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Proprioception After the Arthroplasty

  • Hande Guney-Deniz
  • Michael Callaghan
Chapter

Abstract

Proprioception connects the stimuli derived from somatosensory, vestibular, and visual systems to regulate periarticular muscle activity, which provides joint stabilization by the central nervous system. The primary proprioceptive receptors are defined as muscle spindles, stretch receptors, and Golgi tendon organs and ligaments. Those located in the deep skin and facial layers are considered to be supplementary receptors. Aging plays a certain role in decreased proprioceptive sense as well as impairments in vestibular and visual inputs, resulting in an overall reduction in sensory input required for balance. Improvement in proprioceptive sense is one the major aims for maintaining balance and function after lower extremity arthroplasty and maintaining the upper extremity function after shoulder and elbow arthroplasty. In general, patients following total hip and knee arthroplasty exhibit better unilateral proprioception and balance in comparison with total ankle arthroplasty patients. Arthroplasty in the shoulder joint might adversely affect shoulder proprioception and this is mainly associated with the surgical approach. The role of proprioception in patients’ disability and elbow stability after total elbow arthroplasty is still unknown, and when using the extensor aspect approach, caution is needed to preserve the muscle attachments when possible. The primary aim of rehabilitation is to restore functional outcomes while protecting mechanical stability. Therefore, proprioceptive exercises and balance must be included in rehabilitation programs before and after surgery for functional recovery.

Keywords

Proprioception Arthroplasty Rehabilitation 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Physiotherapy and Rehabilitation Department, Faculty of Health SciencesHacettepe UniversityAnkaraTurkey
  2. 2.Clinical PhysiotherapyManchester Metropolitan UniversityManchesterUK
  3. 3.Centre for Musculoskeletal ResearchUniversity of ManchesterManchesterUK
  4. 4.Department of PhysiotherapyManchester Royal InfirmaryManchesterUK

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