Relationship between proprioception and postural stability of lower limbs in healthy adults

doi:10.3969/j.issn.2095-4344.2818

Abstract

Abstract:

BACKGROUND: Proprioception is one of the many factors affecting posture stability, but the relationship and

differences between proprioception and stability of the lower extremities remain unclear.

OBJECTIVE: To investigate the differences of static stability and proprioception between dominant and non-dominant legs and the correlation between proprioception and stability in healthy adults without the influence of foot posture.

METHODS: Sway length (SL) and sway area (SA) of the center of pressure (COP) were measured in 30 healthy adults with neutral feet standing on both legs and one leg, and the mean trajectory error (ATE) and completion time (CT) of lower limbs were recorded during proprioception evaluation. The study was approved by the Ethics Committee of Guangdong Second Traditional Chinese Medicine Hospital [No. (2019)50], and all participants voluntarily signed informed consent before the initiation of the study.

RESULTS AND CONCLUSION: The ATE of the dominant leg was larger than that of the non-dominant leg (P < 0.05). There were significant correlations between left and right legs in proprioception and stability (P < 0.05 or 0.01). The associations between SL in left legs and ATE in right legs and between SL in right legs and ATE in left legs (P < 0.05) were significantly adjusted for the intrinsic differences of proprioception and stability. There was a significant correlation between SL standing with dominant legs and SL in two legs static standing (P < 0.05). Therefore, the proprioception of the dominant legs was significantly worse than that of the non-dominant legs, but there was no difference in their stability. To conclude, the stability of the lower limbs is not only related to the proprioception at the same side, but also to the proprioception at the opposite side. In the process of training and clinical rehabilitation therapy, if we hope to improve stability and proprioception of the lower limbs, we should not only strengthen training of the ipsilateral limb, but also pay attention to the contralateral proprioception.

Key words: proprioception, stability, center of pressure, lower limbs

CLC Number:

Chen Zehua, Ye Xiangling, Chen Weijian, Xu Xuemeng. Relationship between proprioception and postural stability of lower limbs in healthy adults[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(29): 4692-4696.

Figures/Tables 5

References

[1] 朱瑶佳,霍洪峰.走与跑运动模式下的足底压力中心轨迹特征[J].中国组织工程研究,2018,22(31):4987-4992.

[2] TINETTI ME,SPEECHLEY M,GINTER SF.Risk factors for falls among elderly persons living in the community.N Engl J Med.1988;319(26):1701-1707.

[3] BULDT AK,FORGHANY S,LANDORF KB,et al.Foot posture is associated with plantar pressure during gait: A comparison of normal, planus and cavus feet. Gait Posture.2018;62: 235-240.

[4] HUANG TH, CHOU LW, HUANG CY, et al. H-reflex in abductor hallucis and postural performance between flexible flatfoot and normal foot. Phys Ther Sport.2019;37:27-33.

[5] REDMOND AC, CROSBIE J, OUVRIER RA. Development and validation of a novel rating system for scoring standing foot posture: the foot posture index.Clin Biomech (Bristol, Avon). 2006;21(1):89-98.

[6] ANGıN S, ILÇIN N, YEŞILYAPRAK SS, et al. Prediction of postural sway velocity by foot posture index, foot size and plantar pressure values in unilateral stance. Eklem Hastalik Cerrahisi.2013;24(3):144-148.

[7] KOURA GM, ELIMY DA, HAMADA HA, et al. Impact of foot pronation on postural stability: An observational study. J Back Musculoskelet ehabil.2016;30(6):1327-1332.

[8] HENRY M. Age-related changes in leg proprioception: implications for postural control. J Neurophysiol. 2019;122(2): 525-538.

[9] HASSAN BS, MOCKETT S, DOHERTY M. Static postural sway, proprioception, and aximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects.Ann Rheum Dis. 2001;60(6):612-618.

[10] COTE KP, BRUNET ME, GANSNEDER BM, et al. Effects of Pronated and Supinated Foot Postures on Static and Dynamic Postural Stability. J Athl Train. 2005;40(1):41-46.

