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Shift in saccadic direction induced in humans by proprioceptive manipulation: a comparison between memory-guided and visually guided saccades.

It is nowadays generally recognized that saccades to remembered targets are planned in a craniotopic frame of reference by combining retinal input with eye position signal. The origin of the eye position signal is still a matter of controversy, however. Does it arise from an efferent copy or is it supplied by the sensory receptors with which the extraocular muscles are endowed? When applied to skeletal muscles, vibration elicits spindle responses simulating a stretching of the vibrated muscle. When vibration is applied to the inferior rectus muscle (IR), it induces the illusion that a stationary fixating point is moving upward. Here we attempted to change the initial eye position signal supplied to the oculomotor system before a memory- or visuo-guided saccade to a 10 degrees left target by applying mechanical vibration to the IR muscle. We wanted to determine whether modifying extraocular proprioceptive cues during the programming phase of a saccade might affect the latter's trajectory. In the memory-guided condition, it was observed that the saccades ended lower down when vibration was applied than in the control condition. Conversely, the visuo-guided saccades were not affected by the vibration. The above results mean first that extraocular proprioceptive cues are used as an initial eye position signal when a memory guided saccade has to be planned. Secondly, they suggest that extraocular proprioception may not be used to produce a visuo-guided saccade, or that this type of saccade is computed solely on the basis of retinal cues.

Adult↗

Does limb proprioception drift?

The hypothesis that proprioceptively perceived limb position drifts during visual occlusion was re-examined by combining some of the protocols used in previous experiments. Sixteen adult subjects made judgements of static limb position during visual occlusion lasting up to 2 min. In addition, the effect of brief 250 ms "glimpses" of the limb, occasional proprioceptive stimulation and directed attention were examined. Despite, conflicting evidence from earlier experiments, there was clear evidence of a drift in perceived limb position, towards the body, during visual occlusion. This drift was halted if brief glimpses of the limb were provided, or minor re-positioning (without vision) was allowed. In neither case, however, did the supplementary cues reset limb position to its originally perceived position. Drift was amplified when subjects attempted to attend to limb position rather than perform a secondary tracking task. The results are not easily accounted for if drift is considered purely as an effect of peripheral sensor adaptation. A notion of central-drift between visual and proprioceptive maps is suggested as an alternative hypothesis.

Cues↗

Vestibular responses in the rhesus monkey ventroposterior thalamus. II. Vestibulo-proprioceptive convergence at thalamic neurons.

The vestibular thalamic relay in the Rhesus ventrobasal complex, identified in a previous field potential study (part I, Deecke et al., 1974), has now been investigated with neuronal recordings in the thalamus in order to clarify its functional role. In part I, short latency responses (2.5 msec) were found in the corner between VPL, VPM and VPI nuclei, largely including dorsal portions of the VPI nucleus. Field potentials of somewhat longer latency (4-5 msec) were recorded in VPL and in other thalamic nuclei, including the posterior nuclear group. Neuronal responses were recorded in thalamic nuclei of awake flaxedilized Rhesus monkeys. Cells not responding to vestibular stimulation (round window polarisation of either labyrinth) were ignored. The great majority (80%) of those neurons responding to labyrinth polarisation showed convergence with deep somatic (proprioceptive) input from joints and muscles of vertebral column and limbs. 60% of these bimodal neurons responded to movement of cervical joints. Very few vestibularly responsive cells received cutaneous (6.6%), non-optokinetic visual or auditory (2.6% each) input. Proprioceptive fields tended to be large, frequently involving more than one joint, and could be even bilateral. For a few cells the pattern of vestibulo-proprioceptive convergence could be fitted to a coordinated body position that might occur during normal locomotion. 78% of the cells responded to polarisation of both labyrinths, indicating strong bilateral projection.

Animals↗

Role of extraocular proprioception in the orienting behaviour of cats.

