Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Proprioception”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 235 records · Page 13Linked to original sources
PubMed2003

Effect of strength and proprioception training on eversion to inversion strength ratios in subjects with unilateral functional ankle instability.

OBJECTIVES: To examine the effect of six weeks of strength and proprioception training on eversion to inversion isokinetic strength ratios (E/I ratios) in subjects with unilateral functional ankle instability. METHODS: Thirty eight subjects were randomly assigned to one of four treatment groups: strength training (S); proprioception training (P); strength + proprioception training (B); control (C). Isokinetic strength was tested before and after training using a Kin Com 125 automatic positioning isokinetic dynamometer. Subtalar joint eversion and inversion motions were tested both concentrically and eccentrically through a range of motion involving 40 degrees. All peak torque and average torque values were normalised for body mass. E/I ratios were calculated from average torque and peak torque measures by taking the concentric eversion value and combining it with the eccentric inversion value. Data were analysed using a mixed model analysis of variance with repeated measures on the test factor. Average torque and peak torque E/I ratios at 30 and 120 degrees/s were analysed separately. RESULTS: There were no significant differences in average torque and peak torque E/I ratios of the functionally unstable ankle for any of the groups after training compared with before. CONCLUSIONS: Six weeks of strength and proprioception training (either alone or combined) had no effect on isokinetic measures of strength in subjects with self reported unilateral functional instability. Further studies examining this agonist (concentric) to antagonist (eccentric) muscle group strength ratio are needed.

Adult↗
PubMed1995

Proprioceptive control of interjoint coordination.

This paper reviews a series of experiments comparing intact controls with functionally deafferented patients to determine the role of proprioception in controlling dynamic interactions between limb segments during movement. We examine the control of hand path in a planar movement-reversal task and in a familiar three-dimensional gesture with similar biomechanical characteristics. In the planar task subjects had to move their hand out and back along a series of straight-line segments in the horizontal plane without visual feedback. The lengths and directions of the target line segments were chosen to require different amounts of shoulder motion while requiring the same elbow excursion. In controls, hand paths were, as required, straight with sharp bends at the outermost point. In patients, however, distinctive errors appeared at movement reversals, consisting of widened hand paths resulting from desynchronization in the reversals of elbow and shoulder motions. These errors reflected an inability to program elbow muscle contractions in accord with interaction torques produced at the elbow by variations in acceleration of the shoulder. The reversal errors were substantially reduced after patients had practiced for a few trials while visually monitoring movements of their arm. The improvement was not limited to the direction where they had practiced with vision, but also extended to other directions in which the elbow torques were different. This suggests that practice with vision of the arm served to improve the general rules that subjects used to plan movement, rather than simply improving the performance of a specific response. Similar to their performance on the planar task, the patients made errors in interjoint coordination during unconstrained three-dimensional gestures with movement reversals. We conclude (i) that both the planning and the learning of movement required an internal model of the dynamic properties of the limb that takes account of interaction torques acting at different joints; (ii) that this internal model is normally established and updated using proprioceptive information; but (iii) that when proprioception is lacking, vision of the limb in motion partially substitutes for proprioception.

Adult↗
PubMed1992

Identified proprioceptive afferents and motor rhythm entrainment in the crayfish walking system.

