Background: The “SEBT group,” which includes the Star Excursion Balance Test (SEBT), its modified version (mSEBT), and the Lower Quarter Y-Balance Test (YBT-LQ), is used to assess the limits of stability. Interestingly, the testing protocol allows users a considerable degree of flexibility, which can affect the obtained results. Therefore, the objective of this systematic review was to analyze the impact of different protocol variants within the “SEBT group” on outcomes.Methods: Data were acquired by searching 4 databases (MEDLINE, ScienceDirect, Wiley, Springer Link) focusing on studies published in English in peer-reviewed journals, empirical in nature, conducted on healthy individuals, and examining the effects of various protocol variants on test outcomes. Study quality was assessed with the NHLBI quality assessment tool for pre-post studies with no control group.Results: The calculation method based on the maximum repetition yields statistically significantly higher results compared to other calculation methods. Allowing unrestricted arm movements during the test results in statistically significantly higher scores compared to the procedure that restricts arm movements. The impact of a warm-up, wearing footwear during testing, and using a dedicated kit remains ambiguous. To obtain reliable results, 4–6 familiarization trials are necessary, though fewer may suffice for athletes experienced in performing the test.Conclusion: This systematic review highlights the significant impact of the calculation method and arm movement restrictions on the outcomes of the “SEBT group.” The effects of wearing footwear during testing, warm-up, and using a dedicated test kit remain unclear. The required number of familiarization repetitions may varies depending on biological maturity level of the person being tested. Future research should develop a warm-up protocol tailored to the needs of the “SEBT group,” and investigate the impact of heel elevation during testing on outcomes.Systematic review registration: The protocol for this systematic review was prospectively registered in the OSF Registries (https://doi.org/10.17605/OSF.IO/JSKH2).
The aim of this study was to assess the reliability of pelvic floor muscles evaluation via transabdominal ultrasonography in young nulliparous women and to present the methodology for quantitative assessment of the ultrasound image of the pelvic floor muscles visible as displacement of the posterior wall of the bladder, caused by action of the pelvic floor muscles. The study comprised 30 young, Caucasian, nulliparous women (age 22–27; 168.6 ± 5.1 cm; 57.1 ± 11.8 kg) without pelvic floor muscle dysfunctions. The intra-rater, test-retest and inter-rater reliability of pelvic floor muscles evaluation was performed using transabdominal ultrasound at rest and during voluntary contraction. The reliability was assessed at three points of the image (at the middle, on the right and left side). The reliability of the three-point measurement of the pelvic floor muscles transabdominal ultrasound is excellent in the case of intra-rater assessments, both at rest (ICC = 0.98–0.99) and during contraction (ICC = 0.97–0.98); moderate at rest (ICC = 0.54–0.62) and poor during contraction (ICC = 0.22–0.50) in the case of test–retest assessment; excellent at rest (ICC = 0.95–0.96), and good during contraction (ICC = 0.81–0.87) in the case of inter-rater assessment. Transabdominal ultrasound is a reliable method of pelvic floor muscle evaluation. The three-points of assessment used in our study allowed for broader and more comprehensive imaging of the pelvic floor muscle, e.g., for quantitative detection contractility imbalances between the left and right side Due to the fact that understanding mechanisms of pelvic floor muscle functioning is crucial in the therapy of pelvic floor dysfunctions, therefore, reliable, valid tests and instruments are important.
The aim of this study was to assess whether cycling training may influence quality of functional movement patterns and dynamic postural control. We also sought to determine if the Functional Movement Screen and Lower Quarter Y-balance tests could be predictive of injury risk among adolescent road cyclists. Twenty-three male road cyclists, aged 15–18 years, were involved in the study. Quality of functional movement patterns was assessed using the Functional Movement Screen test (FMS). Dynamic postural control was evaluated using the Lower Quarter Y-balance test (YBT-LQ). Information on injury occurrence was collected through a retrospective survey. The results showed the highest percentage of scores equalling 0 and 1 (>30% in total) in two FMS component tests: the hurdle step and trunk stability push-up. The results also demonstrated a low injury predictive value of the Functional Movement Screen (cut-off <14/21 composite score) and the Lower Quarter Y-balance test (cut-off 4 cm reach distance asymmetry) in adolescent road cyclists. The most important information obtained from this study is that youth road cyclists may have functional deficits within the lumbo-pelvic-hip complex and the trunk, while neither the FMS nor the YBT-LQ test are not recommended for injury risk screening in cyclists.
