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 55 records · Page 3Linked to original sources

Processing of proprioceptive signals by ascending interneurones in the terminal abdominal ganglion of the crayfish.

Intersegmental interneurones are crucial for the appropriate coordination of the activity of local circuits located in different body segments. We have analysed the synaptic inputs to ascending intersegmental interneurones from a proprioceptor in the tailfan of the crayfish. Twenty identified interneurones responded during stimulation of the exopodite-endopodite chordotonal organ. Of these 20 interneurones, three were excited phaso-tonically, nine were excited phasically and eight were inhibited. All received convergent exteroceptive inputs from water-motion- or touch-sensitive hairs on the uropods. The effects of simultaneous exteroceptive and proprioceptive stimulation depended upon the identity of an interneurone. For interneurones that were inhibited by proprioceptive stimulation, suprathreshold exteroceptive responses were reduced to a subthreshold level by simultaneous proprioceptive stimulation. In contrast, for interneurones that were excited by proprioceptive stimulation, the simultaneous application of subthreshold proprioceptive and exteroceptive stimulation elicited action potentials. Two of the interneurones that receive proprioceptive input (NE-1 and RC-8) are known to be presynaptic to giant interneurones that mediate and coordinate the tail-flip. Many of the other interneurones that receive proprioceptive inputs in the tailfan are known to excite abdominal extensor motor neurones. Thus, proprioceptive input to these intersegmental interneurones could serve two roles: first, to extend the abdomen during postural movements or prior to escape and, second, to drive the tail-flip escape response.

Journal Article↗

The Effects of Patellar Taping on Knee Joint Proprioception.

OBJECTIVE: To evaluate the effects of patellar taping on knee joint proprioception. DESIGN AND SETTING: In a research unit, 3 proprioceptive tests were performed. For each of the tests, a standardized patellar taping technique was applied in random order. SUBJECTS: Fifty-two healthy volunteers (27 women, 25 men; age, 23.2 +/- 4.6 years; body mass index, 23.3 +/- 3.7). MEASUREMENTS: We measured active angle reproduction, passive angle reproduction, and threshold to detection of passive movement on an isokinetic dynamometer. RESULTS: We found no significant differences between the tape and no-tape conditions in any of the 3 proprioceptive tests (P >.05). However, when the subjects' results for active angle reproduction and passive angle reproduction were graded as good (</=5 degrees ) and poor (>5 degrees ), taping was found to improve significantly those with poor proprioceptive ability (P <.01). CONCLUSIONS: Subjects with good proprioception did not benefit from patellar taping. However, in those healthy subjects with poor proprioceptive ability as measured by active and passive ankle reproduction, patellar taping provided proprioceptive enhancement. Further studies are needed to investigate the effect of patellar taping on the proprioceptive status of patients with patellofemoral pain syndrome.

Journal Article↗

The role of proprioception in the control of prehension movements: a kinematic study in a peripherally deafferented patient and in normal subjects.

In this study we investigated the role of proprioception in the control of prehension movements, with particular reference to the grasp component. Grasp and transport kinematics were studied in a peripherally deafferented patient and in five healthy subjects. Two experiments were carried out: the prehension experiment and the grasp perturbation experiment. In the prehension experiment both the patient and the control subjects were required to reach and grasp three objects of different size, located at three different distances, both with and without visual feedback. In the grasp perturbation experiment a mechanical perturbation was applied to the fingers during prehension movements, again executed with and without visual feedback. In the prehension experiment temporal parameters of the patient's movements were generally slowed, with greater variability on some measures. However, over the first phase of the movement the pattern of the patient's hand opening and transport acceleration, scaled to object size and distance, was the same as that of controls, both with and without visual feedback. On the contrary, during the final phase of the movement (the finger closure phase and deceleration) the patient's performance differed significantly from the controls. These phases were abnormally lengthened and frequent movement adjustments were observed. In the grasp perturbation experiment the patient was not able to compensate for the perturbations applied to the fingers, even with visual feedback. The data allowed us to investigate also the respective contribution of proprioception and of vision of the hand in the control of prehension. We compared prehension kinematics in two conditions: (a) with visual but no proprioceptive feedback (in the patient) and (b) with proprioceptive but no visual feedback (in the controls). In both experiments proprioceptive control was more efficient than visual control. The results of this study are interpreted in favour of the strict dependence of prehension control on proprioception. The first phase of the movement, however, can be appropriately planned and executed without the necessity of either proprioceptive or visual information about the hand.

