scholarly journals Effect of visual feedback on the performance of the star excursion balance test

2019 ◽  
Vol 6 ◽  
pp. 205566831986213 ◽  
Author(s):  
Yi Wan ◽  
Jennifer L Davies ◽  
Kate Button ◽  
Mohammad Al-Amri

Introduction Visual feedback is an effective method to enhance postural and balance control in clinical and sports training. The aim of this study was to explore the effect of real-time visual feedback provided by a video camera on the performance of a dynamic balance test, which is the star excursion balance test in healthy subjects. Methods We compared the performance of the star excursion balance test using the maximum reach distance in 20 healthy participants (10 male and 10 female, 26.8 ± 3.7 years) under two conditions: without feedback and whilst they viewed their movements in real-time on a screen in front of them via a video camera. Results The results showed that real-time visual feedback had a significant effect on maximum reach distance of the star excursion balance test in the posterolateral direction (P < 0.001). There was a non-significant increase in the maximum reach distance in the anterior and posteromedial directions. Conclusion The result indicates that the real-time visual feedback appears to be an effective means for improving the performance of the star excursion balance test in the posterolateral direction, and may be a promising tool for clinical rehabilitation and athlete training to enhance dynamic postural control.

2008 ◽  
Vol 43 (4) ◽  
pp. 347-351 ◽  
Author(s):  
Lisa Hardy ◽  
Kellie Huxel ◽  
Jody Brucker ◽  
Thomas Nesser

Abstract Context: The effects of prophylactic ankle braces on lower extremity functional performance in healthy participants have not been studied extensively. Objective: To determine if prophylactic ankle braces affected multidirectional reach distances during a test of dynamic balance. Design: Crossover. Setting: Laboratory. Patients or Other Participants: Thirty-six healthy, physically active volunteers (18 men, 18 women; age  =  23.6 ± 2.7 years, height  =  173.8 ± 9.3 cm, mass  =  74.4 ± 12.7 kg, reach-leg length  =  91.9 ± 5.1 cm). Intervention(s): Volunteers performed balance testing in 3 conditions: unbraced, while wearing a semirigid ankle brace, and while wearing a lace-up ankle brace. Main Outcome Measure(s): We used the Star Excursion Balance Test, calculating the mean of 3 attempts in 8 directions (anterior, anterior-medial, medial, posterior-medial, posterior, posterior-lateral, lateral, and anterior-lateral), normalized by the participant's reach-leg length. Data were collected after 6 practice attempts for each of the conditions according to a balanced Latin square. Results: Bracing condition had no effect (P &gt; .05) on any of the Star Excursion Balance Test directional measures. The largest mean difference due to bracing was 2.5% between the lace-up brace condition and the control in the posterior reach direction. This indicates that the actual reach differences due to bracing were less than 5.08 cm (2 inches) in length. Conclusions: Clinicians can be confident that the prophylactic use of ankle braces does not disrupt lower extremity dynamic balance during a reaching task in healthy participants.


2018 ◽  
Vol 43 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Faezeh Abbasi ◽  
Mahmood bahramizadeh ◽  
Mohammad Hadadi

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.


Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 402 ◽  
Author(s):  
Juan De la Torre ◽  
Javier Marin ◽  
Marco Polo ◽  
José J. Marín

Balance disorders have a high prevalence among elderly people in developed countries, and falls resulting from balance disorders involve high healthcare costs. Therefore, tools and indicators are necessary to assess the response to treatments. Therefore, the aim of this study is to detect relevant changes through minimal detectable change (MDC) values in patients with balance disorders, specifically with vertigo. A test-retest of a static and dynamic balance test was conducted on 34 healthy young volunteer subjects using a portable stabilometric platform. Afterwards, in order to show the MDC applicability, eight patients diagnosed with balance disorders characterized by vertigo of vestibular origin performed the balance test before and after a treatment, contrasting the results with the assessment by a specialist physician. The balance test consisted of four tasks from the Romberg test for static balance control, assessing dynamic postural balance through the limits of stability (LOS). The results obtained in the test-retest show the reproducibility of the system as being similar to or better than those found in the literature. Regarding the static balance variables with the lowest MDC value, we highlight the average velocity of the center of pressure (COP) in all tasks and the root mean square (RMS), the area, and the mediolateral displacement in soft surface, with eyes closed. In LOS, all COP limits and the average speed of the COP and RMS were highlighted. Of the eight patients assessed, an agreement between the specialist physician and the balance test results exists in six of them, and for two of the patients, the specialist physician reported no progression, whereas the balance test showed worsening. Patients showed changes that exceeded the MDC values, and these changes were correlated with the results reported by the specialist physician. We conclude that (at least for these eight patients) certain variables were sufficiently sensitive to detect changes linked to balance progression. This is intended to improve decision making and individualized patient monitoring.


