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Du Y, Wang S, Yang F, Xu H, Cheng Y, Yu J. Effects of chronic ankle instability after grade I ankle sprain on the post-traumatic osteoarthritis. Arthritis Res Ther 2024; 26:168. [PMID: 39342326 PMCID: PMC11438116 DOI: 10.1186/s13075-024-03402-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2024] [Accepted: 09/15/2024] [Indexed: 10/01/2024] Open
Abstract
BACKGROUND Untreated acute ankle sprains often result in chronic ankle instability (CAI) and can ultimately lead to the development of post-traumatic osteoarthritis (PTOA). At present, a typical animal model of ankle instability in mice is established by transecting the ligaments around the ankle joint. This study aimed to establish a grade I acute ankle sprain animal model by rapid stretching of peri-ankle joint ligaments. Furthermore, we tried to explore the pathophysiological mechanism of ankle osteoarthritis. METHODS In all, 18 male C57BL/6 J mice (7 weeks) were randomly divided into three groups: calcaneofibular ligament (CFL) laxity group, deltoid ligament (DL) laxity group, and SHAM group. One week after the surgical procedure, all mice were trained to run in the mouse rotation fatigue machine daily. The mice were tested on the balance beam before surgery and three days, 4 weeks, 8 weeks, and 12 weeks after surgery. Footprint analyses were performed on each mouse before surgery and 12 weeks after surgery. Micro-CT scanning was then performed to evaluate the degeneration of ankle joints and histological staining was performed to analyze and evaluate PTOA caused by ankle joint instability. RESULTS After surgery, the mice in the CFL and DL laxity groups took longer to cross the balance beam and slipped more often than those in the SHAM group (p < 0.05). The step length and width in the CFL and DL laxity groups were significantly shorter and smaller than those in the SHAM group 12 weeks after surgery (p < 0.05). There was a significant increase in the bone volume fraction (BV/TV) in the CFL and DL laxity groups compared with the SHAM group (p < 0.05). Histological staining results suggested obvious signs of PTOA in the CFL and DL laxity groups. CONCLUSIONS Based on CFL and DL laxity in a mouse ankle instability model, this study suggests that grade I ankle sprain can contribute to chronic ankle instability, impair motor coordination and balance, and eventually lead to PTOA of ankle with significant degeneration of its adjacent joints.
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Affiliation(s)
- Yan Du
- Department of Orthopedic Surgery, School of Biology and Basic Medical Sciences, Orthopedic Institute, The First Affiliated Hospital, Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215007, People's Republic of China
- School of Physical Education and Sports, Soochow University, 50 Donghuan Road, Suzhou, Jiangsu, 215006, People's Republic of China
| | - Shuo Wang
- Department of Orthopedic Surgery, School of Biology and Basic Medical Sciences, Orthopedic Institute, The First Affiliated Hospital, Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215007, People's Republic of China
- Emergency and Critical Care Center, Intensive Care Unit, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, 158 Shangtang Road, Hangzhou, Zhejiang, 314408, People's Republic of China
| | - Fanlei Yang
- Department of Orthopedic Surgery, School of Biology and Basic Medical Sciences, Orthopedic Institute, The First Affiliated Hospital, Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215007, People's Republic of China
| | - Hao Xu
- Department of Orthopedic Surgery, School of Biology and Basic Medical Sciences, Orthopedic Institute, The First Affiliated Hospital, Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215007, People's Republic of China
| | - Yu Cheng
- Department of Orthopedic Surgery, School of Biology and Basic Medical Sciences, Orthopedic Institute, The First Affiliated Hospital, Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215007, People's Republic of China.
| | - Jia Yu
- Department of Orthopedic Surgery, School of Biology and Basic Medical Sciences, Orthopedic Institute, The First Affiliated Hospital, Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, 215007, People's Republic of China.
- School of Physical Education and Sports, Soochow University, 50 Donghuan Road, Suzhou, Jiangsu, 215006, People's Republic of China.
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2
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Wang X, Wang Z, Adams R, Ganderton C, Lyu J, Han J. Ankle inversion proprioception measured during stair descent can identify chronic ankle instability. Musculoskelet Sci Pract 2024; 72:102958. [PMID: 38643590 DOI: 10.1016/j.msksp.2024.102958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Revised: 04/05/2024] [Accepted: 04/10/2024] [Indexed: 04/23/2024]
Abstract
BACKGROUND Individuals with chronic ankle instability (CAI) may experience recurrent ankle sprains and symptoms during daily activities such as stair descent, where the associated proprioceptive deficit is largely unevaluated. OBJECTIVES To evaluate the reliability and validity of an ankle inversion discrimination apparatus for stair descent, and examine whether proprioceptive scores from this apparatus are associated with patient-reported symptoms. DESIGN Cross-sectional study. METHOD Sixty-six participants volunteered in this study. The ankle inversion discrimination apparatus was purpose-built to assess ankle proprioception across four positions of ankle inversion (10°, 12°, 14°, and 16°) during stair descent. The Area Under the Receiver Operating Curve (AUC) was employed as the ankle proprioceptive discrimination score. RESULTS Test-retest reliability ICC (3,1) for the whole group was 0.825, with 0.747 for the non-CAI group (95%CI = 0.331-0.920) and 0.701 for CAI (95%CI = 0.242-0.904). The CAI group performed at a significantly lower level than non-CAI on the ankle inversion discrimination apparatus for stair descent assessment (0.769 ± 0.034 vs. 0.830 ± 0.035, F = 33.786, p < 0.001). CAIT scores were strongly and significantly correlated with scores from this apparatus (Spearman's rho = 0.730, p < 0.001). CONCLUSIONS The ankle inversion discrimination apparatus for stair descent is reliable and valid for assessing task-specific ankle proprioceptive impairments in CAI. The strong and significant relationship found between ankle proprioception during stair descent and the severity of CAI suggests that rehabilitation programs focusing on deficits in ankle inversion proprioception during stair descent may improve self-reported instability in CAI.
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Affiliation(s)
- Xueying Wang
- Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
| | - Zheng Wang
- Department of Rehabilitation Medicine, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Roger Adams
- Research Institute for Sport and Exercise, University of Canberra, Australia; College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China
| | - Charlotte Ganderton
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China; School of Health Science, Swinburne University of Technology, Australia; School of Biomedical Science and Health, Royal Melbourne Institute of Technology University, Australia
| | - Jie Lyu
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China.
| | - Jia Han
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, China.
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Weijs ML, Roel Lesur M, Daum MM, Lenggenhager B. Keeping up with ourselves: Multimodal processes underlying body ownership across the lifespan. Cortex 2024; 177:209-223. [PMID: 38875735 DOI: 10.1016/j.cortex.2024.05.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Revised: 05/14/2024] [Accepted: 05/20/2024] [Indexed: 06/16/2024]
Abstract
The sense of a bodily self is thought to depend on adaptive weighting and integration of bodily afferents and prior beliefs. While the physical body changes in shape, size, and functionality across the lifespan, the sense of body ownership remains relatively stable. Yet, little is known about how multimodal integration underlying such sense of ownership is altered in ontogenetic periods of substantial physical changes. We aimed to study this link for the motor and the tactile domain in a mixed-realty paradigm where participants ranging from 7 to 80 years old saw their own body with temporally mismatching multimodal signals. Participants were either stroked on their hand or moved it, while they saw it in multiple trials with different visual delays. For each trial, they judged the visuo-motor/tactile synchrony and rated the sense of ownership for the seen hand. Visual dependence and proprioceptive acuity were additionally assessed. The results show that across the lifespan body ownership decreases with increasing temporal multisensory mismatch, both in the tactile and the motor domain. We found an increased sense of ownership with increasing age independent of delay and modality. Delay sensitivity during multisensory conflicts was not consistently related to age. No effects of age were found on visual dependence or proprioceptive accuracy. The results are at least partly in line with an enhanced weighting of top-down and a reduced weighting of bottom-up signals for the momentary sense of bodily self with increasing age.