We investigated the effects of unilateral deafferentation of extraocular proprioception on the orienting behaviour of cats. The ophthalmic branch of the Vth cranial nerve, in which most of the extraocular proprioceptive fibers are known to run, was cut unilaterally in adult cats. The animals had been previously trained to jump from a start box to a luminous target at various possible locations in the right or left visual hemifield. The postsurgical orienting performance of the animals, evaluated from the difference between landing position and position of the target, differed from the presurgical performance. The postsurgical errors were typically: (1) ipsiversive to the side of the section, (2) usually of a larger magnitude in the hemifield contralateral to the section, (3) present in binocular as well as in monocular viewing conditions and approximately of the same magnitude for jumps guided by either eye. These findings indicate that extraocular proprioception plays a role in the orienting behaviour of cats.

Afferent Pathways↗

Alteration of proprioceptive messages induced by tendon vibration in man: a microneurographic study.

The activities of single proprioceptive fibres were recorded from the lateral peroneal nerve using transcutaneously implanted tungsten microelectrodes. Unitary discharges originating from muscle spindle primary and secondary endings and Golgi tendon organs were identified by means of various physiological tests. The sensitivity of proprioceptors to mechanical vibrations with a constant low amplitude (0.2-0.5 mm) applied at various frequencies to the tendon of the receptor-bearing muscle was studied. Muscle spindle primary endings (Ia fibres) were found to be the most sensitive to this mechanical stimulus. In some cases their discharge could be driven in a one-to-one manner up to 180 Hz. Most of them also fired harmonically with the vibration up to 80 Hz and then discharged in a subharmonic manner (1/2-1/3) with increasing vibration frequencies. Muscle spindle secondary endings (II fibres) and Golgi tendon organs (Ib fibres) were found to be either insensitive or only slightly sensitive to tendon vibration in relaxed muscles. The effects of tendon vibration on muscle spindle sensory endings response to muscle lengthening and shortening induced by imposed constant velocity or sinusoidal movements of the ankle joint were studied. Modulation of the proprioceptive discharge frequency coding the various joint movement parameters was either completely or partly masked by the receptor response to vibration, depending on the vibration frequency. Moreover, vibrations combined with sinusoidal joint movements elicited quantitatively erroneous proprioceptive messages concerning the movement parameters (amplitude, velocity). The sensitivity of the Golgi tendon organs to vibration increased greatly when the receptor-bearing muscle was tonically contracted. These data confirm that vibration is able to preferentially activate the Ia afferent channel, even when the vibration amplitude is low. They define the frequency sensitivity of the muscle spindle primary and secondary endings and the Golgi tendon organs. They also show that the physiological messages triggered by ongoing motor activities undergo a series of changes during the exposure of muscles to vibration.

Action Potentials↗

Proprioceptive feedback performance in patients with focal brain lesions.

Utilization of proprioceptive feedback in a manual tracking task was studied in patients with circumscribed unilateral brain lesions. Patients with posterior right hemisphere disease showed severe impairment in performance as compared to those with lesions in other areas of the brain. Increasing the intensity of proprioceptive feedback facilitated the tracking performance of left hemisphere damaged patients while patients with right hemisphere lesions failed to improve. The results were interpreted as supporting the view that the posterior right hemisphere plays a particularly important role in the utilization of proprioceptive information to maintain the position of body parts in space.

Brain Diseases↗

Proprioceptive function of the shoulder girdle in healthy volunteers.

In 27 healthy volunteers (9 females, 18 males) we evaluated the proprioceptive function of the glenohumeral joint. The volunteers were asked to place the arm in different positions with and without visual control. The test was performed for the dominant and for the nondominant extremity. The following joint positions were measured: 50 degrees, 100 degrees, 150 degrees abduction; 50 degrees, 100 degrees, 150 degrees flexion; +45 degrees, 0 degrees, -45 degrees rotation in 90 degrees abduction. Joint position was documented with a motion-analyzing system with passive reflecting markers. The results showed significant differences between the measurements with and without visual control. Proprioception was worse below the shoulder level (50 degrees abduction, flexion). Two volunteers with generally good coordinative capabilities showed better results than the rest of the group. We observed no differences between dominant and nondominant extremities nor between males and females. Our results demonstrated low variance of the proprioceptive function of the glenohumeral joint in healthy volunteers. Our findings serve as a base for further evaluations in different patients' populations.

