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Tactile selective attention and body posture: assessing the multisensory contributions of vision and proprioception.

This study addressed the role of proprioceptive and visual cues to body posture during the deployment of tactile spatial attention. Participants made speeded elevation judgments (up vs. down) to vibrotactile targets presented to the finger or thumb of either hand, while attempting to ignore vibrotactile distractors presented to the opposite hand. The first two experiments established the validity of this paradigm and showed that congruency effects were stronger when the target hand was uncertain (Experiment 1) than when it was certain (Experiment 2). Varying the orientation of the hands revealed that these congruency effects were determined by the position of the target and distractor in external space, and not by the particular skin sites stimulated (Experiment 3). Congruency effects increased as the hands were brought closer together in the dark (Experiment 4), demonstrating the role of proprioceptive input in modulating tactile selective attention. This spatial modulation was also demonstrated when a mirror was used to alter the visually perceived separation between the hands (Experiment 5). These results suggest that tactile, spatially selective attention can operate according to an abstract spatial frame of reference, which is significantly modulated by multisensory contributions from both proprioception and vision.

Adult↗

Proprioceptive influences on auditory and visual spatial localization.

We evaluated the influence of proprioceptive information about arm position on the perceptual localization of auditory and visual targets attached to the hand. Our approach was to distort the perceived position of the restrained arm by means of mechanical vibration of the biceps brachii muscle; such vibration elicits compelling apparent extension of the stationary forearm (Goodwin, G. M., D. I. McCloskey, and P. B. C. Matthews (1972) Science 175: 1382-1384, Brain 95: 705-748), and subjects report changes in the apparent directions of the auditory and visual targets attached to their hand. These changes are in the same direction and plane as apparent arm motion and their onsets are coincident with or lag slightly behind the experienced displacement of the arm. While visual motion is being experienced, a subject's eyes remain steadily fixating the target light. The pattern of findings demonstrates that proprioceptive information about limb position can influence the central representation of gaze and auditory localization can be similarly influenced. The biasing of auditory localization indicates that identical patterns of arrival time and intensity cues at the two ears can give rise to the perception of sounds in widely disparate spatial positions in relation to the head and body, depending on the proprioceptive representation of the direction of the sound source.

Adolescent↗

[Interaction between visual activation and proprioceptive activation in neurons of the superior colliculus].

Units located in the superficial and intermediate layers of the superior colliculus are activated by proprioceptive stimulation of the extraocular muscle nerves as well as by specific visual stimuli. Units of the deep layer of the colliculus, not sensitive to visual activation, are inhibited by proprioceptive stimulation. A few of the units showed interaction between the two types of stimulation, the proprioceptive response appearing only when spontaneous activity was decreased by a visual stimulus.

Animals↗

Proprioception after arthroplasty: role of the posterior cruciate ligament.

To test the hypothesis that retaining the posterior cruciate ligament during total knee arthroplasty helps preserve the threshold of proprioceptive sensation, a machine was designed that permitted direct measurement of passive angular deflection from a resting point to the threshold of patient perception. Sixty patients with unilateral primary total knee arthroplasties were evaluated; 30 with posterior cruciate ligament retaining prostheses and 30 with posterior cruciate ligament substituting prostheses. All patients had a minimum postoperative followup of 1 year, a good or excellent result as defined by the Hospital for Special Surgery Knee Score, and no evidence of peripheral neuropathy. The gender and age distributions were equivalent between groups. The average threshold of perception for the posterior cruciate ligament retention group was 2.4 degrees. The average threshold of perception for the posterior cruciate ligament substitution group was also 2.4 degrees. Substitution or retention of the posterior cruciate ligament makes no clinical difference in proprioception as measured by threshold testing. This study provides new information for surgeons performing total knee arthroplasty to aid in the decision to retain or substitute the posterior cruciate ligament. Previous proprioception evaluation in patients with posterior cruciate ligament retaining versus posterior cruciate ligament substituting arthroplasties, using different testing methods, has revealed different results.

Adult↗

Ocular exploration of space as a function of neck proprioceptive and vestibular input--observations in normal subjects and patients with spatial neglect after parietal lesions.

