position sense

位置感应
  • 文章类型: Journal Article
    患有脑瘫(CP)的儿童表现出各种感觉障碍,这些障碍会干扰运动表现,但是这些障碍如何持续到成年需要进一步研究。这项研究的目的是描述患有CP的成年人的感觉障碍以及它们与运动障碍的关系。
    19名患有CP的成年人进行了一组机器人和临床评估。这些评估针对不同的感觉功能和运动功能(双边和单边任务)。通过将各个结果与规范数据进行比较来确定每种类型的损伤的频率。用Spearman相关系数评估感觉和运动障碍之间的关联。
    立体诊断障碍是最常见的,影响57.9%的参与者。虽然受损频率较低(26.3%),触觉辨别与所有运动任务(单边和双边,机器人或临床)。机器人运动评估中的表现与感觉障碍比与临床评估更频繁地相关。最后,感觉障碍与双侧任务的相关性不如与单侧任务的相关性更密切.
    体感和视觉感知障碍在患有CP的成年人中很常见,84.2%显示至少一种感觉功能受损。这些感觉障碍显示出与运动障碍的中度关联。
    UNASSIGNED: Children with cerebral palsy (CP) exhibit a variety of sensory impairments that can interfere with motor performance, but how these impairments persist into adulthood needs further investigation. The objective of this study was to describe the sensory impairments in adults having CP and how they relate to motor impairments.
    UNASSIGNED: Nineteen adults having CP performed a set of robotic and clinical assessments. These assessments were targeting different sensory functions and motor functions (bilateral and unilateral tasks). Frequency of each type of impairments was determined by comparing individual results to normative data. Association between the sensory and motor impairments was assessed with Spearman correlation coefficient.
    UNASSIGNED: Impairment in stereognosis was the most frequent, affecting 57.9% of participants. Although less frequently impaired (26.3%), tactile discrimination was associated with all the motor tasks (unilateral and bilateral, either robotic or clinical). Performance in robotic motor assessments was more frequently associated with sensory impairments than with clinical assessments. Finally, sensory impairments were not more closely associated with bilateral tasks than with unilateral tasks.
    UNASSIGNED: Somatosensory and visuo-perceptual impairments are frequent among adults with CP, with 84.2% showing impairments in at least one sensory function. These sensory impairments show a moderate association with motor impairments.
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  • 文章类型: Journal Article
    慢性疼痛可通过引起体感皮层重排来影响中枢水平的身体感知。此外,颈部疼痛患者的宫颈传入异常会损害本体感觉敏感性,可能导致身体排列和生物力学的改变。然而,没有足够的研究探索这些概念。
    这项研究的主要目的是比较慢性颈痛患者和健康对照者的头部姿势和颈部本体感觉。
    利用横断面研究,共有76名志愿者参与了这项研究,其中包括38名颈部疼痛患者和38名匹配的健康对照.使用颈椎豪华运动范围(CROM)设备测量头部姿势和颈椎关节位置感。首先,评估了头部在三个平面上的偏离角度,然后进行头部重新定位准确度(HRA)测试以确定关节位置误差。视觉模拟评分(VAS)用于确定颈部疼痛患者的疼痛严重程度。
    在健康对照组中,头部在所有三个平面中的偏角均显着降低(p<0.05)。关节位置误差值在所有方向上都显着较高(屈曲-伸展,左右横向屈曲,和旋转)在颈部疼痛组中(p<0.001)。
    研究结果表明,颈部疼痛患者的颈部本体感觉受到不利影响,观察到头部姿势的变化。
    本研究的摘要在2020年6月20日至21日在伊兹密尔举行的国际健康科学大会-ICHES-IDU2020上作为口头声明提出。
    UNASSIGNED: Chronic pain can affect body perception at the central level by causing the somatosensory cortex to rearrange. Additionally, cervical afferent abnormalities in individuals with neck pain can impair proprioceptive sensitivity, potentially leading to alterations in body alignment and biomechanics. Nevertheless, there are insufficient studies exploring these notions.
    UNASSIGNED: The main objective of this study was to compare the head posture and neck proprioceptive sense of individuals with chronic neck pain and healthy controls.
    UNASSIGNED: Utilizing a cross-sectional study, a total of 76 volunteers comprising 38 individuals with neck pain and 38 matched healthy controls participated in the study. Head posture and cervical joint position sense were measured using a Cervical Range of Motion Deluxe (CROM) device. Firstly, the deviation angles of the head in three planes were evaluated, then the Head Repositioning Accuracy (HRA) test was performed to determine the joint position error. Visual Analogue Scale (VAS) was used to determine the severity of pain in individuals with neck pain.
