The relationship between trunk position sense and postural control in ataxic individuals

Kılınç, Özge Onursal; Ayvat, Ender; Ayvat, Fatma; Sütçü, Gülşah; Kılınç, Muhammed; Aksoy, Songül; Yıldırım, Sibel Aksu

doi:10.1016/j.gaitpost.2018.12.007

Cited by 16 publications

(12 citation statements)

References 22 publications

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“…25 Studies show that cerebellar damage results in deficits of proprioception, which is critical for retaining quiet standing. 19,44 Proprioceptive dysfunction can not only impair adaption to a changing base-of-support, but also reduces the perception of trunk, surface orientation, and postural sway in stance. 33 This provides a possible mechanism for why SCA3 patients show higher body sway than controls.…”

Section: Discussionmentioning

confidence: 99%

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Quantitative assessment of postural instability in spinocerebellar ataxia type 3 patients

Liu

et al. 2020

Ann Clin Transl Neurol

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Objective Spinocerebellar ataxia type 3 (SCA3) is one of the most common hereditary neurodegenerative diseases, with balance instability as main symptom. Balance quantification is crucial for evaluating the efficacy of therapeutic interventions. However, balance evaluation in SCA3 is often subject to bias. Here, we aimed to quantitatively evaluate postural instability and investigate the relationship between postural instability and clinical characteristics in SCA3 patients. Methods Sixty‐two SCA3 patients and 62 normal controls were recruited, and their postural balance was measured using a posturographic platform. Principal component analysis was performed as data reduction to identify postural instability factors. Multivariable linear regression was used to investigate potential risk factors for postural instability and to explore whether postural instability predicts the severity and progression of ataxia in SCA3 patients. Results We found SCA3 patients experience postural instability characterized by significant impairment in static and dynamic stability. The condition without visual feedback was the most sensitive measure in differentiating SCA3 from controls. Regression analyses revealed that ataxia severity predicted both static (P = 0.014) and dynamic stability (P = 0.001). Likewise, along with expanded CAG repeats (P < 0.001), both static (P < 0.001) and dynamic stability (P < 0.001) predicted ataxia severity, but not ataxia progression. Interpretation Our findings demonstrate the validity of using the Pro‐kin system for assessing postural instability in SCA3 patients. This type of quantitative assessment of balance dysfunction can contribute to clinical trials and balance rehabilitation in SCA3 patients.

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Section: Discussionmentioning

confidence: 99%

“…15 In addition, ataxia patients may experience poor body control in dynamic balance. 19 However, the possible patterns of balance dysfunction used in posturography have not been thoroughly studied in SCA3 and the relationship between balance dysfunction and SCA3 phenotype remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Quantitative assessment of postural instability in spinocerebellar ataxia type 3 patients

Liu

et al. 2020

Ann Clin Transl Neurol

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“…It is known that the trunk remains an essential component for the independent functioning of a child with a neurological disorder and children with CP have impaired selective control of the trunk affecting their ambulation and functional activities [ 28 ]. Literature review suggests several studies discussing the relationship between trunk position sense, balance, and postural control in various neurological conditions [ 11 , 29 , 30 ]. However, in children with spastic CP, this relationship remains mostly unexplored.…”

Section: Introductionmentioning

confidence: 99%

Relationship between Trunk Position Sense and Trunk Control in Children with Spastic Cerebral Palsy: A Cross-Sectional Study

Monica

Nayak

Joshua

et al. 2021

Rehabilitation Research and Practice

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Background and Aim. Children with spastic cerebral palsy (CP) have impaired trunk control. Joint position sense, a component of proprioception, plays a crucial role in maintaining spinal mobility and stability. The current study is aimed at analysing the relationship between trunk control and trunk position sense in children with spastic CP. Methods. In this study, 24 children with spastic CP aged between 8 and 15 years were recruited. They were classified based on their functional performance using Gross Motor Function Classification System (GMFCS). Trunk control and trunk position sense were assessed using the trunk control measurement scale (TCMS) and digital goniometer, respectively. The correlation between these variables was tested using Spearman’s correlation coefficient. Results. Significant negative correlation was found between trunk position sense and TCMS score. Similarly, a significant moderate correlation was found between trunk position sense and GMFCS. A strong negative correlation was also found between GMFCS and TCMS. Conclusion. Children with spastic CP with better trunk position sense had better trunk control. Similarly, children with higher functional performance had better trunk control and lesser error in trunk position sense. The current findings imply the relevance of proprioceptive training of the trunk for enhancing trunk motor control in children with spastic CP.

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“…Previous studies have shown that attendance at exercise training sessions can positively affect knee sense of position (Aslan, Buddhadev, Suprak, & San Juan, 2018;David, Amasay, Ludwig, & Shapiro, 2019) and this effect may be observable even in one session (Romero-Franco & Jiménez-Reyes, 2017). Also, it is shown that sense of position may affect the dynamic balance (Onursal Kılınç et al, 2019) which may play a significant role in preventing sports injuries (Hanlon, Krzak, Prodoehl, & Hall, 2020). To the best of our knowledge, no studies have been conducted on the effects of RNT on the position sense of knee and dynamic balance in female athletes with DKV.…”

Section: Introductionmentioning

confidence: 99%

The acute effects of one session reactive neuromuscular training on balance and knee joint position sense in female athletes with dynamic knee valgus

Mirzaee¹,

Sheikhhoseini²,

Piri³

2020

Acta Gymnica

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The jump-landing movements can cause other non-ligamentous injuries such as bone and cartilaginous injuries (Aerts, Cumps, Verhagen, Verschueren, & Meeusen, 2013). The risk of injury may increase as a result of the faulty movement patterns (Padua et al., 2009). Dynamic knee valgus (DKV) as one of these faulty movement patterns is defined as a combination of excessive femoral adduction, internal rotation, tibial internal torsion and the medial movement of the knee (Lima et al., 2018). Movement patterns are modifiable risk factors for the injuries (Padua et al., 2009), and, the risk of ACL and other lower extremity injuries may be decreased by correcting faulty movement patterns. One of the causes of faulty movement patterns may be impaired joint position sense (JPS) as a component of proprioception. The proprioception is a broad concept that includes both the sense of body orientation and position, and a sense of body and limb motion (Bragonzoni et al., 2019; Hillier, Immink, & Thewlis,

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The relationship between trunk position sense and postural control in ataxic individuals

Cited by 16 publications

References 22 publications

Quantitative assessment of postural instability in spinocerebellar ataxia type 3 patients

Quantitative assessment of postural instability in spinocerebellar ataxia type 3 patients

Relationship between Trunk Position Sense and Trunk Control in Children with Spastic Cerebral Palsy: A Cross-Sectional Study

The acute effects of one session reactive neuromuscular training on balance and knee joint position sense in female athletes with dynamic knee valgus

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