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PubMed1999

[The influence of dorsal neck proprioceptive inputs on vestibular compensation--by three-dimensional analysis of neck-induced nystagmus].

The influence of dorsal neck proprioceptive inputs on vestibular compensation was investigated in 21 patients with unilateral vestibular dysfunction. Subjects neither had history of spontaneous nystagmus nor of disequilibrium, indicating that they were in a good compensated stage. However, marked nystagmus was induced by applying vibratory stimulation to the dorsal neck of the patients, using a vibrator with a frequency of 110 Hz. The nystagmus was three-dimensional as analyzed by applying computerized eye movement analysis system. Twelve of 21 patients (57%) demonstrated three components of eye movement. All subjects showed a horizontal component directed towards the contralateral side of the vestibular lesion. Vertical and torsional components of the nystagmus were exhibited by 18 and 14 subjects, respectively. The average percentages of slow phase velocity of the horizontal, vertical and torsional components were 57%, 23% and 20%, respectively. No tendency towards any of the three components was observed. Furthermore, in order to investigate the relation between dorsal neck proprioceptive inputs and vestibular outputs, especially semicircular canal outputs, the author compared the direction of the nystagmus with the orientation of the semicircular canals. Normalized average velocity vectors of the nystagmus were calculated. In most subjects, the velocity vectors of the nystagmus were related to the horizontal semicircular canal. These results suggest that by controlling the neck proprioceptive inputs, neck vibration can cause discompensation in vestibularly well-compensated subjects with unilateral dysfunction secondary to vestibular lesion, and that neck proprioceptive inputs have a great influence on the horizontal vestibulo-ocular reflex pathways. However, in a few subjects the average vectors of the nystagmus were related to the vertical semicircular canals. This suggests that the proprioceptive inputs may also be related to the vertical vestibulo-ocular reflex pathways.

Adult↗
PubMed1993

Sensorimotor and perceptual function of muscle proprioception in microgravity.

Adaptive properties of the human proprioceptive systems were studied during the French-Soviet orbital flight (Aragatz mission, December 1988). The present space experiment investigated the hypothesis that the modifications of both biomechanical and physiological conditions occurring under microgravity involve considerable reorganization of body perception and postural control. The proprioceptive information originating in muscles is known to contribute, together with visual, vestibular, and sole cutaneous information to postural regulation. Moreover, by specifically activating the proprioceptive channel, muscle vibration is able to elicit both illusory movement sensations and postural responses. This experimental tool was used in microgravity in order to test various aspects of muscle sensory function. Ankle flexor and extensor vibration was applied under different experimental conditions. Quantitative analysis of motor responses was carried out on leg muscle EMG, goniometric, and kinesigraphic recordings. Joystick recordings and astronauts' comments were used to describe the kinaesthetic sensations. The main results were as follows: 1) Under microgravity, the sensitivity of muscle receptors remains unchanged. 2) During the flight, the tonic vibration reflexes (TVR) increased significantly in flexor muscles, which exhibited a sustained tonic activity. 3) The whole-body postural responses normally induced by ankle flexor muscle vibration were suppressed, whereas they remained unchanged or were only reduced when vibrations were applied to the ankle extensor muscles. In all cases, the postural response velocity decreased. 4) A disfacilitation of the vibration-induced postural illusions was observed to occur during long-term exposure to microgravity. These illusions became atypical however. For example: body lift illusion could be induced by tibialis anterior muscle vibration, whereas it was never induced in the controls. The characteristics of the illusory body movements described under normal gravity can be restored by artificially increasing the axial foot support forces during the flight. In conclusion, these data suggest that a functional reorganization of the proprioceptive information processing occurs in microgravity, affecting both perceptual and motor aspects of behavior. It is possible that these proprioceptive adaptations may be partly attributable to the new whole-body propulsive foot functions imposed by exposure to weightlessness and to the adaptation of motor behavior to the third dimension of space.

Adaptation, Physiological↗
PubMed1996

Soft-tissue balance and recovery of proprioception after total knee replacement.

