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YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI

Year 2021, Volume: 32 Issue: 2, 191 - 199, 10.08.2021
https://doi.org/10.21653/tjpr.816605

Abstract

Amaç: Yıldız denge testi (YDT) denge, propriosepsiyon ve kas koordinasyonu bileşenlerini içeren dinamik bir testtir. Ancak literatür incelendiğinde alt ekstremite fonksiyonel performansını değerlendirmek için sıklıkla kullanılan bu testi etkileyen faktörlerde fikir birliğine ulaşılmadığı görülmüştür. Bu çalışmanın amacı, sağlıklı fiziksel aktif bireylerde yıldız denge test sonuçlarını etkileyebilecek faktörleri araştırmaktı.
Yöntem: Çalışmaya 30 erkek, 21 kadın olmak üzere 51 sağlıklı fiziksel olarak aktif birey dahil edildi (Yaş: 22.74±1.93 yıl; BKİ: 22.52±2.29 kg / m2, Tegner skoru>5). YDT’yi değerlendirmek anterior, posteromedial ve posterolateral uzanma yönleri seçildi ve uzanma miktarı cm olarak kaydedildi. Alt ekstremite uzunluğunun, gastroknemius/soleus kas esnekliğinin, dorsifleksiyon normal eklem hareketinin (DFNEH) ve kuadriseps kas kuvvetinin test sonuçlarına etkisi değerlendirildi. İstatistiksel analizde doğrusal regresyon analizi kullanıldı.
Sonuçlar: Alt ekstremite uzunluğu tüm yönler ile orta düzeyde ve pozitif ilişki gösterdi (p<0,05). Gastroknemius/soleus kas esnekliği ile YDT uzanma mesafeleri arasında ilişki bulunmadı (p>0,05). DFNEH yalnızca anterior yön ile orta düzeyde ve pozitif ilişki gösterirken (p<0,05), posteromedial ve posterolateral yönler ile anlamlı ilişki görülmedi (p>0,05). Kuadriseps kas kuvveti YDT uzanma mesafeleri arasında anlamlı bir ilişki bulunmadı (p>0,05).
Tartışma: YDT’de bireyler veya gruplar karşılaştırıldığında objektif değerlendirme yapılabilmesi için alt ekstremite uzunluğunun bireylerin uzanma mesafeleri ile normalize edilmesi gerekmektedir. Anterior yön uzanma mesafesinde limitasyon görülüyorsa DFNEH değerlendirilmesi, limitasyonun sebebini bulmak için faydalı olabilir.

