Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Exercise-induced Fatigue on Knee Joint Position Sense in the Young, Elderly Adults and Stroke Patients

젊은 성인, 노인, 뇌졸중 환자들의 근 피로 유발이 무릎관절 위치 감각에 미치는 영향

  • Kwon, Oh-Sung (Department of Physical Therapy, The Graduate School of Sahmyook University) ;
  • Lee, Seung-Won (Department of Physical Therapy, Sahmyook University) ;
  • Seo, Dong-Kwon (Department of Physical Therapy, The Graduate School of Sahmyook University) ;
  • Kim, Ji-Seon (Department of Physical Therapy, Yuseong Hangajok Rehabilitation Hospital)
  • 권오성 (삼육대학교 대학원 물리치료학과) ;
  • 이승원 (삼육대학교 물리치료학과) ;
  • 서동권 (삼육대학교 대학원 물리치료학과) ;
  • 김지선 (유성한가족병원 물리치료실)
  • Received : 2013.10.04
  • Accepted : 2013.11.14
  • Published : 2013.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: The purpose of this study was to determine the effects of muscle fatigue on knee joint position sense in the young, elderly adults, and stroke patients. METHODS: The subjects were recruited into three groups; young group(YG)(N=15), elderly group(EG)(N=15), and stroke group(SG)(N=15). Exercise-induced fatigue was achieved by repeated active exercise 60 times on an angle at 10 to 100 degrees of the knee joint with an angle speed of $120^{\circ}/s$, with three sets for 15 minutes. Evaluation was performed for determination of repositioning error using passive angle repositioning (PAR) and active angle repositioning (AAR). RESULT: Regarding the error score for the knee joint position sense in both the baseline and muscle fatigue, significant increases were observed between the YG and EG (p<.05), and between the EG and SG (p<.01), and between YG and SG (p<.05) in the PAR, YG and SG (p<.05) in the AAR. CONCLUSION: In particular, the results of this study indicate that management and intervention for elderly adults and stroke patients can result in improvement of proprioception.

