TOTBİD Dergisi

TOTBİD Dergisi

2012, Cilt 11, Sayı, 4     (Sayfalar: 269-273)

The role of proprioception in patellofemoral problems

Defne Kaya 1, Devrim Akseki 2, Mahmut Nedim Doral 1-3

1 Hacettepe Üniversitesi Tıp Fakültesi, 1Spor Hekimliği Anabilim Dalı, 3Ortopedi ve Travmatoloji Anabilim Dalı, Ankara
2 Balıkesir Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Balıkesir

DOI: 10.5606/totbid.dergisi.2012.36
Görüntüleme: 329
İndirme : 226

Proprioception, which is derived from Latin word Proprius, meaning one`s own, refers to the ability to conduct position sense of the body, interpret the data processed and respond consciously or unconsciously to stimuli of appropriate execution of posture or movement. Proprioception allows the perception of the position of the joints and maintains balance while standing in the presence of complete visual impairment. It can be defined as the ability to perceive the position of the limb or joint in space with movement and related influential factors and respond reasonably maintaining safety at the utmost level. The most common proprioceptive measurement methods used in sports traumatology include joint position sense (JPS) and threshold to perception of passive movement (TPM). The majority of these tests are used to analyze the perception rate and acuity of the position and movement. Currently, it is considered that proprioception plays a more critical role rather than pain in understanding the etiology of degenerative joint diseases and chronic injuries and the protection against damages. For patellofemoral joint problems, proprioceptive deficit of the knee joint may develop in two ways: (i) abnormal tissue stress and (ii) inflammation process with motor control and pain. Several factors including the presence of edema in the knee joint, the direction and degree of the patellar position, active vs passive test procedure may lead to altered sense of joint position. It seems that the relationship of proprioception with other performance criteria including muscle strength, laxity and balance will attract further attention in the next years.

Anahtar Kelimeler : Central nerve system; joint position sense; knee joint; patellofemoral; proprioception