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PubMed2002

Visual, proprioceptive and tactile performance in left neglect patients.

Patients with unilateral spatial neglect due to right-hemisphere lesions typically fail to attend to and explore left-sided stimulus objects. It has been postulated that in right-brain damaged (RBD) patients an ipsilesional displacement of the egocentric frame of reference (ER), whether visual or tactile, may be responsible for a contralesional supramodal spatial bias causing their left neglect behavior. However, this hypothesis had been proposed without testing, in the same patients, the position of the ER or their performance in the visual and tactile modalities. Thus, the aim of the present study was to test the hypothesis that an ipsilateral shift of the ER is responsible for a supramodal spatial bias in neglect. For this purpose, a within-subject design is required. Consequently, 12 left neglect patients and 12 control subjects were asked to perform a proprioceptive straight-ahead pointing task while blindfolded, as well as visual and tactile bisection tasks. In the left neglect patients, we found:no systematic deviation of the ER on the ipsilesional right side;a significant rightward bias in visual bisection, and normal performance in tactile bisection;no correlation among the three tasks;that only visual bisection correlated with the severity of neglect. These results are discussed with regard to the egocentric and attentional hypothesis of neglect.

Aged↗
PubMed2000

Cognitive and vestibulo-proprioceptive components of spatial ability in Parkinson's disease.

Visual-spatial deficits are often associated with Parkinson's Disease (PD). Recent theories suggest that frontal-basal ganglionic dysfunction affects cognition in PD. Although this hypothesis does not entirely explain spatial deficits in PD, the inappropriate utilization of cues associated with executive dysfunction may induce spatial deficits. Alternatively, the vestibular system is also involved in spatial cognition, and vestibular dysfunction may affect visual-spatial ability in PD. To test these hypotheses, we administered the Water Jar Test, while perturbing vestibulo-proprioceptive input. Non-demented PD patients were significantly less accurate than controls in judging horizontal, and appeared to inappropriately utilize cues. No group effect was found for head tilt. These findings suggest the visual-spatial difficulties seen in PD are related to executive dysfunction that is associated with a disruption of the frontal-basal ganglionic and frontal-parietal systems.

Basal Ganglia↗
PubMed1993

Fusimotor control of proprioceptive feedback during locomotion and balancing: can simple lessons be learned for artificial control of gait?

The possibilities for central control of primary spindle afferents through fusimotor efferents for gain control in motor control mechanisms are briefly reviewed. While the existence of separate pathways for independent control of static and dynamic gamma-motoneurones is well established, it proved more difficult to demonstrate that gain control of spindle feedback, attributable to alterations in static and dynamic fusimotor drive, indeed took place in voluntary movements. However, earlier qualitative indications, that Ia sensitivity (and hence the balance of static over dynamic drive) was adjusted differently in different motor tasks, have recently been confirmed in experimental simulation studies, in which the fusimotor activation profiles, that were required to reproduce chronically recorded spindle Ia discharge patterns, were reconstructed. These studies indicated that Ia sensitivity and dynamic gamma-drive were low in routine movements (walking), but that they could be dramatically increased in motor tasks which were either difficult or unfamiliar (landing from falls, balancing on narrow walk beams, adjustment to imposed disturbances). This suggested that sensitization of spindle feedback could play a significant role in motor adaptation. In line with this, studies in patients with large fibre sensory (including proprioceptive) neuropathies indicated that long-term motor deficits (affecting motor adaptation and learning) could be at least as serious as short-term motor dysfunction (due to loss of reflex control). It is suggested that spindle Ia feedback may play a dual role: in addition to its contribution to short-term reflex control of posture and movement, it may also be used for optimization or maintenance of motor programs, especially if its gain is increased by significant dynamic fusimotor drive.(ABSTRACT TRUNCATED AT 250 WORDS)

Afferent Pathways↗
PubMed2002

Effects of proprioceptive neuromuscular facilitation on the initiation of voluntary movement and motor evoked potentials in upper limb muscles.

