Exploring the Nexus of lower extremity proprioception and postural stability in older adults with osteoporosis: a cross-sectional investigation
BackgroundOsteoporosis, characterized by reduced bone mass and micro-architectural deterioration, poses a significant public health concern due to increased fracture susceptibility. Beyond bone health, this cross-sectional study aimed to assess and compare lower extremity proprioception and postural...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1287223/full |
| _version_ | 1797447828023279616 |
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| author | Irshad Ahmad Ravi Shankar Reddy Raee S. Alqhtani Jaya Shanker Tedla Snehil Dixit Hussain Saleh H. Ghulam Abdullah Mohammed Alyami Saeed Al Adal Mohammad A. M. Jarrar |
| author_facet | Irshad Ahmad Ravi Shankar Reddy Raee S. Alqhtani Jaya Shanker Tedla Snehil Dixit Hussain Saleh H. Ghulam Abdullah Mohammed Alyami Saeed Al Adal Mohammad A. M. Jarrar |
| author_sort | Irshad Ahmad |
| collection | DOAJ |
| description | BackgroundOsteoporosis, characterized by reduced bone mass and micro-architectural deterioration, poses a significant public health concern due to increased fracture susceptibility. Beyond bone health, this cross-sectional study aimed to assess and compare lower extremity proprioception and postural stability in individuals with and without osteoporosis and to explore their correlation within the osteoporosis group.MethodIn this prospective cross-sectional study, 80 participants were divided into two groups: osteoporosis (n = 40) and control (n = 40). The demographic characteristics and clinical parameters of the participants were as follows: Age (years) – Osteoporosis group: 65.04 ± 4.33, Control group: 65.24 ± 4.63; Sex (%) – Osteoporosis group: Male 30%, Female 70%; Control group: Male 30%, Female 70%; Body mass index (kg/m2) – Osteoporosis group: 23.7 ± 3.2, Control group: 24.5 ± 4.6; T-score (Lumbar) – Osteoporosis group: −2.86 ± 1.23, Control group: 0.27 ± 0.58; T-score (hip) – Osteoporosis group: −2.28 ± 0.79, Control group: 0.68 ± 0.86. Joint Position Sense (JPS) at the hip, knee, and ankle was assessed using a digital inclinometer, and postural stability was measured using computerized force platforms.ResultOsteoporosis participants exhibited higher errors in hip (5.63° vs. 2.36°), knee (4.86° vs. 1.98°), and ankle (4.46° vs. 2.02°) JPS compared to controls. Postural stability measures showed increased anterior–posterior sway (10.86 mm vs. 3.98 mm), medial-lateral sway (8.67 mm vs. 2.89 mm), and ellipse area (966.88 mm2 vs. 446.19 mm2) in osteoporosis participants. Furthermore, correlation analyses within the osteoporosis group unveiled significant positive associations between lower extremity proprioception and postural stability. Specifically, hip JPS exhibited a strong positive correlation with anterior–posterior sway (r = 0.493, p = 0.003), medial-lateral sway (r = 0.485, p = 0.003), and ellipse area (r = 0.496, p < 0.001). Knee JPS displayed a moderate positive correlation with anterior–posterior sway (r = 0.397, p = 0.012), medial-lateral sway (r = 0.337, p = 0.032), and ellipse area (r = 0.378, p < 0.001). Similarly, ankle JPS showed a moderate positive correlation with anterior–posterior sway (r = 0.373, p = 0.023), medial-lateral sway (r = 0.308, p = 0.045), and ellipse area (r = 0.368, p = 0.021).ConclusionThese findings underscore the interplay between proprioceptive deficits, compromised postural stability, and osteoporosis, emphasizing the need for targeted interventions to improve fall prevention strategies and enhance the quality of life for individuals with osteoporosis. |
| first_indexed | 2024-03-09T14:01:36Z |
| format | Article |
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| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-09T14:01:36Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-10932dc1ed1d4ae198596027d233dec02023-11-30T07:28:00ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-11-011110.3389/fpubh.2023.12872231287223Exploring the Nexus of lower extremity proprioception and postural stability in older adults with osteoporosis: a cross-sectional investigationIrshad Ahmad0Ravi Shankar Reddy1Raee S. Alqhtani2Jaya Shanker Tedla3Snehil Dixit4Hussain Saleh H. Ghulam5Abdullah Mohammed Alyami6Saeed Al Adal7Mohammad A. M. Jarrar8Program of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi ArabiaProgram of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi ArabiaPhysical Therapy Department Medical Applied Sciences College, Najran University, Najran, Saudi ArabiaProgram of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi ArabiaProgram of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi ArabiaPhysical Therapy Department Medical Applied Sciences College, Najran