Validation study of a software for proprioceptive evaluation

Objective: To validate the PhisioPlay software for proprioceptive evaluation of the shoulder joint based on the data obtained by isokinetic dynamometry equipment. Methods: Thirty-one individuals constituted a single group for proprioceptive evaluation of both shoulder joints by means of joint position sense (JPS). The testing protocol of PhisioPlay consisted of the abduction movement of the shoulder to the target angles of 45° and 90° and the maintenance of these positions for 30 seconds. In the isokinetic dynamometer, the test was performed using its proprioceptive evaluation protocol for the same movement, target angles, and maintenance time established for the previous test. Results: For the 90° variables, statistical analysis pointed to agreement for the dominant limb in relation to the mean angulation and the absolute difference and for the non-dominant limb in relation to the absolute difference. The results of mean comparisons of the absolute differences via the Wilcoxon Test corroborate the literature regarding the behavior of the JPS considering joint amplitude, lateral dominance, and greater or lesser torque affecting the joint. Reliability and sensitivity measures also strengthen the conclusions. Conclusion: The results point to the construct validity of the PhisioPlay software for evaluating the JPS of the shoulder joint at 45° and 90° and suggest that the JPS is more influenced by the angle of the joint during the motor task than by the lateral dominance.

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Shoulder Joint Position Sense in Thoracic Outlet Syndrome

Muscles Ligaments and Tendons Journal ◽

10.32098/mltj.01.2021.18 ◽

2021 ◽

Vol 11 (01) ◽

pp. 178

Author(s):

C. Sayaca ◽

F. Eyuboglu ◽

M. Çalık ◽

H. Guney-Deniz ◽

T. Fırat ◽

...

Keyword(s):

Shoulder Joint ◽

Thoracic Outlet Syndrome ◽

Position Sense ◽

Joint Position Sense ◽

Joint Position

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The Efficacy of Modern Technology to Improve Healthy and Injured Shoulder Joint Position Sense

Journal of Sport Rehabilitation ◽

10.1123/jsr.8.1.10 ◽

1999 ◽

Vol 8 (1) ◽

pp. 10-23 ◽

Cited By ~ 6

Author(s):

Semyon M. Slobounov ◽

Shannon T. Poole ◽

Robert F. Simon ◽

Elena S. Slobounov ◽

Jill A. Bush ◽

...

Keyword(s):

Shoulder Joint ◽

Healthy Subjects ◽

Position Sense ◽

Joint Position Sense ◽

Modern Technology ◽

Shoulder Abduction ◽

Joint Position ◽

Reproduction Task ◽

Significant Difference ◽

Visualization Techniques

Assessment and enhancement of joint position sense is an inexact science at best. Anew method of evaluating and improving this sense using motion-tracking technology that incorporates computer visualization graphics was examined. Injured and healthy subjects were evaluated for their abilities to determine shoulder joint position, after abduction, in two tasks. The first was active reproduction of a passively placed angle. The second was visual reproduction of such an angle. A training protocol was added to determine the effectiveness of proprioceptive training in conjunction with 3-D visualization techniques. The primary findings were (a) a significant difference (p= .05) in the level of joint position sense in injured vs. healthy subjects; (b) significantly less accurate reproduction of larger shoulder abduction vs. the smaller movement in the active reproduction task; (c) significantly greater ability to accurately reproduce angles actively vs. visually; and (d) that proprioception training using 3-D visualization techniques significantly increased activeandvisual reproductions of passively placed angles.

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Shoulder Joint Position Sense in Injured and Noninjured Judo Athletes

International Journal of Athletic Therapy & Training ◽

10.1123/ijatt.18.2.29 ◽

2013 ◽

Vol 18 (2) ◽

pp. 29-33 ◽

Cited By ~ 1

Author(s):

Carly May Green ◽

Paul Comfort ◽

Lee Herrington

Keyword(s):