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Affiliation(s)
- Marieke L Weijs
- Department of Psychology, University of Zurich, Zurich, Switzerland; Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland.
| | - Marte Roel Lesur
- Department of Psychology, University of Zurich, Zurich, Switzerland; Department of Computer Science and Engineering, Universidad Carlos III de Madrid, Madrid, Spain; Association for Independent Research, Zurich, Switzerland
| | - Moritz M Daum
- Department of Psychology, University of Zurich, Zurich, Switzerland; Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland
| | - Bigna Lenggenhager
- Department of Psychology, University of Zurich, Zurich, Switzerland; Association for Independent Research, Zurich, Switzerland.
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Hsu HJ, Tseng YT. Impaired motor skills and proprioceptive function in Mandarin-speaking children with developmental language disorder. BRAIN AND LANGUAGE 2024; 251:105390. [PMID: 38387221 DOI: 10.1016/j.bandl.2024.105390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 01/21/2024] [Accepted: 01/30/2024] [Indexed: 02/24/2024]
Abstract
This study examined proprioceptive acuity and its relationship with motor function in Mandarin-speaking children with and without developmental language disorder (DLD). Fifteen children aged 9-12 years with DLD and 15 age- and sex-matched typically developing (TD) children participated in this study. Children's motor function was assessed using the second edition of the Movement Assessment Battery for Children (MABC-2). Their proprioceptive acuity was measured based on the absolute error (i.e., proprioceptive bias) and variable error (i.e., proprioceptive precision) when performing joint position matching tasks. Compared with the TD group, the DLD group exhibited impaired motor function and poorer proprioceptive acuity, as evidenced by the lower scores on the MABC-2 and the higher rates of absolute and variable errors in the joint position matching tasks. A significant association between the proprioceptive bias (absolute error) and the MABC-2 total score was also observed in the combined cohort of children with and without DLD. We conclude that DLD is associated with proprioceptive dysfunction.
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Affiliation(s)
- Hsin-Jen Hsu
- Department of Special Education, National Tsing Hua University, Hsinchu City, Taiwan; Research Center for Education and Mind Sciences, National Tsing Hua University, Hsinchu City, Taiwan
| | - Yu-Ting Tseng
- Department of Kinesiology, National Tsing Hua University, Hsinchu City, Taiwan; Research Center for Education and Mind Sciences, National Tsing Hua University, Hsinchu City, Taiwan.
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Zhang T, Li L, Hondzinski JM, Mao M, Sun W, Song Q. Tai Chi counteracts age-related somatosensation and postural control declines among older adults. J Exerc Sci Fit 2024; 22:152-158. [PMID: 38444520 PMCID: PMC10912684 DOI: 10.1016/j.jesf.2024.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Revised: 02/17/2024] [Accepted: 02/19/2024] [Indexed: 03/07/2024] Open
Abstract
Objective To investigate the effect of a 16-week Tai Chi practice on strength, tactile sensation, kinesthesia, and static postural control among older adults of different age groups. Methods This is a quasi-experimental study. Thirteen participants aged 60-69 years (60-69yr), 11 aged 70-79 years (70-79yr), and 13 aged 80-89 years (80-89yr) completed 16 weeks of 24-form Tai Chi practice. Their ankle and hip peak torque, tactile sensation, ankle and knee kinesthesia, and the root mean square of the center of pressure (Cop-RMS) were measured before (week 0) and after (week 17) practice. Results 80-89yr showed less ankle plantar/dorsiflexion and hip abduction peak torques (p = 0.003, p < 0.001, p = 0.001), and a greater ankle plantar/dorsiflexion kinesthesia (p < 0.001, p = 0.002) than 60-69yr and 70-79yr. Greater ankle plantar/dorsiflexion and hip abduction torques (p = 0.011, p < 0.001, p = 0.045), improved arch and heel tactile sensation (p = 0.040, p = 0.009), and lower knee flexion/extension kinesthesia (p < 0.001, p = 0.044) were observed at week 17. The significant group*practice interaction for the fifth metatarsal head tactile sensation (p = 0.027), ankle plantar/dorsiflexion kinesthesia (p < 0.001, p = 0.004), and the CoP-RMS in the mediolateral direction (p = 0.047) only in 80-89yr revealed greater improvement at week 17. Conclusion Tai Chi practice increased strength, tactile sensation, kinesthesia, and static postural control among older adults. Tai Chi practice improved tactile, kinesthesia sensations, and static postural control among older adults over 80, who presented with worse strength and kinesthesia than their younger counterparts. Tai Chi practice offers a safe exercise option for those aged over 80 to encourage improvements in sensorimotor control.
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Affiliation(s)
- Teng Zhang
- Department of Graduate School, Harbin Sport University, Harbin, 150006, China
| | - Li Li
- Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, 30460, USA
| | - Jan M. Hondzinski
- School of Kinesiology, Louisiana State University, Baton Rouge, LA, 70803, USA
| | - Min Mao
- School of Nursing and Rehabilitation, Shandong University, Jinan, 250012, China
| | - Wei Sun
- Department of Sports and Health Science, Shandong Sport University, Jinan, 250102, China
| | - Qipeng Song
- Department of Sports and Health Science, Shandong Sport University, Jinan, 250102, China
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Boyer E, Huang Q, Ngwesse S, Nelson J, Oh J, Konczak J. Ankle proprioception in children with cerebral palsy. J Pediatr Rehabil Med 2024; 17:75-83. [PMID: 38007680 PMCID: PMC10977350 DOI: 10.3233/prm-220140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Accepted: 08/18/2023] [Indexed: 11/27/2023] Open
Abstract
PURPOSE There is no established clinical standard to evaluate ankle proprioception in children with cerebral palsy (CP). This study compared ankle position sense of children with CP to age-matched children who are typically developing (TD). METHODS Children aged 6-17 years participated (15 CP, 58 TD). Using a custom-built device, the ankle was passively rotated to two positions for 25 trials. Using a psychophysical forced-choice paradigm, participants indicated which position was more plantarflexed. A psychometric function was fitted to the response data to determine the just noticeable difference (JND) threshold and the associated uncertainty (random error) for ankle position sense. RESULTS Median JND thresholds for the CP group were elevated (CP: 4.3°, TD: 3.0°). Three children with CP exceeded the 95th percentile of TD. No differences in random error were found. CONCLUSION This method assessed ankle proprioception relative to norm data and identified position sense impairments in children with CP. Using this method can provide data on proprioceptive status in CP, augmenting the assessment of motor impairment.
