Single Leg Stance Test: Difference between revisions
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<div class="editorbox"> | <div class="noeditbox">Welcome to [[Arkansas Colleges of Health Education School of Physical Therapy Musculoskeletal 1 Project]]. This space was created by and for the students at Arkansas Colleges of Health Education School in the United States. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div><div class="editorbox"> | ||
'''Original Editor '''- [[User:Lucinda hampton|Lucinda hampton]] | '''Original Editor '''- [[User:Lucinda hampton|Lucinda hampton]] | ||
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</div> | </div> | ||
== Purpose == | == Purpose == | ||
* | * | ||
* The Single Leg Stance (SLS) Test is used to assess static postural and balance control. The SLS Test is a balance assessment that is widely used in clinical settings to monitor neurological and musculoskeletal conditions.[[File:Single Leg Stance.jpg|border|thumb|412x412px]] | |||
* Abnormal values may indicate conditions such as peripheral neuropathy, intermittent claudication, or other conditions that may impair balance.<ref name=":1">Springer, B. A., Marin, R. H., Cyhan, T., Roberts, H., & Gill, N. W. (2007). Normative Values for the Unipedal Stance Test with Eyes Open and Closed. ''Journal of Geriatric Physical Therapy'', ''30''(1), 8–15. <nowiki>https://doi.org/10.1519/00139143-200704000-00003</nowiki></ref> | |||
* The SLS Test will quantify balance status for those who are at increased risks for fall.<ref name=":1" /> | |||
== Method == | == Method == | ||
* Performed with eyes open and hands on the hips. | * Performed with eyes open and hands on the hips. | ||
* Patient stands on one leg unassisted; time begins when opposite foot leaves the ground; time stops immediately when opposite foot touches the ground and/or when hands leave the hips. | * Patient stands on one leg unassisted; time begins when opposite foot leaves the ground; time stops immediately when opposite foot touches the ground and/or when hands leave the hips. | ||
* If unable to stand for 5 seconds or less client at greater risk of injury from [[Falls Risk Assessment Tool (FRAT): An Overview to Assist Understanding and Conduction|fall]].<ref>Abilitiy lab [https://www.sralab.org/rehabilitation-measures/single-leg-stance-or-one-legged-stance-test SLS] Available from:https://www.sralab.org/rehabilitation-measures/single-leg-stance-or-one-legged-stance-test (last accessed 13.12.2020)</ref> | * If unable to stand for 5 seconds or less client at greater risk of injury from [[Falls Risk Assessment Tool (FRAT): An Overview to Assist Understanding and Conduction|fall]].<ref>Abilitiy lab [https://www.sralab.org/rehabilitation-measures/single-leg-stance-or-one-legged-stance-test SLS] Available from:https://www.sralab.org/rehabilitation-measures/single-leg-stance-or-one-legged-stance-test (last accessed 13.12.2020)</ref> | ||
== Age Related Normative Values | {{#ev:youtube|nVgCXM-PiIU|width}} | ||
== Age-Related Normative Values == | |||
* | * | ||
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* 18-39 years-old (eyes closed): 9 seconds | * 18-39 years-old (eyes closed): 9 seconds | ||
* 40-49 years-old (eyes open): 40 seconds | * 40-49 years-old (eyes open): 40 seconds | ||
* | * 40-49 years-old (eyes closed): 7 seconds | ||
* 50-59 years-old (eyes open): 37 seconds | * 50-59 years-old (eyes open): 37 seconds | ||
* 50-59 years-old (eyes closed): 4.8 seconds | * 50-59 years-old (eyes closed): 4.8 seconds | ||
* 60-69 years-old (eyes open): 26.9 seconds | * 60-69 years-old (eyes open): 26.9 seconds | ||
| Line 37: | Line 39: | ||
* [[Traumatic Brain Injury|Traumatic brain injury]] | * [[Traumatic Brain Injury|Traumatic brain injury]] | ||
* General [[Older People - An Introduction|geriatric]] population | * General [[Older People - An Introduction|geriatric]] population | ||
* Lower extremity pathology like [[Knee Osteoarthritis|knee osteoarthritis]] (OA), one of the most common [[Chronic Disease|chronic health conditions]], is associated with significant impairment and disability, and predominantly affects the elderly population<ref>Hunt MA, McManus FJ, Hinman RS, Bennell KL. [https://onlinelibrary.wiley.com/doi/full/10.1002/acr.20046 Predictors of single‐leg standing balance in individuals with medial knee osteoarthritis]. Arthritis care & research. 2010 Apr;62(4):496-500. Available from:https://onlinelibrary.wiley.com/doi/full/10.1002/acr.20046 (accessed 13.12.2020)</ref><ref name=":0" /><ref>Bonora G, Mancini M, Carpinella I, Chiari L, Ferrarin M, Nutt JG, Horak FB. Investigation of anticipatory postural adjustments during one-leg stance using inertial sensors: evidence from subjects with Parkinsonism. Frontiers in neurology. 2017 Jul 25;8:361.Available from:https://www.frontiersin.org/articles/10.3389/fneur.2017.00361/full (accessed 13.12.2020)</ref>. | * Lower extremity pathology like [[Knee Osteoarthritis|knee osteoarthritis]] (OA), one of the most common [[Chronic Disease|chronic health conditions]], is associated with significant impairment and disability, and predominantly affects the elderly population<ref>Hunt MA, McManus FJ, Hinman RS, Bennell KL. [https://onlinelibrary.wiley.com/doi/full/10.1002/acr.20046 Predictors of single‐leg standing balance in individuals with medial knee osteoarthritis]. Arthritis care & research. 2010 Apr;62(4):496-500. Available from:https://onlinelibrary.wiley.com/doi/full/10.1002/acr.20046 (accessed 13.12.2020)</ref><ref name=":0">Zhang C, Talaber A, Truong M, Vargas BB. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831964/ KD Balance: An objective measure of balance in tandem and double leg stances.] Digital Health. 2019 Oct;5:2055207619885573.Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831964/ (accessed 13.12.2020)</ref><ref>Bonora G, Mancini M, Carpinella I, Chiari L, Ferrarin M, Nutt JG, Horak FB. Investigation of anticipatory postural adjustments during one-leg stance using inertial sensors: evidence from subjects with Parkinsonism. Frontiers in neurology. 2017 Jul 25;8:361.Available from:https://www.frontiersin.org/articles/10.3389/fneur.2017.00361/full (accessed 13.12.2020)</ref>. | ||
== Limitations == | == Limitations == | ||
Single leg stance test normative values are minimal due to limited data. | |||
== References == | == References == | ||
Revision as of 20:56, 7 April 2023
Welcome to Arkansas Colleges of Health Education School of Physical Therapy Musculoskeletal 1 Project. This space was created by and for the students at Arkansas Colleges of Health Education School in the United States. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!
