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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 18, Issue 8, pp 1145–1149 | Cite as

Does bracing influence brain activity during knee movement: an fMRI study

  • Youri ThijsEmail author
  • Guy Vingerhoets
  • Els Pattyn
  • Lies Rombaut
  • Erik Witvrouw
Knee

Abstract

Studies have shown that proprioceptive inputs during active and passive arm movements are processed in the primary and secondary somatosensory cortex and supplementary motor area of the brain. At which level of the central nervous system proprioceptive signals coming from the knee are regulated remains to be elucidated. In order to investigate whether there is a detectable difference in brain activity when various proprioceptive inputs are exerted at the knee, functional magnetic resonance imaging (fMRI) was used. fMRI in 13 healthy, right leg-dominant female volunteers compared brain activation during flexion–extension movements of the right knee under three different conditions: with application of a tight knee brace, with application of a moderate tight knee sleeve, and without application of a brace or sleeve. Brain activation was detected in the primary sensorimotor cortex (left and right paracentral lobule) and in the left superior parietal lobule of the brain. There was a significantly higher level of brain activation with the application of the brace and sleeve, respectively, compared to the condition without a brace or sleeve. A significantly higher cortical activation was also seen when comparing the braced condition with the condition when a sleeve was applied. The results suggest that peripheral proprioceptive input to the knee joint by means of a brace or sleeve seems to influence brain activity during knee movement. The results of this study also show that the intensity of brain activation during knee movement can be influenced by the intensity of proprioceptive stimulation at the joint.

Keywords

Brain activation Proprioception Brace 

Notes

Acknowledgments

This study was funded by a Special Research Fund of the Ghent University.

References

  1. 1.
    Barret DS, Cobb AG, Bentley G (1991) Joint proprioception in normal, osteoarthritic and replaced knees. J Bone Joint Surg 73B:53–56Google Scholar
  2. 2.
    Birmingham TB, Inglis JT, Kramer JF, Vandervoort AA (2000) Effect of a neoprene sleeve on knee joint kinesthesis: comparison of active, passive and axially loaded joint angle replication tests. Med Sci Sports Exerc 32:304–308CrossRefPubMedGoogle Scholar
  3. 3.
    Birmingham TB, Kramer JF, Inglis JT et al (1998) Effect of a neoprene knee sleeve on knee joint position sense during sitting open kinetic chain and supine closed kinetic chain tests. Am J Sports Med 26:562–566PubMedGoogle Scholar
  4. 4.
    Birmingham TB, Kramer JF, Kirkley A et al (2001) Knee bracing after ACL reconstruction: effects on postural control and proprioception. Med Sci Sports Exerc 33:1253–1258CrossRefPubMedGoogle Scholar
  5. 5.
    Burke D, Gandevia SC, Macefield G (1988) Responses to passive movement of receptors in joint, skin and muscle of the human hand. J Physiol 402:347–361PubMedGoogle Scholar
  6. 6.
    Collins DF, Refshauge KM, Todd G, Gandevia SC (2005) Cutaneous receptors contribute to kinaesthesia at the index finger, elbow, and knee. J Neurophysiol 94:1699–1706CrossRefPubMedGoogle Scholar
  7. 7.
    Edin B (2001) Cutaneous afferents provide information about knee joint movements in humans. J Physiol 531:289–297CrossRefPubMedGoogle Scholar
  8. 8.
    Edin B (2004) Quantitative analyses of dynamic strain sensitivity in human skin mechanoreceptors. J Neurophysiol 92:3233–3242CrossRefPubMedGoogle Scholar
  9. 9.
    Goebel R, Esposito F, Formisano E (2006) Analysis of functional image analysis contest (FIAC) data with Brainvoyager QX: from single-subject to cortically aligned group general linear model analysis and self-organizing group independent component analysis. Hum Brain Mapp 27:392–401CrossRefPubMedGoogle Scholar
  10. 10.
    Kaminski T, Perrin DH (1996) Effect of prophylactic knee bracing on balance and joint position sense. J Atl Training 31:131–136Google Scholar
  11. 11.
    Kapreli E, Athanasopoulos S, Papathanasiou M et al (2006) Lateralization of brain activity during lower limb joints movement. An fMRI study. NeuroImage 32:1709–1721CrossRefPubMedGoogle Scholar
  12. 12.
    Kapreli E, Athanasopoulos S, Papathanasiou M et al (2007) Lower limb sensorimotor network: issues of somatotopy and overlap. Cortex 43:219–232CrossRefPubMedGoogle Scholar
  13. 13.
    McNair PJ, Stanley SN, Strauss GR (1996) Knee bracing: effect on proprioception. Arch Phys Med Rehab 77:287–289CrossRefGoogle Scholar
  14. 14.
    Penfield W, Rasmussen T (1950) The cerebral cortex of man, vol 44. Macmillan, New York, pp 214–215Google Scholar
  15. 15.
    Perlau R, Frank C, Fick G (1995) The effect of elastic bandages on human knee proprioception in the uninjured population. Am J Sports Med 23:251–255CrossRefPubMedGoogle Scholar
  16. 16.
    Prymka M, Schmidt K, Jerosch J (1998) Proprioception in patients suffering from chondropathia patellae. Int J Sports Med 19:S60Google Scholar
  17. 17.
    Radovanovic S, Korotkov A, Ljubisavljevic M et al (2002) Comparison of brain activity during different types of proprioceptive inputs: a positron emission tomography study. Exp Brain Res 143:276–285CrossRefPubMedGoogle Scholar
  18. 18.
    Riemann BL, Lephart SM (2002) The sensorimotor system, part II: the role of proprioception in motor control and functional joint stability. J Athl Train 37:80–84PubMedGoogle Scholar
  19. 19.
    Simoneau GG, Degner RM, Kramper CA, Kittleson KH (1997) Changes in ankle joint proprioception resulting from strips of athletic tape applied over the skin. J Atl Train 32:141–147Google Scholar
  20. 20.
    Tailarach J, Tournoux P (1988) Co-planar stereotaxic atlas of the human brain: 3-dimensional proportional system—an approach to cerebral imaging, vol 1. Thieme, Stuttgart, pp 1–122Google Scholar
  21. 21.
    Van Tiggelen D, Coorevits P, Witvrouw E (2008) The effects of a neoprene knee sleeve on subjects with a poor versus good joint position sense subjected to an isokinetic fatigue protocol. Clin J Sport Med 18:259–265CrossRefPubMedGoogle Scholar
  22. 22.
    Van Tiggelen D, Coorevits P, Witvrouw E (2008) The use of a neoprene knee sleeve to compensate the deficit in knee joint position sense caused by muscle fatigue. Scand J Med Sci Sports 18:62–66CrossRefPubMedGoogle Scholar
  23. 23.
    You SH, Granata KP, Bunker LK (2004) Effects of circumferential ankle pressure on ankle proprioception, stiffness and postural stability: a preliminary investigation. J Orthop Sports Phys Ther 34:449–460PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Youri Thijs
    • 1
    Email author
  • Guy Vingerhoets
    • 2
  • Els Pattyn
    • 1
  • Lies Rombaut
    • 3
  • Erik Witvrouw
    • 1
  1. 1.Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences and PhysiotherapyGhent University Hospital (3B3) (REVAKI), Ghent UniversityGhentBelgium
  2. 2.Faculty of Medicine and Health Sciences, Department of Internal DiseasesGhent UniversityGhentBelgium
  3. 3.Department of PhysiotherapyArtevelde University College, Ghent UniversityGhentBelgium

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