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Neurophysiology and Assessment of the Proprioception

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Proprioception in Orthopaedics, Sports Medicine and Rehabilitation

Abstract

Proprioception plays a crucial role in human movement control, which is fundamental for daily activities, exercise, and sports. Neurophysiology and pathways of the proprioception are still unclear. Likewise, assessment techniques of the proprioception are still puzzling. Proprioception is the one of the “black hole” topics of the medicine. In this chapter, neurophysiology and assessment of the proprioception are attempted to explain.

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References

  1. Smith R. “The sixth sense”: towards a history of muscular sensation. Gesnerus. 2011;68(2):218–71.

    PubMed  Google Scholar 

  2. Purves D. The somatic sensory system: touch and proprioception: primary somatic sensory cortex. In: Pulves D, Agustine GJ, Fitzpatrick D, et al., editors. Neuroscience. 5th ed. Sunderland, MA: Sinauer Associates; 2012. p. 202–3.

    Google Scholar 

  3. Weiss C, Tsakiris M, Haggard P, et al. Agency in the sensorimotor system and its relation to explicit action awareness. Neuropsychologia. 2014;52:82–92.

    Article  PubMed  Google Scholar 

  4. Riemann BL, Lephart SM. The sensorimotor system, part I: the physiologic basis of functional joint stability. J Athl Train. 2002;37(1):71–9.

    PubMed  PubMed Central  Google Scholar 

  5. Irrgang JJ, Whitney SL, Cox ED. Balance and proprioceptive training for rehabilitation of the lower extremity. J Sport Rehabil. 1994;3:68–83.

    Article  Google Scholar 

  6. LaRiviere J, Osternig LR. The effect of ice immersion on joint sense position. J Sport Rehabil. 1994;3:58–67.

    Article  Google Scholar 

  7. Taylor A, Durbaba R, Ellaway PH, et al. Static and dynamic gamma-motor output to ankle flexor muscles during locomotion in the decerebrate cat. J Physiol. 2006;571:711–23. https://doi.org/10.1113/jphysiol.2005.101634.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Prochazka A, Gorassini M. Ensemble firing of muscle afferents recorded during normal locomotion in cats. J Physiol. 1998;507:293–304.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Grigg P, Hoffman AH. Stretch-sensitive afferent neurons in cat knee joint capsule: sensitivity to axial and compression stresses and strains. J Neurophysiol. 1996;75:1871–7.

    Article  CAS  PubMed  Google Scholar 

  10. Collins DF, Refshauge KM, Todd G, et al. Cutaneous receptors contribute to kinesthesia at the index finger, elbow, and knee. J Neurophysiol. 2005;94:1699–706.

    Article  CAS  PubMed  Google Scholar 

  11. Johansson H, Sjolander P, Sojka P. A sensory role for the cruciate ligaments. Clin Orthop. 1991;268:161–78.

    Google Scholar 

  12. Hagert E, Persson JKE, Werner M, et al. Evidence of wrist proprioceptive reflexes elicited after stimulation of the scapholunate interosseous ligament. J Hand Surg Am. 2009;34:642–51.

    Article  PubMed  Google Scholar 

  13. Diederichsen LP, Norregaard J, Krogsgaard M, et al. Reflexes in the shoulder muscles elicited from the human coracoacromial ligament. J Orthop Res. 2004;22:976–83.

    Article  PubMed  Google Scholar 

  14. Solomonow M, Krogsgaard M. Sensorimotor control of knee stability. A review. Scand J Med Sci Sports. 2001;11:64–80.

    Article  CAS  PubMed  Google Scholar 

  15. Bawa P, Chalmers GR, Jones KE, et al. Control of the wrist joint in humans. Eur J Appl Physiol. 2000;83:116–27.

    Article  CAS  PubMed  Google Scholar 

  16. Alstermark B, Lundberg A, Sasaki S. Integration in descending motor pathways controlling the forelimb in the cat. 12. Interneurons which may mediate descending feed-forward inhibition and feed-back inhibition from the forelimb to C3–C4 propriospinal neurones. Exp Brain Res. 1984;56:308–22.

    Article  CAS  PubMed  Google Scholar 

  17. Flynn JR, Graham BA, Galea MP, et al. The role of propriospinal interneurons in recovery from spinal cord injury. Neuropharmacology. 2011;60(5):809–22.

    Article  CAS  PubMed  Google Scholar 

  18. Conta A, Stelzner DJ. The propriospinal system. In: Watson C, Paxinos G, Kayalioglu G, editors. The spinal cord a Christopher and Dana Reeve foundation text and atlas. New York: Academic Press; 2009. p. 180–90.

    Google Scholar 

  19. Pierrot-Deseilligny E, Burke D. Propriospinal transmission of descending motor commands. In: Pierrot-Deseilligny E, Burke D, editors. The circuitry of the human spinal cord. 2nd ed. Cambridge: Cambridge University Press; 2012. p. 395–445.

