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Panjizadeh, Zahra, Abbasi, Hamed, Miri, Hadi. (1404). Development and Validation of the Square Excursion Step Test (SEST) for Evaluating Postural Control in Older Adults: An Examination of Stepping Agility. سامانه مدیریت نشریات علمی, 9(3), 28-38. doi: 10.22098/jast.2025.16496.1399
Zahra Panjizadeh; Hamed Abbasi; Hadi Miri. "Development and Validation of the Square Excursion Step Test (SEST) for Evaluating Postural Control in Older Adults: An Examination of Stepping Agility". سامانه مدیریت نشریات علمی, 9, 3, 1404, 28-38. doi: 10.22098/jast.2025.16496.1399
Panjizadeh, Zahra, Abbasi, Hamed, Miri, Hadi. (1404). 'Development and Validation of the Square Excursion Step Test (SEST) for Evaluating Postural Control in Older Adults: An Examination of Stepping Agility', سامانه مدیریت نشریات علمی, 9(3), pp. 28-38. doi: 10.22098/jast.2025.16496.1399
Panjizadeh, Zahra, Abbasi, Hamed, Miri, Hadi. Development and Validation of the Square Excursion Step Test (SEST) for Evaluating Postural Control in Older Adults: An Examination of Stepping Agility. سامانه مدیریت نشریات علمی, 1404; 9(3): 28-38. doi: 10.22098/jast.2025.16496.1399

Development and Validation of the Square Excursion Step Test (SEST) for Evaluating Postural Control in Older Adults: An Examination of Stepping Agility

Journal of Advanced Sport Technology
دوره 9، شماره 3 - شماره پیاپی 22، آذر 2025، صفحه 28-38    اصل مقاله (797.48 K)
نوع مقاله: Original research papers
شناسه دیجیتال (DOI): 10.22098/jast.2025.16496.1399
نویسندگان
Zahra Panjizadeh1؛ Hamed Abbasi* 2؛ Hadi Miri3
11. Department of Physical Education and Sports Sciences, Raja University,Qazvin, Iran
2Department of Sport Injuries and Corrective Exercises, Sports Medicine Research Center, Sport Sciences Research Institute, Tehran, Iran
3Department of Physical Education and Sports Sciences, Amirkabir University of Technology, Tehran, Iran
چکیده
Postural control during multidirectional stepping is a fundamental component of functional independence and a critical factor in fall prevention among older adults. Despite the availability of various balance assessment tools, the need remains for a practical, cost-effective, and reliable instrument tailored to this population. The primary objective of this research was to develop and validate the Square Excursion Step Test (SEST) by assessing its reliability, validity, and usability in clinical and community-based settings. A total of 88 older adults voluntarily participated in the study. The SEST involves stepping in four cardinal directions (forward, backward, left, and right) within a defined square, requiring precision, balance, and coordination. Face validity was confirmed by 10 sports science experts, yielding a Content Validity Ratio (CVR) of 0.80, surpassing the required threshold of 0.62, indicating strong consensus on its relevance. The Content Validity Index (CVI) averaged 0.90, reflecting high clarity and appropriateness of the test components. Concurrent validity was established through a significant correlation with the Timed Up and Go (TUG) test (r = 0.81; p < 0.001). Reliability assessments demonstrated an interrater reliability intraclass correlation coefficient (ICC) of 0.99 and an intrarater ICC of 0.90 across two assessments conducted ten days apart, confirming that SEST is a valid and reliable measure for evaluating balance in individuals with reduced physical fitness capabilities. These findings validate SEST as a robust tool for measuring postural stability during multidirectional stepping in older adults. The SEST’s simplicity, affordability, and strong psychometric properties make it a valuable addition to the repertoire of balance assessment tools for clinicians, researchers, and practitioners working with older populations. Further studies are recommended to explore its applicability in diverse contexts and its potential for integration into intervention programs targeting fall prevention and postural control.
کلیدواژه‌ها
Aging؛ Balance؛ Elderly؛ Fall؛ Gait؛ Postural Stability؛ Stepping؛ Walking
مراجع
  1. Bonder BR, Dal Bello-Haas V. Functional performance in older adults: FA Davis; 2017. https://www.amazon.com/Functional-Performance-Older-Adults-Bonder/dp/0803646054
  2. Cruz-Jimenez M. Normal changes in gait and mobility problems in the elderly. Physical Medicine and Rehabilitation Clinics. 2017;28(4):713-25. https://doi.org/10.1016/j.pmr.2017.06.005
  3. Trombetti A, Reid K, Hars M, Herrmann F, Pasha E, Phillips E, et al. Age-associated declines in muscle mass, strength, power, and physical performance: impact on fear of falling and quality of life. Osteoporosis international. 2016;27:463-71. https://doi.org/10.1007/s00198-015-3236-5
  4. Lord SR. Sensory and neuromuscular risk factors for falls. Falls in Older People. 2021;17:87. https://doi.org/10.1017/cbo9780511722233.005
  5. Aboutorabi A, Arazpour M, Bahramizadeh M, Hutchins SW, Fadayevatan R. The effect of aging on gait parameters in able-bodied older subjects: a literature review. Aging clinical and experimental research. 2016;28:393-405. https://doi.org/10.1007/s40520-015-0420-6
  6. Miyamoto K, Takebayashi H, Takimoto K, Miyamoto S, Morioka S, Yagi F. A new simple performance test focused on agility in elderly people: the ten step test. Gerontology. 2008;54(6):365-72. https://doi.org/10.1159/000146787