    UNASSIGNED: The deviation angles of the head in all three planes were significantly lower in the healthy control group (p< 0.05). Joint position error values were significantly higher in all directions (flexion-extension, right-left lateral flexion, and rotation) in the neck pain group (p< 0.001).
    UNASSIGNED: The findings show that the proprioceptive sensation of the cervical region in individuals with neck pain was adversely affected, with changes were observed in the head posture.
    UNASSIGNED: The abstract of this study was presented as a verbal declaration at the International Congress of Health Sciences-ICHES-IDU 2020 that was held in İzmir on 20-21 June 2020.
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  • 文章类型: Journal Article
    目的:研究对比水疗法对高强度训练后短跑运动员膝关节本体感觉和疲劳相关指标的影响。
    方法:选择40名短跑运动员,分为观察组和对照组。观察组给予14分钟的对比水治疗,而对照组在训练后坐着休息14分钟。膝盖位置感觉,肌肉力感,关节反应角释放,膝关节功能,在运动前后不同时间点评估与疲劳相关的指标。
    结果:在24小时,48h,运动后72小时,对照组的主动体位感和肌力感均显著低于观察组(均P<0.05)。在运动后48小时,对照组被动体位感明显低于观察组(均P<0.05)。在运动后24小时和48小时,对照组关节反应角度明显大于观察组(均P<0.05)。此外,干预后观察组IKDC2000和Lysholm评分均大于对照组(均P<0.05)。观察组干预后疲劳相关指标明显低于对照组(均P<0.05)。
    结论:对比水疗能有效缓解肌力感觉,促进肌肉本体感受,改善膝关节功能,增强从疲劳中恢复。
    OBJECTIVE: To investigate the effect of contrast water therapy on proprioception of the knee joint and indicators associated with fatigue in sprinters after high intensity training.
    METHODS: A total of 40 sprinters were selected and divided into an observation group and a control group. The observation group got 14 minutes of contrast water therapy, while the control group took 14 minutes of sitting rest after training. The knee position sense, muscle force sense, joint reaction angle to release, knee joint function, and indictors associated with fatigue were evaluated before and after exercise at different time points.
    RESULTS: At 24 h, 48 h, and 72 h after exercise, the active position sense and muscle force sense of the control group were significantly lower than those of the observation group (all P<0.05). At 48 h after exercise, the passive position sense of the control group was significantly lower than that of the observation group (all P<0.05). At 24 h and 48 h after exercise, the joint reaction angle to release of the control group was significantly greater than that of the observation group (all P<0.05). Additionally, the IKDC2000 and Lysholm scores after interference in the observation group were greater than those of the control group (all P<0.05). The indicators associated with fatigue after interference in the observation group were significantly lower than those of the control group (all P<0.05).
    CONCLUSIONS: Contrast water therapy can effectively alleviate muscle force sense, promote muscle proprioception, improve knee joint function, and enhance recovery from fatigue.
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  • 文章类型: Journal Article
    Taping越来越多地用于管理本体感受缺陷,但现有的评论对其影响有缺陷。为了准确评估录音的效果,需要针对不同的人群组和磁带类型进行单独的荟萃分析.因此,需要进行组间和组内荟萃分析,以评估录音对本体感觉的影响.根据PRISMA指南,在七个数据库中进行了文献检索(WebofScience,PEDro,Pubmed,EBSCO,Scopus,ERIC,SportDiscus,Psychinfo)和一个使用关键字“磁带”和“本体感受”的寄存器(CENTRAL)。在1372条记录中,91项研究,涉及2718人,符合系统评价中概述的纳入标准。荟萃分析显示,与无胶带(Hedge'sg:-0.39,p<0.001)和安慰剂胶带(Hedge'sg:-1.20,p<0.001)相比,胶带的重新定位错误在组间和组内显着减少。亚组和敏感性分析进一步证实了总体组间和组内分析的可靠性。组间结果进一步表明,弹性胶带和刚性胶带在改善健康和疲劳人群的重新定位错误方面具有相似的功效。对检测被动运动和主动运动程度判别装置的阈值进行的其他分析显示,录音没有显着影响。总之,研究结果强调了与没有胶带或安慰剂胶带相比,胶带胶带可以提高关节重新定位的准确性。进一步的研究需要发现潜在的机制,并完善对具有本体感受缺陷的不同人群的录音应用。
    Taping is increasingly used to manage proprioceptive deficits, but existing reviews on its impact have shortcomings. To accurately assess the effects of taping, a separate meta-analyses for different population groups and tape types is needed. Therefore, both between- and within-group meta-analyses are needed to evaluate the influence of taping on proprioception. According to PRISMA guidelines, a literature search was conducted across seven databases (Web of Science, PEDro, Pubmed, EBSCO, Scopus, ERIC, SportDiscus, Psychinfo) and one register (CENTRAL) using the keywords \"tape\" and \"proprioception\". Out of 1372 records, 91 studies, involving 2718 individuals, met the inclusion criteria outlined in the systematic review. The meta-analyses revealed a significant between and within-group reduction in repositioning errors with taping compared to no tape (Hedge\'s g: -0.39, p < 0.001) and placebo taping (Hedge\'s g: -1.20, p < 0.001). Subgroup and sensitivity analyses further confirmed the reliability of the overall between and within-group analyses. The between-group results further demonstrated that both elastic tape and rigid tape had similar efficacy to improve repositioning errors in both healthy and fatigued populations. Additional analyses on the threshold to detection of passive motion and active movement extent discrimination apparatus revealed no significant influence of taping. In conclusion, the findings highlight the potential of taping to enhance joint repositioning accuracy compared to no tape or placebo taping. Further research needs to uncover underlying mechanisms and refine the application of taping for diverse populations with proprioceptive deficits.
