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Tytuł:
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Development of supine and standing knee joint position sense tests.
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Autorzy:
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Strong A; Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Sweden. Electronic address: .
Srinivasan D; Department of Industrial and Systems Engineering, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA.
Häger CK; Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Sweden.
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Źródło:
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Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine [Phys Ther Sport] 2021 May; Vol. 49, pp. 112-121. Date of Electronic Publication: 2021 Feb 23.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Edinburgh ; New York : Churchill Livingstone, c2000-
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MeSH Terms:
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Knee Joint*
Proprioception*
Standing Position*
Supine Position*
Adult ; Anterior Cruciate Ligament Injuries/surgery ; Anterior Cruciate Ligament Reconstruction ; Cross-Sectional Studies ; Female ; Humans ; Male ; Range of Motion, Articular ; Reproducibility of Results ; Young Adult
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Contributed Indexing:
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Keywords: Athletes; Knee; Proprioception; Reliability
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Entry Date(s):
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Date Created: 20210305 Date Completed: 20210527 Latest Revision: 20210527
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Update Code:
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20240104
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DOI:
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10.1016/j.ptsp.2021.02.010
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PMID:
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33667776
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Objectives: We aimed to assess the test-retest reliability of a supine and standing knee joint position sense (JPS) test, respectively, and whether they discriminate knees with anterior cruciate ligament (ACL) injury from asymptomatic knees.
Design: Repeated measures and cross-sectional.
Setting: Research laboratory.
Participants: For test-retest reliability, 24 persons with asymptomatic knees. For discriminative analysis: 1) ACLR - 18 persons on average 23 months after unilateral ACL reconstruction, 2) CTRL - 23 less-active persons, and 3) ATHL - 21 activity level-matched athletes.
Main Outcome Measures: Absolute error (AE) and variable error (VE).
Results: Test-retest reliability was generally highest for AE of the standing test (ICC 0.64-0.91). Errors were less for the standing compared to the supine test across groups. CTRL had greater knee JPS AE (P = 0.005) and VE (P = 0.040) than ACLR. ACLR knees showed greater VE compared to the contralateral non-injured knees for both tests (P = 0.032), albeit with a small effect size (η p 2 = 0.244).
Conclusions: Our standing test was more reliable and elicited lesser errors than our supine test. Less-active controls, rather than ACLR, produced significantly greater errors. Activity level may be a more predominant factor than ACLR for knee JPS ∼2 years post-reconstruction.
(Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