References

  • 1. Gribble P. The star excursion balance test as a measurement tool. Athl Ther Today. 2003;8(2):46-7
  • 2. Plisky PJ, Gorman PP, Butler RJ, Kiesel KB, Underwood FB, Elkins BJ. 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.
  • 3. 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.
  • 4. Plisky P, Rauh MJ, Kaminski TW, Underwood FB. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006;36(12):911-9.
  • 5. Hertel J, Miller SJ, Denegar CR. Intratester and intertester reliability during the Star Excursion Balance Tests. J Sport Rehabil. 2000;9(2):104-16. 6. Munro AG, Herrington LC. Between-session reliability of the star excursion balance test. J. Sports Phys Ther. 2010;11(4):128-32.
  • 7. Gribble PA, Hertel J. Considerations for normalizing measures of the Star Excursion Balance Test. Meas Phys Educ Exerc Sci. 2003;7(2):89-100.
  • 8. Branch G. The relationship between star excursion balance test and lower extremity strength, range of motion and anthropometric characteristics. Med Sportiva. 2012;17(1), 24-8.
  • 9. Endo Y, Sakamoto M. Relationship between Lower Extremity Tightness and Star Excursion Balance Test Performance in Junior High School Baseball Players. J Phys Ther Sci. 2014;26(5):661-663.
  • 10. Overmoyer GV, Reiser RF. Relationships between lower-extremity flexibility, asymmetries, and the Y balance test. J Strength Cond Res. 2015;29(5):1240-7.
  • 11. Kang M-H, Lee D-K, Park K-H, Oh J-S. Association of ankle kinematics and performance on the y-balance test with inclinometer measurements on the weight-bearing-lunge test. J Sport Rehab. 2015;24(1):62-7.
  • 12. 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.
  • 13. Hallagin C, Garrison JC, Creed K, Bothwell JM, Goto S, Hannon J. The relationship between pre-operative and twelve-week post-operative y-balance and quadriceps strength in athletes with an anterior cruciate ligament tear. J Orthop Sports Phys Ther. 2017;12(6):986.
  • 14. Gabbard C, Hart S. A question of foot dominance. J Gen Psychol. 1996;123(4):289-96.
  • 15. Filipa A, Byrnes R, Paterno MV, Myer GD, Hewett TE. Neuromuscular training improves performance on the star excursion balance test in young female athletes. J Orthop Sports Phys Ther. 2010;40(9):551-8.
  • 16. 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.
  • 17. Gurney B. Leg length discrepancy. Gait Posture. 2002;15(2):195-206.
  • 18. Ortiz A, Val S, Delgado D. Reliability and Concurrent Validity of the Goniometer-Pro App vs a Universal Goniometer in determining Passive Flexion of Knee. Int. J. Comput. Appl. 2017;975:8887.
  • 19. Teyhen DS, Shaffer SW, Lorenson CL, Wood SL, Rogers SM, Dugan JL, et al. Reliability of Lower Quarter Physical Performance Measures in Healthy Service Membersr. US Army Med Dep J. 2011.
  • 20. Hoch MC, McKeon PO. Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability. J Orthop Res. 2011;29(3):326-32.
  • 21. Hoch MC, McKeon PO. Normative range of weight-bearing lunge test performance asymmetry in healthy adults. Man Ther. 2011;16(5):516.
  • 22. Dirnberger J, Wiesinger HP, Stoggl T, Kosters A, Muller E. Absolute and relative strength-endurance of the knee flexor and extensor muscles: a reliability study using the IsoMed 2000-dynamometer. Sportverletz Sportschaden. 2012;26(3):142-7.
  • 23. Sangnier S, Tourny-Chollet C. Comparison of the decrease in strength between hamstrings and quadriceps during isokinetic fatigue testing in semiprofessional soccer players. Int J Sports Med. 2007;28(11):952-7.
  • 24. Harput G, Guney-Deniz H, Ozer H, Baltaci G, Mattacola C. Higher Body Mass Index Adversely Affects Knee Function After Anterior Cruciate Ligament Reconstruction in Individuals Who Are Recreationally Active. Clin J Sport Med. 2018.
  • 25. Fayers PM, Hays R, Hays RD. Assessing quality of life in clinical trials: methods and practice: OUP-USA; 2005.
  • 26. 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. J Athl Train. 2012;47(3):339-57.
  • 27. Harput G, Howard JS, Mattacola C. Comparison of muscle activation levels between healthy individuals and persons who have undergone anterior cruciate ligament reconstruction during different phases of weight-bearing exercises. J Orthop Sports Phys Ther. 2016;46(11):984-92.
  • 28. Basnett CR, Hanish MJ, Wheeler TJ, Miriovsky DJ, Danielson EL, Barr JB, et al. Ankle dorsiflexion range of motion influences dynamic balance in individuals with chronic ankle instability. Int J Sports Phys Ther. 2013;8(2):121-8.
  • 29. Hoch MC, Staton GS, McKeon PO. Dorsiflexion range of motion significantly influences dynamic balance. J Sci Med Sport. 2011;14(1):90-2.
  • 30. Robinson R, Gribble P. Kinematic predictors of performance on the Star Excursion Balance Test. J Sport Rehabil. 2008;17(4):347-57.
  • 31. Shimwell L, Fatoye F, Selfe J. The validity of the modified Star Excursion Balance Test as a predictor of knee extensor and hip abductor strength. Int J Physiother Res. 2017;5(1):1863-71.
  • 32. Thorpe JL, Ebersole KT. Unilateral balance performance in female collegiate soccer athletes. J Strength Cond Res. 2008;22(5):1429-33.
  • 33. Myers H, Christopherson Z, Butler RJ. Relationship Between The Lower Quarter Y-Balance Test Scores And Isokinetic Strength Testing in Patients Status Post ACL Reconstruction. Int J Sports Phys Ther. 2018;13(2):152-9.
  • 34. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med. 2011;45(7):596-606.

