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A Study to Evaluate the effect of Fatigue on Knee Joint Proprioception and Balance in Healthy Individuals


Affiliations
1 Shri K K Sheth Physiotherapy College, Rajkot, India
2 Srinivas College of Physiotherapy, Mangalore, India
3 Srinivas College of Physiotherapy, India
     

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Introduction: Balance and proprioceptive testing is more commonly used in clinical settings to evaluate injured athletes to return to activity. Muscle fatigue produces neuromuscular deficiency within the muscle , thus predispose a joint to injury and decrease the athletic performance. A finding of previous studies shows contradictory findings of effect of muscle fatigue on proprioception and balance.

Aims & Objectives: A study to investigate the effect of fatigue on knee joint proprioception and balance in healthy individuals.

Materials & Methods: An observational study was conducted on 30 healthy subjects ( age 18-30 years) from Srinivas college of physiotherapy, Mangalore. Subjects was selected by simple random sampling techniques. Fatigue was induced in the subjects by cycling upto level of exceeding 60% of predicted HRmax (14-17 PRE). Subjects were tested to estimate reproduction error by using weight bearing joint position sense test at 30 0 of knee flexion , by goniometric evaluation accompanied by photographic method and the balance assessment was done on force platform with the measurement of anteroposterior, lateral CoP excursion and stability score in single limb stance, before and after fatigue protocol.

Results: After inducing fatigue,significant reproduction error was found for perception of joint position sense (t=-4.103) with significant changes were found in AP (t=3.997), lat CoP excursion (t=10.949) and stability score (t=11.785) at p>0.05.

Conclusion: A study revealed that moderate exercises can reduce proprioception which affects the neuromuscular control of joint making individual more suspectible to injury.


Keywords

Fatigue, Proprioception, Balance, Dynamic Stability
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  • Vollestad NK. Measurement of human muscle fatigue. J Neurosci Methods June 1997; 74 (2): 219-227.
  • Noakes TD. Physiological models to understand exercise fatigue and the adaptations that predict or enhance athletic performance. Scand J Med Sci Sports June 2000; 10 (3): 123-145.
  • Hiemstra LA., Lo IK., Fowler PJ. Effect of fatigue on knee proprioception: implications for dynamic stabilization. J Orthop Sports Phys Ther Oct 2001; 31(10): 598-605.
  • Mark Lyons, Yahya Al-Nakeeb, Alan Nevill. The impact of moderate and high intensity total body fatigue on passing accuracy in expert and novice basketball players. J of Sports Sci and Med June 2006; 5: 215-227.
  • Majewski M., Susanne H., Klaus S. Epidemiology of athletic knee injuries: A 10-year study. J Knee June 2006; 13(3): 184-188.
  • Ribeiro Fernando1, Santos Fernando2, Oliveira Jose. Effects of a volleyball match induced fatigue on knee joint position sense. 12th Annual Congress of the ECSS, 11–14 July 2007, Jyvaskyla, Finland.
  • Martin B. Jorklund. Effects of repetitive work on proprioception and of stretching on sensory mechanisms. Umea university medical dissertation, new series no. 877 –91. 2004; 90: 7305-604.
  • Grigg P. Peripheral neural mechanisms in proprioception. J. Sport Rehab Feb 1994; 3 (1): 2-17.
  • L. Hayward, U. Wesselmann and WZ. Rymer. Effects of muscle fatigue on mechanically sensitive afferents of slow conduction velocity in the cat triceps surae. J Neurophysiol 1991; 65 (2): 360–70.
  • Pedersen, Jonas, Lonn, Johan, Hellstorme, Fredric, Djupsjobacka, Mats, Johansson, Hakan. Localized muscle fatigue decreases the acuity of the movement sense in the human shoulder. Williams and Wilkins July 1999; 31(7): 1047-52.
  • Solomonow M., R. Baratta, BH. Zhou. The synergistic action of the anterior cruciate ligament and thigh muscles in maintaining joint stability. Am J Sports Med May-June 1987; 15 (3): 207-13.
  • Meral Bayramoglu, Reyhan Toprak and Seyhan Sozay. Effects of osteoarthritis and fatigue on proprioception of the knee joint. Arch of Phys Med and Rehab Mar 2007; 88(3): 346-50.
  • Ashton Miller JA., Wojtys EM., Huston LJ., Fry- Welch D. Can proprioception really be improved by exercises? Knee Surg Sports Traumatol Arthrosc May 2001; 9 (3): 128-136.
  • Chandy TA. and Grana WA. Secondary school athletic injury in boys and girls: A three-year comparison. Phys Sports Med 1985; 13: 106–11.
  • Peggy A. Houglum and David H. Perrin. Therapeutic exercises for athletic injuries.United States. First edition. Human Kinetics 2001: 272-3.
  • Shumway Cook A. and Woollacott M. Control of posture and balance. Motor control. Theory and practical application. Second edition. Baltimore, Williams and Wilkins 1995; 120-121.
  • Johnston, Richard B., Howard, Mark E., Cawley, Patrick W., Losse, Gary M. Effect of lower extremity muscular fatigue on motor control performance. Med Sci Sports Exerc Dec 1998; 30 (12): 1703-1707.
  • Gandevia SC. Spinal and supraspinal factors in human muscle fatigue. Physiol Rev Oct 2001; 81 (4): 1725-1789.
  • J.E. Bullock Saxton, WJ. Wong, N. Hogan. The influence of age on weight-bearing joint reposition sense of the knee. Exp Brain Res Jan 2001; 136(3): 400-406.
  • Barry C. Stillman and Joan M. McMeeken. The role of WB in the clinical assessment of knee joint position sense. Austr J of Physiotherapy 2001; 47: 247-253.
  • Eva Ageberg, David Roberts, Eva Holmstrom, Thomas Friden. Balance in single-limb stance in healthy subjects - Reliability of testing procedure and the effect of short-duration Sub-maximal Cycling. BMC Musculoskeletal Disorders June 2003; 4: 14.
  • David Roberts, Eva Ageberg, Gert Andersson, Thomas Friden. Effects of short-term cycling on knee joint proprioception in healthy young persons. Am J of Sports Med 2003; 31: 990-994.
  • Marks R., Quinney HA. Effect of fatiguing maximal isokinetic quadriceps contractions on ability to estimate knee-position. Percept Mot Skills Dec 1993; 77 (3 pt 2):1195-202.
  • M. Djupsjobacka, H. Johansson and M. Bergenheim. Influences on the ã-muscle spindle system from muscle afferents stimulated by increased intramuscular concentrations of arachidonic acid. Brain Res Nov 1994; 663 (2): 293–302.

