A reliable and accurate system of joint position sense measurement

Noor, Rabiya; Olyaei, Gholamreza; Hadian, Mohammad Reza; Talebian, Saeed; Bashir, Muhammad Salman

doi:10.4066/biomedicalresearch.29-18-410

Cited by 5 publications

(7 citation statements)

References 25 publications

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“…Olyayi, in a similar study, used the image capture technique by digital camera for the shoulder joint at angles of 30, 45, 65, and 70 degrees while the goniometer was attached to the joint. The obtained results of absolute and relative error of each angle (0.97) showed excellent inter-day reliability of the technique [23]. One of the limitations of their study was its small sample size, which limits the possibility of generalizing the results.…”

Section: Discussionmentioning

confidence: 91%

“…This technique has been proposed as an acceptable method for measuring the joint position sense of lower limbs [21,22]. However, few studies have mea-sured the joint position sense of upper limbs by this technique [23,24]. Olyayi used the image capture technique in a case study and reported its good reliability [23], but for better knowledge, we need a study with a larger sample size.…”

Section: Proprioception Joint Position Sense Upper Limb Image Capture Techniquementioning

confidence: 99%

“…However, few studies have mea-sured the joint position sense of upper limbs by this technique [23,24]. Olyayi used the image capture technique in a case study and reported its good reliability [23], but for better knowledge, we need a study with a larger sample size. In a review study by Ager et al on different methods of measuring the sense of active and passive shoulder joint position, the dynamometer showed the highest reliability (0.92), and the image capture technique had the highest reliability (0.81) for measuring the sense of passive shoulder joint position [24].…”

Section: Proprioception Joint Position Sense Upper Limb Image Capture Techniquementioning

confidence: 99%

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Reliability of Image Capture Technique for the Measurement of Upper Limb Active Joint Position Sense in Healthy Adults

Abdollahi

Allahverdloo

2021

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Objective: Proprioception is the conscious perception of limb position, motion, balance, and pressure. It has a vital role in movement control, especially motor planning and neuromuscular feedback mechanism. To investigate the proprioceptive function, it is essential to use the best measurement method. Different techniques and approaches have been introduced, which are usually expensive and not applicable for clinical use. One of these methods is the image capture technique which is easy and practical. Stillman introduced this technique to measure the joint position sense of the knee considering all variables affecting it and reported its good reliability. Many studies have used this technique for knee and lower limb joints and reported its good reliability, while few studies have used this technique for the upper limb joints. Therefore, this study investigates the reliability of the image capture technique for measuring the Active Joint Position Sense (AJPS) of the left shoulder and elbow in healthy adults. If it yields a good result, it can be used as an available and cost-effective method by clinicians. Materials & Methods: In this methodological study, the participants were 10 healthy adults (5 men, 5 women) aged 18-40 years. To assess the AJPS, we used image capture technology which is one of the most reliable methods for the lower limb joint position sense measurement. Markers were attached on elbow and shoulder landmarks, and photos were taken during the reproduction of angles by participants. Then, the photos were entered into AutoCAD software, and the angles were calculated by drawing line segments from landmarks and connecting them. The absolute error and relative error (the difference between the initial and reproduced angles) were used to measure accuracy. The AJPS was assessed for internal and external rotation of the shoulder and elbow flexion. The measurements were repeated two hours later to assess intra-day reliability and two days later to assess inter-day reliability. Interclass Correlation Coefficient (ICC) and Standard Error of Measurement (SEM) were used for statistical analysis. Results: The ICC of inter-day reliability of the test for all shoulder and elbow movements in relative and absolute errors was reported as excellent (≥0.92). Intra-day reliability was reported excellent (≥0.90) for elbow flexion, and internal rotation of the shoulder in both relative and absolute errors were excellent (0.94). For external rotation of the shoulder, it was excellent in relative error (0.94) and good in absolute error (0.80). All measurements had absolute reliability based on the SEM results. Conclusion: The image capture technique is a simple, cost-effective, and available method tool for measuring AJPS and proprioception in upper limbs by clinicians and researchers.

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Section: Discussionmentioning

confidence: 91%

Section: Proprioception Joint Position Sense Upper Limb Image Capture Techniquementioning

confidence: 99%

Section: Proprioception Joint Position Sense Upper Limb Image Capture Techniquementioning

confidence: 99%

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Reliability of Image Capture Technique for the Measurement of Upper Limb Active Joint Position Sense in Healthy Adults

Abdollahi

Allahverdloo

2021

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“…Additionally, simultaneous alignment of the goniometer's two arms with the bones forming the joint may hinder free joint movement, thus affecting measurement accuracy [39]. Some researchers combine a goniometer examination with photography, which certainly increases the measurement accuracy, but is very time-consuming [15]. Other types of research have evaluated JPS using camera-based motion capture systems.…”