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Affiliation(s)
- Elizabeth Boyer
- Center for Gait and Motion Analysis, Gillette Children's, Saint Paul, MN, USA
- Department of Orthopedic Surgery, University of Minnesota - Twin Cities, Minneapolis, MN, USA
| | - Qiyin Huang
- Human Sensorimotor Control Laboratory of School of Kinesiology, University of Minnesota - Twin Cities, Minneapolis, MN, USA
| | - Stacy Ngwesse
- Department of Research, Gillette Children's, Saint Paul, MN, USA
| | - Jennifer Nelson
- Center for Gait and Motion Analysis, Gillette Children's, Saint Paul, MN, USA
| | - Jinseok Oh
- Human Sensorimotor Control Laboratory of School of Kinesiology, University of Minnesota - Twin Cities, Minneapolis, MN, USA
| | - Jürgen Konczak
- Human Sensorimotor Control Laboratory of School of Kinesiology, University of Minnesota - Twin Cities, Minneapolis, MN, USA
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Sertic JVL, Fall N, Konczak J. A Physically Active Lifestyle Can Protect against Age-Related Decline in Ankle Proprioception. J Mot Behav 2023; 56:305-314. [PMID: 38097196 DOI: 10.1080/00222895.2023.2293003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 12/04/2023] [Indexed: 03/22/2024]
Abstract
This study examined whether physically active middle-aged (50-64 years) and older adults (65-80 years) demonstrate age-related ankle proprioceptive decline relative to younger counterparts. Empirical data indicate that ankle proprioception declines with aging and such sensory decline negatively affects balance. Using a passive motion apparatus, we employed a psychophysical forced-choice paradigm in which the ankle was passively plantarflexed to a reference position (15° or 25°) and a comparison position that was always smaller than the reference. Subsequently, participants indicated which position was more plantarflexed. As outcome measures of ankle position sense acuity, a just-noticeable-difference (JND) threshold and the uncertainty area (UA) were derived from the psychometric stimulus-response difference function for each participant. The JND threshold is a measure of proprioceptive bias and UA constitutes a measure of precision. The main results are: First, at the 15° reference, most middle-aged (74%) and older adults (71%) had thresholds within the range of the young adults. The respective median JND threshold of young adults was statistically lower when compared to both older groups. Second, no differences between age groups were observed at the 25° reference. Third, no age-related differences were found for UA at either reference. These data indicate that physically active aging adults may be spared from age-related decline in ankle position sense and that age-related differences emerge for small ankle displacements. The findings underscore the importance of remaining active during aging.
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Affiliation(s)
- Jacquelyn V L Sertic
- Human Sensorimotor Control Laboratory, School of Kinesiology, University of Minnesota, Minneapolis, MN, USA
- Center for Clinical Movement Science, University of Minnesota, Minneapolis, MN, USA
| | - Nicole Fall
- Human Sensorimotor Control Laboratory, School of Kinesiology, University of Minnesota, Minneapolis, MN, USA
| | - Jürgen Konczak
- Human Sensorimotor Control Laboratory, School of Kinesiology, University of Minnesota, Minneapolis, MN, USA
- Center for Clinical Movement Science, University of Minnesota, Minneapolis, MN, USA
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Geurkink TH, Overbeek CL, Marang-van de Mheen PJ, Nagels J, Nelissen RGHH, de Groot JH. Ageing and joint position sense of the asymptomatic shoulder: An observational study. J Electromyogr Kinesiol 2023; 71:102792. [PMID: 37267894 DOI: 10.1016/j.jelekin.2023.102792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 05/08/2023] [Accepted: 05/24/2023] [Indexed: 06/04/2023] Open
Abstract
PURPOSE This study aimed to quantify the extent to which age was associated with joint position sense (JPS) of the asymptomatic shoulder as measured by joint position reproduction (JPR) tasks and assess the reproducibility of these tasks. METHODS 120 Asymptomatic participants aged 18-70 years each performed 10 JPR-tasks. Both contralateral and ipsilateral JPR-tasks were evaluated on accuracy of JPR under active- and passive conditions at two levels within the shoulder forward flexion trajectory. Each task was performed three times. In a subgroup of 40 participants, the reproducibility of JPR-tasks was assessed one week after initial measurement. Reproducibility of JPR-tasks was evaluated by both reliability (intra-class correlation coefficients (ICC's)) and agreement (standard error of measurement (SEM)) measures. RESULTS Age was not associated with increased JPR-errors for any of the contralateral or ipsilateral JPR-tasks. ICC's ranged between 0.63 and 0.80 for contralateral JPR-tasks, and from 0.32 to 0.48 for ipsilateral tasks, except for one ipsilateral task where the reliability was similar to contralateral tasks (0.79). The SEM was comparable and small for all JPR-tasks, ranging between 1.1 and 2.1. CONCLUSION No age-related decline in JPS of the asymptomatic shoulder was found, and good agreement between test and re-test measurements for all JPR-tasks as indicated by the small SEM.
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Affiliation(s)
- Timon H Geurkink
- Department of Orthopaedics, Leiden University Medical Center, Postzone J-11-R, PO Box 9600, 2300RC Leiden, The Netherlands; Laboratory for Kinematics and Neuromechanics, Department of Orthopaedics and Rehabilitation, Leiden University Medical Center, Leiden, The Netherlands.
| | - Celeste L Overbeek
- Department of Orthopaedics, Leiden University Medical Center, Postzone J-11-R, PO Box 9600, 2300RC Leiden, The Netherlands; Laboratory for Kinematics and Neuromechanics, Department of Orthopaedics and Rehabilitation, Leiden University Medical Center, Leiden, The Netherlands
| | - Perla J Marang-van de Mheen
- Department of Biomedical Data Sciences, Medical Decision Making, Leiden University Medical Center, Leiden, The Netherlands
| | - Jochem Nagels
- Department of Orthopaedics, Leiden University Medical Center, Postzone J-11-R, PO Box 9600, 2300RC Leiden, The Netherlands; Laboratory for Kinematics and Neuromechanics, Department of Orthopaedics and Rehabilitation, Leiden University Medical Center, Leiden, The Netherlands
| | - Rob G H H Nelissen
- Department of Orthopaedics, Leiden University Medical Center, Postzone J-11-R, PO Box 9600, 2300RC Leiden, The Netherlands; Laboratory for Kinematics and Neuromechanics, Department of Orthopaedics and Rehabilitation, Leiden University Medical Center, Leiden, The Netherlands
| | - Jurriaan H de Groot
- Laboratory for Kinematics and Neuromechanics, Department of Orthopaedics and Rehabilitation, Leiden University Medical Center, Leiden, The Netherlands
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Han J, Yang Z, Witchalls J, Ganderton C, Adams R, Waddington G. Ankle Inversion Proprioception Impairment in Persons with Chronic Ankle Instability Is Task-Specific. Percept Mot Skills 2022; 129:1736-1748. [PMID: 36113161 DOI: 10.1177/00315125221125608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
While investigators have often compared ankle proprioception between groups with and without chronic ankle instability (CAI), findings have been inconsistent. Possibly this is because ankle proprioceptive impairment in this population is task-specific. Thus, we aimed to compare ankle inversion proprioception in individuals with and without CAI in two task conditions: (i) when standing (not challenging) and (ii) when on a step-down landing (minimally-challenging). Ankle inversion proprioception was measured in both conditions for 38 recreational sport player volunteers with CAI (n = 19) and without CAI (n = 19). We used the Active Movement Extent Discrimination Apparatus (AMEDA) for the standing condition and the Ankle Inversion Discrimination Apparatus-Landing (AIDAL) for step-down landing. From analysis of variance (ANOVA) tests, CAI and non-CAI participants performed equally well on the AMEDA when standing; but the CAI group performed significantly worse than the non-CAI group on the AIDAL step-down landing task (p = 0.03). Within the non-CAI group, the AIDAL proprioceptive scores, as area under the receiver operating characteristics curve (AUC), were significantly higher than their AMEDA AUC scores (p = 0.03), while there was no significant difference between AIDAL and AMEDA AUC scores in the CAI group. Cumberland Ankle Instability Tool CAIT scores were significantly correlated with AIDAL scores (Spearman's rho = 0.391, p = 0.015), but not with the AMEDA scores; and there was no significant correlation between the AIDAL and AMEDA scores. Thus, an ankle inversion proprioceptive deficit was evident for persons with CAI on the step-down AIDAL, and in a dose-response way, but not evident on the standing AMEDA, suggesting that ankle proprioceptive impairment is task-specific. Selected proprioceptive tests must present some minimal degree of challenge to the ankle joint in a functional task in order to differentiate CAI from non-CAI participants.
