Considerations for normalizing measures of the Star Excursion Balance Test

This study was designed to examine the role of foot type, height, leg length, and range of motion (ROM) measurements on excursion distances while performing the Star Excursion Balance Test (SEBT), a test of dynamic postural control. Participants (n = 30) performed 3 trials of the SEBT in each of the 8 directions while balancing on the right and left legs. No statistically significant relations were found between foot type or ROM measurements and excursion distances with the SEBT. Significant correlations were revealed between height and excursion distance and leg length and excursion distance with leg length having the stronger correlation. Using raw excursion measures, males were found to have significantly greater excursion distances than females; however, after normalizing excursion distances to leg length, there were no significant differences related to gender. In conclusion, when using the SEBT for experimental or clinical purposes, participants' excursion distances should be normalized to leg length to allow for a more accurate comparison of performance among participants.