The Effect of Knee Joint Position Sense Through Close and Open Kinetic Chain Exercise On The Proprioception and Balance Ability of Elderly People

2018 ◽  
Author(s):  
Lee Ho
Keyword(s):  
Knee Joint ◽  
Elderly People ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Kinetic Chain ◽  
Balance Ability ◽  
Open Kinetic Chain

Effect of a Neoprene Sleeve on Knee Joint Position Sense During Sitting Open Kinetic Chain and Supine Closed Kinetic Chain Tests

1998 ◽  
Vol 26 (4) ◽  
pp. 562-566 ◽  
Author(s):  
Trevor B. Birmingham ◽  
John F. Kramer ◽  
J. Tim Inglis ◽  
Colleen A. Mooney ◽  
Lisa J. Murray ◽  
...  
Keyword(s):  
Knee Joint ◽  
Test Performance ◽  
Position Sense ◽  
Joint Position Sense ◽  
Primary Objective ◽  
Future Research ◽  
Joint Position ◽  
Kinetic Chain ◽  
Open Kinetic Chain ◽  
Closed Kinetic Chain

The primary objective of the present study was to compare the effect of a neoprene sleeve on knee joint position sense during a sitting open kinetic chain test and a supine closed kinetic chain test. Young (24 2 years old), healthy subjects (18 men and 18 women) performed knee joint angle replication tests during open kinetic chain knee extension (sitting) and closed kinetic chain leg press (supine with an axial load of 15% body weight) before and after application of a neoprene sleeve over the dominant knee. The improvement in ability to replicate joint angles after application of the sleeve (sleeve effect) was significantly less during the supine closed kinetic chain test (0.3° 1.4°) than during the sitting open kinetic chain test (1.2° 1.1°). The sleeve effect was inversely related to subjects' performance without the sleeve during both the sitting open kinetic chain and supine closed kinetic chain tests, suggesting that some people may derive greater benefit from the sleeve than others. Although the sleeve effects were small, particularly during the supine closed kinetic chain test, 72% of subjects felt that the sleeve improved their overall test performance. Future research is needed to establish the functional relevance of the small sleeve effects observed and to identify the characteristics of people who might derive greatest benefit from sleeve use.

The effect of static stretching of agonist and antagonist muscles on knee joint position sense

2021 ◽  
Vol 28 (10) ◽  
pp. 1-10
Author(s):  
Sanam Tavakkoli Oskouei ◽  
Roya Abazari ◽  
Mina Ahmadi Kahjoogh ◽  
Sakineh Goljaryan ◽  
Samane Zohrabi
Keyword(s):  
Knee Joint ◽  
Position Sense ◽  
Joint Position Sense ◽  
Angular Error ◽  
Joint Position ◽  
Static Stretching ◽  
Kinetic Chain ◽  
Warm Up ◽  
Negative Effect ◽  
Open Kinetic Chain

Background/Aims Proprioception acuity is important in sports activities and stretching is widely used in warm-up programmes. The main objective of this study was to evaluate if a warm-up programme with and without stretching flexors and extensors muscles could affect knee joint position sense. Methods The effects of different stretching regimens on joint position sense were examined. A total of 12 semi-professional football players completed four warm-up sessions over 4 weeks: standard warm-up programme; standard warm-up programme with quadriceps stretching; standard warm-up programme with hamstring stretching; and standard warm-up programme with stretching of both quadriceps and hamstrings. Open kinetic chain knee joint position sense was estimated from the ability to reproduce the three target angles (20°, 45° and 60° knee flexion) in the dominant limb before and after the intervention. Results In the absolute angular error, there was a statistically significant three-way interaction between the warm-up programme, target angle and time (F (6, 54)=6.88, P=0.001). Findings of post-hoc analysis demonstrated that there was a statistically significant difference between the pre- and post-stretching of hamstrings for the target angles of 20° (4.70 vs 1.57, P=0.01), 45° (1.70 vs 4.50, P=0.02), and 60° (1.93 vs 4.20, P=0.02). In the relative angular error, interaction of time by the warm-up programme was significant (F (3, 27)=3.41, P=0.03). Conclusions The warm-up programme with static stretching of hamstrings had a negative effect on open kinetic chain knee joint position sense during the flexion to extension repositioning task, which may not only have a negative effect on performance of athletes as a part of warm-up exercises, but may also lead to further injuries.