To better understand the mechanisms behind proprioceptive neuromuscular facilitation (PNF), an important method in motor rehabilitation, we investigated the effects of assuming a PNF posture relative to a neutral posture on the initiation of voluntary movement (Experiment 1) and the excitability of the motor cortex (Experiment 2) using a wrist extension task. The initiation of voluntary wrist movement was operationalized in terms of the electromyographic reaction time (EMG-RT), and the excitability of the motor cortex in terms of motor evoked potentials (MEPs). Compared to the neutral position, we found that (1) the facilitation position changed the muscle discharge order enhancing the movement efficiency of the joint, (2) the facilitation position led to a reduction in EMG-RT, the magnitude of which depended on the proximity of the muscle to the movement joint, and (3) MEP amplitude increased and MEP latency decreased in the facilitation position as a function of the proximity of the muscle to the joint. These findings corroborate the presumed effects of PNF and provide insights into the neurophysiological mechanisms underlying the PNF method.

Adult↗
PubMed2003

Development of kinematics tests for the evaluation of lumbar proprioception and equilibration.

OBJECTIVE: This study aimed at developing lumbar repositioning and seated equilibration tests. DESIGN: 3D-electrogoniometric study of trunk repositioning and equilibration in seated position. BACKGROUND: Postural equilibrium and lumbar proprioception alterations have been shown in patients with low-back pain. METHODS: In 21 healthy volunteers, pure flexion and flexion+rotation repositioning error was measured using 3D-electrogoniometry. Lumbar kinematics was analysed (time and frequency domain) during antero-posterior and lateral equilibration tests in seated position. Reproducibility and stability of the protocol were evaluated. RESULTS: Reproducibility and stability were good. Pure flexion repositioning error was similar to previous reports. For flexion+rotation tests, repositioning error was 3 degrees for flexion and 1 degrees for rotation. Amplitude, imbalance time and power spectrum were significantly larger in lateral than in antero-posterior equilibration tests. CONCLUSIONS: The feasibility of kinematic analysis of lumbar repositioning and equilibration was shown. Repositioning error values were in agreement with previous studies. New tests and parameters were proposed. Lateral equilibration tests appeared more demanding than antero-posterior tests. RELEVANCE: In patients with low-back pain, lumbar repositioning and equilibration tests may be of use to define rehabilitation strategies and to evaluate treatment outcome.

Adult↗
PubMed2000

Proprioceptive evoked potentials in man: cerebral responses to changing weight loads on the hand.

We studied cerebral evoked potentials on the scalp to the stimulation of the right hand from a change in weight of 400-480 g in ten subjects. Rise-time was 20g/10 ms, Inter Stimulus Interval 2s and stimulus duration was 100 ms. The cerebral activations were a double positive contralateral C3'/P70, P190, and a single negative frontal Fz/N70 component. We conclude that a brisk change of a hand held load elicits a significant evoked potential (EP) unlike the electrical somato-sensory EP (SEP). The stimulus is perceived as applied force. For this reason we call it a proprioceptive EP (PEP). Further studies of the PEP are needed to assess the influence of load manipulations and of muscle contraction and to explore the effect of attentional manipulation.

Adult↗
PubMed1997

Role of arm proprioception in calibrating the arm-eye temporal coordination.

When subjects track with the eyes an arm-attached target, eye latency is shorter than when tracking an external target. This improved synchrony could result from either a common command addressed to the two systems or from an influence of the arm command on eye motion initiation. According to the first hypothesis, the eyes should start moving long before the arm, because of the difference in dynamics. We recorded arm and eye motion together with biceps muscle activity in controls and a deafferented subject. Data support the second hypothesis. Moreover, the deafferented subject showed a lesser correlation between arm and eye motions than controls, suggesting a role for arm proprioception in the calibration of the temporal relationship between arm and eye movements.

Adult↗
PubMed1999

Vestibular and vestibulo-proprioceptive perception of motion in the horizontal plane in blindfolded man--III. Route inference.

