nach oben

Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

01.10.2012 | Knee

Difference in knee joint position sense in athletes with and without patellofemoral pain syndrome

verfasst von: Nasrin Naseri, Fereshteh Pourkazemi

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 10/2012

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The purpose of this study was to evaluate knee joint position sense (JPS) in athletes with patellofemoral pain syndrome (PFPS) and compare it with healthy participants under non-weight bearing (sitting) and weight bearing (standing) conditions.

Methods

Twenty patients and 20 healthy athletes participated in this study. JPS was evaluated by active replication of knee angles with visual cues eliminated. Two target angles in sitting and one in standing were tested. Each test and replication was repeated three times. By subtracting the test angle from the replicated angle, the absolute error was calculated as a dependent variable.

Results

No significant difference in knee JPS was found between groups either in the sitting or in the standing tests.

Conclusion

It seems that PFPS does not affect the knee JPS in athletes. The lack of deficiency in patients could possibly be attributed to their severity of knee pathology, pain intensity and their physical activity level.

Level of evidence

Case–control study, Level III.

Andersen SB, Terwilliger DM, Denegar CR (1995) Comparison of open versus closed kinetic chain test positions for measuring joint position sense. J Sports Rehabil 4:165–171

Baker V, Bennel K, Stillman B et al (2002) Abnormal knee joint position sense in individuals with patellofemoral pain syndrome. J Orthop Res 20:208–214PubMedCrossRef

Beard DJ, Dodd CAF, Simpson HARW (2000) Sensorimotor changes after anterior cruciate ligament reconstruction. Clin Orthop Relat R 372:205–216CrossRef

Beynnon SH, Ryder L, Konradsen RJ et al (1999) The effect of anterior cruciate ligament trauma and bracing on knee proprioception. Am J Sport Med 27:150–155

Callaghan MJ (2011) What does proprioception testing tell us about patellofemoral pain? Manual Ther 16:46–47CrossRef

Cappozzo A, Catani F, Leardini A et al (1996) Position and orientation in space of bones during movement: experiment of artifacts. Clin Biomech 11:90–100CrossRef

Collins SL, Moore RA, McQuay HJ (1997) The visual analogue pain intensity scale: what is moderate pain in millimetres? Pain 37:19–24

Dover G, Powers ME (2003) Reliability of joint position sense and force-reproduction measures during internal and external rotation of the shoulder. J Athl Training 38:304–310

Erden Z, Otman S, Atilla B (2003) Relationship between pain intensity and knee joint position sense in patients with severe osteoarthritis. Pain Clin 15:293–297CrossRef

10.

Felson DT, Gross KD, Nevitt MC et al (2009) The effects of impaired joint position sense on the development and progression of pain and structural damage in knee osteoarthritis. Arthritis Rheum 61:1070–1076PubMedCrossRef

11.

Good L, Roos H, Gottlieb DJ et al (1999) Joint position sense is not changed after acute disruption of the anterior cruciate ligament. Acta Orthop Scand 70:194–198PubMedCrossRef

12.

Guido J, Voight ML, Blackburn TB et al (1997) The effects of chronic effusion on knee joint proprioception: a case study. J Orthop Sport Phys 25:208–212

13.

Hammer W (1999) Functional soft tissue examination and treatment by manual methods. Aspen Publications, Gaithersburg

14.

Hewitt BL, Refshauge KM, Kilbreath SL (2002) Kinesthesia at the knee: the effect of osteoarthritis and bandage application. Arthit Care Res 47:479–483CrossRef

15.

Hopper DM, Creagh MJ, Formby PA (2003) Functional measurement of knee joint position sense after anterior cruciate ligament reconstruction. Arch Phys Med Rehab 84:868–872CrossRef

16.

Jerosch J, Schmidt K, Prymka M (1997) Proprioceptive capacities of patients with retropatellar pain with special reference to effectiveness of an elastic knee bandage. Unfallchirurg 100:719–723PubMedCrossRef

17.

Kramer J, Handfield T, Kiefer G (1997) Comparison of weight bearing and nonweight bearing tests of knee proprioception performed by patients with patellofemoral pain syndrome and asymptomatic individuals. Clin J Sport Med 7:113–118PubMedCrossRef

18.