1. In crayfish, Pacifastacus leniusculus, remotion of a walking leg stretches the thoraco-coxal (TC) muscle receptor organ (TCMRO), located at the leg's articulation with the thorax. In vitro, alternate stretch and release of the fourth leg's TCMRO entrained the centrally generated rhythmic motor output to that leg, with the remotor phase of the rhythm entraining to TCMRO stretch, the promoter phase to release. This coordination of motor bursts to afferent input corresponds to that of active, rhythmic movements in vivo. 2. Entrainment was rapid in onset (stable coordination resulting within the first or second stimulus cycle) and was relatively phase-constant (whatever the stimulus frequency, during 1:1 entrainment, remotor bursts began near the onset of stretch and promotor bursts began near the onset of release). Outside the range of 1:1 entrainment, 2:1, 1:2, and 1:3 coordination ratios (rhythm:stimulus) were encountered. Resetting by phasic stimulation of the TCMRO was complete and probabilistic: effective stimuli triggered rapid transitions between the two burst phases. 3. The TCMRO is innervated by two afferents, the nonspiking S and T fibers, which generate graded depolarizing receptor potentials in response to stretch. During proprioceptive entrainment, the more phasic T fiber depolarized and hyperpolarized more rapidly or in advance of the more tonic S fiber. These receptor potentials were modified differently in the two afferents by interaction with central synaptic inputs that were phase-locked to the entrained motor rhythm. 4. Injecting slow sinusoidal current into either afferent alone could entrain motor rhythms: promoter phase bursts were entrained to depolarization of the S fiber or hyperpolarization of the T fiber, whereas the converse response was obtained for remotor phase bursts. 5. During proprioceptive entrainment, tonic hyperpolarization of the S fiber weakened entrained promotor bursts and allowed remotor burst durations to increase. Hyperpolarizing the T fiber weakened entrained remotor bursts and allowed promotor bursts to occur during stretch. These results suggest that the staggered receptor potentials of the two afferents alternately excite opposite burst phases of the rhythm during proprioceptive entrainment. 6. Injecting brief current pulses into either afferent perturbed the timing of entrained bursts in opposite ways, suggesting that, during proprioceptive entrainment, the membrane potential trajectories of the two afferents have reciprocal triggering effects on burst transitions. 7. We infer that entrainment results from 1) complete resetting of burst transitions in a two-phase central oscillator, 2) opposing feedback pathways mediated by a phasic and a tonic afferent, 3) temporally staggered afferent receptor potentials, and 4) the ability of afferent receptor potentials to trigger burst transitions.

Animals↗
PubMed1996

Self-moved target eye tracking in control and deafferented subjects: roles of arm motor command and proprioception in arm-eye coordination.

1. When a visual target is moved by the subject's hand (self-moved target tracking), smooth pursuit (SP) characteristics differ from eye-alone tracking: SP latency is shorter and maximal eye velocity is higher in self-moved target tracking than in eye-alone tracking. The aim of this study was to determine which signals (motor command and/or proprioception) generated during arm motion are responsible for the decreased time interval between arm and eye motion onsets in self-moved target tracking. 2. Six control subjects tracked a visual target whose motion was generated by active or passive movements of the observer's arm in order to determine the role played by arm proprioception in the arm-eye coordination. In a second experiment, the participation of two subjects suffering complete loss of proprioception allowed us to assess the contribution of arm motor command signals. 3. In control subjects, passive movement of the arm led to eye latencies significantly longer (130 ms) than when the arm was actively self-moved (-5 ms:negative values meaning that the eyes actually started to move before the target) but slightly shorter than in eye-alone tracking (150 ms). These observations indicate that active movement of the arm is necessary to trigger short-latency SP of self-moved targets. 4. Despite the lack of proprioceptive information about arm motion, the two deafferented subjects produced early SP (-8 ms on average) when they actively moved their arms. In this respect they did not differ from control subjects. Active control of the arm is thus sufficient to trigger short-latency SP. However, in contrast with control subjects, in deafferented subjects SP gain declined with increasing target motion frequency more rapidly in self-moved target tracking than in eye-alone tracking. 5. The deafferented subjects also tracked a self-moved target while the relationship between arm and target motions was altered either by introducing a delay between arm motion and target motion or by reversing target motion relative to arm motion. As with control subjects, delayed target motion did not affect SP latency. Furthermore, the deafferented subjects adapted to the reversed arm-target relationship faster than control subjects. 6. The results suggest that arm motor command is necessary for the eye-to-arm motion onset synchronization, because eye tracking of the passively moved arm was performed by control subjects with a latency comparable with that of eye-alone tracking of an external target. On the other hand, as evidenced by the data from the deafferented subjects, afferent information does not appear to be necessary for reducing the time between arm motion and SP onsets. However, afferent information appears to contribute to the parametric adjustment between arm motor command and visual information about arm motion.

Adult↗
PubMedDate not supplied

Effects of short-term cycling on knee joint proprioception in healthy young persons.