Section: Discussionmentioning

confidence: 99%

“…The JPS test involves a position matching procedure in which a target joint position is presented, and the test subject must actively recreate that position (so-called end angle) [14]. JPS is usually measured by goniometers, digital photography, or a camera-based system [15][16][17][18]. We found only one study that used inertial sensors to test JPS [13].…”

Section: Introductionmentioning

confidence: 99%

Wireless Motion Sensors—Useful in Assessing the Effectiveness of Physiotherapeutic Methods Used in Patients with Knee Osteoarthritis—Preliminary Report

Goślińska

Wareńczak

Miedzyblocki

et al. 2020

Sensors

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Osteoarthritis of the knee (OAK) is characterized by pain, limitation of joint mobility, and significant deterioration of proprioception resulting in functional decline. This study assessed proprioception in OAK patients following two ten-day rehabilitation programs using the Orthyo® system. Fifty-four study participants with clinical symptoms and radiological signs of OAK were randomly divided into an exercise group (n = 27) or a manual therapy group (n = 27). The control group consisted of 27 volunteers with radiological signs of OAK, but with no clinical symptoms or prior history of rehabilitation. The following parameters were assessed: knee proprioception using inertial sensors and a mobile application, patients’ function using Western Ontario and McMaster Universities osteoarthritis index (WOMAC), and pain intensity using the visual analog scale (VAS). Following rehabilitation, knee proprioception tests did not improve in either study group. Both study groups showed significant improvement of the WOMAC-assessed function (exercise group: p < 0.01, manual therapy group: p = 0.01) and a significant decrease (p < 0.01) of VAS-assessed pain following rehabilitation, but the post-therapy results did not differ significantly between the aforementioned groups. The Orthyo® system provided a quick and accurate assessment of the knee joint position sense. There was no direct relationship between functionality, pain, and proprioception threshold in the knee joint.

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Valgus Control Feedback and Taping Improves the Effects of Plyometric Exercises in Women With Dynamic Knee Valgus

et al. 2021

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Background: Female athletes are more predisposed to anterior cruciate ligament (ACL) injuries in comparison with their male counterparts. Research on ACL injury prevention strategies has demonstrated beneficial effects of plyometric exercises and feedback (FB) during the exercises. FB has resulted in reductions in vertical ground-reaction force and kinematic risk factors associated with ACL injury. Furthermore, taping (TP) may draw attention to the restriction created by the tape and serve as real-time biofeedback. The additional influence of FB and TP on plyometric exercises has not been determined. Hypothesis: FB and TP interventions delivered during plyometric exercises would result in positive changes in biomechanics and muscle onset in female athletes displaying dynamic knee valgus. Design: Controlled trial. Setting: University research laboratory. Level of Evidence: Level 2. Methods: Forty-eight active female athletes were divided into 3 groups: control (n = 16), plyometric training with FB (n = 16), and plyometric training with TP (n = 16). The 2 experimental groups performed a 6-week exercise program with either FB or TP. The control group continued its regular team schedule. Knee joint position sense, landing error scoring system (LESS), and the onset of muscle activation (the point at which muscle activation exceeds 3 standard deviations over baseline and continued above this threshold for at least 25 ms) before landing for the rectus femoris, vastus medialis, vastus lateralis, gluteus medius, semitendinosus, and biceps femoris during pre- and posttests were measured. Results: The vastus lateralis onset later in the TP group compared with the FB group ( d [95% CI] = 0.64 [0.35-0.82], P = 0.01). Joint position sense accuracy improved only in the TP group ( d = −0.63, P = 0.001). Both the FB ( d = −0.85, P = 0.001), and TP ( d = −0.82, P = 0.001) groups improved in LESS scores. Conclusion: The results of the present study showed that plyometric exercises with FB or TP affect LESS and the onset of the vastus lateralis in active uninjured women with dynamic knee valgus, while TP improves joint position sense. Therefore, when more accurate joint position sense is desired, practitioners may use plyometric with TP. If an improved LESS score is desired, plyometrics with either TP or FB are acceptable. Clinical Relevance: Our findings indicate that female athletes may benefit more when completing a plyometric training program with a TP versus an FB. Trainers, coaches, and clinicians should consider utilizing instructions that promote an external focus when implementing plyometric training programs with male athletes.

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A reliable and accurate system of joint position sense measurement

Cited by 5 publications

References 25 publications

Reliability of Image Capture Technique for the Measurement of Upper Limb Active Joint Position Sense in Healthy Adults

Reliability of Image Capture Technique for the Measurement of Upper Limb Active Joint Position Sense in Healthy Adults

Wireless Motion Sensors—Useful in Assessing the Effectiveness of Physiotherapeutic Methods Used in Patients with Knee Osteoarthritis—Preliminary Report

Valgus Control Feedback and Taping Improves the Effects of Plyometric Exercises in Women With Dynamic Knee Valgus

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