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PubMedDate not supplied

The effect of anterior cruciate ligament trauma and bracing on knee proprioception.

We studied the effect that chronic anterior cruciate ligament disruption, functional bracing, and a neoprene sleeve have on knee proprioception by measuring the threshold to detection of passive knee motion in all three conditions. The threshold to detection of passive knee motion was worse in knees with chronic anterior cruciate ligament insufficiency when compared with uninjured knees. This difference was small, on average an additional 0.28 degree of flexion-extension rotation was required for the anterior cruciate ligament-deficient knee before the subject detected motion, and of questionable significance from a clinical and functional perspective. Wearing a functional brace or neoprene sleeve on the anterior cruciate ligament-deficient knee did not significantly change the threshold to detection of passive motion in comparison with the same knee without a brace, although improvements were observed. There was no relationship between the most common clinical means of characterizing altered biomechanics of the anterior cruciate ligament-deficient knee (that is, the magnitude of anterior-posterior knee laxity and the grade of pivot shift) and the threshold to detection of passive knee motion.

Adult↗
PubMed1999

Osseoperception: sensory function and proprioception.

Tooth loss and its replacement have significant functional and psychosocial consequences. The removal of intra-dental and periodontal mechanoreception accompanying tooth loss changes the fine proprioceptive control of jaw function and influences the precision of magnitude, direction, and rate of occlusal load application. With the loss of all teeth, complete denture restoration is a compromise replacement which only partially restores function. Implant-supported prostheses restore jaw function more appropriately, with improved psychophysiological discriminatory ability and oral stereognosis. Osseoperception is defined as depending on central influences from corollary discharge from cortico-motor commands to jaw muscles, and contributions from peripheral mechanoreceptors in orofacial and temporomandibular tissues. The processing of central influences is considered with the recognition of the plasticity of neuromotor mechanisms that occurs to accommodate the loss of dental and periodontal inputs.

Bite Force↗
PubMed2006

Longitudinal changes in cerebral response to proprioceptive input in individual patients after stroke: an FMRI study.

OBJECTIVE: Functional magnetic resonance imaging (fMRI) provides an opportunity to study the relationship between cerebral reorganization and functional recovery after stroke. The authors set out to demonstrate the feasibility of using fMRI to investigate mechanisms of recovery in individual patients presenting with severe motor impairment. METHODS: fMRI was performed during passive movement at both affected and unaffected wrists separately in 2 patients with pure motor stroke. Six scanning sessions were performed in each patient over the first 4 months after stroke. Seven control subjects were also studied, 1 of them over 6 sessions. The authors examined for longitudinal changes in cerebral responses to proprioceptive afferent input that correlated with motor recovery. RESULTS: In control subjects, passive movement of either wrist led to relative increases in brain activation in the contralateral sensorimotor cortex and supplementary motor area, the bilateral inferior parietal cortex and secondary somatosensory areas, and the ipsilateral cerebellum. Increases in brain activation correlating with motor recovery were observed in both the ipsilesional primary sensory and primary motor cortex in 1 patient with good motor recovery but not in another patient with poor recovery. No longitudinal changes were seen in the control subject. CONCLUSIONS: These 2 case reports demonstrate that functionally relevant changes in cerebral organization can be identified in individual patients.

Adult↗
PubMed1979

A reticulothalamic system mediating proprioceptive attention and tremor in man.

This report descirbes the electrophysiological characteristics of thalamic and subthalamic targets used to control tremor. In these targets exploratory electrodes recorded one or more of the following events. Electrical stimulation produced enhancement of tremor or other complex motor responses. Somatic evoked potentials (SEPs) induced by proprioceptive stimulation showed only late components, the amplitudes of which changed in various attentive situations. Multiunit activity showed spontaneous 3- to 6-Hz rhythmic bursts. And a lesion produced neglect of contralateral extremities and an ipsilateral decrease of scalp-recorded SEP late components. In contrast, in the areas located immediately posterior and dorsal, electrical stimulation produced contralateral paresthesias. Early components of SEPs could be recorded, as were rhythmic bursts of multiunit activity after the occurrence of peripheral tremor. Lesions produced sensory deficits in the contralateral extremities and ipsilateral blocking of all components of scalp SEPs. The latter areas are identified as the lemniscal system, but the former seem to be extralemniscal. Their electrophysiological characteristics suggest that they are probably involved in the process of selective attention and motor control.

Attention↗
PubMed1976

Role of proprioceptive feedback from nonspiking mechanosensory cells in the sand crab, Emerita analoga.

The two programmes underlying uropod beating in Emerita ('swimming' and 'treading water') are distinguished by a difference in timing of the power stroke within the interval between return strokes (cycle). While 'swimming' (cycles approx. 80-400 ms) the phase and while 'treading water' (cycles approx. 100-700 ms) the latency of the power stroke are relatively invariant. Analyses of electromyograms of untrestrained Emerita, before and after bilateral surgical ablation of the four nonspiking mechanoreceptive cells associated with each uropod, established that power strokes in 'treading water' are dependent upon proprioceptive feedback from the nonspiking cells. As cycle duration increases from 80 to 700 ms, the function of the reafference changes from reinforcement of the centrally generated 'swimming' pattern to production of the 'treading water' pattern.

