Reproducibility of a knee and hip proprioception test in healthy older adults

Arvin, Mina; Hoozemans, M.J.M.; Burger, Bart J.; Verschueren, Sabine; Dieën, Jaap H. van; Pijnappels, Mirjam

doi:10.1007/s40520-014-0255-6

Cited by 33 publications

(41 citation statements)

References 38 publications

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“…Subjects were allowed to rest between trials if desired. The intra-session reliability of this test was shown to be good to excellent (ICC 0.71-0.93) (Arvin et al, 2014).…”

Section: Joint Position Sense (Jps)mentioning

confidence: 91%

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Hip abductor neuromuscular capacity: A limiting factor in mediolateral balance control in older adults?

Arvin

Dieën

Faber

et al. 2016

Clinical Biomechanics

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Background: Mediolateral balance impairment is an important cause of falling in older adults. We aimed to investigate whether hip abductor muscular strength and/or position sense are limiting factors in mediolateral balance control. Methods: Sixteen community-dwelling older adults performed three different mediolateral weight-shifting tasks, by tracking (1) a sinusoidally moving visual target, "visual-MELBA"; (2) a sinusoidally translating platform without explicit visual feedback, "mechanical-MELBA"; and (3) an unpredictable platform translation, "sudden-platform-translation." Balance performance was quantified for each task and correlated with hip abductor position sense, isometric strength, and peak hip abduction/adduction moments and moment rates. Findings: Participants with better balance performance showed higher and faster hip abduction/adduction moment production during the tasks. Isometric hip abductor strength was significantly correlated with accuracy of tracking the visual target, while hip abductor position sense was associated with the bandwidth over which the mechanical target could be tracked and with a smaller delay between CoM movement and the sudden-platform movement. Interpretation: Hip abductor muscles play an important role in mediolateral balance control. Accurate balance performance appears limited by lower hip abductor strength when explicit visual information on balance reduces the need for hip abductor proprioception, while proprioceptive acuity may limit balance performance when no explicit enhanced feedback is presented and required weight shifts have to be inferred from "normal" sensory information.

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“…Subjects were allowed to rest between trials if desired. The intra-session reliability of this test was shown to be good to excellent (ICC 0.71-0.93) (Arvin et al, 2014).…”

Section: Joint Position Sense (Jps)mentioning

confidence: 91%

“…The AE represents the overall accuracy in performance in the JPS test. The AE was averaged over 4 trials and over left and right legs for further analysis (Arvin et al, 2014).…”

Section: Jpsmentioning

confidence: 99%

Hip abductor neuromuscular capacity: A limiting factor in mediolateral balance control in older adults?

Arvin

Dieën

Faber

et al. 2016

Clinical Biomechanics

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“…They were allowed to touch a horizontal bar in front of them at hip height for support. The JPS for hip abduction was assessed unilaterally by an ''activeactive'' and reliable repositioning test [14]. Four trials of hip abduction were performed with target angles randomly varying within a range of 10-408.…”

Section: Assessment Of Joint Position Sense (Jps)mentioning

confidence: 99%

Effects of hip abductor muscle fatigue on gait control and hip position sense in healthy older adults

et al. 2015

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We experimentally investigated whether unilateral hip abductor muscle fatigue affected gait control and hip position sense in older adults. Hip abductor muscles were fatigued unilaterally in side-lying position in 17 healthy older adults (mean age 73.2 SD 7.7 years). Hip joint position sense was assessed by an active-active repositioning test while standing and was expressed as absolute and relative errors. Participants walked on a treadmill at their preferred walking speed, while 3D linear accelerations were collected by an inertial sensor at the lower back. Gait parameters, including step and stride time, local divergence exponents and harmonic ratio were quantified. In fatigued gait, stride time variability and step-to-step asymmetry in the frontal plane were significantly increased. Also a significantly slower mediolateral trunk movement in fatigued leg late stance toward the non-fatigued leg was observed. Despite these temporal and symmetry changes, gait stability in terms of the local divergence exponents was not affected by fatigue. Hip position sense was also affected by fatigue, as indicated by an increased relative error of 0.7° (SD 0.08) toward abduction. In conclusion, negative effects of fatigue on gait variability, step-to-step symmetry, mediolateral trunk velocity control and hip position sense indicate the importance of hip abductor muscles for gait control.

