Ankle range of motion and dynamic balance in recreational Sepak Takraw players with and without ankle injury - a comparative study

Background and Study Aim. Sepak Takraw (ST) is considered Malaysia's national sport, and the nature of this sport requires players to be sufficiently acrobatic. Therefore, players were expected to jump and regain their balance, challenging their dynamic balance (DB). Nonetheless, range of motion (ROM) is closely related to balance. Hence, this study aimed to compare recreational ST players' ankle ROM and DB differences with and without ankle injuries. Material and Methods. The cross-sectional study in which 30 participants were assigned purposively according to players with an ankle injury (n=15) and without ankle injury (n=15) based on the position statement of the International Ankle Consortium (IAC). One time ankle Range of Motion and Dynamic balance was measured using a universal goniometer and Star Excursion Balance Test (SEBT), respectively, for both groups. Results. Independent T-test was performed to identify the significant differences (p<0.05) of SEBT and ROM between the non-injured leg and injured leg within the injured group to the non-injured group. Ankle eversion and dorsiflexion between the injured and non-injured groups did not show any significant difference with p=0.35 & p=0.53, respectively. As for SEBT, only posteromedial and medial of the injured leg did not show a significant difference p>0.05. All other ankles ROM and the SEBT score demonstrated a statistically significant difference p<0.05. Conclusions. ROM and DB training/rehabilitation should be incorporated to all the injured group ST sports players regardless of which leg is affected to optimize ankle function and the game performance.

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Investigating the Range of Motion and Balance Symmetry Between the Dominant and Non-dominant Arms in the Classic Female Wrestlers

Journal of Modern Rehabilitation ◽

10.18502/jmr.v14i2.7705 ◽

2021 ◽

Author(s):

Parisa Sayyadi ◽

Rahman Sheikhhoseini

Keyword(s):

Range Of Motion ◽

External Rotation ◽

Dynamic Balance ◽

Cross Sectional Study ◽

Upper Extremities ◽

Lateral Direction ◽

Balance Test ◽

Cross Sectional ◽

Significant Difference ◽

Better Than

Introduction: The purpose of this study was to investigate the Range of Motion (ROM) and balance symmetry between dominant and non-dominant arms in classic female wrestlers. Materials and Methods: In this cross-sectional study, 13 members of the Iranian Women’s National Classic Wrestling Team participated voluntarily. The shoulder ROM was measured by a goniometer and dynamic balance was assessed by the Y-balance test. Data analysis was done by running a paired t-test, with a 0.95 confidence level (α<0.05). Results: There was no significant difference between dominant and non-dominant upper extremities in flexion (P=0.162), extension (P=0.264), abduction (P=0.077), internal rotation (P=0.972), and external rotation (0.945). A significant difference was found in the Y-balance test in medial (P=0.026) and inferior-lateral directions (P=0.047), but no significant difference in superior-lateral direction (P=0.715) and composite score (P=0.071). Conclusion: Based on the results, it seems that the balance in the dominant arm is better than that in non-dominant arm in the athletes so the non-dominant arm may be at more risk for injury development. We, therefore, recommend that the coaches and trainers pay particular attention to these findings in designing the injury prevention programs.

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Comparison of Plantar Sensitivity, Dynamic Balance, and Lower Extremity Joint Range of Motion Between Experienced Female Ballet Dancers and Female Non-Dancing Athletes: A Cross-Sectional Study

Journal of Dance Medicine & Science ◽

10.12678/1089-313x.121521c ◽

2021 ◽

Author(s):

Martin Alfuth ◽

Julia Luetkecosmann ◽

Axel Knicker

Keyword(s):