Lephart SM, Pincivero CM, Rozzi SL (1998) Proprioception of the ankle and knee. Sport Med 25:149–155CrossRef

19.

Lephart SM, Pincivero CM, Giraldo JL (1997) The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sport Med 25:130–137CrossRef

20.

Marks R (2000) Exercise, joint position sense, and knee osteoarthritis. N Z J Physiother 29:32–40

21.

Marks R, Quinney HA, Wessel J (1993) Proprioceptive sensibility in women with normal and osteoarthritic knee position. Clin Rheumatol 12:170–175PubMedCrossRef

22.

McConnell J (2002) The physical therapist’s approach to patellofemoral disorders. Clin Sports Med 21:363–387PubMedCrossRef

23.

Nasseri N, Hadian MR, Bagheri H et al (2007) Reliabitilty and accuracy of joint position sense measurement in the laboratory and clinic; utilizing a new system. Acta Med Ir 45:395–404

24.

Naylor JM, Ko V, Adie S et al (2011) Validity and reliability of using photography for measuring knee range of motion:a methodological study. BMC Musculoskelet Disord 12:77–87PubMedCrossRef

25.

Refshauge K, Fitzpatrick R (1995) Perception of movement at the human ankle: effects of leg position. J Physiother 488:243–248

26.

Riemann BL, Guskiewic KM (2000) Contribution of peripheral somatosensory system to balance and postural equilibrium. In: Lephart SC, Fu FH (eds) Proprioception and neuromuscular control in joint stability. Human kinetics, Pittsburgh, pp 37–51

27.

Riemann BL, Lephart SM (2002) The sensorimotor system, part II: the role of proprioception in motor control and functional joint stability. J Athl Training 37:80–84

28.

Sanchis-Alfonso V, Roselló-Sastre E, Martinez-SanJuan V (1999) Pathogenesis of anterior knee pain syndrome and functional patellofemoral instability in the active young: a review. Am J Knee Surg 12:29–40PubMed

29.

Sharma L, Pai YC, Holtkamp K et al (1997) Is knee joint proprioception worse in the arthritic knee versus the unaffected knee in unilateral knee osteoarthritis? Arthritis Rheum 40:1518–1525PubMedCrossRef

30.

Skinner HB, Barrack RL, Cook SD et al (1984) Joint position sense in total knee arthroplasty. J Orthopaed Res 1:276–283CrossRef

31.

Stauffer RN, Chao EYS, Gyory AN (1997) Biomechanical gait analysis of the diseased knee joint. Clin Orthop Relat Res 126:246–255

32.

Swanik CB, Lephart SM, Rubash HE (2004) Proprioception, kinesthesia, and balance after total knee arthroplasty with cruciate-retaining and posterior stabilized prostheses. J Bone Joint Surg Am 86:328–334PubMed

33.

Tully E, Fotoohabadi MR, Galea MP (2005) Sagittal spine and lower limb movement during sit-to-stand in healthy young subjects. Gait Posture 22:338–345PubMedCrossRef

34.

Valeriani M, Restuccia D, Di Lazzaro V et al (1996) Central nervous system modifications in patients with lesion of anterior cruciate ligament. Brain 199:1751–1762CrossRef

35.

Witvrouw E, Werner S, Mikkelsen C et al (2005) Clinical classification of patellofemoral pain syndrome: guidelines for non-operative treatment. Knee Surg Sports Traumatol Arthrosc 13:122–130PubMedCrossRef

Titel: Difference in knee joint position sense in athletes with and without patellofemoral pain syndrome
verfasst von: Nasrin Naseri
Fereshteh Pourkazemi
Publikationsdatum: 01.10.2012
Verlag: Springer-Verlag
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 10/2012
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-011-1834-0

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 10/2012

Dextrose prolotherapy and corticosteroid injection into rat Achilles tendon

Effects of radiofrequency energy on porcine articular cartilage: higher-power settings in ablation mode show lower thermal radiation injury

Intraoperative assessment of resected condyle thickness in total knee arthroplasty

Combined gracilis tendon autograft reconstruction and discus repair of a chronic anterior–superior sternoclavicular joint dislocation

The MRI findings of meniscal root tear of the medial meniscus: emphasis on coronal, sagittal and axial images