Adult↗

Knee joint proprioception in patients with posttraumatic recurrent patella dislocation.

In 30 healthy volunteers with clinically inconspicuous knee joints and nine patients with posttraumatic recurrent patella dislocation, the proprioceptive abilities of the knee joint were evaluated by an angle reproduction test. The results of the control group showed no gender- or dominant-specific difference. The patient group showed a significant deterioration of proprioceptive capability in the injured knee joint. Even in the contralateral, uninjured knee joint, the angle reproduction test result was significantly reduced compared with the control group. After applying an elastic knee bandage, the control group and the patients with patella dislocation showed a significant improvement of the proprioceptive capability.

Adolescent↗

[Proprioceptive abilities of surgically and conservatively treated knee joints with injuries of the cruciate ligament].

UNLABELLED: In the present study we evaluated proprioceptive capabilities of the knee joint with a balance test and correlated these findings to parameters which document mechanical stability. We compared 8 conservatively treated and 12 surgically treated patients with ACL-deficient knee joints with a control group of 12 subjects. The balance test was performed with a Kistler force plate. Both the conservatively treated and the surgically treated patients showed significantly higher deviations of their centre of gravity than the control group. This was true not only for the injured leg but also for the noninjured contralateral leg. The differences were most remarkable when comparing the entire distance of centre of gravity deviations during 10 s. Additionally, the conservatively treated patients interrupted the test procedure significantly more frequently than the other two groups. We were not able to document any correlation between proprioceptive function and parameters for joint stability such as anterior drawer, Lachman, pivot shift and KT-1000 measurements. CLINICAL SIGNIFICANCE: In patients with conservatively or surgically treated ACL tears the rehabilitation of proprioceptive capabilities is mandatory both for the injured leg and for the noninjured contralateral leg in order to restore the function of the lower extremities. Reconstruction of passive stability alone is not sufficient.

Adult↗

[The influence of proprioceptive insoles (Bourdiol) on the sagittal curvature and inclination of the trunk].

Proprioceptive insoles rely on the concept of Réné-Jaques Bourdiol, a French neurologist. The aim is to modulate plantar surface sensibility and to influence posture and statics of patients: it is hypothesized that the effect of modified afferent sensory input through proprioceptive stimulation of terminal muscle chains will have either a relaxing or stimulating effect on the whole body, which may be realized by affecting the posture. Small pads with a thickness of typically 1-3 mm are embedded into the insole to provide a specific stimulation. In fitting the insoles selectively to the individual patient the effect of the insoles on the trunk posture is taken as a feedback. This study investigates the influence of proprioceptive insoles on the sagittal curve in 20 selected patients. The protocol used a repeated measures research design. The measures of the sagittal curve were obtained using raster stereography. The four different conditions were: (1) barefoot, (2) convenient shoes without the insoles, (3) the same shoes with a placebo insole, and (4) the same shoes with neurological insoles. Evaluation of raster stereographs provided the kyphotic angle between T4 and T12 and lordotic angle between T12 and S1. Statistical evaluation was performed with the t-test for paired measurements. No significant differences were found in the sagittal profile. Only trunk inclination in normal posture was found to yield a significant difference (0.38 degrees) between placebo and neurological insoles. However, no clear statement on the efficiency of neurological insoles can be made.

Adaptation, Physiological↗

[Influence of retropatellar arthrosis on the proprioceptive ability of patients with gonarthrosis].

