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PubMed1999

Proprioceptive defects after an anterior cruciate ligament rupture -- the relation to associated anatomical lesions and subjective knee function.

A disturbed proprioception has been described in patients with an anterior cruciate ligament (ACL) deficient knee. The relation to demographic data and to different commonly associated anatomical lesions, as well as to subjective knee function, was prospectively studied in 16 consecutive patients after an acute knee ligament injury. All patients had a complete rupture of the ACL, but variable associated anatomical lesions. The threshold to detect a passive motion, as a measure of their proprioceptive ability, was registered repeatedly during the first year after injury. Four of the patients had consistently severe and persistent deficits at 1, 2 and 8 months. These four individuals had more chondral lesions and a lower subjective rating of their knee function than the remaining patients. In the whole group there were significant correlations between the recorded thresholds and associated chondral lesions, meniscal lesions and the subjective rating of knee function. We found no significant relation between age, gender, activity level, grade of mechanical laxity increase or a medial collateral ligament rupture, and the proprioceptive recordings. Thus, morphological lesions other than a rupture of the ACL seem to contribute to the proprioceptive deficits after a knee ligament injury, and the patients' ability to detect a passive motion showed a relation to subjective knee function from the time of injury onwards.

Adolescent↗
PubMed1999

Proprioception after anterior cruciate ligament reconstruction with and without bracing.

In this investigation we evaluated the effect of ACL reconstruction and functional knee bracing on knee proprioception. Twenty subjects who experienced acute ACL disruption and underwent reconstruction with a bone-patellar tendon-bone graft participated in a controlled rehabilitation program and were studied at a mean follow-up of 2 years. A control group of ten subjects were also studied. In both groups proprioception was evaluated by measuring the threshold to detection of passive motion (TDPM) with the knee at 15 degrees of flexion with and without a functional knee brace applied. The Knee Osteoarthritis Outcome Score, Cincinnati knee score, and two functional knee tests were also used as outcome measurements. Anterior-posterior displacement of the tibia relative to the femur was evaluated with the KT-1000 arthrometer. There were no significant differences in TDPM between the ACL-reconstructed and contralateral knees, or between the ACL reconstructed group and the healthy control group. Bracing did not produce a significant change in the TDPM for the ACL-reconstructed group or for the control group. There were low to moderate correlations between TDPM and the other outcome measurements. This study indicates that there is no significant differences in proprioception between the ACL-reconstructed knee and the contralateral uninvolved knee 1 year or more after surgery. Functional knee bracing does not seem to improve proprioception in patients who have undergone ACL reconstruction and been followed up on average 2 years after surgery.

Adult↗
PubMed2003

Arm-trunk coordination in the absence of proprioception.

During trunk-assisted reaching to targets placed within arm's length, the influence of trunk motion on the hand trajectory is compensated for by changes in the arm configuration. The role of proprioception in this compensation was investigated by analyzing the movements of 2 deafferented and 12 healthy subjects. Subjects reached to remembered targets (placed approximately 80 degrees ipsilateral or approximately 45 degrees contralateral to the sagittal midline) with an active forward movement of the trunk produced by hip flexion. In 40% of randomly selected trials, trunk motion was mechanically blocked. No visual feedback was provided during the experiment. The hand trajectory and velocity profiles of healthy subjects remained invariant whether or not the trunk was blocked. The invariance was achieved by changes in arm interjoint coordination that, for reaches toward the ipsilateral target, started as early as 50 ms after the perturbation. Both deafferented subjects exhibited considerable, though incomplete, compensation for the effects of the perturbation. Compensation was more successful for reaches to the ipsilateral target. Both deafferented subjects showed invariance between conditions (unobstructed or blocked trunk motion) in their hand paths to the ipsilateral target, and one did to the contralateral target. For the other deafferented subject, hand paths in the two types of trials began to deviate after about 50% into the movement, because of excessive elbow extension. In movements to the ipsilateral target, when deafferented subjects compensated successfully, the changes in arm joint angles were initiated as early as 50 ms after the trunk perturbation, similar to healthy subjects. Although the deafferented subjects showed less than ideal compensatory control, they compensated to a remarkably large extent given their complete loss of proprioception. The presence of partial compensation in the absence of vision and proprioception points to the likelihood that not only proprioception but also vestibulospinal pathways help mediate this compensation.

