What measures can be used to assess dynamic balance in people with low pack pain?The purpose is to test, intervene and assess immediate dynamic changes in balance.
Force plates are frequently used systems for evaluation of postural control. EMG measurements could be another option. However, measurement devices are quite expensive. Depending on your research question, the Star Excursion Balance Test (SEBT) or the Y-balance test are inexpensive or even cost-free alternatives - just to name a few.
I was planning to use the force plate to assess static balance and the Y test to asses dyamic balance. But woundn't the functional reach test be better than the Y test to asses balance in low back pain? the population is going to be college students
In your opinion, it depends on what? I read that the Y balance test was more adequate for athlets and lower limb injury. It assesses strength, range of motion and motor skills. The Functional Reach test is for elderly and fragile clinical populations. it assess flexibility and risk of falling.
In my opinian, the Functional Reach test elicits more postural mechanisms than the Y balance test. Do you agree?
Please have a look to interesting work of some colleagues of our research unit:
Decreased variability in postural control strategies in young people with non-specific low back pain is associated with altered proprioceptive reweighting.
Claeys K, Brumagne S, Dankaerts W, Kiers H, Janssens L.
By the way, the Y-balance test can be used for an assessment of the upper extremity as well.
I think you should keep in mind that "The Functional Reach tejavascript:st is for elderly and fragile clinical populations", but you are are testing college students.
Int J Sports Phys Ther. 2012 Apr;7(2):139-47. Exploration of the y-balance test for assessment of upper quarter closed kinetic chain performance.
Westrick RB, Miller JM, Carow SD, Gerber JP.
PMID: 22530188
http://www.ncbi.nlm.nih.gov/pubmed/22228174
J Strength Cond Res. 2012 Nov;26(11):3043-8. Upper Quarter Y Balance Test: reliability and performance comparison between genders in active adults.
Gorman PP1, Butler RJ, Plisky PJ, Kiesel KB.
PMID: 22228174
http://www.youtube.com/watch?v=NWNZOyk03gI
Perhaps this paper utilizing the lower exrtremity y-balance test might be of interest with regard to your research question as well:
http://www.ncbi.nlm.nih.gov/pubmed/24567854
Int J Sports Phys Ther. 2014 Feb;9(1):40-6.
The influence of upper body fatigue on dynamic standing balance.
Wassinger CA, McKinney H, Roane S, Davenport MJ, Owens B, Breese U, Sokell GA.
PMID: 24567854
In my opinion, force plates are the most valuable tools of the ones mentioned above. If you are looking for an additional motoric test, I believe that the y-balance test or SEBT would be the appropriate assessment with regard to your participants/patients, as these tests assess core stability, range of motion AND balance skills - skills that cannot be measured by means of force plates, but that might be addressable with a therapeutic intervention. Certainly, there are other (functional) tests as well, I am not familiar with...
You might want to keep us informed about the progress of your study??
Carsten Müller, thank you very much for your help.
we managed to test 46 university students with non-specific low back pain.
Static balance was measured with a force plate on unstable surface, and dynamic balance with the Y balance test. We also testes dynamic balance on the force plate, with a voluntary arm movement, but we didn't manage the matlab routine to work the data.
We had statistic improvements both in static and dynamic balance in the Pilates group.
Pilates group did 4 pilates exercices: single leg stretch (level 1), pelvic press (level 1), swimming (level 1) and kneeling opposite arm and leg reach
control group rested
It is my master's study. I am going to present it shortly and the publish the article.
Hello, I do know much about the TUG: Time up and go. Only that it is used for an older population. My question is that would the results be comparable to other studies, and another, the learning effect
For the SEBT, according to literature, 3 trails seems enough to practice. Would it be the same for the TUG with a dual task?