    Chapter  Google Scholar 

  20. Lipski J, Duffin J, Kruszewska B, et al. Upper cervical inspiratory neurons in the rat: an electrophysiological and morphological study. Exp Brain Res. 1993;95(3):477–87.

    Article  CAS  PubMed  Google Scholar 

  21. Augustine JR. Human neuroanatomy. San Diego: Academic Press; 2008.

    Google Scholar 

  22. Johansson H, Pedersen J, Bergenheim M, et al. Peripheral afferents of the knee: their effects on central mechanisms regulating muscle stiffness, joint stability and proprioception and coordination. In: Lephart SM, Fu FH, editors. Proprioception and neuromuscular control in joint stability. Champaign, IL: Human Kinetics; 2000. p. 5–22.

    Google Scholar 

  23. Dye SF. The functional anatomy of the cerebellum: an overview. In: Lephart SM, Fu FH, editors. Proprioception and neuromuscular control in: joint stability. Champaign, IL: Human Kinetic; 2000. p. 31–5.

    Google Scholar 

  24. Proske U, Gandevia SC. The kinaesthetic senses. J Physiol. 2009;587:4139–46.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Beynnon BD, Renström PA, Konradsen L, et al. Validation of techniques to measure knee proprioception. In: Lephart SM, Fu FH, editors. Proprioception and neuromuscular control in joint stability. Champaign, IL: Human Kinetics; 2000. p. 127–39.

    Google Scholar 

  26. Baker V, Bennell K, Stillman B, et al. Abnormal knee joint position sense in individuals with patellofemoral pain syndrome. J Orthop Res. 2002;20:208–14.

    Article  PubMed  Google Scholar 

  27. Riemann BL, Myers JB, Lephart SM. Sensorimotor system measurement techniques. J Athl Train. 2002;37:85–98.

    PubMed  PubMed Central  Google Scholar 

  28. Hall JE. Somatic sensations: I. General organization, the tactile and position senses. In: Guyton and hall textbook of medical physiology. 13th ed. Philadelphia, PA: Elsevier, Saunders; 2016. p. 607–21.

    Google Scholar 

  29. Gilman S. Joint position sense and vibration sense: anatomical organisation and assessment. J Neurol Neurosurg Psychiatry. 2002;73:473–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Collins DF, Refshauge KM, Gandevia SC. Sensory integration in the perception of movements at the human metacarpophalangeal joint. J Physiol. 2000;529:505–15.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Sorensen KL, Hollands MA, Patla E. The effects of human ankle muscle vibration on posture and balance during adaptive locomotion. Exp Brain Res. 2002;143:24–34.

    Article  CAS  PubMed  Google Scholar 

  32. Ochi M, Iwasa J, Uchio Y, et al. The regeneration of sensory neurones in the reconstruction of the anterior cruciate ligament. J Bone Jt Surg Br. 1999;81(5):902–6.

    Article  CAS  Google Scholar 

  33. Valeriani M, Restuccia D, Di Lazzaro V, et al. Clinical and neurophysiological abnormalities before and after reconstruction of the anterior cruciate ligament of the knee. Acta Neurol Scand. 1999;99:303–7.

    Article  CAS  PubMed  Google Scholar 

  34. Kapreli E, Athanasopoulos S, Papathanasiou M, et al. Lower limb sensorimotor network: issues of somatotopy and overlap. Cortex. 2007;43(2):219–32.

    Article  PubMed  Google Scholar 

  35. Callaghan MJ, McKie S, Richardson P, et al. Magnetic resonance imaging knee joint proprioception tests using functional effects. Phys Ther. 2012;92:821–30.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Baumeister J, Reinecke K, Weiss M. Changed cortical activity after anterior cruciate ligament reconstruction in a joint position paradigm: an EEG study. Scand J Med Sci Sports. 2008;18:473–84.

    Article  CAS  PubMed  Google Scholar 

  37. Kaya D, Doral MN, Nyland J, et al. Proprioception level after endoscopically guided percutaneous Achilles tendon. Knee Surg Sports Traumatol Arthrosc. 2013;21(6):1238–44.

    Article  PubMed  Google Scholar 

  38. Yosmaoglu HB, Kaya D, Guney H, et al. Is there a relationship between tracking ability, joint position sense, and functional level in patellofemoral pain syndrome? Knee Surg Sports Traumatol Arthrosc. 2013;21(11):2564–71.

    Article  PubMed  Google Scholar 

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Correspondence to Defne Kaya Ph.D., M.Sc., P.T. .

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Kaya, D., Yertutanol, F.D.K., Calik, M. (2018). Neurophysiology and Assessment of the Proprioception. In: Kaya, D., Yosmaoglu, B., Doral, M. (eds) Proprioception in Orthopaedics, Sports Medicine and Rehabilitation. Springer, Cham. https://doi.org/10.1007/978-3-319-66640-2_1

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  • DOI: https://doi.org/10.1007/978-3-319-66640-2_1

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