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The Submaximal Lateral Shuffle Test: A reliability and sensitivity analysis.

Philipp Maurus1,2, Michael J Asmussen1, Sasa Cigoja1

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|June 6, 2019
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The Submaximal Lateral Shuffle Test (SLST) shows good reliability for measuring lateral ankle stability. It effectively detects differences in footwear, suggesting its promise for future research.

Keywords:
Change of directionintra-class-correlationlateral ankle stabilityrepeatabilitysmallest worthwhile change

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Area of Science:

  • Biomechanics
  • Sports Science
  • Orthopedics

Background:

  • Lateral ankle stability is crucial for preventing injuries.
  • Existing methods for assessing ankle stability lack reliability and sensitivity.
  • Footwear characteristics significantly influence lateral ankle stability.

Purpose of the Study:

  • To evaluate the test-retest reliability and sensitivity of the novel Submaximal Lateral Shuffle Test (SLST).
  • To investigate how footwear, specifically collar height and upper stiffness, affects lateral ankle stability measures.
  • To determine the smallest worthwhile change for key biomechanical variables during the SLST.

Main Methods:

  • The SLST protocol was administered to 11 participants for reliability and 40 for sensitivity assessment.
  • Participants performed the test in footwear with varying collar heights and upper stiffness.
  • Intraclass Correlation Coefficients (ICCs) were used to assess reliability for various kinematic and kinetic parameters.

Main Results:

  • The SLST demonstrated good to excellent reliability for peak ankle angles, moments, ground reaction forces, impulses, stance time, and performance time.
  • High-cut shoes resulted in significantly lower peak inversion/adduction angles and lower push-off forces compared to low-cut shoes.
  • Meaningful differences were detected in 70.0-82.5% of participants for key variables, although not consistently in direction.

Conclusions:

  • The Submaximal Lateral Shuffle Test (SLST) is a reliable and sensitive tool for assessing lateral ankle stability.
  • Footwear design, particularly collar height, significantly impacts lateral ankle stability metrics.
  • The SLST shows potential for advancing research into footwear effects on ankle stability.