Adult↗

The role of the labyrinth, proprioception and plantar mechanosensors in the maintenance of an upright posture.

The maintenance of an upright posture in man requires information from vision, the labyrinth, proprioception and plantar mechanosensors. In order to evaluate the role of the labyrinth, proprioception and plantar mechanosensors, stabilometry was performed in subjects with closed eyes. Ten patients with bilateral severe or complete labyrinthine paresis were studied, as well as 9 patients with severe proprioceptive disorders and 10 normal healthy persons whose plantar mechanosensors were anesthetized by hypothermia. Both the area of sway and the total locus length (accumulated shift distance length) were evaluated. On closing eyes, in patients with labyrinthine disorders demonstrated that the area of sway increased more than length. On the other hand, in patients with proprioceptive disorders, length increased more than the area. In plantar anesthetized subjects, similar to the labyrinthine disorder cases, the area of sway increased more than length. These findings suggest that the labyrinth is a main monitor of the area of body sway, while proprioception is a principle monitor of the velocity of body movement of sway (or locus length). The plantar mechanosensor monitors the area of body sway similar to the labyrinth, but works less than the labyrinth. The locus length is the distance per minute and reflects the velocity of body sway. Thus, the length per area is a parameter for the velocity of body sway per area. Since proprioceptive disorders increase both the locus length and the length per area, present findings suggest that if proprioception is damaged, the body begins to move faster. Compensated labyrinthine disorders have a tendency to increase the length per area, indicating that if a labyrinthine disorder is compensated, the body adapts and moves faster to maintain an upright posture.

Achilles Tendon↗

Localization of a seen finger is based exclusively on proprioception and on vision of the finger.

In a previous study we investigated how the CNS combines simultaneous visual and proprioceptive information about the position of the finger. We found that localization of the index finger of a seen hand was more precise (a smaller variance) than could reasonably be expected from the precision of localization on the basis of vision only and proprioception only. This suggests that, in localizing the tip of the index finger of a seen hand, the CNS may make use of more information than proprioceptive information and visual information about the fingertip. In the present study we investigate whether this additional information stems from additional sources of sensory information. In experiment 1 we tested whether seeing an entire arm instead of only the fingertip gives rise to a more precise proprioceptive and/or visual localization of that fingertip. In experiment 2 we checked whether the presence of a structured visual environment leads to a more precise proprioceptive localization of the index finger of an unseen hand. In experiment 3 we investigated whether looking in the direction of the index finger of an unseen hand improves proprioceptive localization of that finger. We found no significant effect in any of the experiments. The results refute the hypothesis that the investigated effects can explain the previously reported very precise localization of a seen hand. This suggests that localization of a seen finger is based exclusively on proprioception and on vision of the finger. The results suggest that these sensory signals may contain more information than is described by the magnitude of their variances.

Adult↗

Unilateral neglect: a theory of proprioceptive space of a stimulus as determined by the cerebellar component of motor efference copy (and is autism a special case of neglect).

Unilateral neglect is a devastating condition, which manifests as a loss of a person's spatial awareness opposite the damaged side of the brain. It challenges our conception of the seat of the soul and its explanation is at the heart of the mind-body problem. A heuristic definition of the dorsal stream of a modality is here based on the categorization of parietal networks by the cerebellar component of motor efference copy. Taking this premise, the proprioceptive space of a stimulus is established as a concept in this paper. It is proposed that unilateral neglect is typically a dysfunction of proprioceptive space of a stimulus associated with lesions of the dorsal stream. Furthermore, most experimental findings of unilateral visual neglect (and by extrapolation, other sensory modalities), can be explained by two developmental mechanisms by which the proprioceptive space of a stimulus is encoded in the parietal cortex. Its right and left hemisphere representation can be dissociated from the hemifield of presentation of perceptual information, such that the left hemifield can have a left hemisphere representation through callosal connections and likewise, the right hemifield can have a right hemifield representation. The processing of a sensory stimulus in either parietal hemisphere is dynamically determined as shown by experimental modulation of performance. A theory of historical precedence will provide a developmental background to the organization of proprioceptive space and will invoke separate models according to specified terms of engagement. A model based on the expansion and contraction of the proprioceptive space of a stimulus as a gradient across both hemispheres and modulated by concurrent proprioceptive state will be differentiated from a model that is non-graduating but competitive and lacks such modulation. In other words, the dorsal representation of a sensory stimulus in the former case is shared to a varying degree by the two parietal hemispheres, whereas in the latter case the representation of left and right aspects of the same object stimulus is strictly divided between the two hemispheres. A further hypothesis of a dorsoventral gradient of the peripheral and foveal components of proprioceptive space characterizing dorsal stream networks will predict the double dissociation revealed by experimental paradigms. It will explain why some patients show neglect only in foveal while others only in peripheral vision. The paper proposes to unify neglect, extinction and optic ataxia on the one hand, and spatial and object-based neglect on the other hand, under a singularly proficient paradigmatic structure. A binding model as described is a component theory that acknowledges how the involved pathways or transitional zones in a pathway may contribute to a differential clinical picture as one progresses from posterior to anterior parietal cortex. Finally, a brief discussion is given on how autistic subjects neglect spatial cues and the inability of a spatial cognitive transformation underlies the impairments postulated for 'a theory of mind'.