24 November 2022 in Journal of Kinesiology and Exercise Sciences
Background: Maximal sprinting speed (MSS) is an essential component of success in many sports. Currently, many systems are used to accurately evaluate athletes’ MSS, including laser or radar guns, single- or dual-beam photocells, high-speed cameras, and high-frequency global positioning systems. However, the cost of these devices may be an obstacle to their implementation into practice. The least expensive but most likely less accurate alternative method of MSS evaluation is the hand-held time measurement of a 30m flying-start sprint. Therefore, the aim of the study was to assess the concurrent validity and inter-rater reliability o the hand-held method of MSS measurement. Materials and Methods: The study involved 3 experienced raters and 18 amateur runners. Runners performed 2-3 trials of the 30m maximal flying-start sprint. In total, 40 observations were collected. Each sprint time was measured simultaneously by raters using a hand-held stopwatch and an electronic timing system. Criterion validity (hand-held vs. electronic timing) was assessed using linear regression analysis. Inter-rater reliability between hand-held timers was evaluated using interclass correlation coefficients (ICCs), standard error of measurement (SEM), and minimal detectable change (MDC). Results: Results showed that single and average hand-held methods are affected by -0.17 to -0.07ms-1 (-2.5 to -1.6%) and -0.12ms- 1 (-1.7%) errors, respectively. Linear regression analysis parameters (free parameter not statistically significant, directional coefficient 0.994-1.057, standard error of estimation 0.073-0.125, R2 0.981-0.994) indicated statistically excellent absolute agreement between a hand-held (single and average) and electronic timing. ICCs of 0.980-0.994, SEM of 0.12ms-1 (1.87%), and MDC of 0.34ms-1 (5.18%) indicated statistically excellent absolute agreement and consistency for single and average measurements between hand-held timers. Conclusion: The proposed manual method of MSS measurement underestimates athletes’ speed performance. Moreover, the hand-held 30m flying-start sprint time measurement is affected by a 2% error, and a minimum 5% time change in an individual athlete demonstrates that the change is not simply attributable to measurement error.
Purpose: The aim of this study was to develop a Polish version of the Cumberland Ankle Instability Tool (CAIT-PL) questionnaire and perform CAIT-PL cultural adaptation with assessment of its psychometric properties.Methods: The original CAIT was translated into the Polish language using standard guidelines. The CAIT-PL was completed on 2 occasions by 105 participants both with and without a history of ankle sprains. Psychometric evaluation of CAIT-PL included an assessment of internal consistency, test-retest reliability, standard error of measurement, convergent and construct validity.Results: The CAIT-PL was successfully translated and adapted into Polish culture with satisfactory internal consistency (Cronbach's α = 0.83) and adequate test-retest reliability resulting in ICC2,1 = 0.89 (95% CI: 0.84-0.92). Measurement error was low (SEM = 0.76 and MDC = 2.10). Convergent validity of the CAIT-PL ranged from weak to strong using Spearman's correlation coefficient between CAIT-PL and FAOS subscales (r = 0.39-0.67; p < 0.05). Construct validity was confirmed.Conclusion: The Polish version of the Cumberland Ankle Instability Tool is a valid and reliable questionnaire for assessment of functional ankle instability among the Polish population.
Background: The purpose of this study was to analyze the course of changes in the blood lactate (BL) concentration in response to the graded exercise test (GXT) and the modified Wingate test (MWT). Methods: This study involved 23 male highly trained road cyclists (age: 16.2 ± 1.1 years; experience: 5.0 ± 2.1 years; VO2max 59.0 ± 3.5 mL × kg−1 × min−1). The analysis of BL concentration was conducted using an enzymatic–amperometric electrochemical technique. Results: Our study provided the following information: (i) peak BL concentration in response to GXT (12.86 ± 2.32 mmol × L−1) and MWT (12.85 ± 1.47 mmol × L−1) is expected around the third minute after the completion of the trial; (ii) 60 min is not a sufficient period for BL concentration to return to resting values after GXT; (iii) post-GXT BL removal during the 60 min period is unsteady (3–20 min: −2.6 ± −0.6% × min−1; 20–60 min: −1.6 ± −0.3% × min−1; p-value for comparison < 0.01), whereas post-MWT BL removal during the 12 min period appears to be constant (3–6 min: −2.4 ± −5.6% × min−1, 6–9 min: −2.6 ± −1.8 % × min−1; 9–12 min: −3.1 ± −2.1 % × min−1; p-value for all comparisons < 0.01). Conclusions: When aiming to obtain valuable data regarding the course of changes in BL concentration during the post-exertion period, it is essential to consider the number of measurements and the time points in sample collection for analysis.