Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2017; 27(03): 164-170
DOI: 10.1055/s-0043-105503
Wissenschaft und Forschung
© Georg Thieme Verlag KG Stuttgart · New York

Normative Values of Y Balance Test and Isometric Muscle Strength among Saudi School Children

Normative Werte von Y-Balancen-Test und isometrische Muskelkraft bei Schulkindern in Saudi-Arabien
Adel A. Alhusaini
1   Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
,
Ali H. Alnahdi
1   Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
,
Ganeswararao Melam
1   Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
,
Ali Z. Aldali
1   Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
,
Mohammed S. Al-Mutairi
1   Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
,
Abdulaziz Rasheed Alenzi
1   Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
› Author Affiliations
Further Information

Publication History

received 17 October 2016

accepted 07 March 2017

Publication Date:
28 June 2017 (online)

Abstract

Background To establish children-specific reference values for the Y-balance test (YBT) and Isometric muscle strength in school children of Saudi Arabia and to elucidate the relationship between YBT performance and lower limb muscle strength.

Materials & Methods Healthy School children (51 males) aged 12–15 years volunteered to participate in this study. Participants completed the YBT and maximal isometric muscle strength testing for knee extensors and flexors in a single testing session. Descriptive statistics were used to compute the YBT and muscle strength reference values. Paired t-tests were used to examine interlimb differences. Pearson’s correlation coefficient was used to quantify the linear relationships between YBT distances and lower limb strength.

Results Tabulated children-specific reference values were presented for the right, left, dominant and non-dominant limbs. Participants exhibited longer distance in the posteromedial direction standing on the right (p=0.04), stronger knee extensors (p=0.03) on the dominant side and stronger knee flexors in the right side (p=0.01) and in the dominant side (p=0.01). Knee flexors muscle strength was positively related to the reach distances of the YBT in both the right and the left lower extremity (P<0.05).

Conclusion The current study provided the reference value for the YBT and muscle strength for the knee extensors and flexors in male children in Saudi Arabia. The interlimb difference in YBT performance was noted in only the posteromedial direction and the dominant side had stronger knee flexors and extensors. Muscle strength of the knee flexors was positively related to the reach distance in the YBT.

Zusammenfassung

Ziel Bewertung spezifischer Referenzwerte für den Y-Balance-Test (YBT) und die isometrische Muskelkraft bei Schulkindern in Saudi-Arabien und die Beziehung zwischen YBT-Leistung und Muskelkraft in den unteren Extremitäten.

Materialien und Methoden Gesunde Schulkinder (51 Jungen) im Alter von 12 bis 15 Jahren konnten freiwillig an dieser Studie teilnehmen. Die Teilnehmer führten den YBT-Test und den Test für maximale isometrische Muskelkraft maximale isometrische Muskelkraft der Knieextensoren und Knieflexoren, in einer einzigen Test-Session aus. Eine beschreibende Statistik wurden verwendet, um die YBT und die Muskelkraft-Referenzwerte zu berechnen. Gepaarte t-Tests wurden verwendet, um Unterschiede in den unteren Gliedmaßen zu untersuchen. Der Pearson-Korrelationskoeffizient wurde verwendet, um die linearen Beziehungen zwischen YBT-Entfernungen und der Stärke der unteren Extremitäten zu quantifizieren.

Ergebnisse Die spezifischen Referenzwerte wurden für die rechte und die linke Seite dargestellt, jeweils für die dominanten und nicht-dominanten Gliedmaßen. Die Teilnehmer zeigten längere Distanzen in der posteromedialen Richtung auf der rechten Seite (p=0,04), stärkere Knieextensoren (p=0,03) auf der dominanten Seite und eine stärkere Kniebeugung auf der rechten Seite (p=0,01) und auf der dominanten Seite (p=0,01). Die Muskelkraft der Knieflexoren stand in (einem positiven) Zusammenhang mit dem erreichten Abstand zwischen rechter und linker unterer Extermität beim Y-Balance-Test/beim YBT (P<0,05).

Fazit Die aktuelle Studie lieferte Referenzwerte für den Y-Balancetest und die Muskelkraft beim Kniestrecken und Beugen bei männlichen Kindern in Saudi-Arabien. Die Unterschiede in den Gliedmaßen in der YBT-Leistung wurde nur in der posteromedialen Richtung bewertet und auf der dominanten Seite waren die Knieextensoren und Knieflexoren stärker. Die Muskelkraft der Knieflexoren stand in direktem Zusammenhang mit den erreichten Werten beim Y-Balance-Test/beim YBT.