Decreasing proprioception of the knee is multifactorial and is a function of age and degenerative joint disease. Soft-tissue release during total knee replacement may have an influence. We have quantified soft-tissue imbalance at the time of knee replacement and attempted to eliminate it at full extension, using established methods. We studied the influence of residual soft-tissue imbalance on postoperative proprioception, assessing this in 38 patients before total knee replacement and at three and six months postoperatively. We found that proprioception improved in varus knees at three and six months after soft-tissue balancing procedures. Knees balanced in full extension and in flexion (< +/- 2 degrees) showed a significant improvement in proprioception (p < 0.0005) whereas those which were not balanced in flexion but fully balanced in extension had no significant improvement. We conclude that soft-tissue balance in both flexion and extension is important to allow satisfactory postoperative proprioception of the knee.

Arthritis↗
PubMedDate not supplied

Effects of nine holes of simulated golf and orthotic intervention on balance and proprioception in experienced golfers.

OBJECTIVE: To investigate effects of orthotic intervention on balance and proprioception among a group of experienced golfers. SETTING: Northwestern College of Chiropractic. PARTICIPANTS: Twelve experienced golfers were included in the study. METHOD: Balance and proprioception were measured before and after nine holes of simulated golf using piezo-electric film sensor platforms. Subjects wore custom-made, flexible orthotics daily for 6 wk and were then retested using the same objective measurement parameters. OUTCOME MEASURE: Primary outcome measures included stabilization index and stabilization time. RESULTS: Statistical trends suggest that the custom-made, flexible orthotics used in this study were effective in enhancing balance and proprioception and may have reduced the relative effects of fatigue associated with nine holes of simulated golf. CONCLUSION: Although individual differences were anticipated, data trends suggest that nine holes of simulated golf promotes changes in standing balance and proprioception and that 6 wk of wearing these custom-made, flexible orthotics has a positive influence in promoting balance and proprioceptive symmetry.

Biomechanical Phenomena↗
PubMed2002

Comparison of brain activity during different types of proprioceptive inputs: a positron emission tomography study.

It has been shown that the primary and secondary somatosensory cortex, as well as the supplementary motor area (SMA), are involved in central processing of proprioceptive signals during passive and active arm movements. However, it is not clear whether different cortical areas are involved in processing of different proprioceptive inputs (skin, joint, muscle receptors), what their relative contributions might be, where kinesthetic sensations are formed within the CNS, and how they interact when the full peripheral proprioceptive machinery acts. In this study we investigated the representation of the brain structures involved in the perception of passive limb movement and illusory movement generated by muscle tendon vibration. Changes in cortical activity as indicated by changes in regional cerebral blood flow (rCBF) were measured using positron emission tomography (PET). Twelve subjects were studied under four conditions: (1) passive flexion-extension movement (PM) of the left forearm; (2) induced illusions of movements (VI) similar to the real PM, induced by alternating vibration of biceps and triceps tendons (70-80 Hz) at the elbow; (3) alternating vibration of biceps and triceps tendons (with 20-50 Hz) without induced kinesthetic illusions (VN); and (4) rest condition (RE). The results show different patterns of cortex activation. In general, the activation during passive movement was higher in comparison with both kinds of vibration, and activation during vibrations with induced illusions of movement was more prominent than during vibrations without induced illusions. When the PM condition was contrasted with the other conditions we found the following areas of activation -- the primary motor (MI) and somatosensory area (SI), the SMA and the supplementary somatosensory area (SSA). In conditions where passive movements and illusory movements were contrasted with rest, some temporal areas, namely primary and associative auditory cortex, were activated, as well as secondary somatosensory cortex (SII). Our data show that different proprioceptive inputs, which induce sensation of movement, are associated with differently located activation patterns in the SI/MI and SMA areas of the cortex. In general, the comparison of activation intensities under different functional conditions indicates the involvement of SII in stimulus perception generation and of the SI/MI and SMA areas in the processing of proprioceptive input. Activation of the primary and secondary auditory cortex might reflect the interaction between somatosensory and auditory systems in movement sense generation. SSA might also be involved in movement sense generation and/or maintenance.

Adult↗
PubMed2005

Performance in different proprioceptive tests does not correlate in ankles with recurrent sprain.

