Validation of a method to measure the proprioception of the knee (original) (raw)
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Lack of correlation between different measurements of proprioception in the knee
The Journal of Bone and Joint Surgery, 2002
C urrent methods of measurement of proprioceptive function depend on the ability to detect passive movement (kinaesthesia) or the awareness of joint position (joint position sense, JPS). However, reports of proprioceptive function in healthy and pathological joints are quite variable, which may be due to the different methods used. We have compared the validity of several frequently used methods to quantify proprioception.
Validation of a Device to Measure Knee Joint Angles for a Dynamic Movement
2020
Participation in sports has risen in the United States over the last few years, increasing the risk of injuries such as tears to the anterior cruciate ligament (ACL) in the knee. Previous studies have shown a correlation between knee kinematics when landing from a jump and this injury. The purpose of this study was to validate the ability of a commercially available inertial measurement units (IMUs) to accurately measure knee joint angles during a dynamic movement. Eight healthy subjects participated in the study. Validation was performed by comparing the angles measured by the wearable device to those obtained through the gold standard motion capture system when landing from a jump. Root mean square, linear regression analysis, and Bland–Altman plots were performed/constructed. The mean difference between the wearable device and the motion capture data was 8.4° (flexion/extension), 4.9° (ab/adduction), and 3.9° (rotation). In addition, the device was more accurate at smaller knee a...
Arthritis & Rheumatism, 2007
Objective. To estimate the inter-and intrarater reliability and agreement of instrumented knee joint proprioception measurement in subjects with knee osteoarthritis (OA) and healthy subjects; to assess the effect of variations in the measurement procedure on agreement parameters. Methods. Proprioception was measured by a computer-controlled knee angular motion-detecting device in a movementdetecting task. The angular displacement between the starting position and the position at the instant of movement detection by the subject was recorded. Two raters independently assessed knee joint proprioception. After 14 days the assessment was repeated. Complete data were obtained from 24 subjects with knee OA and 26 healthy subjects.
Journal of sport rehabilitation, 2017
Proprioception is the basic element of the spontaneous control of movement, balance and joint stability. Therefore, it is necessary for the execution of walking and daily and sport activities. Loss of proprioception of the knee, which may cause a new injury, is important to evaluate the position sense of the joint during the rehabilitation period. However, the evaluation methods that are used are very expensive, complicated and non-portable, or the measuring method is difficult to implement. We demonstrated the validity and reliability of knee proprioception measurements performed in the open kinetic chain position and closed kinetic chain position with a dual inclinometer. We assessed the validity and intra-tester reliability of a digital inclinometer for measuring the knee joint position sense in different positions. Clinical laboratory. We enrolled 22 participants (age = 21.8 ± 0.95 years, height = 172 ± 9.1 cm, weight = 64.9 ± 14 kg) into the study. The same investigator used an...
The Knee, 2007
This systematic review critically evaluates literature on the reliability and validity of measurement tools for quantifying knee joint angles and knee movement. A search was conducted of seven medical databases and one biomedical engineering database, yielding 43 articles that reported reliability or validity. Tools for quantifying knee joint angles included standard handheld goniometers, fluid-based goniometers, gravity-based goniometers, photographs and two dimensional (2-D) motion analysis. Knee movement was measured with electrogoniometers, 2-D and three dimensional (3-D) motion analysis. Intraclass correlation coefficients for testing knee angles ranged from 0.51-1.00 for intratester reliability and 0.43-0.99 for intertester reliability. For quantifying knee position, sequential MRI and 2-D had the least error of measurement, followed by hand held goniometers and photographs. For dynamic measurements, electrogoniometers and 3-D motion analysis were most reliable and had low error of measurement. Strong concurrent validity was found between hand held goniometers and radiographs, as well as between hand held goniometers and 3-D motion analysis.
Journal of sport rehabilitation, 2015
Clinicians require portable, valid, and cost-effective methods to monitor knee joint-position-sense (JPS) ability. To examine the criterion-related validity of image-capture JPS measures against an isokinetic-dynamometer (IKD) procedure. Random crossover design providing a comparison of knee JPS measures from image capture and IKD procedures. 10 healthy participants, 5 female, age 28.0 ± 13.29 y, mass 60.3 ± 9.02 kg, height 1.65 ± 0.07 m, and 5 male, 29.6 ± 10.74 y, mass 73.6 ± 5.86 kg, height 1.75 ± 0.07 m. The dependent variables were absolute error scores (AES) provided by 2 knee directions (flexion and extension). The independent variables were the method (image capture and IKD). There was no significant difference between clinical and IKD AES into knee-flexion data (P = .263, r = 0.55). There was a significant difference between clinical and IKD AES into knee-extension data (P = .016, r = .70). Analysis of photographic images to assess JPS measurements using knee flexion is val...
Development of supine and standing knee joint position sense tests
Physical Therapy in Sport, 2021
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 0.64e0.91). Errors were less for the standing compared to the supine test across groups. CTRL had greater knee JPS AE (P ¼ 0.005) and VE (P ¼ 0.040) than ACLR. ACLR knees showed greater VE compared to the contralateral non-injured knees for both tests (P ¼ 0.032), albeit with a small effect size (h p 2 ¼ 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.