Comparing the Effect of Closed Kinetic Chain Exercises and Proprioceptive Neuromuscular Facilitation on Ankle Joint Proprioception in Elderly Males

Document Type : Research Paper

Authors

student

Abstract

Strengthening factors affecting maintaining balance can be used as a basic strategy in the treatment of balance dysfunctions in elderly people. The aim of this study was to compare the effect of closed kinetic chain exercises and proprioceptive neuromuscular facilitation (PNF) on ankle joint proprioception of elderly males. Amongst 380 elderly males from Farsan city, Iran, 45 participants were randomly divided into 3 groups of 15. Average age in the closed kinethic chain group was 69.93 ± 6.70 years, in proprioceptive neuromuscular facilitation group was 67.20 ± 6.90 years, and in the control group was 72.53± 6.95 years. All the participants voluntarily participated in this study. The amount of error in the reconstruction of the ankle joint angles was measured in inversion and eversion motions in angle 15 degree. Experimental groups performed closed kinetic chain exercises and PNF in 45 minute, 3 sessions per week for eight weeks and the control group was asked to continue their daily activity. One-way ANOVA revealed that there was a significant difference (p≤0.05) in the average error rate of reconstructing joint angles of all three angles (inversion range of angle was 15 and eversion range of angle was 15). Furthermore, the post hoc test results showed that closed kinethic chain exercises’ effect was significantly more than PNF exercises on the proprioception (p≤0.05). The findings of the current study demonstrated that the closed chain exercises due to weight-bearing can be more effective than PNF exercises on ankle joint proprioception of elderly males.