[11] KNIGHT AC, HOLMES ME, CHANDER H, et al. Assessment of balance among adolescent track and field athletes. Sports Biomech.2016;15(2):169-179.

[12] PROMSRI A, HAID T, FEDEROLF P. How does lower limb dominance influence postural control movements during single leg stance? Hum Mov Sci. 2018;58:165-174.

[13] ALONSO AC, BRECH GC, BOURQUIN AM, et al. The influence of lower-limb dominance on postural balance. Sao Paulo Med J.2011;129(6):410-413.

[14] HOFFMAN M, SCHRADER J, APPLEGATE T, et al. Unilateral postural control of the functionally dominant and nondominant extremities of healthy subjects.J Athl Train.1998;33(4): 319-322.

[15] BARONE R, MACALUSO F, TRAINA M, et al. Soccer players have a better standing balance in nondominant one-legged stance.Open Access J Sports Med.2010; 2:1-6.

[16] SAWLE L, FREEMAN J, MARSDEN J. Intra-rater reliability of the multiple single-leg hop-stabilization test and relationships with age, leg dominance and training. Int J Sports Phys Ther. 2017;12(2):190-198.

[17] PAILLARD T,NOÉ F.Techniques and Methods for Testing the Postural Function in Healthy and Pathological Subjects. Biomed Res Int.2015;2015:891390.

[18] PINSAULT N, VUILLERME N. Test–retest reliability of centre of foot pressure measures to assess postural control during unperturbed stance.Med Eng Phys.2009;31:276-286.

[19] TAGLIETTI M, DELA BELA LF, DIAS JM, et al. Postural Sway,Balance Confidence, and Fear of Falling in Women With Knee Osteoarthritis in Comparison to Matched Controls.PM R. 2017;9(8):774-780.

[20] 卢岩岩,许学猛,刘文刚,等.膝骨关节炎患者本体感觉的影响因素分析[J].实用医学杂志,2018,34(16):2726-2728+2732.

[21] FREEMAN MA, DEAN MR, HANHAM IW. The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br.1965;47(4):678-685.

[22] PROSKE U, GANDEVIA SC. The proprioceptive senses: their roles in signaling body shape, body position and movement, and muscle force. Physiol Rev.2012;92(4):1651-1697.

[23] KHARAJI G, NIKJOOY A, AMIRI A, et al. Proprioception in stress urinary incontinence: A narrative review.Med J Islam Repub Iran.2019; 33:60.

[24] HRYSOMALLIS C. Relationship between balance ability, training and sports injury risk.Sports Med. 2007;37(6): 547-556.

[25] GOBLE DJ. Proprioceptive acuity assessment via joint position matching: from basic science to general practice. Phys Ther. 2010;90(8):1176-1184.

[26] GEZGINASLAN Ö, ÖZTÜRK EA, CENGIZ M, et al. Effects of isokinetic muscle strengthening on balance, proprioception, and physical function in bilateral knee osteoarthritis patients with moderate fall risk. Turk J Phys Med Rehabil.2018;64(4): 353-361.

[27] HAN J, ANSON J, WADDINGTON G, et al.The Role of Ankle Proprioception for Balance Control in relation to Sports Performance and Injury. Biomed Res Int.2015;2015: 842804.

[28] PASMA JH, BOONSTRA TA, CAMPFENS SF, et al. van der Kooij H. Sensory reweighting of proprioceptive information of the left and right leg during human balance control. Journal of Neurophysiology. 2012;108(4):1138-1148.

[29] NIEMEYER P, NIEDERER D, GIESCHE F, et al. Unanticipated jump-landing after anterior cruciate ligament reconstruction: Does unanticipated jump-landing testing deliver additional return to sport information to traditional jump performance tests? Clin Biomech (Bristol, Avon).2019;70: 72-79.

[30] FINDLATER SE, MAZEROLLE EL, PIKE GB, et al. Proprioception and motor performance after stroke: An examination of diffusion properties in sensory and motor pathways. Hum Brain Mapp.2019;40(10):2995-3009.