We recently argued that the specific compensation of spatial neglect by manipulating neck proprioceptive and vestibular input is due to a central "correction" of the disturbed neural transformation process converting the afferent input coordinates from the peripheral sensory organs into a central representation of egocentric space. Both types of stimulation were proposed to induce a reorientation of the deviated or distorted egocentric spatial reference frame. The aim of the present study was to observe this process of reorientation under a condition in which no visual stimulus can attract the subject's attention and thus influence exploration behaviour from outside. We recorded eye movements of normal subjects and of three patients with spatial neglect after right parietal lesions while searching for a non-existent target in complete darkness. It was assumed that the area of the outer space that subjects spontaneously explore under this condition is a direct function of the subject's representation of egocentric space. Ocular space exploration was biased and confined almost entirely to the right side of the midsagittal plane in patients with neglect. This spatial distribution of exploratory eye movements changed remarkably with left-sided neck muscle vibration as well as with left-sided vestibular stimulation using ice water calorics. The spatial area of exploration was significantly enlarged to the contralesional side and the exploration maximum shifted in the same direction. Whereas with both types of stimulation space exploration of patients with neglect was similar to that of normal subjects when not being stimulated, neck proprioceptive and vestibular stimulation in normal subjects induced a quasi neglect-like exploration pattern, i.e. a bias to one side of the objective midsagittal plane. If ocular space exploration was, however, related to the subjectively perceived position of the midsagittal plane in space, eye movements were symmetrically distributed and carried out to both sides of subjective "straight ahead" in all experimental conditions, in normal subjects as well as in patients with neglect. The present results support the above hypothesis and indicate that neck proprioceptive as well as vestibular input directly contribute to the computation of the subject's central representation of egocentric space used for localizing body orientation and for guiding motor behaviour in space.

Adult↗

Skill level, vision, and proprioception in simple one-hand catching.

Two experiments examined the interaction of vision and articular proprioception in simple one-hand catching. In Experiment 1 (N = 18) skilled baseball and softball players used the left and right hands to catch slowly moving tennis balls, while Experiment 2 (N = 16) used novice catchers as subjects. In half the trials, sight of the catching hand was prevented by placing a screen alongside the subjects' face. Results of Experiment 1 revealed that the screen caused minimal disruption of the positioning phase of the catch, with moderate disruption of the grasping phase. However, for the unskilled subjects of Experiment 2, the screen caused considerable disruption of positioning. The data provide only minimal support for Smyth and Marriott' (1982) contention that limb position is inadequately specified by articular proprioception. It is argued that skill level serves as a mediator in the ability to use proprioception for limb positioning, but vision appears necessary to control the precise temporal organization of the grasp phase of one-hand catching.

Journal Article↗

Proprioceptive control of goal-directed movements in man, studied by means of vibratory muscle tendon stimulation.

The purpose of this study was to investigate the role of propriomuscular feedback in the control of pluriarticular pointing movements, performed without visual feedback toward visual targets. The proprioceptive inputs were distorted during movements by applying vibration to the distal tendon of the biceps muscle. Various movement and vibration durations were imposed. The results show that vibration affects the spatial outcome of the movements. The effects of vibration were movement time-independent when the durations were shorter than 450 ms and became movement time-dependent with longer durations. Moreover, the effects of vibration became more marked when a short vibration was applied at the end rather than at the beginning of a slow movement. These studies suggest that at least two types of proprioceptive control loops may be involved in correcting this kind of movement, depending on the execution time. In slow movements, the final phase might be a privileged period for on-line, propriomuscular-based corrections. Lastly, it emerged that the regulation of a goal-directed movement on the basis of proprioceptive feedback processing can take place within at most 200 ms.

Journal Article↗

Effects of movement duration and visual feedback on visual and proprioceptive components of prism adaptation.

While looking through laterally displacing prisms, subjects pointed sagittally 80 times at an objectively straight-ahead target, completing a reciprocal out-and-back pointing movement ever 1, 3, or 6 s. Visual feedback was available early in the pointing movement or only late at the end of the movement. Aftereffect measures of adaptive shift (obtained after every 10 pointing trials) showed adaptive change only in limb position sense (i.e., proprioceptive adaptation) when movement duration was 1 s, regardless of visual feedback condition; but as movement duration increased, adaptive change in the eye position sense (i.e., visual adaptation) increased while proprioceptive adaptation decreased, especially for the late visual feedback condition. Regardless of visual feedback condition, proprioceptive adaptation showed the maximal rate of growth with the 1-s movement duration, whereas visual adaptation showed maximal growth with the 6-s movement duration. These results provide additional support for a model of adaptive spatial mapping in which the direction of strategically flexible coordination (guidance) between eye and limb (and consequently the locus of adaptive spatial mapping) is jointly determined by movement duration and timing of visual feedback. An additional effect of movement duration is to determine the rate of discordant inputs. Maximal growth of adaptation occurs when the input rate matches the response time of the spatial mapping function.

Journal Article↗

The role of limb torque, muscle action and proprioception during closed kinetic chain rehabilitation of the lower extremity.

