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Quantitative Static and Dynamic Assessment of Balance Control in Stroke Patients
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Systematic Review and Meta-Analysis of the Y-Balance Test Lower Quarter: Reliability, Discriminant Validity, and

Phillip Plisky1, Katherine Schwartkopf-Phifer2, Bethany Huebner1

  • 1Physical Therapy, University of Evansville; ProRehab-PC.

International Journal of Sports Physical Therapy
|October 11, 2021
PubMed
Summary

The Y-Balance Test Lower Quarter (YBT-LQ) reliably assesses dynamic neuromuscular control. Performance varies by sex and sport, and general cutoffs may not predict injury risk effectively.

Keywords:
dynamic balancesingle leg balancestar excursion balance testy-balance test lower quarter

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Area of Science:

  • Biomechanics
  • Sports Medicine
  • Neuromuscular Control

Background:

  • Dynamic neuromuscular control deficits are linked to post-injury issues and increased injury risk.
  • The Y-Balance Test Lower Quarter (YBT-LQ) is a key tool for identifying these deficits.

Purpose of the Study:

  • To evaluate the reliability of the YBT-LQ.
  • To determine if YBT-LQ performance differs across populations (sex, sport, competition level).
  • To assess the YBT-LQ's validity in predicting injury risk based on asymmetry, reach direction, or composite scores.

Main Methods:

  • Systematic review of 10 online databases.
  • Inclusion of studies using the YBT-LQ for dynamic single-leg balance assessment.
  • Methodological quality assessed using modified Downs and Black and Newcastle-Ottawa scales.

Main Results:

  • Moderate to high reliability (intra-rater: 0.85-0.91) was found for the YBT-LQ.
  • Significant sex differences in posteromedial and posterolateral reach directions were observed.
  • Composite scores differed between soccer, baseball, and basketball players, indicating sport-specific variations.

Conclusions:

  • The YBT-LQ is a reliable measure of dynamic neuromuscular control.
  • Interpreting YBT-LQ results requires consideration of population-specific factors like age, sex, and sport.
  • General YBT-LQ cutoffs may not accurately predict injury risk without considering these individual differences.