BACKGROUND: Criteria are needed for measuring the effects of exercise and fatigue on proprioception. PURPOSE: To measure knee joint proprioception in healthy subjects before and after exercise and to establish a reference for further comparisons of patients with knee injuries. STUDY DESIGN: Controlled laboratory study. METHODS: We tested proprioception in the knees of 24 healthy subjects with a mean age of 24 years and median Tegner score of 5. Subjects were tested to estimate their thresholds for detecting slow passive motion, from starting positions of 20 degrees and 40 degrees before and after cycling on an ergometer bicycle until the pulse rate reached a steady state level and they reached a score of 14 to 17 on Borg's Ratio of Perceived Exertion scale. RESULTS: After cycling, significantly higher threshold values were found for perception of movement toward flexion from both 20 degrees and 40 degrees. No significant differences were seen in measurements of movement toward extension. CONCLUSIONS: Knee joint proprioception seems to be impaired by exercise or training. CLINICAL RELEVANCE: This impairment may lead to defective dynamic stabilization of the joint, leading to an increased risk of injuries.

Adult↗
PubMed2005

Ankle joint proprioception and postural control in basketball players with bilateral ankle sprains.

BACKGROUND: Deficiencies in ankle proprioception and standing balance in basketball players with multiple ankle sprains have been reported in separate studies. However, the question of how ankle proprioceptive inputs and postural control in stance are related is still unclear. HYPOTHESIS: Ankle repositioning errors and the amount of postural sway in stance are increased in basketball players with multiple ankle sprains. STUDY DESIGN: Controlled laboratory study. METHODS: Twenty healthy male basketball players and 19 male basketball players who had suffered bilateral ankle sprains within the past 2 years were examined. Both groups were similar in age. Passive ankle joint repositioning errors at 5 degrees of plantar flexion were used to test for ankle joint proprioception. The Sensory Organization Test was applied with dynamic posturography to assess postural sway angle under 6 sensory conditions. RESULTS: A significant increase in ankle repositioning errors was demonstrated in basketball players with bilateral ankle sprains (P < .05). The mean errors in the right and left ankles were increased from 1.0 degrees (standard deviation, 0.4 degrees ) and 0.8 degrees (standard deviation, 0.2 degrees ), respectively, in the healthy players to 1.4 degrees (standard deviation, 0.7 degrees ) and 1.1 degrees (standard deviation, 0.5 degrees ) in the injured group. A significant increase in the amount of postural sway in the injured subjects was also found in conditions 1, 2, and 5 of the Sensory Organization Test (P < .05). Furthermore, there were positive associations between averaged errors in repositioning both ankles and postural sway angles in conditions 1, 2, and 3 of the Sensory Organization Test (r = 0.39-0.54, P < .05). CONCLUSIONS: Ankle repositioning errors and postural sway in stance increased in basketball players with multiple ankle sprains. A positive relationship was found between these 2 variables. CLINICAL RELEVANCE: Such findings highlight the need for the rehabilitation of patients with multiple ankle sprains to include proprioceptive and balance training.

Adult↗
PubMed2005

Balance in single-limb stance in patients with anterior cruciate ligament injury: relation to knee laxity, proprioception, muscle strength, and subjective function.

BACKGROUND: It has been shown previously that an anterior cruciate ligament injury may affect postural control, measured by balance in single-limb stance. To our knowledge, no studies have reported the influence of measures of impairment on postural control after such an injury. PURPOSE: To assess the influence of knee laxity, proprioception, and muscle strength on balance in single-limb stance and to study the correlation between balance in single-limb stance and subjective estimation of extremity function. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: A total of 36 patients with a unilateral, nonoperated, nonacute anterior cruciate ligament injury were examined with regard to anterior knee laxity, proprioception, muscle strength, and stabilometry (amplitude and average speed of the center of pressure movements). Subjective estimation of extremity function was measured on a visual analog scale. RESULTS: The multiple regression analysis showed that high knee laxity values were associated with high amplitude values and low average speed. Poor proprioception and high muscle strength values were associated with low average speed among the women only. Low amplitude values correlated with better subjective function. CONCLUSION: Anterior knee laxity, proprioception, and muscle strength seem to play a role in maintaining balance in single-limb stance. Patients with low amplitude values in stabilometry were those with better subjective function.

Adolescent↗
PubMed2003

Effects of tai chi on joint proprioception and stability limits in elderly subjects.

