Yaş, Cinsiyet ve Lateralizasyonun Dirsek Eklem Propriosepsiyonu ile İlişkisinin İncelenmesi

Amaç: Azalmış ya da bozulmuş proprioseptif duyu, anormal yükleme ve artmış yaralanma riskine neden olup kişisel güvenliği tehlikeye atabilmektedir. Bu çalışmanın amacı, dirsek eklem propriyosepsiyonu ile yaş, cinsiyet ve dominantlığın ilişkisini incelemektir. Gereç ve Yöntem: Çalışmaya 18-65 yaş arası 129 asemptomatik birey dahil edildi. Dirsek eklem propriosepsiyon ölçümü eklem pozisyon hissi hatası ölçümü ile gerçekleştirildi. Bulgular: Bireylerin yaş ortalaması 30,80±13,29 yıl olup 79’u kadın, 50’si erkekti. 9 birey sol, 120 birey sağ dominant idi. Verilere göre yaş 70º deki, cinsiyet ve dominant taraf 110º deki eklem pozisyon hissi hatası ile ilişkili bulunmuştur (p<0,05). Sonuç: Yaş ilerledikçe proprioseptif keskinlikte azalma görülmektedir. Erkek bireyler ve sol dominant bireylerin eklem pozisyon hissi hataları daha düşüktür. Bu bulgular, yaş, hemisfer lateralizasyonu ve cinsiyetin çeşitli yapısal ve fonksiyonel nedenlerle hareketin algılanması ve temsilini modüle edebileceğini göstermektedir.

Anahtar Kelimeler:

Propriosepsiyon, dirsek, eklem pozisyon hissi, lateralizasyon

Investigating the Relationship of Age, Gender, and Lateralization with Elbow Joint Proprioception

Objective: Decreased or impaired proprioceptive sense may cause abnormal loading, increased risk of injury, and risk to personal safety. The aim of this study is to examine the relationship between elbow joint proprioception with age, gender, and dominance. Material and Method: One hundred and twenty nine asymptomatic individuals aged 18-65 years were included in the study. Elbow joint proprioception measurement was performed with joint position sense error measurement. Results: The mean age of the individuals was 30.80±13.29 years. 79 of them were female and 50 of them were male. 9 individuals were left-dominant, and 120 individuals were right-dominant. According to the data, age was associated with joint position sense error measurement (JPSE) in 70º, gender, and dominant side was associated with JPSE in 110º (p<0.01). Conclusion: There is a decrease in proprioceptive precision with increasing age. Male and left-dominant individuals have lower joint position sense errors. These findings indicate that age, hemisphere lateralization, and gender can modulate the perception and representation of movement.

Keywords:

