Reliability and Construct Validity of Limits of Stability Test in Adolescents Using a Portable Forceplate System

Bara Alsalaheen, Jamie Haines, Amy Yorke, Steven P. Broglio

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Objective To examine the reliability, convergent, and discriminant validity of the limits of stability (LOS) test to assess dynamic postural stability in adolescents using a portable forceplate system. Design Cross-sectional reliability observational study. Setting School setting. Participants Adolescents (N=36) completed all measures during the first session. To examine the reliability of the LOS test, a subset of 15 participants repeated the LOS test after 1 week. Interventions Not applicable. Main Outcome Measures Outcome measurements included the LOS test, Balance Error Scoring System, Instrumented Balance Error Scoring System, and Modified Clinical Test for Sensory Interaction on Balance. Results A significant relation was observed among LOS composite scores (r=.36-.87, P<.05). However, no relation was observed between LOS and static balance outcome measurements. The reliability of the LOS composite scores ranged from moderate to good (intraclass correlation coefficient model 2,1=.73-.96). Conclusions The results suggest that the LOS composite scores provide unique information about dynamic postural stability, and the LOS test completed at 100% of the theoretical limit appeared to be a reliable test of dynamic postural stability in adolescents. Clinicians should use dynamic balance measurement as part of their balance assessment and should not use static balance testing (eg, Balance Error Scoring System) to make inferences about dynamic balance, especially when balance assessment is used to determine rehabilitation outcomes, or when making return to play decisions after injury.

Original languageEnglish
Pages (from-to)2194-2200
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Issue number12
StatePublished - Dec 2015


  • Ankle
  • Rehabilitation
  • Sports


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