The Effect of Ankle Bracing and Taping on Joint Position Sense in the Stable Ankle

1996 ◽  
Vol 5 (3) ◽  
pp. 206-213 ◽  
Author(s):  
Eric J. Heit ◽  
Scott M. Lephart ◽  
Susan L. Rozzi
Keyword(s):  
Ankle Joint ◽  
Joint Angle ◽  
Plantar Flexion ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Significant Difference ◽  
And Control ◽  
Flexion Test ◽  
Ankle Bracing

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.

scholarly journals Evaluation of the ankle position sense in the fatigue foot

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0052
Author(s):  
Masahiro Yoshikawa ◽  
Tomoyuki Nakasa ◽  
Mikiya Sawa ◽  
Yusuke Tsuyuguchi ◽  
Munekazu Kanemitsu ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Ankle Sprain ◽  
Plantar Flexion ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Functional Instability ◽  
Replication Errors ◽  
Ankle Inversion ◽  
Significant Difference

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.

scholarly journals Semi-rigid brace and taping decrease variability of the ankle joint position sense

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 ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Plantar Flexion ◽  
Target Position ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Ankle Sprains ◽  
Joint Position ◽  
Experimental Conditions ◽  
Ankle Brace

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.

Effects of Extensive Training on Female Teenage Gymnasts’ Active and Passive Ankle-Joint Position Sense

2002 ◽  
Vol 11 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Taner Aydin ◽  
Yavuz Yildiz ◽  
Cemil Yildiz ◽  
Tunç Alp Kalyon
Keyword(s):  
Ankle Joint ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Mean Values ◽  
Extensive Training ◽  
Significant Difference ◽  
Group 2 ◽  
Female Gymnasts

Objective:To compare the ankle-joint position-sense patterns of gymnasts and nongymnasts.Design:Proprioceptive ability was evaluated with active and passive angle-reproduction tests.Participants:40 subjects assigned to 2 groups: group 1 (n = 20), healthy subjects, and group 2 (n = 20), teenage female gymnasts.Measurements:Joint-position sense was actively measured with a Cybex NORM™ isokinetic dynamometer and passively with a proprioception-testing device.Results:A Mann-Whitney U test was used to compare the mean values of the gymnasts’ and controls’ ankles. Results revealed statistically significant differences (P < .05) between the 2 groups. No statistically significant difference between the dominant and nondominant ankles in the 2 groups was observed.Conclusions:The results suggest that extensive training might affect ankle-joint position sense, but genetics and natural selection could be the reason. It is thought that athletes are able to develop enhanced neurosensory pathways as a result of long-term training.

The Effect of Ice immersion on Joint Position Sense

1994 ◽  
Vol 3 (1) ◽  
pp. 58-67 ◽  
Author(s):  
Jane LaRiviere ◽  
Louis R. Osternig
Keyword(s):  
Joint Angle ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Protective Mechanisms ◽  
Sensory Stimuli ◽  
Skilled Performance ◽  
Significant Difference ◽  
Joint Receptors ◽  
Free Activity

Ice-induced anesthesia is often used to permit pain-free activity. However, icing before a skilled performance may distort the ability to acknowledge sensory stimuli and may thereby mask certain protective mechanisms. Inadequate peripheral feedback regarding position of a limb in space could expose the joint to injury. This study was designed to determine the effect of ice immersion on ankle joint position sense. Three different pretest conditions of no ice immersion, 5 min of ice immersion, and 20 min of ice immersion were administered to 31 subjects prior to joint angle replication testing with an electrogoniometer. Subjects completed eight repositioning trials (four at each of two test angles) following each condition. An analysis of variance (ANOVA) revealed no statistically significant difference between conditions, trials, or angles. The results suggest that joint position receptors in the ankle are resilient to this type of ice treatment, or that the affected receptors (i.e., skin and muscle) were adequately compensated for by other sensors such as joint receptors.

scholarly journals Acute effects of wearing compression knee-length socks on ankle joint position sense in community-dwelling older adults

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0245979
Author(s):  
Mei Teng Woo ◽  
Keith Davids ◽  
Jia Yi Chow ◽  
Timo Jaakkola
Keyword(s):  
Older Adults ◽  
Elderly People ◽  
Ankle Joint ◽  
Plantar Flexion ◽  
Position Sense ◽  
Joint Position Sense ◽  
Community Dwelling ◽  
Joint Position ◽  
Acute Effects ◽  
Community Dwelling Older Adults

