scholarly journals A meta-analysis and systematic review of changes in joint position sense and static standing balance in patients with whiplash-associated disorder

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249659
Author(s):  
Masood Mazaheri ◽  
Deepa Abichandani ◽  
Idsart Kingma ◽  
Julia Treleaven ◽  
Deborah Falla
Keyword(s):  
Meta Analysis ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Standing Balance ◽  
Current Evidence ◽  
Joint Position ◽  
Cross Sectional ◽  
Eyes Closed ◽  
Whiplash Associated Disorder

Objective To synthesise and analyse the current evidence regarding changes in joint position sense (JPS) and standing balance in people with whiplash-associated disorder (WAD) taking the presence or absence of dizziness into account. Data sources PubMed, CINAHL Plus, Web of Science, Embase, MEDLINE and APA PsycINFO were searched by two independent reviewers from inception until August 2020 and reference lists of all included studies were also reviewed. Study selection Only cross-sectional studies that measured JPS and/or standing balance between people with WAD vs. healthy controls (HC) or people with WAD complaining of dizziness (WADD) vs. those not complaining of dizziness (WADND) were selected. Data extraction Relevant data were extracted using specific checklists and quality assessment was performed using Downs and Black Scale (modified version). Data synthesis Twenty-six studies were included. For JPS, data were synthesized for absolute error in the primary plane of movement for separate movement directions. For standing balance, data were synthesized for traditional time- and frequency domain sway parameters considering the conditions of eyes open (EO) and eyes closed (EC) separately. For meta-analysis, reduced JPS was observed in people with WAD compared to HC when the head was repositioned to a neutral head position (NHP) from rotation (standardised mean difference [SMD] = 0.43 [95%: 0.24–0.62]) and extension (0.33 [95%CI: 0.08–0.58]) or when the head was moved toward 50° rotation from a NHP (0.50 [0.05–0.96]). Similarly, people with WADD had reduced JPS compared to people with WADND when the head was repositioned to a NHP from rotation (0.52 [0.22–0.82]). Larger sway velocity and amplitude was found in people with WAD compared to HC for both EO (0.62 [0.37–0.88] and 0.78 [0.56–0.99], respectively) and EC (0.69 [0.46–0.91] and 0.80 [0.58–1.02]) conditions. Conclusion The observed changes of JPS and standing balance confirms deficits in sensorimotor control in people with WAD and especially in those with dizziness.

scholarly journals Kinesio Tape and Shoulder-Joint Position Sense

2015 ◽  
Vol 50 (8) ◽  
pp. 785-791 ◽  
Author(s):  
Lindsay M. Aarseth ◽  
David N. Suprak ◽  
Gordon R. Chalmers ◽  
Lonnie Lyon ◽  
Dylan T. Dahlquist
Keyword(s):  
Effect Size ◽  
Absolute Error ◽  
Cross Sectional Study ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Cross Sectional ◽  
Kinesio Tape ◽  
University Laboratory ◽  
Shoulder Elevation

Context  Joint position sense (JPS) is a key neuromuscular factor for developing and maintaining control of muscles around a joint. It is important when performing specialized tasks, especially at the shoulder. No researchers have studied how Kinesio Tape (KT) application affects JPS. Objective  To investigate the effects of KT application and no tape on shoulder JPS at increasing shoulder elevations in athletes. Design  Cross-sectional study. Setting  University laboratory. Patients or Other Participants  A total of 27 healthy athletes who did not participate in overhead sports (age = 20.44 ± 1.05 years, height = 175.02 ± 11.67 cm, mass = 70.74 ± 9.65 kg) with no previous pathologic shoulder conditions volunteered for the study. All participants were from 1 university. Intervention(s)  Shoulder JPS was assessed at increasing elevations with and without KT application. Participants attempted to actively replicate 3 target positions with and without the KT and without visual guidance. Main Outcome Measure(s)  We examined absolute and variable repositioning errors at increasing shoulder-elevation levels with and without KT application. Results  Data revealed an interaction between tape and position for absolute error (F2,52 = 4.07, P = .02); simple effects revealed an increase in error, with KT demonstrating a 2.65° increase in error at 90° of elevation compared with no tape (t26 = 2.65, P = .01). The effect size was medium (ω2 = .135). Variable error showed no interaction of tape and position (F2,52 = .709, P = .50). Further analysis of simple effects was not needed. However, we still calculated the effect size and observed small effect sizes for tape (ω2 = .002), position (ω2 = .072), and tape by position (ω2 = .027). Conclusions  At 90° of elevation, shoulder JPS was impaired by the application of KT.