The inference of direction and length of a subsequent route during performance of a triangle completion task was studied in blindfolded human subjects. Subjects were transported and walked with guidance along two sides of left- and right-oriented isosceles triangles. Subjects had to walk without assistance along the inferential bases of triangles back to a starting point. The influence of two variables in the triangular trajectory--the side length (2, 3 and 4 m) and the angle between sides (30-150 degrees--on route inference accuracy was investigated. Changes in the length of the movement trajectory with retained configuration lead to an alteration in the linear but not the angular estimation of the inferred route. Changes in the configuration of equidistant movement trajectories result in an alteration in both the linear and angular estimations of the inferred route. Estimations of direction and length of inferred routes following passive transportation and those following walking along triangular sides showed similar degrees of accuracy. When the inference of a route was regarded as a geometrical sum of subjective angular and linear estimations of displacements, trajectories of backward paths could be predicted. The results obtained show that the vestibular cue can only provide a gross orientation when moving along a complex trajectory in the horizontal plane; the proprioceptive cue does not improve accuracy adequately.

Adult↗
PubMed1997

[Proprioceptive and cutaneous evoked somatosensory potentials in the baboon: cycles of GABAergic excitability and inhibition].

Double stimulations induce deep and long-lasting inhibition (0-300 ms) of the P16-N30 components of somatosensory potentials (SEP) evoked by sciatic or sural nerve stimulation. This inhibition is evidenced on both S1 and M1 cortical areas, demonstrating similar course and duration, whatever the source (right or left limb) and/or the modality (extero- or proprioceptive) of conditioning and testing afferences. The depth of this inhibition depends on the relative amplitude of the conditioning to testing SEP. After muscle injection of a subconvulsive dose of bicuculline, tSEPs are facilitated when individually elicited. When double stimulations are used, the inhibition of the SEP test is sharply reduced (with a 30-ms interstimulus delay). However, disinhibition of the conditioned SEP does not depend on separate individual SEP facilitations. Cortical GABAergic type a circuits are likely to be involved in inhibition of the conditioned SEP. This inhibition would be a non-invasive image of inhibitions that preserve the specificities of sensory messages in primary areas.

Animals↗
PubMed1999

A new surgery for congenital nystagmus: effects of tenotomy on an achiasmatic canine and the role of extraocular proprioception.

PURPOSE: Human eye-movement recordings have documented that surgical treatment of congenital nystagmus (CN) also produces a broadening of the null zone and changes in foveation that allow increased acuity. We used the achiasmatic Belgian sheepdog, a spontaneously occurring animal model of human CN and see-saw nystagmus (SSN), to test the hypothesis that changes induced by surgical interruption of the extraocular muscle afference without a change in muscle-length tension could damp both oscillations. METHODS: An achiasmatic dog with CN and SSN underwent videotaping and infrared oculography in a sling apparatus and head restraints before and after all extraocular muscles (stage 1: 4 horizontal rectus muscles and stage 2 [4 months later]: 4 vertical rectus muscles and 4 oblique muscles) were surgically tenotomized and immediately reattached at their original insertions. RESULTS: The dog had immediate and persistent visible, behavioral, and oculographic changes after each stage of this new procedure. These included damped CN and SSN, increased ability to maintain fixation, and increased periods of maintaining the target image on the area centralis over a broad range of gaze angles. CONCLUSIONS: Severing and reattaching the tendons of the extraocular muscles affect some as-yet-unknown combination of central nervous system processes producing the above results. This new procedure may prove effective in patients with CN with either no null, a null at primary position, or a time-varying null (due to asymmetric, (a)periodic, alternating nystagmus). We infer from our results in an achiasmatic dog that tenotomy is the probable cause of the damping documented in human CN after Anderson-Kestenbaum procedures and should also damp CN and SSN in achiasma in humans. It may also prove useful in acquired nystagmus to reduce oscillopsia. The success of tenotomy in damping nystagmus in this animal suggests that the proprioceptive feedback loop has a more important role in ocular-motor control than has been appreciated. Finally, we propose a modified bimedial recession procedure, on the basis of the damping effects of tenotomy.

Animals↗
PubMed2003

Proprioceptive perception of phase variability.