  7. Okubo Y, Schoene D, Caetano MJ, Pliner EM, Osuka Y, Toson B, et al. Stepping impairment and falls in older adults: a systematic review and meta-analysis of volitional and reactive step tests. Ageing research reviews. 2021;66:101238. https://doi.org/10.1016/j.arr.2020.101238
  8. Cleary K, Skornyakov E. Predicting falls in older adults using the four square step test. Physiotherapy theory and practice. 2017;33(10):766-71. https://doi.org/10.1080/09593985.2017.1354951
  9. Young WR, Hollands MA. Evidence for age-related decline in visuomotor function and reactive stepping adjustments. Gait & posture. 2012;36(3):477-81. https://doi.org/10.1016/j.gaitpost.2012.04.009
  10. Rasmussen CM, Mun S, Ouattas A, Walski A, Curtze C, Hunt NH. Curvilinear walking elevates fall risk and modulates slip and compensatory step attributes after unconstrained human slips. Journal of Experimental Biology. 2024 Mar 15;227(6):jeb246700. https://doi.org/10.1242/jeb.246700
  11. Nunes J, Armada M, Pereira JL, Ribeiro NF, Carvalho Ó, Santos C. Biomechanical strategies for mitigating unexpected slips: A review. Journal of Biomechanics. 2024:112235. https://doi.org/10.1016/j.jbiomech.2024.112235
  12. Espy DD, Yang F, Bhatt T, Pai Y-C. Independent influence of gait speed and step length on stability and fall risk. Gait & posture. 2010;32(3):378-82. https://doi.org/10.1016/j.gaitpost.2010.06.013
  13. Nascimento MdM, Gouveia ÉR, Gouveia BR, Marques A, Martins F, Przednowek K, et al. Associations of gait speed, cadence, gait stability ratio, and body balance with falls in older adults. International journal of environmental research and public health. 2022;19(21):13926. https://doi.org/10.3390/ijerph192113926
  14. Mancini M, Horak FB. The relevance of clinical balance assessment tools to differentiate balance deficits. European journal of physical and rehabilitation medicine. 2010;46(2):239. https://pmc.ncbi.nlm.nih.gov/articles/PMC3033730/
  15. Sunethra S, Kumar P, Srinivasan V, Suganthirababu P, Kumaresan A, Alagesan J, et al. Effectiveness of Multidirectional Stepping Training on Balance among Geriatric Population. Indian Journal of Physiotherapy & Occupational Therapy. 2024;18. https://doi.org/10.37506/wqeg9f17
  16. McCrum C, Gerards MH, Karamanidis K, Zijlstra W, Meijer K. A systematic review of gait perturbation paradigms for improving reactive stepping responses and falls risk among healthy older adults. European review of aging and physical activity. 2017;14:1-11. https://doi.org/10.1186/s11556-017-0173-7
  17. Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of chiropractic medicine. 2016;15(2):155-63. https://doi.org/10.1016/j.jcm.2016.02.012
  18. Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior research methods. 2009;41(4):1149-60. https://doi.org/10.3758/brm.41.4.1149
  19. Trzepacz PT, Hochstetler H, Wang S, Walker B, Saykin AJ, Initiative AsDN. Relationship between the Montreal Cognitive Assessment and Mini-mental State Examination for assessment of mild cognitive impairment in older adults. BMC geriatrics. 2015;15:1-9. https://doi.org/10.1186/s12877-015-0103-3
  20. Joo B, Marquez JL, Osmotherly PG. Ten-second tandem stance test: a potential tool to assist walking aid prescription and falls risk in balance impaired individuals. Archives of rehabilitation research and clinical translation. 2022;4(1):100173. https://doi.org/10.1016/j.arrct.2021.100173
  21. Beauchet O, Fantino B, Allali G, Muir S, Montero-Odasso M, Annweiler C. Timed Up and Go test and risk of falls in older adults: a systematic review. The journal of nutrition, health & aging. 2011;15:933-8. https://doi.org/10.1007/s12603-011-0062-0
  22. Omaña H, Bezaire K, Brady K, Davies J, Louwagie N, Power S, et al. Functional reach test, single-leg stance test, and tinetti performance-oriented mobility assessment for the prediction of falls in older adults: a systematic review. Physical therapy. 2021;101(10):pzab173. https://doi.org/10.1093/ptj/pzab173
  23. Agarwala P, Salzman SH. Six-minute walk test: clinical role, technique, coding, and reimbursement. Chest. 2020;157(3):603-11. https://doi.org/10.1016/j.chest.2019.10.014
  24. Cho Bl, Scarpace D, Alexander NB. Tests of stepping as indicators of mobility, balance, and fall risk in balance‐impaired older adults. Journal of the American geriatrics Society. 2004;52(7):1168-73. https://doi.org/10.1111/j.1532-5415.2004.52317.x
  25. Dite W, Temple VA. A clinical test of stepping and change of direction to identify multiple falling older adults. Archives of physical medicine and rehabilitation. 2002;83(11):1566-71. https://doi.org/10.1053/apmr.2002.35469
  26. Lin MR, Hwang HF, Hu MH, Wu HDI, Wang YW, Huang FC. Psychometric comparisons of the timed up and go, one‐leg stand, functional reach, and Tinetti balance measures in community‐dwelling older people. Journal of the American Geriatrics Society. 2004;52(8):1343-8. https://doi.org/10.1111/j.1532-5415.2004.52366.x
  27. Özkeskin M, Özden F, Tuna S. The reliability and validity of modified four-square-step-test and Step-Test in older adults. Physical & Occupational Therapy In Geriatrics. 2021;39(4):397-408. https://doi.org/10.1080/02703181.2021.1936341
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