Effects of proprioceptive training on the incidence of ankle sprain in athletes: systematic review and meta-analysis

2018 ◽  
Vol 32 (12) ◽  
pp. 1581-1590 ◽  
Author(s):  
Gabriela Souza de Vasconcelos ◽  
Anelize Cini ◽  
Graciele Sbruzzi ◽  
Cláudia Silveira Lima
Keyword(s):  
Postural Sway ◽  
Meta Analysis ◽  
Balance Training ◽  
Neuromuscular Control ◽  
Position Sense ◽  
Joint Position Sense ◽  
Control Group ◽  
Controlled Trials ◽  
Ankle Sprains ◽  
Joint Position

Objective: To investigate how dynamic neuromuscular control, postural sway, joint position sense, and incidence of ankle sprain are influenced by balance training in athletes compared with the control group in randomized clinical trials. Data sources: The search strategy included MEDLINE, Physical Therapy Evidence Database, Cochrane Central Register of Controlled Trials, and Latin American and Caribbean Center on Health Sciences Information. Randomized controlled trials (RCTs) were published by June of 2018. Methods: RCTs that evaluate the effectiveness of proprioception in these outcomes: dynamic neuromuscular control, postural sway, joint position, and the incidence of ankle sprains in athletes aged between 18 and 35 years. Two reviewers independently screened the searched records, extracted the data, and assessed risk of bias. The treatment effect sizes were pooled in a meta-analysis using the RevMan 5.2 software. Internal validity was assessed through topics suggested by Cochrane Collaborations. Results: Of the 12 articles included ( n = 1817), eight were in the meta-analysis ( n = 1722). The balance training reduced the incidence of ankle sprains in 38% compared with the control group ( RR: 0.62; 95% CI: 0.43–0.90). In relation to the dynamic neuromuscular control, the training showed increase in the distance of reach in the anterior (0.62 cm, 95% CI: 0.13–1.11), posterolateral (4.22 cm, 95% CI: 1.76–6.68), and posteromedial (3.65 cm, 95% CI: 1.03–6.26) through the Star Excursion Balance test. Furthermore, training seems to improve postural sway and joint position sense. Conclusion: Balance training reduces the incidence of ankle sprains and increases dynamic neuromuscular control, postural sway, and the joint position sense in athletes.

Characteristics of people with recurrent ankle sprains: a systematic review with meta-analysis

2011 ◽  
Vol 45 (8) ◽  
pp. 660-672 ◽  
Author(s):  
Claire E Hiller ◽  
Elizabeth J Nightingale ◽  
Chung-Wei Christine Lin ◽  
Garrett F Coughlan ◽  
Brian Caulfield ◽  
...  
Keyword(s):  
Systematic Review ◽  
Ankle Sprain ◽  
Test Performance ◽  
Postural Sway ◽  
Meta Analysis ◽  
Position Sense ◽  
Joint Position Sense ◽  
Ankle Sprains ◽  
Eyes Closed ◽  
Recurrent Ankle Sprain

ObjectiveTo examine whether people with recurrent ankle sprain, have specific physical and sensorimotor deficits.DesignA systematic review of journal articles in English using electronic databases to September 2009. Included articles compared physical or sensorimotor measures in people with recurrent (≥2) ankle sprains and uninjured controls.Main outcome groupsOutcome measures were grouped into: physical characteristics, strength, postural stability, proprioception, response to perturbation, biomechanics and functional tests. A meta-analysis was undertaken where comparable results within an outcome group were inconsistent.ResultsFifty-five articles met the inclusion criteria. Compared with healthy controls, people with recurrent sprains demonstrated radiographic changes in the talus, changes in foot position during gait and prolonged time to stabilisation after a jump. There were no differences in ankle range of motion or functional test performance. Pooled results showed greater postural sway when standing with eyes closed (SMD=0.9, 95% CI 0.4 to 1.4) or on unstable surfaces (0.5, 0.1 to 1.0) and decreased concentric inversion strength (1.1, 0.2 to 2.1) but no difference in evertor strength, inversion joint position sense or peroneal latency in response to a perturbation.ConclusionThere are specific impairments in people with recurrent ankle sprain but not necessarily in areas commonly investigated.

