The sit-and-reach test is the most commonly used way to measure lower back and hamstring muscle flexibility. The test is important because tightness in these muscles is implicated in musculoskeletal injuries and lower back problems, especially in older adults. The newly designed chair sit-and-reach (CSR) test has been used to measure hamstring flexibility in elderly men and women. The reliability and validity of the CSR test in Japanese elderly adults has not yet been evaluated. The purpose of this study was to investigate test–retest reliability and criterion-related validity of the CSR test in Japanese healthy elderly persons. The results of the CSR test were compared with those obtained using criterion-related validity tests such as the passive straight leg raise (PSLR) test, standing trunk flexion (STF) test, and the sit-and-reach (SR) test. In total, 1426 elderly subjects (419 men and 1007 women) aged 60–93 years participated in this study. The intraclass correlation coefficient (ICC) for the CSR test value was very high (ICC = 0.88–0.96). Significant differences in Pearson correlation coefficients (
P < 0.05) between CSR values and PSLR values (
r = 0.66 for men;
r = 0.28 for women), and STF (
r = 0.84 for men;
r = 0.85 for women), and SR (
r = 0.71 for men;
r = 0.74 for women) test values of hamstring flexibility were found. Two-way analysis of variance showed a significant interaction between age and gender. No age-related changes were observed in the CSR values of men. However, a significant difference was observed between subjects aged 60–69 years and <70 years (
P < 0.05) of women. Moreover, significant gender-related differences in CSR values were observed across all age groups. These findings suggest that the CSR test is a reliable test and provides an acceptable measure of hamstring flexibility in Japanese healthy elderly men and women.
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