Reliability of joint position sense measured in the knee using the level function of the iPhone "Measure" application

PLoS One. 2021 Aug 27;16(8):e0256561. doi: 10.1371/journal.pone.0256561. eCollection 2021.

Abstract

An impaired joint position sense (JPS) causes activity limitations, postural imbalance, and falls. This study compares the reliability of knee JPS measurements between the iPhone's "Measure" application and VICON motion capture system. Eleven healthy participants were recruited for the study. To conduct the study measures, the blindfolded participant, with an iPhone fixed to the lower non-dominant leg, was seated with their lower limbs in a relaxed position. The examiner held the participant's leg at the target angle (30°/60° from initial position) for 5 s before releasing it. The participant was then instructed to move the leg to the same target angle and hold it for 5 s (replicated angle). Absolute angular error (AAE), i.e., the difference between the target and replicated angles, was measured. Intraclass and Pearson correlation coefficients established statistically significant relationships. The study comprised 6 males and 5 females of mean age 27.6±5.6 years, mean height 1.67±0.10 m, and mean body weight 60.7±10.3 kg. Strong correlations existed between iPhone and VICON 30° (ICC = 0.969, r = 0.960, P < 0.001) and 60° AAEs (ICC 0.969, r = 0.960, P < 0.001). Bland-Altman plots showed a mean difference of 0.43° and 0.20° between the AAE measurements at 30° and 60°, respectively. The iPhone's "Measure" application is a simple and reliable method for measuring JPS in clinical practice and sports/fitness settings.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cell Phone*
  • Female
  • Humans
  • Knee Joint / diagnostic imaging*
  • Knee Joint / physiology
  • Leg / diagnostic imaging
  • Leg / physiology
  • Lower Extremity / physiology
  • Male
  • Osteoarthritis / diagnosis*
  • Osteoarthritis / diagnostic imaging
  • Osteoarthritis / physiopathology
  • Proprioception / physiology
  • Range of Motion, Articular / physiology*
  • Young Adult

Grants and funding

YN was supported by a grant from the France Bed Medical Home Care Research Subsidy Public Interest Incorporated Foundations and JSPS KAKENHI Grant Number 20K194130.