OBJECTIVE: To determine the relation between 2 proprioceptive tests, movement detection and movement discrimination, at the ankle. DESIGN: A cross-sectional descriptive study. SETTING: Research laboratory. PARTICIPANTS: Eighteen subjects with recurrent ankle inversion sprain. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Threshold to detection of movement was tested for inversion and eversion movements at 3 velocities (0.1 degrees , 0.5 degrees , 2.5 degrees /s). Movement discrimination was tested for plantarflexion and inversion movements. The tests were performed in random order, and the velocity and movements were randomized within each test paradigm. Correlations (Pearson r) were calculated between movement detection and movement discrimination. RESULTS: Correlation within each proprioceptive paradigm was poor to moderate: for movement detection, correlations among movement directions at each velocity ranged from r equal to .53 to r equal to .54; for movement discrimination correlation was r equal to .49. There was poor correlation between the scores for the 2 tasks in 10 of the 12 comparisons (r range, -.02 to -.36). CONCLUSIONS: These findings show that performance in different proprioceptive tests is not well correlated and, therefore, that general proprioceptive status cannot be inferred from assessment of a single proprioceptive test.

Adolescent↗
PubMed2006

Muscular proprioception contributes to the control of interceptive actions.

The authors proposed a model of the control of interceptive action over a ground plane (Chardenon, Montagne, Laurent, & Bootsma, 2004). This model is based on the cancellation of the rate of change of the angle between the current position of the target and the direction of displacement (i.e., the bearing angle). While several sources of visual information specify this angle, the contribution of proprioceptive information has not been directly tested. In this study, the authors used a virtual reality setup to study the role of proprioception when intercepting a moving target. In a series of experiments, the authors manipulated proprioceptive information by using the tendon vibration paradigm. The results revealed that proprioception is crucial not only to locate a moving target with respect to the body but also, and more importantly, to produce online displacement velocity changes to intercept a moving target. These findings emphasize the importance of proprioception in the control of interceptive action and illustrate the relevance of our model to account for the regulations produced by the participants.

Adult↗
PubMed1978

Proprioceptive afferent fibers in the cranial nerves III, IV and VI.

The purpose of the present works was to clarify whether the cranial nerves III, IV and VI carry proprioceptive afferent fibres from the extrinsic ocular muscles. In sheep the picture is now clear. The cranial nerves III, IV and VI carry many large proprioceptive fibres (12-16 micrometer) to the central nervous system. These nerves also contain many small fibres of the y-range (2-6 micrometer) which innervate the intrafusal muscle fibres in the spindles. In man the picture is still vague: most of the spindles are not typical, the large proprioceptive fibres (12-16 micrometer) and the small y-fibres (2-6 micrometer) are very few in the cranial nerves III, IV and VI. It is to be concluded that in sheep the cranial nerves III, IV and VI are not purely motor nerves to the extrinsic ocular muscles, but they also carry many of the large fibres of the proprioceptive function. In man, such large fibres are not found and the pathway of proprioceptive afferents from the orbital muscles is still not certain.

Abducens Nerve↗
PubMed1997

Ankle injuries and ankle strength, flexibility, and proprioception in college basketball players.

OBJECTIVE: To determine if ankle muscular strength, flexibility and proprioception can predict ankle injury in college basketball players and to compare ankle injury rates in female and male players. DESIGN AND SETTING: In this prospective, correlational study, subjects were tested at the start of the competitive season for ankle joint muscle strength, flexibility, and proprioception. The first ankle injury for each subject was recorded on an injury report form, and the data were analyzed to determine if any of these preseason measurements predicted future injury. The setting was a competitive 9-week season for four women's and four men's college basketball teams. SUBJECTS: A convenience sample of 31 female and 11 male college basketball players. MEASUREMENTS: Subjects were tested for ankle dorsiflexion range of motion, various measures of ankle proprioception, and isokinetic peak torque of ankle dorsiflexion-plantar flexion and eversion-inversion at 30 degrees /sec and 180 degrees /sec before the start of the conference basketball seasons. Data were analyzed using a series of multiple regression equations to determine the variance in ankle injury attributed to each variable. RESULTS: Various measures of proprioception predicted left ankle injury in all subjects (p < .05), while ankle strength and flexibility measures failed to account for additional variance. There was no statistically significant difference in ankle injury rate between women and men. CONCLUSIONS: Ankle joint proprioceptive deficits can be used to predict ankle injury, but further research is needed to identify other sources of variance. In our study, ankle injury rate was similar in female and male college basketball players.