Degenerative changes of the retropatellar articular surface contribute to a great extent to functional disability in patients with osteoarthritic knees. Therefore, in the present study we examined the influence of retropatellar osteoarthritis (OA) on proprioception in patients with knee OA. Comparison of movement sense determined by threshold levels for the perception of knee motion was performed in 10 patients with severe, in 10 patients with moderate, and in 9 patients with mild retropatellar OA. In addition, detection failures occurring during movement sense measurements were analysed. At correct movement detections, threshold levels did not differ between the three groups of patients regardless the extent of retropatellar OA. In contrast, analysis of detection failures occurring during movement sense measurements revealed significantly higher failure rates with greater severity of retropatellar OA. In conclusion, our study gives evidence for increased proprioceptive deficits with greater severity of retropatellar articular surface damage. Hereby, analysis of detection failures occurring during movement sense measurements proved to be a feasible tool for the assessment of proprioceptive deficits.

Humans↗

The effect of early arthroscopic stabilization compared to nonsurgical treatment on proprioception after primary traumatic anterior dislocation of the shoulder.

This randomized clinical trial compared the effect of early arthroscopic stabilization and rehabilitation vs. standard immobilization and rehabilitation on measures of shoulder proprioception. Subjects with primary traumatic anterior dislocations of the shoulder were randomized into one of two groups: standard therapy of immobilization and rehabilitation (n=13) or arthroscopic stabilization followed by rehabilitation (n=11). At a minimum of 3 months posttreatment (mean 19 months) proprioception was evaluated using threshold to detection of passive motion (TTDPM) and reproduction of passive positioning (RPP) at 30 degrees and 60 degrees external rotation. There were no statistically significant differences between surgical and standard treatment groups in either TTDPM or RPP at start positions of 30 degrees and 60 degrees. These findings suggest that treatment by early arthroscopic stabilization and rehabilitation after primary traumatic anterior dislocation of the shoulder does not enhance proprioception more than standard immobilization and rehabilitation.

Adolescent↗

Proprioception in the posterior cruciate ligament deficient knee.

This study was undertaken to evaluate knee proprioception in patients with isolated unilateral posterior cruciate ligament (PCL) injuries. Eighteen subjects with isolated PCL tears were studied 1-234 months after injury. The threshold to detect passive motion (TTDPM) was used to evaluate kinesthesia and the ability to passively reproduce passive positioning (RPP) to test joint position sense. Two starting positions were tested in all knees: 45 degrees (middle range) and 110 degrees (end range) to evaluate knee proprioception when the PCL is under different amounts of tension. TTDPM and RPP were tested as the knee moved into flexion and extension from both starting positions. A statistically significant reduction in TTDPM was identified in PCL-injured knees tested from the 45 degrees starting position, moving into flexion and extension. RPP was statistically better in the PCL-deficient knee as tested from 110 degrees moving into flexion and extension. No difference was identified in the TTDPM starting at 110 degrees or in RPP with the presented angle at 45 degrees moving into flexion or extension. These subtle but statistically significant findings suggest that proprioceptive mechanoreceptors may play a clinical role in PCL-intact and PCL-deficient patients. Further, it appears that kinesthesia and joint position sense may function through different mechanisms.

Adult↗

Haptic discrimination of object shape in humans: contribution of cutaneous and proprioceptive inputs.

Using two-dimensional (2D) angles composed of two straight, 8-cm-long arms that formed an angle, we investigated the importance of cutaneous feedback from the exploring index finger, and proprioceptive feedback from the shoulder (scanning movements made with the outstretched arm), to the human ability to discriminate small differences in the angles. Using a two-alternative forced-choice paradigm, subjects identified the larger angle in each pair explored (standard angle, 90 degrees; comparison angles, 91 degrees to 103 degrees). Subjects were tested under four experimental conditions: (1) active touch (reference condition); (2) active touch with digital anaesthesia; (3) passive touch (a computer-controlled device displaced the angle under the subject's immobile digit); and (4) passive touch with digital anaesthesia. When only proprioceptive feedback from the shoulder was available (condition 2), there was a significant increase in discrimination threshold, from 4.0 degrees in the reference condition (condition 1) to 7.2 degrees, indicating that cutaneous feedback from the exploring digit contributed to task performance. When only cutaneous feedback from the finger was available (condition 3), there was also a significant increase in threshold from 4.2 degrees in the active condition to 8.7 degrees. This suggested that proprioceptive feedback from the shoulder, potentially from a variety of deep (muscle and joint) but also cutaneous receptors, contributed to the ability to discriminate small changes in 2D angles. When both sources of feedback were eliminated (condition 4), subjects were unable to discriminate even the largest difference presented (13 degrees). The results suggest that this sensory task is truly an integrative task drawing on sensory information from two different submodalities and so, following the definition of Gibson, is haptic in nature. The results are discussed in relation to the potential neural mechanisms that might underlie a task that requires integration across two anatomically separate body parts and two distinct modalities.

