Shoulder joint position sense improves with elevation angle in a novel, unconstrained task

Suprak, David N.; Osternig, Louis R.; Donkelaar, Paul; Karduna, Andrew R.

doi:10.1002/jor.20095

Cited by 65 publications

(70 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Voight and colleagues 24 claimed that afferent input from muscle spindles may be the primary contributor to joint position sense. Suprak and colleagues 25 further proposed that information provided by muscle spindles may override that provided by capsuloligamentous receptors to explain the nonsignificant effect of plane on repositioning error in their study. Our results on enhanced PFI, but not on repositioning error, during frontal and sagittal planes, supported some of this proposition.…”

Section: Discussionmentioning

confidence: 95%

“…We demonstrated the errors ranged from 38 to 108. The differences may be due to the unconstrained nature of our protocol and that of Suprak and colleagues, 25 whereas in the other studies, subjects were required to reposition the joint in only one plane.…”

Section: Discussionmentioning

confidence: 97%

“…In studies exploring JPS at the shoulder in uniplane movements, the repositioning errors ranged from 28 to 58. 24,26,27 Suprak and colleagues 25 examined JPS on unconstrained shoulder movements and reported 48 to 98. We demonstrated the errors ranged from 38 to 108.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Proprioception assessment in subjects with idiopathic loss of shoulder range of motion: Joint position sense and a novel proprioceptive feedback index

Yang

Chen

Jan

et al. 2008

Journal Orthopaedic Research

View full text Add to dashboard Cite

ABSTRACT:We examined the effects of elevation range and plane on shoulder joint proprioception in subjects with idiopathic loss of shoulder range of motion (ROM). Joint position sense (JPS) and a novel proprioceptive feedback index (PFI), including difference magnitude and the similarity index, were used to assess proprioception. Twelve subjects (eight male, four female) with involved stiff shoulders and normal opposite shoulders were recruited from a university hospital. Subjects attempted to repeat six target positions. Target positions consisted of arm elevation in three planes (frontal, scapular, and sagittal planes) and two ranges (end/mid range). Six trials of each target position were used to determine acceptable trials for stabilization of the data, less than 5% of the cumulative mean values for at least three successive trials. The data stabilized at the sixth repetition. Compared to control shoulders, involved shoulders had enhanced proprioception during end range movements (p < 0.05). The magnitude of the repositioning error and difference magnitude decreased (1.68-3.58 for repositioning error and 22.28-62.18 for difference magnitude), whereas similarity index improved at end range movements compared to mid range movements (p < 0.05) in involved stiff shoulders. Results of JPS and PFI suggest that both capsuloligamentous and musculotendinous mechanoreceptors play an important role in proprioception feedback during active movements in subjects with idiopathic loss of shoulder ROM. Proprioception is a type of feedback from the limbs to the central nervous system 1 that has been described as a sensory modality with combination of joint position sense (JPS), the ability of a person to identify and reproduce limb position in space, and kinesthesia, the perception of limb motion. 2 Stimuli from peripheral mechanoreceptors in joints, muscles, and skin provide the central nervous system with information regarding JPS and kinesthesia to modify motor control. 3,4 Proprioceptive mechanisms are essential in maintaining joint stability, especially for the shoulder, where stability is sacrificed for a large range of motion. 5,6 JPS is commonly tested using either active or passive reproduction of joint positioning, whereas kinesthesia studies have been limited to identifying the threshold to detect limb motion using a passive motion. For detecting JPS, the shoulder joint of a blindfolded subject is moved through an active or passive range of motion to a predetermined position and held for 5 to 10 s. Upon return to the starting position, subjects attempt to replicate the target position when they feel the presented position has been matched. The difference between the presented and reproduced position is the repositioning error. For kinesthesia proprioception, movement detection is identified using passive movement. 7,8 This method cannot measure proprioceptive feedback during active motion. In our study, we assessed proprioception during active limb motion with a novel method, the proprioceptive feedback index (PFI...