scholarly journals Criterion-Related Validity of Knee Joint-Position-Sense Measurement Using Image Capture and Isokinetic Dynamometry

2015 ◽  
Vol 24 (1) ◽  
Author(s):  
Nicola Relph ◽  
Lee Herrington
Keyword(s):  
Knee Joint ◽  
Knee Flexion ◽  
Cost Effective ◽  
Absolute Error ◽  
Knee Extension ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Image Capture ◽  
Significant Difference

Context: Clinicians require portable, valid, and cost-effective methods to monitor knee joint-position-sense (JPS) ability. Objective: To examine the criterion-related validity of image-capture JPS measures against an isokinetic-dynamometer (IKD) procedure. Design: Random crossover design providing a comparison of knee JPS measures from image capture and IKD procedures. Participants: 10 healthy participants, 5 female, age 28.0 ± 13.29 y, mass 60.3 ± 9.02 kg, height 1.65 ± 0.07 m, and 5 male, 29.6 ± 10.74 y, mass 73.6 ± 5.86 kg, height 1.75 ± 0.07 m. Main Outcome Measures: The dependent variables were absolute error scores (AES) provided by 2 knee directions (flexion and extension). The independent variables were the method (image capture and IKD). Results: There was no significant difference between clinical and IKD AED into knee-extension data (P = .263, r = 0.55). There was a significant difference between clinical and IKD AES into knee-flexion data (P = .016, r =.70). Conclusions: Analysis of photographic images to assess JPS measurements using knee flexion is valid against IKD techniques. However, photo-analysis measurements provided a lower error score using knee-extension data and thus may provide an optimal environment to produce maximal knee JPS acuity. Therefore, clinicians do not need expensive equipment to collect representative JPS ability.

scholarly journals Semi-rigid brace and taping decrease variability of the ankle joint position sense

2014 ◽  
Vol 20 (4) ◽  
pp. 448-453 ◽  
Author(s):  
Márcia Barbanera ◽  
Flávia de Andrade e Souza Mazuchi ◽  
José Paulo Berretta Batista ◽  
Janaina de Moura Ultremare ◽  
Juliana da Silva Iwashita ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Plantar Flexion ◽  
Target Position ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Ankle Sprains ◽  
Joint Position ◽  
Experimental Conditions ◽  
Ankle Brace

The present study investigated the effect of taping and the semi-rigid ankle brace on ankle joint position sense. Sixteen healthy women (20.8 ± 2.3 years old) actively placed the ankle in a target position. The experimental conditions were: 1) wearing no orthosis device, 2) using semi-rigid brace, and 3) wearing ankle taping. Absolute error (AE) and variable error (VE) were calculated to obtain the joint position sense. We found an interaction effect between condition and target angle at 15o of plantar flexion for the variable VE, which showed smaller errors during the use of taping and semi-rigid brace. In conclusion, the use of ankle joint orthoses, whether taping or semi-rigid brace, decrease the variability of the position sense at 15o of plantar flexion, potentially decreasing ankle sprains occurrence.