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  • A Study to Evaluate the effect of Fatigue on Knee Joint Proprioception and Balance in Healthy Individuals

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Authors

Purvi K. Changela
Shri K K Sheth Physiotherapy College, Rajkot, India
K. Selvamani
Srinivas College of Physiotherapy, Mangalore, India
Ramaprabhu
Srinivas College of Physiotherapy, India

Abstract


Introduction: Balance and proprioceptive testing is more commonly used in clinical settings to evaluate injured athletes to return to activity. Muscle fatigue produces neuromuscular deficiency within the muscle , thus predispose a joint to injury and decrease the athletic performance. A finding of previous studies shows contradictory findings of effect of muscle fatigue on proprioception and balance.

Aims & Objectives: A study to investigate the effect of fatigue on knee joint proprioception and balance in healthy individuals.

Materials & Methods: An observational study was conducted on 30 healthy subjects ( age 18-30 years) from Srinivas college of physiotherapy, Mangalore. Subjects was selected by simple random sampling techniques. Fatigue was induced in the subjects by cycling upto level of exceeding 60% of predicted HRmax (14-17 PRE). Subjects were tested to estimate reproduction error by using weight bearing joint position sense test at 30 0 of knee flexion , by goniometric evaluation accompanied by photographic method and the balance assessment was done on force platform with the measurement of anteroposterior, lateral CoP excursion and stability score in single limb stance, before and after fatigue protocol.

Results: After inducing fatigue,significant reproduction error was found for perception of joint position sense (t=-4.103) with significant changes were found in AP (t=3.997), lat CoP excursion (t=10.949) and stability score (t=11.785) at p>0.05.

Conclusion: A study revealed that moderate exercises can reduce proprioception which affects the neuromuscular control of joint making individual more suspectible to injury.


Keywords


Fatigue, Proprioception, Balance, Dynamic Stability

References