Performance Differences Between the Modified Star Excursion Balance Test and the Y-Balance Test in Individuals With Chronic Ankle Instability

2020 ◽  
Vol 29 (6) ◽  
pp. 748-753
Author(s):  
Jupil Ko ◽  
Erik Wikstrom ◽  
Yumeng Li ◽  
Michelle Weber ◽  
Cathleen N. Brown
Keyword(s):  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
Balance Test ◽  
Cross Sectional ◽  
Performance Differences ◽  
Movement Strategy ◽  
History Of ◽  
Star Excursion Balance Test ◽  
Dynamic Postural Stability ◽  
Cumberland Ankle Instability Tool

Context: The modified Star Excursion Balance Test (mSEBT) and Y-Balance Test (YBT) are common dynamic postural stability assessments for individuals with chronic ankle instability (CAI). However, the reach distance measurement technique and movement strategy used during the mSEBT and YBT differ. To date, no studies have compared task performance differences on these tests in CAI patients. Objective: To determine whether individuals with CAI perform the mSEBT and YBT differently. Design: Cross-sectional. Setting: Biomechanics laboratory. Participants: Of 97 consented participants, 86 (43 females, 43 males; age 21.5 [3.3] y, height 169.8 [10.3] cm, mass 69.5 [13.4] kg), who reported ≤25 on the Cumberland Ankle Instability Tool, ≥11 on the Identification of Functional Ankle Instability, and had a history of a moderate to severe ankle sprain(s) participated. Interventions: Participants were instructed to perform the mSEBT and YBT in a predetermined counterbalanced order. Three anterior, posteromedial, and posterolateral trials of each test were completed on the involved limb after 4 practice trials. Test direction order was randomized for each participant. Main Outcome Measures: Normalized (expressed in percentage) reach distance in each direction. Paired sample t tests were performed to compare each of the 3 directions between the mSEBT and YBT. Results: Significantly shorter reach distances in the anterior (58.9% [5.8%] vs 61.4% [5.4%], P = .001) and the posteromedial (98.8% [8.6%] vs 100.8% [8.1%], P = .003) directions were noted on the mSEBT relative to the YBT. No differences in the posterolateral directions were observed. Conclusions: Within those with CAI, mSEBT and YBT normalized reach distances differ in the anterior and posteriomedial directions. As a result, clinicians and researchers should not directly compare the results of these tests.

scholarly journals Short-Term Effects of Balance Training with Stroboscopic Vision for Patients with Chronic Ankle Instability: A Single-Blinded Randomized Controlled Trial

2021 ◽  
Vol 18 (10) ◽  
pp. 5364
Author(s):  
Kyung-Min Kim ◽  
María D. Estudillo-Martínez ◽  
Yolanda Castellote-Caballero ◽  
Alejandro Estepa-Gallego ◽  
David Cruz-Díaz
Keyword(s):  
Randomized Controlled Trial ◽  
Outcome Measures ◽  
Ankle Instability ◽  
Controlled Trial ◽  
Balance Training ◽  
Chronic Ankle Instability ◽  
Balance Test ◽  
Training Groups ◽  
Randomized Controlled ◽  
Star Excursion Balance Test

Chronic Ankle Instability (CAI) is one of the most common musculoskeletal dysfunctions. Stroboscopic vision (SV) training has been deemed to enhance somatosensorial pathways in this population group; nevertheless, until recently no studies have addressed the additional effects of this treatment option to the traditional therapeutic approach. Methods: To evaluate the effectiveness of a partial visual deprivation training protocol in patients with CAI, a randomized controlled trial was carried out. Patients with CAI (n = 73) were randomized into either a balance training, SV training, or a control (no training) group. For participants assigned into training groups, they received 18 training sessions over 6 weeks. The primary outcome was dynamic balance as measured by the Star Excursion Balance Test assessed at baseline and after 6 weeks of intervention. Secondary outcome measures included ankle dorsiflexion range of motion, self-reported instability feeling, and ankle functional status. Results: Better scores in stroboscopic training and balance training groups in all outcome measures were observed in comparison with the control group with moderate to large effect sizes. Stroboscopic training was more effective than neuromuscular training in self-reported instability feeling (cohen’s d = 0.71; p = 0.042) and anterior reach distance of the star excursion balance test (cohen’s d = 1.23; p = 0.001). Conclusions: Preliminary findings from the effects of SV Stroboscopic training in patients with CAI, suggest that SV may be beneficial in CAI rehabilitation.

