Bone Health
Carolyn Torkelson, Catherine Marienau in Beyond Menopause, 2023
As you age, your body posture and alignment also change due to loss of bone mass and muscle integrity. Have you ever seen your reflection and noticed that your head is leading the way, or your shoulders and upper back are rounded forward? This stooped, slouched posture is often associated with older women. The good news is that you can intentionally retrain your postural alignment. Practicing good body alignment and correcting body positions that create imbalance can help you avoid falls and fractures as well as help with your proprioception, which is the body’s ability to sense where it is in space. Examples include knowing whether your feet are on grass or cement, being able to balance on one leg, and touching your nose with your finger with your eyes closed. In other words, good proprioception is essential for your body to move normally and maintain balance. Unfortunately, proprioception declines with age, impairing balance and increasing the chances of falling.
Cultivating Healthy Sensitivity
Marlysa Sullivan, Laurie C. Hyland Robertson in Understanding Yoga Therapy, 2020
Altered proprioception and its potential adverse effects can appear in a number of ways. Someone might stand or move in a way that creates patterns of stress or strain that affect range of motion, producing compressive forces on the joints or soft tissue structures and even altering muscular recruitment. For example, habitually standing with an excessive pelvic tilt (in either direction) could contribute to muscle imbalances, including altered length or activation, as discussed in Chapter 9. An excessive anterior pelvic tilt often co-occurs with a shortening and/or tightness of the iliopsoas and weakness/inhibition of the transverse abdominals and gluteus maximus, whereas excessive posterior tilt often co-occurs with shortened hamstrings and weak or inhibited gluteus maximus.
Special Patient Situations
Kenneth D Boffard in Manual of Definitive Surgical Trauma Care: Incorporating Definitive Anaesthetic Trauma Care, 2019
Decline in cerebral and cognitive functions. Hearing and visual impairment.Proprioceptive impairment.Gait impairment; loss of muscle bulk/strength.Blunted baroreceptor function (predisposes to postural hypotension).Decreased cerebral blood flow (exacerbated by atherosclerosis).
Laser-Pointer assisted angle reproduction test (LP-ART): reliability, performance, and correlation with shoulder pain and disability in patients with subacromial pain syndrome
Published in Physiotherapy Theory and Practice, 2023
Isabela Forcin Favaro, Jaqueline Martins, Denise Martineli Rossi, Eduardo de Lima Boarati, Mayra Felippe de Morais, Anamaria Siriani Oliveira
Proprioception refers to the ability to integrate sensory information for mechanoreceptors or proprioceptors and determine the joint position sense and movements of the body segments in the absence of visual feedback (Han et al. 2016). Proprioception can be evaluated by the active or passive sense of joint positioning, joint movement (kinesthesia), and force (Riemann and Lephart, 2002). Passive joint position sense evaluation seems to be more reliable than active joint tests of the shoulder complex (Ager et al. 2017). However, active joint position sense evaluation better reproduces the similarity between assessment and functionality in the context of daily life than other tests (Han et al. 2016; Lönn, Crenshaw, Djupsjöbacka, and Johansson, 2000; Suprak, Osternig, Donkelaar, and Karduna, 2006).
Somatosensory Information in Skilled Motor Performance: A Narrative Review
Published in Journal of Motor Behavior, 2023
Tyler T. Whittier, Christopher M. Patrick, Brett W. Fling
In an attempt to remove some of the confusion regarding the interpretation of proprioception, the term “kinesthesia” has been used to refer to the conscious perception of body position and movement and reserve “proprioception” for referring to the unconscious processes involving body position information (Elangovan et al., 2014; Prochazka, 2021; Proske & Gandevia, 2009). However, this distinction is not universally acknowledged as “kinesthesia” and “proprioception” are often used interchangeably (Han et al., 2016), or used to delineate motion sense and position sense, respectively (Aman et al., 2014). Regardless of how the terms are defined, proprioception is clearly more than simply the firing of mechanoreceptors in the periphery, and we must avoid “the fallacy of ascribing proprioception to proprioceptors”, as James Gibson argued in 1966 (Gibson, 1966). Recently, Heroux et al. (2022) called for the separation of low-level (single frame of reference) and high-level (different frame of reference) proprioceptive judgments, highlighting the multifaceted aspects of proprioception. For this review, we are merely highlighting the importance of somatosensory information in skilled motor performance and thus, no distinction or preference for one view over the other shall be expressed. Rather, we aim to emphasize the need for careful consideration when seeking to conduct or interpret research focusing on proprioception and related topics.
The Effects of Trunk and Extremity Functions on Activities of Daily Living, Balance, and Gait in Stroke
Published in Neurological Research, 2023
Osman Karaca, Gülşah Sütçü, Muhammed Kılınç
The factors that affect disability as a result of stroke are not only muscle weakness or loss of motor movements. Loss of proprioception is one of the important factors that play a role in disability as a result of stroke [9]. Studies on the lower extremity have shown the relationship between ankle proprioception with balance, and the relationship between proprioception with strength in the knee [10,11]. In addition, the relationship between upper extremity proprioception with upper extremity motor functions and activities of daily living (ADL) has been demonstrated [12]. Studies showing the relationship between trunk position sense and trunk control in stroke patients are limited. One of these studies was conducted on stroke patients in the acute stage and it was found that the acute stroke patients had a decreased sense of trunk proprioception when compared to the healthy group [13]. In another study, chronic stroke patients and the healthy group were compared, and similar to the acute stroke study, it was shown that chronic stroke patients also had a decrease in proprioception compared to the healthy group [14]. Another emphasis, in addition to the results presented in these studies, is the planning of further studies on this subject and the planning of new studies to better understand the relationship between trunk functions and other functions such as balance [13,14].
Related Knowledge Centers
- Central Nervous System
- Muscle
- Tendon
- Vestibular System
- Visual Perception
- Joint
- Sense
- Neuron
- Sensory Nervous System
- Type Ia Sensory Fiber