scholarly journals Intertester Reliability of Active and Passive Ankle Joint Position Sense Testing

1995 ◽  
Vol 4 (4) ◽  
pp. 282-291 ◽  
Author(s):  
Joseph E. Szczerba ◽  
Julie N. Bernier ◽  
David H. Perrin ◽  
Bruce M. Gansneder

The purpose of this study was to estimate intertester reliability of active and passive ankle joint position sense measurements in uninjured subjects. Subjects were 10 males and 10 females. Active and passive ankle joint position sense was assessed by two testers. Each subject was positioned supine on a modified examination table with his or her ankle placed in 25° of plantar flexion. Joint position sense (IPS) measurements, on two separate occasions, were recorded in degrees of error from four predetermined test positions. Test order was counterbalanced according to mode (active/passive) and test position. Two trials were performed for each sequence and the average of the two was recorded for analysis. The results revealed that both the active and passive JPS protocols yielded poor to moderate intertester reliability. It was concluded that further research is needed to develop reliable protocols for testing joint position sense of the ankle joint.

2014 ◽  
Vol 20 (4) ◽  
pp. 448-453 ◽  
Author(s):  
Márcia Barbanera ◽  
Flávia de Andrade e Souza Mazuchi ◽  
José Paulo Berretta Batista ◽  
Janaina de Moura Ultremare ◽  
Juliana da Silva Iwashita ◽  
...  

The present study investigated the effect of taping and the semi-rigid ankle brace on ankle joint position sense. Sixteen healthy women (20.8 ± 2.3 years old) actively placed the ankle in a target position. The experimental conditions were: 1) wearing no orthosis device, 2) using semi-rigid brace, and 3) wearing ankle taping. Absolute error (AE) and variable error (VE) were calculated to obtain the joint position sense. We found an interaction effect between condition and target angle at 15o of plantar flexion for the variable VE, which showed smaller errors during the use of taping and semi-rigid brace. In conclusion, the use of ankle joint orthoses, whether taping or semi-rigid brace, decrease the variability of the position sense at 15o of plantar flexion, potentially decreasing ankle sprains occurrence.


2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0052
Author(s):  
Masahiro Yoshikawa ◽  
Tomoyuki Nakasa ◽  
Mikiya Sawa ◽  
Yusuke Tsuyuguchi ◽  
Munekazu Kanemitsu ◽  
...  

Category: Ankle Introduction/Purpose: Previous studies have described the damage of sensori-motor control in ankle sprain as being a possible cause of functional instability. The methods to demonstrate the functional instability, have included the postural balance test, peroneal muscle reaction time to sudden ankle inversion, peroneal nerve conduction velocity, and joint position sense of the ankle. On the other hand, isokinetic fatigue of ankle plantar flexion and dorsiflexion exhibits the correlation with postural instability. We hypothesize muscle fatigue around ankle joint causes abnormality of joint position sense, especially inversion at ankle joint, and it will be one of the causes of the ankle sprain. The aim of this study was to evaluate the inversion angle replication errors of before fatigue and after fatigue. Methods: 11 subjects were included in this study. The subjects were placed in a sitting position with the knee flexed at 70°. Each subject placed the foot on a goniometer footplate with the ankle at 20° planter flexion. Subjects were blindfolded to eliminate visual input and to facilitate concentration during testing. The foot was passively rotated internally at random to one of six positions (5°to 30°), always starting from 0°. The footplate was rotated manually to the index angle in approximately 1 s, and held in position for 5 s. Then the ankle was returned to the 0° position. After that, the subjects moved their ankle to match the previous test angle actively. The difference between the index angle and replication angle was measured. Ankles were enforced planter and dorsiflexion according to previous reports, and replication error was measured before and after fatigue. Results: The side-to-side difference of the replication errors was 1.9±1.7° in the before-fatigue group and 2.6±1.8° in the after-fatigue group. There was a statistically significant difference between both the groups (p<0.05). In each inversion angle, there were significant differences of the side-to-side differences of the replication errors at 5°and 10°inversion angles (0.8±0.9°, 1.5±1.4° in the before-fatigue group and 2.2±1.7°, 2.6±1.5° in the after-fatigue group respectively). Conclusion: This study revealed the deficit of joint position sense in ankle inversion induced by fatigue. Fatigue may be one of the risk factor of ankle sprain through the deficit of joint position sense in inversion angle during sports activity.


