Document Type : Original Articles
Authors
Abstract
Background: Joint position sense (JPS) is comprised of sensory input from several sources, including skin, joint capsule/ligaments, and muscular receptors. If the muscle receptors play a leading role in detecting joint position awareness, then muscle fatigue might yield a declination in JPS. The aim of this study was to evaluate if a sustained fatiguing contraction of the tibialis anterior (ankle dorsiflexor) could alter the ankle JPS.Methods: This was a cross-sectional study in which 40 healthy subjects (age, 23.9±2.3 years; height, 172.6±5.7 cm; weight, 67.8±4.7 kg) were recruited. Subjects were asked to recognize 2 pre-recognized positions (10° in dorsiflexion (DF) and 21° in plantarflexion (PF)) for 2 experimental conditions: normal and fatigued. Muscular fatigue was induced in the tibialis anterior of the dominant leg by using an isometric test. The average of the absolute angular error (AAE) deviations from the target positions of three trials were recorded as scores for both fatigue and non-fatigue conditions.Results: There was significant decrease in subjects’ abilities to recognize active and passive repositioning of their ankle after a fatigue protocol (P=0.0001).Conclusion: The acuity of the ankle JPS is reduced subsequent to a fatigue protocol.
Keywords
- Hiemstra L, Lo I, Fowler PJ. Effect of fatigue on knee
- proprioception: implications for dynamic stabilization. The Journal
- of orthopaedic and sports physical therapy. 2001;31(10):598.
- Gabbett TJ. Incidence, site, and nature of injuries in amateur
- rugby league over three consecutive seasons. British Journal of
- Sports Medicine. 2000;34(2):98-103.
- Miyasaka K, Daniel D, Stone M, Hirshman P. The incidence of
- knee ligament injuries in the general population. Am J Knee
- Surg. 1991;4(1):3-8.
- Fortier S, Basset FA, Billaut F, Behm D, Teasdale N. Which
- type of repetitive muscle contractions induces a greater acute
- impairment of position sense? Journal of Electromyography and
- Kinesiology. 2010;20(2):298-304.
- Gandevia S. Neural control in human muscle fatigue: changes in
- muscle afferents, moto neurones and moto cortical drive. Acta
- physiologica scandinavica. 1998;162(3):275-83.
- South M, George KP. The effect of peroneal muscle fatigue
- on ankle joint position sense. Physical Therapy in sport.
- ;8(2):82-7.
- Johnston 3rd R, Howard ME, Cawley PW, Losse GM. Effect of
- lower extremity muscular fatigue on motor control performance.
- Medicine and science in sports and exercise. 1998;30(12):1703.
- Bouët V, Gahery Y. Muscular exercise improves knee position
- sense in humans. Neuroscience letters. 2000;289(2):143-6.
- Gurney B, Milani J, Pedersen ME. Role of fatigue on
- proprioception of the ankle. J Exerc Physiol. 2000;3(1):8-13.
- Lattanzio P-J, Petrella RJ. Knee proprioception: a review of
- mechanisms, measurements, and implications of muscular fatigue.
- Orthopedics. 1998;21(4):463.
- Gandevia S, Enoka R, McComas A, Stuart D, Thomas C.
- Neurobiology of muscle fatigue. Advances and issues. Advances
- in experimental medicine and biology. 1995;384:515.
- Gear WS. Effect of different levels of localized muscle fatigue
- on knee position sense. Journal of sports science & medicine.
- ;10(4):725.
- Ribeiro F, Mota J, Oliveira J. Effect of exercise-induced fatigue
- on position sense of the knee in the elderly. European journal of
- applied physiology. 2007;99(4):379-85.
- Ribeiro F, Oliveira J. Factors Influencing Proprioception: What
- do They Reveal? 2011.
- Ribeiro F, Santos F, Goncalves P, Oliveira J. Effects of volleyball
- match-induced fatigue on knee joint position sense. European
- Journal of Sport Science. 2008;8(6):397-402.
- Allen TJ, Leung M, Proske U. The effect of fatigue from exercise
- on human limb position sense. The Journal of physiology.
- ;588(8):1369-77.
- Allen T, Proske U. Effect of muscle fatigue on the sense of
- limb position and movement. Experimental Brain Research.
- ;170(1):30-8.
