scholarly journals THU0624-HPR COMPARISON OF WRIST PROPRIOCEPTION, GRIP STRENGTH AND PINCH STRENGTH IN PATIENTS WITH PSORIATIC ARTHRITIS AND RHEUMATOID ARTHRITIS: PRELIMINARY STUDY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 555.2-555
Author(s):  
M. Köprülüoğlu ◽  
İ. Naz Gürşan ◽  
D. Solmaz ◽  
E. Otman ◽  
E. Durak Ediboglu ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Grip Strength ◽  
Disease Duration ◽  
Position Sense ◽  
Joint Position Sense ◽  
Position Error ◽  
Pinch Strength ◽  
Joint Position ◽  
Hand Dynamometer ◽  
Dominant Side

Background:Hand articular damage occurs in rheumatoid arthritis (RA) and functional ability deteriorates as the disease progresses. Limitation of hand motion, oedema, pain etc. factors contribute to reduce grip strength, pinch strength and joint position sense; this problems contribute to function and disability. Following RA, affecting grip and pinch strength (1) and joint position sense (2) was reported former research. But there is a little knowledge about disabilitiy of hand functions in psoriatic arthritis (PsA).Objectives:To compare joint position sense, grip strength and pinch strength in patient with PsA and RA.Methods:In our cross sectional study, 23 RA patients [Mean age; 52.7±12.6, Women:20(87.0%)] who were classified according to the ACR 2010 criteria and 19 PsA patients [Mean age 53.5±12.6, Women:14 (%73.7)] who were classified according to the CASPAR criteria were included.It was recorded demographic and clinical data of patients. Wrist position sense was evaluated by goniometric re-position error test (in 30◦ wrist extansion, 3 repeat). Grip strenght was examined using a hand dynamometer (Lafayette Proffessional Hand Dynamometer, USA) and pinch strength (two point, three point, lateral) was evaluated by pinchmeter (Lafayette,USA).Results:Patients were similar in terms of age, gender, disease duration, morning stiffness duration, pain of hand joints, number of tender and swallen joints and disease activity (p>0.05). RA patients had longer disease duration (p=0.004) and lower ESR levels (p=0.046) compared to PsA. Grip and pinch strength were found similar in both dominant and non-dominant side between RA and PsA patients (Table 1). Wrist joint position error was higher in PsA group in non-dominant side (p=0.011).Table 1.Comparison of Groups for Grip and Pinch Strength and Joint Position SenseVariablesRA(n=23)Median(IQR)PsA(n=19)Median(IQR)p*Grip StrengthDominantNon-dominant20(14/25)20(14/25)25(20/29)21(15/26)0.1090.404Pinch StrengthDominant2 Point3 PointLateralNondominant2 Point3 PointLateral3.1(2.2/3.8)3(2.3/4.0)3.4(3.0/4.2)3(1.9/3.7)2.8(2.3/3.8)2.9(2.5/4.0)3(2.2/3.4)3.4(2.5/4.20)3.5(2.6/4.5)3(2.4/3.7)3.1(2.3/4.2)3.2(2.4/4.2)0.8100.4710.8400.7140.7230.561Joint Position ErrorDominantNon-dominant6(5/7)6(3/8)7(5/9)8(6/11)0.2340.011Data have shown as median (interquartile range 25-75) *Mann Whitney-U TestConclusion:Our study showed that patients with PsA had hand impairment as much as RA patients. We think, hand assessment in patients with PsA rehabilitation programme is essential for clinicians. There is need future studies including asymptomatic healthy group to interpret of results in detailed.References:[1]VLIET, TP Vlieland, et al. Determinants of hand function in patients with rheumatoid arthritis. The Journal of rheumatology, 1996, 23.5: 835-840.[2]FERRELL, W. R.; CRIGHTON, A.; STURROCK, R. D. Position sense at the proximal interphalangeal joint is distorted in patients with rheumatoid arthritis of finger joints. Experimental Physiology: Translation and Integration, 1992, 77.5: 675-680.Disclosure of Interests:None declared

Immediate effects of thoracic manipulation on cervical joint position sense in individuals with mechanical neck pain: A randomized controlled trial

2021 ◽  
pp. 1-9
Author(s):  
Emin Ulas Erdem ◽  
Banu Ünver ◽  
Eda Akbas ◽  
Gizem Irem Kinikli
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Position Sense ◽  
Joint Position Sense ◽  
Position Error ◽  
Cervical Region ◽  
Joint Position ◽  
Cervical Range Of Motion ◽  
Arm Pain ◽  
Neck Function