Autistic Disorder↗

Viscosupplementation effect on proprioception in the osteoarthritic knee.

OBJECTIVE: To test the hypothesis that treatment of the osteoarthritic knee with intraarticular hyaluronan may improve proprioception. METHODS: Forty-six patients with unilateral osteoarthritis of the knee were recruited for this study from primary care clinics in the Department of Family Medicine at the University of Western Ontario. Inclusion required (1) the presence of pain with activities of daily function and (2) radiographic confirmation of medial compartment osteoarthritis. Proprioception was measured with an electrogoniometer attached to the study knee. Subjects performed an angle reproduction test in the closed kinetic position. The difference between the target test angle and the reproduced angle was labeled the absolute angular error (AAE). Eleven angles were tested in random order before beginning therapy, after 3 weeks, and after 12 weeks. RESULTS: Twenty-one men and 19 women completed the study (22 subjects received hyaluronan injections and 18 subjects received a placebo injection). No significant differences existed between the study groups in age, the timing of injections, or proprioceptive testing. A 2 x 3 repeated measures analysis of variance (ANOVA) comparing injection groups at all times revealed no significant differences in AAE. The AAE proprioception data was examined for differences due to fatigue caused by the number of test angles (p < .001) and differences explained by angulations in various divisions of the normal range of motion (p < .001). After accounting for these potential confounds, a two-way ANOVA still did not detect any significant differences in AAE between hyaluronan and placebo groups. CONCLUSION: Other studies have found that proprioception may be impaired in osteoarthritic knees and that viscosupplementation therapy with hyaluronan may decrease pain and increase function in these knee joints. The results of the present study suggest that this therapy does not adversely affect proprioception and that a longer, longitudinal study is required to determine if viscosupplementation treatments could attentuate proprioceptive decline.

Aged↗

A role for p75 receptor in neurotrophin-3 functioning during the development of limb proprioception.

Neurotrophin-3 is indispensable for the development of limb proprioceptive neurons and their end organs, muscle spindles. To determine whether the low-affinity p75 receptor potentiates the actions of neurotrophin-3, we examined the development of the proprioceptive system in p75 null mutant mice that had either normal or decreased tissue levels of neurotrophin-3. Postnatal mice lacking both copies of the p75 gene had fewer sensory neurons in dorsal root ganglia, but normal complements of muscle spindles in fast hindlimb muscles, although the slow soleus muscle showed a 50% loss of spindles. However, compound mutants lacking both copies of the p75 gene as well as one copy of the neurotrophin-3 gene displayed a dystonic/ataxic phenotype similar to that observed previously in neurotrophin-3 null mutants devoid of proprioception. The compound mutants also exhibited a commensurate loss of parvalbumin-expressing (proprioceptive) neurons in dorsal root ganglia. The degree of deficiency of spindles (and presumably proprioceptive neurons) in the compound mutants exceeded the sum of deficits in single mutants lacking either both copies of p75 genes or one copy of neurotrophin-3 gene, suggesting a synergistic interaction between the p75 receptor and neurotrophin-3. Neuronal deficits in the compound mutants were present prior to embryonic day 14, indicating an early role for the p75 receptor in sensory neuronogenesis. Collectively, these data indicate that the p75 receptor is not essential for the survival and differentiation of most limb proprioceptive neurons when neurotrophin-3 is expressed at normal levels. However, the p75 receptor may act in synergy with neurotrophin-3 to enhance the survival of proprioceptive neurons when tissue levels of neurotrophin-3 are a limiting factor.

