Document Type : Original Articles
Authors
- Farahnaz Ghaffarinejad
- Farzaneh Moslemi Haghighi
- Soraya Pirouzi
- Shohreh Taghizadeh
- Tahereh Motiallah
- Nasrin Salehi
Abstract
Background: Heat therapy is one of the natural treatments that can affect the information transferred by the proprioceptive receptors. Heat has an effect on the conduction velocity of peripheral nerves, but the exact effect of two kinds of deep and superficial heat on the joint position sense is not known clearly. The present study aimed to compare the effect of deep and superficial heat on ankle joint position sense.Methods: Thirty healthy male students aged between 18 to 30 y/o participated in this study. Deep heat by short-wave diathermy and superficial heat by water of 42 ºC were applied for 15 minutes in two sessions for all participants. In all of the tests, active and passive ankle joint position sense in dorsiflexion and plantarflexion were measured by pedal goniometers prior to and after heat application. The Non-Parametric-Paired T-test Wilcoxon and Non-Parametric- Paired T-test Mann-Withney were used to analyze the data.Results: The superficial heat does not have any positive or negative effect on the ankle joint position sense. After the deep heat, the absolute angular error of active dorsiflexion was increased, but passive plantarflexion was decreased significantly. Comparing the two types of heat, the results revealed that the deep heat increased the absolute angular error of active dorsiflexion significantly more than superficial heat.Conclusion: According to the results, deep heat therapy improves passive ankle joint position sense in plantar flexion, but it worsens the active joint position sense of dorsiflexion. Therefore, it seems that after applying deep heat therapy on an ankle joint, exercise prescriptions need to be cautious.
Keywords
- Prentice WE. Rehabilitation techniques in sports medicine. 3rd ed. Boston, Mass.: WCB/McGraw-Hill; 1999.
- Guyton AC. Textbook of medical physiology. 8th ed. Philadelphia: Saunders; 1991.
- Cohen H. Neuroscience for rehabilitation. 2nd ed. Philadelphia: Lippincott; 1999.
- Prentic W. Rehabilitation techniques in sport medicine. Mosby 1994 2nd ed: 118. 1994;132.
- Konradsen L, Ravn JB, Sorensen AI. Proprioception at the ankle: the effect of anaesthetic blockade of ligament receptors. J Bone
- Joint Surg Br. 1993 May;75(3):433-6.
- Meeuwsen HJ, Sawicki TM, Stelmach GE. Improved foot position sense as a result of repetitions in older adults. J Gerontol. 1993
- May;48(3):P137-41.
- Bouet V, Gahery Y. Muscular exercise improves knee position sense in humans. Neurosci Lett. 2000 Aug 4;289(2):143-6.
- Van Deursen R, Sanchez MM, Ulbrecht JS, Cavanagh P. The role of muscle spindles in ankle movement perception in human
- subjects with diabetic neuropathy. Experimental brain research. 1998;120(1):1-8.
- Robertson VJ, Ward AR, Jung P. The effect of heat on tissue extensibility: a comparison of deep and superficial
- heating. Archives of physical medicine and rehabilitation. 2005;86(4):819-25.
- Eldred E, Lindsley DF, Buchwald JS. The effect of cooling on mammalian muscle spindles. Experimental Neurolgy. 1960
- Apr;2:144-57.
- Rutkove SB, Kothari MJ, Shefner JM. Nerve, muscle, and neuromuscular junction electrophysiology at high temperature.
- Muscle & nerve. 1997;20(4):431-6.
- Maggo A, Saxena S, Grover S. The Effect of Proprioceptive and Strengthening Exercises in Knee Osteoarthritis. Indian Journal
- of Physiotherapy & Occupational Therapy-An International Journal.5(4):1-5.
- Clark FJ, Burgess RC, Chapin JW, Lipscomb WT. Role of intramuscular receptors in the awareness of limb position. J
- Neurophysiol. 1985 Dec;54(6):1529-40.
- Hopper D, Whittington D, Davies J. Does ice immersion influence ankle joint position sense? Physiother Res Int. 1997;2(4):223-36.
- Robertson VJ, Ward A R, Jung P. T he effect of heat on t issue extensibility: a comparison of deep and superficial heating. Arch
- Phys Med Rehabil. 2005 Apr;86(4):819-25.
- Haruhiko S. The effect of skin cooling and warming on stretch responses of the muscle spindle primary and secondary fibers from the cats tibialis anterior. Experimental Neurology. 1983;87:446-58.
- Matre D, Knardahl S. Sympathetic nerve activity does not reduce proprioceptive acuity in humans. Acta Physiol Scand.
- Jul;178(3):261-8.
- Tilki HE, Stalberg E, Coskun M, Gungor L. Effect of heating on nerve conduction in carpal tunnel syndrome. J Clin Neurophysiol.
- Nov-Dec;21(6):451-6.
- Bartlett MJ, Warren PJ. Effect of warming up on knee proprioception before sporting activity. Br J Sports Med. 2002
- Apr;36(2):132-4.
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