Range Of Motion ◽

Dynamic Balance ◽

Metatarsal Head ◽

Cross Sectional Study ◽

Balance Test ◽

Cross Sectional ◽

Ballet Dancers ◽

Joint Range Of Motion ◽

Joint Range ◽

Experienced Female

Objectives: Ballet dancers may increasingly use plantar sensory feedback to control foot position and movement during dance activities. Balance and joint range of motion (ROM) are important factors in ballet and may be related to plantar sensation in ballet dancers. Data on related functions of female ballet dancers compared to female non-dancing athletes are sparse. The aims of the study were twofold: 1. the relationships between plantar sensitivity and dynamic balance as well as between joint ROM and dynamic balance were determined in experienced female ballet dancers and female non-dancing athletes; and 2. the differences of plantar sensation, joint ROM of the lower limb, and dynamic balance between experienced female ballet dancers and female non-dancing athletes were investigated.Study Design: In this cross-sectional study, 21 subjects (11 experienced female ballet dancers and 10 female non-dancing athletes; median age: 23, range: 11 years; median body height: 1.7 m, range: 0.2 m; median body mass: 59 kg, range: 36 kg) were included. Plantar sensitivity was determined by Semmes-Weinstein monofilaments, active ranges of motion of the hip, knee, and ankle joints were measured using a goniometer and dynamic balance was assessed by the Y-Balance test. Correlations between outcome measures were determined in both groups. Outcome measures were compared between ballet dancers and non-dancing athletes using parametric or non-parametric statistical tests (α = 0.5).Results: For the fifth metatarsal head and the heel, higher correlations between plantar sensitivity and Y-Balance test scores in non-dancing athletes compared to ballet dancers were found. Higher correlations between joint ROM and Y-Balance test scores were determined for certain movements in non-dancing athletes compared to ballet dancers. A significantly lower cutaneous threshold was only found for the fifth metatarsal head in ballet dancers compared to non-ballet dancers (p < 0.05). Range of motion was significantly higher in ballet dancers for almost all movements (p < 0.05). Ballet dancers showed significantly higher normalized scores of the Y-Balance test (p ≤ .001).Conclusions: Results of correlation analyses may indicate that non-dancing athletes increasingly must rely on plantar sensation of the fifth metatarsal head and the heel while maintaining dynamic balance compared to ballet dancers, especially in posterolateral direction of the Y-Balance test. Active joint range of motion of the lower extremity and dynamic balance differ between female ballet dancers and non-dancing athletes. Plantar sensitivity is not different for most of the assessed localizations.

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Correlation between Balance and BMI in Collegiate students: A cross sectional study

International Journal of Physiotherapy and Research ◽

10.16965/ijpr.2021.103 ◽

2021 ◽

Vol 9 (1) ◽

pp. 3759-3764

Author(s):

Tejaswini Padmanabha Suvarna ◽

◽

Joseph Oliver Raj ◽

Nithin Prakash ◽

◽

...

Keyword(s):

Body Mass ◽

Dynamic Balance ◽

Cross Sectional Study ◽

Limb Length ◽

Static Balance ◽

Lateral Instability ◽

Balance Test ◽

Cross Sectional ◽

Balance Deficits ◽

Test Result

Background: Balance deficits are usually related to medial-lateral instability. BMI could be an important factor to consider as; excess body mass or increased accumulation of adipose tissue can directly impact the postural stability which in return impacts balance. Purpose of the study: To find the correlation between BMI and Balance. Method: Sample consisted of 149 students, out of which 100 (67%) were males and 49 (33%) were females. BMI was calculated and was categorized into groups. Bilateral limb length was measured for normalising the data. Static balance was measured by performing blinded stork test and dynamic balance by performing Y- balance test. Data was analysed using Pearson’s correlation test. Result: There was significant correlation between BMI and static balance of left leg (r=0.713, 95% CI 0.623, 0.784, p=0.01) but on comparison, there was no significant correlation between BMI and static balance of right leg (r=0.0458, 95% CI -0.11, -0.205, p=0.58). It was found that there was no significant correlation between BMI and Left Anterior (r= -0.134, 95% CI -0.289, -0.0274, p= 0.103), Left Posterolateral (r=-0.0775, 95% CI -0.235, 0.0843, p=0.347), Left Posteromedial (r=-0.0903, 95% CI -0.248, -0.0715, p=0.273) respectively. Also, it was found that there was no significant correlation between BMI and Right Anterior (r=-0.236, 95% CI -0.382, -0.0778, p=0.00381), Right Posterolateral (r=-0.193, 95% CI -0.343,-0.0334, p=0.0183), Right Posteromedial (r=-0.126, 95% CI -0.281, -0.0354, p=0.125) respectively. Conclusion: There was significant correlation between BMI and static balance of left leg and no correlation was established between BMI and static balance on right leg and also no correlation was established between BMI and static and dynamic balance for right and left leg. KEY WORDS: Static balance, Dynamic balance, Body Mass Index, Obesity, Limb length.

