Comparison of the Position Sense of the Knee Joint in Patients With Multiple Sclerosis and Healthy Controls

Aliabadi, Saina; Khanmohammadi, Roya; Olyaei, Gholamrezareza; Ghotbi, Nastaran; Talebian, Saeed; Moghadasi, Abdolreza Naser

doi:10.32598/jmr.13.1.59

Cited by 4 publications

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“…The results of a relatively new study of position perception between patients with MS and a control group using goniometry showed that there were no significant differences in the perception of knee position in both study groups. They conclude that JPS is not a consequence of MS disease, and many factors can influence errors in reproducing the target angle in the knee joint [3,18]. Contrary to their study, our results showed significant deficits in target angle reproduction in patients with relapsing-remitting MS and sex differences in knee JPS.…”

Section: Discussioncontrasting

confidence: 85%

“…Sex differences in the knee joint position sense acuity are the object of negligence in patients with MS and contradictory results, and in many studies, groups are mixed [3,4]. There are data on such differences in healthy individuals found in the study of Vafadar et al [5], for shoulder joint position sense and in our previous investigation for knee force sense [6].…”

Section: Introductionmentioning

confidence: 97%

“…The description of this type of proprioceptive senså, in fact, presents the method for its evaluation, called angle reproduction or repositioning test. Although this method has been adopted preferentially for use in studies [2,3,4,5], there is insufficient data in the pertinent literature, presenting results on patients with MS, by means of angle reproduction test, which cover more detailed aspects, such as differences between passive or active repositioning techniques, comparisons with less involved limb, sex differences, etc., although some of these approaches are difficult to implement as a clinical trial.…”

Section: Introductionmentioning

confidence: 99%

“…Knee joint proprioception seems to be of particular importance in patients with MS, as it provides the most stable postural position. Knee extensors are vital muscles in keeping the knee joint stable in the upright position and in various forms of locomotion [3].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Knee Joint Position Sense in Patients With Multiple Sclerosis

Tsvetkova-Gaberska¹,

Pencheva²

2021

JofIMAB

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Purpose: Multiple sclerosis (MS) disrupts joint position sense (JPS). The aims were: - to assess the JPS of knee extensors, using three target angles in MS patients and in healthy; - to estimate the changes in reproducing the joint position by using absolute (AE), constant (CE) and variable error (VE) and the effect of sex on knee JPS acuity. Subjects and Methods: Twenty MS patients and twenty healthy were tested, by knee joint angle reproduction with three targets (20o, 60o, 75o), by passive and active mode, without visual and verbal feedback. JPS measurement was done using isokinetic dynamometry. Deviations from the targets were calculated as AE, VE and CE, which correspond to accuracy, precision and direction of the bias, respectively. Results: Increased values of AE and sex differences in JPS accuracy in MS individuals, as compared with healthy, were: - at targets 20o and 60o in females in passive mode in both legs; - at 60o in the involved leg in males (more pronounced as compared with females); and – at 75o in the less involved leg, in passive reproduction in women and active in men. The significantly increased negative CE indicates a more pronounced deficit in males with MS at 60o in the involved leg and at 75o in less involved leg. Increased VE in passive repositioning was also proved (p<0.05) in females with MS at 20o and 60o. Conclusion: These results suggest impaired proprioceptive performance and sex differences in MS individuals. The findings provide information to recommend appropriate strategies for the evaluation and treatment of proprioceptive deficits.

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Section: Discussioncontrasting

confidence: 85%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment of Knee Joint Position Sense in Patients With Multiple Sclerosis

Tsvetkova-Gaberska¹,

Pencheva²

2021

JofIMAB

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“…This confirmed the use of maze control training, as visual biofeedback, in rehabilitation seems to be useful to improve kinesthetic awareness. Muscle receptors are acting a necessary function at the midrange of motion (15° and 30°) while ligament receptors are functioning near the end of the knee range (75°) [ 30 ] that describes the results of this study. Therefore, the physiotherapy plan should be directed to guide the patient into the most suitable motor strategies; also, the flexibility of the software is highly recommended to be more individualized for each patient's condition [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Maze Control Training on Kinesthetic Awareness in Patients with Stroke: A Randomized Controlled Trial