Animals↗

Shoulder proprioception and function following thermal capsulorraphy.

PURPOSE: Because monopolar radiofrequency energy has a denaturing effect on the glenohumeral joint capsule during thermal capsulorraphy, we hypothesized that thermal treatment would have a deleterious effect on the mechanoreceptors present within the capsule, thereby affecting proprioception and function. The purpose of this study was to evaluate proprioception and function following thermal capsulorraphy. TYPE OF STUDY: Case series. METHODS: Twenty subjects (13 male, 7 female) diagnosed with unilateral anterior, anteroinferior, or multidirectional glenohumeral instability with no significant concomitant pathologies, were treated with monopolar radiofrequency thermal capsulorraphy by one surgeon. Capsular redundancy was the primary diagnosis in all subjects. Subjects were bilaterally tested retrospectively 6 to 24 months (11.90 +/- 5.65 months) following surgery. Each subject's ability to actively reproduce joint positions (ARJP) and reproduce paths of motion (PMR) was measured with an electromagnetic motion analysis system. Both passive reproduction of joint positions (PRJP) and threshold to detect passive motion (TTDPM) were measured using a proprioception testing device. Function was quantified with the Shoulder Rating Questionnaire (SRQ). Proprioception data were analyzed with separate repeated measures ANOVA (P <.05). RESULTS: Statistical analysis revealed a significant ARJP difference between the involved and uninvolved limb (P =.005) indicating that reproduction error was less with the involved limb compared to the uninvolved limb. No significant interactions were present for TTDPM, PRJP, or PMR. The SRQ indicates that the subjects returned to near normal function (91.86/100 +/- 5.38 points) at the time of testing. CONCLUSIONS: The results from this study do not support our hypothesis of proprioception and functional deficits following thermal treatment. Normalized proprioception following thermal capsulorraphy may have resulted from the healing effects of thermal treated ligament, as reported in the literature, as well as facilitation of other mechanoreceptors present in adjacent tissue about the shoulder joint during rehabilitation. The results of this study indicate that no appreciative deleterious effects exist with proprioception and function following treatment of shoulder instability with thermal capsulorraphy.

Adult↗

Proprioception of the knee before and after anterior cruciate ligament reconstruction.

PURPOSE: The purpose of this study was to determine, first, if there is measurable deficit in proprioception in an anterior cruciate ligament (ACL)-deficient knee, either compared to the contralateral knee or external controls; second, if this deficit, if present, improves after ACL reconstruction; and third, if improvement occurs, what the time course of improvement is. TYPE OF STUDY: Prospective cohort study. METHODS: Patients undergoing ACL reconstruction at the University of Chicago, demonstrating a full and painless range of motion and no other knee ligament injury or history of previous knee surgery, were eligible. Twenty-six patients, with an average age of 25 years (range, 16 to 48) were enrolled. Average time from injury to reconstruction was 8 weeks. The patients' contralateral knee served as an internal control, and 26 age-matched and gender-matched healthy volunteers were enrolled as an external control group. ACL reconstructions were performed using a single-incision technique with either bone-patellar tendon-bone or quadrupled hamstring autograft. They were allowed immediate weightbearing as tolerated and participated in a standardized rehabilitation program, with the goal of returning to sport at approximately 6 months. Proprioception testing was carried out using an electrogoniometer, in a seated position. Joint position sense (JPS) and threshold to detection of passive motion (TDPM) were measured preoperatively and at 3 and 6 weeks and 3 and 6 months postoperatively. RESULTS: Mean KT-2000 values 6 months postoperatively were 1.38 mm (+/-2). Modified Lysholm score improved significantly (P <.01). Calculated r values were 0.65 for JPS and 0.96 for TDPM. No significant differences in postoperative proprioception were found between hamstring and patellar tendon grafts or among patients with meniscus injury, meniscus repair, or chondral injury. Preoperatively, the mean TDPM in both the injured and contralateral knees was significantly higher (worse) than in the external control knees (P =.008; P =.016). Evaluation of changes in proprioception from preoperative to 6 months postoperative showed significant improvement in both injured and contralateral knees (P =.04; P =.01). At 6-month follow-up, there was no significant difference from controls. CONCLUSIONS: TDPM was a more reliable method than JPS for testing proprioception before and after ACL reconstruction in this study. Bilateral deficits in knee joint proprioception (TDPM) were documented after unilateral ACL injury. Reconstruction of a mechanical restraint (ACL graft) was believed to have a significantly positive impact on early and progressive improvement in proprioception.