Adult↗

Neck proprioception compensates for age-related deterioration of vestibular self-motion perception.

Vestibular functions are known to show some deterioration with age. Vestibular deterioration is often thought to be compensated for by an increase in neck proprioceptive gain. We studied this presumed compensatory mechanism by measuring psychophysical responses to vestibular (horizontal canal), neck and combined stimuli in 50 healthy human subjects as a function of age (range 15-76 years). After passive horizontal rotations of head and/or trunk (torso) in complete darkness (dominant frequencies 0.05, 0.1, and 0.4 Hz), subjects readjusted a visual target to its remembered prerotational location in space. (1) Vestibular-only stimulus(whole-body rotation); subjects' responses were shifted towards postrotatory body position, this only slightly at 0.4 Hz and pronounced at 0.1 and 0.05 Hz. These errors reflect the known physiological drop of vestibular gain at low rotational frequency. They exhibited a slight but significant increase with age. (2) Neck-only stimulus(trunk rotated, head stationary); the responses showed errors similar to those upon vestibular stimulation (with offset towards postrotatory trunk position) and this again slightly more with increasing age. (3) Vestibular-neck stimulus combinationduring head rotation on stationary trunk; the errors were close to zero, independent of stimulus frequency and the subjects' age. (4) Opposite stimulus combination(trunk rotated in the same direction as the head, but with double amplitude); the errors were clearly enhanced, essentially reflecting the sum of those with vestibular-only and neck-only stimulation. Taken together, we find a parallel increase in neck- and vestibular-related errors with age, in seeming contrast to previous studies. We explain our and the previous findings by a vestibular-neck interaction model in which two different neck signals are involved. One neck signal is used, in combination with the vestibular signal, for estimating trunk-in-space rotation. It is internally shaped to always match the vestibular signal, so that these two signals cancel each other out when summed during head rotation on stationary trunk. Because of this matching, perceived trunk stationariness during head rotation on the stationary trunk is independent of vestibular deterioration (related to stimulus frequency, age, ototoxic medication, etc.). The other neck proprioceptive signal, coding head-on-trunk rotation, is superimposed on the estimate of trunk-in-space rotation, thereby yielding a notion of head-in-space. This neck signal remains essentially unchanged with vestibular deterioration. Generally, we hold that the transformation of the vestibular signal from the head down to the trunk proceeds further to include the hip and the legs as well as the haptically perceived body support surface; by this, subjects yield a notion of support kinematics in space. As a consequence, spatial orientation is impaired by chronic vestibular deterioration only to the extent that the body support is moving in space, while it is unimpaired (determined by proprioception alone) during body motion with respect to a stationary support.

Adolescent↗

Proprioceptive reflexes in patients with reflex sympathetic dystrophy.

Reflex sympathetic dystrophy (RSD) is a syndrome that frequently follows an injury and is characterized by sensory, autonomic and motor features of the affected extremities. One of the more common motor features of RSD is tonic dystonia, which is caused by impairment of inhibitory interneuronal spinal circuits. In this study the circuits that modulate the gain of proprioceptive reflexes of the shoulder musculature are quantitatively assessed in 19 RSD patients, 9 of whom presented with dystonia. The proprioceptive reflexes are quantified by applying two types of force disturbances: (1) disturbances with a fixed low frequency and a variable bandwidth and (2) disturbances with a small bandwidth around a prescribed centre frequency. Compared to controls, patients have lower reflex gains for velocity feedback in response to the disturbances around a prescribed centre frequency. Additionally, patients with dystonia lack the ability to generate negative reflex gains for position feedback, for these same disturbances. Proprioceptive reflexes to the disturbances with a fixed low frequency and variable bandwidth present no difference between patients and controls. Although dystonia in the RSD patients was limited to the distal musculature, the results suggest involvement of interneuronal circuits that mediate postsynaptic inhibition of the motoneurons of the proximal musculature.