Action Potentials↗
PubMed1979

Intrasegmental proprioceptive influences on the period of the swimmeret rhythm in crayfish.

When the swimmerets of decapods beat, they do so because the muscles of each swimmeret are driven by a series of periodic bursts of impulses in its motor neurones. We investigated the effects of proprioceptive feedback on the period of this motor pattern by interfering with the movement of particular swimmerets. In different experiments, we observed three different kinds of results during interference with a swimmeret. Either the period decreased, or it did not change, or bursting was inhibited altogether. These different results are discussed in terms of the connectivity of different command fibres.

Animals↗
PubMed1998

Role of dorsal neck proprioceptive inputs to vestibular compensation in humans.

To investigate the role of cervical proprioceptive inputs in the process of vestibular compensation, we performed static posturography in patients with acute and compensated unilateral vestibular dysfunction, by applying vibratory stimulation to the dorsal neck muscles. Neck vibration induced disequilibrium in both groups of patients, but was more pronounced in the compensated patients. These results indicate that manipulation of the neck afferents causes discompensation in subjects whose vestibular dysfunction has already been compensated by multisensory inputs including neck afferents.

Acute Disease↗
PubMed1992

Enhanced respiratory muscular function in normal adults after lessons in proprioceptive musculoskeletal education without exercises.

A subjective sense of enhanced ease of breathing has been described after instruction in the Alexander technique of proprioceptive musculoskeletal education (awareness and voluntary inhibition of personal habitual patterns of rigid musculoskeletal constriction). We investigated the effects of AT instruction on respiratory function in healthy adult volunteers (group 1, ten subjects), who received 20 private AT lessons at weekly intervals. Spirometric tests, including maximum static mouth pressures, were assessed before and after each course of lessons. Healthy control subjects, matched for age, gender, height, and weight (group 2, ten subjects), without instruction, were tested over a similar interval. Group 1 showed significant increases in PEF (9 percent, p less than .05), MVV (6 percent, p less than .05), MIP (12 percent, p less than .02), and MEP (9 percent, p less than .005) (paired Student's t testing). Group 2 showed no significant changes. Possible mechanisms for the changes in group 1 include increased length and decreased resting tension of muscles of the torso, which in turn may increase their strength, increase thoracic compliance, and/or enhance coordination. We conclude that AT musculoskeletal education may enhance respiratory muscular function in normal adult subjects.

Adult↗
PubMed2003

Impact of prior exercise on hamstring flexibility: a comparison of proprioceptive neuromuscular facilitation and static stretching.

Position stands from the American College of Sports Medicine and the Surgeon General site a need for strategies capable of enhancing the effectiveness of stretching on flexibility and joint range of motion. One strategy for enhancing flexibility that has received anecdotal support but lacks substantial experimental evidence is the impact of prior exercise. This study compared 5 minutes of static stretching and proprioceptive neuromuscular facilitation (PNF) on hamstring flexibility performed with and without exercise. Forty undergraduate student-athletes participated in a repeated measure, counterbalanced experimental design. Within-group comparisons indicated that PNF resulted in a significant (p < 0.05) increase in flexibility after 60 minutes of exercise when compared with baseline (9.6%) and without exercise (7.8%). No differences were observed with static stretching across time. In addition, no differences were observed between the groups at any time point. Results demonstrated that PNF performed after exercise enhanced acute hamstring flexibility, and implementing a PNF stretching routine following exercise may augment current stretching practices among athletes.

Adolescent↗
PubMed1996

Proprioceptive representation of the levator veli palatini muscle in the solitary nucleus of the rat.

The levator veli palatini muscle is innervated by motoneurons of the glossopharyngeal nerve, which are located within the ambiguus nucleus; however, little is known about the afferent fibers of this muscle. A horseradish peroxidase study was conducted in rats following injection into the levator veli palatini muscle branch to reveal the location and the distribution of dendrites of the afferent fibers of the muscle. Terminal labels were densely distributed in the lateral region of the solitary nucleus, which receives afferents of the glossopharyngeal nerve, ipsilateral and contralateral to the injection site. The relationship of the levator veli palatini muscle with respiration was suggested by the localization of labeled terminals at sites where the afferents from the respiratory organs project densely, and by the demonstrated proprioceptive role of the afferent fibers passing through the muscle spindles contained in the levator veli palatini muscle.

Afferent Pathways↗
PubMed2006

Proprioceptive neuromuscular facilitation stretching : mechanisms and clinical implications.

