Association of age on cervical joint position error

Khalid A Alahmari, Ravi Shankar Reddy, Paul S Silvian, Irshad Ahmad, Venkata Nagaraj Kakaraparthi, Mohammed Mehtab Alam, Khalid A Alahmari, Ravi Shankar Reddy, Paul S Silvian, Irshad Ahmad, Venkata Nagaraj Kakaraparthi, Mohammed Mehtab Alam

Abstract

This study quantitatively assesses the association between age and cervical joint position error (JPE) and compares JPE between young and older asymptomatic subjects. Subjects (n = 230) ranging in age from 17 to 70 years volunteered to participate in the study. Cervical JPE was measured for all subjects with the active movement angle reproduction test in degrees using a digital inclinometer; testing was done in all cervical movement directions (flexion, extension, side-bending right and left, rotation right and left). Subjects were divided into two groups: young (n = 169, mean age: 32.4 years; range 17-49 years) and older (n = 61, mean age: 61.9 years; range 50-70 years) and JPE was compared. Pearson's product-moment correlation coefficients were significant and positive for the association of age on cervical JPE in flexion (r = 0.71), extension (r = 0.81), side-bending right (r = 0.77), side-bending left (r = 0.84), rotation right (r = 0.84), and rotation left (r = 0.84). JPE was significantly larger (for all movement directions) in the older subject group (P < 0.001). Advancing age was significantly associated with the increasing cervical JPE and older subjects showed greater errors when compared to younger subjects.

Keywords: Aging; Kinesthesia; Neck; Position sense; Proprioception; Somatic sensation.

Figures

Graphical abstract
Graphical abstract
Fig. 1
Fig. 1
Cervical joint position error testing using digital inclinometer.
Fig. 2
Fig. 2
(A) Positive correlation between age and JPE in flexion (Pearson’s r = 0.71; 95% CI, 0.62–0.80; P < 0.001). (B) Positive correlation between age and JPE in extension (Pearson’s r = 0.81; 95% CI, 0.73–0.88; P < 0.001).
Fig. 3
Fig. 3
(A) Positive correlation between age and JPE in side bending right (Pearson’s r = 0.77; 95% CI, 0.69–0.85; P < 0.001). (B) Positive correlation between age and JPE inside bending left (Pearson’s r = 0.84; 95% CI, 0.77–0.91; P < 0.001).
Fig. 4
Fig. 4
(A) Positive correlation between age and JPE in rotation right (Pearson’s r = 0.84; 95% CI, 0.78–0.91; P < 0.001). (B) Positive correlation between age and JPE in rotation left (Pearson’s r = 0.84; 95% CI, 0.77–0.91; P < 0.001).
https://www.ncbi.nlm.nih.gov/pmc/articles/instance/5292654/bin/fx1.jpg

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