scholarly journals Kinesio taping® does not alter joint position sense in healthy subjects: randomized, clinical trial.

Author(s):  
Caio Alano de Almeida Lins ◽  
Francisco Locks Neto ◽  
Anita Barros Carlos De Amorim ◽  
Daniel Tezoni Borges ◽  
Liane De Brito Macedo ◽  
...  

Introduction: The Kinesio Taping® is an elastic functional tape with specific characteristics that, when applied on or around muscles, aims to assist and functionally support them. Its effect on proprioception, a component of the somatosensory system, is still poorly understood. Objective: To assess the immediate effects of the application of KinesioTaping®(KT) on knee joint position sense (JPS) of healthy subjects. Method: This is a controlled, randomized-blinded clinical trial. Sixty females volunteers (age: 23.3 ± 2.5 years, BMI: 22.2 ± 2.1 kg/m2) were randomly divided into 3 groups with 20 members each, and they performed one of three protocols: control - 10 minutes of resting; nonelastic adhesive tape - application over the rectus femoris (RF), vastus lateralis (VL) and vastus medialis (VM) muscles; and KT - application of KT over the same muscles. All were subjected to knee JPS evaluation on an isokinetic dynamometer, in which the analyzed variable was the absolute error, before and after interventions. Results: There were no significant changes in knee JPS in the assessed groups, using absolute error (control group p=0,14; nonelastic adhesive tape group p=0,32; KT group p=0,91). Conclusion: The application of KT on the RF, VL and VM muscles was not able to significantly improve the knee JPS of healthy women.

Author(s):  
Caio Alano de Almeida Lins ◽  
Liane Brito Macedo ◽  
Renata Augusta Gomes Silveira ◽  
Daniel Tezoni Borges ◽  
Jamilson Simões Brasileiro

Background: Cryotherapy has been widely used in clinical practice, particularly for the treatment of acute injuries to soft tissues and various joints. However, since decrease in temperature can results in reduced nerve conduction velocity and proprioception, it can therefore be assumed that cryotherapy, applied before exercise, can result in a greater predisposition of the joints to lesion. Thus, the objective of this study was to evaluate the influence of cryotherapy on balance and knee joint position sense (JPS). Methods: We conducted a randomized single-blinded clinical trial, with thirty volunteers of both genders (age: 23.3 ± 2.5 years; BMI: 22.2 ± 2.1 Kg/m2), who were randomly distributed into two groups with 15 subjects in each: control group - 20 minutes at rest; and experimental group - application of cryotherapy on the knee of the dominant lower limb, for 20 minutes. All subjects were submitted to the assessment of the balance, by means of computerized baropodometry and the JPS of the knee of the dominant lower limb (DLL) using an electrogoniometer, both open kinetic chain (OKC) and closed kinetic chain (CKC), before and after the interventions. Statistical analysis was performed using SPSS 20.0 software.  Kolmogorov-Smirnov test was used to check the data normality and two-way ANOVA to verify intra and inter-group differences. The study was approved by the local Research and Ethics Committee (Approval no.  099/10) Results: There was a difference on the JPS assessed in OKC in the experimental group (p= 0.03). There was no alteration in the balance and the JPS with CKC, in none of the groups tested (p > 0.05). Conclusion: Cryotherapy when applied on knee did not affect balance or the JPS with CKC of the knee, although alteration was observed in OKC. We therefore conclude that application of cryotherapy before exercises do not posses increased risk of myoarticular injuries, since the most of these activities is performed in CKC.


Author(s):  
Jing Liu ◽  
Albert Yeung ◽  
Tao Xiao ◽  
Xiaopei Tian ◽  
Zhaowei Kong ◽  
...  

Tai Chi (TC) can be considered safe and effective intervention to improve pain and pain-related functional disability. However, it is unclear that whether aging individuals with Chronic Non-Specific Low Back Pain (CNS-LBP) can achieve positive results. This study, therefore, attempted to explore the effects of TC on pain and functional disability in CNS-LBP patients aged 50 years old or above. Forty-three individuals (aged 50 years old or above) with CNS-LBP were randomly assigned into three groups: Chen-Style TC group (n = 15), Core Stabilization training (CST) group (n = 15), and control group (n = 13). Participants in the TC group participated in Chen-style TC training program (three 60-min sessions per week for 12 weeks), individuals in CST group received 12-week Core Stabilization exercise on the Swiss ball, whereas individuals in the control group maintained their unaltered lifestyle. Pain intensity as primary outcome was measured using the Visual Analogue Scale (VAS), A BiodexSystem 3 isokinetic dynamometer was used to measure knee and ankle joint position sense (JPS) as secondary outcomes at baseline and after the 12-week intervention. TC and CST have significant effects in VAS for CNS-LBP patients (p< 0.01, TC group OR CST group versus control group in mean of the post-minus-pre assessment). However, the feature of joint position sense (JPS) of ankle inversion, ankle eversion and knee flexion did not occur, it showed no significant effects with TC and CST. TC was found to reduce pain, but not improve lower limb proprioception in patients with CNS-LBP. Future research with larger sample sizes will be needed to achieve more definitive findings on the effects of TC on both pain and lower limb proprioception in this population.


2018 ◽  
Vol 32 (12) ◽  
pp. 1581-1590 ◽  
Author(s):  
Gabriela Souza de Vasconcelos ◽  
Anelize Cini ◽  
Graciele Sbruzzi ◽  
Cláudia Silveira Lima

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.


1999 ◽  
Vol 8 (1) ◽  
pp. 10-23 ◽  
Author(s):  
Semyon M. Slobounov ◽  
Shannon T. Poole ◽  
Robert F. Simon ◽  
Elena S. Slobounov ◽  
Jill A. Bush ◽  
...  

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.


2015 ◽  
Vol 24 (1) ◽  
Author(s):  
Nicola Relph ◽  
Lee Herrington

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.


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 ◽  
...  

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.


2019 ◽  
Vol 36 (2) ◽  
pp. 136-143
Author(s):  
Jose Vicente León-Hernández ◽  
David Marcos-Lorenzo ◽  
David Morales-Tejera ◽  
Ferran Cuenca-Martínez ◽  
Roy La Touche ◽  
...  

2005 ◽  
Vol 14 (2) ◽  
pp. 168-184 ◽  
Author(s):  
Jeffery L. Huston ◽  
Michelle A. Sandrey ◽  
Mathew W. Lively ◽  
Kevin Kotsko

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.


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