2018 ◽  
Vol 1 (4) ◽  
pp. 4-13 ◽  
Author(s):  
Alvaro Zamorano ◽  
Jair Burboa ◽  
Diego Cuzmar ◽  
Jose Hun ◽  
Guillermo Robles ◽  
...  

Study Design: Prospective study, simple crossover design. Background: Proprioception is a cornerstone for maintaining joint and postural stability. Dynamic stability is particularly emphasized within these components. This feature is important in the rehabilitation field. Therefore, the quest for elements to improve these values ​​can bring advantages in sports. Objectives: Evaluate if there are advantages in the performance of a Star Excursion Balance Test (SEBT) using Kinesio taping. Methods: We evaluated 10 professional soccer players from the Chilean women’s national team. They were randomly divided into 2 groups. One group had Kinesio taping and their SEBT performance was evaluated. The other group performed the measurements without the use of Kinesio Taping. Afterward, each group performed the evaluation they did not do during the first stage. We then compared the performance achieved with and without the use of Kinesio Taping Results: There were significant differences in the performance achieved by the players who had the SEBT bandage applied in comparison to the players that did no. This was confirmed by using the non-parametric Wilcox test for each of the SEBT positions. Conclusions: Kinesio taping has positive implications in the SEBT. We can extrapolate that its use can improve the dynamic balance and thus become an important pillar in sports rehabilitation.


Author(s):  
Yi-Ching Chen ◽  
Yi-Ying Tsai ◽  
Gwo-Ching Chang ◽  
Ing-Shiou Hwang

Abstract Background Error amplification (EA), virtually magnify task errors in visual feedback, is a potential neurocognitive approach to facilitate motor performance. With regional activities and inter-regional connectivity of electroencephalography (EEG), this study investigated underlying cortical mechanisms associated with improvement of postural balance using EA. Methods Eighteen healthy young participants maintained postural stability on a stabilometer, guided by two visual feedbacks (error amplification (EA) vs. real error (RE)), while stabilometer plate movement and scalp EEG were recorded. Plate dynamics, including root mean square (RMS), sample entropy (SampEn), and mean frequency (MF) were used to characterize behavioral strategies. Regional cortical activity and inter-regional connectivity of EEG sub-bands were characterized to infer neural control with relative power and phase-lag index (PLI), respectively. Results In contrast to RE, EA magnified the errors in the visual feedback to twice its size during stabilometer stance. The results showed that EA led to smaller RMS of postural fluctuations with greater SampEn and MF than RE did. Compared with RE, EA altered cortical organizations with greater regional powers in the mid-frontal cluster (theta, 4–7 Hz), occipital cluster (alpha, 8–12 Hz), and left temporal cluster (beta, 13–35 Hz). In terms of the phase-lag index of EEG between electrode pairs, EA significantly reduced long-range prefrontal-parietal and prefrontal-occipital connectivity of the alpha/beta bands, and the right tempo-parietal connectivity of the theta/alpha bands. Alternatively, EA augmented the fronto-centro-parietal connectivity of the theta/alpha bands, along with the right temporo-frontal and temporo-parietal connectivity of the beta band. Conclusion EA alters postural strategies to improve stance stability on a stabilometer with visual feedback, attributable to enhanced error processing and attentional release for target localization. This study provides supporting neural correlates for the use of virtual reality with EA during balance training.


