The Effect of Uphill and Downhill Walking on Joint-Position Sense: A Study on Healthy Knees.

Abstract:

CONTEXT:During sport activity, knee proprioception might worsen. This decrease in proprioceptive acuity negatively influences motor control and therefore may increase injury risk. Hiking is a common activity characterized by a higher-intensity-exercise phase during uphill walking and a lower-intensity-exercise phase during downhill walking. Pain and injuries are reported in hiking, especially during the downhill phase. OBJECTIVE:To examine the effect of a hiking-fatigue protocol on joint-position sense. DESIGN:Repeated measures. SETTING:University research laboratory. PARTICIPANTS:24 nonprofessional sportswomen without knee injuries. MAIN OUTCOME MEASURES:Joint-position sense was tested at the beginning, after 30 min uphill walking, and after 30 min downhill walking on a treadmill (continuous protocol). RESULTS:After downhill walking, joint-position sense was significantly worse than in the test at the beginning (P = .035, α = .05). After uphill walking, no differences were observed in comparison with the test at the beginning (P = .172, α = .05) or the test after downhill walking (P = .165, α = .05). CONCLUSION:Downhill walking causes impairment in knee-joint-position sense. Considering these results, injury-prevention protocols for hiking should focus on maintaining and improving knee proprioception during the descending phase.

journal_name

J Sport Rehabil

authors

Bottoni G,Heinrich D,Kofler P,Hasler M,Nachbauer W

doi

10.1123/jsr.2014-0192

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

349-52

issue

4

eissn

1056-6716

issn

1543-3072

pii

2014-0192

journal_volume

24

pub_type

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