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...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2023-06-01
|
Series: | Children |
Subjects: | |
Online Access: | https://www.mdpi.com/2227-9067/10/6/1056 |
_version_ | 1797595469368524800 |
---|---|
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. |
first_indexed | 2024-03-11T02:36:51Z |
format | Article |
id | doaj.art-6db49c7df5fa4a43bf2d43fcec82784c |
institution | Directory Open Access Journal |
issn | 2227-9067 |
language | English |
last_indexed | 2024-03-11T02:36:51Z |
publishDate | 2023-06-01 |
publisher | MDPI AG |
record_format | Article |
series | Children |
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 |
work_keys_str_mv | AT asabartonek evaluationofkneepositionsenseinchildrenwithmotordisabilitiesandchildrenwithtypicaldevelopmentacrosssectionalstudy AT marieeriksson evaluationofkneepositionsenseinchildrenwithmotordisabilitiesandchildrenwithtypicaldevelopmentacrosssectionalstudy AT annikaericson evaluationofkneepositionsenseinchildrenwithmotordisabilitiesandchildrenwithtypicaldevelopmentacrosssectionalstudy AT mikaelreimeringer evaluationofkneepositionsenseinchildrenwithmotordisabilitiesandchildrenwithtypicaldevelopmentacrosssectionalstudy AT cecilialidbeck evaluationofkneepositionsenseinchildrenwithmotordisabilitiesandchildrenwithtypicaldevelopmentacrosssectionalstudy |