Responsiveness of monopodal postural stability tests in recreational athletes

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 tr...

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Main Authors: Mª Piedad Sánchez Martínez, Mariana Sánchez-Barbadora, Noemi Moreno-Segura, Patricia Beltrá, Adrian Escriche-Escuder, Rodrigo Martín-San Agustín
Format: Article
Language:English
Published: PeerJ Inc. 2024-01-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/16765.pdf
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author Mª Piedad Sánchez Martínez
Mariana Sánchez-Barbadora
Noemi Moreno-Segura
Patricia Beltrá
Adrian Escriche-Escuder
Rodrigo Martín-San Agustín
author_facet Mª Piedad Sánchez Martínez
Mariana Sánchez-Barbadora
Noemi Moreno-Segura
Patricia Beltrá
Adrian Escriche-Escuder
Rodrigo Martín-San Agustín
author_sort Mª Piedad Sánchez Martínez
collection DOAJ
description 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.
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spelling doaj.art-df551de3ec0b4ff59624596f19c1cfda2024-01-13T15:05:07ZengPeerJ Inc.PeerJ2167-83592024-01-0112e1676510.7717/peerj.16765Responsiveness of monopodal postural stability tests in recreational athletesMª Piedad Sánchez Martínez0Mariana Sánchez-Barbadora1Noemi Moreno-Segura2Patricia Beltrá3Adrian Escriche-Escuder4Rodrigo Martín-San Agustín5Department of Phyiotherapy, Universidad de Murcia, Murcia, SpainDepartment of Physiotherapy, Universidad de Valencia, Valencia, SpainDepartment of Physiotherapy, Universidad de Valencia, Valencia, SpainFaculty of Health Sciences, Universidad Europea de Valencia, Valencia, SpainDepartment of Physiotherapy, Universidad de Valencia, Valencia, SpainDepartment of Physiotherapy, Universidad de Valencia, Valencia, SpainBackground 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.https://peerj.com/articles/16765.pdfPsychometricsPhysical and rehabilitation medicinePostural balanceSports
spellingShingle Mª Piedad Sánchez Martínez
Mariana Sánchez-Barbadora
Noemi Moreno-Segura
Patricia Beltrá
Adrian Escriche-Escuder
Rodrigo Martín-San Agustín
Responsiveness of monopodal postural stability tests in recreational athletes
PeerJ
Psychometrics
Physical and rehabilitation medicine
Postural balance
Sports
title Responsiveness of monopodal postural stability tests in recreational athletes
title_full Responsiveness of monopodal postural stability tests in recreational athletes
title_fullStr Responsiveness of monopodal postural stability tests in recreational athletes
title_full_unstemmed Responsiveness of monopodal postural stability tests in recreational athletes
title_short Responsiveness of monopodal postural stability tests in recreational athletes
title_sort responsiveness of monopodal postural stability tests in recreational athletes
topic Psychometrics
Physical and rehabilitation medicine
Postural balance
Sports
url https://peerj.com/articles/16765.pdf
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