- Mohammadi F, Roozdar A. Effects of fatigue due to contraction
- of evertor muscles on the ankle joint position sense in male
- soccer players. The American journal of sports medicine.
- ;38(4):824-8.
- Paschalis V, Nikolaidis MG, Giakas G, Jamurtas AZ, Pappas A,
- Koutedakis Y. The effect of eccentric exercise on position sense
- and joint reaction angle of the lower limbs. Muscle & nerve.
- ;35(4):496-503.
- Pinsault N, Vuillerme N. Degradation of cervical joint
- position sense following muscular fatigue in humans. Spine.
- ;35(3):294-7.
- Ribeiro F, Venâncio J, Quintas P, Oliveira J. The effect of fatigue
- on knee position sense is not dependent upon the muscle group
- fatigued. Muscle & nerve. 2011;44(2):217-20.
- Huston JL, Sandrey MA, Lively MW, Kotsko K. The effects of
- calf-muscle fatigue on sagittal-plane joint-position sense in the
- ankle. J Sport Rehabil. 2005;14:168-84.
- Shields RK, Madhavan S, Cole K. Sustained muscle activity
- minimally influences dynamic position sense of the ankle. The
- Journal of orthopaedic and sports physical therapy. 2005;35(7):443.
- Jan M-H, Lin C-H, Lin Y-F, Lin J-J, Lin D-H. Effects of weightbearing
- versus nonweight-bearing exercise on function, walking
- speed, and position sense in participants with knee osteoarthritis:
- a randomized controlled trial. Archives of physical medicine and
- rehabilitation. 2009;90(6):897-904.
- Chan M, Chu M, Wong S, Hamer P. Reliability of a pedal
- goniometer for the assessment of ankle inversion in the
- plantadlexed position. AustralianJournaloJPhysiothr: rapy36:
- 1990;160.
- van der Linden ML, Aitchison AM, Hazlewood ME, Hillman SJ,
- Robb JE. Test-retest repeatability of gluteus maximus strength
- testing using a fixed digital dynamometer in children with
- cerebral palsy. Archives of physical medicine and rehabilitation.
- ;85(12):2058-63.
- Kennedy A, Hug F, Bilodeau M, Sveistrup H, Guevel A.
- Neuromuscular fatigue induced by alternating isometric
- contractions of the ankle plantar and dorsiflexors. Journal of
- Electromyography and Kinesiology. 2011;21(3):471-7.
- Hamberg J, Crenshaw AG. Sensory adaptation after a 2-week
- stretching regimen of the rectus femoris muscle. Archives of
- physical medicine and rehabilitation. 2001;82(9):1245-50.
- Proske U, Morgan DL, Gregory JE. Thixotropy in skeletal muscle
- and in muscle spindles: a review. Progress in neurobiology.
- ;41(6):705.
- Forestier N, Teasdale N, Nougier V. Alteration of the position
- sense at the ankle induced by muscular fatigue in humans.
- Medicine and science in sports and exercise. 2002;34(1):117-22.
- Nawata K, Teshima R, Morio Y, Hagino H, Enokida M,
- Yamamoto K. Anterior-posterior knee laxity increased by
- exercise: quantitative evaluation of physiologic changes. Acta Orthopaedica. 1999;70(3):261-4.
- Rozzi SL, Lephart SM, Gear WS, Fu FH. Knee joint laxity and
- neuromuscular characteristics of male and female soccer and
- basketball players. The American journal of sports medicine.
- ;27(3):312-9.
- Bigland-Ritchie BR, Furbush FH, Gandevia SC, Thomas CK.
- Voluntary discharge frequencies of human motoneurons at
- different muscle lengths. Muscle & nerve. 1992;15(2):130-7.
- Garland SJ. Role of small diameter afferents in reflex inhibition
- during human muscle fatigue. The Journal of physiology.
- ;435(1):547-58.
- Hagbarth K, Bongiovanni L, Nordin M. Reduced servo-control of
- fatigued human finger extensor and flexor muscles. The Journal
- of physiology. 1995;485(Pt 3):865-72.
- Nyland J, Shapiro R, Stine R, Horn T, Ireland M. Relationship
- of fatigued run and rapid stop to ground reaction forces, lower
- extremity kinematics, and muscle activation. The Journal of
- orthopaedic and sports physical therapy. 1994;20(3):132.