scholarly journals Influence of cryotherapy on balance and joint position sense in healthy subjects: randomized clinical trial.

2015 ◽  
Vol 13 ◽  
pp. 276
Author(s):  
Caio Alano de Almeida Lins ◽  
Liane Brito Macedo ◽  
Renata Augusta Gomes Silveira ◽  
Daniel Tezoni Borges ◽  
Jamilson Simões Brasileiro
Keyword(s):  
Clinical Trial ◽  
Lower Limb ◽  
Soft Tissues ◽  
Position Sense ◽  
Joint Position Sense ◽  
Control Group ◽  
Joint Position ◽  
Kinetic Chain ◽  
Increased Risk ◽  
Experimental Group

Background: Cryotherapy has been widely used in clinical practice, particularly for the treatment of acute injuries to soft tissues and various joints. However, since decrease in temperature can results in reduced nerve conduction velocity and proprioception, it can therefore be assumed that cryotherapy, applied before exercise, can result in a greater predisposition of the joints to lesion. Thus, the objective of this study was to evaluate the influence of cryotherapy on balance and knee joint position sense (JPS). Methods: We conducted a randomized single-blinded clinical trial, with thirty volunteers of both genders (age: 23.3 ± 2.5 years; BMI: 22.2 ± 2.1 Kg/m2), who were randomly distributed into two groups with 15 subjects in each: control group - 20 minutes at rest; and experimental group - application of cryotherapy on the knee of the dominant lower limb, for 20 minutes. All subjects were submitted to the assessment of the balance, by means of computerized baropodometry and the JPS of the knee of the dominant lower limb (DLL) using an electrogoniometer, both open kinetic chain (OKC) and closed kinetic chain (CKC), before and after the interventions. Statistical analysis was performed using SPSS 20.0 software.  Kolmogorov-Smirnov test was used to check the data normality and two-way ANOVA to verify intra and inter-group differences. The study was approved by the local Research and Ethics Committee (Approval no.  099/10) Results: There was a difference on the JPS assessed in OKC in the experimental group (p= 0.03). There was no alteration in the balance and the JPS with CKC, in none of the groups tested (p > 0.05). Conclusion: Cryotherapy when applied on knee did not affect balance or the JPS with CKC of the knee, although alteration was observed in OKC. We therefore conclude that application of cryotherapy before exercises do not posses increased risk of myoarticular injuries, since the most of these activities is performed in CKC.

scholarly journals Chen-Style Tai Chi for Individuals (Aged 50 Years Old or Above) with Chronic Non-Specific Low Back Pain: A Randomized Controlled Trial

2019 ◽  
Vol 16 (3) ◽  
pp. 517 ◽  
Author(s):  
Jing Liu ◽  
Albert Yeung ◽  
Tao Xiao ◽  
Xiaopei Tian ◽  
Zhaowei Kong ◽  
...  
Keyword(s):  
Lower Limb ◽  
Tai Chi ◽  
Functional Disability ◽  
Position Sense ◽  
Joint Position Sense ◽  
Control Group ◽  
Joint Position ◽  
Low Back ◽  
Core Stabilization ◽  
Limb Proprioception

Tai Chi (TC) can be considered safe and effective intervention to improve pain and pain-related functional disability. However, it is unclear that whether aging individuals with Chronic Non-Specific Low Back Pain (CNS-LBP) can achieve positive results. This study, therefore, attempted to explore the effects of TC on pain and functional disability in CNS-LBP patients aged 50 years old or above. Forty-three individuals (aged 50 years old or above) with CNS-LBP were randomly assigned into three groups: Chen-Style TC group (n = 15), Core Stabilization training (CST) group (n = 15), and control group (n = 13). Participants in the TC group participated in Chen-style TC training program (three 60-min sessions per week for 12 weeks), individuals in CST group received 12-week Core Stabilization exercise on the Swiss ball, whereas individuals in the control group maintained their unaltered lifestyle. Pain intensity as primary outcome was measured using the Visual Analogue Scale (VAS), A BiodexSystem 3 isokinetic dynamometer was used to measure knee and ankle joint position sense (JPS) as secondary outcomes at baseline and after the 12-week intervention. TC and CST have significant effects in VAS for CNS-LBP patients (p< 0.01, TC group OR CST group versus control group in mean of the post-minus-pre assessment). However, the feature of joint position sense (JPS) of ankle inversion, ankle eversion and knee flexion did not occur, it showed no significant effects with TC and CST. TC was found to reduce pain, but not improve lower limb proprioception in patients with CNS-LBP. Future research with larger sample sizes will be needed to achieve more definitive findings on the effects of TC on both pain and lower limb proprioception in this population.