Journal Article↗
PubMed2001

Postnatal regulation of limb proprioception by muscle-derived neurotrophin-3.

To investigate the effects of neurotrophin-3 (NT-3) on postnatal proprioceptive neurons and their targets, transgenic mice were generated that use the myosin light chain 1 (mlc) promoter to overexpress NT-3 in skeletal muscle. Ribonuclease protection assays revealed that NT-3 overexpression in hindlimb skeletal muscle began at embryonic day 14 (E14) and continued throughout adulthood. Overexpression of NT-3 during late embryogenesis resulted in increased numbers of large sensory and small fusimotor axons. Within a week of birth, mlc/NT-3 mice retract their limbs to the torso when lifted by the tail. Footprint analysis revealed that mlc/NT-3 mice had significant abnormalities in their gait compared with wild-types. Beam walking and rotorod analysis confirmed the poor limb control by mlc/NT-3 mice. These locomotive deficits progressively worsened with age and were likely related to the formation of morphologically abnormal muscle spindles. The most common spindle anomaly was the presence of excessive intrafusal bag fibers within individual muscle spindles. To assess the role of NT-3 in recovery from nerve injury, sciatic nerve crushes were performed in young adult mice. Two days after injury, mlc/NT-3 mice displayed significantly improved sciatic functional indexes and a significant increase in muscle spindles that remained associated with axons. The latter finding suggests that excess NT-3 in muscle may retard the degeneration of proprioceptive axons after nerve crush. Long-term survival after nerve injury in mlc/NT-3 mice did not induce further changes in spindle number or morphology. These findings demonstrate that, in addition to promoting embryonic proprioceptive neuron survival, postnatal overexpression of NT-3 in muscle leads to abnormal spindle formation and deficits in locomotive control. However, our results also show that NT-3 may be therapeutic for proprioceptive axons immediately after nerve injury by delaying axon degeneration.

Animals↗
PubMed1979

Proprioceptive reflex connections of head musculature and the mesencephalic trigeminal nucleus in the carp.

The location of the sensory cells concerned with the proprioception of respiratory and extraocular musculature in the carp was studied by retrograde transport of horseradish peroxidase. Sensory cell labeling after intramuscular HRP injection was exclusively found in the trigeminal-facial-anterior lateral line ganglion complex. The muscles innervated by the trigeminal system are represented in the more rostral ganglion areas, the muscles innervated by the facial system in the more caudal ganglion parts. Nearly all labeled cells were situated on the ipsilateral side. Sensory cells labeled after extraocular muscle injection were also found all over the V-VII ganglion, however, to a considerable degree also on the contralateral side. All muscle injections failed to give mesencephalic trigeminal cell labeling. The resluts of intranerve HRP injections in peripheral trigeminal nerve branches strongly suggests a perioral mechanoreceptive function for the mes.V neurons. A bisynaptic proprioceptive reflex model is described for respiratory musculature consisting of a sensory cranial ganglion component connected to the descending trigeminal nucleus, which on its turn links the proprioceptive ganglion cells to the trigeminal and facial motorneurons. Monosynaptic proprioceptive reflex circuits are discussed on neurophysiological grounds.

Animals↗
PubMed2002

Target-independent specification of proprioceptive sensory neurons.

Previous studies in the chick embryo have shown that sensory neurons fail to innervate muscle in the absence of motor neurons. Instead, motor neuron deletion causes more sensory axons to project to the skin. We used this experimental paradigm to determine when sensory neurons are specified to become proprioceptive afferents. Experimental embryos were treated with either saline or exogenous neurotrophin-3 (NT-3) to promote the survival of proprioceptive afferents. In saline-treated embryos, motor neuron deletion caused an increase in sensory neuron apoptosis on the deleted side, an effect reversed by NT3. Motor neuron deletion also eliminated the sartorious muscle nerve, as previously reported. In NT3-treated embryos, this altered nerve pattern was accompanied by the enlargement of the adjacent cutaneous nerve. These embryos were further analyzed by using immunohistochemistry for trkC (a receptor for NT3) retrograde and transganglionic labeling. Our results show that, following motor neuron deletion, more trkC+ afferents project in cutaneous nerves on the deleted side of NT3-treated embryos. Transganglionic labeling demonstrated that at least some of these neurons made spinal projections that are typical of proprioceptive afferents. These results therefore indicate that the proprioceptive phenotype is specified prior to target innervation and that these neurons can retain their identity despite projecting to inappropriate (cutaneous) targets.