INVESTIGATION OF THE FACTORS AFFECTING STAR EXCURSION BALANCE TEST

Year 2021, Volume: 32 Issue: 2, 191 - 199, 10.08.2021
https://doi.org/10.21653/tjpr.816605

Abstract

Purpose: Star excursion balance test (SEBT) is a dynamic test that includes components of balance, proprioception and muscle coordination. However, when the literature was examined, it was seen that there was no consensus on the factors affecting this test, which is frequently used to evaluate lower extremity functional performance. The purpose of this study was to investigate the effects of the factors on SEBT outcomes in healthy physically active individuals.
Methods: Fifty one physically active healthy individuals (30 males, 21 females) were included in this study (Age: 22.74±1.93 years; BMI: 22.52±2.29 kg/m2, Tegner score>5). Anterior (ANT), posteromedial (PM) and posterolateral (PL) directions were chosen for evaluate SEBT and reach distances was recorded as cm. Lower extremity length, gastrocnemius/soleus flexibility, dorsiflexion range of motion and quadriceps muscle strength were evaluated. Linear regression analysis was used for statistical analysis.
Results: Lower extremity length showed a moderate and positive correlation with all directions (p <0.05). There was no correlation between gastrocnemius/soleus muscle flexibility and SEBT reach distances (p> 0.05). DFROM showed a moderate and positive relationship with anterior direction (p <0.05), no significant relationship was found for posteromedial and posterolateral directions (p> 0.05). There was no correlation between quadriceps muscle strength and SEBT reach distances (p>0.05).
Conclusion: SEBT outcomes should be normalized to lower extremity length while comparing the test outcomes between individuals. In addition, when the deficit is observed for anterior reach direction, ankle dorsiflexion range of motion should be assessed to better undertand the deficits in anterior reach distances.

References

  • 1. Gribble P. The star excursion balance test as a measurement tool. Athl Ther Today. 2003;8(2):46-7
  • 2. Plisky PJ, Gorman PP, Butler RJ, Kiesel KB, Underwood FB, Elkins BJ. 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.
  • 3. 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.
  • 4. Plisky P, Rauh MJ, Kaminski TW, Underwood FB. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006;36(12):911-9.
  • 5. Hertel J, Miller SJ, Denegar CR. Intratester and intertester reliability during the Star Excursion Balance Tests. J Sport Rehabil. 2000;9(2):104-16. 6. Munro AG, Herrington LC. Between-session reliability of the star excursion balance test. J. Sports Phys Ther. 2010;11(4):128-32.
  • 7. Gribble PA, Hertel J. Considerations for normalizing measures of the Star Excursion Balance Test. Meas Phys Educ Exerc Sci. 2003;7(2):89-100.
  • 8. Branch G. The relationship between star excursion balance test and lower extremity strength, range of motion and anthropometric characteristics. Med Sportiva. 2012;17(1), 24-8.
  • 9. Endo Y, Sakamoto M. Relationship between Lower Extremity Tightness and Star Excursion Balance Test Performance in Junior High School Baseball Players. J Phys Ther Sci. 2014;26(5):661-663.
  • 10. Overmoyer GV, Reiser RF. Relationships between lower-extremity flexibility, asymmetries, and the Y balance test. J Strength Cond Res. 2015;29(5):1240-7.
  • 11. Kang M-H, Lee D-K, Park K-H, Oh J-S. Association of ankle kinematics and performance on the y-balance test with inclinometer measurements on the weight-bearing-lunge test. J Sport Rehab. 2015;24(1):62-7.
  • 12. 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.
  • 13. Hallagin C, Garrison JC, Creed K, Bothwell JM, Goto S, Hannon J. The relationship between pre-operative and twelve-week post-operative y-balance and quadriceps strength in athletes with an anterior cruciate ligament tear. J Orthop Sports Phys Ther. 2017;12(6):986.
  • 14. Gabbard C, Hart S. A question of foot dominance. J Gen Psychol. 1996;123(4):289-96.
  • 15. Filipa A, Byrnes R, Paterno MV, Myer GD, Hewett TE. Neuromuscular training improves performance on the star excursion balance test in young female athletes. J Orthop Sports Phys Ther. 2010;40(9):551-8.
  • 16. 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.
  • 17. Gurney B. Leg length discrepancy. Gait Posture. 2002;15(2):195-206.
  • 18. Ortiz A, Val S, Delgado D. Reliability and Concurrent Validity of the Goniometer-Pro App vs a Universal Goniometer in determining Passive Flexion of Knee. Int. J. Comput. Appl. 2017;975:8887.
  • 19. Teyhen DS, Shaffer SW, Lorenson CL, Wood SL, Rogers SM, Dugan JL, et al. Reliability of Lower Quarter Physical Performance Measures in Healthy Service Membersr. US Army Med Dep J. 2011.
  • 20. Hoch MC, McKeon PO. Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability. J Orthop Res. 2011;29(3):326-32.
  • 21. Hoch MC, McKeon PO. Normative range of weight-bearing lunge test performance asymmetry in healthy adults. Man Ther. 2011;16(5):516.
  • 22. Dirnberger J, Wiesinger HP, Stoggl T, Kosters A, Muller E. Absolute and relative strength-endurance of the knee flexor and extensor muscles: a reliability study using the IsoMed 2000-dynamometer. Sportverletz Sportschaden. 2012;26(3):142-7.
  • 23. Sangnier S, Tourny-Chollet C. Comparison of the decrease in strength between hamstrings and quadriceps during isokinetic fatigue testing in semiprofessional soccer players. Int J Sports Med. 2007;28(11):952-7.
  • 24. Harput G, Guney-Deniz H, Ozer H, Baltaci G, Mattacola C. Higher Body Mass Index Adversely Affects Knee Function After Anterior Cruciate Ligament Reconstruction in Individuals Who Are Recreationally Active. Clin J Sport Med. 2018.
  • 25. Fayers PM, Hays R, Hays RD. Assessing quality of life in clinical trials: methods and practice: OUP-USA; 2005.
  • 26. 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. J Athl Train. 2012;47(3):339-57.
  • 27. Harput G, Howard JS, Mattacola C. Comparison of muscle activation levels between healthy individuals and persons who have undergone anterior cruciate ligament reconstruction during different phases of weight-bearing exercises. J Orthop Sports Phys Ther. 2016;46(11):984-92.
  • 28. Basnett CR, Hanish MJ, Wheeler TJ, Miriovsky DJ, Danielson EL, Barr JB, et al. Ankle dorsiflexion range of motion influences dynamic balance in individuals with chronic ankle instability. Int J Sports Phys Ther. 2013;8(2):121-8.
  • 29. Hoch MC, Staton GS, McKeon PO. Dorsiflexion range of motion significantly influences dynamic balance. J Sci Med Sport. 2011;14(1):90-2.
  • 30. Robinson R, Gribble P. Kinematic predictors of performance on the Star Excursion Balance Test. J Sport Rehabil. 2008;17(4):347-57.
  • 31. Shimwell L, Fatoye F, Selfe J. The validity of the modified Star Excursion Balance Test as a predictor of knee extensor and hip abductor strength. Int J Physiother Res. 2017;5(1):1863-71.
  • 32. Thorpe JL, Ebersole KT. Unilateral balance performance in female collegiate soccer athletes. J Strength Cond Res. 2008;22(5):1429-33.
  • 33. Myers H, Christopherson Z, Butler RJ. Relationship Between The Lower Quarter Y-Balance Test Scores And Isokinetic Strength Testing in Patients Status Post ACL Reconstruction. Int J Sports Phys Ther. 2018;13(2):152-9.
  • 34. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med. 2011;45(7):596-606.
There are 33 citations in total.

