The Effects of Sex, Limb Dominance, and Soccer Participation on Knee Proprioception and Dynamic Postural Control

2016 ◽  
Vol 25 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Mutlu Cug ◽  
Erik A. Wikstrom ◽  
Bahman Golshaei ◽  
Sadettin Kirazci
Keyword(s):  
Postural Control ◽  
Female Athletes ◽  
Outcome Measure ◽  
Constant Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Soccer Players ◽  
Joint Position ◽  
Main Outcome Measure ◽  
Limb Dominance

Context:Both female athletes’ participation in soccer and associated injuries have greatly increased in recent years. One issue is the 2–9 times greater incidence of noncontact anterior cruciate ligament (ACL) injuries in female athletes relative to male athletes in comparable sports. Several factors such as limb dominance and sporting history have been proposed to play a role in ACL incidence rates between male and female athletes. However, evidence about the effects of these factors and how they interact with sex is mixed, and thus no consensus exists.Objective:To quantify the effects of sports participation, limb dominance, and sex on dynamic postural control and knee-joint proprioception.Design:Cross-sectional study.Setting:University research laboratory.Participants:19 male soccer players, 17 female soccer players, 19 sedentary men, and 18 sedentary women.Intervention:Joint-position sense was tested using reproduction of passive positioning on a Biodex isokinetic dynamometer (30°, 45°, and 60° from 90° of knee flexion). Three Star Excursion Balance Test directions were used to assess dynamic postural control.Main Outcome Measure:Normalized reach distance (% of leg length) in the anterior, posteromedial, and posterolateral directions on each leg quantified dynamic postural control. Average absolute error and constant error for both limbs quantified joint-position sense.Results:Posteromedial reach distance was significantly better in soccer players than sedentary individuals (P = .006). Anterior reach distance was significantly better (P = .04) in sedentary individuals than soccer players. No limb-dominance or sex differences were identified for dynamic postural control, and no differences in absolute- or constant-error scores were identified.Conclusion:Sporting history has a direction-specific impact on dynamic postural control. Sporting history, sex, and limb dominance do not influence knee-joint proprioception when tested in an open kinetic chain using passive repositioning.

Shoulder Joint Position Sense Can Be Reduced by Sensory Reference Frame Transformations

2021 ◽  
pp. 003151252199304
Author(s):  
David Phillips ◽  
Albena Zahariev ◽  
Andrew Karduna
Keyword(s):  
Reference Frame ◽  
Constant Error ◽  
Sensory Information ◽  
Target Position ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Multiple Sources ◽  
Directional Bias

Joint position sense (JPS) is commonly evaluated using an angle replication protocol with vision occluded. However, multiple sources of sensory information are integrated when moving limbs accurately, not just proprioception. The purpose of this study was to examine different availability of vision during an active JPS protocol at the shoulder. Specifically, the effects of four conditions of vision availability were examined for three target shoulder elevation angles (50°, 70° & 90°): vision occluded continuously (P-P); vision available continuously (VP-VP); vision occluded only during target memorization (P-VP); and vision occluded only during target position replication (VP-P). There were 18 participants ( M age = 21, SD = 1 years). We used separate repeated ANOVAs to examine the effect of condition and target angle on participants’ absolute error (AE, a measure of accuracy) and constant error (CE, a measure of directional bias). We found a significant main effect for condition and angle for both dependent variables ( p < 0.01), and follow-up analysis indicated that participants were most accurate in the VP-VP condition and least accurate in the P-VP condition. Further follow-up analysis showed that accuracy improved with higher target elevation angles, consistent with previous research findings. Constant error results were similar, as there was a prominent tendency to overshoot the target. Unsurprisingly, participants performed best at the angle replication protocol with their eyes open. However, while accuracy was reduced when vision was occluded during target memorization, it was restored during target replication. This finding may have indicated an accuracy cost due to introduced noise when transforming sensory information from a proprioceptive reference frame into a visual reference frame.

Differences in Joint-Position Sense and Vibratory Threshold in Runners With and Without a History of Overuse Injury

2015 ◽  
Vol 24 (1) ◽  
pp. 6-12 ◽  
Author(s):  
Tiffany Switlick ◽  
Thomas W. Kernozek ◽  
Stacey Meardon
Keyword(s):  
Postural Control ◽  
Outcome Measures ◽  
Overuse Injury ◽  
Position Sense ◽  
Joint Position Sense ◽  
Sensory Threshold ◽  
Sensorimotor Function ◽  
Joint Position ◽  
Ankle Eversion ◽  
History Of

