Star Excursion Balance Test: Difference between revisions

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== Technique<br>  ==
== Technique<br>  ==


Before the test is performed, there is a set up needed. You need to use 4 strips of athletic tape with a length of 6-8 foot. Then you should form a ‘+’. After this is done, you have to use 4 strips of athletic tape of the same length but this time you are going to form an ‘x’. It is important that all the different lines are separated from each other by an angle of 45° <ref name="L">Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability. Olmsted L., Caria C., Hertel J., Shultz S. Journal of Athletic Training 2002;37(4):501–506 (1B)</ref>.<br>The goal of the SEBT is to maintain single leg stance on one leg while reaching as far as possible with the contra lateral leg 7. The person performing this test must maintain a base of support on one leg, while using the other leg to reach as far as possible in 8 different directions. This person (standing on his left leg for example) must reach in 8 different positions, once in every of the following directions : anterior, anteromedial, medial, posteromedial, posterior, posterolateral, lateral and anterolateral <ref name="L">Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability. Olmsted L., Caria C., Hertel J., Shultz S. Journal of Athletic Training 2002;37(4):501–506 (1B)</ref>. The anterior, posteromedial and posterolateral directions appear to be important to identification individuals with chronic ankle instability and athletes at greater risk of lower extremity injury <ref name="Plisky">The Reliability of an Instrumented Device for Measuring Components of the Star Excursion Balance Test. Plisky P et al. Am J Sports Phys Ther. 2009 May; 4(2): 92–99. (2B)</ref>. <br>When the person demonstrates a significantly decreased reach while standing on the injured limb compared to standing on the healthy limb, the Star Excursion Balance Test has shown his ability to point out a loss of dynamic postural control <ref name="L">Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability. Olmsted L., Caria C., Hertel J., Shultz S. Journal of Athletic Training 2002;37(4):501–506 (1B)</ref>. There is a similar test like the Star Excursion Balance Test, but this test is not performed in the shape of a star, but in ‘Y-form’, called the Y-test. <br>The test originally incorporated reaching in eight directions while standing on each foot, but factor analysis indicated that one reach direction (posteromedial) was able to accurately identify individuals with chronic ankle instability as well as performing all eight directions <ref name="Plisky">The Reliability of an Instrumented Device for Measuring Components of the Star Excursion Balance Test. Plisky P et al. Am J Sports Phys Ther. 2009 May; 4(2): 92–99. (2B)</ref>.
Before the test is performed, there is a set up needed. You need to use 4 strips of athletic tape with a length of 6-8 foot. Then you should form a ‘+’. After this is done, you have to use 4 strips of athletic tape of the same length but this time you are going to form an ‘x’. It is important that all the different lines are separated from each other by an angle of 45° <ref name="L">Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability. Olmsted L., Caria C., Hertel J., Shultz S. Journal of Athletic Training 2002;37(4):501–506 (1B)</ref>.<br>The goal of the SEBT is to maintain single leg stance on one leg while reaching as far as possible with the contra lateral leg 7. The person performing this test must maintain a base of support on one leg, while using the other leg to reach as far as possible in 8 different directions. This person (standing on his left leg for example) must reach in 8 different positions, once in every of the following directions&nbsp;: anterior, anteromedial, medial, posteromedial, posterior, posterolateral, lateral and anterolateral <ref name="L">Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability. Olmsted L., Caria C., Hertel J., Shultz S. Journal of Athletic Training 2002;37(4):501–506 (1B)</ref>. The anterior, posteromedial and posterolateral directions appear to be important to identification individuals with chronic ankle instability and athletes at greater risk of lower extremity injury <ref name="Plisky">The Reliability of an Instrumented Device for Measuring Components of the Star Excursion Balance Test. Plisky P et al. Am J Sports Phys Ther. 2009 May; 4(2): 92–99. (2B)</ref>.  


