The Star Excursions Balance Test (SEBT) is a fabulous functional test that can tell us a lot about the mobility and stability of the ankle, knee, and hip joints. On top of being a functional test, the star excursion can also be used as an exercise, and via a series of progressions, which we will discuss in more detail later, can help you train for better running performance and injury prevention. Why is the Star Excursion Balance Test Important? The importance of Star Excursions Balance Test’s lying behind the fact that this test allows for testing with one motion the capacity of your ankle to stay stable on the surface of support (the floor) and how this stability is transmitted to the knee first and consequently to the hip. This is possible because the transfer of vertical pressure that is appllied to each joint while you are aiming to get the movement done. The movement required is to keep the feet of the anchor down to the floor, from the toes to the heel, while with the other foot, you aim to reach the furthest point away within the eight cardinal directions (like a star *). Along those movements, then, we also get observational data about your: Proprioception: The ability to sense the position of the body and its parts in space. Balance: The ability to control the body’s centre of mass over a stable base of support. Functional Movement: How well the body can perform multi-directional movements, such as stepping, reaching, and stabilising. So, if you are someone who has sustained lower limb injuries, particularly around the ankle, knee, or hip, these capabilities are often compromised. By using the Star Excursion Balance Test, we can assess any deficits in these areas, which might increase the risk of re-injury or limit recovery progress. But not only that. Indeed, that information will shape the recovery program, allowing us to understand better which muscle group or joint we need to focus more on with the exercises. That said, runners also benefit significantly from the SEBT. Running is a dynamic activity that places high demand on the lower extremities. Even minor imbalances or weaknesses can lead to issues like IT band syndrome, shin splints, and knee pain. The Star Excursion Balance Test helps in identifying these early warning signs before they evolve into more serious conditions. What Does the Star Excursion Test Measure? The primary purpose of the SEBT is to evaluate a person’s capacity to control body movement while standing on one leg. In fact, the test consists of reaching with one leg in multiple directions (anterior, posterior, medial, and lateral and a mix of those directions) while maintaining balance on the other leg. This shows their neuromuscular control and postural stability. It mimics the demands placed on the body during dynamic activities like running, cutting, and jumping. In rehabilitation, the Star Excursion Balance Test trains and improves: Ankle Stability and Control: It challenges the ankle to support the body’s weight while shifting through various planes of motion. Knee and Hip Joint Function: By demanding strength and flexibility in the lower limb, it helps retrain the kinetic chain, especially after joint injury. Balance and Proprioception: The test improves your ability to sense where your body is in space, which is essential for both preventing and recovering from injuries. Postural Awareness: Training balance also trains your ability to maintain proper posture, which can reduce stress on your joints and muscles during exercise. The Progression of the Star Excursion Test The beauty of the Star Excursion Test is its flexibility. It can be adapted based on the individual’s injury level, fitness, and goals. The test itself involves several variations, which I implement depending on the stage of recovery or the individual’s needs: Softer Ground: For those in the early stages of rehabilitation, we may perform the test on a softer surface, such as a foam pad or balance disc. This reduces the stability of the base and forces the individual to engage more stabilizing muscles, which aids in proprioceptive training and can be beneficial for rebuilding ankle and knee control. Weight on the Ankle: For those who have had ankle injuries, I often modify the test to place more weight on the injured ankle. This helps rebuild strength and functional control, as it forces the injured area to bear load and engage in movement patterns that may have been avoided during the healing phase. Eyes Closed: To increase the challenge, I sometimes ask my clients to perform the test with their eyes closed. This removes visual input, forcing the body to rely more on internal feedback (proprioception). This is especially important in the latter stages of rehabilitation, as it helps to refine neuromuscular control and reduce reliance on external cues. Using the Star Excursion Test with Lower Limb Injury Recovery and Runners The SEBT is a functional test that I like to use, with all its variations, to assess the progress of patient recovery. Either that you present with an injury, or either that you want to improve your form and body functionality through out exercises, the SEBT allows us to look in depth in what we need to work on too. For example, after a sprained ankle, I’ll often use the SEBT to check whether an individual is able to move without compensation, ensuring that their body has regained sufficient control and strength before returning to activities like running or sports. And this, don’t be surprised, is something that I do and has to be done whenever someone presents with complaints about knee or hip pain too. Again, an unstable ankle would transmit that instability up the chain. On the other hands for runners, the test helps evaluate areas of weakness that might predispose them to injuries such as Achilles tendinopathy, patellofemoral pain, or iliotibial band syndrome. Since running places repetitive stress on the lower limbs, identifying and addressing weaknesses early can prevent long-term problems and improve overall performance. Myotherapy and SEBT […]
Tag Archives: Treatment Plan
Blog
Bone Fractures: The Critical Role of Exercise in Recovery
Bone fractures are a common injury, but with proper care and rehabilitation, bones can heal [...]
Continue readingJun
Blog
Tissue Healing Time Frame
As part of our journey, an injury at any tissue level can happen at any [...]