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“…Absolute error (AE): The variable that reflects the accuracy of JPS, it refers to the difference between the target and estimated position (i.e. the measure of the magnitude of the error, discounting the direction) while assessing position sense of joint (Arvin et al, 2015;Olsson et al, 2004;Vafadar, Côté, & Archambault, 2015).…”

Section: Definition Of Termsmentioning

confidence: 99%

“…A reliable technique to assess JPS is to measure the replication of a specific target joint position or angle, then the difference between the target and estimated position is used as a value to reflect JPS accuracy of the join of interest. The difference is specified as the absolute error (AE) which reflects the measure of accuracy of JPS (Arvin et al, 2015;Olsson et al, 2004). Usually, JPS is assessed while the subject is performing both target and estimated joint angles with a blocked vision and unassisted (Moradi et al, 2014;Ribeiro et al, 2006; Sun-Ik, Dong-Yeop, Ji-Heon, Jae-Ho, & Jin-Seop, 2015).…”

Section: Skin Mechanoreceptors Meissner Corpuscles Pacinian Corpuscmentioning

confidence: 99%

Acute Effects of Two Hip Flexor Stretching Techniques on Knee Joint Position Sense and Balance

Aslan

Suprak

Buddhadev

et al. 2018

Medicine &Amp; Science in Sports &Amp; Exercise

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The purpose of this investigation was to examine the acute effects of two hip flexor stretching techniques on hip extension ROM, knee joint position sense (JPS) and dynamic balance performance (DB). Thirty-six healthy college age students (25 males, 11 females; mean=22.39 years) who exhibited hip flexor tightness participated in this study. Hip extension ROM, knee JPS and DB were tested pre-and post-stretching using digital inclinometer, iPod touch and the Y-balance kit, respectively. Subjects were randomly divided into dynamic (DS), and hold-relax proprioceptive neuromuscular facilitation (HR-PNF) groups. Three-way mixed analysis of variance (ANOVA) was utilized to explore if an interaction between the groups (DS vs. HR-PNF), time (pre-and post) and (side of hip, knee angle and direction or reach) existed over the experiment as specified by hip extension ROM, knee JPS and dynamic balance measurements, respectively. There was a significant effect of time on hip extension ROM in both stretching groups (p<0.001). Also, there was a significant effect of stretch type on hip extension ROM (p=0.004) favoring HR-PNF over DS. There was a non-significant effect of time on mean knee JPS replication error in both groups. In dynamic balance measurement, there was a significant main effect of time on the Y-balance test's mean distance (p<0.001). There was also a significant main effect of directions of reach on distances achieved (p<0.001) favoring reach distance to posterolateral direction over posteromedial, and the latter over anterior direction. The results of this study demonstrated that dynamic and HR-PNF stretching techniques resulted in a significant acute improvement in hip extension ROM, dynamic balance measures. However, knee JPS replication error results showed nonsignificant improvement over time in either stretching group. v

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Reproducibility of a knee and hip proprioception test in healthy older adults

Abstract: Proprioceptive acuity of the knee and hip joints in healthy older adults can be reliably assessed with an active-active procedure in a standing position with respect to relative and absolute error.

Cited by 33 publications

References 38 publications

Hip abductor neuromuscular capacity: A limiting factor in mediolateral balance control in older adults?

Hip abductor neuromuscular capacity: A limiting factor in mediolateral balance control in older adults?

Effects of hip abductor muscle fatigue on gait control and hip position sense in healthy older adults

Acute Effects of Two Hip Flexor Stretching Techniques on Knee Joint Position Sense and Balance

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