Keywords

References

  1. Beynnon BD, Ryder SH, Konradsen L, et al. The effect of anterior cruciate ligament trauma and bracing on knee proprioception. Am J Sports Med. 1999;27(2):150-5.
  2. Bigland-Ritchie B. EMG and fatigue of human voluntary and stimulated contractions. Ciba Foundation symposium. 1981;82:130-56.
  3. Bonan IV, Yelnik AP, Colle FM, et al. Reliance on visual information after stroke. Part II: Effectiveness of a balance rehabilitation program with visual cue deprivation after stroke: a randomized controlled trial. Arch Phys Med Rehabil, 2004;85(2),274-8 https://doi.org/10.1016/j.apmr.2003.06.016
  4. Docherty CL, Arnold BL, Zinder SM, et al. Relationship between two proprioceptive measures and stiffness at the ankle. J Electromyogr Kinesiol. 2004;14(3):317-24. https://doi.org/10.1016/S1050-6411(03)00035-X
  5. Dornan J, Fernie GR, Holliday PJ. Visual input: its importance in the control of postural sway. Arch Phys Med Rehabil, 1978;59(12),586-91.
  6. Friden C, Hirschberg AL, Saartok T, et al. Knee joint kinaesthesia and neuromuscular coordination during three phases of the menstrual cycle in moderately active women. Knee Surg Sports Traumatol Arthrosc. 2006;14(4):383-9. https://doi.org/10.1007/s00167-005-0663-4
  7. Geiger RA, Allen JB, O'Keefe J, et al. Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training. Phys Ther. 2001;81(4):995-1005.
  8. Gibson H, Edwards RH. Muscular exercise and fatigue. Sports Med. 1985;2(2):120-32. https://doi.org/10.2165/00007256-198502020-00004
  9. Givoni NJ, Pham T, Allen TJ, et al. The effect of quadriceps muscle fatigue on position matching at the knee. J Physiol. 2007;584(Pt 1):111-9. https://doi.org/10.1113/jphysiol.2007.134411
  10. Hewitt BA, Refshauge, KM. Kilbreath SL. Kinesthesia at the knee: the effect of osteoarthritis and bandage application. Arthritis Rheum. 2002;47(5):479-83. https://doi.org/10.1002/art.10663
  11. Hiemstra LA, Lo IK, Fowler PJ. Effect of fatigue on knee proprioception: implications for dynamic stabilization. J Orthop Sports Phys Ther. 2001;31(10):598-605. https://doi.org/10.2519/jospt.2001.31.10.598
  12. Hurley MV, Rees J, Newham DJ. Quadriceps function, proprioceptive acuity and functional performance in healthy young, middle-aged and elderly subjects. Age Ageing. 1998;27(1):55-62.
  13. Hutton RS, Nelson DL. Stretch sensitivity of Golgi tendon organs in fatigued gastrocnemius muscle. Medicine and science in sports and exercise. 1986;18(1):69-74.
  14. Ju YY, Liu YC, Cheng HY, et al. Rapid repetitive passive movement improves knee proprioception. Clin Biomech (Bristol, Avon). 2011;26(2):188-93. https://doi.org/10.1016/j.clinbiomech.2010.09.015
  15. Ju YY, Wang CW, Cheng HY. Effects of active fatiguing movement versus passive repetitive movement on knee proprioception. Clin Biomech (Bristol, Avon). 2010;25(7):708-12. https://doi.org/10.1016/j.clinbiomech.2010.04.017
  16. Kavounoudias A, Gilhodes JC, Roll R, et al. From balance regulation to body orientation: two goals for muscle proprioceptive information processing? Exp Brain Res. 1999;124(1):80-8. https://doi.org/10.1007/s002210050602
  17. Kavounoudias A, Roll R, Roll JP. Foot sole and ankle muscle inputs contribute jointly to human erect posture regulation. J Physiol. 2001;532(Pt 3):869-78. https://doi.org/10.1111/j.1469-7793.2001.0869e.x
  18. Kim JS, Choi KS. Discriminative sensory dysfunction after unilateral stroke. Stroke. 1996;27(4):677-82. https://doi.org/10.1161/01.STR.27.4.677
  19. Kwon OS, Lee SW, Lee YW, et al. The Effect of Repetitive Passive and Active Movements on Proprioception Ability in Forearm Supination. Journal of Physical Therapy Science. 2013;25(5):587-90. https://doi.org/10.1589/jpts.25.587
  20. Lee HM, Liau JJ, Cheng CK, et al. Evaluation of shoulder proprioception following muscle fatigue. Clin Biomech (Bristol, Avon). 2003;18(9):843-7. https://doi.org/10.1016/S0268-0033(03)00151-7
  21. Lephart SM, Pincivero DM, Giraldo JL, et al. The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med. 1997;25(1):130-7. https://doi.org/10.1177/036354659702500126
  22. Nawata K, Teshima R, Morio Y, et al. Anterior-posterior knee laxity increased by exercise. Quantitative evaluation of physiologic changes. Acta Orthop Scand. 1999;70(3):261-4. https://doi.org/10.3109/17453679908997803
  23. Nichols DS. Balance retraining after stroke using force platform biofeedback. Phys Ther. 1997;77(5):553-8.
  24. Pap G, Machner A, Nebelung W, et al. Detailed analysis of proprioception in normal and ACL-deficient knees. J Bone Joint Surg Br. 1999;81(5):764-8. https://doi.org/10.1302/0301-620X.81B5.9352
  25. Paschalis V, Nikolaidis MG, Giakas G, et al. The effect of eccentric exercise on position sense and joint reaction angle of the lower limbs. Muscle Nerve. 2007;35(4):496-503. https://doi.org/10.1002/mus.20723
  26. Paschalis V, Nikolaidis MG, Theodorou AA, et al. The effects of eccentric exercise on muscle function and proprioception of individuals being overweight and underweight. J Strength Cond Res. 2012.
  27. Petrella RJ, Lattanzio PJ, Nelson MG. Effect of age and activity on knee joint proprioception. Am J Phys Med Rehabil. 1997;76(3):235-41. https://doi.org/10.1097/00002060-199705000-00015
  28. Piriyaprasarth P, Morris ME, Delany C, et al. Trials needed to assess knee proprioception following stroke. Physiother Res Int. 2009;14(1):6-16. https://doi.org/10.1002/pri.405
  29. Ribeiro F, Moreira S, Neto J, et al. Is the Deleterious Effect of Cryotherapy on Proprioception Mitigated by Exercise? Int J Sports Med. 2012.
  30. Ribeiro F, Oliveira J. Effect of physical exercise and age on knee joint position sense. Arch Gerontol Geriatr. 2010;51(1):64-7. https://doi.org/10.1016/j.archger.2009.07.006
  31. Ribeiro F, Venancio J, Quintas P, et al. The effect of fatigue on knee position sense is not dependent upon the muscle group fatigued. Muscle Nerve. 2011;44(2):217-20. https://doi.org/10.1002/mus.22018
  32. Riemann BL, Lephart SM. The Sensorimotor System, Part II: The Role of Proprioception in Motor Control and Functional Joint Stability. J Athl Train. 2002;37(1):80-4.
  33. Rozzi SL, Lephart SM, Gear WS, et al. Knee joint laxity and neuromuscular characteristics of male and female soccer and basketball players. Am J Sports Med. 1999;27(3):312-9.
  34. Shaffer SW, Harrison AL. Aging of the somatosensory system:a translational perspective. Phys Ther. 2007;87(2):193-207. https://doi.org/10.2522/ptj.20060083
  35. Voight ML, Hardin JA, Blackburn TA, et al. The effects of muscle fatigue on and the relationship of arm dominance to shoulder proprioception. J Orthop Sports Phys Ther. 1996;23(6):348-52. https://doi.org/10.2519/jospt.1996.23.6.348

Cited by

  1. Transient Effects of Calf Muscle Fatigue and Visual Control on Postural Balance During Single Leg Standing vol.12, pp.3, 2017, https://doi.org/10.13066/kspm.2017.12.3.67
  2. 나선형 테이핑 적용이 만성 뇌졸중 환자의 보행능력 개선에 미치는 즉각적인 효과 vol.15, pp.4, 2013, https://doi.org/10.14400/jdc.2017.15.4.529
  3. 치료적 운동에 기능적 전기자극과 경피신경전기자극 결합이 뇌졸중 환자의 근긴장도 및 뻣뻣함, 균형능력에 미치는 영향 vol.12, pp.2, 2013, https://doi.org/10.13066/kspm.2017.12.2.43
  4. A Systematic Review of Elastic Taping Effect of Patients with Stroke vol.30, pp.4, 2013, https://doi.org/10.18857/jkpt.2018.30.4.101
  5. 뼈대근육량과 근피로가 무릎관절 고유수용성 위치감각에 미치는 영향 vol.8, pp.2, 2013, https://doi.org/10.15268/ksim.2020.8.2.139