Beruflich Dokumente
Kultur Dokumente
There is moderate
of Search, Bestto
evidence Evidence
support the
appraised,
use of short-term
and Keyimmobilization
Findings with early motion to increase the healing process and reduce the recovery time following a surgically repaired Achilles tendon rupture.
postural stability. posteromedial, and posterolateral. participant would move to a different direction if using three CODA cx1 units. standardized protocol; and a commercially crafted testing kit to improve reliability and
Is the Star Excursion Balance Testing data interchangeable with the Y Balance Testing was performed either barefoot or in both raters had at least one successful trial. repeatability.1,2,4 Athletic Trainers and other health care providers value quality
socks.
Testing data in physically active males and females? information in a short amount of time. Y Balance can test dynamic neuromuscular
control and unilateral balance for preventing injury and also returning patients to
activity quickly and effectively.
Clinical Bottom Line
Outcome The reach distances for all testing trials for Normalized and non-normalized (leg length) The greatest successful reach for each direction Kinematic profiles of the sagittal plane
Measures the right and left legs were recorded for the reach distances were recorded for each leg and and each rater was used for analysis. Also, a lower limb were recorded using a 3D
three directions of the Y Balance Test and each reach direction for the two raters. composite score was analysis to determine motion analysis system. Along with reach The conclusion from the four studies in this CAT is that the Y Balance Test was
There is supporting evidence to indicate a significant difference between the the Star Excursion Balance Test. overall performance. distances in all three directions for both
designed to improve the limitations of the Star Excursion Balance Test. It is noteworthy
anterior reach direction for the Star Excursion Balance Test compared to the Y tests.
that three of the four studies were not conducted within the United States; therefore, it
Balance Test. Evidence also supports that the protocol for the Y Balance Test is may limit the ability to generalize the outcomes and recommendations. The four
Main Findings Differences were found when comparing The inter rater reliability was excellent for all 16 The intra rater reliability of the YBT for one tester Significant difference in sagittal plane hip
more definitive. The reliability of the Y Balance Test is found to be good to the SEBT to the YBT in the anterior reach measurements taken in this study. ranged from 0.85 to 0.91, with an anterior reach joint angular displacement at maximum studies contained 20, 29, 15, and 15 participants making it difficult to generalize with a
excellent while the Star Excursion Balance Test is found to have good reliability. direction . The right leg had a P value = The data that was divided by the leg length, or reliability of 0.9, posteromedial of 0.85, reach between the SEBT and the YBT. limited number of studies conducted. All of the studies were conducted using university
Ultimately, it is the clinicians choice on which test to use when evaluating 0.003 while the left had a P value = 0.0002. normalized, had an intra class correlation posterolateral of 0.90, and a composite score of The SEBT angles were 20.37 18.63
participants suggesting that they were physically active. However, it is unclear how the
dynamic neuromuscular control and unilateral balance. Based on these The Bland-Altman analysis showed that the coefficient (ICC) that ranged from 0.86 to 0.92. 0.91. and YBT angles were 28.32 13.19.
95% limit of agreement between the two The data that wasnt divided by the leg length, The Bland-Altman test showed that the results translate to other age ranges regardless of physical activity level.
findings, the strength of the recommendation is listed as a grade two. Inter rater reliability between the two testers
balance tests in the anterior direction or the non-normalized, was stronger and had an 95% limit of agreement between the
Strength of Recommendation: Although all four of these studies are cohorts, ranged from 0.99 to 1.0. The anterior,
ranging from -4.69% to 14.85% for the left ICC ranging from 0.89 to 0.94.
posteromedial, posterolateral, and the
balance test in the anterior direction Future research should include determining which balance test is more clinically
two studies compare the balance tests and two studies look at the reliability of leg. The inter rater reliability of the leg length ranging from -0.35% to 14.97%. appropriate when looking at the entire scope of determining injury risk, return to play,
composite score reach were all 0.99.
each test. Therefore, the strength of evidence is a grade two. The two studies measurement was excellent.
and possibly concussion protocol. Longitudinal studies would provide data on the
comparing the balance tests show a significant difference in the anterior reach usefulness of neuromuscular control screening before participation to address the
direction, determining the tests should not be used interchangeably. issues to decrease injuries and return to physical activity decisions making. In addition,
Level of Evidence 2b 2b 2b 2b
studies that include a greater sample of sports and age range would increase external
Inclusion and Exclusion Criteria Validity Score N/A N/A N/A N/A
validity and overall ability to generalize the outcomes. Additionally, this CAT should be
reviewed in two years to determine whether additional best evidence has been
Inclusion published that may change the clinical bottom line for this specific clinical question.
Studies that compared Y Balance Test and Star Excursion Test Conclusion In this study, there was a difference in Multiple trained and experienced raters have According to this study, the YBT reliability Based on the results of this study, there
reach distance with the anterior direction of shown that the SEBT is a reliable test. This is a ranges from good to excellent due to the are differences in the anterior direction
Limited to English language
Limited to humans
the test between the SEBT and the YBT.
There were no differences with the
reliable and inexpensive tool in the clinical and
research settings as long as the clinician has
standardized equipment and methods. Now that
the reliability of the test has been established,
reach distance during the performance of
the SEBT and the YBT. There is also a References
Limited to the last ten years (2006 2016) posterolateral or posteromedial directions received instruction and practice with the SEBT. clinicians can determine deficits and difference in the angle of the hip at
Level 3 evidence or higher between the tests. Postural control asymmetries in patients more effectively and maximum reach. Looking at the sagittal- 1. Coughlan GF, Fullam K, Delahunt E, Gissane C, Caulfield BM. A comparison
strategies influenced the testing outcomes confidently. The YBT may also assist clinicians plane, the angular displacement of the between performance on selected directions of the star excursion balance test
when completing the two tests. Since a with the return to play process. hip is different between the two balance
Exclusion and the Y balance test. J Athl Train. 2012;47(4):366-71.
difference was found in one direction, the tests. These differences indicate that the
If not Y Balance Test reach distances are not transferrable SEBT and the YBT cannot be used 2. Gribble PA, Kelly SE, Refshauge KM, Hiller CE. Interrater reliability of the star
If not Star Excursion Balance Test between tests. interchangeably. excursion balance test. J Athl Train. 2013;48(5):621-6.
Non-physically-active subjects 3. Plisky PJ, Gorman PP, Butler RJ, Kiesel KB, Underwood FB, Elkins B. The reliability
of an instrumented device for measuring components of the star excursion