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  • 文章类型: Journal Article
    本体感受对于老年人保持平衡和防止跌倒至关重要。然而,按摩是一种方便的干预措施,建议其对本体感觉的有益作用。
    这项研究旨在确定一次刺激膝关节周围肌肉的按摩是否可以改善老年成年男性的姿势感。
    20名健康的老年人参加了这个盲人,随机化,交叉试验。两个治疗阶段是按摩和休息。干预之间的冲洗期为1周间隔。按摩方案如下:深度脱毛,Petrissage,并对前部(张肌筋膜,股四头肌,Sartorius,和gra肌)和膝盖的后部(腿筋)肌肉(总共10分钟)。
    结果指标是绝对的,常数,和变量错误(AE,CE,和VE)。参与者在干预之前和之后立即由一名盲人研究者进行评估。统计学分析采用独立t检验。按摩减少绝对误差(2.77°,p=0.01)。
    这项研究的发现证实了按摩对健康的老年成年男性的关节位置感的有益影响。
    UNASSIGNED: Proprioception is critical for older adults to maintain their balance and prevent falling. However, massage is a convenient intervention that its beneficial effect on the proprioception is suggested.
    UNASSIGNED: This study aimed to determine whether one session of stimulating massage of the muscles around the knee joint improves position sense in older adult men.
    UNASSIGNED: Twenty healthy older adults participated in this blind, randomized, crossover trial. The two treatment phases were massage and rest. The washout period between interventions was a 1-week interval. The massage protocol was as follows: deep effleurage, petrissage, and tapotement for 5 minutes for the anterior (tensor fascia lata, quadriceps, sartorius, and gracilis) and posterior (hamstrings) muscles of the knee (10 minutes in total).
    UNASSIGNED: Outcome measures were absolute, constant, and variable errors (AE, CE, and VE). Participants were assessed immediately before and after the intervention by a blinded investigator. Independent t-tests were used for statistical analyses. Massage reduced absolute error (2.77°, p = 0.01).
    UNASSIGNED: The finding of this study confirms the beneficial impact of the massage on the joint position sense in healthy older adult men.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    身体部位的定位对于运动控制和运动学习很重要。最近的研究表明,人们定位手的精确度限制了运动适应。虽然这些研究假设手定位在整个学习过程中保持同样精确,我们表明,在早期的运动学习中,精度迅速下降。在三个实验中,健康的年轻参与者(n=92)反复适应45°的视觉运动旋转2到4个周期,随后是两到四个周期,具有真实反馈。参与者要么使用完全补偿旋转的瞄准策略(实验1),或者总是直接瞄准目标,所以适应是隐含的(实验2)。我们省略了每个周期最后到达的视觉反馈,之后,参与者定位了他们看不见的手。当受试者使用策略来对抗视觉运动旋转时,我们观察到角度定位误差的变异性增加(实验1)。在没有重新瞄准的情况下,这种精度下降不太明显(实验2),当受试者知道他们必须在即将到来的试验中定位他们的手,因此可以专注于手的位置(实验3)。我们建议战略重新瞄准降低感知手位置的精度,可能是由于对视觉的关注而不是本体感受。我们讨论了早期运动学习过程中这些精确的动态如何影响运动控制,并塑造隐式和基于策略的运动适应之间的相互作用。
    Localizing one\'s body parts is important for movement control and motor learning. Recent studies have shown that the precision with which people localize their hand places constraints on motor adaptation. Although these studies have assumed that hand localization remains equally precise across learning, we show that precision decreases rapidly during early motor learning. In three experiments, healthy young participants (n = 92) repeatedly adapted to a 45° visuomotor rotation for a cycle of two to four reaches, followed by a cycle of two to four reaches with veridical feedback. Participants either used an aiming strategy that fully compensated for the rotation (experiment 1), or always aimed directly at the target, so that adaptation was implicit (experiment 2). We omitted visual feedback for the last reach of each cycle, after which participants localized their unseen hand. We observed an increase in the variability of angular localization errors when subjects used a strategy to counter the visuomotor rotation (experiment 1). This decrease in precision was less pronounced in the absence of reaiming (experiment 2), and