Proprioception, elbow, joint position sense, lateralization,

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Lubiatowski P, Olczak I, Lisiewicz E, Ogrodowicz P, Bręborowicz M, Romanowski L. Elbow joint position sense after total elbow arthroplasty. J Shoulder Elbow Surg. 2014 May;23(5):693–700.
Guémann M, Halgand C, Bastier A, Lansade C, Borrini L, Lapeyre É, et al. Sensory substitution of elbow proprioception to improve myoelectric control of upper limb prosthesis: experiment on healthy subjects and amputees. J Neuroeng Rehabil. 2022 Dec 11;19(1):59.
Ingemanson ML, Rowe JB, Chan V, Wolbrecht ET, Cramer SC, Reinkensmeyer DJ. Use of a robotic device to measure age-related decline in finger proprioception. Exp Brain Res. 2016 Jan 16;234(1):83–93.
Ozkul F. Evaluation of elbow joint proprioception with RehabRoby: a pilot study. Acta Orthop Traumatol Turc. 2012;46(5):332–8.
Sevrez V, Bourdin C. On the Role of Proprioception in Making Free Throws in Basketball. Res Q Exerc Sport. 2015 Jul 3;86(3):274–80.
Stasinopoulos D. The role of proprioception in the management of lateral elbow tendinopathy. Journal of Hand Therapy. 2019 Jan;32(1):e2–3.
Firat T, Uysal Ö. Proprioception After Elbow Injury, Surgery, and Rehabilitation. In: Proprioception in Orthopaedics, Sports Medicine and Rehabilitation. Cham: Springer International Publishing; 2018. p. 47–56.
Schmidt L, Depper L, Kerkhoff G. Effects of age, sex and arm on the precision of arm position sense - Left-arm superiority in healthy righthanders. Front Hum Neurosci. 2013 Dec 24;7(DEC):915.
Ozden F, Yesilyaprak SS. Foam Rolling, Elbow Proprioception, Strength, and Functional Motor Performance. J Athl Train. 2021 Oct 1;56(10):1112–23.
Henry M, Baudry S. Age-related changes in leg proprioception: implications for postural control. J Neurophysiol. 2019 Aug 1;122(2):525– 38.
Muaidi QI. Does gender make a difference in knee rotation proprioception and range of motion in healthy subjects? J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1237–43.
Vafadar AK, Côté JN, Archambault PS. Sex differences in the shoulder joint position sense acuity: A cross-sectional study Rehabilitation, physical therapy and occupational health. BMC Musculoskelet Disord. 2015 Sep 30;16(1):1–7.
Wijnhoven HAH, de Vet HCW, Picavet HSJ. Explaining sex differences in chronic musculoskeletal pain in a general population. Pain. 2006 Sep 1;124(1–2):158–66.
King J, Harding E, Karduna A. The Shoulder and Elbow Joints and Right and Left Sides Demonstrate Similar Joint Position Sense. 2013 Nov 1;45(6):479–86.
Haavik H, Murphy B. Subclinical Neck Pain and the Effects of Cervical Manipulation on Elbow Joint Position Sense. J Manipulative Physiol Ther. 2011 Feb;34(2):88–97.
Juul-Kristensen B, Lund H, Hansen K, Christensen H, Danneskiold- Samsøe B, Bliddal H. Test-retest reliability of joint position and kinesthetic sense in the elbow of healthy subjects. Physiother Theory Pract. 2008 Jan;24(1):65–72.
Ager AL, Roy JS, Roos M, Belley AF, Cools A, Hébert LJ. Shoulder proprioception: How is it measured and is it reliable? A systematic review. J Hand Ther. 2017 Apr 1;30(2):221–31.
Yuksel E, Eymir M, Unver B, Karatosun V. Reliability, concurrent validity and minimal detectable change of the L test in patients with total knee arthroplasty. Disabil Rehabil. 2021 Jan 15;1–5.
Goble DJ. Proprioceptive Acuity Assessment Via Joint Position Matching: From Basic Science to General Practice. Phys Ther. 2010 Aug 1;90(8):1176–84.
Henry M, Baudry S. Control of Movement: Age-related changes in leg proprioception: implications for postural control. J Neurophysiol. 2019 Aug 8;122(2):525.
Proske U, Gandevia SC. The proprioceptive senses: their roles in signaling body shape, body position and movement, and muscle force. Physiol Rev. 2012 Oct 1;92(4):1651–97.
Yang N, Waddington G, Adams R, Han J. Age-related changes in proprioception of the ankle complex across the lifespan. J Sport Health Sci. 2019 Nov 1;8(6):548–54.
Herter TM, Scott SH, Dukelow SP. Systematic changes in position sense accompany normal aging across adulthood. J Neuroeng Rehabil]. 2014 Mar 25;11(1):1–12.
Ansems GE, Allen TJ, Proske U. Position sense at the human forearm in the horizontal plane during loading and vibration of elbow muscles. J Physiol. 2006 Oct 15;576(2):445–55.
Fuentes CT, Bastian AJ. Where Is Your Arm? Variations in Proprioception Across Space and Tasks. J Neurophysiol. 2010 Jan;103(1):164–71.
Adamo DE, Scotland S, Martin BJ. Upper limb kinesthetic asymmetries: Gender and handedness effects. Neurosci Lett. 2012 May;516(2):188–92.
Lucado AM, Dale RB, Kolber MJ, Day JM. Analysis Of Range Of Motion In Female Recreational Tennis Players With And Without Lateral Elbow Tendinopathy. Int J Sports Phys Ther. 2020 May;15(4):526.
van Roy P, Baeyens JP, Fauvart D, Lanssiers R, Clarijs J. Arthrokinematics of the elbow: study of the carrying angle. 2007 Sep 15;48(11–14):1645–56.
Acikgöz AK, Balci RS, Göker P, Bozkir MG, Acikgöz AK, Balci RS, et al. Evaluación del Ángulo de Desplazamiento del Codo en Individuos Sanos. International Journal of Morphology. 2018 Mar 1;36(1):135–9.
Kaplan A. Erişkinlerde Lateralizasyon, Psikolojik Durum, Antropometrik Ölçümler, Egzersiz Kapasitesi ve Vücut Kütle İndeksi İlişkilerinin Araştırılması. [Afyonkarahisar] [master’s thesis]: Afyon Kocatepe Üniversitesi; 2011.