Original Editor - Lucinda hampton
Top Contributors - Lucinda hampton, Clara Foster, Christine Ibeagi, Jessyca Brown, Aminat Abolade, Kim Jackson and Wanda van Niekerk
Purpose[edit | edit source]
- The Single Leg Stance (SLS) Test is used to assess static postural and balance control. The SLS Test is a balance assessment that is widely used in clinical settings to monitor neurological and musculoskeletal conditions.
- Abnormal values may indicate conditions such as peripheral neuropathy, intermittent claudication, or other conditions that may impair balance.[1]
- The SLS Test will quantify balance status for those who are at increased risks for fall.[1]
Method[edit | edit source]
- Performed with eyes open and hands on the hips.
- Patient stands on one leg unassisted; time begins when opposite foot leaves the ground; time stops immediately when opposite foot touches the ground and/or when hands leave the hips.
- If unable to stand for 5 seconds or less client at greater risk of injury from fall.[2]
Age-Related Normative Values[edit | edit source]
- 18-39 years-old (eyes open): 43 seconds
- 18-39 years-old (eyes closed): 9 seconds
- 40-49 years-old (eyes open): 40 seconds
- 40-49 years-old (eyes closed): 7 seconds
- 50-59 years-old (eyes open): 37 seconds
- 50-59 years-old (eyes closed): 4.8 seconds
- 60-69 years-old (eyes open): 26.9 seconds
- 60-69 years-old (eyes closed): 2.8 seconds
- 70-79 years-old (eyes open): 18.3 seconds
- 70-79 years-old (eyes closed): 2 seconds
- 80-99 years-old (eyes open): 5.6 seconds
- 80-99 years-old (eyes closed): 1 second
Clinical Implications[edit | edit source]
Ability to control anticipatory postural adjustments (APAs) prior to lifting one leg while standing in unsupported equilibrium represents a complex motor task that is significantly impaired by:
- Neurological conditions like multiple sclerosis, Parkinson’s disease, Alzheimer’s disease, and dementia
- Stroke
- Traumatic brain injury
- General geriatric population
- Lower extremity pathology like knee osteoarthritis (OA), one of the most common chronic health conditions, is associated with significant impairment and disability, and predominantly affects the elderly population[3][4][5].
Limitations[edit | edit source]
Single leg stance test normative values are minimal due to limited data.
References[edit | edit source]
- ↑ 1.0 1.1 Springer, B. A., Marin, R. H., Cyhan, T., Roberts, H., & Gill, N. W. (2007). Normative Values for the Unipedal Stance Test with Eyes Open and Closed. Journal of Geriatric Physical Therapy, 30(1), 8–15. https://doi.org/10.1519/00139143-200704000-00003
- ↑ Abilitiy lab SLS Available from:https://www.sralab.org/rehabilitation-measures/single-leg-stance-or-one-legged-stance-test (last accessed 13.12.2020)
- ↑ Hunt MA, McManus FJ, Hinman RS, Bennell KL. Predictors of single‐leg standing balance in individuals with medial knee osteoarthritis. Arthritis care & research. 2010 Apr;62(4):496-500. Available from:https://onlinelibrary.wiley.com/doi/full/10.1002/acr.20046 (accessed 13.12.2020)
- ↑ Zhang C, Talaber A, Truong M, Vargas BB. KD Balance: An objective measure of balance in tandem and double leg stances. Digital Health. 2019 Oct;5:2055207619885573.Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831964/ (accessed 13.12.2020)
- ↑ Bonora G, Mancini M, Carpinella I, Chiari L, Ferrarin M, Nutt JG, Horak FB. Investigation of anticipatory postural adjustments during one-leg stance using inertial sensors: evidence from subjects with Parkinsonism. Frontiers in neurology. 2017 Jul 25;8:361.Available from:https://www.frontiersin.org/articles/10.3389/fneur.2017.00361/full (accessed 13.12.2020)
