Dynamic Balance Differences as Measured by the Star Excursion Balance Test Between Adult-aged and Middle-aged Women

Background: Middle-aged women have less postural control than younger women. The Star Excursion Balance Test is a functional and inexpensive postural control measurement tool that is sensitive to age-related changes in balance. Hypothesis: The middle-aged females will experience lower excursion scores compared with the younger women. Methodology: Fifty-three healthy, recreationally active women were divided into 2 groups: adult-aged (n = 29; age range, 23-39 years) and middle-aged (n = 24; age range, 40-54 years). Each participant performed 3 reaches for 3 trials (anteromedial, medial, posteromedial) in a randomized order. The 3 reach trials were converted to a normalized value (percentage of participant’s height) and assessed as an overall mean for the 1-way analysis of variance. Intraclass correlation coefficients and 95% confidence intervals were calculated. Results: No differences were found for body mass index and height; however, age was different between groups (P < 0.01). Intraclass correlation coefficient2,3 values for the 3 directions ranged from 0.72 to 0.97. The adult-aged women were able to reach farther in all 3 directions when tested with the Star Excursion Balance Test (6.8-7.6 cm, P < 0.05). Conclusion: Lower postural control scores based on the Star Excursion Balance Test were found for the older women. The younger women were able to reach approximately 7 cm farther during the anterior, anteromedial, and posteromedial excursions.

[1]  R W Bohannon,et al.  Decrease in timed balance test scores with aging. , 1984, Physical therapy.

[2]  K. Berg Measuring balance in the elderly: preliminary development of an instrument , 1989 .

[3]  Diane Podsiadlo,et al.  The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons , 1991, Journal of the American Geriatrics Society.

[4]  M. Tinetti,et al.  A multifactorial intervention to reduce the risk of falling among elderly people living in the community. , 1994, The New England journal of medicine.

[5]  C. Armstrong,et al.  The reliability of the star-excursion test in assessing dynamic balance. , 1998, The Journal of orthopaedic and sports physical therapy.

[6]  N. Alexander,et al.  A clinical measure of maximal and rapid stepping in older women. , 2000, The journals of gerontology. Series A, Biological sciences and medical sciences.

[7]  M. Woollacott,et al.  Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. , 2000, Physical therapy.

[8]  J. Hertel,et al.  Intratester and Intertester Reliability during the Star Excursion Balance Tests , 2000 .

[9]  J. Hertel,et al.  Lower-Extremity Muscle Activation during the Star Excursion Balance Tests , 2001 .

[10]  J. Hertel,et al.  Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability. , 2002, Journal of athletic training.

[11]  H. Bliddal,et al.  Postural sway in normal subjects aged 20–70 years , 2003, Clinical physiology and functional imaging.

[12]  Jay Hertel,et al.  Considerations for Normalizing Measures of the Star Excursion Balance Test , 2003 .

[13]  J. Nitz,et al.  Medial–lateral postural stability in communitydwelling women over 40 years of age , 2003, Clinical rehabilitation.

[14]  J. Nitz,et al.  Normal Values of Balance Tests in Women Aged 20–80 , 2004, Journal of the American Geriatrics Society.

[15]  J. Allum,et al.  The influence of artificially increased hip and trunk stiffness on balance control in man , 2004, Experimental Brain Research.

[16]  Jay Hertel,et al.  The Effects of Fatigue and Chronic Ankle Instability on Dynamic Postural Control. , 2010, Journal of athletic training.

[17]  L. Mollinger,et al.  Age‐ and Gender‐related Test Performance in Community‐dwelling Adults , 2005, Journal of neurologic physical therapy : JNPT.

[18]  R. Hardy,et al.  Grip strength, postural control, and functional leg power in a representative cohort of British men and women: associations with physical activity, health status, and socioeconomic conditions. , 2005, The journals of gerontology. Series A, Biological sciences and medical sciences.

[19]  Postural balance in a random sample of 7979 aged 30 years and older , 2006 .

[20]  H. Fujisawa,et al.  A new clinical test of dynamic standing balance in the frontal plane: the side-step test , 2006, Clinical rehabilitation.

