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ORIGINAL RESEARCH article
Front. Sports Act. Living
Sec. Biomechanics and Control of Human Movement
Volume 7 - 2025 |
doi: 10.3389/fspor.2025.1521252
Test-retest reliability of postural control measures in healthy secondary school pupils: Insights from the MOVE12 Physical Activity Intervention
Provisionally accepted- Inland Norway University of Applied Sciences, Elverum, Norway
Postural control is an essential part of human movement. Measurements of center of pressure displacements by force platform are considered the gold standard for assessing postural control. However, the reliabilitytest-retest reliability of these measurements in field-based conditions is unclear. This study aimed to investigate the test-retest reliability of center of pressure measures under field-based conditions, and assess the impact of height, weight, and body mass index (BMI) on test-retest reliability. The study sample comprised 215 upper secondary school pupils (114 girls) aged 16-17 years, all drawn from the control group of a larger intervention study. There was a 12-week interval between the initial test and the retest. Measurements of center of pressure displacements was assessed during a bipedal eyes closed and a unipedal eyes open condition. Interclass correlation coefficients (ICCs) with 95% confidence intervals were calculated for six distinct measures in both conditions. Correlations between the change in postural control and height, weight, and BMI were assessed as well. Trace length exhibited the best test-retest reliability in both conditions, achieving moderate to good reliability in the bipedal eyes closed condition (ICC = 0.73, 95% CI = 0.66-0.78). Test-retest reliability was higher for all measures in the bipedal eyes closed (ICC's = 0.53-0.73) compared to unipedal eyes open condition, and some of these measures approached zero reliability (ICC's = 0.03-0.48). Among body characteristics, only height was significantly correlated with test-retest changes in postural control (r = 0.16, p < 0.05) and only for two of the measures. This study underscores the necessity of careful selection of postural control measures and thorough assessments in field-based research to achieve acceptable test-retest reliability.
Keywords: postural stability, postural instability, postural sway, centre of pressure, centre of
Received: 01 Nov 2024; Accepted: 09 Jan 2025.
Copyright: © 2025 Litleskare and Barene. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Sigbjørn Litleskare, Inland Norway University of Applied Sciences, Elverum, Norway
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