Relationship of proprioception, cutaneous sensitivity, and muscle strength with the balance control among older adults

Song, Qipeng; Zhang, Xinyan; Mao, Min; Sun, Wei; Zhang, Cui; Chen, Yan; Li, Li

doi:10.1016/j.jshs.2021.07.005

Cited by 60 publications

(75 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies confirmed JPS only with dorsiflexion; however, in this study, we confirmed JPS and FS by performing both dorsiflexion and plantarflexion, and found conflicting results between dorsiflexion and plantarflexion [9,10,[21][22][23].…”

Section: Discussioncontrasting

confidence: 49%

Differences in Ankle Muscle Activity During Static Balance According to Age and Ankle Proprioception

Kim

Han

et al. 2022

Physical Therapy Korea

View full text Add to dashboard Cite

Background: Older adults use different ankle muscle activation patterns during difficult static balance conditions. It has been suggested that this is related to a decline in proprioception with age, resulting in reduced postural balance. However, the association between proprioception and ankle muscle activity during quiet standing has not been directly assessed.Objects: This study aimed to investigate the effects of age and sensory condition on ankle muscle activity and the association between ankle proprioception and ankle muscle activity. Methods:We recruited 10 young women and 9 older women. Ankle proprioception was evaluated using joint position sense (JPS) and force sense (FS) divided by dorsiflexion and plantarflexion. The electromyographic activity of the tibialis anterior (TA) and gastrocnemius (GCM) muscles was collected during quiet standing.Results: Older women activated GCM muscle more than young during quiet standing and when performing difficult tasks. Older women had more errors in JPS dorsiflexion and FS plantarflexion than did young. The GCM muscle activity is related to JPS dorsiflexion and FS plantarflexion. Conclusion:Lower proprioception of the GCM with age leads to increased muscle activity, resulting in reduced postural balance. There was no difference in TA proprioception or muscle activity among older women with frequent physical activity. Laughton et al. [14] found an association between postural balance and plantar flexor muscle activity in older adults who are vulnerable to falls. Benjuya et al. [13] found that older adults demonstrated significantly higher levels of ankle muscle activ-

show abstract

Section: Discussioncontrasting

confidence: 49%

Differences in Ankle Muscle Activity During Static Balance According to Age and Ankle Proprioception

Kim

Han

et al. 2022

Physical Therapy Korea

View full text Add to dashboard Cite

show abstract

“…Because this study specifically recruited participants with plantar calluses, our values are presumably greater than the mean of shod populations of the same age in Germany and other industrialized countries. Initial MTs, particularly in IG, was higher and therefore indicate less sensitivity than the values of 2.5–6.6 g documented so far in the heel region (Billot et al, 2013 ; Jain et al, 2008 ; Perry, 2006 ; Song et al, 2021 ). Since the existence of callused skin is the main difference between our sample and prior study samples, a relationship between monofilament sensitivity and skin properties is a potential explanation for this offset.…”

Section: Discussionmentioning

confidence: 66%

Does plantar skin abrasion affect cutaneous mechanosensation?

Wynands

Zippenfennig

Holowka

et al. 2022

Physiological Reports

View full text Add to dashboard Cite

In humans, plantar cutaneous mechanoreceptors provide critical input signals for postural control during walking and running. Because these receptors are located within the dermis, the mechanical properties of the overlying epidermis likely affect the transmission of external stimuli. Epidermal layers are highly adaptable and can form hard and thick protective calluses, but their effects on plantar sensitivity are currently disputed. Some research has shown no effect of epidermal properties on sensitivity to vibrations, whereas other research suggests that vibration and touch sensitivity diminishes with a thicker and harder epidermis. To address this conflict, we conducted an intervention study where 26 participants underwent a callus abrasion while an age‐matched control group ( n = 16) received no treatment. Skin hardness and thickness as well as vibration perception thresholds and touch sensitivity thresholds were collected before and after the intervention. The Callus abrasion significantly decreased skin properties. The intervention group exhibited no change in vibration sensitivity but had significantly better touch sensitivity. We argue that touch sensitivity was impeded by calluses because hard skin disperses the monofilament's standardized pressure used to stimulate the mechanoreceptors over a larger area, decreasing indentation depth and therefore stimulus intensity. However, vibration sensitivity was unaffected because the vibrating probe was adjusted to reach specific indentation depths, and thus stimulus intensity was not affected by skin properties. Since objects underfoot necessarily indent plantar skin during weight‐bearing, calluses should not affect mechanosensation during standing, walking, or running.

show abstract

“…Muscle strength required to maintain balance is less when stationary than in functional movement. QipengSong et al (2021) indicated that muscle strength was correlated with dynamic balance but not static balance [ 31 ]. In addition, hip muscles correct large errors, while ankle muscles correct minor errors.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Augmented Reality-Based Proprioceptive Training Program on Balance, Positioning Sensation and Flexibility in Healthy Young Adults: A Randomized Controlled Trial

Lee¹,

Yu²,

Hong³

et al. 2022

Healthcare

View full text Add to dashboard Cite

This study investigates whether Augmented Reality (AR)-based interventions can be as effective as physical therapists (PT) regarding balance, positioning sensation, and flexibility. A sample of 39 regular people who voluntarily participated in this study were randomly distributed into two groups. Then AR was applied in the experimental group and PT was applied in the control group. Variables were measured by Tetrax(static balance), Y-balance test(dynamic balance), CSMI(proprioception), and sit and reach test(flexibility). All measurements were analyzed using paired t-test and independent t-test. The exercise program of this study improved the stability index (ST) of the static balance in both groups after the intervention, and there was a significant difference (p < 0.05) at normal eye close (NC) and Pillow with eye close (PC) positions. Moreover, regarding the case of dynamic balance, there were significant differences in AR and PT groups to reach in all directions (p < 0.05). In the case of positioning sensation, there was no significant difference in both groups (p > 0.05), and there was a significant difference in flexibility. (p < 0.05). When comparing the two groups, there was no significant difference in all categories (p > 0.05). As a result, AR can be considered an effective form of therapy and can be selected according to individual conditions.

show abstract

Relationship of proprioception, cutaneous sensitivity, and muscle strength with the balance control among older adults

Cited by 60 publications

References 63 publications

Differences in Ankle Muscle Activity During Static Balance According to Age and Ankle Proprioception

Differences in Ankle Muscle Activity During Static Balance According to Age and Ankle Proprioception

Does plantar skin abrasion affect cutaneous mechanosensation?

The Effect of Augmented Reality-Based Proprioceptive Training Program on Balance, Positioning Sensation and Flexibility in Healthy Young Adults: A Randomized Controlled Trial

Contact Info

Product

Resources

About