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Related Experiment Video

Updated: Jan 13, 2026

Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
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Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability

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Modified Star Excursion Balance Test Performance in Individuals With Chronic Ankle Instability: A Participant-Level

Lauren Forsyth1, Jeffrey Simpson2, Fereshteh Pourkazemi3

  • 1Faculty of Biomedical Engineering, University of Strathclyde, Glasgow, UK.

Journal of Foot and Ankle Research
|January 7, 2026
PubMed
Summary
This summary is machine-generated.

Individuals with chronic ankle instability (CAI) show reduced balance performance on specific modified Star Excursion Balance Test (mSEBT) directions. This normative data aids in assessing and rehabilitating dynamic balance in CAI populations.

Keywords:
balancechronic ankle instabilityrehabilitationstar excursion balance test

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Area of Science:

  • Biomechanics
  • Sports Medicine
  • Rehabilitation Science

Background:

  • Chronic ankle instability (CAI) affects 20% of individuals post-ankle sprain.
  • Current research on CAI and balance performance is inconclusive.
  • Normative data for balance tests in CAI populations is lacking.

Purpose of the Study:

  • To determine normative values for modified Star Excursion Balance Test (mSEBT) performance in individuals with CAI.
  • To compare mSEBT performance between individuals with CAI, Copers, and Healthy participants.
  • To provide data for clinical decision-making in dynamic balance assessment and rehabilitation.

Main Methods:

  • Participant-level analysis combining ten mSEBT datasets.
  • Categorization of participants into CAI, Coper, and Healthy groups.
  • Analysis of maximal reach distances in anterior, posterolateral, posteromedial, and composite directions, with sub-grouping based on stance and score reporting.

Main Results:

  • Pooled data included 429 participants (202 CAI, 181 Healthy, 46 Coper).
  • CAI subgroups showed significantly smaller reach distances in specific directions compared to the Healthy group (p < 0.05).
  • Copers outperformed both CAI and Healthy groups in all reach directions; ANT and PL directions showed the smallest reaches for CAI and Healthy/Coper groups, respectively.

Conclusions:

  • Reduced mSEBT reach in specific directions was observed in certain CAI subgroups compared to Healthy and Coper groups.
  • Normative data derived from this study can inform clinical practice.
  • This data aids in decision-making for dynamic balance assessment and rehabilitation in CAI populations.