scholarly journals Kinesio taping® does not alter joint position sense in healthy subjects: randomized, clinical trial.

2014 ◽  
Vol 12 ◽  
pp. 203
Author(s):  
Caio Alano de Almeida Lins ◽  
Francisco Locks Neto ◽  
Anita Barros Carlos De Amorim ◽  
Daniel Tezoni Borges ◽  
Liane De Brito Macedo ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Healthy Subjects ◽  
Vastus Lateralis ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Control Group ◽  
Adhesive Tape ◽  
Joint Position ◽  
Kinesio Taping

Introduction: The Kinesio Taping® is an elastic functional tape with specific characteristics that, when applied on or around muscles, aims to assist and functionally support them. Its effect on proprioception, a component of the somatosensory system, is still poorly understood. Objective: To assess the immediate effects of the application of KinesioTaping®(KT) on knee joint position sense (JPS) of healthy subjects. Method: This is a controlled, randomized-blinded clinical trial. Sixty females volunteers (age: 23.3 ± 2.5 years, BMI: 22.2 ± 2.1 kg/m2) were randomly divided into 3 groups with 20 members each, and they performed one of three protocols: control - 10 minutes of resting; nonelastic adhesive tape - application over the rectus femoris (RF), vastus lateralis (VL) and vastus medialis (VM) muscles; and KT - application of KT over the same muscles. All were subjected to knee JPS evaluation on an isokinetic dynamometer, in which the analyzed variable was the absolute error, before and after interventions. Results: There were no significant changes in knee JPS in the assessed groups, using absolute error (control group p=0,14; nonelastic adhesive tape group p=0,32; KT group p=0,91). Conclusion: The application of KT on the RF, VL and VM muscles was not able to significantly improve the knee JPS of healthy women.

Effects of proprioceptive training on the incidence of ankle sprain in athletes: systematic review and meta-analysis

2018 ◽  
Vol 32 (12) ◽  
pp. 1581-1590 ◽  
Author(s):  
Gabriela Souza de Vasconcelos ◽  
Anelize Cini ◽  
Graciele Sbruzzi ◽  
Cláudia Silveira Lima
Keyword(s):  
Postural Sway ◽  
Meta Analysis ◽  
Balance Training ◽  
Neuromuscular Control ◽  
Position Sense ◽  
Joint Position Sense ◽  
Control Group ◽  
Controlled Trials ◽  
Ankle Sprains ◽  
Joint Position

Objective: To investigate how dynamic neuromuscular control, postural sway, joint position sense, and incidence of ankle sprain are influenced by balance training in athletes compared with the control group in randomized clinical trials. Data sources: The search strategy included MEDLINE, Physical Therapy Evidence Database, Cochrane Central Register of Controlled Trials, and Latin American and Caribbean Center on Health Sciences Information. Randomized controlled trials (RCTs) were published by June of 2018. Methods: RCTs that evaluate the effectiveness of proprioception in these outcomes: dynamic neuromuscular control, postural sway, joint position, and the incidence of ankle sprains in athletes aged between 18 and 35 years. Two reviewers independently screened the searched records, extracted the data, and assessed risk of bias. The treatment effect sizes were pooled in a meta-analysis using the RevMan 5.2 software. Internal validity was assessed through topics suggested by Cochrane Collaborations. Results: Of the 12 articles included ( n = 1817), eight were in the meta-analysis ( n = 1722). The balance training reduced the incidence of ankle sprains in 38% compared with the control group ( RR: 0.62; 95% CI: 0.43–0.90). In relation to the dynamic neuromuscular control, the training showed increase in the distance of reach in the anterior (0.62 cm, 95% CI: 0.13–1.11), posterolateral (4.22 cm, 95% CI: 1.76–6.68), and posteromedial (3.65 cm, 95% CI: 1.03–6.26) through the Star Excursion Balance test. Furthermore, training seems to improve postural sway and joint position sense. Conclusion: Balance training reduces the incidence of ankle sprains and increases dynamic neuromuscular control, postural sway, and the joint position sense in athletes.