Comparison of the effect of foot orthoses on Star Excursion Balance Test performance in patients with chronic ankle instability

2018 ◽  
Vol 43 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Faezeh Abbasi ◽  
Mahmood bahramizadeh ◽  
Mohammad Hadadi
Keyword(s):  
Ankle Sprain ◽  
Ankle Instability ◽  
Dynamic Balance ◽  
Chronic Ankle Instability ◽  
Textured Surface ◽  
Foot Orthoses ◽  
Textured Surfaces ◽  
Balance Test ◽  
Star Excursion Balance Test ◽  
Foot Orthosis

Background: Chronic ankle instability as a prevalent consequence of ankle sprain causes various impairments such as balance and postural control deficits. Foot orthoses are one of the common interventions for rehabilitation of patients with chronic ankle instability. Objectives: To investigate the effect of custom-molded foot orthoses with textured surfaces on dynamic balance of chronic ankle instability patients and to compare their effects with other types of foot orthoses. Study design: This is a repeated measure design. Methods: A total of 30 participants were recruited based on the guideline introduced by the International Ankle Consortium. The effect of prefabricated, custom-molded, and custom-molded with textured surface foot orthoses was evaluated on dynamic balance by the Star Excursion Balance Test. Normalized reach distances in anteromedial, medial, and posteromedial directions of the test were computed to be used for statistical analysis. Results: The foot orthoses increased reach distances compared to the no-orthosis conditions in all three directions. The custom-molded with textured surface foot orthosis has significant differences compared with prefabricated foot orthosis ( p = 0.001) in all measured directions and with custom-molded foot orthosis ( p < 0.01) in medial and posteromedial directions. Conclusion: Foot orthoses improve reach distances in patients with chronic ankle instability. Custom-molded with textured surface foot orthosis has a more pronounced effect compared with other foot orthoses. Clinical relevance The custom-molded foot orthosis with textured surface could be an effective device to improve dynamic balance in chronic ankle instability (CAI) patients. It may be considered as an efficient intervention to reduce ankle sprain recurrence in these individuals, although further research should be conducted.

scholarly journals PREVALENSI KEJADIAN CHRONIC ANKLE INSTABILITY PADA ATLET BASKET SMA DI KABUPATEN BADUNG

2020 ◽  
Vol 8 (1) ◽  
pp. 11
Author(s):  
Vimala Krishna Prasada ◽  
Ni Wayan Tianing ◽  
Putu Ayu Sita Saraswati ◽  
I Wayan Gede Sutadarma
Keyword(s):  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Sprain Ankle ◽  
Cumberland Ankle Instability Tool

Cedera pergelangan kaki (ankle) merupakan cedera yang paling sering dialami oleh atlet basket, dan sprain pada ligamen bagian lateral merupakan diagnosis yang paling umum. Hal tersebut dapat menyebabkan seorang atlet mengalami chronic ankle instability (CAI). Kondisi ini ditandai dengan adanya cedera berulang dan perasaan goyang pada pergelangan kaki. Tujuan dari penelitian ini adalah untuk mengetahui prevalensi kejadian chronic ankle instability pada atlet basket SMA di Kabupaten Badung. Penelitian ini merupakan penelitian deskriptif cross-sectional yang dilakukan pada bulan Maret hingga Mei 2019. Pengambilan sampel menggunakan teknik purposive sampling dengan jumlah sampel sebanyak 162 orang. Kuisioner Cumberland Ankle Instability Tool digunakan untuk menentukan responden yang mengalami CAI. Faktor lain seperti jenis kelamin, indeks massa tubuh (IMT), riwayat cedera sprain ankle,  dan ada atau tidaknya perawatan medis pasca cedera sprain ankle juga dicatat pada penelitian ini. Hasil penelitian menunjukan prevalensi kejadian chronic ankle instability sebanyak 51,2%. Responden dengan jenis kelamin laki-laki, IMT overweight, memiliki riwayat sprain ankle dan memperoleh penanganan medis pasca mengalami cedera sprain ankle memiliki kecenderungan yang lebih besar untuk mengalami CAI. Kata Kunci: Chronic Ankle Instability, Atlet Basket SMA

Dynamic Leap and Balance Test: Ability to Discriminate Balance Deficits in Individuals With Chronic Ankle Instability

2020 ◽  
Vol 29 (3) ◽  
pp. 263-270 ◽  
Author(s):  
Abbis H. Jaffri ◽  
Thomas M. Newman ◽  
Brent I. Smith ◽  
Giampietro L. Vairo ◽  
Craig R. Denegar ◽  
...  
Keyword(s):  
Dynamic Stability ◽  
Healthy Subjects ◽  
Ankle Instability ◽  
Dynamic Balance ◽  
Chronic Ankle Instability ◽  
Assessment Tools ◽  
Balance Test ◽  
Balance Task ◽  
History Of ◽  
Base Of Support