Continue readingJun
Blog
Back Squat: What’s your goal?
As a Clinical Myotherapist, I often work with patients who perform back squats as part [...]
Continue readingMay
Blog
Pregnancy and Lymphatic Drainage Massage: Safety and benefits
Pregnancy brings many wonderful changes, but it can also bring some discomforts, especially as the [...]
Continue readingMay
Blog
The Star Excursions Balance Test
The Star Excursions Balance Test (SEBT) is a fabulous functional test that can tell us [...]
Continue readingMay
Mar
Bone density is a key factor in bond fracture prevention. Bone is made of cells that die and regenerate. When this process is compromised, the risk of fracture arises. During the early stages of life, we can ensure that we intake and store calcium through food to build up our bones, but after a certain age (about 30), the body stops absorbing calcium, and the storage that we created is now our reserve for the rest of life. Cell Regeneration in Bone and Other Body’s Tissues The body’s cells, like muscle cells, skin cells, tendon cells, ligament cells and even bond cells, are in constant change via a process called cell regeneration. Old cells die off and they get replaced with new cells. In the case of bone, the cells that allow this process to happen are called osteoblasts. While we age, this process slows down, meaning that cells would still die, but they don’t get replaced. A typical example is a woman going through menopause. Estrogen, which is the hormone responsible for bond metabolism, allows the activity of osteoblasts. During menopause, indeed, women have a drop in Estrogen production, and osteoblasts are not as operative as they used to be. Strength Exercises and Cell Regeneration As this meta-analysis shows, strength exercises are a positive stress stimulus for the body and can help the osteoblast work harder and maintain bone cell regeneration. When the body perceives stress as physical resistance, it does its best to establish a reparation mechanism. So whenever we pick a weight against gravity, the body would implement a regeneration of the tissue that are used to complete this action. Who Is at Risk of Losing Bone Mass? There are several factors that can contribute to decreased bone mass: Age: Bone density typically peaks in early adulthood and declines with age. Gender: Women, especially postmenopausal, are at higher risk due to hormonal changes that accelerate bone loss. Family History: A family history of osteoporosis can increase risk. Body Size: Individuals with smaller body frames may have less bone mass to draw from as they age. Hormonal Levels: Thyroid imbalances and reduced sex hormones can lead to bone loss. Dietary Factors: Low calcium and vitamin D intake contribute to diminished bone density. Lifestyle Choices: A sedentary lifestyle, excessive alcohol consumption, and smoking are linked to weaker bones. I have included factors like dietary and hormonal levels in the above list. Bear in mind that taking supplements such as calcium and vitamin D (which helps retain calcium) could have severe contraindications. So, always talk to your doctor or specialist about the intake of supplements. How to determine Bone Density? To determine bone density, there is a diagnostic test called Dual-energy X-ray Absorptiometry (DEXA or DXA). This non-invasive procedure measures the mineral content in bones, usually in areas like the spine, hip, or wrist, to assess bone density and identify potential risks of osteoporosis or fractures. The results are given as a T-score, which compares your bone density to the average peak bone mass of a healthy young adult. A T-score of -1.0 or above is considered normal, while a score between -1.0 and -2.5 indicates low bone mass (osteopenia), and a score of -2.5 or lower suggests osteoporosis. Other methods, like ultrasound or quantitative computed tomography (QCT), can also assess bone density, but DEXA remains the gold standard for bone health evaluations. Mobility before strengthening So far, we have discussed how strength exercises are a good way to maintain bond density. Still, I would not recommend that anyone who is not into strength exercise and has bone density issues go and start lifting heavily. Why (?), you may ask. Well, before we start lifting heavy, we want to ensure that the body mechanics are optimal for it, so we better start looking into your mobility and then pass on to the strength part of things. Please be aware that mobility has nothing to do with elasticity or stretching. Those are different practices. How Can We Achieve Great Mobility For people who decide to take a journey to ensure an optimal level of mobility and then strengthen the body, the first step is to assess their joint mobility with active and passive range of motion. After that, we could use a combo of Myotherapy treatment and mobility exercises to ensure they can quickly pick up the best of their mobility capacity, given their subjective presentation. And here is a list of mobility exercises which we may look into at first: Hip Openers to improve range of motion in the pelvis and lower back. Ankle Drills to support proper weight distribution in weight-bearing exercises. Thoracic Spine Mobility Exercises to prevent excessive strain on the lower back. AC Joint External rotation to ensure we can build strong rotator cuff muscles, essential for shoulder health It Is Time To Strength. How Can We Do This? Once the minimum mobility is achieved, which may take 1 to 2 weeks of training, depending on each individual and their subjective history and effort, we can start looking into more strengthening exercises. So, here is a list of different exercises that can help with strengthening, written with the progressions to follow: Calf raises with double leg, single leg and weight Hamstring and Quads Curl that gets weight added as weeks go by Standing Adduction and Abduction at cable machine or with resistance bend Glut Muscles training at cable machine or with resistance bend Deadlift for back and posterior chain muscle strength Squat with weights and explosion variations Cuff rotator-specific strength is Ideal before stepping into more complex arm weight-lifting Cervical muscle strength to prevent cervical headache and sore neck All of those exercises, except the cervical one, can then be modified to achieve plyometric drills and combined movement. But this is a process that would take months, and there is no rush to get to it, as I want you to be safe through out the all journey. Integrating Exercise into Myotherapy Treatment At Melbourne Massage and Treatment, I […]