Outcome Measures ◽

Shoulder Joint ◽

External Rotation ◽

Position Sense ◽

Joint Position Sense ◽

Average Error ◽

Joint Position ◽

Joint Stability ◽

Shoulder Injury ◽

Judo Athletes

Context:A reduction in joint position sense (JPS) is sometimes a consequence of shoulder injury that may adversely affect the ability to maintain dynamic joint stability.Objective:To compare shoulder JPS between previously injured and noninjured judokas.Design:Cohort study.Participants:Twenty-nine noninjured subjects (10.93 ± 3.45 years) and eleven injured subjects (15.09 ± 3.39 years).Main Outcome Measures:JPS was tested at 45° and 80°of shoulder external rotation at 90° of abduction.Results:No signifcant difference in JPS was found between previously injured and noninjured judokas at either joint position.Conclusion:Despite evidence that JPS acuity decreases following shoulder injury, this study did not demonstrate a difference in average error between previously injured and noninjured judokas. Uncontrolled confounding factors, such as age and time since injury, may have affected the results. Sport-specifc shoulder joint loading patterns may also be an important factor that affects JPS.

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Relationship Between Shoulder Joint Position Sense and Swimming Performance in Disabled Swimmers

Turkiye Klinikleri Journal of Health Sciences ◽

10.5336/healthsci.2020-78676 ◽

2021 ◽

Vol 6 (3) ◽

pp. 523-530

Author(s):

Eda KURT ◽

Yıldız ERDOĞANOĞLU ◽

Defne KAYA

Keyword(s):

Shoulder Joint ◽

Swimming Performance ◽

Position Sense ◽

Joint Position Sense ◽

Joint Position

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A Clinical Shoulder Proprioception Test Shows Good Reliability, and Decreased Shoulder Joint Position Sense Due to Local Fatigue in Handballers: A Repeated Measures Design

10.21203/rs.3.rs-459791/v1 ◽

2021 ◽

Author(s):

Peter Sutton ◽

Marie Ohlsson ◽

Ulrik Röijezon

Keyword(s):

Shoulder Joint ◽

Repeated Measures ◽

Intraclass Correlation ◽

Position Sense ◽

Joint Position Sense ◽

Joint Position ◽

Good Reliability ◽

Repeated Measures Design ◽

Significant Difference ◽

Specialized Equipment

Abstract Background: Assessment of shoulder proprioception outside the laboratory in the absence of specialized equipment remains a challenge with field-based tests often lacking good reliability, validity and feasibility. This study aimed to enhance the knowledge base surrounding the assessment of shoulder proprioception and investigated the effect of fatigue on shoulder joint position sense (JPS) amongst amateur male handball players.Method: 27 healthy recreationally active participants and 13 amateur male handball players undertook two sessions of active JPS tests using laser pen technology and a calibrated 2-dimensional target to assess test-retest reliability. The active JPS test was then utilized on the subgroup of handball players who were subjected to five bouts of a repeated throwing task in order to investigate the effect of local fatigue on shoulder JPS. Results: The intraclass correlation coefficient for the active JPS test was 0.78 (95% CI = [0.57; 0.89]). Standard error of measurement between trials was 0.70° (range 0.57°-0.90°). For the throwing task, repeated measures analysis of variance revealed a significant interaction for arm x bout (F5=2.74, p=0.028) and a significant effect for arm (F1=5.85, p=0.034). Post hoc analysis showed a significant difference between throwing arm and non-throwing arm after throwing bout one (p=0.036), three (p=0.026) and four (p=0.041). Conclusion: Assessment of the active JPS test showed acceptable reliability and measurement error. Repeated throwing to fatigue decreased shoulder JPS in amateur male handball players which indicate validity of the test to identify reduced proprioception.

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Immediate Effects of Flexi-bar Exercise With Knee Push-up Plus on Shoulder Joint Position Sense and Muscle Activity in Subjects With Scapular Winging

Physical Therapy Korea ◽

10.12674/ptk.2021.28.4.256 ◽

2021 ◽

Vol 28 (4) ◽

pp. 256-265

Author(s):

Seok-hyun Kim ◽

Heon-seock Cynn ◽

Seung-min Baik

Keyword(s):

Muscle Activity ◽

Shoulder Joint ◽

Position Sense ◽

Joint Position Sense ◽

Joint Position ◽

Scapular Winging ◽

Push Up

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The Effects of Muscle Fatigue on Shoulder Joint Position Sense

The American Journal of Sports Medicine ◽

10.1177/03635465980260021701 ◽

1998 ◽

Vol 26 (2) ◽

pp. 262-265 ◽

Cited By ~ 149

Author(s):

James E. Carpenter ◽

Ralph B. Blasier ◽

Gregory G. Pellizzon

Keyword(s):