Retos ◽  
2021 ◽  
Vol 41 ◽  
pp. 756-763
Author(s):  
Waleska Reyes-Ferrada ◽  
Paula Plaza ◽  
Daniel Jerez-Mayorga ◽  
Luis Chirosa-Rios ◽  
Luis Peñailillo

  Slackline challenges balance by walking on a tensioned strap, where the trunk muscles help to maintain or regain balance. This study aimed to compare a cohort of individuals who regularly practiced slackline and physically inactive individuals on core endurance (CE) and dynamic balance (DB) and to determine whether CE is associated with years of slackline practice. Nine individuals (7 men) who practiced slackline regularly (SG; age= 24.5±3.6 years) and nine physically inactive individuals (7 men) (CG; age= 23.2±3.3 years) were compared. CE was assessed with the McGill battery (trunk flexor, extensor, and side-bridge test) and the plank test. DB was measured with the modified star excursion balance test in stable and unstable conditions. The SG maintained a 36.2% and 45% longer time in left lateral bridge (p=.049) and plank (p=.031), respectively, compared to the CG. The distance achieved in the stable DB test was similar between groups, but in unstable condition was 37.8% greater (p=.016) in SG in both legs and 46.6% greater in the non-dominant leg (p=.039) compared to CG. The SG showed a correlation between years of slackline practice and flexor (r=.674; p=.046), right lateral (r=.765; p=.016) and left (r=.730; p=.026) trunk endurance. In conclusion, those who practice slackline maintain a longer time in the plank and left lateral bridge test and achieve a higher reach distance in unstable DB compared to physically inactive individuals who do not practice slackline. Resumen. El slackline desafía el equilibrio al caminar sobre una cinta en tensión, donde los músculos del tronco ayudan a mantener o recuperar el equilibrio. El objetivo de este estudio fue comparar individuos que practicaban slackline e individuos inactivos fisicamente (IF) en resistencia del core (RC) y equilibrio dinámico (ED), y conocer si la RC se asocia a los años de practica de slackline. Nueve individuos (7 hombres) que practicaban slackline regularmente (GS; edad= 24.5±3.6 años) y nueve individuos IF (7 hombres) (GC; edad= 23.2±3.3 años) fueron comparados. La RC se evaluó con la bateria de McGill (prueba de flexores y extensores de tronco y puente lateral) y la prueba de la plancha. El ED se midió con la prueba de excursión de la estrella modificada en condiciones estables e inestables. El GS mantuvo un tiempo 36.2% y 45% mayor en puente lateral izquierdo (p=.049) y plancha (p=.031) respectivamente comparado con el GC. La distancia alcanzada en la prueba de ED estable fue similar entre grupos, pero en condición inestable fue 37.8% mayor (p=.016) en GS en ambas piernas y 46.6% mayor en la pierna no dominante (p=.039) comparado al GC. El GS mostró una correlación entre años de práctica de slackline y resistencia flexora (r=.674; p=.046), lateral derecha (r=.765; p=.016) e izquierda (r=.730; p=.026) de tronco. En conclusión, quienes practican slackline mantienen un tiempo mayor la prueba de la plancha y puente lateral izquierdo y logran un mayor alcance en ED inestable comparados con individuos IF que no lo practican.


2021 ◽  
pp. 14-16
Author(s):  
Harsha Khilnani ◽  
Priti Mehendale (PT)

Aim of the study- To compare the dynamic balance in young females with normal Body Mass Index (B.M.I.) with and without hamstring tightness. Method- It was a cross-sectional, comparative study. 22 young females were included in the study. Hamstring tightness was assessed using the Active Knee Extension (AKE) Test and based on the values; subjects were divided into 2 groups- Group A (with tightness) and Group B (without tightness). Star Excursion Balance Test (SEBT) was used to assess the dynamic balance in subjects from both groups. The data was analysed results were compared using appropriate statistical tools. The study showed that st Result- ar excursion balance test values were more in the group without tightness (p-value <0.0012) as compared to the group with tightness. Dynamic balance as Conclusion- measured by star excursion balance test is better in subjects without hamstring tightness as compared to subjects with hamstring tightness.


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