Adaptation, Physiological↗
PubMed2005

Upper limb asymmetries in the utilization of proprioceptive feedback.

Despite the importance of proprioception during upper limb movement, the extent to which arm/hemisphere asymmetries exist in the utilization of proprioceptive feedback remains unclear. In the present study, movement accuracy and arm dynamics were examined in 20 right-handed adults during a proprioceptive matching task that required subjects to actively match remembered target positions of the elbow with the contralateral arm. As hypothesized, the results indicated an accuracy advantage in favor of the non-preferred left arm reflected by smaller absolute matching errors when compared to the preferred right arm. This advantage was most pronounced for larger amplitude movements and was not associated with any limb-specific difference in movement strategy as indicated by the dynamics of the matching movement. These results extend current theories of handedness by demonstrating that, in right-handed individuals, the non-preferred arm/hemisphere system is more adept at utilizing position-related proprioceptive information than the preferred arm/hemisphere system.

Adult↗
PubMed2005

Head stabilization on a continuously oscillating platform: the effect of a proprioceptive disturbance on the balancing strategy.

When standing and balancing on a continuously and predictably moving platform, body equilibrium relies on both anticipatory control and proprioceptive feedback. We have vibrated different postural muscles of the body to assess any effect of confounding the proprioceptive input on balance during such unstable conditions. Low and high platform oscillation frequencies were used, because different strategies are used to withstand the two perturbations. Eyes open (EO) and closed (EC) conditions were also tested, to assess whether the stabilizing effect of vision is independent from the proprioceptive disturbance. Subjects (n = 14) performed two series of trials, EO and EC: (1) quiet erect stance, (2) stance on the platform translating at 0.2 or 0.6 Hz sinusoidally in the anteroposterior (A-P) direction (dynamic conditions). Continuous bilateral vibration (90 Hz) was produced by two vibrators fixed to the following homonymous muscles: dorsal neck, quadriceps, biceps femoris, tibialis anterior, and triceps surae. Acquisition of body segments' displacement began 10 s after the start of platform translation. From markers fixed to head, hip, and malleolus, we computed the A-P oscillation of head and hip, body orientation in space, and cross-correlation (CC) and time-delay between malleolus and head trajectories. The results were (a) the head A-P oscillation was smaller with EO than EC, under both quiet stance and dynamic conditions; (b) vibration of tibialis and triceps surae, but not of other muscles, slightly increased head and body A-P oscillation with EC under dynamic conditions; (c) at 0.2 Hz but not at 0.6 Hz, for all visual and vibration conditions, there was a significant association between head and feet; (d) at 0.2 Hz, EC, neck muscle vibration increased this association, whereas vibration of the other muscles induced a major time delay in the oscillation of head compared with feet; (e) vibration of either neck or tibialis induced forward body leaning, while vibration of either triceps surae or biceps femoris induced backward leaning, with both EO and EC, under both static and dynamic conditions; (f) the head A-P oscillation, however, under dynamic conditions was not dependent on body leaning. The relatively scarce effects of proprioceptive disturbance on head stabilization and multijoint coordination (in spite of effects on body orientation similar to those observed during stance) speak for a major role of anticipatory control in the dynamic equilibrium task. However, the significant vibration-induced time delay in segments' coordination at low translation frequency, EC, suggests that the normally patterned Ia input promotes continuous adjustments of the feed-forward control mode.

Adaptation, Physiological↗
PubMed2006

Long-lasting aftereffect of a single prism adaptation: shifts in vision and proprioception are independent.

