Kinematic Predictors of Performance on the Star Excursion Balance Test

2008 ◽  
Vol 17 (4) ◽  
pp. 347-357 ◽  
Author(s):  
Richard Robinson ◽  
Phillip Gribble
Keyword(s):  
Postural Control ◽  
Athletic Training ◽  
Angular Displacement ◽  
Lower Extremity Function ◽  
Balance Test ◽  
Control Measurement ◽  
Type Design ◽  
Within Subjects ◽  
Star Excursion Balance Test ◽  
Hip Flexion

Context:The Star Excursion Balance Test (SEBT) is composed of 8 reaching directions that are potentially measuring the same functional component, leading to the suggestion that the number of reach directions could be reduced without compromising the assessment of dynamic postural control.Objective:To determine whether the relationship of stance-leg angular displacement on normalized reach distance is a source of dynamic-postural-control measurement redundancy.Design:Single-session within-subjects design.Setting:Athletic training research laboratory.Participants:10 women and 10 men.Interventions:None.Main Outcome Measures:Normalized reach distance and angular displacement at the knee and hip.Results:Stepwise regression revealed that hip flexion and knee flexion, separately and in combination, accounted for 62% to 95% of the variance in reach distances.Conclusion:Similarity in lower extremity function could account for the previously observed measurement redundancy in the SEBT.

scholarly journals Bilateral Improvements in Lower Extremity Function After Unilateral Balance Training in Individuals With Chronic Ankle Instability

2014 ◽  
Vol 49 (2) ◽  
pp. 181-191 ◽  
Author(s):  
Sheri A. Hale ◽  
Andrea Fergus ◽  
Rachel Axmacher ◽  
Kimberly Kiser
Keyword(s):  
Lower Extremity ◽  
Postural Control ◽  
Ankle Instability ◽  
Balance Training ◽  
Chronic Ankle Instability ◽  
Control Group ◽  
Lower Extremity Function ◽  
Balance Test ◽  
Extremity Function ◽  
Star Excursion Balance Test

Context: Bilateral improvements in postural control have been reported among individuals with acute lateral ankle sprains and individuals with chronic ankle instability (CAI) when only the unstable ankle is rehabilitated. We do not know if training the stable ankle will improve function on the unstable side. Objective: To explore the effects of a unilateral balance-training program on bilateral lower extremity balance and function in individuals with CAI when only the stable limb is trained. Design: Cohort study. Setting: University clinical research laboratory. Patients or Other Participants: A total of 34 volunteers (8 men, 26 women; age = 24.32 ± 4.95 years, height = 167.01 ± 9.45 cm, mass = 77.54 ± 23.76 kg) with CAI were assigned to the rehabilitation (n = 17) or control (n = 17) group. Of those, 27 (13 rehabilitation group, 14 control group) completed the study. Intervention(s): Balance training twice weekly for 4 weeks. Main Outcome Measure(s): Foot and Ankle Disability Index (FADI), FADI Sport (FADI-S), Star Excursion Balance Test, and Balance Error Scoring System. Results: The rehabilitation and control groups differed in changes in FADI-S and Star Excursion Balance Test scores over time. Only the rehabilitation group improved in the FADI-S and in the posteromedial and anterior reaches of the Star Excursion Balance Test. Both groups demonstrated improvements in posterolateral reach; however, the rehabilitation group demonstrated greater improvement than the control group. When the groups were combined, participants reported improvements in FADI and FADI-S scores for the unstable ankle but not the stable ankle. Conclusions: Our data suggest training the stable ankle may result in improvements in balance and lower extremity function in the unstable ankle. This further supports the existence of a centrally mediated mechanism in the development of postural-control deficits after injury, as well as improved postural control after rehabilitation.

scholarly journals Sex Differences, Hormone Fluctuations, Ankle Stability, and Dynamic Postural Control

2012 ◽  
Vol 47 (2) ◽  
pp. 143-148 ◽  
Author(s):  
Hayley Ericksen ◽  
Phillip A. Gribble
Keyword(s):  
Menstrual Cycle ◽  
Postural Control ◽  
Repeated Measures ◽  
Balance Test ◽  
Healthy Women ◽  
Ankle Stability ◽  
Ankle Arthrometer ◽  
Main Effect ◽  
Star Excursion Balance Test ◽  
Anterior Posterior

