgus and Balance with Poor Knee Control among Young Football Players: A Randomized Controlled Trial

Impact of Three Strengthening Exercises on Dynamic Knee Valgus and Balance with Poor Knee Control among Young Football Players: A Randomized Controlled Trial

Predicting Injury Status in Adolescent Dancers Involved in Different Dance Styles: A Prospective Study

Acute Effects of Increased Joint Mobilization Treatment Duration on Ankle Function and Dynamic Postural Control in Female Athletes With Chronic Ankle Instability

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