The Effects of Calf-Muscle Fatigue on Sagittal-Plane Joint-Position Sense in the Ankle

2005 ◽  
Vol 14 (2) ◽  
pp. 168-184 ◽  
Author(s):  
Jeffery L. Huston ◽  
Michelle A. Sandrey ◽  
Mathew W. Lively ◽  
Kevin Kotsko
Keyword(s):  
Outcome Measures ◽  
Sagittal Plane ◽  
Plantar Flexion ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Limited Information ◽  
Plantar Flexors ◽  
Plane Joint

Context:There is limited information on the effect of dynamic fatiguing of the plantar flexors on joint-position sense (JPS).Objective:To examine the effects of fatigue on JPS for ankle plantar flexion (PF) and dorsiflexion (DF).Design:A 2 × 2 factorial design.Setting:Research laboratory.Participants:20 healthy subjects (10 men, 10 women; age 21.75 ± 1.48 years).Interventions:The subjects were tested at 10° DF and 20° PF in the nonfatigued and fatigued conditions on a custom-built JPS device. To induce fatigue, subjects stood with both feet in the plantar-flexed position until they could no longer hold the posture.Main Outcome Measures:JPS absolute error was measured at 10° DF and 20° PF.Results:There was no significant main effect for condition, measurement, or interaction between condition and measurement.Conclusion:With no difference between conditions, the main controller of conscious JPS of the lower extremity might be the tibialis anterior.

Test–retest reliability of wrist joint position sense in healthy adults in a clinical setting

Hand Therapy ◽  
2018 ◽  
Vol 23 (3) ◽  
pp. 100-109 ◽  
Author(s):  
Chloë Pilbeam ◽  
Victoria Hood-Moore
Keyword(s):  
Measurement Error ◽  
Standard Error ◽  
Wrist Joint ◽  
Intraclass Correlation ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Retest Reliability ◽  
Test Retest Reliability

Introduction Proprioceptive assessments of the wrist inform clinical decision making. In wrist rehabilitation, joint position sense has emerged as one way of assessing conscious proprioception with varying methods and minimal psychometric analysis reported. The purpose of this study was to standardise the wrist joint position sense test method for clinical use and to determine its test–retest reliability in a healthy population. Methods Four wrist positions (20° and 45° flexion, 20° and 45° extension) were measured twice in a random order, by a single rater, using a universal goniometer on the same day. The absolute error in degrees between each position and reposition was calculated. For relative reliability analysis, the intraclass correlation coefficient (3,1) was calculated. For absolute reliability the standard error of the measurement was calculated and Bland–Altman plots visually inspected. Results Fifty-five healthy volunteers (mean age 31.1 SD±10.25 years) were assessed. The mean absolute error, summarised for all positions for test and retest, was 3.98°. The intraclass correlation coefficients were poor to fair (0.07–0.47), and standard error of the measurement was 2° (rounded) for all positions. The limits of agreement were fairly narrow, and the Bland–Altman plots showed random distribution of errors for each position, therefore the measurement error was clinically acceptable. Conclusions The active wrist joint position sense test using goniometry demonstrated poor to fair test–retest reliability and acceptable measurement error in healthy volunteers. The wrist joint position sense angle of 20° flexion was the most reliable.

Knee Joint Proprioception Following Anterior Cruciate Ligament Reconstruction

1992 ◽  
Vol 1 (2) ◽  
pp. 103-110 ◽  
Author(s):  
Rod A. Harter ◽  
Louis R. Osternig ◽  
Kenneth M. Singer
Keyword(s):  
Knee Joint ◽  
Mean Absolute Error ◽  
Cruciate Ligament ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Test Results ◽  
Anterior Cruciate

This study evaluated knee joint position sense in the ACL-reconstructed and contralateral normal knees of 48 male and female subjects (M age 27.6 ± 6.9 yrs). Subjects were blindfolded and tested on their ability to actively reproduce five passively placed knee positions at 5° intervals between 35 and 15° of knee flexion. Mean algebraic target angle error and mean absolute error values were measured in degrees. The grand mean absolute error for the postsurgical knees at all positions was 5.4 ± 3.2°, compared with 5.2 ± 2.7° for the normal contralateral knees. There were no significant differences in knee joint position sense between the postsurgical and normal contralateral limbs at any of the five positions tested. Pivot shift, anterolateral rotatory instability, and Lachman test results were poorly correlated with knee joint position sense. The results suggest that if knee joint position sense was indeed disrupted by ACL injury and reconstructive surgery, related sensory mechanisms compensated for any proprioceptive loss prior to the minimum 2-yr postsurgical follow-up period employed in our study.

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