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A Cross-Sectional Study on Balance Deficits and Gait Deviations in COPD Patients

Canadian Respiratory Journal ◽

10.1155/2021/6675088 ◽

2021 ◽

Vol 2021 ◽

pp. 1-5

Author(s):

Priyanka Jirange ◽

K. Vaishali ◽

Mukesh Kumar Sinha ◽

Kalyana Chakravarthy Bairapareddy ◽

Gopala Krishna Alaparthi

Keyword(s):

Dynamic Balance ◽

Cross Sectional Study ◽

Cross Sectional ◽

Copd Patients ◽

Gait Parameters ◽

Increased Risk ◽

Significant Difference ◽

Risk Of Falls ◽

Balance Deficits ◽

Fear Of Falls

Background. The gait abnormalities were linked to the balance deficits in the previous studies. However, the deviations in the gait parameters in COPD are currently not known. The study aims to compare gait parameters, static and dynamic balance, and risk of falls in COPD with those in non-COPD individuals. Method. Fourty-two patients with COPD aged 45 years and gender-matched control subjects were included in the study. Gait parameters were assessed by Win-Track gait analyzer, the static balance was assessed by posturography, and the dynamic balance was assessed by the time up and go test. The fear of falls was assessed by Falls Efficacy Scale. Results. COPD individuals had decreased static and dynamic balance as assessed by posturography ( p < 0.05 ) and TUG ( p < 0.01 ), respectively. A significant difference in swing duration ( p = 0.004 ) and also increased risk of falls ( p < 0.01 ) was observed in COPD patients as compared to non-COPD individuals. Conclusion. COPD individuals have increased swing duration, reduced static and dynamic balance, and increased fear of falls as compared to non-COPD individuals.

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Investigation of Static and Dynamic Balance in School Basketball Players with a History of Ankle Injury

Journal of Sport Biomechanics ◽

10.32598/biomechanics.6.2.1 ◽

2020 ◽

Vol 6 (2) ◽

pp. 86-97

Author(s):

Ali Roshandel Hesari ◽

◽

Amin Roshandel Hesari ◽

Keyword(s):

Functional Disability ◽

Dynamic Balance ◽

Ankle Injury ◽

Ankle Injuries ◽

Control Group ◽

Static Balance ◽

Basketball Players ◽

Ankle Muscles ◽

Limb Injuries ◽

Significant Difference

Objective: This study aimed to investigate the static and dynamic balance in basketball students with an ankle injury history. Methods: Subjects of this study were 36 elementary school basketball male students who participated in this study purposefully and voluntarily. Subjects were divided into two groups of 18 people with an ankle injury and the control group without ankle injury. To measure the static balance from the stork test and the dynamic balance from the star test was used. Descriptive statistics (mean and standard deviation) and inferential statistics (Shapiro-Wilk test and independent t-test) were used to analyze the results. Results: There was a significant difference between the static balance of basketball students and the control group (P=0.001), but no significant difference was found between basketball studentschr('39') dynamic balance with ankle injuries and the control group (P=0.0887). Conclusion: Based on research results, it can be concluded that lower limb injuries, especially ankle injuries they can influence postural control and static balance of basketball students and caused some functional disability. Also recommended coaches during the sports era of basketball players to design specific exercises to strengthen ankle muscles and ligaments and use static balance exercises not to witness this type of injury.

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The effect of self-reported knee instability on plantar pressure and postural sways in women with knee osteoarthritis

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-021-02823-6 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Liana Chaharmahali ◽

Farzaneh Gandomi ◽

Ali Yalfani ◽

Alireza Fazaeli

Keyword(s):

Knee Osteoarthritis ◽

Dynamic Balance ◽

Self Report ◽

Knee Instability ◽

Foot Pressure ◽

Balance Test ◽

Cross Sectional ◽

Significant Difference ◽

Positive Correlations ◽

Anterior Posterior

Abstract Background Giving way and knee instability are common problems in patients with knee osteoarthritis, disrupting the daily activities and balance of the affected individual. The present study aimed to evaluate the postural control status of women with knee osteoarthritis with and without self-report knee instability (KI). Methods This cross-sectional, single-blind study was conducted on 57 female patients with knee osteoarthritis. The patients were selected based on the inclusion and exclusion criteria and divided into two groups of with KI (n = 26) and without KI (n = 31). Fear of movement was assessed using the Tampa questionnaire, the degree of knee instability was measured based on the Fitzgard scale, the static and dynamic balance of the subjects were evaluated with open and closed eyes using a Biodex balance device, and foot pressure distribution situation was measured using a FDM-S-Zebris device. Results Mean comparison showed a significant difference between the subjects with and without KI in static balance only in anterior–posterior direction with open eyes (p = 0.01) and closed eyes (p = 0.0001). In the dynamic balance test, the subjects in both groups had significant differences in terms of all the indicators of anterior–posterior stability (p = 0.001), medial–lateral stability (p = 0.0001), and overall stability (p = 0.0001) with closed eyes. However, no significant difference was observed with open eyes (p > 0.05). Multiple regression also indicated significant positive correlations between pain intensity and disease duration with the degree of KI (p < 0.05). Conclusions According to the results, there were significant differences between the mean pain scores, static and dynamic balance, and the rate of fall between the women with knee osteoarthritis with and without the KI index. Therefore, patients with knee osteoarthritis, which also has an index of KI, are more susceptible to falls, and proper strategies are required to reduce the level of KI in these patients.