This paper defines the differences between open and closed kinetic chain exercise and explains the role of limb torque, muscle action, and proprioception during rehabilitation of the lower extremity. Closed kinetic chain rehabilitation is shown to decrease shear forces, increase proprioception, and increase muscle group coordination through examples of progressive exercises. The authors conclude that closed kinetic chain rehabilitation is an economical, efficient, and effective means of rehabilitation, with the ultimate goal of enhancing proprioception, thus gaining lower extremity joint stability.

Journal Article↗

Quantification of responses from proprioceptive neurons in the limbs of the crab, Cancer magister.

In the limbs of crustaceans, proprioception is monitored by chordotonal organs. One in particular, MC1, is arranged in a manner that is accessible for single unit recording of primary sensory neurons while simulating joint movement. The movement-sensitive cells are of two types, those sensitive to relaxation or to elongation of the chordotonal strand which corresponds to flexion or extension of the meropodite-carpopodite joint, respectively. A statistical method for the quantification of these movement-sensitive proprioceptive neuronal responses was implemented. This statistical index, eta(2), should allow neuronal responses recorded in different laboratories to be easily and quantitatively compared. In addition, an eta(2) value can be assigned to individual cells which represents a cell's consistency and degree to which the response is related to the stimulus. We found some cells to have a high eta(2) and to be consistent in their activity while other cells had a high degree of variability with low eta(2) values. J. Exp. Zool. 284:629-636, 1999.

Action Potentials↗

Coculture of rat embryonic proprioceptive sensory neurons and myotubes.

With the aim to study the cellular mechanism underlying the process of muscle spindle regeneration, dorsal root ganglia (DRG) neurons derived from 16-day rat embryos were cocultured with developing myotubes in a compartmentalized culture device. To accomplish the selective survival and neurite formation of the proprioceptive subpopulation, the neurotrophic factor, neurotrophin-3, was added to the culture medium. It appeared that the proprioceptive DRG neurons could develop specialized, Ia afferent terminal-like contacts with myotubes. However, these interactions were scarce and did not result in the induction of differentiation of the contacted myotubes into intrafusal fibers as normally occurs during in vivo development. The present coculture setup apparently lacks appropriate regulatory factors essential for the proper matching of sensory axons and intrafusal fiber precursors and the induction of a functional sensory myoneural connection.

Animals↗

Proprioception after an acute knee ligament injury: a longitudinal study on 16 consecutive patients.

A defect in proprioception has been found in selected patient groups that have an anterior cruciate ligament deficient knee at different times after the original injury. The time of development and the extent of such defects were studied longitudinally on 16 consecutive patients. During the first year after a primary knee injury, which included a complete rupture of the anterior cruciate ligament, we repeatedly performed three tests of proprioception: (a) one to determine the threshold for detecting a passive motion from starting positions of 20 and 40 degrees, (b) an active reproduction of a passive angular change, and (c) a visual estimation of a passive angular change. The injured limb was compared with the uninjured limb and with the limbs of an age-matched reference group of healthy subjects. The population did not have a normal distribution, and some patients had consistently extreme recordings in the threshold tests at the various times of testing. Significant differences were found between the groups at the starting position of 20 degrees, when the injured knee was compared with the uninjured knee, after 1 month (p = 0.05), and after 2 months (p = 0.03). There was a trend toward a higher threshold for detecting a passive motion when the injured side was compared with the knees of the reference group at 1 month (p = 0.06) but not later on. A similar pattern was found for the injured knee at the starting position of 40 degrees, but it was not significant. An impaired ability to detect a passive motion was registered for the nearly extended knee 1 and 2 months after a primary injury. In the active reproduction and visual estimation tests, no significant defects were found at any time during the first year in these consecutively studied patients.

Adolescent↗

An investigation into the effect of number of trials during proprioceptive testing in patients with patellofemoral pain syndrome.

The purpose of this study was to investigate the effect of increasing the number of test trials in the assessment of knee joint position sense, in a group of patellofemoral patients, and second, to investigate the effects of joint angle and type of test. Thirty-two patients with a diagnosis of patellofemoral pain syndrome were admitted to this study. Knee joint position sense was measured by performing an ipsilateral matching activity at target angles of 20 degrees and 60 degrees using two techniques; Passive Angle Reproduction (PAR), and Active Angle Reproduction (AAR). The results show that five repetitions are required for AAR and six for PAR. A two-way repeated-measures ANOVA showed that there was no significant difference (p = 0.559) in the accuracy of angle reproduction for the two angles (60 degrees and 20 degrees ); however, there was a significant difference (p = 0.001) between the two types of test (AAR and PAR). The results of this study have implications for clinicians and researchers who examine knee joint proprioception as part of functional assessment in a variety of knee joint pathologies including PFPS. A "quick" one-off assessment of knee joint position sense may give erroneous data; subjects need to have several trials before a true picture of their proprioceptive status emerges. Type of testing performed, active or passive, is also important, although the angle of testing may not be relevant.

