No correlation between joint position sense and force sense for measuring ankle proprioception in subjects with healthy and functional ankle instability

Kim, Chang-Yong; Choi, Jong-Duk; Kim, Hyeong-Dong

doi:10.1016/j.clinbiomech.2014.08.017

Cited by 34 publications

(26 citation statements)

References 18 publications

(34 reference statements)

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“…[63][64][65][66][67][68] Interestingly, weak and nonsignificant correlations were found between measures of active position sense and force sense in patients with CAI, suggesting that these measures assess different constructs of somatosensation. 69 Differences in cutaneous sensation have also been demonstrated between CAI and control groups. The CAI groups have displayed poorer plantar sensation as evaluated with both vibrotactile stimuli 70 and Semmes-Weinstein monofilaments 71,72 at the heel, base of the fifth metatarsal, and head of the first metatarsal.…”

Section: Sensory-perceptual Impairmentsmentioning

confidence: 99%

An Updated Model of Chronic Ankle Instability

Hertel

Corbett

2019

Journal of Athletic Training

451

386

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Lateral ankle sprains (LASs) are among the most common injuries incurred during participation in sport and physical activity, and it is estimated that up to 40% of individuals who experience a first-time LAS will develop chronic ankle instability (CAI). Chronic ankle instability is characterized by a patient's being more than 12 months removed from the initial LAS and exhibiting a propensity for recurrent ankle sprains, frequent episodes or perceptions of the ankle giving way, and persistent symptoms such as pain, swelling, limited motion, weakness, and diminished self-reported function. We present an updated model of CAI that aims to synthesize the current understanding of its causes and serves as a framework for the clinical assessment and rehabilitation of patients with LASs or CAI. Our goal was to describe how primary injury to the lateral ankle ligaments from an acute LAS may lead to a collection of interrelated pathomechanical, sensory-perceptual, and motor-behavioral impairments that influence a patient's clinical outcome. With an underpinning of the biopsychosocial model, the concepts of self-organization and perception-action cycles derived from dynamic systems theory and a patient-specific neurosignature, stemming from the Melzack neuromatrix of pain theory, are used to describe these interrelationships.

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Section: Sensory-perceptual Impairmentsmentioning

confidence: 99%

An Updated Model of Chronic Ankle Instability

Hertel

Corbett

2019

Journal of Athletic Training

451

386

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“…From our current dataset, we can conclude that the effect of angle on shoulder force sense behavior is different from shoulder JPS, where both CE and accuracy improved with increased humeral elevation (King et al, 2013;Suprak et al, 2006). The differing behavior between JPS and force sense may be a contributing factor as to why a correlation has not yet been found between them at any joint (Docherty et al, 2004;Kim et al, 2014;Li et al, 2016).…”

Section: Discussionmentioning

confidence: 71%

“…When a muscle contracts isometrically, the firing rate of muscles spindles does increase due to alpha-gamma motor neuron coactivation, but it is hypothesized that these impulses are filtered out as no movement illusions occur (McCloskey, Gandevia, Potter, & Colebatch, 1983). Another possible reason for lower focus on force sense is that no relationship has been identified between force sense and JPS or kinesthesia at any joint (Docherty, Arnold, Zinder, Granata, & Gansneder, 2004;Kim, Choi, & Kim, 2014;Li, Ji, Li, & Liu, 2016). As JPS and kinesthesia focus on joint angles, which arguably emphasize the mechanical receptor that is considered most important (muscle spindles), this lack of interrelationship between the subdivisions makes it difficult to establish the importance of force sense in clinical or athletic settings.…”

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confidence: 99%

An Investigation Into Force Sense at the Shoulder

Trousset¹,

Phillips

Karduna³

2018

Motor Control

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Proprioception is assessed more often through joint position sense and kinesthesia than force sense. The purpose of this study is to investigate force sense at the shoulder. A total of 12 subjects were recruited. An ipsilateral force reproduction protocol at the shoulder at 50°, 70°, and 90° and 120%, 140%, and 160% baseline torque. Dependent variables were constant error (CE) and root mean square error. An effect was found for load on absolute (p = .001) and normalized CE (p < .001). CE decreased with increased load. An effect for angle was found for absolute root mean square error (p = .002), more accurate at 50° (p = .01), but no effect when normalized (p = .19). With increased loads, subjects undershot the target and CE approached zero. Because of the differing behavior in CE and root mean square error, and absolute and normalized data, force sense studies should examine error from these perspectives.

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“…After the initial injury, overstretched/loosened ligaments and joint capsule may hamper the function of those mechanorecep tors in those structures. Some researchers reported prolonged peroneal muscle reflex latency in injured ankles [2628] , and others reported ankle position sense deficits in passive testing [8,12,29,30] and active testing protocols [12,15,29] . Moreover, it is indicated that the result of position sense testing (active matching of passive positioning) can be used to predict future ankle injuries [14,31] .…”

Section: Recurrent Ankle Sprainmentioning

confidence: 99%

Neuromuscular control and rehabilitation of the unstable ankle

Hung¹

2015

WJO

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Lateral ankle sprain is a common orthopedic injury with a very high recurrence rate in athletes. After decades of research, it is still unclear what contributes to the high recurrence rate of ankle sprain, and what is the most effective intervention to reduce the incident of initial and recurrent injuries. In addition, clinicians often implement balance training as part of the rehabilitation protocol in hopes of enhancing the neuromuscular control and proprioception of the ankle joint. However, there is no consensus on whether the neuromuscular control and proprioception are compromised in unstable ankles. To reduce the prevalence of ankle sprains, the effectiveness of engaging balance training to enhance the neuromuscular control and proprioception of the ankle joint is also questionable. Core tip: Lateral ankle sprain is a common orthopedic injury with a high recurrence rate. However, there is no consensus on whether neuromuscular control and proprioception are compromised in unstable ankles, and whether proprioception training can reduce initial and recurrent ankle injuries. The purpose of this review is to discuss the etiology and intervention of initial and recurrent ankle sprains, focusing on the role of neuromuscular control and proprioception at the ankle joint. This review can provide clinicians the knowledge of constructing better examination protocols and rehabilitation programs for individuals with the unstable ankle.Hung Y. Neuromuscular control and rehabilitation of the unstable ankle. World J Orthop 2015; 6(5): 434-438 Available from: URL:

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No correlation between joint position sense and force sense for measuring ankle proprioception in subjects with healthy and functional ankle instability

Cited by 34 publications

References 18 publications

An Updated Model of Chronic Ankle Instability

An Updated Model of Chronic Ankle Instability

An Investigation Into Force Sense at the Shoulder

Neuromuscular control and rehabilitation of the unstable ankle

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