Details

Primary Language Turkish
Subjects Rehabilitation
Journal Section Araştırma Makaleleri
Authors

Bensu Söğüt 0000-0001-8897-2848

Gülcan Harput 0000-0003-2298-0807

Volga Bayrakcı Tunay 0000-0002-0946-9484

Publication Date August 10, 2021
Published in Issue Year 2021 Volume: 32 Issue: 2

Cite

APA Söğüt, B., Harput, G., & Bayrakcı Tunay, V. (2021). YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 32(2), 191-199. https://doi.org/10.21653/tjpr.816605
AMA Söğüt B, Harput G, Bayrakcı Tunay V. YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. Turk J Physiother Rehabil. August 2021;32(2):191-199. doi:10.21653/tjpr.816605
Chicago Söğüt, Bensu, Gülcan Harput, and Volga Bayrakcı Tunay. “YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 32, no. 2 (August 2021): 191-99. https://doi.org/10.21653/tjpr.816605.
EndNote Söğüt B, Harput G, Bayrakcı Tunay V (August 1, 2021) YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. Türk Fizyoterapi ve Rehabilitasyon Dergisi 32 2 191–199.
IEEE B. Söğüt, G. Harput, and V. Bayrakcı Tunay, “YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI”, Turk J Physiother Rehabil, vol. 32, no. 2, pp. 191–199, 2021, doi: 10.21653/tjpr.816605.
ISNAD Söğüt, Bensu et al. “YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 32/2 (August 2021), 191-199. https://doi.org/10.21653/tjpr.816605.
JAMA Söğüt B, Harput G, Bayrakcı Tunay V. YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. Turk J Physiother Rehabil. 2021;32:191–199.
MLA Söğüt, Bensu et al. “YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 32, no. 2, 2021, pp. 191-9, doi:10.21653/tjpr.816605.
Vancouver Söğüt B, Harput G, Bayrakcı Tunay V. YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. Turk J Physiother Rehabil. 2021;32(2):191-9.