PURPOSE: The objectives of this study were to examine whether elderly Tai Chi practitioners have developed better knee joint proprioception and standing balance control than control subjects. METHODS: Tai Chi and control subjects (N = 21 each, aged 69.4 +/- SD 5.5 and 72.3 +/- 6.1 yr, respectively) were matched with respect to age, sex, and physical activity level. Passive knee joint repositioning was used to test joint proprioceptive acuity. Control of body sway during static standing and subjects' intentional weight shifting to eight different spatial limits of stability within their base of support were conducted using force platform measurements. RESULT: Tai Chi practitioners were found to have better knee joint proprioceptive acuity, in that they made less absolute angle error (2.1 +/- 1.2 degrees ) than control subjects (4.0 +/- 3.4 degrees, with P = 0.023) in passive knee joint repositioning. No significant difference was found in the anteroposterior and mediolateral body sway during static standing (P > 0.05). However, Tai Chi practitioners initiated voluntary weight shifting in the limits of stability test more quickly (reaction time: 0.8 +/- 0.2 s for Tai Chi practitioners) than control subjects (1.1 +/- 0.3 s; P = 0.008). Moreover, they could lean further without losing stability (maximum excursion: 5.2 +/- 0.6% for Tai Chi practitioners and 4.6 +/- 0.5% for control subjects; P = 0.001) and showed better control of their leaning trajectory (directional control: 75.9 +/- 10.0% for Tai Chi practitioners and 68.5 +/- 6.9% for control subjects; P = 0.008). CONCLUSIONS: These results demonstrate that long-term Tai Chi practitioners had improved knee joint proprioception and expanded their limits of stability during weight shifting in stance.

Aged↗
PubMed1999

Intracapsular components do not change hip proprioception.

We compared joint proprioception in 12 hips in 12 patients with hemiarthroplasty after fracture of the hip, in 12 hips in 11 patients with total hip arthroplasty because of osteoarthritis and in a control group of 12 age-matched patients with no clinical complaints. There was no significant difference (p = 0.05) in joint proprioception in any of the groups. There was no decrease in joint proprioception in the group with total hip arthroplasty compared with the hemiarthroplasty group or with the control group. Other factors such as stretch receptors in the adjacent tendons and muscles may have a greater influence on proprioception in the hip than the intracapsular components.

Aged↗
PubMed2004

Proprioception, kinesthesia, and balance after total knee arthroplasty with cruciate-retaining and posterior stabilized prostheses.

BACKGROUND: The effect of total knee arthroplasty on proprioception, kinesthesia, and postural control remains controversial. It is argued that retaining the posterior cruciate ligament may help to preserve these sensorimotor functions and improve the longevity of the prosthesis and the functional outcome. We performed a prospective, randomized study to assess proprioception, kinesthesia, and balance following total knee arthroplasty with cruciate-retaining and posterior stabilized prostheses. METHODS: Twenty patients scheduled to undergo total knee arthroplasty were randomly assigned to receive either a cruciate-retaining or a posterior stabilized prosthesis. Joint-position sense, the threshold to detect joint motion, and the subject's ability to balance on an unstable platform were assessed prior to and at least six months after the operation. Paired two-tailed t tests (with a level of significance of p < 0.05) were used to assess the effect of the arthroplasty on the preoperative measures for all subjects. Analysis of covariance was performed to identify the effects of prosthetic design. RESULTS: Following total knee arthroplasty, patients detected motion significantly faster and reproduced joint position with less error. The balance index also improved significantly from the preoperative to the postoperative evaluation. The group treated with the posterior stabilized prosthesis more accurately reproduced joint position when the knee was extended from a flexed position. CONCLUSIONS: Total knee arthroplasty results in mild improvements in proprioception, kinesthesia, and balance. These changes may result from the retensioned capsuloligamentous structures and reduced pain and inflammation. Retention of the posterior cruciate ligament does not appear to significantly improve proprioception and balance compared with those functions in patients with a posterior stabilized total knee design.

Aged↗
PubMed2001

Source of improvement in balance control after a training program for ankle proprioception.