Context: The Dynamic Leap Balance Test (DLBT) is a new dynamic balance task that requires serial changes in base of support with alternating limb support and recovery of dynamic stability, as compared with the Y modification of the Star Excursion Balance Test (Y-SEBT), which assesses dynamic stability over an unchanging base of support. Objectives: To assess the dynamic balance performance in 2 different types of dynamic balance tasks, the DLBT and the SEBT, in subjects with unilateral chronic ankle instability (CAI) when compared with matched controls. The authors hypothesized that the DLBT score would significantly differ between the CAI involved and uninvolved limbs (contralateral and healthy matched) and demonstrate a modest (r = .50) association with the SEBT scores. Design: Case-control. Setting: Controlled laboratory. Participants: A total of 36 physically active adults, 18 with history of unilateral CAI and 18 without history of ankle injury, were enrolled in the study. CAI subjects were identified using the Identification of Functional Ankle Instability questionnaire. Interventions: The DLBT and the SEBT were performed in a randomized order on a randomly selected limb in CAI and healthy subjects. Main Outcome Measures: Time taken to complete the DLBT and the reach distances performed on the SEBT were compared between the CAI and the healthy subjects. Results: There were no statistically significant differences (P < .05) in SEBT reach distances between groups. The DLBT time was greater (P < .01) for unstable ankles compared with the stable ankle. The authors found no correlation (P > .05) between DLBT time and any of the SEBT reach distances suggesting that the DLBT provides unique information in the assessment of patients with CAI. Conclusion: The DLBT challenges the ability to maintain postural control in CAI subjects differently than the SEBT. There is a need of more dynamic balance assessment tools that are functional and clinically relevant.

scholarly journals PENAMBAHAN CORE STABILITY PADA STAR EXCURSION BALANCE EXERCISE LEBIH MENINGKATKAN KESEIMBANGAN DINAMIS DAN MENURUNKAN FUNGSIONAL ANKLE INSTABILITAS DARIPADA STAR EXCURSION BALANCE EXERCISE PADA BELA DIRI TAEKWONDO

2020 ◽  
Vol 8 (3) ◽  
pp. 164
Author(s):  
Anak Agung Gede Eka Septian Utama ◽  
Putu Astawa ◽  
Muh. Ali Imron ◽  
Tjokorda Gde Bagus Mahadewa ◽  
Bagus Komang Satriyasa ◽  
...  
Keyword(s):  
Ankle Instability ◽  
Core Stability ◽  
Control Group ◽  
Control Group Design ◽  
Balance Test ◽  
Group Design ◽  
Balance Exercise ◽  
Star Excursion Balance Test ◽  
Cumberland Ankle Instability Tool

Latar belakang: Taekwondo merupakan bela diri yang banyak menggunakan anggota gerak bawah terutama pergelangan kaki sehingga sering terjadi fungsional ankle instabilitas (FAI). FAI terjadi akibat adanya gangguan dari postural kontrol, keseimbangan dinamis dan fungsi otot. Salah satu latihan yang dapat dipergunakan adalah star excursion balance exercise, namun masih ada kekurangan dalam kontrol postural akibat tidak terjadi aktivasi otot core untuk pembentukan postural stabilisasi. Tujuan: Untuk membuktikan penambahan core stability pada star excursion balance exercise lebih meningkatkan keseimbangan dinamis dan menurunkan fungsional ankle instabilitas daripada star excursion balance exercise pada bela diri taekwondo. Metode: Rancangan penelitian ini adalah randomized pretest-postest control group design, Kelompok 1 mendapatkan star excursion balance exercise dan Kelompok  2  mendapatkan core stability dan star excursion balance exercise. Fungsional ankle instabilitas diukur menggunakan cumberland ankle instability tool (CAIT) dan keseimbangan dinamis menggunakan star excursion balance test (SEBT). Dilakukan 3 kali seminggu selama 6 minggu. Hasil: Peningkatan SEBT sebelum pelatihan pada Kelompok  1 sebesar 86,4±6,3 cm, setelah pelatihan sebesar 92,3±6,7cm dan pada Kelompok 2 sebelum sebesar 86,2±6,1 cm, setelah pelatihan sebesar 96,7±7,9 cm.  Penurunan fungsional ankle instabilitas dari peningkatan nilai CAIT sebelum pelatihan pada Kelompok 1 sebesar 20,4±1,8, setelah pelatihan sebesar 23,4±2,1 dan pada Kelompok 2 sebelum sebesar 20,3±2,8, setelah pelatihan sebesar 25,0±1,9. Perbedaan peningkatan keseimbangan dinamis pada Kelompok 1 dan 2 bermakna (p<0,05). Perbedaan penurunan FAI pada Kelompok 1 dan 2 bermakna (p<0,05). Kesimpulan: Penambahan core stability pada star excursion balance exercise lebih meningkatkan keseimbangan dinamis dan menurunkan fungsional ankle instabilitas daripada star excursion balance exercise pada bela diri taekwondo.   Kata kunci: fungsional ankle instabilitas, keseimbangan dinamis, star excursion balance exercise, core stability.

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