After a single adaptation session to prisms with gradually incremented shift magnitude, the prism adaptation aftereffect was measured by open loop mid-sagittal pointing (O) to a visual target without visual feedback. This aftereffect corresponded to the summation of the shift in proprioception, measured by straight ahead pointing without vision (S), and the visual straight ahead judgement (V), measured by verbal stopping of an LED moving from two opposite directions. However, the measurement of the aftereffects made over a period of 7 days revealed significantly different decay curves in V, O and S. Surprisingly the S shift was still present up to 7 days after the training, while V had returned to the original level by 2 h, which was the first measurement after subjects returned to a normal visual environment. O had returned to pre-test level after 1 day. After 3 days Wilkinson's (J Exp Psychol 89:250-257, 1971) additive hypothesis (O=S-V) no longer fit the data. Rather "O=Pl-V", where Pl (Pr) is the shift in proprioception measured by passive lateral arm movements from left (right), fitted better during the whole 7 days of aftereffect in our study. Therefore, the aftereffect of our strong prism adaptation revealed, firstly, that classical open loop pointing consisted of aftereffect shifts equal to the summation of the shifts in the two passively measurable aftereffect components, vision (V) and proprioception (Pl), rather than with active straight ahead pointing (S). Secondly, the decay of the shift in visual perception and in passively measurable proprioception is independent. The former decays fast, and the latter decays slowly with two separate waves. Thirdly, we suggest that the use of visual perception-dependent spatial codes for visual-manual transformation and the vision-independent internal egocentric reference frame are mutually exclusive. We proposed a model to explain these possible mechanisms.

Adaptation, Physiological↗
PubMed2006

The contribution of proprioceptive feedback to sensorimotor adaptation.

It is known that proprioceptive signals from muscles, joints, and skin are involved in the execution of aimed arm movements, but their role in the acquisition of new motor behaviour is largely unknown. Previous research using deafferented patients yielded inconsistent findings: sensorimotor adaptation was found to be less, equal, or even better than in controls. The present study uses a different approach: we degraded proprioceptive signals in healthy subjects by wrist vibration, while leaving them intact in a control group. In order to induce sensorimotor adaptation, both groups executed pointing movements under a visual (Exp. A) or a mechanical perturbation (Exp. B). We found that adaptation to the visual distortion was little affected by vibration, while adaptation to the mechanical distortion was substantially impaired. We conclude that proprioceptive signals which overtly disagree with visual ones (Exp. A) are not used for adaptation, while those which largely agree with visual ones (Exp. B) are used to enhance adaptive recalibration. These results indicate that intact proprioception is needed for mechanical but not for visual adaptation, which implies that the underlying mechanisms are at least partly distinct.

Adaptation, Physiological↗
PubMed2007

The effect of target modality on visual and proprioceptive contributions to the control of movement distance.

Abstract The goal of this study was to determine whether the sensory nature of a target influences the roles of vision and proprioception in the planning of movement distance. Two groups of subjects made rapid, elbow extension movements, either toward a visual target or toward the index fingertip of the unseen opposite hand. Visual feedback of the reaching index fingertip was only available before movement onset. Using a virtual reality display, we randomly introduced a discrepancy between actual and virtual (cursor) fingertip location. When subjects reached toward the visual target, movement distance varied with changes in visual information about initial hand position. For the proprioceptive target, movement distance varied mostly with changes in proprioceptive information about initial position. The effect of target modality was already present at the time of peak acceleration, indicating that this effect include feedforward processes. Our results suggest that the relative contributions of vision and proprioception to motor planning can change, depending on the modality in which task relevant information is represented.

Adult↗
PubMed2000

Proprioception does not quickly drift during visual occlusion.

Several perceptual studies have shown that the ability to estimate the location of the arm degrades quickly during visual occlusion. To account for this effect, it has been suggested that proprioception drifts when not continuously calibrated by vision. In the present study, we re-evaluated this hypothesis by isolating the proprioceptive component of position sense (i.e., the subjects were forced to rely exclusively on proprioception to locate their hand, which was not the case in earlier studies). Three experiments were conducted. In experiment 1, subjects were required to estimate the location of their unseen right hand, at rest, using a visual spot controlled by the left hand through a joystick. Results showed that the mean accuracy was identical whether the localization task was performed immediately after the positioning of the hand or after a 10-s delay. In experiments 2 and 3, subjects were required to point, without vision of their limb, to visual targets. These two experiments relied on the demonstration that biases in the perception of the initial hand location induced systematic variations of the movement characteristics (initial direction, final accuracy, end-point variability). For these motor tasks, the subjects did not pay attention to the initial hand location, which removed the possible occurrence of confounding cognitive strategies. Results indicated that movement characteristics were, on average, not affected when a 15-s or 20-s delay was introduced between the positioning of the arm at the starting point and the presentation of the target. When considered together, our results suggest that proprioception does not quickly drift in the absence of visual information. The potential origin of the discrepancy between our results and earlier studies is discussed.