scholarly journals Effects of exercise combined with whole body vibration in patients with patellofemoral pain syndrome: a randomised-controlled clinical trial

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Angel Yañez-Álvarez ◽  
Beatriz Bermúdez-Pulgarín ◽  
Sergio Hernández-Sánchez ◽  
Manuel Albornoz-Cabello
Keyword(s):  
Clinical Trial ◽  
Lower Limb ◽  
Repeated Measures ◽  
Whole Body Vibration ◽  
Patellofemoral Pain ◽  
Whole Body ◽  
Control Group ◽  
Body Vibration ◽  
And Function ◽  
Experimental Group

Abstract Background Patellofemoral pain is a prevalent condition in the general population, especially in women, and produces functional impairment in patients. Therapeutic exercise is considered an essential part of the conservative management. The use of vibration platforms may help improve strength and function and reduce pain in patients with knee disorders. The aim of this investigation was to determine the effects of adding whole body vibration (vertical, vibration frequency of 40 Hz, with an amplitude from 2 to 4 mm) to an exercise protocol for pain and disability in adults with patellofemoral pain. Methods A randomised clinical trial was designed, where 50 subjects were randomly distributed into either an exercise group plus whole body vibration or a control group. Pain, knee function (self-reported questionnaire) and range of motion and lower limb functionality were assessed at baseline and at 4 weeks. The experimental group performed 12 supervised sessions of hip, knee and core strengthening exercises on a vibration platform 3 times per week during 4 weeks. The control group followed the same protocol but without vibration stimuli. Differences in outcome measures were explored using an analysis of the variance of 2 repeated measures. Effect sizes were estimated using Square Eta (η2). Significant level was set al P < 0.05. Results Statistically significant differences were found after intervention in favour of the experimental group in the between-groups comparison and in the interaction of the experimental group before and after treatment in terms of pain perception (P = 0.000; η2 = 0.63) and function outcomes scores (P = 0.000; η2 0.39 and 0.51 for lower limb functional scale and Kujala scores respectively). Conclusion A 4-week whole body vibration exercise programme reduces pain level intensity and improves lower limb functionality in patellofemoral pain patients and is more effective than exercise alone in improving pain and function in the short-term. Trial registration ClinicalTrials.gov (NCT04031248). This study was prospectively registered on the 24th July, 2019.

Use of Kinesiology Taping in Rehabilitation after Knee Arthroplasty: a Randomised Clinical Study

2017 ◽  
Vol 19 (5) ◽  
pp. 0-0 ◽  
Author(s):  
Weronika Woźniak-Czekierda ◽  
Kamil Woźniak ◽  
Anna Hadamus ◽  
Dariusz Białoszewski
Keyword(s):  
Knee Replacement ◽  
Knee Arthroplasty ◽  
Functional Performance ◽  
Position Sense ◽  
Joint Position Sense ◽  
Control Group ◽  
Body Balance ◽  
Knee Replacement Surgery ◽  
Replacement Surgery ◽  
Experimental Group