Keywords

Main Subjects

References

Blackburn, J.T., Prentice, W.E., Guskiewicz, K.M., Busby, M.A. (2000). Balance and joint stability: the relative contributions of proprioception and muscular strength. Rehabilitation Journal of Sport, 9(4): 315-328.
Bouet V, Gahery T, (2000). Muscular exercise improves knee position sence in humans. NeurosciLett; 289: 143-48.
Bradley PS, Olsen PD, Portas MD, (2007).  The effect of static,ballistic, and proprioceptive neuromuscular facilitation stretching on vertical jump performance. Journal Strength Cond Res/ Natl Str Cond Assoc J; 21(1):223–226.
Chisholm DM, Collis ML, Kulak LL, Davenport W, Gruber N.Physical activity readiness. B C Med J. (1975); 17:375–8.
Chiviacowsky, S., Wulf, G., Wally, R. (2010). An external focus of attention enhances balance learning in older adults. Gait and Posture; 32 (4), 572-5.
Daneshjoo A, Mokhtar AH, Rahnama N, Yusof A. (2012). The effects of comprehensive warm-up programs on proprioception, static and dynamic balance on male soccer players. PLoS One, Dec.; 7(12) e51568.
Delahunt, E. (2007). Neuromuscular contributions to functional instability of the ankle joint. Journal of Bodywork and Movement Therapies. 11(3), 203-213.
Funk DC, Swank AM, Mikla BM, Fagen TA, Farr BK, (2003).  Impact of Prior Exercise on Hamstring Flexibility: A Comparison of Proprioceptive Neuromuscular Facilitation and Static Stretching. Natl Str Cond Assoc J; 17(3):489–492.
Gheyasi F, Akbari A. (2008). Comparison effects of open and closed chain and target angle on knee joint position sense in healthy men and women. J Gorgan Uni Med Sci ;10: 22-28.(In Persian)
Iwasaki T, Shiba N, Matsuse H, et al. (2006): Improvement in knee extension strength through training by means of combined electrical stimulation and voluntary muscle contraction. Tohoku J Exp Med; 209: 33–40.
Jafarnejad, K.H. (2010). Estabilishing of Balance norm for guidance level bov student of guilan province. Master’s thesis, University of Guilan.
Janssen KW, Kamper SJ, (2013).  Ankle taping and bracing for proprioception. Br J Sports Med. May; 47(8):527-8.
Jing Liu, Xue-Qiang Wang, Jie-Jiao Zheng, Yu-Jian Pan, Ying-Hui Hua, et al. (2012). Effects of Tai Chi versus Proprioception Exercise Program on Neuromuscular Function of the Ankle in Elderly People: A Randomized Controlled Trial. Evid Based Complement Alternat Med: Dec; 101(1): 1600-1601
Jung-Ho Lee, Soo-Jin Park, and Sang-Su Na. (2013). The Effect of Proprioceptive Neuromuscular Facilitation Therapy on Pain and Function. J Phys Ther Sci. June; 25(6): 713–716.
Kayla B. Hindle, Tyler J. Whitcomb, Wyatt O. Briggs, et al. (2012). Proprioceptive Neuromuscular Facilitation (PNF): Its Mechanisms and Effects on Range of Motion and Muscular Function. J Hum Kinet; 31: 105–113.
King AC, Guralnik JM. (2010). Maximizing the potential of an aging population. JAMA. 304(17): 1944–1945.
Kisner C, Colby LA. (2007). Therapeutic Exercise: Foundations and Techniques, 5th ed. Philadelphia: FA. Davis Co, pp:  174–180.
Lelard T, Doutrellot PL, David P, Ahmaidi S.(2010).  Effects of a 12-week Tai Chi Chuan program versus a balance training program on postural control and walking ability in older people. Arch Phys Med Rehabil ;91(1):9–14.
Lynn Synder-Mackler. (1996). Scientific rational and physiological basis for the use of closed kinetic chain exercise in the lower extremity, J Sport Rehabil,  6: 2-12.
Menz, H. B., Lord, S. R, Fitzpatrick, R.C. (2003). Age-related differences in walking stability. Age Ageing, 32,137-42.
Mikolajec K, Waskiewicz Z, Maszczyk A, Bacik B, Kurek P, Zając A.( 2012), Effects of Stretching and Strength Exercises on Speed and Power Abilities in Male Basketball Players. Isokinet Exerc Sc; 20:1–22.
Ozmun, J.C., Thieme, H.A., Ingersoll, C.D and Knight, K.L.( 1996). Cooling does not affect knee proprioception. Journal of Athletic Training, 31(1): 8–11.
Pánics G, Tállay A, Pavlik A, Berkes I. (2008). Effect of proprioception training on knee joint position sense in female team handball players. Br J Sports Med. 42(6):472-6.
Prentice, William E. (1380). "Rehabilitation techniques in sports medicine." Translated by Mohammad Farahani, Tehran, Servad publication; 186-188.
Rajabi R, Karimi M. (1391). appliance and of determining the reliability new instrument of Iranians to measure the ankle joint proprioception. Journal of Sports Medicine, 12: 43-52. (In Persian).
Roberts D, Ageberg E, Andersson G, Fridén T. (2003). Effects of short-term cycling on knee joint proprioception in healthy young persons. Am J Sports Med; 31(6):990-4.
Sadeghi1, H, Norouzi, H.R., Karimi Asl, A., Montazer, M.R. (2008). Functional Training Program Effect on Static and Dynamic Balance in Male Able-bodied Elderly. Iranian Journal of Salmand; 8: 565-571. (In Persian).
Sung-Hyoun Cho, Chang-Hwan Bae, and Hwang-Bo Gak. (2013), Effects of Closed Kinetic Chain Exercises on Proprioception and Functional Scores of the Knee after Anterior Cruciate Ligament Reconstruction. J Phys Ther Sci. 25(10): 1239–1241.
Szabo SM, Janssen PA, Khan K, Potter MJ, Lord SR. (2008). Older women with age-related macular degeneration have a greater risk of falls: a physiological profile assessment study. J Am Geriatr Soc, 56(5):800–807.
Vale, R.G.S., Oliveira, R.D., Pernambuco, C.S, Meneses, Y., Novaes, J.S, Andrade,A.F.D. (2009). Effects of muscle strength and aerobic training on basal serum levelsof IGF-1 and Cortisolin elderly women. Arch Gerontol Geriatrics, 49, 343-7.
Verhagen E, Bobbert M, Inklaar M, van Kalken M, van der Beek A, Bouter L, van Mechelen W. (2005).  The effect of a balance training programme on centre of pressure excursion in one-leg stance. Clin Biomech (Bristol, Avon). 20(10):1094-100.

Files

Share

How to cite

Statistics