Battesha

Wadee

Shafeek

et al. 2022

Rehabilitation Research and Practice

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Objective. To determine the influence of adding maze control training to the selected conventional physical therapy on kinesthetic awareness in patients with chronic stroke. Methods. Thirty adult patients of both genders with chronic cerebral stroke were assigned to control and experimental groups randomly: the control group (A) received the selected conventional physical therapy rehabilitation program, while the experimental group (B) received the same program as group A in addition to the maze control training. Measurements for sway index, risk of fall, and knee proprioception before and after 8 weeks of treatment (24 sessions; three times per week). Results. There were significant decreases of both sway index and risk of fall in both groups ( p ≤ 0.001 in all measures), significant improvements of the knee proprioception in 30° and 75° in the experimental group ( p value = 0.016 and ≤0.001, respectively). The in-between groups’ comparison showed significant differences corresponding to both the sway index and risk of fall ( p ≤ 0.001 ), and a significant difference in 75° ( p ≤ 0.001 ). Conclusion. Adding maze control training to the selected conventional physical therapy improved the kinesthetic awareness in patients with chronic stroke.

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The Effects of Estrogen and Progesterone Hormones on Active Hip Joint Position Sense in Healthy Women in Different Phases of a Menstrual Cycle

Ghomi

Shariati

Mokhtari

et al. 2021

JMR

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Introduction: The proprioceptive system is a sensory system based on an individual’s knowledge of his or her body. This knowledge is transmitted to the brain through inputs received from joints, muscles, tendons, and ligaments. As a result, these inputs inadvertently inform the brain of the state of the body’s muscles. Numerous factors can affect this system. This study aimed to investigate the effect of estrogen and progesterone hormones on understanding and recognizing the proprioceptive sense of hip joint in healthy women during the menstrual cycle. Materials and Methods: In this quasi-experimental study, 15 healthy women participated voluntarily. They had regular menstrual cycles without any history of disease and drug use. The concentration of estrogen and progesterone during a cycle in the follicular (4-6 days), ovulation, and luteal phases were evaluated to detect their effects on the sense of perception and cognition of the proprioceptive joint in the two movements of abduction and flexion by the target angle reconstruction method (30°). Results: The errors of active joint position sense were reduced in abduction and flexion during ovular and luteal phases compared to the follicular phase. However, in the flexion direction of hip movement, there was a significant difference in absolute error during hormonal changes in the menstrual cycle (P=0.000). Conclusion: The results showed that due to more involvement of motor control of hip muscles joint by motor neuron activity (increase release of estrogen hormone), all errors reduced in ovular and luteal phases compared to the follicular phase. The flexion movement is more disturbed, and due to more flexibility in this direction, absolute errors are significantly reduced. This reduction of errors in ovular and luteal phases compared to the regular stage of hormone release (follicular phase) may cause some rigidity in the hip joint and an increase of trauma in external mechanical forces. This study’s findings showed that the lowest proprioception sensation is in the follicular phase. Decreasing the concentration of sex hormones in this phase is likely to reduce the sense of recognition of the joint, thus increasing the likelihood of injury in this phase. Findings from this study showed that the lowest proprioceptic sensation is in the follicular phase. The results of this study showed that the least sense is Prvpryvsptyk in Fazfvlykvlar.

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Comparison of the Position Sense of the Knee Joint in Patients With Multiple Sclerosis and Healthy Controls

Cited by 4 publications

References 0 publications

Assessment of Knee Joint Position Sense in Patients With Multiple Sclerosis

Assessment of Knee Joint Position Sense in Patients With Multiple Sclerosis

Maze Control Training on Kinesthetic Awareness in Patients with Stroke: A Randomized Controlled Trial

The Effects of Estrogen and Progesterone Hormones on Active Hip Joint Position Sense in Healthy Women in Different Phases of a Menstrual Cycle

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