Evaluation of Knee Position Sense in Children with Motor Disabilities and Children with Typical Development: A Cross-Sectional Study

Background: In children with motor disabilities, knee position during walking is often of concern in rehabilitation. This study aimed to investigate knee joint position sense. Thirty-seven children with Cerebral Palsy (CP), 21 with Myelomeningocele (MMC), 19 with Arthrogryposis (AMC), and 42 TD chil...

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Main Authors: Åsa Bartonek, Marie Eriksson, Annika Ericson, Mikael Reimeringer, Cecilia Lidbeck
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/6/1056
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author Åsa Bartonek
Marie Eriksson
Annika Ericson
Mikael Reimeringer
Cecilia Lidbeck
author_facet Åsa Bartonek
Marie Eriksson
Annika Ericson
Mikael Reimeringer
Cecilia Lidbeck
author_sort Åsa Bartonek
collection DOAJ
description Background: In children with motor disabilities, knee position during walking is often of concern in rehabilitation. This study aimed to investigate knee joint position sense. Thirty-seven children with Cerebral Palsy (CP), 21 with Myelomeningocele (MMC), 19 with Arthrogryposis (AMC), and 42 TD children participated in the study. Knee joint position sense, i.e., the difference between the criterion angle and the reproduced angle (JPS-error), was assessed in sitting while 3D motion capture was recorded at flexed knee 70 (Knee70), 45 (Knee45), and 20 (Knee20) degrees, and after three seconds at maintained criterion angle (CAM) and maintained reproduced angle (RAM). No differences were found between the groups in JPS-error, CAM, and RAM. At Knee70, CAM differed between the right and left legs in the TD group (<i>p</i> = 0.014) and RAM in the MMC group (<i>p</i> = 0.021). In the CP group, CAM was greater than RAM at Knee70 in the left leg (<i>p</i> = 0.002), at Knee45 in both legs (<i>p</i> = 0.004, <i>p</i> = 0.025), and at Knee20 in the right leg (<i>p</i> = 0.038). Difficulties in maintaining the knee position at CAM in the CP group sheds light on the need for complementary judgments of limb proprioception in space to explore the potential influence on knee position during walking.
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spelling doaj.art-6db49c7df5fa4a43bf2d43fcec82784c2023-11-18T09:50:58ZengMDPI AGChildren2227-90672023-06-01106105610.3390/children10061056Evaluation of Knee Position Sense in Children with Motor Disabilities and Children with Typical Development: A Cross-Sectional StudyÅsa Bartonek0Marie Eriksson1Annika Ericson2Mikael Reimeringer3Cecilia Lidbeck4Division of Paediatric Neurology, Department of Women’s and Children’s Health, Karolinska Institutet, 17176 Stockholm, SwedenDivision of Paediatric Neurology, Department of Women’s and Children’s Health, Karolinska Institutet, 17176 Stockholm, SwedenDivision of Paediatric Neurology, Department of Women’s and Children’s Health, Karolinska Institutet, 17176 Stockholm, SwedenDivision of Paediatric Neurology, Department of Women’s and Children’s Health, Karolinska Institutet, 17176 Stockholm, SwedenDivision of Paediatric Neurology, Department of Women’s and Children’s Health, Karolinska Institutet, 17176 Stockholm, SwedenBackground: In children with motor disabilities, knee position during walking is often of concern in rehabilitation. This study aimed to investigate knee joint position sense. Thirty-seven children with Cerebral Palsy (CP), 21 with Myelomeningocele (MMC), 19 with Arthrogryposis (AMC), and 42 TD children participated in the study. Knee joint position sense, i.e., the difference between the criterion angle and the reproduced angle (JPS-error), was assessed in sitting while 3D motion capture was recorded at flexed knee 70 (Knee70), 45 (Knee45), and 20 (Knee20) degrees, and after three seconds at maintained criterion angle (CAM) and maintained reproduced angle (RAM). No differences were found between the groups in JPS-error, CAM, and RAM. At Knee70, CAM differed between the right and left legs in the TD group (<i>p</i> = 0.014) and RAM in the MMC group (<i>p</i> = 0.021). In the CP group, CAM was greater than RAM at Knee70 in the left leg (<i>p</i> = 0.002), at Knee45 in both legs (<i>p</i> = 0.004, <i>p</i> = 0.025), and at Knee20 in the right leg (<i>p</i> = 0.038). Difficulties in maintaining the knee position at CAM in the CP group sheds light on the need for complementary judgments of limb proprioception in space to explore the potential influence on knee position during walking.https://www.mdpi.com/2227-9067/10/6/1056arthrogryposiscerebral palsyjoint position sensemyelomeningoceleproprioception
spellingShingle Åsa Bartonek
Marie Eriksson
Annika Ericson
Mikael Reimeringer
Cecilia Lidbeck
Evaluation of Knee Position Sense in Children with Motor Disabilities and Children with Typical Development: A Cross-Sectional Study
Children
arthrogryposis
cerebral palsy
joint position sense
myelomeningocele
proprioception
title Evaluation of Knee Position Sense in Children with Motor Disabilities and Children with Typical Development: A Cross-Sectional Study
title_full Evaluation of Knee Position Sense in Children with Motor Disabilities and Children with Typical Development: A Cross-Sectional Study
title_fullStr Evaluation of Knee Position Sense in Children with Motor Disabilities and Children with Typical Development: A Cross-Sectional Study
title_full_unstemmed Evaluation of Knee Position Sense in Children with Motor Disabilities and Children with Typical Development: A Cross-Sectional Study
title_short Evaluation of Knee Position Sense in Children with Motor Disabilities and Children with Typical Development: A Cross-Sectional Study
title_sort evaluation of knee position sense in children with motor disabilities and children with typical development a cross sectional study
topic arthrogryposis
cerebral palsy
joint position sense
myelomeningocele
proprioception
url https://www.mdpi.com/2227-9067/10/6/1056
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