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Affiliation(s)
- Jia Han
- College of Rehabilitation Sciences, 191610Shanghai University of Medicine and Health Sciences, Shanghai, China.,Research Institute for Sport and Exercise, 2234University of Canberra, Canberra, ACT, Australia.,Faculty of Health, Arts and Design, 444935Swinburne University of Technology, Hawthorn, VIC, Australia
| | - Zonghan Yang
- Department of Physiotherapy, 85084University of Melbourne, Melbourne, VIC, Australia
| | - Jeremy Witchalls
- Research Institute for Sport and Exercise, 2234University of Canberra, Canberra, ACT, Australia
| | - Charlotte Ganderton
- Faculty of Health, Arts and Design, 444935Swinburne University of Technology, Hawthorn, VIC, Australia
| | - Roger Adams
- Research Institute for Sport and Exercise, 2234University of Canberra, Canberra, ACT, Australia
| | - Gordon Waddington
- Research Institute for Sport and Exercise, 2234University of Canberra, Canberra, ACT, Australia
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Shao X, Wang Z, Luan L, Sheng Y, Yu R, Pranata A, Adams R, Zhang A, Han J. Impaired ankle inversion proprioception during walking is associated with fear of falling in older adults. Front Aging Neurosci 2022; 14:946509. [PMID: 36247986 PMCID: PMC9563849 DOI: 10.3389/fnagi.2022.946509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 08/31/2022] [Indexed: 11/24/2022] Open
Abstract
Background Ankle proprioception plays a critical role in lower limb movement control. However, the relationship between ankle proprioception and fear of falling (FOF) in older people is still unclear. Objective (1) This study aims to develop a new device for measuring ankle inversion proprioceptive discrimination sensitivity during walking, i.e., the Ankle Inversion Discrimination Apparatus–Walking (AIDAW), and assess the test–retest reliability of the AIDAW in both young and older adults; (2) to evaluate the discriminant validity of the measure by comparing ankle proprioception during walking between the two groups; and (3) to explore convergent validity by determining to what extent the AIDAW proprioceptive scores correlate with Fall Efficacy Scale-International (FES-I) scores. Materials and methods The AIDAW was purpose-built to test ankle inversion proprioceptive discrimination sensitivity during walking. The area under the receiver operating curve (AUC) was calculated as the proprioceptive discrimination score. In total, 54 adults volunteered. Test–retest reliability was evaluated in 12 young and 12 older adults, and another 15 young and 15 older adults completed the comparison study. FOF was assessed by using the FES-I. Results The test–retest reliability intraclass correlation coefficient ICC (3,1) value for the whole group was 0.76 (95% CI: 0.52–0.89). The ICC values of the young and older groups were 0.81 (95% CI: 0.46–0.94) and 0.71 (95% CI: 0.26–0.91), respectively. The Minimal Detectable Change with 90% confidence (MDC90) values for the young and older groups were 0.03 and 0.11, respectively. There was a significant difference between the AIDAW proprioceptive sensitivity scores for the young and older groups (0.78 ± 0.04 vs. 0.72 ± 0.08, F = 5.06, p = 0.033). Spearman’s correlation analysis showed that the FES-I scores were significantly and negatively correlated with the AIDAW scores (rho = −0.61, p = 0.015), with higher FOF associated with worse ankle proprioception. Conclusion The AIDAW is a reliable and valid device for measuring ankle proprioception during walking in both young and older adults. Ankle inversion proprioceptive discrimination sensitivity during walking was found to be impaired in the elderly compared to young adults. This impairment was found to be strongly associated with FOF, suggesting that assessment and intervention for ankle proprioception in this population are needed to reduce the risk of falls.