Adult↗
PubMed1998

Eye movements evoked by proprioceptive stimulation along the body axis in humans.

Proprioceptive input arising from torsional body movements elicits small reflexive eye movements. The functional relevance of these eye movements is still unknown so far. We evaluated their slow components as a function of stimulus frequency and velocity. The horizontal eye movements of seven adult subjects were recorded using an infrared device, while horizontal rotations were applied at three segmental levels of the body [i.e., between head and shoulders (neck stimulus), shoulders and pelvis (trunk stimulus), and pelvis and feet (leg stimulus)]. The following results were obtained: (1) Sinusoidal leg stimulation evoked an eye response with the slow component in the direction of the movement of the feet, while the response to trunk and neck stimulation was oriented in the opposite direction (i.e., in that of the head). (2) In contrast, the gain behavior of all three responses was similar, with very low gain at mid- to high frequencies (tested up to 0.4 Hz) but increasing gain at low frequencies (down to 0.0125 Hz). We show that this gain behavior is mainly due to a gain nonlinearity for low angular velocities. (3) The responses were compatible with linear summation when an interaction series was tested in which the leg stimulus was combined with a vestibular stimulus. (4) There was good correspondence of the median gain curves when eye responses were compared with psychophysical responses (perceived body rotation in space; additionally recorded in the interaction series). However, correlation of gain values on a single-trial basis was poor. (5) During transient neck stimulation (smoothed position ramp), the neck response noticeably consisted of two components -- an initial head-directed eye shift (phasic component) followed by a shift in the opposite direction (compensatory tonic component). Both leg and neck responses can be described by one simple, dynamic model. In the model the proprioceptive input is fed into the gaze network via two pathways which differ in their dynamics and directional sign. The model simulates either leg or neck responses by selecting an appropriate weight for the gain of one of the pathways (phasic component). The interaction results can also be simulated when a vestibular path is added. This model has similarities to one we recently proposed for human self-motion perception and postural control. A major difference, though, is that the proprioceptive input to the gaze-stabilizing network is weak (restricted to low velocities), unlike that used for perception and postural control. We hold that the former undergoes involution during ontogenesis, as subjects depend on the functionally more appropriate vestibulo-ocular reflex. Yet, the weak proprioceptive eye responses that remain may have some functional relevance. Their tonic component tends to stabilize the eyes by slowly shifting them toward the primary head position relative to the body support. This applies solely to the earth-horizontal plane in which the vestibular signal has no static sensitivity.

Adult↗
PubMed1998

Proprioceptive information processing in weightlessness.

The "illusions" experiment carried out on five astronauts during the last two French-Russian flights (Antarès in 1992 and Altaïr in 1993) and in the Russian Post-Antarès mission (1993) was designed to investigate the adaptive changes in human proprioceptive functions occurring in weightlessness at both the sensorimotor and cognitive levels, focusing on two kinds of responses: (1) whole-body postural reflexes, and (2) whole-body movement perception. These kinesthetic and motor responses were induced using the tendon-vibration method, which is known to selectively activate the proprioceptive muscular sensory channel and to elicit either motor reactions or illusory movement sensations. Vibration (70 Hz) was therefore applied to ankle (soleus or tibialis) and neck (splenii) muscles. The subject's whole-body motor responses were analyzed from EMG and goniometric recordings. The perceived vibration-induced kinesthetic sensations were mimicked by the subjects with a joystick. The main results show that a parallel in-flight attenuation of the vibration-induced postural responses and kinesthetic illusions occurred, which seems to indicate that the proprioceptive system adapts to the microgravity context, where standing posture and conscious coding of anteroposterior body movements are no longer relevant. The same sensory messages are used at the same time in different sensory motor loops and in the coding of newly developed behavioral movements under microgravity. These results suggest that the human proprioceptive system has a high degree of adaptive functional plasticity, at least as far as the perceptual and motor aspects are concerned.