Summary Background. Proprioception and body balance after knee arthroplasty have a considerable impact on restoration of joint function and a normal gait pattern. Kinesiology Taping (KT) is a method that may be able to influence these factors. The aim of this study was to assess the effects of KT application on sensorimotor efficiency, balance and gait in patients undergoing rehabili­ta­­tion after knee replacement surgery. Material and methods. The study involved 120 male and female patients (mean age was 69 years) after total knee repla­cement. The patients were randomly assigned to one of two groups: Experimental Group (n=51) and Control Group (n=60). Both groups underwent standard rehabilitation lasting 20 days. In addition, the Experimental Group received KT applications. Treat­ment outcomes were assessed based on tests evaluating balance, joint position sense and functional gait performance, conducted both before and after the therapy. Results. Statistically significant improvements were noted across all the parameters assessed in the Experimental Group (p<0.005). Significant improvements were also seen in the Control Group (p<0.005), but, in percentage terms, the improvement was higher in the Experimental Group. The only exception was the right/left foot load distribution, whose symmetry improved proportionally in both groups. Conclusions. 1. Patients after knee replacement surgery have considerable proprioception deficits, impaired body balance and reduced functional performance, which may increase the risk of falls in this group of patients. 2. Both standard physiotherapy and combination therapy with Kinesiology Taping (modified by the present authors) used in patients after knee arthroplasty may considerably improve the level of proprioception, body balance and overall functional performance. 3. The technique of dynamic taping proposed in this paper may optimise standard physiotherapy used in patients after knee arthroplasty and increase its clinical efficacy. Further studies are required.

Effect of laterality discrimination on joint position sense and cervical range of motion in patients with chronic neck pain: a randomized single-blind clinical trial

2019 ◽  
Vol 36 (2) ◽  
pp. 136-143
Author(s):  
Jose Vicente León-Hernández ◽  
David Marcos-Lorenzo ◽  
David Morales-Tejera ◽  
Ferran Cuenca-Martínez ◽  
Roy La Touche ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Neck Pain ◽  
Range Of Motion ◽  
Chronic Neck Pain ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Cervical Range Of Motion ◽  
Single Blind

Effect of a Neoprene Sleeve on Knee Joint Position Sense During Sitting Open Kinetic Chain and Supine Closed Kinetic Chain Tests

1998 ◽  
Vol 26 (4) ◽  
pp. 562-566 ◽  
Author(s):  
Trevor B. Birmingham ◽  
John F. Kramer ◽  
J. Tim Inglis ◽  
Colleen A. Mooney ◽  
Lisa J. Murray ◽  
...  
Keyword(s):  
Knee Joint ◽  
Test Performance ◽  
Position Sense ◽  
Joint Position Sense ◽  
Primary Objective ◽  
Future Research ◽  
Joint Position ◽  
Kinetic Chain ◽  
Open Kinetic Chain ◽  
Closed Kinetic Chain

The primary objective of the present study was to compare the effect of a neoprene sleeve on knee joint position sense during a sitting open kinetic chain test and a supine closed kinetic chain test. Young (24 2 years old), healthy subjects (18 men and 18 women) performed knee joint angle replication tests during open kinetic chain knee extension (sitting) and closed kinetic chain leg press (supine with an axial load of 15% body weight) before and after application of a neoprene sleeve over the dominant knee. The improvement in ability to replicate joint angles after application of the sleeve (sleeve effect) was significantly less during the supine closed kinetic chain test (0.3° 1.4°) than during the sitting open kinetic chain test (1.2° 1.1°). The sleeve effect was inversely related to subjects' performance without the sleeve during both the sitting open kinetic chain and supine closed kinetic chain tests, suggesting that some people may derive greater benefit from the sleeve than others. Although the sleeve effects were small, particularly during the supine closed kinetic chain test, 72% of subjects felt that the sleeve improved their overall test performance. Future research is needed to establish the functional relevance of the small sleeve effects observed and to identify the characteristics of people who might derive greatest benefit from sleeve use.

scholarly journals Surgical Reconstruction with the Remnant Ligament Improves Joint Position Sense as well as Functional Ankle Instability: A 1-Year Follow-Up Study