Previous research on healthy individuals reported improvements in balance control following a purported ankle proprioception-training program. The training may have resulted in a general rather than a specific enhancement of ankle proprioception. To test this hypothesis, subjects were constrained at the hips and trunk with a custom-made thoracolumbosacral orthosis and performed a one-leg standing test with eyes closed and head tilted back, so that they had to rely primarily on their ankle musculature to keep their balance. Subjects were retested after training on the BAPS three times a week for 4 weeks, following the training recommendations of the manual. Subjects' bodies were not constrained during the training. Analysis showed that subjects made improvements during training in performing more difficult tasks on the board. On the one-leg test, however, there were no improvements in sway velocity, number of touchdowns, or falls relative to pretest scores. Improvements observed during training likely resulted from diffuse enhancement of proprioception in other body segments such as the knees, hips, spine, and upper extremities. A training program in control of general balance does not specifically target ankle proprioception.

Adult↗
PubMed2002

Perceptual distortion of intrapersonal and near-personal space sensed by proprioception.

It is known that the illusory displacement of a vibrated limb can be transferred to a nonvibrated contacted limb. The purpose of this study was to quantify and compare the transferred illusory displacements occurring in the intrapersonal and near-personal space. In two tasks, 8 male and 8 female blindfolded subjects estimated (1) the height of the left elbow and (2) the height of an external object located at the same height as the left elbow, by the proprioception of the right arm which was Subject to illusory displacement. If the internal representation of the left elbow in one's body schema could provide precise information of its static position independently of the proprioception of the right arm, the perceived displacement of the right arm might be smaller when influenced by proprioceptive information from the static left arm, than when in contrast instead with an object which is not a body part. There was no difference in the estimation of illusory displacement between male and female subjects and between right and left arms. No significant difference was observed between transferred displacements of the left elbow and the object. This means that the perception of limb position sensed by the proprioception of another limb can be distorted as easily as the perception of location of an external object. This suggests that the internal representation of static limb position is not enough to provide the correct information of current limb position in the absence of vision.

Adult↗
PubMed1995

The effects of proprioceptive ankle disk training on healthy subjects.

According to research, proprioceptive training enables injured subjects to reduce proprioceptive deficits and increase postural control. However, the effects of proprioceptive training have not been researched in healthy subjects. This study investigated the effects of Biomechanical Ankle Platform System (BAPS) training on postural sway of healthy subjects (N = 28). Subjects were pretested and posttested using the Kistler force platform while performing a single limb stance. The subjects stood on their dominant leg with the opposite hip and knee held in a self-selected position. Subjects trained the dominant leg three times per week for 10 weeks on the BAPS. Experimental subjects showed significant improvements in both the medial-lateral and anterior-posterior parameters of postural sway when compared with a control group. In conclusion, 10 weeks of proprioceptive ankle disk training significantly decreased postural sway in both the medial-lateral and anterior-posterior directions.

Adolescent↗
PubMed1998

Effect of coordination training on proprioception of the functionally unstable ankle.

Exercises to improve joint proprioception and coordination of the functionally unstable ankle are advocated throughout the literature, yet there is little evidence that these exercise have any effect on proprioception and balance. The purpose of this study was to determine the effects of a 6-week coordination and balance training program on proprioception of subjects with functional ankle instability. Forty-five subjects (age = 22.53 +/- 3.95 years, height = 172.04 +/- 10.0 cm, weight = 71.72 +/- 15.7 kg) were randomly placed into a control (Group 1), sham (Group 2), or experimental (Group 3) group. The experimental group trained 3 days per week, 10 minutes each day, performing various balance and proprioception exercises. Postural sway and active and passive joint position sense were assessed. Analysis of variance for postural sway modified equilibrium score for anterior and posterior sway, as well as medial and lateral sway revealed significant four-way interactions. Tukey post hoc analyses revealed that Group 3 performed significantly better (p < .05) than Group 1 and Group 2 on the posttests. There were no significant differences for joint position sense or postural sway index. Results suggest that balance and coordination training can improve some measures of postural sway. It is still unclear if joint position sense can be improved in the functionally unstable ankle.

Adult↗
PubMed1995

Differential control of leg and trunk muscle activity by vestibulo-spinal and proprioceptive signals during human balance corrections.