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Affiliation(s)
- Xuerong Shao
- Department of Rehabilitation Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai, China
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, China
- School of Exercise and Health, Shanghai University of Sport, Shanghai, China
| | - Zheng Wang
- Department of Rehabilitation Medicine, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Lijiang Luan
- School of Exercise and Health, Shanghai University of Sport, Shanghai, China
| | - Yilan Sheng
- School of Exercise and Health, Shanghai University of Sport, Shanghai, China
| | - Ruoni Yu
- School of Medicine, Jinhua Polytechnic, Jinhua, China
| | - Adrian Pranata
- Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, VIC, Australia
| | - Roger Adams
- Research Institute for Sports and Exercise, University of Canberra, Canberra, ACT, Australia
| | - Anren Zhang
- Department of Rehabilitation Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai, China
- *Correspondence: Anren Zhang,
| | - Jia Han
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, China
- School of Exercise and Health, Shanghai University of Sport, Shanghai, China
- Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, VIC, Australia
- Research Institute for Sports and Exercise, University of Canberra, Canberra, ACT, Australia
- Jia Han,
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11
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Han J, Adams R, Yang N, Waddington G. Proprioception: a different look at the same concept-Comment on Heroux et al. J Appl Physiol (1985) 2022; 133:606-607. [PMID: 36041480 DOI: 10.1152/japplphysiol.00330.2022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Jia Han
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, People's Republic of China.,Research Institute for Sport and Exercise, University of Canberra, ACT, Canberra, Australia.,Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, Australia
| | - Roger Adams
- Research Institute for Sport and Exercise, University of Canberra, ACT, Canberra, Australia
| | - Nan Yang
- School of International Education, Shanghai University of Sport, Shanghai, People's Republic of China
| | - Gordon Waddington
- Research Institute for Sport and Exercise, University of Canberra, ACT, Canberra, Australia
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12
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Héroux ME, Butler AA, Robertson LS, Fisher G, Blouin JS, Diong J, Krewer C, Tremblay F, Gandevia SC. Proprioception: fallacies and misconceptions - response to Han et al. 2022. J Appl Physiol (1985) 2022; 133:608-610. [PMID: 36041481 DOI: 10.1152/japplphysiol.00409.2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Martin E Héroux
- Neuroscience Research Australia, Sydney, New South Wales, Australia.,School of Medical Sciences, University of New South Wales, Sydney, New South Wales, Australia
| | - Annie A Butler
- Neuroscience Research Australia, Sydney, New South Wales, Australia.,School of Medical Sciences, University of New South Wales, Sydney, New South Wales, Australia
| | - Lucy S Robertson
- Neuroscience Research Australia, Sydney, New South Wales, Australia.,School of Medical Sciences, University of New South Wales, Sydney, New South Wales, Australia
| | - Georgia Fisher
- Neuroscience Research Australia, Sydney, New South Wales, Australia
| | - Jean-Sébastien Blouin
- School of Kinesiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Joanna Diong
- Faculty of Medicine and Health, School of Medical Sciences, The University of Sydney, Sydney, New South Wales, Australia
| | - Carmen Krewer
- Schoen Clinic Bad Aibling, Bad Aibling, Germany.,Department of Sports and Health Sciences, Human Movement Science, Technical University Munich, Munich, Germany
| | - François Tremblay
- School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada
| | - Simon C Gandevia
- Neuroscience Research Australia, Sydney, New South Wales, Australia.,Clinical School, University of New South Wales, Sydney, New South Wales, Australia
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13
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Xiao F, Maas H, van Dieën JH, Pranata A, Adams R, Han J. Chronic non-specific low back pain and ankle proprioceptive acuity in community-dwelling older adults. Neurosci Lett 2022; 786:136806. [PMID: 35850319 DOI: 10.1016/j.neulet.2022.136806] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Revised: 06/20/2022] [Accepted: 07/13/2022] [Indexed: 10/17/2022]
Abstract
BACKGROUND For people above 65 years old, low-back pain (LBP) is associated with balance problems and falls. Down-weighting of proprioception due to ageing and LBP may cause such balance problems. While lumbar proprioceptive deficits have been shown in LBP and indications for more generalized deficits have been found, ankle proprioception, which is crucial for balance control, has not been studied in people with LBP. RESEARCH QUESTION Is there any difference in ankle proprioceptive acuity between community-dwelling older adults with and without LBP? We hypothesized that ankle proprioception was impaired in community-dwelling older adults with LBP compared to those without LBP. METHODS Thirty participants over 65 years old volunteered. Fifteen had LBP (M/F = 2/13, age = 72.0 (4.6) years), fifteen were healthy controls without back pain (control group) (M/F = 2/13, age = 72.1 (4.8) years). Ankle proprioception was measured in normal weight-bearing conditions, using the Active Movement Extent Discrimination Apparatus (AMEDA). Accuracy on the ankle proprioceptive test was expressed as absolute error (AE), constant error (CE) and variable error (VE). RESULTS AE was significantly larger (P = 0.029, 95 % CI = [0.00, 0.90]) in the LBP group, CE was also significantly larger (P = 0.046, 95 % CI = [-0.91, -0.01]), indicating an underestimation of ankle inversion in participants with LBP compared to controls. VE was not different between the two groups (P = 0.520, 95 % CI = [-0.20, 0.59]). No significant correlation was found between pain intensity and AE, CE or VE (P > 0.05). CONCLUSION Ankle proprioception decreased in older people with LBP compared to healthy peers, suggesting impaired central proprioceptive processing. Older people with LBP underestimate the extent of ankle inversion, which may increase fall risk. Thus, evaluation and training of ankle proprioception may be useful in older people with LBP.
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Affiliation(s)
- Fangxin Xiao
- School of Kinesiology, Shanghai University of Sport, Shanghai, China; Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Science, Amsterdam, the Netherlands
| | - Huub Maas
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Science, Amsterdam, the Netherlands
| | - Jaap H van Dieën
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Science, Amsterdam, the Netherlands
| | - Adrian Pranata
- School of Kinesiology, Shanghai University of Sport, Shanghai, China; Department of Nursing and Allied Health, Swinburne University of Technology, Melbourne, Australia
| | - Roger Adams
- Research Institute for Sport and Exercise, University of Canberra, Canberra, Australia
| | - Jia Han
- School of Kinesiology, Shanghai University of Sport, Shanghai, China; College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, China; Research Institute for Sport and Exercise, University of Canberra, Canberra, Australia; Department of Nursing and Allied Health, Swinburne University of Technology, Melbourne, Australia.
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14
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Wood NI, Hentig J, Hager M, Hill-Pearson C, Hershaw JN, Souvignier AR, Bobula SA. The Non-Concordance of Self-Reported and Performance-Based Measures of Vestibular Dysfunction in Military and Civilian Populations Following TBI. J Clin Med 2022; 11:2959. [PMID: 35683348 PMCID: PMC9181197 DOI: 10.3390/jcm11112959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 05/17/2022] [Accepted: 05/20/2022] [Indexed: 11/23/2022] Open
Abstract
As a predominately young, physically active, and generally healthy population, service members (SMs) with vestibular dysfunction (VD) following a TBI may not be accurately represented by the current civilian reference ranges on assessments of VD. This study enrolled SMs who were referred for vestibular rehabilitation following a mild/moderate TBI. The participants self-reported VD using the Activities-specific Balance Confidence (ABC) scale and the Dizziness Handicap Inventory (DHI) followed by evaluation of vestibular performance using computerized dynamic posturography sensory organizational test (CDP−SOT). Retrospective analysis of these outcomes comparing the study sample of SMs to the reported civilian samples revealed SMs self-reported lower VD with significantly higher balance confidence (ABC: 77.11 ± 14.61, p < 0.05) and lower dizziness (DHI: 37.75 ± 11.74, p < 0.05) than civilians. However, the SMs underperformed in performance-based evaluations compared to civilians with significantly lower CDP−SOT composite and ratio scores (COMP: 68.46 ± 13.46, p < 0.05; VIS: 81.36 ± 14.03, p < 0.01; VEST: 55.63 ± 22.28, p < 0.05; SOM: 90.46 ± 10.17, p < 0.05). Correlational analyses identified significant relationships between the ABC and CDP−SOT composite (r = 0.380, p < 0.01) and ratio scores (VIS: r = 0.266, p < 0.05; VEST: r = 0.352, p < 0.01). These results highlight the importance of recognizing and understanding nuances in assessing VD in SMs to ensure they have access to adequate care and rehabilitation prior to returning to duty.
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Affiliation(s)
- Nicholas I. Wood
- Evans Army Community Hospital, Fort Carson, CO 80913, USA; (N.I.W.); (C.H.-P.); (J.N.H.); (A.R.S.); (S.A.B.)
- Traumatic Brain Injury Center of Excellence, Fort Carson, CO 80913, USA;
- General Dynamics Information Technology, Falls Church, VA 22042, USA
| | - James Hentig
- Evans Army Community Hospital, Fort Carson, CO 80913, USA; (N.I.W.); (C.H.-P.); (J.N.H.); (A.R.S.); (S.A.B.)