Adaptation, Physiological↗
PubMed1999

Contribution of proprioceptive information to preferred versus constrained space-time behavior in rhythmical movements.

Rhythmical movements are well-known to exhibit spontaneous and well-defined relationships between frequency and amplitude (preferred behavior). However, if required, these relationships can be modified (constrained behavior). This flexibility constitutes a fundamental basis for adapting motor functions to the subject's intentions in a given environment. In order to assess the role of proprioceptive information in the stabilization of preferred versus constrained rhythmical movements, we compared both cases in a deafferented patient and in a control group. Initially, the subjects were given as much time as they needed to adopt different, steady rhythmical movements in the presence of external feedback. Afterwards, the feedback was suppressed and the subjects had to maintain the same oscillating regimes for one additional minute. In the absence of feedback, the deafferented patient was able to stabilize the timing of both the preferred and the constrained movements. The spatial properties remained stationary for the preferred movements; however, large effects were observed in the constrained movements. By contrast, the control subjects were able to keep both the preferred and the constrained behaviors stationary. Our results show that, when reaching preferred regimes, the behavior remains stationary even in the absence of proprioceptive information. By contrast, proprioceptive feedbacks were shown to be necessary in order to maintain non-preferred regimes. In this case, error-correction mechanisms based on proprioceptive information allows for compensation of the natural tendency of the system to return to its preferred behavior.

Adult↗
PubMed2000

The role of proprioception and attention in a visuomotor adaptation task.

The role of proprioception in the control and adaptation of visuomotor relationships is still unclear. We have studied a deafferented subject, IW, and control subjects in a task in which they used single joint elbow extension to move to a visual target, with visual feedback of the terminal position provided by a cursor displayed in the plane of their movements. We report the differences in movement accuracy between the deafferented subject and controls in the normal task and when challenged with a cognitive load, counting backwards. All subjects were less accurate when counting; this was a small effect for the controls (<10% change) but much greater for the deafferented subject (>60% change). We also examined changes in movement kinematics when the instructed amplitude was altered via a changed gain between final arm position and presentation of the feedback cursor. The deafferented subject maintained temporal movement parameters stable and altered amplitude by scaling force (i.e. changed peak velocity), whereas the controls scaled both movement velocity and duration. Finally, we compared the subjects' adaptation of movement amplitude after a period of exposure to the changed visuomotor gain. The deafferented subject was able to adapt, but his adaptation was severely impaired by the counting task. These results suggest that proprioception is not an absolute requirement for adaptation to occur. Instead, proprioception has a more subtle role to play in the adjustment to visuomotor perturbations. It has an important role in the control of reaching movements, while in the absence of proprioception, attention appears necessary to monitor movements.

Adaptation, Physiological↗
PubMed1998

[Measuring knee joint kinesthesis for determining proprioceptive deficits in varus gonarthrosis].

Studying knee osteoarthrosis proprioceptive deficits play a growing role. However, the methods for the detection of these deficits using joint position sense measurements have been criticized recently. Therefore, we developed a new method for the measurement of knee-joint kinaesthesia. At 5 different angular velocities of passive knee movement both movement and stop detection were tested. Tests were performed both in 25 patients with osteoarthrosis of the knee and in a control group of 20 age related normal subjects. In addition to the measurements of movement detection and stop-detection thresholds, a specific detection-failure analysis was performed in our study. In addition to a significant improvement of proprioceptive abilities with increasing angular velocities, detection failure analysis brought about significant differences between patients with knee osteoarthrosis and normal subjects yielding a significant proprioceptive deficit in osteoarthrosis of the knee. In contrast, in case of correct movement detection or stop-detection there were no significant differences in the detection-threshold values between normal and ostheoarthrotic knees. In conclusion, both the lack of differences in detection thresholds between the arthrosis and the control-groups and the increased detection failure rates in arthrosis patients gave evidence for these proprioceptive differences being a result of central nervous dysregulation in knee osteoarthrosis.

