Establishing a Normative Database for Joint Position Error

Daniel, Dwain; Redenbough, Thomas; Hall, Marty; Wilborn, Bob; Kicinski, Steven
March 2008
Journal of Chiropractic Education (Association of Chiropractic C;Spring2008, Vol. 22 Issue 1, p86
Academic Journal
Introduction: Vertigo and dizziness are commonly encountered complaints in the chiropractor's office, often as a result of whiplash injury. One significant component of proprioception is joint position sense (JPS). Disturbed afferent input has been postulated to affect JPS by several authors. Joint position sense can be determined by measuring the difference in distance between the neutral position of the neck arid a blindfolded return to the original neutral position. This difference is known as joint position error (JPE) and can be used in the evaluation of injury and monitoring recovery of the proprioceptive component of traumatic neck injury. The purpose of this investigation is to expand the scope of prior investigations by establishing a normative database for JPE. Methods: This is a cross-sectional study of 57 subjects. JPE was measured by using a laser pointer affixed to a construction-type helmet. The difference between the subject's individually established neutral position and a blindfolded return to that position after right rotation determined JPE. Results: There was a statistically significant difference between those subjects under 54 than those over 54. Discussion: There were differences in JPE in this study compared with previous studies, possibly due to methodological reasons. Overall this method of measuring JPE has value to the practitioner, and an expanding normative database, which would include age divisions, would be of significant benefit. Exact protocols should be established in order to provide more consistent results and increased diagnostic utility.


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