when subjects knew that they would have to localize their hand on the upcoming trial, and could thus focus on hand position (experiment 3). We propose that strategic reaiming decreases the precision of perceived hand position, possibly due to attention to vision rather than proprioception. We discuss how these dynamics in precision during early motor learning could impact on motor control and shape the interplay between implicit and strategy-based motor adaptation.NEW & NOTEWORTHY Recent studies indicate that the precision with which people localize their hand limits implicit visuomotor learning. We found that localization precision is not static, but decreases early during learning. This decrease is pronounced when people apply a reaiming strategy to compensate for a visuomotor perturbation and is partly resistant to allocation of attention to the hand. We propose that these dynamics in position sense during learning may influence how implicit and strategy-based motor adaption interact.
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  • 文章类型: Systematic Review
    背景:颈部疼痛患者的本体感觉可能受损。颈椎关节位置感测试,测量关节位置误差(JPE),是用于评估颈部本体感觉的最常见测试。这项系统评价的目的是评估该测试的测量特性,以评估有和没有颈部疼痛的人。
    方法:本系统综述在Prospero(CRD42020188715)上进行了前瞻性注册。它是使用COSMIN指南设计的,并根据PRISMA清单进行报告。两名审稿人独立搜索了Medline,Embase,SportDiscus,和CINAHLPlus数据库从开始到2022年7月24日,搜索的更新一直持续到2023年10月14日。使用COSMIN偏倚风险检查表来评估每个研究中的偏倚风险。使用更新的良好测量特性标准对个别研究进行评分,然后对总体汇总结果进行评分。证据水平由两名评审员使用改进的GRADE方法独立评估。
    结果:本综述包括15项研究,13个报告绝对JPE,2个报告恒定JPE。评估的测量特性是可靠性,测量误差,和有效性。JPE的测量显示出足够的信度和效度,然而,两种测量特性的证据水平都很低/非常低,除了常数JPE的收敛有效性之外,很高。
    结论:宫颈JPE的测量显示出足够的信度和效度,但证据水平低/非常低。需要进一步的研究来调查该测试的可靠性和有效性以及该措施的响应性。
    BACKGROUND: Proprioception can be impaired in people with neck pain. The cervical joint position sense test, which measures joint position error (JPE), is the most common test used to assess neck proprioception. The aim of this systematic review was to assess the measurement properties of this test for the assessment of people with and without neck pain.
    METHODS: This systematic review was registered prospectively on Prospero (CRD42020188715). It was designed using the COSMIN guidelines and reported in line with the PRISMA checklist. Two reviewers independently searched Medline, Embase, SportDiscus, and CINAHL Plus databases from inception to the 24th July 2022 with an update of the search conducted until 14th of October 2023. The COSMIN risk of bias checklist was used to assess the risk of bias in each study. The updated criteria for good measurement properties were used to rate individual studies and then the overall pooled results. The level of evidence was rated by two reviewers independently using a modified GRADE approach.
    RESULTS: Fifteen studies were included in this review, 13 reporting absolute JPE and 2 reporting constant JPE. The measurement properties assessed were reliability, measurement error, and validity. The measurement of JPE showed sufficient reliability and validity, however, the level of evidence was low/very low for both measurement properties, apart from convergent validity of the constant JPE, which was high.
    CONCLUSIONS: The measure of cervical JPE showed sufficient reliability and validity but with low/very low levels of evidence. Further studies are required to investigate the reliability and validity of this test as well as the responsiveness of the measure.