<br>When the person demonstrates a significantly decreased reach while standing on the injured limb compared to standing on the healthy limb, the Star Excursion Balance Test has shown his ability to point out a loss of dynamic postural control <ref name="L">Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability. Olmsted L., Caria C., Hertel J., Shultz S. Journal of Athletic Training 2002;37(4):501–506 (1B)</ref>. There is a similar test like the Star Excursion Balance Test, but this test is not performed in the shape of a star, but in ‘Y-form’, called the Y-test. <br>The test originally incorporated reaching in eight directions while standing on each foot, but factor analysis indicated that one reach direction (posteromedial) was able to accurately identify individuals with chronic ankle instability as well as performing all eight directions <ref name="Plisky">The Reliability of an Instrumented Device for Measuring Components of the Star Excursion Balance Test. Plisky P et al. Am J Sports Phys Ther. 2009 May; 4(2): 92–99. (2B)</ref>.<br>


[[Image:SEBT.png]]


1. Anterior<br>2. Anteromedial<br>3. Medial<br>4. Posteromedial<br>5. Posterior<br>6. Posterolateral<br>7. Lateral<br>8. Anterolateral


For knowing how to perform the Star Excursion Balance Test, you can watch the next clip : <br>http://www.youtube.com/watch?v=wHv2YDfoWoE <br><br>
 
1. Anterior<br>2. Anteromedial<br>3. Medial<br>4. Posteromedial<br>5. Posterior<br>6. Posterolateral<br>7. Lateral<br>8. Anterolateral
 
For knowing how to perform the Star Excursion Balance Test, you can watch the next clip&nbsp;: <br>http://www.youtube.com/watch?v=wHv2YDfoWoE <br><br>


== Evidence<br>  ==
== Evidence<br>  ==

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Purpose
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The Star Excursion Balance Test (SEBT) is a dynamic test that requires strength, flexibility, and proprioception. It is a measure of dynamic balance that provides a significant challenge to athletes and people who are physically active. The test can be used to assess physical performance but can also be used to screen deficits in dynamic postural control due to musculoskeletal injuries like chronic ankle instability. It could be used to identify athletes at greater risk for lower extremity injury. It is also possible to use the test during the rehabilitation of orthopedic injuries in healthy, physically active adults [1] [2].

The SEBT could be used to compare balance ability among different sports and to assess physical performance. Research have suggested to use the SEBT as a screening tool for sport participation on the one hand and as a post-rehabilitation test to ensure dynamic functional symmetry on the other hand. It’s also been showed that the performance of SEBT improves after training. [2]

It is important, that the test capture the greatest amount of information of instability in the shortest amount of time [2].

Technique
[edit | edit source]

Before the test is performed, there is a set up needed. You need to use 4 strips of athletic tape with a length of 6-8 foot. Then you should form a ‘+’. After this is done, you have to use 4 strips of athletic tape of the same length but this time you are going to form an ‘x’. It is important that all the different lines are separated from each other by an angle of 45° [3].
The goal of the SEBT is to maintain single leg stance on one leg while reaching as far as possible with the contra lateral leg 7. The person performing this test must maintain a base of support on one leg, while using the other leg to reach as far as possible in 8 different directions. This person (standing on his left leg for example) must reach in 8 different positions, once in every of the following directions : anterior, anteromedial, medial, posteromedial, posterior, posterolateral, lateral and anterolateral [3]. The anterior, posteromedial and posterolateral directions appear to be important to identification individuals with chronic ankle instability and athletes at greater risk of lower extremity injury [2].


When the person demonstrates a significantly decreased reach while standing on the injured limb compared to standing on the healthy limb, the Star Excursion Balance Test has shown his ability to point out a loss of dynamic postural control [3]. There is a similar test like the Star Excursion Balance Test, but this test is not performed in the shape of a star, but in ‘Y-form’, called the Y-test.
The test originally incorporated reaching in eight directions while standing on each foot, but factor analysis indicated that one reach direction (posteromedial) was able to accurately identify individuals with chronic ankle instability as well as performing all eight directions [2].

SEBT.png


1. Anterior
2. Anteromedial
3. Medial
4. Posteromedial
5. Posterior
6. Posterolateral
7. Lateral
8. Anterolateral

For knowing how to perform the Star Excursion Balance Test, you can watch the next clip :
http://www.youtube.com/watch?v=wHv2YDfoWoE

Evidence
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Resources[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. Advanced fitness assessment and exercise prescription. Heyward V. Human kinetics, 6th edition: 303 (5)
  2. 2.0 2.1 2.2 2.3 2.4 The Reliability of an Instrumented Device for Measuring Components of the Star Excursion Balance Test. Plisky P et al. Am J Sports Phys Ther. 2009 May; 4(2): 92–99. (2B)
  3. 3.0 3.1 3.2 Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability. Olmsted L., Caria C., Hertel J., Shultz S. Journal of Athletic Training 2002;37(4):501–506 (1B)