Ankle inversion proprioception measured during landing in individuals with and without chronic ankle instability

Han, Jia; Yang, Ziying; Adams, Roger; Ganderton, Charlotte; Witchalls, Jeremy; Waddington, Gordon

doi:10.1016/j.jsams.2021.02.004

Cited by 20 publications

(29 citation statements)

References 24 publications

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“…Test-retest reliability was indicated by Bland-Altman plots (Giavarina, 2015), and the Intraclass Correlation Coefficient, ICC (3,1) , with a two-way fixed model, single measure type, and absolute agreement definition, was calculated for test-retest reliability (Tao et al, 2021). With the result of ICC, the 90% CI was chosen for comparison with the Minimal Detectable Change (MDC) calculated with the Ankle Inversion Discrimination Apparatus for Landing (AIDAL) (Han et al, 2021). The Minimal Detectable Change with a 90% confidence interval (MDC 90 ) was calculated using the formula (Steffen and Seney, 2008;Hulzinga et al, 2020) One participant example of the area under a ROC curve.…”

Section: Discussionmentioning

confidence: 99%

“…Participants were recruited in the Shanghai Sport University and surrounding communities through posters and oral presentations from January to August 2020. From the study of Han et al (2021), with power for reliability sample analysis of 0.80 with two observations per participant and the ICC estimated to be 0.50 with a significance level of 0.05 under the null hypothesis, the minimum required sample size of 22 was calculated. Finally, 24 participants were enrolled, including 12 young and 12 older adults (Han et al, 2021).…”

Section: Participantsmentioning

confidence: 99%

“…From the study of Han et al (2021), with power for reliability sample analysis of 0.80 with two observations per participant and the ICC estimated to be 0.50 with a significance level of 0.05 under the null hypothesis, the minimum required sample size of 22 was calculated. Finally, 24 participants were enrolled, including 12 young and 12 older adults (Han et al, 2021). The sample size for the validity study was calculated by analysis using the G * power software (Test family: t-tests; Statistical test: correlation (Point biserial model); power = 0.80; p = 0.05; effect size = 0.5).…”

Section: Participantsmentioning

confidence: 99%

“…In terms of methods for measuring ankle proprioception, there are three commonly used methods: threshold to detection of passive motion (TTDPM), joint position reproduction (JPR), and functional movement extent discrimination assessment (AMEDA) (Han et al, 2016). Han et al (2021) argued that compared to the first two methods, the AMEDA has better ecological validity, as the test is conducted in full weight bearing, requiring active movement and with general vision and audition allowed during the test. The more function-like features of the AMEDA test may underlie its sensitivity to age-related changes.…”

Section: Introductionmentioning

confidence: 99%

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Impaired ankle inversion proprioception during walking is associated with fear of falling in older adults

Shao

Wang

Luan

et al. 2022

Front. Aging Neurosci.

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BackgroundAnkle proprioception plays a critical role in lower limb movement control. However, the relationship between ankle proprioception and fear of falling (FOF) in older people is still unclear.Objective(1) This study aims to develop a new device for measuring ankle inversion proprioceptive discrimination sensitivity during walking, i.e., the Ankle Inversion Discrimination Apparatus–Walking (AIDAW), and assess the test–retest reliability of the AIDAW in both young and older adults; (2) to evaluate the discriminant validity of the measure by comparing ankle proprioception during walking between the two groups; and (3) to explore convergent validity by determining to what extent the AIDAW proprioceptive scores correlate with Fall Efficacy Scale-International (FES-I) scores.Materials and methodsThe AIDAW was purpose-built to test ankle inversion proprioceptive discrimination sensitivity during walking. The area under the receiver operating curve (AUC) was calculated as the proprioceptive discrimination score. In total, 54 adults volunteered. Test–retest reliability was evaluated in 12 young and 12 older adults, and another 15 young and 15 older adults completed the comparison study. FOF was assessed by using the FES-I.ResultsThe test–retest reliability intraclass correlation coefficient ICC (3,1) value for the whole group was 0.76 (95% CI: 0.52–0.89). The ICC values of the young and older groups were 0.81 (95% CI: 0.46–0.94) and 0.71 (95% CI: 0.26–0.91), respectively. The Minimal Detectable Change with 90% confidence (MDC90) values for the young and older groups were 0.03 and 0.11, respectively. There was a significant difference between the AIDAW proprioceptive sensitivity scores for the young and older groups (0.78 ± 0.04 vs. 0.72 ± 0.08, F = 5.06, p = 0.033). Spearman’s correlation analysis showed that the FES-I scores were significantly and negatively correlated with the AIDAW scores (rho = −0.61, p = 0.015), with higher FOF associated with worse ankle proprioception.ConclusionThe AIDAW is a reliable and valid device for measuring ankle proprioception during walking in both young and older adults. Ankle inversion proprioceptive discrimination sensitivity during walking was found to be impaired in the elderly compared to young adults. This impairment was found to be strongly associated with FOF, suggesting that assessment and intervention for ankle proprioception in this population are needed to reduce the risk of falls.

