Performance in Different Proprioceptive Tests Does Not Correlate in Ankles With Recurrent Sprain

Jong, A. de; Kilbreath, Sharon L.; Refshauge, Kathryn; Adams, Roger

doi:10.1016/j.apmr.2005.05.015

Cited by 43 publications

(39 citation statements)

References 18 publications

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“…Our results are in line with the results of studies done in people with ankle sprain and in healthy adults,32–34 reporting low correlations between different measures of proprioception, ie, JPS, kinesthesia, and velocity discrimination. The results from these studies,32–34 and from the present study, highlight the difficulty in using a single outcome for assessing sensory deficiency.…”

Section: Discussionsupporting

confidence: 92%

Association between sensory function and hop performance and self-reported outcomes in patients with anterior cruciate ligament injury

Cronström¹,

Roos²,

Ageberg³

2017

OAJSM

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BackgroundIn patients with anterior cruciate ligament (ACL) deficiency (ACLD) or reconstruction (ACLR), sensory deficits are commonly assessed as knee kinesthesia using time-consuming laboratory equipment. Portable equipment such as that used for evaluation of vibration sense would be preferable. In contrast to kinesthesia, vibration sense is not well studied in these patients.Objectives1) To study the association between kinesthesia and vibration sense to investigate if one sensory measurement can replace the other; and 2) to determine the clinical relevance by investigating associations between the sensory measurements and functional performance and patient-reported outcomes in patients with ACLD or ACLR.MethodsTwenty patients with ACLD and 33 patients with ACLR were assessed with knee kinesthesia, vibration sense, the one-leg hop test for distance, as well as the Knee injury and Osteoarthritis Outcome Score (KOOS) and the Tegner Activity Scale.ResultsThere were no significant correlations between kinesthesia and vibration sense (r= −0.267, p>0.269) or between the sensory measures and hop performance (r= −0.351, p>0.199). In patients with ACLD, worse knee kinesthesia was associated with worse scores on KOOS subscales pain (r= −0.464, p=0.046) and activities of daily living (r= −0.491, p=0.033), and worse vibration sense was associated with worse scores on KOOS subscale quality of life (r= −0.469, p=0.037) and worse knee confidence (item Q3 from subscale quality of life) (rs=0.436, p=0.054). In patients with ACLR, worse vibration sense was associated with worse scores on KOOS subscales pain (r= −0.402, p=0.020) and activities of daily living (r= −0.385, p=0.027).ConclusionKinesthesia and vibration sense cannot be used interchangeably as measures of sensory function in patients with ACLD or ACLR. Both sensory measurements were weakly related to hop performance. Adequate sensory function appears to have importance for perceived function in patients with ACLD or ACLR and may therefore be a factor that needs to be addressed in rehabilitation programs for these patients.

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Section: Discussionsupporting

confidence: 92%

Association between sensory function and hop performance and self-reported outcomes in patients with anterior cruciate ligament injury

Cronström¹,

Roos²,

Ageberg³

2017

OAJSM

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“…Willems et al 17 reported that passive inversion position sense was a strong predictor of ankle sprain. As there is evidence that performance in different proprioception tests is not correlated, 29 future investigations may also be directed to other aspects of proprioception, such as movement detection, as predictors of future ankle sprain.…”

Section: Search Results (N = 7624)mentioning

confidence: 99%

Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain?

et al. 2006

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Prevention of ankle sprain, the most common sporting injury, is only possible once risk factors have been identified. Voluntary strength, proprioception, postural sway, and range of motion are possible risk factors. A systematic review was carried out to investigate these possiblities. Eligible studies were those with longitudinal design investigating ankle sprain in subjects aged >15 years. The studies had to have measured range of motion, voluntary strength, proprioception, or postural sway before monitoring incidence of lateral ankle sprain. Dorsiflexion range strongly predicted risk of ankle sprain. Postural sway and possibly proprioception were also predictors. Therefore the preliminary evidence suggests that people with reduced ankle dorsiflexion range may be at increased risk of ankle sprain. A large number of people do not recover after an ankle sprain and continue to experience disabling consequences such as functional instability, recurrence, and pain six months after injury. 1 2 The development of prevention programmes or preventive behaviours is strongly related to the identification of those at high risk of sprain and/or the factors that increase risk of ankle sprain.Several extrinsic and intrinsic factors may increase the risk of future sprain. Possible intrinsic factors include postural sway, range of motion, muscle strength, proprioception, and previous sprains. A cursory inspection of the research that has attempted to identify predictors of ankle sprains yields confusing results. 3 For example, Beynnon and colleagues investigated muscle strength in two separate studies and reported an association between low inversion/ eversion ratios and risk of future sprains in one study 4 but not in the other. 5 The same group 5 reported that range of motion was not associated with risk of ankle sprain, but Pope et al 6 found a strong association. Tropp et al 7 found an association between increased postural sway and risk of lateral ankle sprain, but Beynnon et al 5 did not.The aim of this study was to systematically review evidence that measures of voluntary strength, proprioception, range of motion, or postural sway can predict lateral ankle sprain. A secondary aim was to quantify the risk of lateral ankle sprain. METHODS Inclusion criteriaStudies were included if they used a longitudinal design and investigated first or recurrent lateral ankle sprain in subjects aged >15 years. To be included in the review, the study must have measured at least one of the following possible intrinsic predictors before monitoring incidence of ankle sprain: range of motion, any measurement of voluntary strength, proprioception, or postural sway. Use of surgical procedures was an exclusion criterion, although clinical trials of surgical interventions that included a group of subjects who had not undergone surgery were included.Identification of studies and assessment of methodological quality Studies were identified through a search of the Medline, Cinahl, Embase and SportDiscus databases from the earliest date to February ...

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“…De Jong and colleagues [63] evaluated the performance in different proprioceptive tests and found that these do not correlate well in ankles with recurrent sprain. The authors argue that proprioception is often discussed as a generic sensation, consisting of various subsets of sensations, with an implicit assumption of there being a relation between the sensations.…”

Section: Measurement Of Proprioceptionmentioning

confidence: 99%

Proprioception and Ankle Injuries in Soccer

Ergen

Ülkar

2008

Clinics in Sports Medicine

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Performance in Different Proprioceptive Tests Does Not Correlate in Ankles With Recurrent Sprain

Cited by 43 publications

References 18 publications

Association between sensory function and hop performance and self-reported outcomes in patients with anterior cruciate ligament injury

Association between sensory function and hop performance and self-reported outcomes in patients with anterior cruciate ligament injury

Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain?

Proprioception and Ankle Injuries in Soccer

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