ArticleInternational journal of sports physical therapy2019
LOWER QUARTER- AND UPPER QUARTER Y BALANCE TESTS AS PREDICTORS OF RUNNING-RELATED INJURIES IN HIGH SCHOOL CROSS-COUNTRY RUNNERS.
Article in International journal of sports physical therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of running-related musculoskeletal injuries in runners.Journal of sport and health science · 2021Pooled it
- Sex-Specific Differences in Running Injuries: A Systematic Review with Meta-Analysis and Meta-Regression.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- Innovative Use of Biodex Balance System to Improve Dynamic Stabilization and Function of Upper Quarter in Recreational Weightlifters: A Randomized Controlled Trial.Medicina (Kaunas, Lithuania) · 2022Trial
- Postural stability impairments in non-athletic individuals after anterior cruciate ligament reconstruction: a cross-sectional study.BMC sports science, medicine & rehabilitation · 2026Article
- Lower extremity bilateral explosive strength asymmetry predicts non-contact low back injuries in mine rescue workers: a prospective cohort study.Frontiers in public health · 2026Article
- Effects of Integrated Neuromuscular Training on Physical Fitness in Badminton Athletes of Different Maturity Statuses.Children (Basel, Switzerland) · 2025Article
- The Running Readiness Scale and Injury in Collegiate Track and Field and Cross Country Athletes.Journal of athletic training · 2025Article
- Changes in Y-Balance Test Scores During Months 4, 5, and 6 of Anterior Cruciate Ligament Reconstruction Rehabilitation.Journal of athletic training · 2025Article
- Effects of Asymmetric and Symmetric Sport Load on Upper and Lower Extremity Strength and Balance: A Comparison Between the Dominant and Non-Dominant Side in Adolescent Female Athletes.Sports (Basel, Switzerland) · 2025Article
- Strength and dynamic balance performance in soccer players in the United States: age, sex, and bilateral differences.Frontiers in sports and active living · 2025Article
- The Effects of Fatigue on the Lower Limb Biomechanics of Amateur Athletes during a Y-Balance Test.Healthcare (Basel, Switzerland) · 2023Article
- Associations between upper quarter Y-balance test performance and sport-related injuries in adolescent handball players.Frontiers in sports and active living · 2023Article
- Does Cycling Training Reduce Quality of Functional Movement Motor Patterns and Dynamic Postural Control in Adolescent Cyclists? A Pilot Study.International journal of environmental research and public health · 2022Article
- Association between Inter-Limb Asymmetries in Lower-Limb Functional Performance and Sport Injury: A Systematic Review of Prospective Cohort Studies.Journal of clinical medicine · 2022Review
- Lower Extremity and Trunk Electromyographic Muscle Activity During Performance of the Y-Balance Test on Stable and Unstable Surfaces.International journal of sports physical therapy · 2022Article
- Can a Modified Y-Balance Test Predict Running Overuse Injuries over the Course of a Division I Collegiate Cross-Country Season?International journal of sports physical therapy · 2021Article
- Systematic Review and Meta-Analysis of the Y-Balance Test Lower Quarter: Reliability, Discriminant Validity, and Predictive Validity.International journal of sports physical therapy · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile cross-country running is a popular interscholastic sport, it also has a high incidence of running-related injuries (RRIs). Recent literature suggests that functional tests may identify athletes at increased risk of injury. The Y-Balance Test (YBT) is an objective measure used to assess functional muscle strength, balance, and expose asymmetries between tested limbs. PURPOSE/HYPOTHESIS: The purpose of this study was to determine if the YBT could predict RRI in high school cross-country runners. It was hypothesized that an asymmetric right (R)/left (L) YBT reach distance for the lower or upper extremities would be associated with an increased risk of RRI. STUDY
designProspective observational cohort.
methodsOne hundred forty-eight athletes (80 girls, 68 boys) who competed in interscholastic cross-country in Southern California during the 2015 season participated in the study. Prior to the cross-country season, the runners completed Lower-Quarter YBT (LQ-YBT) and Upper-Quarter YBT (UQ-YBT) testing to assess lower and upper extremity asymmetry, respectively. The runners were prospectively monitored for RRI occurrence throughout the season using the Daily Injury Report form.
resultsForty-nine runners (33.1%) incurred a RRI during the 2015 season, with the lower leg (shin/calf) and knee the most common RRI sites. Girls had a higher RRI occurrence (38.8%) than boys (26.5%) (p = 0.12). Boys had greater raw scores for LQ-YBT R and L anterior (ANT), posteromedial (PM), posterolateral (PM) and composite reach distances than girls (p<0.05). With the exception of normalized superolateral reach distance, boys had significantly greater scores for raw and normalized R and L UQ-YBT reach distances and raw composite scores than girls (p<0.05). After adjusting for prior RRI, while boy runners with a LQ-YBT PM reach difference ≥4.0 cm were five times more likely to incur a RRI (Adjusted odds ratio [AOR] = 5.05, 95% CI: 1.3-19.8; p = 0.02), girl runners with a UQ-YBT inferolateral (IL) reach difference ≥ 4.0 cm were 75% less likely to incur a RRI (AOR = 0.25, 95% CI: 0.1-0.7; p = 0.005). By lower extremity body region, boy runners with a UQ-YBT superolateral (SL) reach difference ≥ 4.0 cm were seven times more likely to incur a hip/thigh/knee RRI [AOR] = 7.20, 95% CI: 1.1-45.6; p = 0.002).
conclusionGreater lower extremity (PM) or upper extremity (SL) reach distance asymmetry, as measured by the LQ-YBT or UQ-YBT, respectively, were associated with RRI in boy high school cross-country runners. LEVEL OF EVIDENCE: 2b.
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