Abstract
The role of proprioception as a protective mechanism has gained interest in recent years. From the clinical standpoint, several studies have dealt with ways to enhance proprioception following surgery and during rehabilitation. If kinesthesia (ability to detect passive motion) can be enhanced as a consequence of long-term athletic training, such training must be included as a part of the rehabilitation process to protect the patient from reinjury. Consequently, the purpose of this study was to compare the kinesthetic knee pattern between trained gymnasts and healthy nongymnasts. The proprioception testing device (PTD) was used to evaluate knee kinesthesia. From 45° of flexion, the knee was passively extended with the PTD. The device was stopped by the subject when this passive motion was detected. Fifteen healthy college-age female gymnasts (mean age 19.3 years) and 30 normal volunteers (mean age 20.7 years) comprised our study sample. A one-way analysis of variance (ANOVA) was used to compare the mean values of the dominant gymnastic knee to the dominant knee in the control group. Results revealed statistically significant mean differences between the trained gymnastic group and the untrained control group (F 1.34 (.95)=7.17.P=0.011). The results of this study suggest that extensive training has a positive influence on knee kinesthesia in addition to increasing muscle tone. According to the findings of this and other studies, highly trained athletes possess enhanced neurosensory pathways which are speculated to develop as a result of long-term athletic training. Although definite conclusions cannot be made from our investigation, prospective studies can determine the true role of athletic training in proprioceptive patterns.
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References
Arnheim D (1989) Exercise rehabilitation. Modern principles of athletic training, 7th edn. Times Mirror/Mosby College Publishing, St Louis, p. 393
Barrack R, Skinner H, Cook S, Haddad R (1983) Effect of articular disease and total knee arthroplasty on knee jointposition sense. J Neurophysiol 50: 684–687
Barrack R, Skinner H, Brunet M, Haddat R (1983) Functional performance of the knee after intraarticular anesthesia. Am J Sports Med 11:258–261
Barrack R, Skinner H, Brunet M, Cook S (1983) Jotht laxity and proprioception in the knee. Phys. Sports Med 11: 130–135
Barrack R, Skinner H, Brunet M, Cook S (1984) Joint kinesthesia in the highly trained knee. J Sports Med 24:18–20
Barrack R, Skinner H, Bucklet S (1989) Proprioception in the anterior deficient knee. Am J Sports Med 17:1–6
Barrack R, Lund P, Skinner H (1994) Knee joint proprioception revisited. J Sports Rehabil 3:18–42
Baxendale R, Ferrell W (1980) Modulation of transmission in flexion reflex pathways by knee joint afferent discharge in the decerebrate cat. Brain Res 202:497–500
Biedert RM, Stauffer E, Friederich N (1992) Occurrence of free endings in the soft tissue of the knee joint. A histologic investigation. Am J Sports Med 20:430–433
Co FH, Skinner H, Cannon D (1993) Effect of reconstruction of the anterior cruciate ligament on proprioception of the knee and the heel strike transient. J Orthop Res 11:696–704
Freeman M, Wyke B (1967) The innervation of the knee joint. An anatomical and histological study in the cat. J Anat. 101:505–532
Grigg P (1994) Peripheral neutral mechanisms in proprioception. J Sports Rehabil 3:2–17
Grigg P, Hoffman A (1982) Properties of Ruffini: afferent revealed by stress analysis of isolated sections of the cat knee capsule. J Neurophysiol 47:41–54
Grigg P, Hoffman A, Fogarty K (1982) Properties of Golgi-Manzonni afferents in cat knee joint capsule; as revealed by mechanical studies of isolated joint capsule. J Neurophysiol 47:31–40
Guyton A (1996) Textbook of medical physiology, 9th edn. Saunders, Philadelphia, p 595
Haus J, Halata Z (1990) Inneryvation of the anterior cruciate ligament. Int Orthop 14:293–296
Haus J, Halata Z, Refior H (1992) Proprioception in the human anterior cruciate ligament. Basic morphology. A light microscopic, scanning and transmission electron microscopic study. Z Orthop Ihre Grenzgebiete 130:484–494
Ihara H, Nakayama A (1986) Dynamic control training for knee ligament injuries. Am J Sports Med 14:309–315
Katonis PG, Assimakopoulus A, Agapitos M (1991) Mechanoreceptors in the posterior cruciate ligament. Histologic study on cadaver knees. Acta Orthop Scand 62:276–278
Kennedy J, Weinberg H, Wilson A (1974) Anatomy and function of the anterior cruciate ligament. J Bone Joint Surg [Am] 56:223–235
Kennedy J, Alexander I, Hayes K (1982) Nerve supply of the human knee and its functional importance. Am J Sports Med 10:329–335
Krauspe R, Schmidt M, Schaible H (1992) Sensory innervation of the anterior cruciate ligament. An electrophysiological study of the response properties of single identified mechanorreceptors in the cat. J Bone Joint Surg [Am] 74:390–397
Lephart S, Kocher M, Fu FH, Borsa P, Hamer C (1992) Proprioception following anterior cruciate ligament reconstruction. J Sports Rehab 1:188–196
Lephart S, Warner JJP, Borsa P, Fu FH (1994) Proprioception of the shoulder joint in healthy. unstable and surgically repaired shoulders. J Shoulder Elbow Surg 3:371–380
McClosely D (1978) Kinesthetic sensibility. Physiol Rev 58:763–820
Miyatsu M, Atsuta Y, Watakabe M (1993) The physiology of mechanoreceptors in the anterior ligament. An experimental study in decerebratedspinalised animals. J Bone Joint Surg [Br] 75:653–657
Perlau R, Frank C, Fick G (1995) The effect of elastic bandages on human knee proprioception in the uninjured population. Am J Sports Med 23:251–255
Pitman MI, Nainzadeh N, Menche D, Gasalberti R, Song E (1992) The intraoperative evaluation of the neurosensory function of the anterior cruciate ligament in humans using somatosensory evoked potentials. Arthroscopy 8:442–447
Roland PK, Ladegaard-Pedersen H (1977) A quantitative analysis of sensation of tension and of kinesthesia in man. Brain 100:671–692
Schultz RA, Miller D, Kerr C, Micheli L (1984) Mechanoreceptors in human cruciate ligaments: a histological study, J Bone Joint surg [Am] 66:1072–1076
Schutte MJ, Dabezies E, Zimny M, Happel L (1987) Neural anatomy of the human anterior cruciate ligament. J Bone Joint Surg [Am] 69:243–247
Skinner H, Barrack R (1991) Joint position sense in the normal and pathologic knee joint. J Electromyogr Kinesiol 1:180–190
Skinner H, Barrack R, Cook S (1984) Age-related decline in proprioception. Clin Orthop 184:208–211
Skinner H, Wyatt M, Hodgdon J, Conard D, Barrack R (1986) Effect of fatigue on joint position sense of the knee. J Orthop Res 4:112–118
Zimmy M, Schutte M, Dabezies E (1986) Mechanoreceptors in the human anterior cruciate ligament. Anat Rec 214:204–209
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Lephart, S.M., Giraldo, J.L., Borsa, P.A. et al. Knee joint proprioception: A comparison between female intercollegiate gymnasts and controls. Knee Surg, Sports traumatol, Arthroscopy 4, 121–124 (1996). https://doi.org/10.1007/BF01477265
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DOI: https://doi.org/10.1007/BF01477265