Responsiveness of monopodal postural stability tests in recreational athletes

  1. Sánchez Martínez, Mª Piedad 3
  2. Sánchez-Barbadora, Mariana 1
  3. Moreno-Segura, Noemi 1
  4. Beltrá, Patricia 2
  5. Escriche-Escuder, Adrian 1
  6. Martín-San Agustín, Rodrigo 1
  1. 1 Department of Physiotherapy, Universidad de Valencia, Valencia, Spain
  2. 2 Faculty of Health Sciences, Universidad Europea de Valencia, Valencia, Spain
  3. 3 Department of Phyiotherapy, Universidad de Murcia, Murcia, Spain
Show affiliations +
Journal:
PeerJ

ISSN: 2167-8359

Year of publication: 2024

Volume: 12

Pages: e16765

Type: Article

DOI: 10.7717/PEERJ.16765 GOOGLE SCHOLAR lock_openOpen access editor

More publications in: PeerJ

Sustainable development goals

Abstract

Background: Stabilometry, the modified Star Excursion Balance Test (mSEBT) or the Emery balance test (EBT) are reported in the literature to reflect changes after an intervention in monopodal postural stability. Even so, the responsiveness of those tests has not been evaluated after an instability training programme or analysed using multiple statistical indicators of responsiveness. The main aim of this study was to analyse the responsiveness of the stabilometry, mSEBT or EBT.Methods: Thirty healthy recreational athletes performed a 4-week programme with three weekly sessions of instability training of the dominant lower limb and were evaluated using stabilometry, mSEBT, and EBT tests. Responsiveness was quantified based on internal and external responsiveness.Results: EBT and all parameters in mSEBT for the dominant lower limb showed large internal responsiveness (SRM > 0.8). Furthermore, mSEBT values for the non-dominant lower limb (except anterior displacement) also experienced significant changes with an associated large internal responsiveness. None of the stabilometry platform parameters showed a significant change after the intervention. The ability of the EBT to discriminate between the dominant and non-dominant lower limb (i.e., trained vs untrained, respectively) was generally acceptable (AUCs = 0.708). However, none of the parameters of the mSEBT test showed an acceptable AUC.Conclusions: EBT showed a positive responsiveness after instability training compared to mSEBT, which only showed internal responsiveness, or stabilometry platform measures, whose none of the parameters could identify these changes.

Bibliographic References

  • Anguish, (2018), Journal of Athletic Training, 53, pp. 662, 10.4085/1062-6050-555-16
  • Beaton, (2001), The Journal of Rheumatology, 28, pp. 400
  • Blasco, (2019), Gait & Posture, 70, pp. 116, 10.1016/j.gaitpost.2019.02.029
  • Brachman, (2017), Journal of Human Kinetics, 58, pp. 45, 10.1515/hukin-2017-0088
  • Cain, (2017), Journal of Sport Rehabilitation, 26, pp. 1, 10.1123/jsr.2015-0045
  • Choi, (2016), Journal of Advanced Nursing, 72, pp. 1134, 10.1111/jan.12898
  • de Yébenes Prous, (2008), Reumatología Clínica, 4, pp. 240, 10.1016/S1699-258X(08)75545-1
  • Emery, (2005), Physical Therapy, 85, pp. 502, 10.1093/ptj/85.6.502
  • Emery, (2010), British Journal of Sports Medicine, 44, pp. 555, 10.1136/bjsm.2010.074377
  • Fridén, (1989), The American Journal of Sports Medicine, 17, pp. 118, 10.1177/036354658901700120
  • Granacher, (2014), BMC Sports Science, Medicine & Rehabilitation, 6, pp. 40, 10.1186/2052-1847-6-40
  • Gray, (1995), Lower extremity functional profile
  • Gribble, (2003), Measurement in Physical Education and Exercise Science, 7, pp. 89, 10.1207/S15327841MPEE0702_3
  • Gribble, (2012), Journal of Athletic Training, 47, pp. 339, 10.4085/1062-6050-47.3.08
  • Hahn, (1999), Scandinavian Journal of Medicine & Science in Sports, 9, pp. 15, 10.1111/j.1600-0838.1999.tb00201.x
  • Horak, (1987), Physical Therapy, 67, pp. 1881, 10.1093/ptj/67.12.1881
  • Husted, (2000), Journal of Clinical Epidemiology, 53, pp. 459, 10.1016/S0895-4356(99)00206-1
  • Kusumoto, (2020), Journal of Physical Therapy Science, 32, pp. 23, 10.1589/jpts.32.23
  • Lawry-Popelka, (2022), Journal of Athletic Training, 57, pp. 1055, 10.4085/1062-6050-625-21
  • Liang, (1990), Medical Care, 28, pp. 632, 10.1097/00005650-199007000-00008
  • Marcoux, (2017), PLOS ONE, 12, pp. e0188663, 10.1371/journal.pone.0188663
  • McGuine, (2000), Clinical Journal of Sport Medicine, 10, pp. 239, 10.1097/00042752-200010000-00003
  • McKeon, (2008), Medicine and Science in Sports and Exercise, 40, pp. 1810, 10.1249/MSS.0b013e31817e0f92
  • Mokkink, (2010), BMC Medical Research Methodology, 10, pp. 22, 10.1186/1471-2288-10-22
  • Muir, (2010), Physical Therapy, 90, pp. 338, 10.2522/ptj.20090163
  • Navarro-Pujalte, (2019), Disability and Rehabilitation, 41, pp. 1268, 10.1080/09638288.2018.1424948
  • Pajari, (2022), BMC Medical Research Methodology, 22, pp. 37, 10.1186/s12874-022-01527-7
  • Pino-Ortega, (2020), Journal of Sport Rehabilitation, 29, pp. 738, 10.1123/jsr.2018-0399
  • Plisky, (2006), The Journal of Orthopaedic and Sports Physical Therapy, 36, pp. 911, 10.2519/jospt.2006.2244
  • Powden, (2019), International Journal of Sports Physical Therapy, 14, pp. 683, 10.26603/ijspt20190683
  • Powden, (2019), Journal of Athletic Training, 54, pp. 384, 10.4085/1062-6050-344-17
  • Reina, (2022), PM&R, 14, pp. 366, 10.1002/pmrj.12579
  • Romero-Franco, (2014), Journal of Physical Therapy Science, 26, pp. 45, 10.1589/jpts.26.45
  • Rysstad, (2017), BMC Musculoskeletal Disorders, 18, pp. 248, 10.1186/s12891-017-1616-z
  • Shaffer, (2013), Military Medicine, 178, pp. 1264, 10.7205/MILMED-D-13-00222
  • Shumway-Cook, (2001), Motor control: theory and practical applications
  • Son, (2020), The Journal of Korean Physical Therapy, 32, pp. 163, 10.18857/jkpt.2020.32.2.163
  • Stratford, (1996), Physical Therapy, 76, pp. 1109, 10.1093/ptj/76.10.1109
  • Temporiti, (2023), Gait & Posture, 101, pp. 160, 10.1016/j.gaitpost.2023.02.014
  • Wan, (2018), Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 27, pp. 2459, 10.1007/s11136-018-1908-2
  • Wright, (2020), Journal of Athletic Training, 55, pp. 42, 10.4085/1062-6050-346-18
  • Yee, (2022), Arthritis Care and Research, 74, pp. 1623, 10.1002/acr.24606