Previous work has established that judgments of relative phase variability of 2 visually presented oscillators covary with mean relative phase. Ninety degrees is judged to be more variable than 0 degrees or 180 degrees, independently of the actual level of phase variability. Judged levels of variability also increase at 180 degrees. This pattern of judgments matches the pattern of movement coordination results. Here, participants judged the phase variability of their own finger movements, which they generated by actively tracking a manipulandum moving at 0 degrees, 90 degrees, or 180 degrees, and with 1 of 4 levels of Phase Variability. Judgments covaried as an inverted U-shaped function of mean relative phase. With an increase in frequency, 180 degrees was judged more variable whereas 0 degrees was not. Higher frequency also reduced discrimination of the levels of Phase Variability. This matching of the proprioceptive and visual results, and of both to movement results, supports the hypothesized role of online perception in the coupling of limb movements. Differences in the 2 cases are discussed as due primarily to the different sensitivities of the systems to the information.

Adolescent↗
PubMed2000

Schizophrenic vulnerability: a deficiency of the correlation between foveal perception and oculomotor proprioception?

In a previous paper published in Medical Hypotheses, the author proved by a simple mirror test a dissociation between the goals of selective attention and bifoveal fixation in a schizophrenic patient. In the present article, she enters into the details of the patient's results in ophthalmological tests which revealed an opposite deviation of accommodation and vergence, compensated in a way incompatible with Hering's law. She expounds that Hering's law is based on the correlation of retinal data with proprioceptive information of the exterior eye-muscles, and that schizophrenic vulnerability might consist of a disturbance of this correlation favouring fusion of patterns in the remote and external space over fusion in the near and central space. Some phenomena found in schizophrenic patients and their carrier parents are explained in the light of this hypothesis. Finally, the author gives detailed advice on how to overcome difficulties in the correction of the ophthalmological deviations that induce the vulnerability to take effect. ¿

Fovea Centralis↗
PubMed2001

Is proprioception altered during loaded knee extension shortly after ACL rupture?

Knee joint angle reproduction was measured without loading of the quadriceps and during concentric quadriceps contractions at 20% of maximal voluntary contraction. The threshold of movement detection was measured. The reproducibility of the methods and the effect of an acute ACL rupture < 10 wks post-injury were examined. A test-retest protocol with a 1 wk hiatus was conducted on 15 healthy subjects. Side-to-side differences were tested in 10 patients with acute ACL rupture. The test-retest protocol did not show any significant differences and yielded correlations of r=0.7-0.9 (p<0.01) and coefficients of variations of 5.7-13.0%. No side-to-side differences were detected in the ACL subjects. Quadriceps loaded; injured 3.96 +/- 2.21 , uninjured 4.7 +/- 1.23, unloaded; injured 2.85 +/- 0.56 degrees, uninjured 2.92+/-1.20 degrees. Threshold of movement detection; injured 1.48+/-0.81 degrees, uninjured 1.44+/-0.65 degrees. Therefore, it may be questioned if the ACL itself plays a major role in proprioception performance as it is commonly measured in the laboratory.

Adult↗
PubMed1997

[Proprioception of extra-ocular muscles in the human: on the morphology of muscle spindles].

BACKGROUND: Increasing importance is attributed to the proprioceptive innervation of extraocular muscles for the development of binocular vision. In the literature, data on proprioceptors in human extraocular muscles are rare and inconsistent. Therefore a detailed morphological analysis of spindles in human extraocular muscles appeared indicated. MATERIAL AND METHODS: Complete serial sections of all extraocular muscles of 3 human individuals, 67, 72, and 83 years of age, were alternately impregnated with silver, stained following Mowry and immunohistochemically stained for S100 or PGP 9.5. Distal parts of extraocular muscles from multiorgan donors, 2, 17, and 34 years of age, were prepared for electron microscopy. RESULTS: Spindles contained 1 to 18 intrafusal muscle fibers, 55% of which were nuclear chain fibers, 2% nuclear bag fibers, and 43% fibers exhibiting the same morphological features as extrafusal fibers. The latter had been previously described as "anomalous fibers" (Ruskell). This intrafusal type exclusively occurs in human extraocular muscle spindles. Ultrastructural analysis revealed morphologically normal sensory terminals on all 3 types of intrafusal fibers. Findings in a two-year-old individual were similar to those in aged individuals. CONCLUSIONS: Spindles in human extraocular muscles are specifically structured. Their special morphological features are also present during the development of binocular vision. Spindles are supposed to play a role in the (fine) control of eye movements.

