Stoddard Carissa A, Wang-Price Sharon, Lam Satoko E
School of Physical Therapy, Texas Woman's University.
Rehab & Therapy Services, Children's Health.
Int J Sports Phys Ther. 2022 Feb 1;17(2):164-173. doi: 10.26603/001c.30996. eCollection 2022.
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.
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。
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