- Traumatic Brain Injury Center of Excellence, Fort Carson, CO 80913, USA;
- General Dynamics Information Technology, Falls Church, VA 22042, USA
| | - Madison Hager
- Traumatic Brain Injury Center of Excellence, Fort Carson, CO 80913, USA;
| | - Candace Hill-Pearson
- Evans Army Community Hospital, Fort Carson, CO 80913, USA; (N.I.W.); (C.H.-P.); (J.N.H.); (A.R.S.); (S.A.B.)
- Traumatic Brain Injury Center of Excellence, Fort Carson, CO 80913, USA;
- General Dynamics Information Technology, Falls Church, VA 22042, USA
| | - Jamie N. Hershaw
- Evans Army Community Hospital, Fort Carson, CO 80913, USA; (N.I.W.); (C.H.-P.); (J.N.H.); (A.R.S.); (S.A.B.)
- Traumatic Brain Injury Center of Excellence, Fort Carson, CO 80913, USA;
- General Dynamics Information Technology, Falls Church, VA 22042, USA
| | - Alicia R. Souvignier
- Evans Army Community Hospital, Fort Carson, CO 80913, USA; (N.I.W.); (C.H.-P.); (J.N.H.); (A.R.S.); (S.A.B.)
| | - Selena A. Bobula
- Evans Army Community Hospital, Fort Carson, CO 80913, USA; (N.I.W.); (C.H.-P.); (J.N.H.); (A.R.S.); (S.A.B.)
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15
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Han J, Luan L, Adams R, Witchalls J, Newman P, Tirosh O, Waddington G. Can therapeutic exercises improve proprioception in chronic ankle instability? a systematic review and network meta-analysis. Arch Phys Med Rehabil 2022; 103:2232-2244. [PMID: 35550140 DOI: 10.1016/j.apmr.2022.04.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Revised: 03/03/2022] [Accepted: 04/11/2022] [Indexed: 11/02/2022]
Abstract
OBJECTIVE To assess exercise therapies that aim to enhance proprioception in individuals with chronic ankle instability (CAI). DATA SOURCES Five databases (PubMed, Embase, Cochrane Library, Web of Science, and EBSCO) were searched in October 2021. STUDY SELECTION Randomized controlled trials involving exercise therapy conducted on individuals with CAI were included. DATA EXTRACTION Data were extracted by two independent reviewers using a standardized form. Methodological quality and risk of bias were assessed with the PEDro scale. DATA SYNTHESIS The end-trial weighted mean difference and standard deviations were analyzed, and the synthetic value for the improvement in error scores of ankle joint position sense (JPS) in multiple directions was evaluated. RESULTS Eleven trials with 333 participants were eligible for inclusion in this systematic review and were included in the Network Meta-Analysis. Foot and ankle muscle strengthening exercise showed the highest probability of being among the best treatments (surface under the cumulative ranking (SUCRA)=74.6%). The next two were static balance exercise only (SUCRA=67.9%) and corrective exercise (SUCRA=56.1%). The SUCRA values of proprioceptive exercise, dynamic balance exercise only, aquatic exercise, rehabilitation exercise with brace, mixed static/dynamic balance exercise, and control were at relatively low levels, and scored at 49.6%, 48.8%, 47.8%, 47.7%, 44.0%, and 13.5%, respectively. CONCLUSIONS Foot and ankle muscle strengthening exercise may have a good effect when used to improve JPS in individuals with CAI. Probably, the more complex balance exercise intervention becomes, the less effective the proprioceptive outcome. PROSPERO REGISTRATION NUMBER CRD42021240331.
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Affiliation(s)
- Jia Han
- College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, China; Department of Physiotherapy and Sports Rehabilitation, Shanghai University of Sport, Shanghai, China; Research Institute for Sport and Exercise, University of Canberra, Bruce ACT, Australia; Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn VIC, Australia.
| | - Lijiang Luan
- Department of Physiotherapy and Sports Rehabilitation, Shanghai University of Sport, Shanghai, China
| | - Roger Adams
- School of Physiotherapy, University of Sydney, Lidcombe NSW, Australia; Research Institute for Sport and Exercise, University of Canberra, Bruce ACT, Australia
| | - Jeremy Witchalls
- Research Institute for Sport and Exercise, University of Canberra, Bruce ACT, Australia
| | - Phillip Newman
- Research Institute for Sport and Exercise, University of Canberra, Bruce ACT, Australia
| | - Oren Tirosh
- Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn VIC, Australia
| | - Gordon Waddington
- Research Institute for Sport and Exercise, University of Canberra, Bruce ACT, Australia
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16
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Antcliff SR, Witchalls JB, Wallwork SB, Welvaert M, Waddington GS. Daily surveillance of falls is feasible and reveals a high incidence of falls among older adults. Australas J Ageing 2022; 41:e201-e205. [PMID: 35235242 PMCID: PMC9311659 DOI: 10.1111/ajag.13058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 01/27/2022] [Accepted: 02/04/2022] [Indexed: 11/30/2022]
Abstract
Objective To ensure accurate data capture for a fall study through a system of daily contact with participants. Methods Fifty‐eight adults older than 60 years of age and living independently in the community in Canberra, Australia, were recruited for a prospective fall study. We adopted a system of daily contact with study participants for at least 12 months, either by email or by text, asking whether they had suffered a fall in the previous 24 h. At the final testing session, we asked participants whether they had experienced a fall during the previous twelve months. Results We found no evidence that the daily reporting regime led to excess participant attrition. Only three participants withdrew over the course of the study, and the burden of responding was not cited as a factor in any of these cases. Of the 55 participants who completed the full twelve‐month study period, 38 (69%) experienced at least one fall. We also identified inconsistencies between recall of falls occurring during the last twelve months of the study and the contemporaneously recorded data. Conclusions Previous studies have found that increasing the reporting demands on fall study participants will lead to higher attrition. This study demonstrates that it is possible to maintain participant engagement and minimise attrition with appropriate design of reporting procedures. We confirm existing evidence regarding the unreliability of retrospective recall of falls. The study highlights the importance of comprehensive and accurate data capture and points to the possibility of under‐reporting of fall incidence.
