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首页> 外文期刊>Physiotherapy theory and practice >Stance foot alignment and hand positioning alter star excursion balance test scores in those with chronic ankle instability: What are we really assessing?
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Stance foot alignment and hand positioning alter star excursion balance test scores in those with chronic ankle instability: What are we really assessing?

机译：姿态脚踏对齐和手部定位改变明星偏移平衡测试分数在具有慢性踝关节不稳定的人中：我们真正评估了什么？

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Objective: The literature has consistently shown that the Star Excursion Balance Test (SEBT) is a reliable and valid tool to anticipate the risk of lower extremity injury, assess dynamic postural control differences among groups, and assess the effectiveness of balance training programs in both healthy individuals and people with lower extremity injuries. However, there is no standard administration technique for the SEBT in research, clinical practice, or performance settings. Therefore, the purpose of this investigation was to compare six different combinations (3 different foot alignments x 2 hand positions) on the SEBT performance in those with chronic ankle instability (CAI). Design: Repeated Measures Design. Setting: University Research Laboratory. Participants: Twenty-five university students with CAI (12 males, 13 females; age: 20.3 +/- 2.4 years, height: 172.7 +/- 7.4 cm, weight: 77.5 +/- 15.3 kg., BMI: 25.9 +/- 4.0 kg/m(2)) voluntarily participated in the study. Methods: Six different SEBT positions were used to assess dynamic postural control. Three foot positions: 1) Foot centered; 2) Toe fixed; and 3) Toe-heel changing and two hand placements: 1) Hands free and 2) Hands on the hips were used in this study. After 6familiarization trials for each condition, three Star Excursion Balance Test scores were recorded. Main outcome measures: Normalized reach distance (% of leg length) in the anterior, posteromedial, and posterolateral directions as well as a composite reach score quantified dynamic postural control. Results: Both foot alignment and hand position significantly altered normalized SEBT reach distance in the anterior (p < 0.003), posteromedial (p < 0.001), posterolateral (p < 0.001), and composite reach scores (p < 0.001). Conclusion: Different foot alignments and hand constraints significantly altered normalized reach distances and the composite score in individuals with CAI. These results do not suggest that any combination of foot alignments and/or hand constraints is superior. However, changing the toe/heel position, while maintaining hands on the hips, may provide the best standardization for clinicians and researchers.
机译：目的：文献一直表明，明星偏移平衡试验（SEBT）是一种可靠且有效的工具，以期望下肢损伤的风险，评估群体之间的动态姿势控制差异，并评估健康两者平衡培训计划的有效性肢体伤害的个人和人。但是，在研究，临床实践或性能设置中没有SEBT的标准管理技术。因此，该研究的目的是将六种不同的组合（3种不同的脚对准x 2手位置）与慢性踝关节不稳定性（CAI）的SEBT性能进行比较。设计：重复措施设计。环境：大学研究实验室。参与者：二十五名大学生蔡大学生（12名男性，13名女性;年龄：20.3 +/- 2.4岁，身高：172.7 +/- 7.4厘米，重量：77.5 +/- 15.3千克。，BMI：25.9 +/- 4.0千克/米（2））自愿参加该研究。方法：采用六种不同的SEBT位置来评估动态姿势控制。三英尺的位置：1）脚心; 2）脚趾固定; 3）Toe-Heel改变和​​两只手展示：1）免费和2）手在本研究中使用臀部。在每种情况下6次汞合金试验后，记录了三种明星偏移平衡测试分数。主要观察指标：前，后，后侧，后侧方向的标准化达到距离（腿长的百分比）以及量化动态姿势控制的复合率得分。结果：脚踏对准和手部位置明显改变归一化SEBT达到近距离（P <0.003），后剖视线（P <0.001），后外侧（P <0.001）和复合达分数（P <0.001）。结论：不同的脚踏和手动约束显着改变了CAI个体中个体的标准化达距离和综合评分。这些结果并不表明脚踏四通和/或手限制的任何组合都是优越的。然而，改变脚趾/脚跟位置，同时保持手掌，可以为临床医生和研究人员提供最佳标准化。

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