Validity and Reliability of a Digital Inclinometer to Assess Knee Joint Position Sense in an Open Kinetic Chain

2019 ◽  
Vol 28 (4) ◽  
pp. 332-338 ◽  
Author(s):  
Natalia Romero-Franco ◽  
Juan Antonio Montaño-Munuera ◽  
Juan Carlos Fernández-Domínguez ◽  
Pedro Jiménez-Reyes
Keyword(s):  
Knee Joint ◽  
Intraclass Correlation ◽  
Position Sense ◽  
Joint Position Sense ◽  
Angular Error ◽  
Joint Position ◽  
Kinetic Chain ◽  
Validity And Reliability ◽  
Digital Inclinometer ◽  
Open Kinetic Chain

Context: New methods are being validated to easily evaluate the knee joint position sense (JPS) due to its role in the sports movement and the risk of injury. However, no studies to date have considered the open kinetic chain (OKC) technique, despite the biomechanical differences compared with closed kinetic chain movements. Objective: To analyze the validity and reliability of a digital inclinometer to measure the knee JPS in the OKC movement. Design: The validity and intertester and intratester reliability of a digital inclinometer for measuring knee JPS were evaluated. Setting: Sports research laboratory. Participants: A total of 18 athletes (11 males and 7 females; 28.4 [6.6] y; 71.9 [14.0] kg; 1.77 [0.09] m; 22.8 [3.2] kg/m2) voluntary participated in this study. Main Outcomes Measures: Absolute angular error (AAE), relative angular error (RAE), and variable angular error (VAE) of knee JPS in an OKC. Results: Intraclass correlation coefficient (ICC) and standard error of the mean (SEM) were calculated to determine the validity and reliability of the inclinometer. Data showed excellent validity of the inclinometer to obtain proprioceptive errors compared with the video analysis in JPS tasks (AAE: ICC = .981, SEM = 0.08; RAE: ICC = .974, SEM = 0.12; VAE: ICC = .973, SEM = 0.07). Intertester reliability was also excellent for all the proprioceptive errors (AAE: ICC = .967, SEM = 0.04; RAE: ICC = .974, SEM = 0.03; VAE: ICC = .939, SEM = 0.08). Similar results were obtained for intratester reliability (AAE: ICC = .861, SEM = 0.1; RAE: ICC = .894, SEM = 0.1; VAE: ICC = .700, SEM = 0.2). Conclusions: The digital inclinometer is a valid and reliable method to assess the knee JPS in OKC. Sport professionals may evaluate the knee JPS to monitor its deterioration during training or improvements throughout the rehabilitation process.

Validity and Reliability of a Digital Inclinometer to Assess Knee Joint-Position Sense in a Closed Kinetic Chain

2017 ◽  
Vol 26 (1) ◽  
Author(s):  
Natalia Romero-Franco ◽  
Juan Antonio Montaño-Munuera ◽  
Pedro Jiménez-Reyes
Keyword(s):  
Knee Joint ◽  
Intraclass Correlation ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Kinetic Chain ◽  
Validity And Reliability ◽  
Digital Inclinometer ◽  
Closed Kinetic Chain ◽  
Very High