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  • 文章类型: Journal Article
    目的:目前尚无确定的临床标准来评估脑瘫(CP)儿童的踝关节本体感觉。这项研究比较了患有CP的儿童与年龄匹配的典型发育(TD)儿童的脚踝位置感。
    方法:6-17岁儿童参加(15CP,58TD)。使用定制的设备,脚踝被动旋转到两个位置进行25次试验.使用心理物理学的强迫选择范式,参与者指出哪个位置更有足底弯曲。将心理测量函数拟合到响应数据,以确定踝关节位置感的明显差异(JND)阈值和相关不确定性(随机误差)。
    结果:CP组的JND阈值中位数升高(CP:4.3°,TD:3.0°)。三个患有CP的儿童超过了TD的第95百分位数。没有发现随机误差的差异。
    结论:该方法评估了相对于常规数据的踝关节本体感觉,并确定了CP患儿的位置感觉障碍。使用这种方法可以提供CP中本体感受状态的数据,加强对运动障碍的评估。
    UNASSIGNED: There is no established clinical standard to evaluate ankle proprioception in children with cerebral palsy (CP). This study compared ankle position sense of children with CP to age-matched children who are typically developing (TD).
    UNASSIGNED: Children aged 6-17 years participated (15 CP, 58 TD). Using a custom-built device, the ankle was passively rotated to two positions for 25 trials. Using a psychophysical forced-choice paradigm, participants indicated which position was more plantarflexed. A psychometric function was fitted to the response data to determine the just noticeable difference (JND) threshold and the associated uncertainty (random error) for ankle position sense.
    UNASSIGNED: Median JND thresholds for the CP group were elevated (CP: 4.3°, TD: 3.0°). Three children with CP exceeded the 95th percentile of TD. No differences in random error were found.
    UNASSIGNED: This method assessed ankle proprioception relative to norm data and identified position sense impairments in children with CP. Using this method can provide data on proprioceptive status in CP, augmenting the assessment of motor impairment.
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  • 文章类型: Journal Article
    背景:患有神经退行性疾病如帕金森病(PD)和阿尔茨海默病(AD)的个体通常在早期临床阶段表现为感知损伤。因此,早期识别和量化这些损伤可以促进诊断和早期干预.
    目的:本研究旨在比较诊断为PD和轻度认知障碍(MCI)的个体的本体感受和嗅觉敏感性。
    方法:在神经典型的老年人中测量前臂的本体感觉和嗅觉功能,PD的个人,和MCI的个人。使用被动运动装置评估位置和被动运动感。采用繁体中文版本的宾夕法尼亚大学气味识别试验(UPSIT-TC)和气味阈值试验(STT)对气味进行识别和辨别,分别。
    结果:两组之间的位置感觉阈值差异显着(p<0.001),PD(p<0.001)和MCI(p=0.004)组明显高于对照组。对照组的平均UPSIT-TC评分明显高于PD(p<0.001)和MCI(p=0.006)组。对照组的平均STT阈值明显低于PD和MCI组(分别为p<0.001和p=0.008)。UPSIT-TC评分与PD(r=-0.50,p=0.008)和MCI(r=0.44,p=0.04)的疾病进展显着相关。
    结论:PD和MCI患者的本体感觉和嗅觉敏感性降低,这些缺陷与疾病严重程度有关。这些发现支持先前的发现,表明感知损失可能是诊断和监测神经退行性疾病个体疾病进展的潜在生物标志物。
    BACKGROUND: Individuals with neurodegenerative diseases such as Parkinson disease (PD) and Alzheimer\'s (AD) disease often present with perceptual impairments at an early clinical stage. Therefore, early identification and quantification of these impairments could facilitate diagnosis and early intervention.
    OBJECTIVE: This study aimed to compare proprioceptive and olfactory sensitivities in individuals diagnosed with PD and mild cognitive impairment (MCI).
    METHODS: Proprioception in the forearm and olfactory function were measured in neurotypical older adults, individuals with PD, and individuals with MCI. Position and passive motion senses were assessed using a passive motion apparatus. The traditional Chinese version of the University of Pennsylvania smell identification test (UPSIT-TC) and the smell threshold test (STT) were used to identify and discriminate smell, respectively.
    RESULTS: Position sense threshold between the groups differed significantly (p < 0.001), with the PD (p < 0.001) and MCI (p = 0.004) groups showing significantly higher than the control group. The control group had significantly higher mean UPSIT-TC scores than the PD (p < 0.001) and MCI (p = 0.006) groups. The control group had a significantly lower mean STT threshold than the PD and MCI groups (p < 0.001 and p = 0.008, respectively). UPSIT-TC scores significantly correlated with disease progression in PD (r = - 0.50, p = 0.008) and MCI (r = 0.44, p = 0.04).
    CONCLUSIONS: Proprioceptive and olfactory sensitivities were reduced in individuals with PD and MCI, and these deficits were related to disease severity. These findings support previous findings indicating that perceptual loss may be a potential biomarker for diagnosing and monitoring disease progression in individuals with neurodegenerative diseases.
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