Intra-Rater Reliability of Star Excursion Balance Test
DOI:
https://doi.org/10.61919/jhrr.v4i2.1126Keywords:
Star Excursion Balance Test, SEBT, dynamic balance, intra-rater reliability, postural stabilityAbstract
Background: Balance is crucial for maintaining the center of gravity over the base of support, relying on three main subsystems: somatosensory, vestibular, and visual, managed by the central nervous system. The Star Excursion Balance Test (SEBT), developed by Gray, assesses dynamic balance by standing on one leg and reaching with the other in various directions. It is recommended for screening sports participation and post-rehabilitation, with studies indicating improved performance through training.
Objective: This study aimed to evaluate the intra-rater reliability of the SEBT in young, healthy adults.
Methods: A cross-sectional study was conducted with 47 young, healthy adults, selected based on inclusion and exclusion criteria. Each participant completed the SEBT after providing written consent. The mean of six attempts was recorded for each direction. Data were analyzed using IBM SPSS Statistics 23.0, with significance set at p < 0.05. The intra-class correlation coefficient (ICC) was calculated to determine reliability.
Results: The ICC for the dominant limb in all directions ranged from 0.75 to 0.9, indicating good agreement. Specifically, the ICC values were 0.81 for anteromedial reach, 0.86 for medial reach, 0.79 for posteromedial reach, 0.91 for posterior reach, 0.91 for posterolateral reach, 0.77 for lateral reach, 0.88 for anterolateral reach, and 0.75 for anterior reach (p = 0.00 for all). For the non-dominant limb, ICC values ranged from 0.81 to 0.9, with specific values of 0.91 for anteromedial reach, 0.91 for medial reach, 0.87 for posteromedial reach, 0.81 for posterior reach, 0.83 for posterolateral reach, 0.94 for lateral reach, 0.88 for anterolateral reach, and 0.90 for anterior reach (p = 0.00 for all).
Conclusion: The SEBT demonstrated good intra-rater test-retest reliability for assessing dynamic balance in young, healthy adults. The test can be reliably used to evaluate balance and postural stability in both clinical and sports settings.
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References
Coughlan GF, Fullam K, Delahunt E, Gissane C, Caulfield BM. A Comparison Between Performance on Selected Directions of the Star Excursion Balance Test and the Y Balance Test. J Athl Train. 2012;47(4):366-71.
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 Balance Test. N Am J Sports Phys Ther. 2009;4(2):92-8.
Kinzey SJ, Armstrong CW. The Reliability of the Star-Excursion Test in Assessing Dynamic Balance. J Orthop Sports Phys Ther. 1998;27(5):356-60.
Gribble PA, Kelly SE, Refshauge KM, Hiller CE. Interrater Reliability of the Star Excursion Balance Test. J Athl Train. 2013;48(5):621-6.
Hertel J, Braham RA, Hale SA, Olmsted-Kramer LC. Simplifying the Star Excursion Balance Test: Analyses of Subjects With and Without Chronic Ankle Instability. J Orthop Sports Phys Ther. 2006;36(3):131-7.
Fullam K, Caulfield B, Coughlan GF, Delahunt E. Kinematic Analysis of Selected Reach Directions of the Star Excursion Balance Test Compared With the Y-Balance Test. J Sport Rehabil. 2014;23(1):27-35.
Hyong IH, Kim JH. Test of Intrarater and Interrater Reliability for the Star Excursion Balance Test. J Phys Ther Sci. 2014;26(8):1139-41.
van Lieshout R, Reijneveld EA, van den Berg SM, Haerkens GM, Koenders NH, de Leeuw AJ, et al. Reproducibility of the Modified Star Excursion Balance Test Composite and Specific Reach Direction Scores. Int J Sports Phys Ther. 2016;11(3):356-65.
Ness BM, Taylor AL, Haberl MD, Reuteman PF, Borgert AJ. Clinical Observation and Analysis of Movement Quality During Performance on the Star Excursion Balance Test. Int J Sports Phys Ther. 2015;10(2):168-77.
Powden CJ, Dodds TK, Gabriel EH. The Reliability of the Star Excursion Balance Test and Lower Quarter Y-Balance Test in Healthy Adults: A Systematic Review. Int J Sports Phys Ther. 2019;14(5):683-94.
Kinzey SJ, Armstrong CW. The Reliability of the Star-Excursion Test in Assessing Dynamic Balance. J Orthop Sports Phys Ther. 1998;27(5):356-60.
Fullam K, Caulfield B, Coughlan GF, Delahunt E. Kinematic Analysis of Selected Reach Directions of the Star Excursion Balance Test Compared With the Y-Balance Test. J Sport Rehabil. 2014;23(1):27-35.
Earl JE, Hertel J. Lower-Extremity Muscle Activation During the Star Excursion Balance Tests. J Sport Rehabil. 2001;10(2):93-104.
Clagg S, Paterno MV, Hewett TE, Schmitt LC. Performance on the Modified Star Excursion Balance Test at the Time of Return to Sport Following Anterior Cruciate Ligament Reconstruction. J Orthop Sports Phys Ther. 2015;45(6):444-52.
Olmsted LC, Carcia CR, Hertel J, Shultz SJ. Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability. J Athl Train. 2002;37(4):501-6.
Gribble PA, Hertel J. Considerations for Normalizing Measures of the Star Excursion Balance Test. Meas Phys Educ Exerc Sci. 2003;7(2):89-100.
Kinzey SJ, Armstrong CW. The Reliability of the Star-Excursion Test in Assessing Dynamic Balance. J Orthop Sports Phys Ther. 1998;27(5):356-60.
Hyong IH, Kim JH. Test of Intrarater and Interrater Reliability for the Star Excursion Balance Test. J Phys Ther Sci. 2014;26(8):1139-41.
Calatayud J, Borreani S, Colado JC, Martin F, Flandez J. Test-Retest Reliability of the Star Excursion Balance Test in Primary School Children. Phys Sportsmed. 2014;42(4):120-4.
Onofrei RR, Amaricai E, Petroman R, Suciu O. Relative and Absolute Within-Session Reliability of the Modified Star Excursion Balance Test in Healthy Elite Athletes. PeerJ. 2019;7.
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Copyright (c) 2024 Numra Shafiq, Sidrah Shabbir, Muhammad Mahmood Alam, Muhammad Waseem Akhtar, Muhammad Burhan, Adiya Masora
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