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Affiliation(s)
- Susan R Antcliff
- Research Institute for Sport and Exercise, University of Canberra, Canberra, Australian Capital Territory, Australia
| | - Jeremy B Witchalls
- Research Institute for Sport and Exercise, University of Canberra, Canberra, Australian Capital Territory, Australia
| | - Sarah B Wallwork
- IIMPACT in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia
| | - Marijke Welvaert
- Statistical Consulting Unit, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Gordon S Waddington
- Research Institute for Sport and Exercise, University of Canberra, Canberra, Australian Capital Territory, Australia
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17
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Ankle complex proprioception and plantar cutaneous sensation in older women with different physical activity levels. Exp Brain Res 2022; 240:981-989. [DOI: 10.1007/s00221-021-06273-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Accepted: 11/11/2021] [Indexed: 11/04/2022]
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18
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Liu P, Chen K, Wang S, Hua C, Zhang H, Yu J. A mouse model of ankle-subtalar joint complex instability induced post-traumatic osteoarthritis. J Orthop Surg Res 2021; 16:541. [PMID: 34470616 PMCID: PMC8408979 DOI: 10.1186/s13018-021-02683-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 08/20/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Ankle-subtalar joint complex instability is not uncommonly presented in the clinic, but symptoms and signs similar to other conditions can easily lead to its misdiagnosis. Due to the lack of appropriate animal models, research on ankle-subtalar joint complex instability is limited. The aims of the present study were to establish an animal model of ankle-subtalar joint complex instability in mice and to explore its relationship with post-traumatic osteoarthritis (PTOA). METHODS Twenty-one male C57BL/6J mice were randomly divided into three groups: SHAM group (sham surgery group), transected cervical ligament + anterior talofibular ligament (CL+ATFL) group, and transected cervical ligament + deltoid ligament (CL+DL) group. Two weeks after surgery, all mice underwent cage running training. Balance beam and gait tests were used to evaluate the changes in self-movement in the mice after ankle-subtalar ligament injury. Micro-CT and histological staining were used to evaluate the progress of PTOA. RESULTS Compared with the SHAM group, balance and gait were affected in the ligament transection group. Twelve weeks after surgery, the time required to cross the balance beam in the CL+ATFL group was 35.1% longer and the mice slipped 3.6-fold more often than before surgery, and the mean step length on the right side was 7.2% smaller than that in the SHAM group. The time required to cross the balance beam in the CL+DL group was 32.1% longer and the mice slipped 3-fold more often than prior to surgery, and the average step length on the right side was 5.6% smaller than that in the SHAM group. CT images indicated that 28.6% of the mice in the CL+DL group displayed dislocation of the talus. Tissue staining suggested that articular cartilage degeneration occurred in mice with ligament transection 12 weeks after surgery. CONCLUSIONS Transected mice in the CL+ATFL and CL+DL groups displayed mechanical instability of the ankle-subtalar joint complex, and some mice in the CL+DL group also suffered from talus dislocation due to ligament injury leading to loss of stability of the bone structure. In addition, as time progressed, the articular cartilage displayed degenerative changes, which affected the ability of animals to move normally.
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Affiliation(s)
- Peixin Liu
- Department of Orthopedics, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, Jiangsu, People's Republic of China.,Orthopedic Institute, Soochow University, 178 Ganjiangdong Rd, Suzhou, 215006, Jiangsu, People's Republic of China
| | - Kaiwen Chen
- Department of Orthopedics, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, Jiangsu, People's Republic of China.,Orthopedic Institute, Soochow University, 178 Ganjiangdong Rd, Suzhou, 215006, Jiangsu, People's Republic of China
| | - Shuo Wang
- Department of Orthopedics, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, Jiangsu, People's Republic of China.,Orthopedic Institute, Soochow University, 178 Ganjiangdong Rd, Suzhou, 215006, Jiangsu, People's Republic of China
| | - Chunzhuo Hua
- Department of Orthopedics, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, Jiangsu, People's Republic of China.,Orthopedic Institute, Soochow University, 178 Ganjiangdong Rd, Suzhou, 215006, Jiangsu, People's Republic of China
| | - Hongtao Zhang
- Department of Orthopedics, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, Jiangsu, People's Republic of China. .,Orthopedic Institute, Soochow University, 178 Ganjiangdong Rd, Suzhou, 215006, Jiangsu, People's Republic of China.
| | - Jia Yu
- Department of Orthopedics, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, Jiangsu, People's Republic of China. .,Orthopedic Institute, Soochow University, 178 Ganjiangdong Rd, Suzhou, 215006, Jiangsu, People's Republic of China.
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19
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Antcliff S, Welvaert M, Witchalls J, Wallwork SB, Waddington G. Assessing Proprioception in an Older Population: Reliability of a Protocol Based on Active Movement Extent Discrimination. Percept Mot Skills 2021; 128:2075-2096. [PMID: 34210231 DOI: 10.1177/00315125211029906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Proprioceptive ability - the sense of where body parts are located in space - is one of many factors thought to affect falls risk among the elderly. Active movement extent discrimination is an approach to measuring proprioception that is administered in an ecologically valid testing environment to better reflect the exercise of proprioceptive skills in daily life. The Active Movement Extent Discrimination Apparatus (AMEDA) was developed to objectively measure this proprioceptive discrimination. However, the current absolute identification testing protocol is cognitively demanding, and it yields results that are insufficiently reliable to assess performance at the individual level. The objectives of this pilot study were to test the reliability and feasibility of a proposed new AMEDA testing protocol and to explore how performance related to cognitive ability and any perceived dysfunction in the foot or ankle. We tested 42 participants (aged 19 - 94 years) three times on the ankle AMEDA using a newly developed protocol that asked participants to report whether a given angle of ankle inversion was shallower or deeper than the immediately preceding inversion. Participants also completed the Stroop test, as a measure of cognitive ability, and two validated questionnaires for identifying foot or ankle dysfunction (the Cumberland Ankle Instability Tool and the Foot and Ankle Ability Measure). The proportion of correct responses for the AMEDA test showed the expected sigmoid shape of the psychometric function as signal strength increased. The intraclass correlation coefficient measured over the three tests was 0.65 (95% confidence interval: 0.49 - 0.78), suggesting moderate reliability. We found a positive and statistically significant correlation between AMEDA performance and Stroop results but no relationship between the AMEDA score and questionnaire-measured foot or ankle dysfunction. This study confirmed that the alternative testing protocol was simple to administer and easily understood by participants.
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Affiliation(s)
- Susan Antcliff
- Research Institute for Sport and Exercise, University of Canberra, Canberra, Australia
| | - Marijke Welvaert
- Statistical Consulting Unit, 2219Australian National University, Australian National University, Canberra, Australia
| | - Jeremy Witchalls
- Research Institute for Sport and Exercise, University of Canberra, Canberra, Australia
| | - Sarah B Wallwork
- IImpact in Health, 1067University of South Australia, Allied Health and Human Performance, University of South Australia, Adelaide, Australia
| | - Gordon Waddington
- Research Institute for Sport and Exercise, University of Canberra, Canberra, Australia
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20
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Han J, Yang Z, Adams R, Ganderton C, Witchalls J, Waddington G. Ankle inversion proprioception measured during landing in individuals with and without chronic ankle instability. J Sci Med Sport 2021; 24:665-669. [PMID: 33632662 DOI: 10.1016/j.jsams.2021.02.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 01/16/2021] [Accepted: 02/07/2021] [Indexed: 11/25/2022]
Abstract
BACKGROUND Research evidence has suggested that a more sensitive ankle proprioceptive testing method with higher ecological validity is needed for assessing proprioceptive deficits in individuals with chronic ankle instability (CAI). OBJECTIVES (1) To determine the test-retest reliability of a novel ankle proprioception assessment tool, the Ankle Inversion Discrimination Apparatus for Landing (AIDAL); (2) To assess whether AIDAL scores were sufficiently sensitive to detect proprioceptive deficits in chronic ankle instability (CAI); and (3) To examine whether AIDAL scores correlated with Cumberland Ankle Instability Tool (CAIT) scores. DESIGN Cross-sectional study. METHODS The AIDAL was purpose-built to assess ankle discrimination in four positions of ankle inversion (10°, 12°, 14° and 16°) upon landing from a 10cm drop. Area Under the Receiver Operating Curve (AUC) was employed as the ankle proprioceptive discrimination score. Seven-day test-retest reliability was evaluated with 23 university students (12 CAI and 11 non-CAI), and another 36 university students (18 CAI and 18 non-CAI) were in the comparison study. RESULTS The test-retest reliability ICC score for the whole group was 0.763 (95% CI=0.519-0.892), which showed an excellent reliability level. ICC (3,1) was 0.701 for the non-CAI group (95%CI=0.210-0.910) and 0.804 for the CAI group (95%CI=0.451-0.939). The CAI group performed at a significantly lower level on the AIDAL assessment than the non-CAI group (0.777±0.05 vs. 0.815±0.05, F=5.107, p=0.03). The discriminative AUC value for the AIDAL test was 0.756 with a cut point of 0.819 (sensitivity=0.733, specificity=0.800). The MDC90 scores for CAI and non-CAI groups were both 0.04. Spearman's correlation showed that the CAIT scores were significantly correlated with the ankle proprioceptive discrimination scores (rho=0.401, p=0.015). CONCLUSION The AIDAL showed good test-retest reliability for both non-CAI and CAI groups. Measuring ankle inversion proprioception during landing may be important for assessing the outcomes of CAI rehabilitation, as proprioceptive performance obtained from the AIDAL was significantly correlated with severity of functional ankle instability CAIT scores.