BACKGROUND: Performing thoracic manipulations for neck pain can result in immediate improvements in neck function. OBJECTIVE: The aim of this study was to investigate the immediate effects of thoracic manipulation on cervical joint position sense and cervical range of motion in individuals with chronic mechanical neck pain. METHODS: Eighty male volunteers between 18–25 years and having chronic or recurrent neck or shoulder pain of at least 3 months duration with or without arm pain were randomized into two groups: Thoracic Manipulation Group (TMG:50) and Control Group (CG:30), with a pretest-posttest experimental design. The TMG was treated with thoracic extension manipulation while the CG received no intervention. Cervical joint position error and cervical range of motion of the individuals were assessed at baseline and 5 minutes later. RESULTS: There was no difference in demographic variables such as age (p= 0.764), Body Mass Index (p= 0.917) and Neck Pain Disability Scale (NPDS) scores (p= 0.436) at baseline outcomes between TMG and CGs. Joint position error outcomes between the two groups following intervention were similar in all directions at 30 and 50 degrees. Differences in range of motion following intervention in neck flexion (p< 0.001) and right rotation (p= 0.004) were higher in TMG compared to CG. CONCLUSIONS: A single session of thoracic manipulation seems to be inefficient on joint position sense in individuals with mild mechanical neck pain. However, thoracic manipulation might be an effective option to increase flexion and rotation of the cervical region as an adjunctive to treatment.

scholarly journals The Effect of Hamstring Muscle Tightness on Knee Joint Proprioceptive Sense

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0017
Author(s):  
Seval Tamer ◽  
Yavuz Yakut ◽  
Filiz Can ◽  
Özlem Ülger
Keyword(s):  
Knee Joint ◽  
Demographic Data ◽  
Position Sense ◽  
Joint Position Sense ◽  
Rank Test ◽  
Joint Position ◽  
Hamstring Muscle ◽  
Musculoskeletal Problem ◽  
Muscle Tightness ◽  
Dominant Side

Objectives: Hamstring muscle tightness is a major musculoskeletal problem that predisposes the knee to injury . Proprioception sense is an important factor for injuries and we have not found any studies on the effect of hamstring muscle tightness on knee joint proprioceptive . Therefore, the aim of this study was to determine the effect of hamstring muscle tightness on knee joint proprioceptive sense. Methods: 61 healthy individuals, without any orthopedic or neurological symptoms that affect the knee joint proprioception sense, were included in this study. Individuals' socio-demographic data were recorded. Hamstring muscle tightness was measured with active knee extension (ACE) method by using goniometer. Individuals with hamstring muscle tightness (ACE over of 20 °) was Group 1 and individuals without tightness (ACE 20 ° and under) was Group 2. Proprioceptive component of joint position sense and kinaesthesia was evaluated for the sense of proprioception. Prosport 1000 PMS (Tümer Machine Ankara, Turkey) instrument was used and visual, auditory, tactile, sensory input have been eliminated. Passive placement method and 20 and 40 degrees of knee flexion target angles was used for measurement. For joint position sense target angle predict degree, for kinesthesia perceive movement sense degree was recorded. Instrument moved 10 degrees/sec for joint position sense and 0.4 degrees/sec for kinesthesia. All measurements were repeated three times for dominant and non-dominant side. SPSS version 21 was used for statistical analysis and p values of 0.05 and less were considered evidence of statistically significant findings. Mann-Whitney U rank test was used to compare findings of two groups. Results: Individuals’ socio-demographic data were similar (p> 0.05). No difference was found between the groups’ dominant and non-dominant sides’ AKE values (p> 0.05). Similarly for dominant and non-dominant side kinaesthesia values in 20 °and 40°, joint position sense values in 20 ° and 40 ° did not show statistically significant differences between the groups (p> 0.05). Conclusion: This study showed that hamstring muscle tightness was not effective on knee joint kinesthesia and joint position sense for both dominant and non-dominant side. This result indicates that joint position and kinesthesia were not effective enough to show the effect of hamstring muscle tightness on knee joint proprioception, so other proprioceptive components like muscle strength, range of motion, strength and agility could be considered.

scholarly journals Ankle Proprioception in Patients with Type 2 Diabetes Mellitus

2021 ◽  
Vol 111 (4) ◽  
Author(s):  
Ozkan Maras ◽  
Deniz Dulgeroglu ◽  
Aytul Cakci
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Educational Level ◽  
Disease Duration ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Foot Complications ◽  
Ankle Proprioception

Background Ankle position sense may be reduced before the appearance of the clinical manifestation of diabetic peripheral neuropathy. This is known to impair gait and cause falls and foot ulcers. Early detection of impaired ankle proprioception is important because it allows physicians to prescribe an exercise program to patients to prevent foot complications. Methods Forty-six patients diagnosed as having type 2 diabetes mellitus and 22 control patients were included in the study. Presence of neuropathy was assessed using the Michigan Neuropathy Screening Instrument (MNSI). Level of foot care awareness was determined using the Nottingham Assessment of Functional Footcare (NAFF). Joint position sense was measured using a dynamometer. Results Mean absolute angular error (MAAE) values were significantly higher in the neuropathy group compared with the control group (P &lt; .05). Right plantarflexion MAAE values were significantly lower in the group without neuropathy compared with the group with neuropathy (P &lt; .05). No correlation was found between MAAE values (indicating joint position sense) and age, educational level, disease duration, glycemic control, NAFF score, and MNSI history and examination scores in the groups with and without neuropathy (P &gt; .05). Educational level and disease duration were found to be correlated with NAFF scores. Conclusions Increased MNSI history scores and increased deficits in ankle proprioception demonstrate that diabetic foot complications associated with reduced joint position sense may be seen at an increased rate in symptomatic patients.

