Yıl: 2021 Cilt: 32 Sayı: 2 Sayfa Aralığı: 191 - 199 Metin Dili: Türkçe DOI: 10.21653/tjpr.816605 İndeks Tarihi: 27-10-2022

YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI

Öz:
Amaç: Yıldız denge testi (YDT) denge, propriosepsiyon ve kas koordinasyonu bileşenlerini içerendinamik bir testtir. Literatürde alt ekstremite fonksiyonel performansını değerlendirmek için sıklıklakullanılan bu testi etkileyen faktörlerde fikir birliğine ulaşılmamıştır. Bu çalışmanın amacı sağlıklı,fiziksel olarak aktif bireylerde, YDT sonuçlarını etkileyebilecek faktörleri araştırmaktı.Yöntem: Çalışmaya 30 erkek, 21 kadın olmak üzere 51 sağlıklı, fiziksel olarak aktif birey dahiledildi (yaş=22,74±1,93 yıl, beden kitle indeksi=22,52±2,29 kg/$m^2$, Tegner skoru >5). YDT’yideğerlendirmek için anterior, posteromedial ve posterolateral uzanma yönleri seçildi ve uzanmamiktarı kaydedildi. Alt ekstremite uzunluğu, gastroknemius/soleus kas esnekliği, dorsifleksiyonnormal eklem hareketi (DFNEH) ve kuadriseps kas kuvvetinin test sonuçlarına etkisi değerlendirildi.İstatistiksel analizde doğrusal regresyon analizi kullanıldı.Sonuçlar: Alt ekstremite uzunluğu YDT’de tüm yönler ile orta düzeyde ve pozitif ilişki gösterdi(Anterior r=0,443, $r^2$=0,199, p<0,001; posteromedial r=0,404, $r^2$=0,157, p=0,004; posterolateralr=0,403, $r^2$=0,162, p=0,003). Gastroknemius/soleus kas esnekliği ile YDT uzanma mesafeleriarasında ilişki bulunmadı (p>0,05). DFNEH ile anterior yön arasında orta düzeyde ve pozitif ilişkigözlemlenirken (r=0,311, $r^2$ =0,103 p=0,034); posteromedial ve posterolateral yönler ile arasındaanlamlı ilişki gözlemlenmedi (p>0,05). Kuadriseps kas kuvveti ile YDT uzanma mesafeleri arasındaanlamlı bir ilişki bulunmadı (p>0,05).Tartışma: YDT’de bireyler veya gruplar karşılaştırıldığında objektif değerlendirme yapılabilmesiiçin alt ekstremite uzunluğunun bireylerin uzanma mesafeleri ile normalize edilmesi gerekmektedir.Anterior yön uzanma mesafesinde limitasyon görülüyorsa, DFNEH değerlendirilmesi, limitasyonunsebebinin anlaşılmasında faydalı olabilir.
Anahtar Kelime: Postural Denge Alt Ekstremite Fiziksel Performans Normal Eklem Hareketi

