Advertisement

Star excursion balance test for assessment of dynamic instability of the ankle in patients after harvest of a fibular free flap: a two-centre study

Published:December 24, 2016DOI:https://doi.org/10.1016/j.bjoms.2016.11.007

      Abstract

      We aimed to show that the star excursion balance test can identify instability in the ankle of patients who have had harvest of a fibular free flap. We compared the reach distance of the operated leg against that of the non-operated leg in 26 patients who had had harvest of the flap over a period of three years from August 2009 at two different centres. The goal of the test is to reach as far as possible with one leg in eight directions while balancing on the other. We also assessed the overall function of the operated leg using the Foot and Ankle Disability Index (FADI) and the American Orthopaedic Foot and Ankle Score (AOFAS). The star excursion balance test is simple and cheap, and is quick and easy to do in the outpatient department.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to British Journal of Oral and Maxillofacial Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Sagalongos O.S.
        • Valerio I.L.
        • Hsieh C.H.
        • et al.
        Qualitative and quantitative analyses of donor-site morbidity following suprafascial versus subfascial free fibula flap harvesting.
        Plast Reconstr Surg. 2011; 128: 137-145
        • Ling X.F.
        • Peng X.
        What is the price to pay for a free fibula flap? A systematic review of donor-site morbidity following free fibula flap surgery.
        Plast Reconstr Surg. 2012; 129: 657-674
        • Olmsted L.C.
        • Carcia C.R.
        • Hertel J.
        • et al.
        Efficacy of the star excursion balance tests in detecting reach deficits in subjects with chronic ankle instability.
        J Athl Train. 2002; 37: 501-506
        • Taylor G.I.
        • Miller G.D.
        • Ham F.J.
        The free vascularized bone graft. A clinical extension of microvascular techniques.
        Plast Reconstr Surg. 1975; 55: 533-544
        • Momoh A.O.
        • Yu P.
        • Skoracki R.J.
        • et al.
        A prospective cohort study of fibula free flap donor-site morbidity in 157 consecutive patients.
        Plast Reconstr Surg. 2011; 128: 714-720
        • Gribble P.A.
        • Hertel J.
        Considerations for normalizing measures of the star excursion balance test.
        Meas Phys Educ Exerc Sci. 2003; 7: 89-100
        • Hertel J.
        • Braham R.A.
        • Hale S.A.
        • et al.
        Simplifying the star excursion balance test: analyses of subjects with and without chronic ankle instability.
        J Orthop Sports Phys Ther. 2006; 36: 131-137
        • Filipa A.
        • Byrnes R.
        • Paterno M.V.
        • et al.
        Neuromuscular training improves performance on the star excursion balance test in young female athletes.
        J Orthop Sports Phys Ther. 2010; 40: 551-558