Test–retest reliability of a new device for assessing ankle joint threshold to detect passive movement in healthy adults

Sun, Wei; Song, Qipeng; Yu, Bing; Zhang, Cui; Mao, Dewei

doi:10.1080/02640414.2014.1003589

Cited by 27 publications

(26 citation statements)

References 32 publications

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“…Issues around inter-rater reliability is commonly reported in measures of sensory testing [14] so these data are encouraging. For example, the reliability of knee position sense tests has been shown to vary substantially [45] whilst tests of ankle joint position sense (JPS) using motorised equipment [46,47] report reliability values comparable to those in our study. Intra-rater reliability data from the GradDT™ and StepDT™ also compare favourably with the proprioception subtests of traditional, clinical measures [14,[17][18][19].…”

Section: Discussionsupporting

confidence: 76%

Assessing lower limb position sense in stroke using the gradient discrimination test (GradDT™) and step-height discrimination test (StepDT™): a reliability and validity study

Gorst

Freeman

Yarrow

et al. 2019

Disability and Rehabilitation

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Purpose: To evaluate the psychometric properties of two novel tests of lower limb position sense. Methods: Our newly developed tests assess discrimination thresholds of underfoot slope and step height perception using a two alternative forced choice approach. Stroke participants (n=32) and age matched controls (n=32) were tested. Inter-and intra-rater reliability and agreement, sensitivity and specificity, discriminant and convergent validity were evaluated. Results: Intra-rater reliability for both variants of the gradient discrimination test was excellent: intraclass correlation coefficients (ICC) =0.91 and 0.89. The step height discrimination test had excellent intra-rater reliability and agreement: ICC=0.95. Inter-rater reliability was also excellent in both tests (ICC= 0.85-0.93). Discriminant validity was demonstrated with significant differences in test performance between stroke and control participants (p<0.001). Our novel tests did not significantly correlate with the proprioceptive component of the Erasmus modified Nottingham Sensory Assessment. Receiver Operating Characteristic curve analysis indicated both novel tests to have greater sensitivity and specificity than the proprioceptive component of the Erasmus modified Nottingham Sensory Assessment in predicting the presence of self-reported sensory impairments. Functional Reach Test, 10 metre walk test, Centre of Pressure measurement and reported falls showed significant and moderate to strong correlations with novel test performance (r=0.40-0.60); the Erasmus modified Nottingham Sensory Assessment did not. Conclusion(s): Our novel, functionally oriented tests of lower limb position sense are reliable, valid and feasible for use in an ambulatory chronic stroke and elderly population.

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Section: Discussionsupporting

confidence: 76%

Assessing lower limb position sense in stroke using the gradient discrimination test (GradDT™) and step-height discrimination test (StepDT™): a reliability and validity study

Gorst

Freeman

Yarrow

et al. 2019

Disability and Rehabilitation

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“…2 A), which showed good test–retest reliability (intraclass correlation coefficient (ICC) = 0.74–0.94). 30 The proprioception test device collected the minimum angular motion that the patient is able to detect during knee flexion/extension and ankle dorsal/plantarflexion. The device consists of a box and a platform that can rotate within the frontal and sagittal planes.…”

Section: Methodsmentioning

confidence: 99%

“…During the ankle proprioception test, the knee and hip joints were flexed at 90°, and the leg was perpendicular to the surface of the platform when the platform was placed in a horizontal position. 30 During the knee proprioception test, the lateral axis of the instrumentation was parallel to the mediolateral axis of the knee joint. The hip and knee joints were each positioned at 90°, and the ankle joint was in a neutral position.…”

Section: Methodsmentioning

confidence: 99%

Relationship of proprioception, cutaneous sensitivity, and muscle strength with the balance control among older adults

Song

Zhang

Mao

et al. 2021

Journal of Sport and Health Science

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Highlights Weak to moderate correlation between: Ankle plantar/dorsiflexion proprioception and dynamic balance control as measured by the Berg Balance Scale. Ankle plantar/dorsiflexion, hip abduction, and muscle strength and dynamic balance control as measured by the Berg Balance Scale. Knee flexion proprioception along with cutaneous sensitivity at great toe/arch and static balance control as measured by the root mean square of center of pressure (CoP-RMS) in the anteroposterior direction. Weak correlation between proprioception of ankle dorsiflexion, knee flexion/extension, and cutaneous sensitivity at arch and static balance control measured by the root mean square of center of pressure in the mediolateral direction.