Context:A relationship between altered postural control and injury has been reported in sports. Sensorimotor function serves a fundamental role in postural control and is not often studied in runners. Persons who sustain running injury may have altered sensorimotor function contributing to risk of injury or reinjury.Objectives:To determine if differences in knee and ankle proprioception or plantar sensation exist between injured and noninjured runners.Design:Retrospective case-control study.Setting:University campus.Participants:Twenty runners with a history of lower-extremity overuse injury and 20 noninjured runners were examined. Injured runners were subcategorized into 2 groups based on site of injury: foot/ankle and knee/hip.Main Outcome Measures:Active absolute joint-repositioning error of the ankle at 20° inversion and 10° eversion and the knee at 15° and 40° flexion was assessed using an isokinetic dynamometer. Vibratory threshold at the calcaneus, arch, and great toe was determined for each subject using a handheld electric sensory threshold instrument.Results:Runners in the injured-foot/ankle group had increased absolute error during ankle-eversion repositioning (6.55° ± 3.58°) compared with those in the noninjured (4.04° ± 1.78°, P = .01) and the hip/knee (3.63° ± 2.2°, P = .01) groups. Runners in the injured group, as a whole, had greater sensitivity in the arch of the plantar surface (2.94 ± 0.52 V) than noninjured runners (2.38 ± 0.53 V, P = .02).Conclusions:Differences in ankle-eversion proprioception between runners with a history of ankle and foot injuries and noninjured runners were observed. Runners with a history of injury also displayed an increased vibratory threshold in the arch region compared with noninjured runners. Poor ankle-joint-position sense and increased plantar sensitivity suggest altered sensorimotor function after injury. These factors may influence underlying postural control and contribute to altered loading responses commonly observed in injured runners.

Knee-Joint Position Sense: The Relationship between Open and Closed Kinetic Chain Tests

2005 ◽  
Vol 14 (4) ◽  
pp. 356-362 ◽  
Author(s):  
Lee Herrington
Keyword(s):  
Error Score ◽  
Outcome Measure ◽  
Weight Bearing ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Kinetic Chain ◽  
Main Outcome Measure ◽  
Closed Kinetic Chain ◽  
The Relationship

Context:Authors have investigated knee joint-position sense (JPS) in non-weight-bearing open kinetic chain (OKC) manner, but few have investigated JPS during closed kinetic chain (CKC) weight-bearing activities or the relationship between these two.Objective:To investigate the relationship between knee JPS during OKC and CKC maneuvers.Design:2-group (men and women) repeated-measures.Setting:Biomechanics laboratory.Participants:80 asymptomatic subjects.Interventions:None.Main Outcome Measure:Absolute error score of knee JPS during 2 conditions, a CKC squat or OKC knee-flexion maneuver.Results:Statistical analysis by 2-way ANOVA showed sex not to have a significant effect on error score (P= .475), but statistically significant differences between error scores occurred during the 2 tests (P= .0001), the CKC test producing lower error scores (group mean absolute error score OKC [5.6° ± 4.3°] and CKC [2.8° ± 2.4°]), with the absence of a correlation between scores of each test (r= .1).Conclusion:Testing JPS in a CKC scenario would seem appropriate—the ability is greatest (least errors), and conversely any deficits might be most obvious.

scholarly journals Investigating Knee Joint Position Sense After Anterior Cruciate Ligament Reconstruction in Male Soccer Players

2020 ◽  
Vol 10 (1) ◽  
pp. 41-48
Author(s):  
Hossein Fakoor Rashid ◽  
◽  
Taleb Fadaei Dehcheshmeh ◽  
Hassan Daneshmandi ◽  
Ali Asghar Norasteh ◽  
...  
Keyword(s):  
Knee Joint ◽  
Cruciate Ligament ◽  
Position Sense ◽  
Joint Position Sense ◽  
Mean Value ◽  
Soccer Players ◽  
Joint Position ◽  
Significant Difference ◽  
The Mean ◽  
Anterior Cruciate

Purpose: Anterior Cruciate Ligament (ACL) injury is the most common knee ligament injury during exercise, with a frequency of 36.9 per 100000 individuals. The characteristics of this injury are proprioception dysfunction. The present study aimed to investigate the knee proprioception after the reconstruction of ACL in soccer players. Methods: The study sample of this study was 20 elite male soccer players with an ACL injury experiencing post-reconstruction. The knee joint position sense of the study subjects was measured by Isokinetic (Gymnex model) at 30°, 45°, and 60° between the operated and non-operated knee. An Independent Samples t-test was used to compare the mean scores of the measured variables at the significance level of P≤0.05. Results: The obtained results suggested that the mean value of the angle reproduction test at 30° on the operated knee was significantly more than that of the non-operated knee (P=0.003). Moreover, the mean value of a passive angle reproduction test was significantly more than that of the active angle test in the operated knee (P=0.001). There was no significant difference between the mean value of 45° angle repair results in the non-operated and operated knee (P=0.99). The difference between active and passive tests in the operated knee on 45° was significant; the study subjects demonstrated higher mean scores in the active test (P=0.02). Additionally, the half-value in angle reproduction in 60° in the operated knee was significantly less than that of the non-operated knee (P=0.01). Eventually, there was no significant difference between the results of the test at this angle in the passive and active angle reproduction in the affected knee (P=0.22). Conclusion: The obtained data revealed that the knee joint position sense of the operated knee joint, compared to the non-operated knee in elite soccer players, along with the reconstruction of the ACL, was weaker than those of the non-operated knee. 