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Kamizato Iwao ◽  
Deie Masataka ◽  
Fukuhara Kohei
Keyword(s):  
Ankle Instability ◽  
Intervention Group ◽  
Position Sense ◽  
Joint Position Sense ◽  
Surgical Reconstruction ◽  
Functional Improvement ◽  
Control Group ◽  
Joint Position ◽  
Functional Ankle Instability ◽  
Significant Difference

Introduction. Chronic functional instability—characterized by repeated ankle inversion sprains and a subjective sensation of instability—is one of the most common residual disabilities after an inversion sprain. However, whether surgical reconstruction improves sensorimotor control has not been reported to date. The purpose of this study was to assess functional improvement of chronic ankle instability after surgical reconstruction using the remnant ligament.Materials and Methods. We performed 10 cases in the intervention group and 20 healthy individuals as the control group. Before and after surgical reconstruction, we evaluated joint position sense and functional ankle instability by means of a questionnaire.Results and Discussion. There was a statistically significant difference between the control and intervention groups before surgical reconstruction. Three months after surgery in the intervention group, the joint position sense was significantly different from those found preoperatively. Before surgery, the mean score of functional ankle instability in the intervention group was almost twice as low. Three months after surgery, however, the score significantly increased. The results showed that surgical reconstruction using the remnant ligament was effective not only for improving mechanical retensioning but also for ameliorating joint position sense and functional ankle instability.

scholarly journals Efficacy of throwing exercise with TheraBand in male volleyball players with shoulder internal rotation deficit: a randomized controlled trial

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohsen Moradi ◽  
Malihe Hadadnezhad ◽  
Amir Letafatkar ◽  
Zohre Khosrokiani ◽  
Julien S. Baker
Keyword(s):  
Rotator Cuff ◽  
Muscle Strength ◽  
Muscle Activation ◽  
Position Sense ◽  
Joint Position Sense ◽  
Emg Activity ◽  
Control Group ◽  
Joint Position ◽  
Rotator Cuff Muscle ◽  
Volleyball Players

Abstract Background The Glenohumeral internal-rotation deficit (GIRD) is related to the altered eccentric external-rotator (ER), the concentric internal-rotator (IR), muscle strength, and the ER: IR ratio. GIRD has been documented as a risk factor for shoulder injuries. However, few studies have investigated the effect of an exercise training on these parameters in athletes with GIRD. Therefore, the purpose of this study was to evaluate the effects of an 8-week throwing exercise with a TheraBand for retraining the rotator cuff on Electromyography (EMG) activity of selected muscles, rotator cuff muscle strength, the glenohumeral (GH) joint IR range of motion (ROM) and GH joint position sense in asymptomatic male volleyball players with GIRD. Methods Sixty male volleyball players with GIRD were randomized into either a training group or a control group. The experimental group underwent an 8-week throwing exercise with a TheraBand including 5 sessions of stretching and 3 sessions of strengthening exercises per week. The control group received an active self-exercise program. EMG (onset time and muscle activation), shoulder range of motion (ROMs), strength and GH joint position sense were all assessed pre and post trainings. Results There were statistically significant within-group differences in the EMG activity of the anterior deltoid (p = 0.005), middle deltoid (p = 0.007), posterior deltoid (p = 0.004), infraspinatus (p = 0.001) and supraspinatus (p = 0.001) muscles, IR ROM (p = 0.001), rotator cuff muscle strength ratio (p = 0.001), and GH joint position sense (p = 0.033) in the experimental group. A 2 × 2 analysis of variance with a mixed model design and independent and paired t-tests were used for statistical analysis. Conclusions Throwing exercise with a TheraBand improved shoulder muscle activation, IR ROM, rotator cuff muscle strength ratio and GH joint position sense in participants with GIRD. These findings may improve the treatment of GIRD in a clinical setting. Although the results are significant, further studies should follow up the long-term effects of the Throwing exercise with a TheraBand on GIRD. Trial registration Current Controlled Trials using the UMIN-RCT website with ID number of, UMIN000038416 “Retrospectively registered” at 2019/10/29.

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