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The Relationship Between Dynamic Balance Ability and Shoulder Pain in High School Baseball Pitchers

Sports Health A Multidisciplinary Approach ◽

10.1177/19417381211019682 ◽

2021 ◽

pp. 194173812110196

Author(s):

Kurumi Nakase ◽

Hitoshi Shitara ◽

Tsuyoshi Tajika ◽

Takuro Kuboi ◽

Tsuyoshi Ichinose ◽

...

Keyword(s):

High School ◽

Shoulder Pain ◽

Dynamic Balance ◽

Cross Sectional Study ◽

Whole Body ◽

Level Of Evidence ◽

Balance Test ◽

Cross Sectional ◽

Baseball Pitchers ◽

The Relationship

Background: Dynamic balance is essential for pitching motion because pitching kinematics requires whole body coordination. The Star Excursion Balance Test (SEBT) and the Y balance test (YBT) evaluate dynamic balance quantitatively. There are some reports that investigated the relationship between SEBT/YBT and pain in upper and lower extremities, but there is no study among high school baseball pitchers. Hypothesis: Dynamic balance deficiency is associated with shoulder pain among high school baseball pitchers. Study Design: Cross-sectional study. Level of Evidence: Level 4. Methods: A total of 259 male high school pitchers who participated in the preseason medical checkups were included in the study. YBT was used to measure their dynamic balance. The participants completed a questionnaire which asked if they were currently experiencing shoulder pain. Results: Twenty-two pitchers had shoulder pain during the preseason medical checkups. In the YBT, the posterolateral balance while standing with the axis leg as well as the posteromedial and posterolateral balance while standing with the step leg were significantly lower in the pain group than in the nonpain group ( P = 0.05, 0.04, and 0.001, respectively). A logistic regression analysis showed that posterolateral balance when standing with the step leg was an independent risk factor for current shoulder pain ( P = 0.04, odds ratio 0.942, 95% CI 0.892-0.996). Conclusion: The dynamic balance of high school baseball pitchers with shoulder pain was lower than that of participants without shoulder pain. In particular, posterolateral direction with the step leg standing was significantly related to shoulder pain. Clinical Relevance: Among high school baseball pitchers, decreased dynamic balance was related to current shoulder pain. YBT maybe recommended in preseason medical checkups for high school baseball pitchers.

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Frequency of Static and Dynamic Balance, Lumbo-pelvic Control and Injuries Among Cricket Pace Bowlers; A Cross Sectional Study

Pakistan Journal of Physical Therapy (PJPT) ◽

10.52229/pjpt.v4i1.866 ◽

2021 ◽

Vol 4 (1) ◽

pp. 6-11

Author(s):

Fareed Ahmad Quraishi ◽

Nosherwan Ahmad Aslam ◽

Ambreen Zhahid ◽

Syed Amir Gilani ◽

Ashfaq Ahmad

Keyword(s):

Dynamic Balance ◽

Sampling Technique ◽

Cross Sectional Study ◽

Stability Control ◽

Bench Mark ◽

P Value ◽

Sectional Study ◽

Chi Square ◽

Balance Test ◽

Cross Sectional

Abstract:Cricket is among one of non-contact sports which predisposes body to high magnitude of forces and stressors, especially role of bowling, more precisely pace bowling. Action of lumbar spine muscles provides substantial force to facilitate release of faster ball. Combine postural action of ipsilateral spinal rotation, contralateral Flexion and lumbar extension contributes as pathomechanics to lower back injury during the delivery strike.Objective: To determine the frequency of static and dynamic balance, lumbo-pelvic control and injuries among bowlers.Methadology: An observational cross-sectional study in which convenient sampling technique was used, sample size was 90 irrespective of gender and age, Aging between18 to 24 years from both genders. The data was analyzed using SPSS in which frequency percentage, mean, SD and chi square tests were used.Results: The gender distribution showed that there were 73.3% males and rest of 26.7% females. The history of previous injuries showed 83.3% playerhaving injuries previously. There were 55.6% players who reported injuries to low back. Results regarding Single Leg Balance Test (SLBT), Star Excursion Balance Test (SEBT) were significantly better for right (p-value <0.05) for all its variety, however, overall it was much less than bench mark time. As indicated by chi square test, no association found, p value 0.873 regarding injuries and gender distribution.Conclusion: The findings of study concluded a high prevalence of soft tissue injuries, impaired static and dynamic balance. Both male and females were equally predisposed to injuries. Keywords:Pace Bowler, Sports Injuries, Back Injuries,Stability, Control

