Effect of positioning and bracing on passive position sense of shoulder joint

Effect of positioning and bracing on passive position sense of shoulder joint
2004
B Ulkar1, B Kunduracioglu1, C ´etin2, R S G?ner1
BJSM Online - British Journal of Sports Medicine

© 2004 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine

1 Department of Sports Medicine, Ankara University School of Medicine, Ankara, Turkey
2 Department of Sports Medicine, Suleyman Demirel University Medical School, Isparta, Turkey

Correspondence to:
Correspondence to:
Assistant Professor Ulkar
Ankara University Medical School, Sports Medicine, Ankara 06590, Turkey; ulkar@medicine.ankara.edu.tr

Objective: To examine the effects of positioning and sleeve type bracing on passive position sense of shoulder joints of healthy untrained subjects.

Method: A cross over study was carried out on 26 subjects (13 male, 13 female) with a proprioception measurement device. The selected method of testing was passive reproduction of a target angle. Both shoulder joints of all the subjects were evaluated with and without a compressive neoprene sleeve type of brace at two different start positions (45? internal rotation, 75? external rotation) with an angular rotational movement at a constant speed of 0.5?/s. The angular displacements from the target angles at the end of the reproduction tests were recorded as position sense deficit scores.

Results: The overall mean (SD) deficit score (0.99 (0.06)) was significantly (p<0.001) lower with the brace than without, and the overall mean deficit score was significantly (p<0.001) higher at the 45? internal rotation start position than at the 75? external rotation start position. However, there was no significant (p>0.05) interaction between brace application and start position.

Conclusion: Terminal limits of range of motion facilitate the position sense of shoulder joints. Compressive brace application improves the passive positioning sense possibly by stimulating cutaneous mechanoreceptors.

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Keywords: proprioception; shoulder; neoprene sleeve; position sense

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