Adolescent↗

A systematic review of the effect of proprioceptive and balance exercises on people with an injured or reconstructed anterior cruciate ligament.

This systematic review investigated the effect of proprioceptive and balance exercise on outcomes following injury and surgical reconstruction of the anterior cruciate ligament (ACL). Five studies of high quality that offered empirical evidence by comparing one rehabilitation program to another were included in this review. There is some evidence that proprioceptive and balance exercise improves outcomes in individuals with ACL-deficient knees. Improvements in joint position sense, muscle strength, perceived knee joint function, and hop testing were reported following proprioceptive and balance exercise. Only one included study investigated proprioceptive exercise following ACL reconstruction. Benefits were noted in the proprioceptive group for measures of strength and proprioception; however, no benefits were noted for any measures of activity. No detrimental effects--such as increased passive joint laxity or decrease in strength--were noted when compared with standard rehabilitation programs for both ACL-deficient and ACL-reconstructed individuals. Further research is required to determine if proprioceptive and balance exercise improves long-term outcomes such as return to sport.

Anterior Cruciate Ligament↗

Lack of correlation between different measurements of proprioception in the knee.

Current methods of measurement of proprioceptive function depend on the ability to detect passive movement (kinaesthesia) or the awareness of joint position (joint position sense, JPS). However, reports of proprioceptive function in healthy and pathological joints are quite variable, which may be due to the different methods used. We have compared the validity of several frequently used methods to quantify proprioception. Thirty healthy subjects aged between 24 and 72 years underwent five established tests of proprioception. Two tests were used for the measurement of kinaesthesia (KT1 and KT2). Three tests were used for the measurement of JPS, a passive reproduction test (JPS1), a relative reproduction test (JPS2) and a visual estimation test (JPS3). There was no correlation between the tests for kinaesthesia and JPS or between the different JPS tests. There was, however, a significant correlation between the tests for kinaesthesia (r = 0.86). We conclude therefore that a subject with a given result in one test will not automatically obtain a similar result in another test for proprioception. Since they describe different functional proprioceptive attributes, proprioceptive ability cannot be inferred from independent tests of either kinaesthesia or JPS.

Adult↗

The effects of a 3-week use of lumbosacral orthoses on proprioception in the lumbar spine.

STUDY DESIGN: Longitudinal, repeated-measures, factorial design. The trunk axial rotation repositioning error was the dependent variable, while the orthoses, test mode (passive versus active), and the testing session were the independent variables. OBJECTIVES: To verify whether lumbosacral orthoses (LSOs) affect proprioception in the lumbar spine and whether these effects change over a 3-week period during which the LSO is consistently worn. BACKGROUND: To date, there is no compelling evidence that lumbar orthoses support the spine. One hypothesis advanced by several authors is that they may enhance position sense (proprioception) in the lumbar spine. METHODS AND MEASURES: Fourteen subjects without low back pain wore lumbosacral orthoses 3 hours a day for 3 weeks. Spine proprioception was tested in a seated posture in 3 sessions (days 0, 7, and 21). RESULTS: A significant 3-way interaction was found between the effects of the orthoses, session, and test mode (P = .03). The ratio of passive to active average error indicated that after 3 weeks of wearing LSO, proprioception in the passive test worsened in relation to the active test with the LSO. In contrast, proprioception in the passive test improved in relation to the active test when performed without the LSO. CONCLUSIONS: The LSO did affect proprioception in the lumbar spine. These effects most likely changed over time due to sensorimotor adaptation. However, no overall proprioceptive benefits could be ascertained from healthy subjects wearing the LSO.

Adolescent↗

Proprioception and joint pathology.

Many problems consequent to joint pathology are attributed to impaired proprioception. However, proprioception is not consistently impaired by pathology, even pathology that severely affects the articular surface, and intriguingly, there may be a deficit in some aspects of proprioception but not others. Furthermore, deficits in proprioception appear to affect specific planes of movement in joints with more than one degree of freedom. For such knowledge to be useful for rehabilitation we need further insight into issues including: the magnitude of proprioceptive impairment that is clinically relevant, normal variability in sensibility for each proprioceptive task, and the relationship between proprioception and function.