Menstrual cycle and knee joint position sense in healthy female athletes

2011 ◽  
Vol 20 (8) ◽  
pp. 1647-1652 ◽  
Author(s):  
Rose Fouladi ◽  
Reza Rajabi ◽  
Nasrin Naseri ◽  
Fereshteh Pourkazemi ◽  
Mehrnaz Geranmayeh
Keyword(s):  
Menstrual Cycle ◽  
Knee Joint ◽  
Female Athletes ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Healthy Female

College Pitchers Demonstrate Directional Differences in Shoulder Joint Position Sense Compared With Controls

2018 ◽  
Vol 27 (4) ◽  
pp. 301-305 ◽  
Author(s):  
John Andrew Badagliacco ◽  
Andrew Karduna
Keyword(s):  
Athletic Training ◽  
Shoulder Joint ◽  
Constant Error ◽  
External Rotation ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Overhead Athletes ◽  
Target Angle ◽  
Increased Risk

Context: The relationship between overhead throwing and its effect on proprioception is not well understood. It is important to gain a better understanding of how these are related, to protect overhead athletes from an increased risk of injury. Objective: To investigate proprioceptive alterations in the overhead thrower’s shoulder. Design: Cross-sectional study. Independent variables are limb (dominant and nondominant), group (thrower or control), and target angle. Dependent variables are joint position sense and range of motion. Setting: An orthopedic biomechanics lab and university athletic training facility. Participants: Twelve Division I baseball pitchers and 13 nonthrowing control subjects. Intervention: Shoulder proprioception was assessed using an active joint repositioning task administered with an iPod Touch. Main Outcome Measure: Root mean square error and constant error of repositioning angles were used to assess accuracy and directional patterns, respectively. Results: Both groups demonstrated significantly higher joint acuity at the 80° external rotation target angle compared with 60° (1.5° [0.5°], P = .01). There were no differences in accuracy between groups. Constant error revealed differing repositioning patterns between limbs for the pitchers and also between groups for the dominant side. Although the throwing shoulder overshot the target angles by 0.4°, all nonthrowing shoulders undershot by an average of 2.7°. Conclusions: There is no difference in shoulder joint position sense accuracy between throwers and nonthrowers, although both groups display increased accuracy closer to their end range of external rotation. The throwing shoulder demonstrates a different repositioning pattern, overshooting the desired target angle, while all other shoulders undershoot.

Correlation Between Joint-Position Sense, Peroneal Strength, Postural Control, and Functional Performance Ability in Patients With Chronic Lateral Ankle Instability

2019 ◽  
Vol 40 (8) ◽  
pp. 961-968 ◽  
Author(s):  
Byung-Ki Cho ◽  
Ji-Kang Park
Keyword(s):  
Postural Control ◽  
Functional Performance ◽  
Ankle Instability ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Chronic Lateral Ankle Instability ◽  
Lateral Ankle Instability ◽  
Hop Test ◽  
Performance Ability

Background: The first aim of this study was to evaluate the side-to-side difference of joint-position sense, peroneal strength, postural control, and functional performance ability in patients with chronic lateral ankle instability. The second aim was to identify the correlation between various components contributing to the functional ankle instability (FAI). Methods: Thirty-five patients to be scheduled for the modified Broström procedure for chronic ankle instability were analyzed. Joint-position sense and peroneal strength were measured with an isokinetic dynamometer. Postural control ability was evaluated using the modified Romberg test. The functional performance test consisted of the 1-leg hop test, 6-meter hop test, and cross 3-m hop test. Spearman’s correlation coefficient ( r) was calculated to determine the linear association between the individual components of the FAI. Results: Except for the 6-m and cross 3-m hop tests, most examination tools for the FAI demonstrated significant side-to-side differences compared with the unaffected ankle. Spearman’s correlation analysis revealed that individual components (joint-position sense, peroneal strength, postural control, and functional performance ability) of the FAI were significantly associated with one another, except between peroneal strength and postural control ability ( r = 0.21, P = .195). Conclusion: Joint-position sense, peroneal strength, postural control ability, and 1-leg hop test demonstrated significant side-to-side differences in patients with chronic lateral ankle instability. Individual components contributing to the FAI were significantly correlated with one another, except between peroneal strength and postural control ability. Postural control evaluation using the modified Romberg test could substitute for dynamometer testing, with convenience and economic advantage. Level of Evidence: Level IV, prospective case series.

Sign in / Sign up

Export Citation Format

Share Document