Jul
The NDIS (National Disability Insurance Scheme) stands as a transformative initiative in Australia, particularly significant in Melbourne, Victoria’s vibrant capital. Designed to provide support and services to Australians with disabilities, NDIS embodies a commitment to inclusivity, empowerment, and improved quality of life for participants across the country. NDIS and Massage Therapy Understanding the NDIS Established in 2013, NDIS represents a shift towards individualised support plans tailored to meet the specific needs and goals of people with disabilities. In Melbourne, this framework ensures that individuals have access to necessary supports that enhance their independence and participation in the community. How It Works At its core, NDIS operates by providing eligible individuals with funding for a range of supports and services. These can include personal care, access to therapies, assistive technology, and modifications to homes or vehicles, all aimed at fostering greater autonomy and well-being. Impact on Melbourne Communities Melbourne, renowned for its diversity and inclusivity, has embraced the principles of NDIS wholeheartedly. The scheme not only supports participants directly but also fosters a network of providers and community organizations dedicated to delivering high-quality services. This collaborative approach ensures that Melburnians with disabilities have access to a wide array of support options, tailored to their unique circumstances. NDSI services at Melbourne Massage and Treatment Giovanni, a dedicated Myotherapist based in North Fitzroy, plays a crucial role in the local implementation of NDIS services. His practice extends its services to surrounding suburbs, providing essential musculoskeletal therapies that enhance the physical well-being and quality of life for NDIS participants. Giovanni’s personalized treatment plans are designed to meet the unique needs of each individual, contributing to their overall health and independence. Services covered by the NDIS scheme include Remedial Massage, Myotherapy, and Manual Lymphatic Drainage (MLD). NDIS and Myotherapy In the vibrant landscape of Melbourne’s National Disability Insurance Scheme (NDIS), Myotherapy stands out as a pivotal therapy for enhancing participant well-being. Myotherapy focuses on assessing and treating musculoskeletal conditions through advanced techniques such as dry needling, joint mobilization, and tailored corrective exercises. For individuals with disabilities, this specialized approach targets pain management and improves physical function, empowering them to navigate daily life with greater comfort and mobility. NDIS and Remedial Massage Remedial Massage therapy plays a complementary role within the NDIS framework, offering participants relaxation, stress reduction, and relief from muscle tension. This therapeutic modality is essential for promoting overall physical and mental well-being. By addressing muscular discomfort and enhancing circulation, remedial massage supports participants in achieving a sense of relaxation and renewed vitality. NDIS and Manual lymphatic Drainage Manual Lymphatic Drainage (MLD) emerges as a vital service under the NDIS, particularly beneficial for individuals managing conditions such as lymphedema. This gentle, specialized massage technique promotes lymph flow, reduces swelling, and supports immune function. MLD not only helps in managing symptoms but also contributes to enhancing participants’ quality of life by improving lymphatic circulation and overall wellness. In Melbourne, practitioners like Giovanni integrate these therapies into NDIS plans with a personalized approach, ensuring participants receive comprehensive care tailored to their specific needs and goals. Through Myotherapy, Remedial Massage, and Manual Lymphatic Drainage, NDIS participants in Melbourne are empowered to achieve greater independence, alleviate discomfort, and enhance their overall well-being. Challenges and Opportunities While NDIS has been instrumental in improving the lives of many, challenges such as navigating the application process or understanding available supports can arise. In Melbourne, organizations and advocacy groups play a crucial role in assisting individuals and families through these complexities, ensuring that every participant maximizes the benefits of the scheme. Looking Ahead As NDIS continues to evolve, Melbourne remains at the forefront of innovation and advocacy in disability support. The city’s commitment to accessibility and inclusivity is reflected in its ongoing efforts to improve service delivery and expand opportunities for those with disabilities. That said, if you need treatment, do not hesitate to book now an initial consultation with Giovanni. During the first session, Giovanni would be able to draft a personal treatment plan that works best for your presentation. If you are in doubt about what treatment works best for you, just get in touch with Giovanni, by clicking here. Conclusion In conclusion, the NDIS has had a profound impact on Melbourne, empowering individuals with disabilities to live more independently and participate fully in society. Through its person-centred approach and collaborative spirit, NDIS exemplifies Australia’s commitment to equity and dignity for all. As Melbourne continues to grow and evolve, so too will the opportunities for individuals with disabilities to thrive, supported by a framework that values their unique strengths and aspirations. Whether you’re a participant, a provider like Giovanni in North Fitzroy, or an advocate, NDIS in Melbourne represents a beacon of hope and progress towards a more inclusive future.