@article{ref1,
title="The effect of uphill and downhill walking on joint position sense",
journal="Journal of sport rehabilitation",
year="2014",
author="Bottoni, Giuliamarta and Heinrich, Dieter and Kofler, Philipp and Hasler, Michael and Nachbauer, Werner",
volume="24",
number="4",
pages="349-352",
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. <br><br>OBJECTIVE: The purpose of this study was to examine the effect of a &quot;hiking-fatigue-protocol&quot; on joint position sense. <br><br>DESIGN: Repeated measures. Setting: University research laboratory. PARTICIPANTS: Twenty-four non-professional sportswomen without knee injuries took part in this study. MAIN OUTCOME MEASURES: Joint position sense was tested at the beginning, after 30 minutes uphill walking and after 30 minutes downhill walking on a treadmill (continuous protocol). <br><br>RESULTS: After downhill walking joint position sense was significantly worse than in the test at the beginning (p = 0.035, α = 0.05). After uphill walking no differences were observed in comparison with the test at the beginning (p = 0.172, α = 0.05) or in comparison with the test after downhill walking (p = 0.165, α = 0.05). <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="1056-6716",
doi="10.1123/jsr.2014-0192",
url="http://dx.doi.org/10.1123/jsr.2014-0192"
}