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.

scholarly journals Alhajaya, Mohammed Salem \ associate proffers \Sports Science Faculty \Mutah University

2015 ◽  
Vol 6 (1) ◽  
Author(s):  
Mohammed Salem Alhajaya
Keyword(s):  
Knee Joint ◽  
Training Program ◽  
Joint Angle ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Science Faculty ◽  
Sports Science ◽  
Knee Joint Angle ◽  
Significant Difference

<p align="center"><strong>Effects of proprioception training on knee joint position sense in male soccer athletes.</strong></p><p><strong> </strong></p><p align="center"><strong>Abstract</strong></p><p align="center"><strong> </strong></p><p>The aim of this study was to examine the effect of proprioception training program on knee joint position sense in male soccer athletes. Reproduction of knee joint angle by a passive (by the examiner) - active (by the subjects) positioning was employed to measure joint position sense. Thirty male athletes (N=30) were participated in this study from Sports Science faculty at Mutah University whom registered in soccer course for Fall semester 2013/2014. The researcher used the non-dominant as an experimental limb and underwent proprioceptive training program and dominant as a control limb. The researcher used paired-sample and independent-samples-t- Test to analyse the absolute angles score of present study.</p><p>Results indicated that there was a significant difference of reproduction of the knee joint angle before and after intervention training for the non-dominant limb and a significant difference between dominant and non-dominant limb after intervention training program, (p ≤ 0.05).</p><p>It was suggested that using a proprioception training program may have a direct impact in decreasing knee joint injuries in male soccer athletes.</p><p> </p><p> </p><p><strong>Key words</strong>: proprioception, joint position sense, reproduce joint angle, male soccer athletes, training program.</p><p> </p>

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
Keyword(s):  
Ankle Joint ◽  
Plantar Flexion ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Test Order ◽  
Test Position

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.

Effect of Load, Angle, and Contraction Type on Clinically Assessed Knee Joint Position Sense

2021 ◽  
pp. 1-6
Author(s):  
Adam L. Haggerty ◽  
Janet E. Simon ◽  
Dustin R. Grooms ◽  
Jeffrey A. Russell
Keyword(s):  
Body Position ◽  
Eccentric Contraction ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Active Joint ◽  
Concentric Contraction ◽  
Target Angle ◽  
Significant Difference ◽  
Contraction Type

Context: Proprioception is an individual’s awareness of body position in 3-dimensional space. How proprioceptive acuity changes under varying conditions such as joint position, load, and concentric or eccentric contraction type is not well understood. In addition, a limitation of the variety of techniques to assess proprioception is the lack of clinically feasible methods to capture proprioceptive acuity. The purpose of this study was to implement a readily available instrument, a smartphone, in the clinical evaluation of knee active joint position sense and to determine how joint angle, joint loading, and quadriceps contraction type affect an individual’s active joint position sense. Design: Cross-over study. Methods: Twenty healthy, physically active university participants (10 women and 10 men: 21.4 [2.0] y; 1.73 [0.1] m; 70.9 [14.3] kg) were recruited. Individuals were included if they had no neurological disorder, no prior knee surgery, and no recent knee injury. The participants were given a verbal instruction to locate a target angle and then were tasked with reproducing the target angle without visual or verbal cues. An accelerometer application on a smartphone was used to assess the angle to the nearest tenth of a degree. Three variables, each with 2 levels, were analyzed in this study: load (weighted and unweighted), contraction type (eccentric and concentric), and joint position (20° and 70°). A repeated-measures analysis of variance was conducted to assess the within-subjects factors of load, contraction, and position. Results: A significant difference of 0.50° (0.19°) of greater error with eccentric versus concentric contraction (P = .02) type was identified. In addition, a significant interaction was found for contraction × position, with a mean increase in error of 0.98° (0.33°) at the 20° position when contracting eccentrically (P = .03). Conclusions: Contraction type, specifically eccentric contraction at 20°, showed significantly greater error than concentric contraction. This suggests that, during eccentric contractions of the quadriceps, there may be decreased proprioceptive sensitivity compared with concentric contractions.

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