Context: Hormonal fluctuation as a risk factor in anterior cruciate ligament injury has been investigated with conflicting results. However, the influence of hormone fluctuations on ankle laxity and function has not been thoroughly examined. Objective: To examine the potential hormone contributions to ankle laxity and dynamic postural control during the preovulatory and postovulatory phases of the menstrual cycle using an ankle arthrometer and the Star Excursion Balance Test in healthy women. The cohort group consisted of male control participants. Design: Cohort study. Setting: Research laboratory. Patients or Other Participants: Twenty healthy women (age = 23.8 ± 6.50 years, height = 163.88 ± 8.28 cm, mass = 63.08 ± 12.38 kg) and 20 healthy men (age = 23.90 ± 4.15 years, height = 177.07 ± 7.60 cm, mass = 80.57 ± 12.20 kg). Intervention(s): Ankle stability was assessed with anterior-posterior and inversion-eversion loading. Dynamic postural control was assessed with the posteromedial reaching distance of the Star Excursion Balance Test. Main Outcome Measure(s): Female participants used ovulation kits for 3 months to determine the time of ovulation; during their preovulatory and postovulatory phases, they were tested in the laboratory with an ankle arthrometer and the Star Excursion Balance Test. Male participants were tested on similar dates as controls. For each dependent variable, a time by side by sex repeated-measures analysis of variance was performed. Statistical significance was set a priori at P < .05. Results: For anterior-posterior laxity, a side main effect was noted (F1,38 = 10.93, P = .002). For inversion-eversion laxity, a sex main effect was seen (F1,38 = 10.75, P = .002). For the posteromedial reaching task, a sex main effect was demonstrated (F1,38 = 8.72, P = .005). No influences of time on the dependent variables were evident. Conclusions: Although women presented with more ankle inversion-eversion laxity and less dynamic postural control, hormonal fluctuations during the menstrual cycle (preovulatory compared with postovulatory) did not affect ankle laxity or dynamic postural control, 2 factors that are associated with ankle instability.

Postural Control Strategies are Dependent on Reach Direction in the Star Excursion Balance Test

2016 ◽  
Vol 21 (6) ◽  
pp. 33-39 ◽  
Author(s):  
Tyler R. Keith ◽  
Tara A. Condon ◽  
Ayana Phillips ◽  
Patrick O. McKeon ◽  
Deborah L. King
Keyword(s):  
Postural Control ◽  
Center Of Pressure ◽  
Control Strategies ◽  
Reliable Measure ◽  
Balance Test ◽  
Control Center ◽  
Additional Information ◽  
Star Excursion Balance Test ◽  
Anterior Direction

The Star Excursion Balance Test (SEBT) is a valid and reliable measure of dynamic postural control. Center of pressure (COP) behavior during the SEBT could provide additional information about direction-dependent SEBT balance strategies. The purpose of this study was to quantify spatiotemporal COP differences using COP area and velocity among three different SEBT reach directions (anterior, posteromedial, posterolateral). The anterior direction COP velocity was significantly lower than both posterior directions. However, the anterior COP area was significantly greater than posterior. Based on COP behavior, the anterior and posterior reach directions appear to use different postural control strategies on the SEBT.

Influence of Foot Type and Orthotics on Static and Dynamic Postural Control

2004 ◽  
Vol 13 (1) ◽  
pp. 54-66 ◽  
Author(s):  
Lauren C. Olmsted ◽  
Jay Hertel
Keyword(s):  
Postural Control ◽  
Athletic Training ◽  
Outcome Measures ◽  
Repeated Measures ◽  
Center Of Pressure ◽  
Group Interaction ◽  
Force Plate ◽  
Balance Test ◽  
Repeated Measures Design ◽  
Plate Dynamic

Context:The effects of custom-molded foot orthotics on neuromuscular processes are not clearly understood.Objective:To examine these effects on postural control in subjects with different foot types.Design:Between-groups, repeated-measures design.Setting:Athletic training laboratory.Subjects:30 healthy subjects assigned to groups by foot type: planus (n = 11), rectus (n = 12), or cavus (n = 7).Interventions:Custom-fit semirigid orthotics.Main Outcome Measures:Static postural control was measured on a force plate. Dynamic postural control was measured using the Star Excursion Balance Test. Both measurements were assessed with and without orthotics at baseline and 2 weeks later.Results:For static postural control, a significant condition-by-group interaction was found. Subjects with cavus feet had a decreased center-of-pressure velocity while wearing orthotics. For dynamic postural control, a significant condition-by-direction-by-group interaction was found. Subjects with cavus feet had increased reach distances in 3 of 8 directions while wearing orthotics.Conclusions:Custom orthotics were associated with some improvements in static and dynamic postural control in subjects with cavus feet.

