Correlation of Static and Dynamic Balance With Knee Proprioception in Normals

Abstract

Background: Human balance depends on coordinated integration of sensory input from somatosensory, vestibular and visual systems. Proprioception includes 3 components: sense of position, sense of movement and sense of force. Most of the injuries have the potential to decrease proprioception and subsequently balance. It is important to understand the relation between proprioception and balance in young adults. Thus this study aimed at co-relating static and dynamic balance with knee proprioception in Normals.Purpose of the study: To understand the correlation of balance with knee proprioception. Materials and Methods:Young asymptomatic adults (N=50),equal males (n=25) and females (n=25) between the age group of 18-30 years (mean age=21.2) were assessed for knee joint proprioception at 60 0 using universal goniometer, static balance using Balance Error Scoring System(BESS) and dynamic balance using Star excursion balance test (SEBT).Result: There is a weak negative correlation [r = -0.3161(rt) and r = -0.1599(lt)] of knee joint proprioception error with dynamic balance and a weak positive correlation [r = 0.3358(rt) and r = 0.2912(lt)] of knee joint proprioception error with static balance error. Conclusion:The study concludes that lesser the knee joint proprioception error better is the dynamic balance. And lesser the knee joint proprioception error lesser is the static balance error.KEY WORDS: Static balance, dynamic balance, knee proprioception error, star excursion balance test, balance error scoring system. ABSTRACT BACKGROUND

Correlation of Static Balance With Knee Proprioception in Elderly

“…R. Bhaktiari stated that co-ordination of various sensory inputs such as the visual, somatosensory and vestibular system helps to maintain balance. Each of these systems play a significant role as it relays the information about body position and motion to the CNS, and thus it maintains balance control [3,4]. An ecological approach, used by Stoffregen and Riccio, described the use of sensory systems for balance control.…”

“…• Average of the 3 readings and the absolute value was noted [3,7,17,18]. Assessment of static balance: • Static Balance was assessed using Tandem Stance Time.…”

“…b) Sense of Movement: Ability to perceive both direction and velocity of movement. c) Sense of Force: Ability to estimate amount of muscle force that must be exerted [3]. Proprioception can be assessed by Joint Position Sense (JPS) and sense of limb movement.…”

“…Static balance is the ability to maintain the center of gravity (COG) within the BOS and keep the center of pressure (COP) of the body as immobile as possible within the BOS. Various systems co-ordinate to maintain balance [3,4]. First physiological component of Sensory data, which is critical to balance, is provided primarily from visual, vestibular and somatosensory systems.…”

The Effect of Knee Brace on Knee Joint Proprioception and Static Balance in Sarcopenic Elderly Patients with Knee Osteoarthritis

“…2 Somatosensöriyel sistemin bir bileşeni olan propriyosepsiyon duyusu, vücut bölümlerinin uzaydaki pozisyonunun ve hareketinin algılanmasını sağlar. [1][2][3] Propriyoseptif duyu, eklem ve eklem çevresi yapılarda bulunan mekanoreseptörler aracılığıyla santral sinir sistemine iletilir. 3 Nöroduyusal yapılardan zengin olan diz ekleminde osteoartrit oluşması hâlinde mekanoreseptör harabiyetine bağlı propriyoseptif duyunun, dolayısıyla nöromotor kontrolün bozulduğu, buna bağlı dengenin olumsuz yönde etkilendiği önceki araştırmalarda gösterilmiştir.…”