Adult↗

Differential contributions of vision and proprioception to movement accuracy.

We examined the relative roles of visual and proprioceptive information about initial hand position on movement accuracy. A virtual reality environment was employed to dissociate visual information about hand position from the actual hand position. Previous studies examining the effects of such dissociations on perception of hand location have indicated a bias toward the visually displayed position. However, an earlier study, which employed optical prisms to dissociate visual and proprioceptive information prior to targeted movements, suggested a bias in movement direction toward that defined by the actual hand position. This implies that visual and proprioceptive information about hand position may be differentially employed for perceptual judgments and movement planning, respectively. We now employ a virtual reality environment to systematically manipulate the visual display of the hand start position from the actual hand position during movements made to a variety of directions. We asked whether subjects would adjust their movements in accord with the virtual or the actual hand location. Subjects performed a series of baseline movements toward one of three targets in each of three blocks of trials. Interspersed among these trials were "probe" trials in which the cursor location, but not the hand location, was displaced relative to the baseline start position. In all cases, cursor feedback was blanked at movement onset. Our findings indicated that subjects systematically adjusted the direction of movement in accord with the virtual, not the actual, start location of the hand. These findings support the hypothesis that visual information about hand position predominates in specifying movement direction.

Adolescent↗

The integration of multiple proprioceptive information: effect of ankle tendon vibration on postural responses to platform tilt.

Previous studies have looked at co-processing of multiple proprioceptive inputs but few have investigated the effect of separate dynamic and tonic predominantly proprioceptive disruptions applied concurrently at the same segment. The purpose of the present study was to investigate how simultaneous ankle tendon vibration, a tonic stimulus, with a dynamic toes-up (TU) or toes-down (TD) platform perturbation (1) affects postural stability and (2) influences the adaptation process. Sixteen normal subjects (ten male, six female, mean age 26 +/- 4.8 years) stood blindfolded on a moving platform with vibrators attached bilaterally over the Achilles tendons. Participants were tested in quiet stance (QS), and with five successive TU and TD tilts. All tests were conducted both with (QS+V, TU+V, TD+V) and without vibration. Centre of pressure (CoP) displacements and pitch angular trunk velocity were recorded. Results for QS+V showed a significant 1.02-cm backward CoP displacement (P<0.01) and a significant increase in trunk velocity (peak-to-peak amplitude, P<0.05; SD of trunk velocity, P<0.05). TU+V resulted in a non-significant increase of maximum backwards CoP displacement when compared to TU alone. In addition, no notable effect of vibration on other measures of CoP (pre-tilt position, SD and area of sway) and trunk velocity (peak-to-peak, SD and area of sway) indicates that TU+V does not introduce significantly greater instability compared to tilt alone. In the TD condition, vibration was found to be a stabilising influence, causing a significant shift of the mean pre-tilt position 0.85 cm backwards (P<0.01) and a substantial decrease in the area of forward CoP displacement (P<0.01). However, maximum forwards CoP displacement and trunk velocity measures were not significantly altered during TD+V. Furthermore, in neither TU nor TD was the time-course or pattern of adaptation disrupted by the additional application of vibration. In conclusion, although vibration significantly affects postural measures when applied in isolation, this finding does not hold when it is applied in combination with a more dynamic stimulus. Instead it seems that once postural stability has been disrupted the central nervous system can rapidly assess information from a weaker tonic input and utilise or suppress it appropriately, depending on its effect towards overall postural control. It can be concluded that postural responses to the concurrent application of different predominantly proprioceptive stimuli are dependent upon the type of stimulus and the ability of the central nervous system to rapidly assess and re-weigh available sensory inputs.

Adaptation, Physiological↗