[21]  T. Kaminski,et al.  Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. , 2006, The Journal of orthopaedic and sports physical therapy.

[22]  Jay Hertel,et al.  Simplifying the star excursion balance test: analyses of subjects with and without chronic ankle instability. , 2006, The Journal of orthopaedic and sports physical therapy.

[23]  T. Hanke,et al.  Lateral Rhythmic Unipedal Stepping in Younger, Middle‐aged and Older Adults , 2006, Journal of geriatric physical therapy.

[24]  P. Haavisto,et al.  Postural Balance in a Random Sample of 7,979 Subjects Aged 30 Years and Over , 2006, Gerontology.

[25]  S. Brauer,et al.  Age‐Related Changes in Strength and Somatosensation during Midlife , 2007, Annals of the New York Academy of Sciences.

[26]  J. Hertel,et al.  Correlations among multiple measures of functional and mechanical instability in subjects with chronic ankle instability. , 2007, Journal of athletic training.

[27]  P. White,et al.  Time-of-day influences on static and dynamic postural control. , 2007, Journal of athletic training.

[28]  K. George,et al.  The impact of single-leg dynamic balance training on dynamic stability , 2007 .

[29]  Jay Hertel,et al.  The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. , 2007, The Journal of orthopaedic and sports physical therapy.

[30]  Eadric Bressel,et al.  Comparison of static and dynamic balance in female collegiate soccer, basketball, and gymnastics athletes. , 2007, Journal of athletic training.

[31]  K. Ebersole,et al.  Unilateral Balance Performance in Female Collegiate Soccer Athletes , 2008, Journal of strength and conditioning research.

[32]  P. Gribble,et al.  Patellar taping, patellofemoral pain syndrome, lower extremity kinematics, and dynamic postural control. , 2008, Journal of athletic training.

[33]  T. Nesser,et al.  Prophylactic ankle braces and star excursion balance measures in healthy volunteers. , 2008, Journal of athletic training.

[34]  Phillip Gribble,et al.  Kinematic predictors of performance on the Star Excursion Balance Test. , 2008, Journal of sport rehabilitation.

[35]  P. Gribble,et al.  Support for a reduction in the number of trials needed for the star excursion balance test. , 2008, Archives of physical medicine and rehabilitation.

[36]  Steven Truijen,et al.  Clinical assessment of balance: Normative data, and gender and age effects , 2008, International journal of audiology.

[37]  S. Brauer,et al.  Linking stability to demographics, strength and sensory system function in women over 40 to support pre-emptive preventive intervention , 2008, Climacteric : the journal of the International Menopause Society.

[38]  Lee Herrington,et al.  A comparison of Star Excursion Balance Test reach distances between ACL deficient patients and asymptomatic controls. , 2009, The Knee.

[39]  Jasmine C Menant,et al.  Journal of Neuroengineering and Rehabilitation Open Access Age and Gender Differences in Seven Tests of Functional Mobility , 2022 .

[40]  Yu-Cheng Pei,et al.  Comparison of the static and dynamic balance performance in young, middle-aged, and elderly healthy people. , 2009, Chang Gung medical journal.

[41]  L. Bouillon,et al.  Comparison of training between 2 cycle ergometers on dynamic balance for middle-aged women. , 2009, Journal of sport rehabilitation.

[42]  Jay Hertel,et al.  The effects of gender and fatigue on dynamic postural control. , 2009, Journal of sport rehabilitation.

[43]  M. A. Sandrey,et al.  Comparative effects of 6-week balance, gluteus medius strength, and combined programs on dynamic postural control. , 2010, Journal of sport rehabilitation.

[44]  T. Hewett,et al.  Neuromuscular training improves performance on the star excursion balance test in young female athletes. , 2010, The Journal of orthopaedic and sports physical therapy.

[45]  J. Munjal,et al.  Comparing stabilization training with balance training in recreationally active individuals , 2010 .

[46]  Junghwa Hong,et al.  Sex differences in the postural sway characteristics of young and elderly subjects during quiet natural standing , 2010, Geriatrics & gerontology international.