Joint position sense error in the hip and knee without reference to the joint angle.

IF 1.4 4区 医学 Q3 ORTHOPEDICS Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI:10.3233/BMR-230129
Wootaek Lim
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引用次数: 0

Abstract

Background: Joint position reproduction measures the angle acuity of reference angle reproduction using an indicator angle. However, reference angles are often not available.

Objective: This study aimed to examine joint position sense at three different targeted joint angles, which were estimated from the maximum range of motion (maxROM) without a reference angle at each targeted joint angle.

Methods: The maxROM was measured in straight leg raise (SLR) and active knee extension (AKE) positions. In both positions, a targeted joint angle at 75% of the maxROM was assessed first, followed by that at 50% and 25% of the maxROM. A one-sample t-test was used to analyze differences between the targeted and reproduced angles in both positions.

Results: All reproduced angles significantly differed from the targeted angle in both SLR and AKE positions except for the reproduced angle measured at 75% maxROM. Overall, position errors in the AKE position were higher than those in the SLR position.

Conclusions: Estimating the angle based on the maxROM without a matched reference angle may lead to significant discrepancies in comparison with the targeted joint angle. In clinical settings, if accurate reproduction of motions is required to improve proprioception, providing a reference angle might be helpful.

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在不考虑关节角度的情况下,髋关节和膝关节的关节位置感误差。
背景:关节位置再现测量的是使用指示角再现参考角的角度敏锐度。然而,参考角度往往不可用:本研究旨在考察三个不同目标关节角度的关节位置感,这些位置感是在每个目标关节角度没有参考角度的情况下,根据最大运动范围(maxROM)估算出来的:在直腿抬高(SLR)和主动伸膝(AKE)姿势下测量最大运动范围。在这两种姿势下,首先评估最大膝关节伸展量的 75% 的目标关节角度,然后评估最大膝关节伸展量的 50% 和 25% 的目标关节角度。采用单样本 t 检验分析两种体位下目标角度和再现角度之间的差异:结果:在 SLR 和 AKE 体位中,除了在最大 ROM 为 75% 时测量的再现角度外,所有再现角度都与目标角度存在明显差异。总体而言,AKE 位置的位置误差高于 SLR 位置:结论:在没有匹配参考角度的情况下,根据最大ROM估计角度可能会导致与目标关节角度的显著差异。在临床环境中,如果需要准确再现运动以改善本体感觉,提供参考角度可能会有所帮助。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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