Afferent Pathways↗
PubMed2002

Proprioception-related evoked potentials: origin and sensitivity to movement parameters.

Reafferent electroencephalography (EEG) potentials evoked by active or passive movement are largely dependent on muscle spindle input, which projects to postrolandic sensory areas as well as the precentral motor cortex. The origin of these proprioception-related evoked potentials has previously been studied by using N20-P20 source locations of the median nerve somatosensory evoked potential as an landmark for postcentral area 3b. As this approach has yielded contradictory findings, likely due to spatial undersampling, we applied dipole source analysis on two independently collected sets of high-density EEG data, containing the proprioception-related N90 elicited by passive finger movement, and the N20-P20 elicited by median nerve stimulation. In addition, the influence of movement parameters on the N90 was explored by varying amplitude/duration and direction of passive movements. The results showed that the proprioceptive N90 component was not influenced by movement direction, but had a duration that covaried with the duration of the movement. Sources were localized in the precentral cortex, located on average 10 mm anterior to the N20-P20 sources. The latter result supports earlier claims that the motor cortex is involved in the generation of proprioception-related EEG potentials.

Adult↗
PubMed1991

Eye and neck proprioceptive messages contribute to the spatial coding of retinal input in visually oriented activities.

The egocentric localization of objects in extrapersonal space requires that the retinal and extraretinal signals specifying the gaze direction be simultaneously processed. The question as to whether the extraretinal signal is of central or peripheral origin is still a matter of controversy, however. Three experiments were carried out to investigate the following hypotheses: 1) that the proprioceptive feedback originating in eye and neck muscles might provide the CNS with some indication about the gaze direction; and 2) that the retinal and proprioceptive extraretinal inputs might be jointly processed depending on whether they are of monocular or binocular origin. Application of low amplitude mechanical vibrations to either the extraocular or neck muscles (or both) of a subject looking monocularly at a small luminous target in darkness resulted in an illusory movement of the target, the direction of which depended on which muscle was stimulated. A slow upward target displacement occurred on vibrating the eye inferior rectus or the neck sterno-cleido-mastoidus muscles, whereas a downward shift was induced when the dorsal neck muscles (trapezius and splenius) were vibrated. The extent of the perceptual effects reported by subjects was measured in an open-loop pointing task in which they were asked to point at the perceived position of the target. These results extend to visually-oriented behavior the role of extraocular and neck proprioceptive inputs previously described in the case of postural regulation, since they clearly show that these messages contribute to specifying the gaze direction. This suggests that the extraretinal signal might include a proprioceptive component.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1987

Cortical mapping and laminar analysis of the cutaneous and proprioceptive inputs from the rat foreleg: an extra- and intra-cellular study.

The foreleg proprioceptive and cutaneous representations, in the Sm cortex of urethane-anesthetized rats was studied. Natural or electrical stimulations and stretches of single forearm muscles were used. Multiunitary, unitary or intra-cellular recordings were performed in the contra-lateral Sm cortex. The aims of the study were: 1- to compare the proprioceptive and cutaneous maps 2- to analyse the characteristics of the unitary responses and 3- to study the laminar distribution of cutaneous and muscular inputs. It is shown that: 1- the proprioceptive and cutaneous representations overlapped, except in the anterior part where only proprioceptive (mainly articular) responses were obtained. The representation of each stretched muscle extended over the whole cutaneous area, showing a total overlap between inputs from these muscles. 2- 46% of the intracellularly recorded cells (n = 215) responded to peripheral stimulation, and 30.7% were influenced by (at least) muscle stretch. The majority of excited cells showed cross-modal convergence, and among neurons responding to muscle stretch, 60% received inputs from the two muscles stretched. Two categories of EPSPs were found, and four neurons responded to cutaneous or muscular stimulation with a burst. 19% of the responding cells were inhibited by peripheral--mainly cutaneous--stimulation. 3- Excited neurons were recorded in all layers, with just over half located in layer IV, whereas IPSPs were obtained mainly in layer V. The cells excited by cutaneous and muscular inputs (convergent neurons) were preponderant in layers IV to VI. This work shows that the cutaneous and muscular inputs reach the same area in Sm cortex, and that a majority of excited cells are "convergent". The results are not in favor of an area 3a (by analogy with cats and monkeys) in the rat.

