Cargando…

A Reliability of Active and Passive Knee Joint Position Sense Assessment Using the Luna EMG Rehabilitation Robot

Joint position sense (JPS) is the awareness of joint location in space, indicating accuracy and precision of the movement. Therefore, the aim of the present study is to determine the reliability of active and passive JPS assessment regarding the knee joint. This was carried out using the Luna EMG re...

Descripción completa

Detalles Bibliográficos
Autores principales: Oleksy, Łukasz, Królikowska, Aleksandra, Mika, Anna, Reichert, Paweł, Kentel, Monika, Kentel, Maciej, Poświata, Anna, Roksela, Anna, Kozak, Dominika, Bienias, Katarzyna, Smoliński, Marcel, Stolarczyk, Artur, Mikulski, Michał
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9739924/
https://www.ncbi.nlm.nih.gov/pubmed/36497961
http://dx.doi.org/10.3390/ijerph192315885
_version_ 1784847929875365888
author Oleksy, Łukasz
Królikowska, Aleksandra
Mika, Anna
Reichert, Paweł
Kentel, Monika
Kentel, Maciej
Poświata, Anna
Roksela, Anna
Kozak, Dominika
Bienias, Katarzyna
Smoliński, Marcel
Stolarczyk, Artur
Mikulski, Michał
author_facet Oleksy, Łukasz
Królikowska, Aleksandra
Mika, Anna
Reichert, Paweł
Kentel, Monika
Kentel, Maciej
Poświata, Anna
Roksela, Anna
Kozak, Dominika
Bienias, Katarzyna
Smoliński, Marcel
Stolarczyk, Artur
Mikulski, Michał
author_sort Oleksy, Łukasz
collection PubMed
description Joint position sense (JPS) is the awareness of joint location in space, indicating accuracy and precision of the movement. Therefore, the aim of the present study is to determine the reliability of active and passive JPS assessment regarding the knee joint. This was carried out using the Luna EMG rehabilitation robot. Further analysis assessed whether the examination of only the dominant site is justified and if there are differences between sites. The study comprised 24 healthy male participants aged 24.13 ± 2.82 years, performing sports at a recreational level. Using the Luna EMG rehabilitation robot, JPS tests were performed for the right and left knees during flexion and extension in active and passive mode, in two separate sessions with a 1-week interval. Both knee flexion and extension in active and passive modes demonstrated high reliability (ICC = 0.866–0.982; SEM = 0.63–0.31). The mean JPS angle error did not differ significantly between the right and left lower limbs (p < 0.05); however, no between-limb correlation was noted (r = 0.21–0.34; p > 0.05). The Bland–Altman plots showed that the between-limb bias was minimal, with relatively wide limits of agreement. Therefore, it was concluded that the Luna EMG rehabilitation robot is a reliable tool for active and passive knee JPS assessment. In our study, JPS angle error did not differ significantly between left and right sides; however, the slight asymmetry was observed (visible in broad level of agreement exceeding 5° in Bland–Altman plots), what may suggest that in healthy subjects, e.g., active athletes, proprioception should always be assessed on both sides.
format Online
Article
Text
id pubmed-9739924
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-97399242022-12-11 A Reliability of Active and Passive Knee Joint Position Sense Assessment Using the Luna EMG Rehabilitation Robot Oleksy, Łukasz Królikowska, Aleksandra Mika, Anna Reichert, Paweł Kentel, Monika Kentel, Maciej Poświata, Anna Roksela, Anna Kozak, Dominika Bienias, Katarzyna Smoliński, Marcel Stolarczyk, Artur Mikulski, Michał Int J Environ Res Public Health Article Joint position sense (JPS) is the awareness of joint location in space, indicating accuracy and precision of the movement. Therefore, the aim of the present study is to determine the reliability of active and passive JPS assessment regarding the knee joint. This was carried out using the Luna EMG rehabilitation robot. Further analysis assessed whether the examination of only the dominant site is justified and if there are differences between sites. The study comprised 24 healthy male participants aged 24.13 ± 2.82 years, performing sports at a recreational level. Using the Luna EMG rehabilitation robot, JPS tests were performed for the right and left knees during flexion and extension in active and passive mode, in two separate sessions with a 1-week interval. Both knee flexion and extension in active and passive modes demonstrated high reliability (ICC = 0.866–0.982; SEM = 0.63–0.31). The mean JPS angle error did not differ significantly between the right and left lower limbs (p < 0.05); however, no between-limb correlation was noted (r = 0.21–0.34; p > 0.05). The Bland–Altman plots showed that the between-limb bias was minimal, with relatively wide limits of agreement. Therefore, it was concluded that the Luna EMG rehabilitation robot is a reliable tool for active and passive knee JPS assessment. In our study, JPS angle error did not differ significantly between left and right sides; however, the slight asymmetry was observed (visible in broad level of agreement exceeding 5° in Bland–Altman plots), what may suggest that in healthy subjects, e.g., active athletes, proprioception should always be assessed on both sides. MDPI 2022-11-29 /pmc/articles/PMC9739924/ /pubmed/36497961 http://dx.doi.org/10.3390/ijerph192315885 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Oleksy, Łukasz
Królikowska, Aleksandra
Mika, Anna
Reichert, Paweł
Kentel, Monika
Kentel, Maciej
Poświata, Anna
Roksela, Anna
Kozak, Dominika
Bienias, Katarzyna
Smoliński, Marcel
Stolarczyk, Artur
Mikulski, Michał
A Reliability of Active and Passive Knee Joint Position Sense Assessment Using the Luna EMG Rehabilitation Robot
title A Reliability of Active and Passive Knee Joint Position Sense Assessment Using the Luna EMG Rehabilitation Robot
title_full A Reliability of Active and Passive Knee Joint Position Sense Assessment Using the Luna EMG Rehabilitation Robot
title_fullStr A Reliability of Active and Passive Knee Joint Position Sense Assessment Using the Luna EMG Rehabilitation Robot
title_full_unstemmed A Reliability of Active and Passive Knee Joint Position Sense Assessment Using the Luna EMG Rehabilitation Robot
title_short A Reliability of Active and Passive Knee Joint Position Sense Assessment Using the Luna EMG Rehabilitation Robot
title_sort reliability of active and passive knee joint position sense assessment using the luna emg rehabilitation robot
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9739924/
https://www.ncbi.nlm.nih.gov/pubmed/36497961
http://dx.doi.org/10.3390/ijerph192315885
work_keys_str_mv AT oleksyłukasz areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT krolikowskaaleksandra areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT mikaanna areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT reichertpaweł areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT kentelmonika areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT kentelmaciej areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT poswiataanna areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT rokselaanna areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT kozakdominika areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT bieniaskatarzyna areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT smolinskimarcel areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT stolarczykartur areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT mikulskimichał areliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT oleksyłukasz reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT krolikowskaaleksandra reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT mikaanna reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT reichertpaweł reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT kentelmonika reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT kentelmaciej reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT poswiataanna reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT rokselaanna reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT kozakdominika reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT bieniaskatarzyna reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT smolinskimarcel reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT stolarczykartur reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot
AT mikulskimichał reliabilityofactiveandpassivekneejointpositionsenseassessmentusingthelunaemgrehabilitationrobot