AN INVESTIGATION OF THE FACTORS AFFECTING STAR EXCURSION BALANCE TEST

Öz:
Purpose: Star excursion balance test (SEBT) is a dynamic test that includes components of balance, proprioception and muscle coordination. There is no consensus in the literature on the factors affecting the 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; body mass index=22.52±2.29 kg/$m^2$ , Tegner score >5). Anterior, posteromedial, and posterolateral directions were chosen to evaluate SEBT, and reach distances was recorded. Lower extremity length, gastrocnemius/soleus flexibility, dorsiflexion range of motion (DFROM), 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 in the SEBT (Anterior r=0.44, $r^2$ =0.19, p<0.001; posteromedial r=0.40, $r^2$ =0.15, p=0.004; posterolateral r=0.40, $r^2$ =0.16, p=0.003). There was no correlation between gastrocnemius/soleus muscle flexibility and SEBT reach distances (p>0.05). The DFROM showed a moderate and positive relationship with anterior direction (r=0.31, $r^2$ =0.01 p=0.03), and 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: The 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 DFROM should be assessed to better undertand the deficits in anterior reach distances.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 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. Gribble PA, Hertel J. Considerations for normalizing measures of the Star Excursion Balance Test. Meas Phys Educ Exerc Sci. 2003;7(2):89-100.
  • 5. 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.
  • 6. 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.
  • 7. Overmoyer GV, Reiser RF. Relationships between lower-extremity flexibility, asymmetries, and the Y balance test. J Strength Cond Res. 2015;29(5):1240-7.
  • 8. Kang MH, Lee DK, Park KH, Oh JS. 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.
  • 9. 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.
  • 10. 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.
  • 11. Briggs KK, Steadman JR, Hay CJ, Hines SL. Lysholm score and Tegner activity level in individuals with normal knees. Am J Sports Med. 2009;37(5):898-901.
  • 12. Kejonen P, Kauranen K, Vanharanta H. The relationship between anthropometric factors and body-balancing movements in postural balance. Arch Phys Med Rehabil. 2003;84(1):17-22.
  • 13. McGraw B, McClenaghan BA, Williams HG, Dickerson J, Ward DS. Gait and postural stability in obese and nonobese prepubertal boys. Arch Phys Med Rehabil. 2000;81(4):484-9.
  • 14. Gabbard C, Hart S. A question of foot dominance. J Gen Psychol. 1996;123(4):289-96.
  • 15. Munro AG, Herrington LC. Between-session reliability of the star excursion balance test. J Sports Phys Ther. 2010;11(4):128-32.
  • 16. Hertel J, Miller SJ, Denegar CR. Intratester and intertester reliability during the Star Excursion Balance Tests. J Sport Rehabil. 2000;9(2):104-16.
  • 17. 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.
  • 18. 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.
  • 19. Jamaluddin S, Sulaiman AR, Imran MK, Juhara H, Ezane MA, Nordin S. Reliability and accuracy of the tape measurement method with a nearest reading of 5 mm in the assessment of leg length discrepancy. Singapore Med J. 2011;52(9):681-4.
  • 20. 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.
  • 21. Teyhen DS, Shaffer SW, Lorenson CL, Wood SL, Rogers SM, Dugan JL, et al. Reliability of lower quarter physical performance measures in healthy service members. US Army Med Dep J. 2011.
  • 22. Hoch MC, McKeon PO. Normative range of weight-bearing lunge test performance asymmetry in healthy adults. Man Ther. 2011;16(5):516.
  • 23. 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.
  • 24. 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.
  • 25. 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.
  • 26. 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. 2020;30(6):e194-e200.
  • 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. Fayers PM, Hays R, Hays RD. Assessing quality of life in clinical trials: methods and practice. Oxford University Press, USA, 2005.
  • 29. 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.
  • 30. 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.
  • 31. Hoch MC, Staton GS, McKeon PO. Dorsiflexion range of motion significantly influences dynamic balance. J Sci Med Sport. 2011;14(1):90-2.
  • 32. Robinson R, Gribble P. Kinematic predictors of performance on the Star Excursion Balance Test. J Sport Rehabil. 2008;17(4):347- 57.
  • 33. 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.
  • 34. 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.
  • 35. 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.
APA SÖĞÜT B, HARPUT G, BAYRAKCI TUNAY V (2021). YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. , 191 - 199. 10.21653/tjpr.816605
Chicago SÖĞÜT Bensu,HARPUT GULCAN,BAYRAKCI TUNAY VOLGA YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. (2021): 191 - 199. 10.21653/tjpr.816605
MLA SÖĞÜT Bensu,HARPUT GULCAN,BAYRAKCI TUNAY VOLGA YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. , 2021, ss.191 - 199. 10.21653/tjpr.816605
AMA SÖĞÜT B,HARPUT G,BAYRAKCI TUNAY V YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. . 2021; 191 - 199. 10.21653/tjpr.816605
Vancouver SÖĞÜT B,HARPUT G,BAYRAKCI TUNAY V YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. . 2021; 191 - 199. 10.21653/tjpr.816605
IEEE SÖĞÜT B,HARPUT G,BAYRAKCI TUNAY V "YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI." , ss.191 - 199, 2021. 10.21653/tjpr.816605
ISNAD SÖĞÜT, Bensu vd. "YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI". (2021), 191-199. https://doi.org/10.21653/tjpr.816605
APA SÖĞÜT B, HARPUT G, BAYRAKCI TUNAY V (2021). YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32(2), 191 - 199. 10.21653/tjpr.816605
Chicago SÖĞÜT Bensu,HARPUT GULCAN,BAYRAKCI TUNAY VOLGA YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32, no.2 (2021): 191 - 199. 10.21653/tjpr.816605
MLA SÖĞÜT Bensu,HARPUT GULCAN,BAYRAKCI TUNAY VOLGA YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.32, no.2, 2021, ss.191 - 199. 10.21653/tjpr.816605
AMA SÖĞÜT B,HARPUT G,BAYRAKCI TUNAY V YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(2): 191 - 199. 10.21653/tjpr.816605
Vancouver SÖĞÜT B,HARPUT G,BAYRAKCI TUNAY V YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(2): 191 - 199. 10.21653/tjpr.816605
IEEE SÖĞÜT B,HARPUT G,BAYRAKCI TUNAY V "YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32, ss.191 - 199, 2021. 10.21653/tjpr.816605
ISNAD SÖĞÜT, Bensu vd. "YILDIZ DENGE TESTİNİ ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32/2 (2021), 191-199. https://doi.org/10.21653/tjpr.816605