Afferent Pathways↗
PubMed1996

Knee joint proprioception: a comparison between female intercollegiate gymnasts and controls.

The role of proprioception as a protective mechanism has gained interest in recent years. From the clinical standpoint, several studies have dealt with ways to enhance proprioception following surgery and during rehabilitation. If kinesthesia (ability to detect passive motion) can be enhanced as a consequence of long-term athletic training, such training must be included as a part of the rehabilitation process to protect the patient from reinjury. Consequently, the purpose of this study was to compare the kinesthetic knee pattern between trained gymnasts and healthy nongymnasts. The proprioception testing device (PTD) was used to evaluate knee kinesthesia. From 45 degrees of flexion, the knee was passively extended with the PTD. The device was stopped by the subject when this passive motion was detected. Fifteen healthy college-age female gymnasts (mean age 19.3 years) and 30 normal volunteers (mean age 20.7 years) comprised our study sample. A one-way analysis of variance (ANOVA) was used to compare the mean values of the dominant gymnastic knee to the dominant knee in the control group. Results revealed statistically significant mean differences between the trained gymnastic group and the untrained control group (F1.34(.95) = 7.17, P = 0.011). The results of this study suggest that extensive training has a positive influence on knee kinesthesia in addition to increasing muscle tone. According to the findings of this and other studies, highly trained athletes possess enhanced neurosensory pathways which are speculated to develop as a result of long-term athletic training. Although definite conclusions cannot be made from our investigation, prospective studies can determine the true role of athletic training in proprioceptive patterns.

Adolescent↗
PubMed1996

Prevention of anterior cruciate ligament injuries in soccer. A prospective controlled study of proprioceptive training.

Proprioceptive training has been shown to reduce the incidence of ankle sprains in different sports. It can also improve rehabilitation after anterior cruciate ligament (ACL) injuries whether treated operatively or nonoperatively. Since ACL injuries lead to long absence from sports and are one of the main causes of permanent sports disability, it is essential to try to prevent them. In a prospective controlled study of 600 soccer players in 40 semiprofessional or amateur teams, we studied the possible preventive effect of a gradually increasing proprioceptive training on four different types of wobble-boards during three soccer seasons. Three hundred players were instructed to train 20 min per day with 5 different phases of increasing difficulty. The first phase consisted of balance training without any balance board; phase 2 of training on a rectangular balance board; phase 3 of training on a round board; phase 4 of training on a combined round and rectangular board; phase 5 of training on a so-called BABS board. A control group of 300 players from other, comparable teams trained "normally" and received no special balance training. Both groups were observed for three whole soccer seasons, and possible ACL lesions were diagnosed by clinical examination, KT-1000 measurements, magnetic resonance imaging or computed tomography, and arthroscopy. We found an incidence of 1.15 ACL injuries per team per year in the proprioceptively trained group (P < 0.001). Proprioceptive training can thus significantly reduce the incidence of ACL injuries in soccer players.

Anterior Cruciate Ligament Injuries↗
PubMed1996

Analysis of proprioception in the posterior cruciate ligament-deficient knee.

The purpose of this study was to demonstrate loss of proprioception with posterior cruciate ligament (PCL) deficiency. Eight patients with isolated PCL-deficient knees were examined to determine whether or not the proprioceptive function of the knee joint was affected or impaired by the previous tear of the PCL. The patients were examined for perception of passive movement of the knee joint using a motorized apparatus which extended or flexed the patient's knee at a rate of 0.5 deg/s in a randomized sequence. The patient's normal contralateral knee was used as a control. This study demonstrated a significant difference in proprioception in the patient's PCL-deficient knee. All eight PCL-deficient knees clearly demonstrated slower perception of passive movement when compared with the contralateral normal knee. Injuries to the PCL resulting in impaired proprioception may play a role in knee instability, further damage and ultimately the degenerative changes frequently seen in the long-term follow-up of PCL-deficient knees.

Adult↗