Adolescent↗
PubMedDate not supplied

[Proprioception in the anterior cruciate ligament of the human knee joint--morphological bases. A light, scanning and transmission electron microscopy study].

In 21 human anterior cruciate ligaments removed with their synovial sheaths during autopsy and operation, nerves and nerve endings were demonstrated by light microscopy, scanning electron microscopy and transmission electron microscopy. Ultrastructural examination allowed a classification of nerve endings into three types: Ruffinian corpuscles, Pacinian corpuscles and free (afferent and efferent) nerve endings. The nerve endings corresponded to those characteristic of articular capsules. The anterior cruciate ligament shows evidence of a proprioceptive function besides its stabilizing function, which is based on its collagenous structure. Together, they probably represent the most important factor in the dynamic stabilization of the knee joint. At present it is only possible to speculate on the potential clinical significance of these findings, for example in development of rehabilitation programs and prevention strategies offering protection against anterior cruciate tears. This also applies to the question of whether to preserve the ligament during surgery for ruptures and knee-joint prostheses.

Adult↗
PubMedDate not supplied

[Proprioceptive deficit following cruciate lesions--afferent disorder or compensatory mechanism?].

It was suggested that the ACL has not only mechanical functions but also acts as proprioceptive organ. In cruciate deficient knees pathological patterns of muscle control were found. These findings could be caused by a disturbed afferent signal from the disrupted ACL or by secondary changes in muscle innervation, which shall protect the instable knee against subluxation. 33 patients with unilateral operative ACL repair (21 cases with primary suture, 12 cases with autogenous ligamentum-patellae-reconstruction; average post op 36.5 yr) were examined clinically and with the KT 1000 arthrometer (MEDMETRIC Inc.). Patients history was evaluated by using the LYSHOLM score. During a cycling task the electromyographic activity was monitored from the thigh muscles (M. vastus lat. and med., lat. and med. hamstrings). In comparison to the ACL deficient patients, we tested 25 healthy subjects of same age and activity level. In the ACL group the following differences to the normals were found: the M. vastus lat. showed a significantly delayed onset, earlier end and shorter duration. M. vastus med. had the same pattern; the delayed begin of activity and the shorter duration were statistically significant. M. biceps femoris showed a significant later onset and shorter duration. So did the medial hamstrings; the differences, however, were not statistically significant. There was no significant difference between operated and healthy leg in the ACL group. By comparing the primary sutures and the ligamentum-patellae-reconstructions no significant differences were found. The instable patients (KT 1000 > 3 mm) of the ACL group showed more distinct differences in the EMG pattern than the patients with stable knee joints.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1983

Effects of vestibular-proprioceptive stimulation on the neurobehavioral development of preterm infants: a pilot study.

This paper reports the results of an intervention study which assessed the effects of compensatory vestibular-proprioceptive stimulation provided by waterbed flotation on the neurobehavioral development of preterm infants. The subjects, who were randomly assigned to experimental and control groups before they were four days old, consisted of infants who were on ventilators for severe RDS. Twenty infants were tested with a new neurobehavioral assessment procedure when they were between 34 and 35 weeks conceptional age. The examiner, a pediatric neurologist, was unaware of the group status of the subjects he examined. The results showed that infants in the experimental group performed significantly better in attending and pursuing animate and inanimate visual and auditory stimuli, demonstrated more mature spontaneous motor behavior, showed significantly fewer signs of irritability and/or hypertonicity and were more than twice as often in th visually alert, inactive state. The assessment procedure, which can be used for longitudinal evaluation of infants ranging between 24 and 36 weeks conceptional age, shows promise of becoming generally useful as a research instrument. Our preliminary results show that the procedure discriminated between an experimental and control group, that inter-observer reliability was readily established and that test-retest reliability is very high in a number of important areas of neurobehavioral functioning.

Beds↗
PubMed1991

Origins of the proprioceptive function of vision: visual control of posture in one day old domestic chicks.

Recently hatched domestic chicks control their upright bipedal posture, at least in part, with respect to the flow of visual information at the retina, as do human infants when they first acquire control of the head, of sitting, and of standing. Some implications of the similarity of the proprioceptive function of vision in chicks and in humans for the origins and development of postural control are discussed.

Aging↗