show abstract

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Proprioception assessment in subjects with idiopathic loss of shoulder range of motion: Joint position sense and a novel proprioceptive feedback index

Yang

Chen

Jan

et al. 2008

Journal Orthopaedic Research

View full text Add to dashboard Cite

show abstract

“…These results may indicate that as the elevation angle increases, the amount of gravitational torque increases, which increases muscle activation. Suprak et al 7 hypothesized that this increase in muscle activation and the increase in activity from the musculotendinous mechanoreceptors contributed to improved JPS. Suprak et al 8 supported these results, demonstrating that as resistance increased (via wrist weights) at a given shoulder position, shoulder repositioning error decreased.…”

mentioning

confidence: 99%

Kinesio Tape and Shoulder-Joint Position Sense

Aarseth¹,

Suprak

Chalmers

et al. 2015

Journal of Athletic Training

Self Cite

View full text Add to dashboard Cite

. Ms Aarseth is now with Black Hills Surgical Hospital, Rapid City, SD.Context: Joint position sense (JPS) is a key neuromuscular factor for developing and maintaining control of muscles around a joint. It is important when performing specialized tasks, especially at the shoulder. No researchers have studied how Kinesio Tape (KT) application affects JPS.Objective: To investigate the effects of KT application and no tape on shoulder JPS at increasing shoulder elevations in athletes.Design: Cross-sectional study. Setting: University laboratory. Patients or Other Participants: A total of 27 healthy athletes who did not participate in overhead sports (age ¼ 20.44 6 1.05 years, height ¼ 175.02 6 11.67 cm, mass ¼ 70.74 6 9.65 kg) with no previous pathologic shoulder conditions volunteered for the study. All participants were from 1 university.Intervention(s): Shoulder JPS was assessed at increasing elevations with and without KT application. Participants attempted to actively replicate 3 target positions with and without the KT and without visual guidance. Main Outcome Measure(s):We examined absolute and variable repositioning errors at increasing shoulder-elevation levels with and without KT application.Results: Data revealed an interaction between tape and position for absolute error (F 2,52 ¼ 4.07, P ¼ .02); simple effects revealed an increase in error, with KT demonstrating a 2.658 increase in error at 908 of elevation compared with no tape (t 26 ¼ 2.65, P ¼ .01). The effect size was medium (x 2 ¼ .135). Variable error showed no interaction of tape and position (F 2,52 ¼ .709, P ¼ .50). Further analysis of simple effects was not needed. However, we still calculated the effect size and observed small effect sizes for tape (x 2 ¼ .002), position (x 2 ¼ .072), and tape by position (x 2 ¼ .027). Conclusions: At 908 of elevation, shoulder JPS was impaired by the application of KT.

show abstract

“…Stability within the glenohumeral joint is maintained via anatomical factors such as the degree of bony congruity, integrity of the capsuloligamentous structures and neuromuscular feedback loops involving the joint and musculotendinous mechanoreceptors that are integrated within the central nervous system (Suprak, Osternig, van-Donkelaar, & Karduna, 2006). Despite this highly integrated passive and active control system the glenohumeral joint is regarded as one of the least stable joints within the body.…”

Section: Introductionmentioning

confidence: 99%

Proprioception and the Rugby Shoulder

Horsley¹

2012

An International Perspective on Topics in Sports Medicine and Sports Injury

View full text Add to dashboard Cite

Shoulder joint position sense improves with elevation angle in a novel, unconstrained task

Cited by 65 publications

References 33 publications

Proprioception assessment in subjects with idiopathic loss of shoulder range of motion: Joint position sense and a novel proprioceptive feedback index

Proprioception assessment in subjects with idiopathic loss of shoulder range of motion: Joint position sense and a novel proprioceptive feedback index

Kinesio Tape and Shoulder-Joint Position Sense

Proprioception and the Rugby Shoulder

Contact Info

Product

Resources

About