Validity and Reliability of Dynamic and Functional Balance Tests in People Aged 19-54: A Systematic Review.

IF 1.6 Q3 SPORT SCIENCES
International Journal of Sports Physical Therapy Pub Date : 2024-04-01 eCollection Date: 2024-01-01 DOI:10.26603/001c.94612
Kim J Lesch, Sanni Tuomisto, Heikki O Tikkanen, Mika Venojärvi
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引用次数: 0

Abstract

Evaluating an impairment in an individual's capacity to maintain, achieve, or restore balance suggests a deficiency in postural control. For effective identification of individuals at risk for falls, balance assessment should exhibit reliability, validity, and ease of use. This systematic review concentrated on dynamic and functional balance assessment methods and their validity in healthy adults aged 19-54. The objective was to clarify the tools that health professionals can utilize to assess balance in this healthy population.

Methods: A systematic literature search conducted in August 2019 yielded nine articles meeting predefined selection criteria. Inclusion criteria required studies featuring healthy adult participants aged 19-54, published in English, and focusing on dynamic and functional balance testing. Exclusion criteria excluded studies involving participants with chronic diseases or musculoskeletal disorders, systematic reviews, professional athletes, and those lacking specific participant age information. The quality of the studies was evaluated using a modified PEDro scale.

Results: This review analyzed ten distinct postural balance tests. The Star Excursion Balance Test and Y-Balance Test exhibited moderate to high reliability, establishing them as dependable measures of dynamic balance. The Nintendo Wii Balance Board, Clever Balance Board, and Posturomed device also displayed excellent reliability for assessing dynamic postural balance. Comparing one-arm and two-arm functional reach tests, the one-arm reach test emerged as a more suitable option for evaluating dynamic balance among young adults. Moreover, an investigation comparing three dynamic balance tests (one-leg jump landing, Posturomed device, and stimulated forward fall) revealed a low correlation among these tests, indicating a measurement of different balance constructs.

Discussion: In conclusion, the Y-Balance Test stands out as the most practical dynamic balance assessment for clinical use, characterized by a standardized protocol, good repeatability, affordability, and ease of application. The Nintendo Wii Balance Board also presents itself as a cost-effective and reliable tool for dynamic balance evaluation in clinical settings. It is crucial to recognize that these tests appraise discrete postural skills, preventing direct comparisons between test outcomes. This review equips healthcare professionals with valuable insights into optimal balance assessment methods for the healthy, 19 to 54 aged population.

Levels of evidence: Level 3.

19-54 岁人群动态和功能性平衡测试的有效性和可靠性:系统性综述。
评估一个人维持、达到或恢复平衡的能力是否受损,表明他在姿势控制方面存在缺陷。为有效识别有跌倒风险的个体,平衡评估应具有可靠性、有效性和易用性。本系统综述主要针对 19-54 岁健康成年人的动态和功能性平衡评估方法及其有效性。目的是明确医疗专业人员可用于评估这一健康人群平衡能力的工具:2019年8月进行的系统性文献检索共收到9篇符合预定筛选标准的文章。纳入标准要求研究以 19-54 岁的健康成人参与者为主角,以英语发表,并侧重于动态和功能性平衡测试。排除标准则排除了涉及患有慢性疾病或肌肉骨骼疾病的参与者、系统综述、职业运动员以及缺乏特定参与者年龄信息的研究。研究质量采用修改后的 PEDro 量表进行评估:本综述分析了十种不同的姿势平衡测试。Star Excursion 平衡测试和 Y 平衡测试表现出中等至高等的可靠性,使其成为可靠的动态平衡测量方法。任天堂 Wii 平衡板、Clever 平衡板和 Posturomed 设备在评估动态姿势平衡方面也表现出极佳的可靠性。对比单臂和双臂功能性伸展测试,发现单臂伸展测试更适合评估青少年的动态平衡。此外,对三种动态平衡测试(单腿跳着地、Posturomed 装置和刺激性前倾倒地)进行比较后发现,这些测试之间的相关性较低,表明测量的是不同的平衡结构:总之,Y-平衡测试是临床上最实用的动态平衡评估方法,其特点是程序标准化、可重复性好、经济实惠且易于应用。任天堂 Wii 平衡板也是在临床环境中进行动态平衡评估的一种经济、可靠的工具。必须认识到,这些测试评估的是不同的姿势技能,因此无法对测试结果进行直接比较。本综述为医疗保健专业人员提供了宝贵的见解,帮助他们了解针对 19 至 54 岁健康人群的最佳平衡评估方法:3级。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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