Knowledge about how proprioceptive signals trigger and modulate human balance corrections has important implications for the rehabilitation of postural and gait disorders, and increases our understanding of normal interactions between these sensory systems. We used combinations of support-surface rotation and rearward translation to examine the triggering effects of ankle and knee movements on balance corrections. By comparing the responses in normal subjects to those in persons with a bilateral peripheral vestibular deficit, we determined the modulating influence of vestibular inputs on balance responses. Differences in normal and vestibular-loss responses under the different proprioceptive conditions revealed four general findings. First, ventral leg muscle responses are strongly modulated by vestibulo-spinal inputs and by proprioceptive inputs from the ankle and knee. Second, triceps surae muscle responses are initially dependent on ankle inputs, and after 100 ms are modulated by knee inputs; they are not altered by vestibular loss. Third, paraspinal responses in vestibular-loss subjects are enhanced because of unstable trunk sway induced by the lack of ventral leg-muscle activity. Fourth, the earliest possible triggering signal for establishing the timing of interlink muscle activity appears to be knee flexion and/or trunk rotation on the pelvis. These results indicate that a confluence of knee and trunk proprioceptive and vestibulo-spinal inputs, rather than either input alone, is involved in establishing the muscle synergy underlying normal balance corrections.

Electromyography↗
PubMed2000

Proprioception.

Although definitions of proprioception may vary, its importance in preventing and rehabilitating athletic injuries remains constant. Proprioception plays a significant role in the afferent-efferent neuromuscular control arc. This control arc is disrupted with joint and soft tissue injury. Restoring proprioception after injury allows the body to maintain stability and orientation during static and dynamic activities. By focusing on aspects of neuromuscular function, such as dynamic joint stability, practitioners can design and study interventions to maximize sport and daily life neuromuscular function. Further research is necessary to elucidate how proprioceptive deficits can be remedied or compensated to improve function and prevent reinjury.

Athletic Injuries↗
PubMed1992

[Big-toe localizing test--clinical study of proprioceptive localization].

Certain proprioceptive sense is utilized in localizing a part of the limb passively held in space. In the previous study (Hirayama, Fukutake, et al., 1986), we demonstrated that such kind of proprioception, which we called "proprioceptive localization", could be detected by making the patient pick up the thumb with the opposite fingers (the thumb localizing test, TLT). As a further development of the TLT, another test, named a big-toe localizing test (BTLT), was devised. In the BTLT, the patient, with eyes closed and a lower limb passively immobilized by the examiner (the fixed limb), is asked to point to the big toe with the index finger of one hand or the other (the reaching limb). Firstly, we assessed the unselected series of 33 patients with thoracic or lumbar myelopathy regarding their sensory impairment and obtained the following conclusions on the BTLT similar to those in our previous study on the TLT. (1) BTLT deficits results from perceptive impairment in the fixed limb. (2) The perceptual information involved in the proprioceptive localization is different from that of the test for the appreciation of passive movement and posture. (3) On the basis of the correlation to other symptomatology, it is suggested that BTLT deficits arise from lesions of the posterior column-medical lemniscal system. (4) The BTLT is more sensitive than the test for the appreciation of passive movement and posture. Secondly, we evaluated another unselected series of 63 patients with unilateral TLT deficits due to CNS lesions. Eight patterns of BTLT deficits were identified and classified into 3 following types.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1992

Lower-limb proprioception in above-knee amputees.

A proprioception measurement system was designed and constructed to evaluate lower-limb knee joint proprioception in ten above-knee amputees. The system permitted the testing of subjects in a position simulating late swing phase of gait. The threshold for detection of slow passive motion and the ability to reproduce specified lower-limb positions were recorded for the sound and the prosthetic limbs of the subjects. A significant difference was detected between prosthetic and sound limb passive motion detection threshold; however, no difference was found between prosthetic and sound limb passive motion reproduction. This finding suggests the importance of hip joint motion appreciation in the amputees' proprioception of the prosthetic knee joint when these motions are associated. Prosthetic limb passive motion reproduction error decreased with age, suggesting that the amputees may improve their ability to use remaining lower limb proprioceptive mechanisms to compensate for the loss of anatomic knee joint structures.

Adult↗