The Analysis of Proprioception Alteration during First Five Months after Anterior Cruciate Ligament Reconstruction

2018 ◽  
Vol 1 (84) ◽  
Author(s):  
Vilma Jurevičienė ◽  
Albertas Skurvydas ◽  
Juozas Belickas ◽  
Giedra Bušmanienė ◽  
Dovilė Kielė ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Angular Velocity ◽  
Knee Joint ◽  
Cruciate Ligament ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Starting Position ◽  
Angular Velocities ◽  
Anterior Cruciate

Research  background  and  hypothesis.  Proprioception  is  important  in  the  prevention  of  injuries  as  reduced proprioception  is  one  of  the  factors  contributing  to  injury  in  the  knee  joint,  particularly  the  ACL.  Therefore, proprioception appears not only important for the prevention of ACL injuries, but also for regaining full function after ACL reconstruction.Research aim. The aim of this study was to understand how proprioception is recovered four and five months after anterior cruciate ligament (ACL) reconstruction.Research methods. The study included 15 male subjects (age – 33.7 ± 2.49 years) who had undergone unilateral ACL reconstruction with a semitendinosus/gracilis (STG) graft in Kaunas Clinical Hospital. For proprioceptive assessment, joint position sense (JPS) was measured on both legs using an isokinetic dynamometer (Biodex), at knee flexion of 60° and 70°, and at different knee angular velocities of 2°/s and 10°/s. The patients were assessed preoperatively and after 4 and 5 months, postoperatively.Research results. Our study has shown that the JPS’s (joint position sense) error scores  to a controlled active movement is significantly higher in injured ACL-deficient knee than in the contralateral knee (normal knee) before surgery and after four and five months of rehabilitation.  After 4 and 5 months of rehabilitation we found significantly lower values in injured knees compared to the preoperative data. Our study has shown that in injured knee active angle reproduction errors after 4 and 5 months of rehabilitation were higher compared with the ones of the uninjured knee. Proprioceptive ability on the both legs was  independent of all differences angles for target and starting position for movement. The knee joint position sense on both legs depends upon the rate of two different angular velocities and the mean active angle reproduction errors at the test of angular velocity slow speed was the highest compared with the fast angular velocity. Discussion and conclusions. In conclusion, our study shows that there was improvement in mean JPS 4 and 5 months after ACL reconstruction, but it did not return to normal indices.Keywords: knee joint, joint position sense, angular velocity, starting position for movement.

Muscle Strength Deficit though Intact Proprioception after Lateral Ankle Sprain without Persistent Instability

2021 ◽  
Author(s):  
Adel M. Madkhali ◽  
Shibili Nuhmani
Keyword(s):  
Ankle Sprain ◽  
Peak Torque ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Lateral Ankle Sprain ◽  
Lateral Ankle ◽  
Cohen’S D ◽  
History Of ◽  
Cohen's D

Abstract Background Lateral ankle sprain is one of the most common injuries in competitive sports. Previous studies which investigated muscle strength and proprioception (joint position sense) focused on subjects who sustained ankle sprain with instability. It is also important to investigate strength deficits and proprioception in subjects with a history of ankle sprain without instability. Therefore the aim of the study is to investigate proprioception and muscle strength deficits in athletes with lateral ankle sprain. Methods Twenty-four male athletes with a history of lateral ankle sprain and 24 age-matched controls (mean age of 22.42±4.13 years, mean height of 173±5.73 cm, and mean weight of 71.20±7.55 Kg) participated in this cross-sectional study. Peak torque and peak torque ratio at speeds of 30 and 120°/s for concentric and eccentric ankle inversion/eversion were evaluated using an isokinetic dynamometer. The joint position sense of the ankle joint was evaluated using an active angle reproduction test. Result Peak torque produced was significantly less in subjects with history of ankle sprain in concentric inversion 30°/s(t(47)=4.11; p=0.000, Cohen’s d=1.29), concentric inversion 120°/s (t(47)=3.01; p=0.006, Cohen’s d=1.13), concentric eversion 30°/s (t(47)=3.85; p=0.001, Cohen’s d=1.24) and concentric eversion 120°/s (t(47)=3.15; p=0.005, Cohen’s d=1.09). At the same time there was no significant difference observed in eccentric eversion peak torque in both speed (eccentric eversion 30°/s p=0.079; eccentric eversion 120°/s p=0.867) between experimental and control group. No significant difference was found in the joint position sense in the maximal active inversion −5° position (p=0.312) and the 15° inversion position (P=0.386) between both group. Conclusion The study’s results reported a significantly less peak torque of invertors and evertors during concentric movements in athletes with history of ankle sprain. At the same time, no significant difference reported in the evertor/invertor peak torque ratio, and active joint position sense between the 2 groups.

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.

JOINT POSITION SENSE

Brain ◽  
1980 ◽  
Vol 103 (1) ◽  
pp. 1-22 ◽  
Author(s):  
W. Z. RYMER ◽  
A. D'ALMEIDA
Keyword(s):  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position
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