Animals↗

Proprioception, gait kinematics, and rate of loading during walking: are they related?

The cyclic nature of walking can lead to repetitive stress and associated complications due to the rate of loading (ROL) experienced by the body at the initial contact of the foot with the ground. An individual's gait kinematics at initial contact has been suggested to give rise to the ROL, and a repetitive, high ROL may lead to several disorders, including osteoarthritis. Additionally, proprioception, the feedback signaling of limb position and movement, may play a role in how the foot strikes the ground and thus, the ROL. Our goal was to explore the relationship between proprioception, gait kinematics and ROL. Thirty-eight women were recruited for gait analysis, and the gait characteristics 50 ms prior to and at initial contact were examined. Two proprioception tests, joint angle reproduction and threshold to detect passive motion were used to examine the subject's proprioceptive acuity. Our results indicate that individuals with a larger knee angle (i.e., greater extension) 50 ms prior to initial contact (IC) experience a higher ROL during gait and have poorer proprioceptive scores. However, it remains unclear whether poor proprioception causes a high ROL or if a high ROL damages the mechanoreceptors involved in proprioception, but the apparent relationship is significant and warrants further investigation.

Adolescent↗

Neural control and proprioceptive load matching in reflex respiratory movements of fishes.

A brief anatomical description of topographical arrangements of respiratory neurons in the fish respiratory medulla introduces a discussion centered on neural controls of reflex breathing movements during rhythmic and ram gill ventilation, especially the role of proprioception in "load matching." Paralysis experiments show that proprioceptive signals are processed in medullary respiratory areas of the brain. Some neurons depend completely on proprioceptive input for their activity, while others "mix" proprioceptive and rhythmic information. The existence of direct proprioceptive control loops is revealed by fast compensating changes in electrical activity of respiratory muscles following mechanical interference with respiratory movements. Responses of respiratory neurons to short artificial twitches of respiratory muscles show that some neurons process proprioceptive information at higher levels of integration, often with a long latency and after effect. Other neurons react immediately to the stimulus and often show properties of elements in proprioceptive control systems in which length receptors facilitate and tension receptors inhibit motor neuron activity. Stimulus-response averaging applied to neuron activity and respiratory electromyograms, and to electrical stimuli and neurograms, leads to the conclusion that motor neurons and neurons mediating sensory signals from the respiratory muscles are situated close together in the medullary respiratory areas. Neuroanatomical studies are discussed which indicate that the sensory projection fields of some trigeminal fibers terminate adjacent to the cranial motor nuclei. These presumably project onto motor neurons forming fast disynaptic reflex arcs relaying sensory trigeminal information.

Animals↗

Effects of physical training on proprioception in older women.

Older adulthood is accompanied by declines in muscular strength, coordination, function, and increased risk of falling. Resistance training increases muscular strength in this population but its effect on proprioception is unknown. To evaluate the effect of resistance training on proprioception, community dwelling older women completed a three-month exercise study. A resistance training (RT) group (N=19) underwent supervised weight training three times per week while a non-strength trained control (NSTC) group (N=19) performed range-of-motion activities that mimicked the movements of the RT group without the benefit of muscle loading. Subjects were evaluated at baseline, 6, and 12 weeks for strength and proprioception. Muscular strength was assessed by measuring the subject's one repetition maximum performance on four different exercises. Static proprioception was measured by the subject's ability to reproduce a target knee joint angle while dynamic proprioception was measured by the subject's ability to detect passive knee motion. The RT group made significant strength improvements compared to the NSTC group. Proprioception significantly improved in both groups by 6 weeks. Our findings suggest that improvements in proprioception can be obtained via regular activity that is independent of heavy muscle loading.

Journal Article↗

Upper extremity proprioceptive training.

Proprioception following lower extremity injuries is commonly recommended, but there is little information on proprioception training following upper extremity injuries. No studies have evaluated whether proprioception programs for athletes in open kinetic chain activities (throwing, shot putting) should be different than programs for athletes in closed kinetic chain activities (gymnastics, swimming, kayaking, or rowing). In this paper, we provide a rationale for proprioception training for upper extremity injuries in athletes and the importance of analyzing the athlete's sport and activity for specificity of proprioception exercises. We then discuss one popular proprioception exercise, rhythmic stabilization, and propose several additional upper extremity proprioception exercises, along with instructions for the athletic trainer on how to direct the athlete through these exercises.

Journal Article↗