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Affiliation(s)
- Jia Han
- Department of Physiotherapy and Sport Rehabilitation Shanghai University of Sport, China; Faculty of Health, Arts and Design, Swinburne University of Technology, Australia; Research Institute for Sport and Exercise, University of Canberra, Australia.
| | - Zonghan Yang
- Department of Physiotherapy and Sport Rehabilitation Shanghai University of Sport, China; Department of Physiotherapy, University of Melbourne, Australia
| | - Roger Adams
- Research Institute for Sport and Exercise, University of Canberra, Australia
| | - Charlotte Ganderton
- Faculty of Health, Arts and Design, Swinburne University of Technology, Australia
| | - Jeremy Witchalls
- Research Institute for Sport and Exercise, University of Canberra, Australia
| | - Gordon Waddington
- Research Institute for Sport and Exercise, University of Canberra, Australia
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21
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Liu B, Witchalls J, Waddington G, Adams R, Wu S, Han J. Vibration of calf muscles has reverse effects on right and left ankle proprioception in high and low proprioceptive performer groups. Somatosens Mot Res 2020; 38:101-107. [PMID: 33345696 DOI: 10.1080/08990220.2020.1860929] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
PURPOSE Previous research has found hemispheric asymmetries in the utilization of proprioceptive information. It is undetermined, however, if there is any change in asymmetry in proprioceptive function when external stimulation, such as vibration, is presented. The present study was to investigate the immediate effects of vibration stimulation (VS) on bilateral ankle proprioception. MATERIALS AND METHODS Forty-six recreational male basketball players were included. Proprioception was assessed by using the active movement extent discrimination apparatus (AMEDA) in standing, and vibration was provided by using a vibrating form roller on the peroneal or gastrocnemius muscles. RESULTS When participants were divided into high score and low score groups, according to the median of the baseline proprioceptive performance, VS (irrespective of whether vibrating the peroneal or gastrocnemius muscles) significantly improved left non-dominant ankle proprioception in the low proprioceptive performer group (p = 0.019), while significantly deteriorated right dominant ankle proprioception in the high proprioceptive performer group (p = 0.011). CONCLUSIONS The results found that external stimuli reversely affect proprioception in better and worse performing groups. This suggests that there are differences in the processing of external stimulus signals on different bilateral hemispheres and in different groups (high score vs low score groups), which may be related to hemispheric asymmetry and stochastic resonance. Therefore, it is necessary to explore more specific interventions in the future.
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Affiliation(s)
- Bowen Liu
- Shanghai University of Sport, Shanghai, China
| | | | | | | | - Sam Wu
- Swinburne University of Technology, Melbourne, Australia
| | - Jia Han
- Shanghai University of Sport, Shanghai, China.,University of Canberra, Canberra, Australia.,Swinburne University of Technology, Melbourne, Australia
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Broatch JR, Halson SL, Panchuk D, Bishop DJ, Waddington G. Compression enhances lower‐limb somatosensation in individuals with poor somatosensation, but impairs performance in individuals wth good somatosensation. TRANSLATIONAL SPORTS MEDICINE 2020. [DOI: 10.1002/tsm2.214] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- James R. Broatch
- Institute for Health and Sport (iHeS) Victoria University Melbourne Vic. Australia
- Australia Institute of Sport Canberra ACT Australia
| | - Shona L. Halson
- Australia Institute of Sport Canberra ACT Australia
- School of Behavioural and Health Sciences Australian Catholic University Melbourne Vic. Australia
| | | | - David J. Bishop
- Institute for Health and Sport (iHeS) Victoria University Melbourne Vic. Australia
| | - Gordon Waddington
- Australia Institute of Sport Canberra ACT Australia
- University of Canberra Research Institute for Sport and Exercise Canberra ACT Australia
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23
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Han J, Adams R, Waddington G. "Imposed" and "obtained" ankle proprioception across the life span-Commentary on Djajadikarta et al. J Appl Physiol (1985) 2020; 129:533-534. [PMID: 32886026 DOI: 10.1152/japplphysiol.00541.2020] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Jia Han
- Department of Physiotherapy and Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.,Faculty of Health, Arts and Design, Swinburne University of Technology, Victoria, Australia.,Research Institute for Sport and Exercise, University of Canberra, Canberra, Australia
| | - Roger Adams
- Research Institute for Sport and Exercise, University of Canberra, Canberra, Australia
| | - Gordon Waddington
- Research Institute for Sport and Exercise, University of Canberra, Canberra, Australia
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Yang N, Adams R, Waddington G, Han J. Ipsilateral vs Contralateral Presentation of Familiarization Trials in a Lower-Limb Proprioception Test. J Mot Behav 2020; 53:334-342. [PMID: 32654610 DOI: 10.1080/00222895.2020.1777929] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
We examined the effect of pretest familiarization with ipsilateral or contralateral limbs on the performance in a proprioception test conducted afterwards. Sixty adults were randomly assigned to six different familiarization-session patterns. Ankle proprioception was tested using active movement extent discrimination assessment. The results reflected a beneficial effect of familiarization session on performance in the subsequent proprioception test (ES = 0.777). However, no significant difference was found between proprioceptive acuity scores when familiarization and test happened with either ipsilateral or contralateral limbs (ES= 0.361), or between the tested left and right foot no matter which side was familiarized (ES = 0.343). These results suggest that proprioceptive information from the familiarization session facilitates the subsequent proprioception test and is equally available to both hemispheres without loss of quality.
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Affiliation(s)
- Nan Yang
- International Education School, Shanghai University of Sport, Shanghai, China.,Faculty of Health, University of Canberra, Canberra, Australia
| | - Roger Adams
- Faculty of Health, University of Canberra, Canberra, Australia
| | | | - Jia Han
- Faculty of Health, University of Canberra, Canberra, Australia.,Kinesiology School, Shanghai University of Sport, Shanghai, China
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