University of Toledo, Toledo, OH 42606, USA.
J Athl Train. 2012 May-Jun;47(3):339-57. doi: 10.4085/1062-6050-47.3.08.
A dynamic postural-control task that has gained notoriety in the clinical and research settings is the Star Excursion Balance Test (SEBT). Researchers have suggested that, with appropriate instruction and practice by the individual and normalization of the reaching distances, the SEBT can be used to provide objective measures to differentiate deficits and improvements in dynamic postural-control related to lower extremity injury and induced fatigue, and it has the potential to predict lower extremity injury. However, no one has reviewed this body of literature to determine the usefulness of the SEBT in clinical applications.
To provide a narrative review of the SEBT and its implementation and the known contributions to task performance and to systematically review the associated literature to address the SEBT's usefulness as a clinical tool for the quantification of dynamic postural-control deficits from lower extremity impairment.
Databases used to locate peer-reviewed articles published from 1980 and 2010 included Derwent Innovations Index, BIOSIS Previews, Journal Citation Reports, and MEDLINE.
The criteria for article selection were (1) The study was original research. (2) The study was written in English. (3) The SEBT was used as a measurement tool.
Specific data extracted from the articles included the ability of the SEBT to differentiate pathologic conditions of the lower extremity, the effects of external influences and interventions, and outcomes from exercise intervention and to predict lower extremity injury.
More than a decade of research findings has established a comprehensive portfolio of validity for the SEBT, and it should be considered a highly representative, noninstrumented dynamic balance test for physically active individuals. The SEBT has been shown to be a reliable measure and has validity as a dynamic test to predict risk of lower extremity injury, to identify dynamic balance deficits in patients with a variety of lower extremity conditions, and to be responsive to training programs in both healthy people and people with injuries to the lower extremity. Clinicians and researchers should be confident in employing the SEBT as a lower extremity functional test.
在临床和研究环境中,一项备受关注的动态姿势控制任务是星形偏移平衡测试(SEBT)。研究人员提出,通过个体的适当指导和练习以及达到距离的正常化,SEBT 可以用于提供客观的测量来区分下肢损伤和诱导疲劳相关的动态姿势控制缺陷的改善,并有可能预测下肢损伤。然而,没有人审查过这一文献,以确定 SEBT 在临床应用中的有用性。
提供对 SEBT 及其实施的叙述性回顾,以及对任务表现的已知贡献,并系统地回顾相关文献,以解决 SEBT 作为一种临床工具用于量化下肢损伤引起的动态姿势控制缺陷的有用性。
用于查找 1980 年至 2010 年发表的同行评审文章的数据库包括德温特创新索引、BIOSIS 预览、期刊引文报告和 MEDLINE。
文章选择的标准是:(1)研究是原始研究。(2)研究用英文书写。(3)SEBT 用作测量工具。
从文章中提取的具体数据包括 SEBT 区分下肢病理状况的能力、外部影响和干预措施的影响、运动干预的结果以及预测下肢损伤的能力。
十多年的研究结果为 SEBT 建立了全面的有效性组合,并且应该被认为是一种非常有代表性的、非仪器化的动态平衡测试,适用于活跃的个体。SEBT 已被证明是一种可靠的测量方法,具有作为预测下肢损伤风险的动态测试的有效性,识别各种下肢状况患者的动态平衡缺陷,以及对健康人和下肢受伤的人进行训练计划的反应能力。临床医生和研究人员应该有信心将 SEBT 作为下肢功能测试。