Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Step-down test assessment of postural stability in patients with chronic ankle instability
Authors: Bolt, Doris
Giger, René
Wirth, Stefan
Swanenburg, Jaap
et. al: No
DOI: 10.1123/jsr.2017-0074
Published in: Journal of Sport Rehabilitation
Volume(Issue): 27
Issue: 1
Page(s): 1a
Pages to: 5
Issue Date: 2018
Publisher / Ed. Institution: Human Kinetics
ISSN: 1056-6716
1543-3072
Language: English
Subjects: Dynamic postural stability; Psychometric property; Time to stabilization; Adult; Ankle joint; Case-control study; Exercise test; Human; Joint instability; Reproducibility of results; Young adult; Postural balance
Subject (DDC): 615.82: Physical therapy
617.5: Orthopaedic surgery
Abstract: Context: The underlying mechanism in 27% of ankle sprains is a fall while navigating stairs. Therefore, the step-down test (SDT) may be useful to investigate dynamic postural stability deficits in individuals with chronic ankle instability (CAI). Objective: To investigate the test-retest reliability and validity of the forward and lateral SDT protocol between individuals with CAI and uninjured controls. Design: Test-retest study. Setting: University hospital. Participants: A total of 46 individuals, 23 with CAI and 23 uninjured controls. Main outcome measures: Time to stabilization of the forward and lateral SDT. Results: The absolute reliability (SEM = 0.04-0.12 s; SDD = 0.11-0.33 s) of the SDT protocol was acceptable, whereas the relative reliability (ICC3, k = 0.12-0.63) and discriminant validity (P = .42-.99; AUC = 0.50-0.57) were not. Conclusions: The SDT appears to not be challenging enough to detect dynamic postural stability differences between individuals with and without CAI. However, the SDT may be capable of measuring change over time based on its good absolute reliability.
URI: https://digitalcollection.zhaw.ch/handle/11475/27587
Fulltext version: Published version
License (according to publishing contract): Licence according to publishing contract
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Appears in collections:Publikationen Gesundheit

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Bolt, D., Giger, R., Wirth, S., & Swanenburg, J. (2018). Step-down test assessment of postural stability in patients with chronic ankle instability. Journal of Sport Rehabilitation, 27(1), 1a–15. https://doi.org/10.1123/jsr.2017-0074
Bolt, D. et al. (2018) ‘Step-down test assessment of postural stability in patients with chronic ankle instability’, Journal of Sport Rehabilitation, 27(1), pp. 1a–5. Available at: https://doi.org/10.1123/jsr.2017-0074.
D. Bolt, R. Giger, S. Wirth, and J. Swanenburg, “Step-down test assessment of postural stability in patients with chronic ankle instability,” Journal of Sport Rehabilitation, vol. 27, no. 1, pp. 1a–5, 2018, doi: 10.1123/jsr.2017-0074.
BOLT, Doris, René GIGER, Stefan WIRTH und Jaap SWANENBURG, 2018. Step-down test assessment of postural stability in patients with chronic ankle instability. Journal of Sport Rehabilitation. 2018. Bd. 27, Nr. 1, S. 1a–5. DOI 10.1123/jsr.2017-0074
Bolt, Doris, René Giger, Stefan Wirth, and Jaap Swanenburg. 2018. “Step-down Test Assessment of Postural Stability in Patients with Chronic Ankle Instability.” Journal of Sport Rehabilitation 27 (1): 1a–15. https://doi.org/10.1123/jsr.2017-0074.
Bolt, Doris, et al. “Step-down Test Assessment of Postural Stability in Patients with Chronic Ankle Instability.” Journal of Sport Rehabilitation, vol. 27, no. 1, 2018, pp. 1a–15, https://doi.org/10.1123/jsr.2017-0074.


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