Development of supine and standing knee joint position sense tests

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dc.contributor.authorStrong, Andrewen
dc.contributor.authorSrinivasan, Divyaen
dc.contributor.authorHäger, Charlotte K.en
dc.contributor.departmentIndustrial and Systems Engineeringen
dc.date.accessioned2021-07-29T12:47:02Zen
dc.date.available2021-07-29T12:47:02Zen
dc.date.issued2021-05en
dc.description.abstractObjectives: We aimed to assess the test-retest reliability of a supine and standing knee joint position sense (JPS) test, respectively, and whether they discriminate knees with anterior cruciate ligament (ACL) injury from asymptomatic knees. Design: Repeated measures and cross-sectional. Setting: Research laboratory. Participants: For test-retest reliability, 24 persons with asymptomatic knees. For discriminative analysis: 1) ACLR -18 persons on average 23 months after unilateral ACL reconstruction, 2) CTRL - 23 less-active persons, and 3) ATHL - 21 activity level-matched athletes. Main outcome measures: Absolute error (AE) and variable error (VE). Results: Test-retest reliability was generally highest for AE of the standing test (ICC 0.64-0.91). Errors were less for the standing compared to the supine test across groups. CTRL had greater knee JPS AE (P = 0.005) and VE (P = 0.040) than ACLR. ACLR knees showed greater VE compared to the contralateral non-injured knees for both tests (P = 0.032), albeit with a small effect size (eta(2)(p) = 0.244). Conclusions: Our standing test was more reliable and elicited lesser errors than our supine test. Less-active controls, rather than ACLR, produced significantly greater errors. Activity level may be a more predominant factor than ACLR for knee JPS similar to 2 years post-reconstruction. (c) 2021 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).en
dc.description.notesThis work was supported by the Swedish Scientific Research Council (Grant No. 2017-00892), Region Vasterbotten County (Grant No. ALF VLL548501, VLL838421 and Strategic funding VLL-358901; Project No. 7002795), the Swedish Scientific Research Council for Sports Science (Grant No. Dnr CIF 2017/8 P2018-0104 and CIF P2019-0068), Umea School of Sport Science (Grant No. Dnr IH 5.3-13-2017) and King Gustaf V and Queen Victoria's Masonic Foundation. The funders did not have any role in study design and outcomes.en
dc.description.sponsorshipSwedish Scientific Research CouncilSwedish Research Council [2017-00892]; Region Vasterbotten County [ALF VLL548501, VLL838421, VLL-358901, 7002795]; Swedish Scientific Research Council for Sports Science [Dnr CIF 2017/8 P2018-0104, CIF P2019-0068]; Umea School of Sport Science [Dnr IH 5.3-13-2017]; King Gustaf V and Queen Victoria's Masonic Foundationen
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1016/j.ptsp.2021.02.010en
dc.identifier.issn1466-853Xen
dc.identifier.pmid33667776en
dc.identifier.urihttp://hdl.handle.net/10919/104438en
dc.identifier.volume49en
dc.language.isoenen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectProprioceptionen
dc.subjectKneeen
dc.subjectAthletesen
dc.subjectReliabilityen
dc.titleDevelopment of supine and standing knee joint position sense testsen
dc.title.serialPhysical Therapy in Sporten
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.dcmitypeStillImageen

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