RELIABILITY AND MINIMAL DETECTABLE CHANGE OF THE UPPER QUARTER Y-BALANCE TEST IN HEALTHY ADOLESCENTS AGED 12 TO 17 YEARS.

PURPOSE/

backgroundThere are a few studies investigating the reproducibility of the Upper Quarter Y Balance Test (YBT-UQ) in adults. However, no study has determined test-retest reliability and the minimal detectable change of the YBT-UQ in adolescents from different age cohorts. The aim of the present study was to establish test-retest reliability and minimal detectable change of the YBT-UQ in a sample of healthy adolescents.

methodsIn a school setting, 111 students (59 female, 52 male) aged 12-17 years performed the YBT-UQ twice, separated by one week. Normalized maximal reach distances (% arm length) for all three directions (i.e., medial, inferolateral, superolateral) and the composite score were used as outcome measures. Intraclass correlation coefficient (ICC3,1) and standard error of measurement (SEM) were calculated to assess both relative and absolute test-retest reliability. In addition, the minimal detectable change (MDC95%), an index that is defined as the minimal amount of change in performance that falls outside the measurement error or performance changes due to variability was determined.

resultsIrrespective of age cohort, reach arm, and reach direction, the measure of relative reliability ranged from "moderate-to-good" to "excellent" ICC values and the proxy of absolute reliability was rather small (i.e., SEM ≤ 7.6%). The MDC95% needed to identify relevant effects in repeated measurements of the YBT-UQ performance ranged between 4.8% and 21.1%, depending on age, reach arm, and reach direction.

conclusionsThe detected values imply that the YBT-UQ is a reliable field test that can be used to detect changes of upper quarter mobility/stability in healthy adolescents aged 12-17 years. LEVEL OF EVIDENCE: 2b.