Muscle Fatigue ◽

Shoulder Joint ◽

External Rotation ◽

Testing Machine ◽

Position Sense ◽

Joint Position Sense ◽

Joint Position ◽

Isokinetic Testing ◽

Shoulder Dysfunction ◽

Arm Dominance

Proprioception, or joint position sense, probably plays an important role in shoulder joint function. In this study, we assessed the effect of muscle fatigue on shoulder proprioception in 20 volunteers with no shoulder abnormalities. Shoulder proprioception was measured as the threshold to first detection of humeral rotation with the joint at 90° of abduction and 90° of external rotation. Subjects were tested while rested, exercised on a isokinetic testing machine until fatigued, and then retested in an identical fashion. Both shoulders were tested, and the order of dominant and non-dominant shoulder was randomized. Shoulder proprioception was analyzed for its dependence on arm dominance, direction of rotation, and muscle fatigue. Subjects detected external rotation after significantly less movement than they did internal rotation. Overall, before exercise, motion was detected after a mean of 0.92° of rotation. After exercise, this threshold to detection of movement increased to 1.59°, an increase of 73%. This significant increase occurred with both internal and external rotation. The decrease in proprioceptive sense with muscle fatigue may play a role in decreasing athletic performance and in fatigue-related shoulder dysfunction. It remains to be determined if training can lessen this loss in position sense.

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Assessment of the Impact of Kinesiology Taping Application Versus Placebo Taping on the Knee Joint Position Sense. Preliminary Report

Ortopedia Traumatologia Rehabilitacja ◽

10.5604/01.3001.0012.0425 ◽

2018 ◽

Vol 20 (2) ◽

pp. 139-148 ◽

Cited By ~ 1

Author(s):

Anna Hadamus ◽

Marta Grabowicz ◽

Patryk Wąsowski ◽

Anna Mosiołek ◽

Dariusz Boguszewski ◽

...

Keyword(s):

Placebo Group ◽

Knee Joint ◽

Quadriceps Muscle ◽

Position Sense ◽

Joint Position Sense ◽

Healthy People ◽

Wilcoxon Test ◽

Joint Position ◽

Active Motion ◽

The Impact

Background. Kinesiology Taping is a very popular physiotherapy method. It is used in both healthy people and orthopaedic patients in order to relieve pain, increase range of motion and for other purposes. Many researchers claim that these applications will also improve proprioception and sensorimotor efficiency, which are important for recovery after injuries and orthopaedic surgeries, especially on the knee joint. The aim of this study was to determine the effect of the muscle application of Kinesiology Taping on knee joint position sense in active motion. Material and methods. The study involved 50 healthy people (30 men and 20 women). Mean age was 23.2 years (range 18-30 years). The exclusion criteria were past knee injuries and knee surgery that could affect the test results. The participants were divided randomly into two equal groups. The first group (KT group) had a Kinesiology Taping muscle application placed, whereas a placebo application of an adhesive tape was used in the remaining participants (placebo group). Both applications were supposed to support quadriceps muscle activity. Joint position sense (JPS) was evaluated by measuring the error of active reproduction of the joint position (EARJP) of the knee in 45° flexion. The test was performed prior to applying the patch, after the patch was applied, then after 24 hours of wearing it and after removing the tape. The interval between trials before and after application of the patch was not less than 30 minutes. Statistical analysis was performed using Statistica 12.0. Distribution characteristics were calculated and the Wilcoxon test, Friedman‘s ANOVA and Mann-Whitney U test were performed. Results. The average test scores of JPS in the KT group and the placebo group before applying the KT patch were 3.48° and 5.16° respectively, compared to 4.84° and 4.88°, respectively, with the patch on, 5.12° and 4.96°, respectively, after 24 hours of wearing the tape, and 3.84° and 5.12°, respectively, after removing the patch. Within-group differences at any two time points were not statistically significant. There were also no significant differences between the groups. Conclusions. 1. Kinesiology Taping application to the quadriceps muscle had no significant effect on knee joint proprioception. Its use in order to improve sensorimotor skills therefore seems unreasonable. 2. The results are the basis for future prospective, randomised trials of larger experimental groups and involving the use of other Kinesiology Taping applications as well as including individuals with lesions of knee joint structures.

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