Proprioceptive neuromuscular facilitation (PNF) stretching techniques are commonly used in the athletic and clinical environments to enhance both active and passive range of motion (ROM) with a view to optimising motor performance and rehabilitation. PNF stretching is positioned in the literature as the most effective stretching technique when the aim is to increase ROM, particularly in respect to short-term changes in ROM. With due consideration of the heterogeneity across the applied PNF stretching research, a summary of the findings suggests that an 'active' PNF stretching technique achieves the greatest gains in ROM, e.g. utilising a shortening contraction of the opposing muscle to place the target muscle on stretch, followed by a static contraction of the target muscle. The inclusion of a shortening contraction of the opposing muscle appears to have the greatest impact on enhancing ROM. When including a static contraction of the target muscle, this needs to be held for approximately 3 seconds at no more than 20% of a maximum voluntary contraction. The greatest changes in ROM generally occur after the first repetition and in order to achieve more lasting changes in ROM, PNF stretching needs to be performed once or twice per week. The superior changes in ROM that PNF stretching often produces compared with other stretching techniques has traditionally been attributed to autogenic and/or reciprocal inhibition, although the literature does not support this hypothesis. Instead, and in the absence of a biomechanical explanation, the contemporary view proposes that PNF stretching influences the point at which stretch is perceived or tolerated. The mechanism(s) underpinning the change in stretch perception or tolerance are not known, although pain modulation has been suggested.

Evidence-Based Medicine↗
PubMed1983

Sensitivity to proprioceptive feedback in obese subjects.

40 subjects, 20 obese and 20 normal, were run on a weight-discrimination task requiring judgments dependent on proprioceptive feedback. A signal-detection analysis was used to separate sensory factors from non-sensory, response-bias factors in the analysis of the discriminations. Obese subjects were inferior to normals in ability to make sensory discriminations; the largest differences occurred between obese and normal males. Obese subjects also adopted a more strict criterion (beta); the largest differences again occurred for male subjects. Obese subjects showed more variability in their sensory judgments, although there was a significant difference on only one of the 5 discrimination tasks. Results are discussed in terms of the internal-external explanation of obesity.

Adult↗
PubMed1984

Comparative study of static, dynamic, and proprioceptive neuromuscular facilitation stretching techniques on flexibility.

63 college women served as subjects in this 7-wk. study examining the effects of static, dynamic, and proprioceptive neuromuscular facilitating stretching techniques on the flexibility of the hamstring-gastrocnemius muscles. Subjects were assigned to one of the 3 treatment groups and received treatment 3 days a week. A pretest, a midtest (after 11 treatment days), and a posttest (after 21 treatment days) were administered. Analysis of group and test effects was accomplished by using a 3 X 3 factorial design with the group factor nested and the test factor crossed. Post hoc analysis indicated that all scores significantly improved from pretest to posttest. The findings indicated all 3 methods of flexibility training produced significant improvements when pretest and posttest mean scores were compared.

Female↗
PubMed1991

An empirical note on tonic neck reflexes: control of the upper limb's proprioceptive sensation.

The effect of asymmetrical tonic reflexes on the upper limb in man was studied by analyzing errors in reproducing a targeted movement in right elbow extension following head rotation and vibration of the neck muscles. Overshoot of reproduction was observed only when the head was rotated to the left in contrast to no rotation or with rotation to the right. However, there was no influence on errors of reproduction after vibration of the neck muscles. These observations suggest that the proprioception in the rotated head controls the kinesthetic input by peripheral sensory receptors, namely, vestibular input plays a greater role in the accurate positioning of the upper limb, especially in inhibiting sensory input from the opposite side of the rotated head.

Adult↗
PubMed1996

Caffeine enhances initial but not extended learning of a proprioceptive-based discrimination task in nonsmoking moderate users.

We examined the effects of caffeine on fine motor performance and learning using a multiple-force discrimination task. 93 college-aged subjects performed this task on which multiple measurements were made in an operant response paradigm. Quantitative measures of accuracy of response, duration of response, latency of response, force, and variability of force were examined. Significant interactions for caffeine dose by session on accuracy of response and latency of response indicated that caffeine enhanced the initial learning of a proprioceptive motor task but did not improve performance beyond that of normal practice.

Adolescent↗
PubMed1995

The contributions of proprioceptive deficits, muscle function, and anatomic laxity to functional instability of the ankle.

Functional instability is a common complication following an acute ankle sprain. Three potential contributing factors underlying the ankle which chronically gives way are proprioceptive deficits, muscle weakness, and ligamentous laxity. This study's purpose was to document the presence or absence of these concerns in a sample of subjects with unilateral functional ankle instability. Both ankles of 42 subjects were randomly assessed for passive movement sense into inversion and generation of peak torque by the evertors isokinetically. Thirty-four subjects were available for documentation of talar tilt of both ankles through inversion stress radiographs. Analysis found significantly greater mean values for passive movement sense and talar tilt for the involved ankles compared with the uninvolved, while no significant strength differences in peak torque of the evertors were present. Fifty-eight percent of the sample demonstrated clinical impairments in at least one of these three categories. In conclusion, deficits in passive movement sense and anatomic stability are greater concerns than strength deficits when managing the ankle with functional instability.

Adolescent↗
PubMed2001

Proprioceptive training and prevention of anterior cruciate ligament injuries in soccer.

This commentary describes a program developed to help reduce the incidence of anterior cruciate ligament injuries in soccer players. The basic principles underlying the injury prevention protocol are described with respect to the proprioceptive control mechanisms at the knee joint. This is followed by a detailed description of the program.

Anterior Cruciate Ligament Injuries↗