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“…The passive kinesthesia threshold of the ankle joint was assessed by using an ankle proprioception tester (KP-11, Toshimi, Shandong, China). The test-retest reliability of this instrument was verified with an intraclass correlation coefficient in range of 0.737-0.935 [28]. Each participant sat on an adjustable seat, and their hip, knee, and ankle joints were fixed at 90 • .…”

Section: Passive Ankle Kinesthesiamentioning

confidence: 99%

Acute Effects of High-Definition Transcranial Direct Current Stimulation on Foot Muscle Strength, Passive Ankle Kinesthesia, and Static Balance: A Pilot Study

et al. 2020

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This study aimed to examine the effects of single-session anodal high-definition transcranial direct current stimulation (HD-tDCS) on the strength of intrinsic foot muscles, passive ankle kinesthesia, and static balance. Methods: In this double-blinded self-controlled study, 14 healthy younger adults were asked to complete assessments of foot muscle strength, passive ankle kinesthesia, and static balance before and after a 20-minute session of either HD-tDCS or sham stimulation (i.e., control) at two visits separated by one week. Two-way repeated-measures analysis of variance was used to examine the effects of HD-tDCS on metatarsophalangeal joint flexor strength, toe flexor strength, the passive kinesthesia threshold of ankle joint, and the average sway velocity of the center of gravity. Results: All participants completed all study procedures and no side effects nor risk events were reported. Blinding was shown to be successful, with an overall accuracy of 35.7% in the guess of stimulation type (p = 0.347). No main effects of intervention, time, or their interaction were observed for foot muscle strength (p > 0.05). The average percent change in first-toe flexor strength following anodal HD-tDCS was 12.8 ± 24.2%, with 11 out of 14 participants showing an increase in strength, while the change following sham stimulation was 0.7 ± 17.3%, with 8 out of 14 participants showing an increase in strength. A main effect of time on the passive kinesthesia threshold of ankle inversion, dorsiflexion, and anteroposterior and medial-lateral average sway velocity of the center of gravity in one-leg standing with eyes closed was observed; these outcomes were reduced from pre to post stimulation (p < 0.05). No significant differences were observed for other variables between the two stimulation types. Conclusion: The results of this pilot study suggested that single-session HD-tDCS may improve the flexor strength of the first toe, although no statistically significant differences were observed between the anodal HD-tDCS and sham procedure groups. Additionally, passive ankle kinesthesia and static standing balance performance were improved from pre to post stimulation, but no significant differences were observed between the HD-tDCS and sham procedure groups. This may be potentially due to ceiling effects in this healthy cohort of a small sample size. Nevertheless, these preliminary findings may provide critical knowledge of optimal stimulation parameters, effect size, and power estimation of HD-tDCS for future trials aiming to confirm and expand the findings of this pilot study.

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Test–retest reliability of a new device for assessing ankle joint threshold to detect passive movement in healthy adults

Cited by 27 publications

References 32 publications

Assessing lower limb position sense in stroke using the gradient discrimination test (GradDT™) and step-height discrimination test (StepDT™): a reliability and validity study

Assessing lower limb position sense in stroke using the gradient discrimination test (GradDT™) and step-height discrimination test (StepDT™): a reliability and validity study

Relationship of proprioception, cutaneous sensitivity, and muscle strength with the balance control among older adults

Acute Effects of High-Definition Transcranial Direct Current Stimulation on Foot Muscle Strength, Passive Ankle Kinesthesia, and Static Balance: A Pilot Study

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