1996 ◽  
Vol 5 (3) ◽  
pp. 206-213 ◽  
Author(s):  
Eric J. Heit ◽  
Scott M. Lephart ◽  
Susan L. Rozzi

The purpose of this study was to determine the proprioceptive effects of ankle bracing and taping. Proprioception was assessed in 26 subjects by evaluating ankle joint position sense, which was determined by the subjects' ability to actively reproduce a passively positioned joint angle. Testing was performed at positions of 30° of plantar flexion and 15° of inversion. Each subject underwent four trials at each test angle under three conditions: braced, taped, and control. For the plantar flexion test, both the braced condition and the taped condition significantly enhanced joint position sense when compared to the control condition. There was no significant difference between the braced and taped conditions. For the inversion test, the taped condition significantly enhanced joint position sense compared to the control condition. There was no significant difference between the braced and the control conditions or between the braced and the taped conditions. This study demonstrates that ankle bracing and taping improve joint position sense in the stable ankle.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0245979
Author(s):  
Mei Teng Woo ◽  
Keith Davids ◽  
Jia Yi Chow ◽  
Timo Jaakkola

Functional proprioceptive information is required to allow an individual to interact with the environment effectively for everyday activities such as locomotion and object manipulation. Specifically, research suggests that application of compression garments could improve proprioceptive regulation of action by enhancing sensorimotor system noise in individuals of different ages and capacities. However, limited research has been conducted with samples of elderly people thus far. This study aimed to examine acute effects of wearing knee-length socks (KLS) of various compression levels on ankle joint position sense in community-dwelling, older adults. A total of 26 participants (12 male and 14 female), aged between 65 and 84 years, were randomly recruited from local senior activity centres in Singapore. A repeated-measures design was used to determine effects on joint position awareness of three different treatments–wearing clinical compression socks (20–30 mmHg); wearing non-clinical compression socks (< 20 mmHg); wearing normal socks, and one control condition (barefoot). Participants were required to use the dominant foot to indicate 8 levels of steepness (2.5°, 5°, 7.5°, 10°, 12.5°, 15°, 17.5°, and 20°), while standing on a modified slope box, in a plantar flexion position. Findings showed that wearing clinical compression KLS significantly reduced the mean absolute errors compared to the barefoot condition. However, there were no significant differences observed between other KLS and barefoot conditions. Among the KLS of various compression levels, results suggested that only wearing clinical compression KLS (20–30 mmHg) improved the precision of estimation of ankle joint plantar flexion movement, by reducing absolute performance errors in elderly people. It is concluded that wearing clinical compression KLS could potentially provide an affordable strategy to ameliorate negative effects of ageing on the proprioception system to enhance balance and postural control in community-dwelling individuals.


2006 ◽  
Vol 405 (1-2) ◽  
pp. 19-23 ◽  
Author(s):  
Nicolas Vuillerme ◽  
Olivier Chenu ◽  
Jacques Demongeot ◽  
Yohan Payan

2020 ◽  
Vol 1 (1) ◽  
pp. 167-178
Author(s):  
Koyuki Ikarashi ◽  
Kaho Iguchi ◽  
Yudai Yamazaki ◽  
Koya Yamashiro ◽  
Yasuhiro Baba ◽  
...  

2020 ◽  
Author(s):  
Chai-Wei Lin ◽  
Yi-An Chen ◽  
Yu-Lin You ◽  
Tzu-Chan Wu ◽  
Cheng-Feng Lin

Abstract Background: Ballet dancers are at high risk of ankle sprain. As a result, effective training programs are required for ballet dancers to minimize injury occurrence and improve their balance ability. Our purpose was to investigate the effects of a 6-week integrated training program on the ankle joint position sense and postural stability in ballet dancers.Methods: Twenty-nine female ballet dancers were recruited to the study. Sixteen of the dancers underwent a 6-week integrated training program consisting of plyometric, proprioception and core stability exercises. The remaining ballet dancers performed no additional training, but continued regular ballet practice as usual. For both groups, ankle joint position sensing tests were performed before and after training. Furthermore, for the training group, the postural stability was assessed by measuring the average speed of the center of pressure (COP) and the maximum ankle joint displacements while performing grand plie (deep squatting) and releve en demi-pointe (standing on balls of foot) movements.Results: After 6 weeks, both groups showed significantly smaller absolute ankle joint reposition errors in plantarflexion and eversion. Furthermore, the training group showed a significantly smaller ankle joint reposition error in dorsiflexion. The training group also showed a significantly slower average COP speed and smaller maximum COP displacement in the medial-lateral direction.Conclusions: The 6-week integrated training program improved the ankle joint position sense in dorsiflexion and the postural control in the medial-lateral direction while performing grand-plie and releve en demi-pointe movements. Thus, this integrated training program can be suggested for dancers in order to improve ankle position sense and postural stability during ballet movements.


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