Context: Knee joint-position sense (JPS) is a key parameter for optimum performance in many sports but is frequently negatively affected by injuries and/or fatigue during training sessions. Although evaluation of JPS may provide key information to reduce the risk of injury, it often requires expensive and/or complex tools that make monitoring proprioceptive deterioration difficult. Objective: To analyze the validity and reliability of a digital inclinometer to measure knee JPS in a closed kinetic chain (CKC). Design: The validity and intertester and intratester reliability of a digital inclinometer for measuring knee JPS were assessed. Setting: Biomechanics laboratory. Participants: 10 athletes (5 men and 5 women; 26.2 ± 1.3 y, 71.7 ± 12.4 kg; 1.75 ± 0.09 m; 23.5 ± 3.9 kg/m2). Intervention: Knee JPS was measured in a CKC. Main Outcome Measures: Absolute angular error (AAE) of knee JPS in a CKC. Results: Intraclass correlation coefficient (ICC) and standard error of the mean (SEM) were calculated to determine the validity and reliability of the inclinometer. Data showed that the inclinometer had a high level of validity compared with an isokinetic dynamometer (ICC = 1.0, SEM = 1.39, P < .001), and there was very good intra- and intertester reliability for reading the inclinometer (ICC = 1.0, SEM = 0.85, P < .001). Compared with AutoCAD video analysis, inclinometer validity was very high (ICC = 0.980, SEM = 3.46, P < .001) for measuring AAE during knee JPS in a CKC. In addition, the intertester reliability of the inclinometer for obtaining AAE was very high (ICC = .994, SEM = 1.67, P < .001). Conclusion: The inclinometer provides a valid and reliable method for assessing knee JPS in a CKC. Health and sports professionals could take advantage of this tool to monitor proprioceptive deterioration in athletes.

Comparison of Open versus Closed Kinetic Chain Test Positions for Measuring Joint Position Sense

1995 ◽  
Vol 4 (3) ◽  
pp. 165-171 ◽  
Author(s):  
Susan B. Andersen ◽  
Donna M. Terwilliger ◽  
Craig R. Denegar
Keyword(s):  
Knee Joint ◽  
Repeated Measures ◽  
Knee Flexion ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Kinetic Chain ◽  
Test Position ◽  
Closed Kinetic Chain ◽  
Open Versus

The purpose of this study was to determine if a difference exists in the reproducibility of knee joint flexion angles in an open versus a closed kinetic chain. Thirty generally healthy subjects (12 males, 18 females; mean age 23.8 years) participated. Subjects actively reproduced small, medium, and large knee flexion angles (with target angles of 15°, 45°, and 75°, respectively) in an open and a closed kinetic chain while being videotaped. Goniometric measurements were taken from the videotape of initial and reproduced joint angles. Data were analyzed using ANOVA with repeated measures on kinetic chain test position and joint angle. Subjects more accurately reproduced knee flexion angles in a closed kinetic chain position. The main effect for angle and the interaction of angle and test position were nonsignificant. The results indicate that knee joint position is more accurately reproduced in closed kinetic chain. Closed kinetic chain testing is also a more functional assessment of joint position sense, and thus closed kinetic chain assessment of lower extremity joint position sense is recommended.

scholarly journals Patellofemoral pain syndrome alters joint position sense: a case-control study

2014 ◽  
Vol 13 (3) ◽  
pp. 331-339
Author(s):  
Fabio Navarro Cyrillo ◽  
Cristina Maria Nunes Cabral
Keyword(s):  
Pain Syndrome ◽  
Absolute Error ◽  
Patellofemoral Pain Syndrome ◽  
Position Sense ◽  
Patellofemoral Pain ◽  
Joint Position Sense ◽  
Joint Position ◽  
Kinetic Chain ◽  
Open Kinetic Chain ◽  
Closed Kinetic Chain

Introduction: The evaluation of changes in joint position sense (JPS) of the knee may be crucial for the identification of disorders that could start during the development of patellofemoral pain syndrome (PFPS). Objective: To evaluate JPS of the knee in PFPS. Methods: Twenty nine women (15 healthy and 14 with PFPS) reproduced knee flexion angles of 45° and 60° during open kinetic chain exercises and of 45° during closed kinetic chain exercises. Results: The absolute error in the active reproduction of 45° in open kinetic chain exercises was significantly higher in the experimental group. There were significant differences in absolute and relative errors between the groups for active reproduction at 45° in open and closed kinetic chain exercises. Conclusions: This study suggests that PFPS alters JPS during active reproduction of the 45° angle in both open and closed kinetic chain exercises.

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.

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