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Section: Discussionmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impaired ankle inversion proprioception during walking is associated with fear of falling in older adults

Shao

Wang

Luan

et al. 2022

Front. Aging Neurosci.

Self Cite

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“…Such a whole-body approach does re ect on the function of the complete sensorimotor system in judging joint positions. However, its clinical usefulness is limited as it does not allow the differentiation between a proprioceptive or motor de cit, as well the effect of compensatory mechanisms that are common in orthopedic or neurological diseases that are known to affect balance and posture [35,36]. These compensatory mechanisms have been documented to rely on other sensory modalities such as vision [37], vestibular [38], and haptic function [39].…”

Section: Comparing Our Approach To Different Methods Of Measuring Ankle Proprioceptionmentioning

confidence: 99%

Robot-Aided Assessment of Human Ankle Joint Position Sense and Motion Sense

Huang

Zhong

Elangovan

et al. 2022

Preprint

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Background-Numerous neurological and orthopedic conditions impair ankle proprioception resulting in gait and balance deficits. However, current clinical practice lacks accurate and reliable methods to assess proprioceptive function. To address this gap, we developed a robotic assessment system that provides accurate, objective, and reliable measures of human ankle position and motion sense acuitythat reflectproprioceptive function at this joint.Methods-Ankle position sense and motion sense acuity were assessed in twenty healthy adult participantsemploying a psychophysical two-alternative forced-choice paradigm.An ankle robot deliveredtightly controlled passive, open kinematic ankle dorsiflexion/plantarflexion positions or velocities. The robot passively rotated aparticipant’s ankle to two distinctplantarflexed positions for position sense testing, orthe ankle was plantarflexed at two distinct velocities for motion sense testing. After experiencing the two stimuli, participants verbally indicated which ankle position was more plantarflexedor which motionwas perceived as faster. Based on a participant’s verbal responses, a psychometric function was fitted and the respective discrimination thresholds and intervals of uncertainty were derived. Additionally, test-retest reliability of the threshold measures was determined across three different experimental sessions for a subset of five participants.Results-Analysis yielded a mean position discrimination threshold of 0.80° (SD: ± 0.10°), and a mean motion discrimination threshold of 0.73°/s (SD: ± 0.11°/s). Test-retest reliability of the threshold measures based on the intraclass correlation coefficient (ICC) was moderate to excellent in position sense (range, ICC = 0.86 [0.50 - 0.98]) and motion sense (range, ICC = 0.86 [0.57 - 0.99]) testing.Conclusion -The results demonstrated the utility and reliability ofa robot-aided assessment of human ankle proprioceptive function paving the way to employ such systemsfor the fast and accurate diagnosisof proprioceptive dysfunction in clinical populations.

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Can Therapeutic Exercises Improve Proprioception in Chronic Ankle Instability? A Systematic Review and Network Meta-analysis

Han¹,

Luan²,

Adams³

et al. 2022

Archives of Physical Medicine and Rehabilitation

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Ankle inversion proprioception measured during landing in individuals with and without chronic ankle instability

Cited by 20 publications

References 24 publications

Impaired ankle inversion proprioception during walking is associated with fear of falling in older adults

Impaired ankle inversion proprioception during walking is associated with fear of falling in older adults

Robot-Aided Assessment of Human Ankle Joint Position Sense and Motion Sense

Can Therapeutic Exercises Improve Proprioception in Chronic Ankle Instability? A Systematic Review and Network Meta-analysis

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