Relationships of maximal single- and double-step length tests with sex and the dominant and non-dominant legs

Abstract

The maximal step length test has been proposed to evaluate the risk of falls among the elderly, although the test is confusing and prone to errors due to two types of test methods. The maximal double-step length test may be used to evaluate both leg function and the functional difference between the left and right legs, but its measurement and evaluation methods have not been studied extensively. The aims of the present study were to compare the maximal single- and double-step length tests, and to highlight differences between the sexes and between the dominant and non-dominant legs. Fifty healthy adults free from lower-limb disorders conducted the above step tests twice, once with the dominant and once with the non-dominant leg. The former test requires individuals to return the stepping leg to the original position or to draw the other leg to the step leg after stepping out maximally with either leg from a standing posture while maintaining body stability with the supporting leg. The latter test requires individuals to step forward with either leg maximally, after similarly stepping with the other leg and to draw the first stepping leg to the second stepping leg. The above tests are defined as the single- and double-step length test, respectively. Step lengths were measured in both tests, and these values were used for analysis. Correlations among step length tests conducted with the dominant and non-dominant legs were very high (r=0.82–0.97). Significant sex differences were found in all step length tests, and males were superior to females. No significant difference between legs was found in any test. In summary, the relationship between the maximal single- and double-step length tests was very high and step lengths showed a significant sex difference.