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Comparison of Balance and Strength of Lower Limb Muscles Between two Groups of People With Covid-19 and Healthy Ones: A Cross-Sectional Study

Scientific Journal of Rehabilitation Medicine ◽

10.32598/sjrm.10.3.9 ◽

2021 ◽

Vol 10 (3) ◽

pp. 486-495

Author(s):

Amir Ali Jafarnezhadgero ◽

◽

Amin Hoseinpour ◽

Keyword(s):

Muscle Strength ◽

Lower Limb ◽

Dynamic Balance ◽

Lower Limb Muscle ◽

Limb Muscle ◽

Balance Test ◽

Cross Sectional ◽

Significance Level ◽

Healthy Group ◽

Significant Difference

Background and Aims This study evaluated dynamic balance, quadriceps, and hamstring strength in individuals with Covid 19 compared with healthy control ones. Methods A total of 30 people were divided into two groups, including healthy people (n=15) and people with Covid-19. Dynamic balance was measured using the star excursion balance test. A dynamometer performed lower limb muscle strength measurements. An independent t-test was used to compare the two groups statistically. The significance level was considered 0.05. Results Quadriceps and hamstring muscle strength were similar in both groups (P>0.05). The results showed that the values of dynamic balance in the lateral (P=0.001), medial (P=0.001), and posterior medial (P=0.001) directions were significantly lower in the group with Covid-19 than that in the healthy group. Conclusion In general, the balance of people with Covid-19 was significantly lower than the healthy group. Decreased balance due to this disease can increase the risk of injury. There was no significant difference in lower limb muscle strength in patients with Covid-19 compared with healthy individuals. Perhaps more research is needed in the future to prove this better.

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The Interrelationship of Common Clinical Movement Screens: Establishing Population-Specific Norms in a Large Cohort of Military Applicants

Journal of Athletic Training ◽

10.4085/1062-6050-51.9.11 ◽

2016 ◽

Vol 51 (11) ◽

pp. 897-904 ◽

Cited By ~ 8

Author(s):

Sarah J. de la Motte ◽

Timothy C. Gribbin ◽

Peter Lisman ◽

Anthony I. Beutler ◽

Patricia Deuster

Keyword(s):

Dynamic Balance ◽

Cross Sectional Study ◽

Core Stability ◽

Normative Values ◽

Basic Training ◽

Balance Test ◽

Cross Sectional ◽

Functional Movement ◽

Movement Data ◽

Clinical Meaningfulness

Context: Musculoskeletal injuries (MSK-Is) are a leading cause of missed duty time and morbidity in the military. Modifiable risk factors for MSK-Is, such as inadequate core stability, poor movement patterns, and dynamic balance deficits, have not been identified in military applicants on entering service. Objective: To establish normative functional movement data using a series of screens in military applicants entering basic training and explore relationships among several movement tests. Design: Cross-sectional study. Setting: Military Entrance Processing Station. Patients or Other Participants: A total of 1714 (1434 male, 280 female) military applicants entering the US Army (n = 546), Navy (n = 414), Air Force (n = 229), or Marine Corps (n = 525). Intervention(s): We conducted the Functional Movement Screen (FMS), Y-Balance Test (YBT), overhead squat (OHS), and Landing Error Scoring System (LESS). Movements were assessed using the scoring convention for each screen. Main Outcome Measure(s): The FMS, YBT, OHS, and LESS scores and associations among the movement screens as well as clinical meaningfulness. Results: A total of 1037 of the 1714 enrolled applicants were screened on the day they left for basic training. Normative means for this population were established: FMS = 14.7 ± 1.8, YBT anterior-reach difference = 3.1 ± 3.0 cm, mean YBT composite differences = 8.0 ± 6.8 cm, mean YBT composite percentage = 90.9% ± 8.3%, OHS errors = 5.0 ± 2.8, and LESS score = 5.7 ± 2.1. Backward regression results revealed that the YBT composite percentage was related to the FMS and OHS scores in males and to the FMS and LESS results in females. However, clinically meaningful relationships between the tests varied for both males and females. Conclusions: Sex-normative values for the FMS, YBT, OHS, and LESS screens were established for US military applicants, and some of the assessments overlapped. Overall, males performed better on the OHS and LESS and achieved a greater YBT composite percentage than females. The regression results revealed movement screen performance relationships that varied by sex and clinical meaningfulness. In future studies, we will determine if performance on any of the screens is associated with MSK-Is in basic trainees.

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