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Abstract

The Lower Quarter Y-Balance (LQYB) test has emerged as a popular approach for quantifying lower extremity (LE) dynamic balance and identify asymmetries that may elevate injury risk. However, research on LQYB scores across multiple sports is limited and the relationship of these scores to injury risk is scarce. PURPOSE: The purpose of this study was to present normative data for LQYB composite scores for the right (LQYB-R) and left (LQYB-L) LE in male student-athletes, and to identify differences in LQYB scores in athletes with a prior LE injury or errors during a jump-landing task. METHODS: Male student athletes (N = 147; 19.9 ± 1.5 y, 182.3 ± 7.9 cm, 183.1 ± 24.5 lbs) across multiple sports (wrestling, basketball, soccer, tennis, lacrosse, and baseball) conducted the LQYB test during a pre-season test battery following physician clearance. To determine LQYB-R each athlete stood on the right LE and bent the right knee, stretching the left LE as far as possible in the anterior, posterolateral, and posteromedial directions. LE positions were then reversed for LQYB-L. Leg length was measured to calculate LQYB-R and LQYB-L. Athletes self-reported a LE injury that stopped them playing in the last year (no = LEI0; yes = LEI1). The Landing Error Scoring System (LESS) was used to evaluate landing patterns during a standardized jump-landing task (no errors = LESS0; errors = LESS1). Differences across sports and between LEI0 and LEI1 groups for LQYB-R, LQYB-L, and the difference between LQYB-R and LQYB-L (LQYBdiff) were examined using independent t-tests and a MANOVA with post-hoc analysis (alpha significance level of p < 0.05). RESULTS: Significant differences were found between sports for LQYB-R (F[5, 141] = 6.27; p < 0.001; partial h2 = .18), LQYB-L (F[5, 141] = 2.64; p < 0.05; partial h2 = .09), and LQYBdiff (F[5, 141] = 3.95; p < 0.05; partial h2 = .12). The LESS0 group had significantly higher LQYB-R and significantly lower LQYBdiff scores than LESS1 (p < 0.05). No significant differences between LEI0 and LEI1 were found (p > 0.05). CONCLUSION: Differences in LQYB-R and LQYB-L may reflect different sport-specific stability, balance and mobility, stressing the need for sport-specific normative values. LQYB scores were able to distinguish optimal LESS performance. Whereas LQYB-R and LQYB-L scores had limited association with prior LE injury.

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