 
  • References

  • 1 Lubans DR, Morgan PJ, Cliff DP. et al. Fundamental movement skills in children and adolescents: review of associated health benefits. Sports Med 2010; 40: 1019-1035
  • 2 Faigenbaum AD, Bagley J, Boise S. et al. Dynamic Balance in Children: Performance Comparison between Two Testing Devices. Athletic Training and Sports Health Care 2015; 7: 160-164
  • 3 Faigenbaum AD, Myer GD, Fernandez IP. et al. Feasibility and reliability of dynamic postural control measures in children in first through fifth grades. Int J Sports Phys Ther 2014; 9: 140
  • 4 Plisky PJ, Gorman PP, Butler RJ. et al. The reliability of an instrumented device for measuring components of the star excursion balance test. N Am J Sports Phys Ther 2009; 4: 92-99
  • 5 Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J Ath Train 2012; 47: 339-357
  • 6 Hyong IH, Kim JH. Test of intrarater and interrater reliability for the star excursion balance test. J Phys Ther Sci. 2014; 26: 1139-1141
  • 7 Overmoyer GV, Reiser RF. Relationships between Lower-Extremity Flexibility, Asymmetries, and the Y Balance Test. J Strength Cond Res. 2015; 29: 1240-1247
  • 8 Butler RJ, Queen RM, Beckman B. et al. Comparison of dynamic balance in adolescent male soccer players from Rwanda and the United States. Int J Sports Phys Ther 2013; 8: 749-755
  • 9 Magee DJ. Orthopedic physical assessment: Elsevier Health Sciences. 2014
  • 10 Wiggin M, Wilkinson K, Habetz S. et al. Percentile values of isokinetic peak torque in children six through thirteen years old. Pediatr Phys Ther 2006; 18: 3-18
  • 11 Escolar DM, Henricson EK, Mayhew J. et al. Clinical evaluator reliability for quantitative and manual muscle testing measures of strength in children. Muscle Nerve. 2001; 24: 787-793
  • 12 Wadsworth CT, Krishnan R, Sear M. et al. Intrarater reliability of manual muscle testing and hand-held dynametric muscle testing. Phys Ther. 1987; 67: 1342-1347
  • 13 Deones VL, Wiley SC, Worrell T. Assessment of quadriceps muscle performance by a hand-held dynamometer and an isokinetic dynamometer. J Orthop Sports Phys Ther. 1994; 20: 296-301
  • 14 Beenakker E, Van der Hoeven J, Fock J. et al. Reference values of maximum isometric muscle force obtained in 270 children aged 4–16 years by hand-held dynamometry. Neuromuscul Disord 2001; 115: 441-446
  • 15 Kim WK, Kim DK, Seo KM. et al. Reliability and validity of isometric knee extensor strength test with hand-held dynamometer depending on its fixation: a pilot study. Annals of rehabilitation medicine 2014; 38: 84-93
  • 16 Andrews AW, Thomas MW, Bohannon RW. Normative values for isometric muscle force measurements obtained with hand-held dynamometers. Phys Ther. 1996; 76: 248-259
  • 17 Bohannon RW. Test-retest reliability of hand-held dynamometry during a single session of strength assessment. Phys Ther. 1986; 66: 206-209
  • 18 Bohannon RW. Reference values for extremity muscle strength obtained by hand-held dynamometry from adults aged 20 to 79 years. Arch Phys Med Rehabil. 1997; 78: 26-32
  • 19 Almuzaini KS. Muscle function in Saudi children and adolescents: relationship to anthropometric characteristics during growth. Pediatr Exerc Sci. 2007; 19: 319-333
  • 20 Alangari AS, Al-Hazzaa HM. Normal isometric and isokinetic peak torques of hamstring and quadriceps muscles in young adult Saudi males. Neurosciences 2004; 9: 165-170
  • 21 Granacher U, Gollhofer A. Is there an association between variables of postural control and strength in prepubertal children?. J Strength Cond Res 2012; 26: 210-216
  • 22 Muehlbauer T, Besemer C, Wehrle A. et al. Relationship between strength, balance and mobility in children aged 7–10 years. Gait & posture 2013; 37: 108-112
  • 23 Alnahdi AH, Alderaa AA, Aldali AZ. et al. Reference values for the Y Balance Test and the lower extremity functional scale in young healthy adults. J Phys Ther Sci. 2015; 27: 3917-3921
  • 24 Gribble PA, Hertel J. Considerations for normalizing measures of the Star Excursion Balance Test. Meas Phys Educ Exerc Sci 2003; 7: 89-100
  • 25 Sadeghi H, Allard P, Prince F. et al. Symmetry and limb dominance in able-bodied gait: a review. Gait Posture. 2000; 12: 34-45
  • 26 Hertel J, Braham RA, Hale SA. et al. Simplifying the star excursion balance test: analyses of subjects with and without chronic ankle instability. J Orthop Sports Phys Ther. 2006; 36: 131-137
  • 27 Hebert LJ, Maltais DB, Lepage C. et al. Hand-Held Dynamometry Isometric Torque Reference Values for Children and Adolescents. Pediatr Phys Ther 2015; 27: 414-423
  • 28 Eek MN, Kroksmark AK, Beckung E. Isometric muscle torque in children 5 to 15 years of age: normative data. Arch Phys Med Rehabil. 2006; 87: 1091-1099
  • 29 Macfarlane TS, Larson CA, Stiller C. Lower extremity muscle strength in 6-to 8-year-old children using hand-held dynamometry. Pediatr Phys Ther 2008; 20: 128-136
  • 30 Backman E, Johansson V, Hager B. et al. Isometric muscle strength and muscular endurance in normal persons aged between 17 and 70 years. Scand J Rehabil Med. 1995; 27: 109-117
  • 31 McCurdy K, Langford G. Comparison of unilateral squat strength between the dominant and non-dominant leg in men and women. J Sports Sci Med 2005; 42: 153-159
  • 32 Lee DK, Kim GM, Ha SM. et al. Correlation of the Y-Balance Test with Lower-limb Strength of Adult Women. J Phys Ther Sci. 2014; 26: 641-643
  • 33 Lee D-K, Kang M-H, Lee T-S. et al. Relationships among the Y balance test, Berg Balance Scale, and lower limb strength in middle-aged and older females. Braz J Phys Ther. 2015; 193: 227-234
  • 34 Booysen MJ, Gradidge PJ, Watson E. The relationships of eccentric strength and power with dynamic balance in male footballers. J Sports Sci. 2015; 33: 2157-2165