Adolescent↗

Unusual form of proprioceptive facilitation during recovery from hemiplegia.

Proprioceptive facilitation (PF) is a phenomenon occasionally seen during motor restoration following acute hemiplegia. At an early stage of recovery, a number of brief passive muscle stretches can facilitate voluntary contraction in the stretched muscles. Here we present a patient who during early recovery from a left hemispheric stroke causing right hemiplegia was able to develop maximum isometric arm force if, during this effort, large-amplitude passive stretches of the elbow were applied as conditioning stimuli. Based on clinical and positron emission tomography findings, possible physiological mechanisms of PF and the role of proprioception in stroke recovery are discussed.

Hemiplegia↗

Analysis of proprioceptive inputs to DPG interneurons in the cockroach.

In this study we report on morphological and physiological analysis of proprioceptive sensory input to thoracic interneurons. Sensory neurons from leg proprioceptors were filled using cobalt chloride. The morphological location of these sensory neurons was compared with that of the DPG interneurons. The interneurons investigated were found to have morphological overlap with the sensory neurons of the specific proprioceptors, suggesting that they have the potential to receive direct input from these proprioceptors. Individual interneurons were recorded intracellularly and identified by intracellular injection of Lucifer Yellow, and the responses of these cells to mechanical stimulation of specific proprioceptors were analyzed. All of the DPG interneurons tested as well as other interneurons receive input from one or more of these proprioceptors. In addition, DPG interneurons have ipsilateral/contralateral biases in their responses to proprioceptors. Paired stimulation of proprioceptors resulted in enhancement or decrement of the response in the interneurons, depending upon which sensory structures were stimulated together. The results of this study show that proprioceptive information is processed by DPG interneurons.

Animals↗

Velocity perception and proprioception.

Proprioceptive information related to position and velocity reaches conscious perception and appears to be processed simultaneously via separate perceptual channels. Determining the fidelity of velocity perception is difficult, however, because of the interaction of distance and timing information in its derivation. There is also a complex relationship between receptor discharge and kinematic variables and thresholds for detection of proprioceptive information are increased during movement. Experiments determined the discrimination thresholds for different movement velocities when i) movement distance remained constant and duration varied; ii) movement duration remained constant and distance varied; iii) movement distance and duration were randomly varied. Discrimination thresholds increased as movement velocity increased. Velocity perception was more accurate when distance and timing cues were available, particularly at higher velocities. These results indicate that all available cues are used to make judgements of movement velocity.

Biomechanical Phenomena↗

The role of proprioceptive feedback in the regulation and adaptation of locomotor activity.

Feedback from muscle afferents is essential for locomotion to be functional under changing external conditions. In this article, we review the role of afferent feedback in adapting locomotor activity to transient and more sustained changes in sensory input in reduced and walking cat preparations. Much of the work on muscle afferent regulation of locomotion has focused on the regulation of stance phase activity. Proprioceptive feedback from extensor muscles during the stance phase ensures that the leg does not go into swing when loaded and that the magnitude of extensor activity is adequate for support. Proprioceptive feedback from flexor muscles towards the end of the stance phase facilitates the initiation of the swing phase of walking. Evidence that muscle afferent feedback also contributes to the magnitude and duration of flexor activity during the swing phase has been demonstrated recently. The regulation of the magnitude and duration of extensor and flexor activity during locomotion is mediated by monosynaptic, disynaptic, and polysynaptic muscle afferent pathways in the spinal cord. In addition to allowing for rapid adaptation in motor output during walking, afferent feedback from muscle proprioceptors is also involved in longer-term adaptations in response to changes in the biomechanical or neuromuscular properties of the walking system.

Adaptation, Physiological↗

Proprioception: peripheral inputs and perceptual interactions.

Much emphasis has been placed on the specific role of specific inputs from muscle, joint and cutaneous afferents in the detection of movement. However, particularly for the hand, multiple inputs from the moving part are likely to be important. This chapter reviews some recent studies which examine the co-operative interaction between the various proprioceptive channels. Proprioceptive control of movement must also take account of the length of the various limb segments, a variable which is independent of muscle lengths and joint angles. Evidence is presented that body image can be affected by the tonic discharge of non-muscle receptors.

Afferent Pathways↗