Examine the Differences in the Dynamic Balance of Young Adults and Middle-Aged Women as Determined by the Star Excursion Balance Test
DOI:
https://doi.org/10.61919/jhrr.v4i1.444Keywords:
Dynamic Balance, Postural Control, Star Excursion Balance Test, Aging, Young Adults, Middle-aged WomenAbstract
Background: Dynamic balance is crucial for performing daily activities and preventing falls, particularly as individuals age. Previous studies have indicated that dynamic balance, as assessed by the Star Excursion Balance Test (SEBT), tends to diminish with aging, impacting overall quality of life and increasing the risk of injuries.
Objective: The aim of this study was to examine the differences in dynamic balance between young adults and middle-aged women using the SEBT, to understand how aging affects balance and postural control.
Methods: A cross-sectional study design was employed, involving fifty fit and active women, divided into two age groups: young adults (aged 18–25 years, n=25) and middle-aged women (aged 40–60 years, n=25). Participants with any lower extremity or spinal musculoskeletal disorders in the last 6 months, those who were physically unfit, and pregnant women were excluded. The SEBT was administered to assess dynamic balance, with participants performing three reaches in each of the eight directions in a randomized order. The mean reach distance was calculated for each direction. Data analysis was conducted using SPSS version 25, with independent sample t-tests to compare reach distances between the two groups. A P-value of <0.05 was considered statistically significant.
Results: The young adult group demonstrated significantly greater reach distances compared to the middle-aged group in all directions of the SEBT. Specifically, medial reach distances were 54.96 ± 5.63 cm for the young adults and 41.79 ± 7.36 cm for the middle-aged group, with a P-value of <0.001. Similar trends were observed in anteromedial, anterior, anterolateral, lateral, posterolateral, posteromedial, and posterior reaches, indicating a consistent decline in dynamic balance with age.
Conclusion: The study confirms that dynamic balance, as measured by the SEBT, significantly decreases from young adulthood to middle age in women. This underscores the importance of incorporating balance training and physical activity into lifestyle interventions to mitigate age-related declines in balance and postural control.
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References
Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. Journal of athletic training. 2012;47(3):339-57.
Kinzey SJ, Armstrong CW. The reliability of the star-excursion test in assessing dynamic balance. Journal of orthopaedic & sports physical therapy. 1998;27(5):356-60.
Hertel J, Miller SJ, Denegar CR. Intratester and intertester reliability during the Star Excursion Balance Tests. Journal of sport rehabilitation. 2000;9(2):104-16.
Nakagawa L, Hoffman M. Performance in Static, Dynamic, and Clinical Tests of Postural Control in Individuals With Recurrent Ankle Sprains. Journal of Sport Rehabilitation. 2004;13(3).
LC O. Efficacy of the star excursion balance tests in detecting reach deficits in subjects with chronic ankle instability. J Athl Train. 2002:501-6.
Aminaka N, Gribble PA. Patellar taping, patellofemoral pain syndrome, lower extremity kinematics, and dynamic postural control. Journal of athletic training. 2008;43(1):21-8.
Herrington L, Hatcher J, Hatcher A, McNicholas M. A comparison of Star Excursion Balance Test reach distances between ACL deficient patients and asymptomatic controls. The Knee. 2009;16(2):149-52.
Delahunt E, Chawke M, Kelleher J, Murphy K, Prendiville A, Sweeny L, et al. Lower limb kinematics and dynamic postural stability in anterior cruciate ligament-reconstructed female athletes. Journal of athletic training. 2013;48(2):172-85.
Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. Journal of orthopaedic & sports physical therapy. 2006;36(12):911-9.
Butler RJ, Lehr ME, Fink ML, Kiesel KB, Plisky PJ. Dynamic balance performance and noncontact lower extremity injury in college football players: an initial study. Sports health. 2013;5(5):417-22.
Bayrakdaroğlu S, Eken Ö, Bayer R, Yagin FH, Kızılet T, Kayhan RF, et al., editors. Effects of Swedish Massage at Different Times of the Day on Dynamic and Static Balance in Taekwondo Athletes. Healthcare; 2024: MDPI.
Hou X, Qian J, Cai J, Su W, Ruan B, Gao Q. Using clinician-oriented and laboratory-oriented assessments to study dynamic stability of individuals with chronic ankle instability. iScience. 2024.
Keller M, Lichtenstein E, Roth R, Faude O. Balance Training Under Fatigue: A Randomized Controlled Trial on the Effect of Fatigue on Adaptations to Balance Training. The Journal of Strength & Conditioning Research. 2024;38(2):297-305.
Bouillon LE, Baker JL. Dynamic balance differences as measured by the star excursion balance test between adult-aged and middle-aged women. Sports health. 2011;3(5):466-9.
Osorio P, Tobarra M-Á, Tomás M. Are there gender differences in household carbon footprints? Evidence from Spain. Ecological Economics. 2024;219:108130.
Armstrong R, Brogden CM, Milner D, Norris D, Greig M. The influence of fatigue on star excursion balance test performance in dancers. Journal of Dance Medicine & Science. 2018;22(3):142-7.
Oyama Y, Murayama T, Ohta T. The Effect of the Postural Control Strategy on the Recognition Error of Center-of-Pressure Sway. Journal of Motor Behavior. 2024;56(1):14-21.
Segal AD, Vargas BL, Richards FG, Shelley CJ, Silverman AK. Healthy aging reduces dynamic balance control as measured by the simplified Star Excursion Balance Test. Gait & Posture. 2023;103:190-5.
Suphasubtrakul T, Lekskulchai R, Jalayondeja C. Balance, strength and physical activity after ankle sprain: Comparison between children with chronic ankle instability and copers. Physical Therapy in Sport. 2024;65:49-53.
Stockert B. The impact of age on performance of the Star Excursion Balance Test [abstract 2179]. J Orthop Sports Phys Ther A. 2009;66.
Røgind H, Lykkegaard J, Bliddal H, Danneskiold‐Samsøe B. Postural sway in normal subjects aged 20–70 years. Clinical physiology and functional imaging. 2003;23(3):171-6.
Stiffler MR, Sanfilippo JL, Brooks MA, Heiderscheit BC. Star Excursion Balance Test performance varies by sport in healthy division I collegiate athletes. Journal of Orthopaedic & Sports Physical Therapy. 2015;45(10):772-80.
Filipa A, Byrnes R, Paterno MV, Myer GD, Hewett TE. Neuromuscular training improves performance on the star excursion balance test in young female athletes. Journal of orthopaedic & sports physical therapy. 2010;40(9):551-8.
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Copyright (c) 2024 Rabia Shahid, Muhammad Mahmood Alam, Waseem Akhtar, Sidrah Shabbir, Mahrukh Naseem, Mubashar Ali, Adan Nehal, Kashaf Farooq
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