University, Najran, Saudi ArabiaRehabilitation Sciences Department, Applied Medical Sciences College, Najran University, Najran, Saudi ArabiaPhysical Therapy Department Medical Applied Sciences College, Najran University, Najran, Saudi ArabiaRehabilitation Sciences Department, Applied Medical Sciences College, Najran University, Najran, Saudi ArabiaBackgroundOsteoporosis, characterized by reduced bone mass and micro-architectural deterioration, poses a significant public health concern due to increased fracture susceptibility. Beyond bone health, this cross-sectional study aimed to assess and compare lower extremity proprioception and postural stability in individuals with and without osteoporosis and to explore their correlation within the osteoporosis group.MethodIn this prospective cross-sectional study, 80 participants were divided into two groups: osteoporosis (n = 40) and control (n = 40). The demographic characteristics and clinical parameters of the participants were as follows: Age (years) – Osteoporosis group: 65.04 ± 4.33, Control group: 65.24 ± 4.63; Sex (%) – Osteoporosis group: Male 30%, Female 70%; Control group: Male 30%, Female 70%; Body mass index (kg/m2) – Osteoporosis group: 23.7 ± 3.2, Control group: 24.5 ± 4.6; T-score (Lumbar) – Osteoporosis group: −2.86 ± 1.23, Control group: 0.27 ± 0.58; T-score (hip) – Osteoporosis group: −2.28 ± 0.79, Control group: 0.68 ± 0.86. Joint Position Sense (JPS) at the hip, knee, and ankle was assessed using a digital inclinometer, and postural stability was measured using computerized force platforms.ResultOsteoporosis participants exhibited higher errors in hip (5.63° vs. 2.36°), knee (4.86° vs. 1.98°), and ankle (4.46° vs. 2.02°) JPS compared to controls. Postural stability measures showed increased anterior–posterior sway (10.86 mm vs. 3.98 mm), medial-lateral sway (8.67 mm vs. 2.89 mm), and ellipse area (966.88 mm2 vs. 446.19 mm2) in osteoporosis participants. Furthermore, correlation analyses within the osteoporosis group unveiled significant positive associations between lower extremity proprioception and postural stability. Specifically, hip JPS exhibited a strong positive correlation with anterior–posterior sway (r = 0.493, p = 0.003), medial-lateral sway (r = 0.485, p = 0.003), and ellipse area (r = 0.496, p < 0.001). Knee JPS displayed a moderate positive correlation with anterior–posterior sway (r = 0.397, p = 0.012), medial-lateral sway (r = 0.337, p = 0.032), and ellipse area (r = 0.378, p < 0.001). Similarly, ankle JPS showed a moderate positive correlation with anterior–posterior sway (r = 0.373, p = 0.023), medial-lateral sway (r = 0.308, p = 0.045), and ellipse area (r = 0.368, p = 0.021).ConclusionThese findings underscore the interplay between proprioceptive deficits, compromised postural stability, and osteoporosis, emphasizing the need for targeted interventions to improve fall prevention strategies and enhance the quality of life for individuals with osteoporosis.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1287223/fulllower extremity proprioceptionpostural stabilityosteoporosiscenter of pressure displacementsway velocity |
| spellingShingle | Irshad Ahmad Ravi Shankar Reddy Raee S. Alqhtani Jaya Shanker Tedla Snehil Dixit Hussain Saleh H. Ghulam Abdullah Mohammed Alyami Saeed Al Adal Mohammad A. M. Jarrar Exploring the Nexus of lower extremity proprioception and postural stability in older adults with osteoporosis: a cross-sectional investigation Frontiers in Public Health lower extremity proprioception postural stability osteoporosis center of pressure displacement sway velocity |
| title | Exploring the Nexus of lower extremity proprioception and postural stability in older adults with osteoporosis: a cross-sectional investigation |
| title_full | Exploring the Nexus of lower extremity proprioception and postural stability in older adults with osteoporosis: a cross-sectional investigation |
| title_fullStr | Exploring the Nexus of lower extremity proprioception and postural stability in older adults with osteoporosis: a cross-sectional investigation |
| title_full_unstemmed | Exploring the Nexus of lower extremity proprioception and postural stability in older adults with osteoporosis: a cross-sectional investigation |
| title_short | Exploring the Nexus of lower extremity proprioception and postural stability in older adults with osteoporosis: a cross-sectional investigation |
| title_sort | exploring the nexus of lower extremity proprioception and postural stability in older adults with osteoporosis a cross sectional investigation |
| topic | lower extremity proprioception postural stability osteoporosis center of pressure displacement sway velocity |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1287223/full |
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