The Star Excursion Balance Test: An Update Review and Practical Guidelines

2021 ◽  
pp. 1-9
Author(s):  
Brice Picot ◽  
Romain Terrier ◽  
Nicolas Forestier ◽  
François Fourchet ◽  
Patrick O. McKeon
Keyword(s):  
Postural Control ◽  
Functional Assessment ◽  
Daily Practice ◽  
Lower Limbs ◽  
Balance Test ◽  
Age And Gender ◽  
Practical Guidelines ◽  
Star Excursion Balance Test ◽  
And Gender

The Star Excursion Balance Test (SEBT) is a reliable, responsive, and clinically relevant functional assessment of lower limbs’ dynamic postural control. However, great disparity exists regarding its methodology and the reported outcomes. Large and specific databases from various population (sport, age, and gender) are needed to help clinicians when interpreting SEBT performances in daily practice. Several contributors to SEBT performances in each direction were recently highlighted. The purpose of this clinical commentary is to (a) provide an updated review of the design, implementation, and interpretation of the SEBT and (b) propose guidelines to standardize SEBT procedures for better comparisons across studies.

scholarly journals Laboratory Measures of Postural Control During the Star Excursion Balance Test After Acute First-Time Lateral Ankle Sprain

2015 ◽  
Vol 50 (6) ◽  
pp. 651-664 ◽  
Author(s):  
Cailbhe Doherty ◽  
Chris M. Bleakley ◽  
Jay Hertel ◽  
Brian Caulfield ◽  
John Ryan ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Postural Control ◽  
Ankle Sprain ◽  
Control Group ◽  
Injured Limb ◽  
Balance Test ◽  
Lateral Ankle Sprain ◽  
Lateral Ankle ◽  
Star Excursion Balance Test ◽  
First Time

Context No researchers, to our knowledge, have investigated the immediate postinjury-movement strategies associated with acute first-time lateral ankle sprain (LAS) as quantified by center of pressure (COP) and kinematic analyses during performance of the Star Excursion Balance Test (SEBT). Objective To analyze the kinematic and COP patterns of a group with acute first-time LAS and a noninjured control group during performance of the SEBT. Design Case-control study. Setting University biomechanics laboratory. Patients or Other Participants A total of 81 participants with acute first-time LAS (53 men, 28 women; age = 23.22 ± 4.93 years, height = 1.73 ± 0.09 m, mass = 75.72 ± 13.86 kg) and 19 noninjured controls (15 men, 4 women; age = 22.53 ± 1.68 years, height = 1.74 ± 0.08 m, mass = 71.55 ± 11.31 kg). Intervention Participants performed the anterior (ANT), posterolateral (PL), and posteromedial (PM) reach directions of the SEBT. Main Outcome Measure(s) We assessed 3-dimensional kinematics of the lower extremity joints and associated fractal dimension (FD) of the COP path during performance of the SEBT. Results The LAS group had decreased normalized reach distances in the ANT, PL, and PM directions when compared with the control group on their injured (ANT: 58.16% ± 6.86% versus 64.86% ± 5.99%; PL: 85.64% ± 10.62% versus 101.14% ± 8.39%; PM: 94.89% ± 9.26% versus 107.29 ± 6.02%) and noninjured (ANT: 60.98% ± 6.74% versus 64.76% ± 5.02%; PL: 88.95% ± 11.45% versus 102.36% ± 8.53%; PM: 97.13% ± 8.76% versus 106.62% ± 5.78%) limbs (P < .01). This observation was associated with altered temporal sagittal-plane kinematic profiles throughout each reach attempt and at the point of maximum reach (P < .05). This result was associated with a reduced FD of the COP path for each reach direction on the injured limb only (P < .05). Conclusions Acute first-time LAS was associated with bilateral deficits in postural control, as evidenced by the bilateral reduction in angular displacement of the lower extremity joints and reduced reach distances and FD of the COP path on the injured limb during performance of the SEBT.

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