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肢体优势不影响非运动员青少年的Y平衡测试表现。

Limb Dominance Does Not Affect Y-Balance Test Performance in Non-Athlete Adolescents.

作者信息

Stoddard Carissa A, Wang-Price Sharon, Lam Satoko E

机构信息

School of Physical Therapy, Texas Woman's University.

Rehab & Therapy Services, Children's Health.

出版信息

Int J Sports Phys Ther. 2022 Feb 1;17(2):164-173. doi: 10.26603/001c.30996. eCollection 2022.


DOI:10.26603/001c.30996
PMID:35136685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8805098/
Abstract

BACKGROUND: The Lower Quarter Y-Balance Test (YBT-LQ) has been shown to be reliable for assessing dynamic balance in children and adolescents. However, limited research is available about the effects of leg dominance on YBT-LQ performance in adolescents. In addition, there is no consensus on the use of maximum reach or mean reach distance being a better measure of YBT-LQ performance. HYPOTHESIS/PURPOSE: The purposes of this study were to determine if there is a difference in the YBT-LQ performance between the dominant and non-dominant limbs in non-athlete adolescents, and to compare the reliability of the maximum reach scores to that of the mean reach scores in this population. STUDY DESIGN: Prospective cohort study. METHODS: Twenty-six healthy non-athlete adolescents (13.6 ± 1.0 years, 22 girls, 4 boys) performed the YBT-LQ on two separate days while the same investigator scored their performance. Paired -tests were used to compare reach distances on dominant and non-dominate stance limbs. Intraclass correlation coefficients (ICC) were calculated for the maximum and mean reach distances for three directions (anterior, posterolateral, posteromedial) and the composite scores on each limb. RESULTS: There was no significant difference in YBT-LQ performance between dominant and non-dominant stance limbs ( > 0.05). Overall, the between-day intra-rater reliability for maximum reach and mean reach scores was moderate-to-good for both limbs (ICC = 0.59 - 0.83), but was poor for the composite score on the dominant limb (ICC = 0.42) and maximum anterior reach on non-dominant limb (ICC = 0.48). CONCLUSION: Limb dominance does not seem to be a factor for YBT-LQ performance in this population. The YBT-LQ appears to be a reliable tool for dynamic balance assessment in non-athlete adolescents using the individual score of each direction. The use of mean reach measures seems to slightly improve reliability, specifically the anterior reach direction, in this population. LEVEL OF EVIDENCE: Level 2b.

摘要

背景:下半身Y平衡测试(YBT-LQ)已被证明在评估儿童和青少年的动态平衡方面具有可靠性。然而,关于腿优势对青少年YBT-LQ表现的影响的研究有限。此外,对于使用最大伸展距离还是平均伸展距离作为YBT-LQ表现的更好衡量标准,尚无共识。 假设/目的:本研究的目的是确定非运动员青少年优势肢体和非优势肢体在YBT-LQ表现上是否存在差异,并比较该人群中最大伸展得分与平均伸展得分的可靠性。 研究设计:前瞻性队列研究。 方法:26名健康的非运动员青少年(13.6±1.0岁,22名女孩,4名男孩)在两个不同的日子进行YBT-LQ测试,由同一名研究人员对他们的表现进行评分。配对t检验用于比较优势和非优势站立肢体的伸展距离。计算三个方向(前、后外侧、后内侧)的最大和平均伸展距离以及每个肢体的综合得分的组内相关系数(ICC)。 结果:优势和非优势站立肢体在YBT-LQ表现上无显著差异(P>0.05)。总体而言,最大伸展得分和平均伸展得分的日间评分者内可靠性在两个肢体上均为中等至良好(ICC = 0.59 - 0.83),但优势肢体的综合得分(ICC = 0.42)和非优势肢体的最大前向伸展(ICC = 0.48)的可靠性较差。 结论:在该人群中,肢体优势似乎不是YBT-LQ表现的一个因素。使用每个方向的个体得分时,YBT-LQ似乎是评估非运动员青少年动态平衡的可靠工具。在该人群中,使用平均伸展测量似乎能稍微提高可靠性,特别是在前向伸展方向。 证据水平:2b级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6284/8805098/7edb8bd84b35/ijspt_2022_17_2_30996_78034.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6284/8805098/f935ed26678c/ijspt_2022_17_2_30996_78033.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6284/8805098/7edb8bd84b35/ijspt_2022_17_2_30996_78034.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6284/8805098/f935ed26678c/ijspt_2022_17_2_30996_78033.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6284/8805098/7edb8bd84b35/ijspt_2022_17_2_30996_78034.jpg

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引用本文的文献

[1]
The influence of different levels of physical activity and sports performance on the accuracy of dynamic lower limbs balance assessment among Chinese physical education college students.

Front Physiol. 2023-6-21

本文引用的文献

[1]
Leg Dominance Effects on Postural Control When Performing Challenging Balance Exercises.

Brain Sci. 2020-2-25

[2]
THE ASSOCIATION BETWEEN THE FUNCTIONAL MOVEMENT SCREEN, Y-BALANCE TEST, AND PHYSICAL PERFORMANCE TESTS IN MALE AND FEMALE HIGH SCHOOL ATHLETES.

Int J Sports Phys Ther. 2019-12

[3]
COMPARISON of LOWER QUARTER Y-BALANCE TEST SCORES for FEMALE COLLEGIATE VOLLEYBALL PLAYERS BASED on COMPETITION LEVEL, POSITION, and STARTER STATUS.

Int J Sports Phys Ther. 2019-6

[4]
INTERRATER AND TEST-RETEST RELIABILITY OF THE Y BALANCE TEST IN HEALTHY, EARLY ADOLESCENT FEMALE ATHLETES.

Int J Sports Phys Ther. 2019-4

[5]
THE MODIFIED STAR EXCURSION BALANCE AND Y-BALANCE TEST RESULTS DIFFER WHEN ASSESSING PHYSICALLY ACTIVE HEALTHY ADOLESCENT FEMALES.

Int J Sports Phys Ther. 2019-4

[6]
Limb Differences in Unipedal Balance Performance in Young Male Soccer Players with Different Ages.

Sports (Basel). 2019-1-11

[7]
Performance and reliability of the Lower Quarter Y Balance Test in healthy adolescents from grade 6 to 11.

Gait Posture. 2019-1

[8]
How does lower limb dominance influence postural control movements during single leg stance?

Hum Mov Sci. 2018-4

[9]
How to determine leg dominance: The agreement between self-reported and observed performance in healthy adults.

PLoS One. 2017-12-29

[10]
THE RELATIONSHIP BETWEEN PRE-OPERATIVE AND TWELVE-WEEK POST-OPERATIVE Y-BALANCE AND QUADRICEPS STRENGTH IN ATHLETES WITH AN ANTERIOR CRUCIATE LIGAMENT TEAR.

Int J Sports Phys Ther. 2017-11

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