Humans↗
PubMed2000

Spatial localisation: does extraocular muscle proprioception play a role?

Our ability to determine the position of targets in surrounding visual space (spatial localisation) is an important aspect of visual function and requires the integration of both visual (ie retinal) and non-visual (ie extraretinal) information. Afferent signals derived from extraocular muscle proprioceptors are though to contribute to this extraretinal information. However, this has proved to be a contentious issue. This article considers the role of extraocular muscle proprioception in spatial localisation in greater detail by discussing the evidence supporting this viewpoint. This is obtained from two main sources: firstly observations in patients in whom the proprioceptive input has been disrupted either pathologically or surgically, and secondly experimental studies in normal subjects in whom the proprioceptive input has been manipulated. The review concludes by emphasising that whilst proprioception is not the predominant source of extraretinal information that helps us determine visual direction, it is still likely to be a contributory factor.

Animals↗
PubMed1979

The absence of proprioceptive nerve endings in the human periodontal ligament: the role of periodontal mechanoreceptors in the reflex control of mastication.

A review of the literature was conducted to determine the presence or absence of proprioceptive nerve endings in the human periodontal ligament. A histologic review of the periodontal ligament innervation concluded that nerve endings found were those mediating pain, pressure, or touch and that there is no histologic evidence of any "classic" proprioceptive nerve ending in the periodontal ligament. A summary is given concerning the precise role of nerve endings in the periodontal membrane, their afferent pathways, and the role of masticatory muscle proprioception, jaw reflexes, and the temporomandibular joint in the coordinated control of mastication and mandibular proprioception.

Afferent Pathways↗
PubMed1996

Control of the body vertical by vestibular and proprioceptive inputs.

The study examines the influence of vestibular and leg proprioceptive cues on the maintenance of the body vertical in human stance. Vestibular body orientation cues were changed by applying bipolar currents to both mastoid bones (cosine-bell wave form of 3.3 s duration, 1 mA current intensity). Proprioceptive input was modified by vibrating the tibialis anterior muscle (at f = 90 Hz, step of 5 s duration and 1 mm amplitude). Furthermore, the vestibular stimulus was paired with the muscle vibration using three different temporal relationships between the stimuli. Body lean responses were analyzed in terms of sway trajectories of the center of foot pressure on the body support surface (horizontal plane). With the anode on the right mastoid, vestibular body lean response was essentially straight towards the right side, and with the anode on left mastoid towards the left side. Vibration of right tibialis anterior muscle induced an almost straight body lean forward and to the right. Upon combined stimulation, responses with complex trajectory resulted, which depended on the stimulus interval. These responses reflected a superposition of the individual vestibular and proprioceptive effects. The results show that the body vertical is under the continuous control of leg proprioceptive and vestibular inputs, which sum linearly. We present a concept according to which these inputs are used for establishing a reference system for the control of the body vertical.

Adult↗
PubMed2005

Role of proprioceptive information in movement programming and control in 5 to 11-year old children.

The role of proprioceptive inputs in the control of goal-directed movements was examined, by means of the tendon vibration technique, in 5 to 11-year old children performing a serial pointing task. Children pointed, with movements of various amplitudes and at various positions, by alternating wrist flexions and extensions. Tendon vibration was applied to both agonist and antagonist muscles to perturb relevant muscular proprioceptive inputs during the static or dynamic phase of the task, i.e., during stops on targets or during movement execution. Constant and variable amplitude errors as well as constant position error were evaluated. Vibratory perturbation applied during movement execution resulted in a similar reduction in movement amplitude, yielding an increased constant error in all age groups and a systematic position error in the direction of the movement starting point. Perturbing proprioception during static phases preceding movement resulted in an age-related increase in the variable amplitude error, which was maximal in 5-year old children performing extension movements. The results were interpreted in terms of the use of proprioceptive information in the feedforward and feedback based components of movement control in children. In particular, the results indicated (1) developmental changes in the relative weighting of each component, (2) an increased capacity to move from one strategy to the other, depending on the availability of information, and (3) developmental changes from an alternated to an integrated control of amplitude and position in serial pointing.

Biomechanical Phenomena↗