Chimera Nicole J, Larson Mallorie
J Sport Rehabil. 2020 Feb 5;30(1):16-21. doi: 10.1123/jsr.2019-0358.
The lower quarter Y-Balance Test (YBT-LQ) is associated with injury risk; however, ankle range of motion impacts YBT-LQ. Arch height and foot sensation impact static balance, but these characteristics have not yet been evaluated relative to YBT-LQ.
Determine if arch height index (AHI), forefoot sensation (SEN), and ankle dorsiflexion predict YBT-LQ composite score (CS).
Descriptive cohort.
Athletic training laboratory.
Twenty general population (14 females and 6 males; mean [SD]: age 35 [18] y, weight 70.02 [16.76] kg, height 1.68 [0.12] m) participated in this study.
AHI measurement system assessed arch height in 10% (AHI10) and 90% (AHI90) weight-bearing. Two-point discrim-a-gon discs assessed sensation (SEN) at the plantar great toe, third and fifth metatarsal heads. Biplane goniometer and weight-bearing lunge tests were used to measure static and weight-bearing dorsiflexion, respectively. The YBT-LQ assessed dynamic single-leg balance.
For right-limb dynamic single-leg balance, AHI90 and SEN were included in the final sequential prediction equation; however, neither model significantly (P = .052 and .074) predicted variance in YBT-LQ CS. For left-limb dynamic single-leg balance, both SEN and weight-bearing lunge test were included in the final sequential prediction equation. The regression model (SEN and weight-bearing lunge test) significantly (P = .047) predicted 22% of the variance in YBT-LQ CS.
This study demonstrates that foot characteristics may play a role in YBT-LQ CS. The authors did not assess limb dominance in this study; therefore, the authors are unable to determine which limb would be the stance versus kicking limb. However, altered SEN and weight-bearing dorsiflexion appear to be contributing factors to YBT-LQ CS.
下肢Y平衡测试(YBT-LQ)与损伤风险相关;然而,踝关节活动范围会影响YBT-LQ。足弓高度和足部感觉会影响静态平衡,但这些特征尚未相对于YBT-LQ进行评估。
确定足弓高度指数(AHI)、前足感觉(SEN)和踝关节背屈是否能预测YBT-LQ综合评分(CS)。
描述性队列研究。
运动训练实验室。
20名普通人群(14名女性和6名男性;平均[标准差]:年龄35[18]岁,体重70.02[16.76]千克,身高1.68[0.12]米)参与了本研究。
AHI测量系统评估10%(AHI10)和90%(AHI90)负重时的足弓高度。两点辨别盘评估足底拇趾、第三和第五跖骨头处的感觉(SEN)。双平面角度计和负重弓步试验分别用于测量静态和负重背屈。YBT-LQ评估动态单腿平衡。
对于右侧肢体动态单腿平衡,AHI90和SEN被纳入最终的序列预测方程;然而,两个模型均未显著(P = 0.052和0.074)预测YBT-LQ CS的方差。对于左侧肢体动态单腿平衡,SEN和负重弓步试验均被纳入最终的序列预测方程。回归模型(SEN和负重弓步试验)显著(P = 0.047)预测了YBT-LQ CS中22%的方差。
本研究表明足部特征可能在YBT-LQ CS中起作用。作者在本研究中未评估肢体优势;因此,作者无法确定哪条肢体将作为支撑腿与踢腿。然而,感觉改变和负重背屈似乎是YBT-LQ CS的促成因素。