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Winter L, Huang Q, Sertic JVL, Konczak J. The Effectiveness of Proprioceptive Training for Improving Motor Performance and Motor Dysfunction: A Systematic Review. FRONTIERS IN REHABILITATION SCIENCES 2022; 3:830166. [PMID: 36188962 PMCID: PMC9397687 DOI: 10.3389/fresc.2022.830166] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 03/14/2022] [Indexed: 01/13/2023]
Abstract
Objective Proprioceptive training is any intervention aiming to improve proprioceptive function with the ultimate goal to enhance motor function and performance. It has been promoted as an approach to enhance athletic performance and as a tool for sensorimotor rehabilitation. Numerous studies sought to provide evidence on the effectiveness of the approach. However, many different training regimes claiming to train proprioception report a variety of sensorimotor measures that are not directly comparable. This, in turn, makes it difficult to assess effectiveness across approaches. It is the objective of this study to systematically review recent empirical evidence to gain an understanding of which outcome measures are most sensitive, which populations may benefit most from proprioceptive training, and what are the effects on proprioceptive and motor systems. Methods Four major databases were searched. The following inclusion criteria were applied: (1) A quantified pre- and post-treatment measure of proprioceptive function. (2) An intervention or training program believed to influence or enhance proprioceptive function. (3) Contained at least one form of treatment or outcome measure that is indicative of somatosensory function and not confounded by information from other sensory modalities. 4) The study reported of at least one quantified measure of motor performance. Results Of the 3,297 articles identified by the database search, 70 studies met the inclusion criteria and were included for further review. Across studies, proprioceptive training led to comparable gains in both proprioceptive (+46%) and motor performance (+45%). The majority of studies (50/70) applied active movement interventions. Interventions applying somatosensory stimulation were most successful in clinical populations. Joint position sense error (JPSE) was the most commonly used proprioceptive measure and presents a reliable and feasible measure for clinical use. Conclusion Proprioceptive training can lead to significant improvements in proprioceptive and motor function across a range healthy and clinical populations. Regimens requiring active movement of the trainee tended to be most successful in improving sensorimotor performance. Conclusive evidence on how long training gains are retained is still lacking. There is no solid evidence about the underlying long-term neuroplastic changes associated proprioceptive training.
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Affiliation(s)
- Leoni Winter
- Human Sensorimotor Control Laboratory, School of Kinesiology, University of Minnesota, Minneapolis, MN, United States
- Center for Clinical Movement Science, University of Minnesota, Minneapolis, MN, United States
- *Correspondence: Leoni Winter
| | - Qiyin Huang
- Human Sensorimotor Control Laboratory, School of Kinesiology, University of Minnesota, Minneapolis, MN, United States
- Center for Clinical Movement Science, University of Minnesota, Minneapolis, MN, United States
| | - Jacquelyn V. L. Sertic
- Human Sensorimotor Control Laboratory, School of Kinesiology, University of Minnesota, Minneapolis, MN, United States
- Center for Clinical Movement Science, University of Minnesota, Minneapolis, MN, United States
| | - Jürgen Konczak
- Human Sensorimotor Control Laboratory, School of Kinesiology, University of Minnesota, Minneapolis, MN, United States
- Center for Clinical Movement Science, University of Minnesota, Minneapolis, MN, United States
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Pérez-Peña M, Notermans J, Desmedt O, Van der Gucht K, Philippot P. Mindfulness-Based Interventions and Body Awareness. Brain Sci 2022; 12:brainsci12020285. [PMID: 35204048 PMCID: PMC8869993 DOI: 10.3390/brainsci12020285] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Revised: 02/11/2022] [Accepted: 02/11/2022] [Indexed: 12/11/2022] Open
Abstract
Body awareness (BA) has long been proposed as a working mechanism of mindfulness-based interventions (MBIs), yet research on the mediating role of BA is scarce. Hence, the present study assesses the impact of an 8-week MBI on self-reported and indirect measures of BA, investigates the potential mediating role of BA in the relationship between an MBI and symptomatology, evaluates the impact of an MBI on important psychological processes (i.e., experiential avoidance, rumination, self-efficacy, and self-discrepancy), and explores whether these variables act alongside BA in mediating the relationship between an MBI and symptomatology. A non-randomized controlled trial was conducted with 148 participants (n = 89 in the MBI group; n = 59 in the control group) who completed questionnaires assessing BA and the above-mentioned psychological processes before and after an MBI. A sub-sample of participants (n = 86) completed a task that evaluates BA indirectly. Results showed a significant effect of MBI on the self-reported BA but not on the indirect measure of BA. The MBI significantly reduced symptomatology, and this effect was mediated by regulatory and belief-related dimensions of BA. Multiple mediator models showed a significant mediation via various pathways involving improved BA and various transdiagnostic psychological processes.
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Affiliation(s)
- Marbella Pérez-Peña
- Human Sciences Sector, Faculty of Psychology and Educational Sciences, School of Psychology, University of Louvain, 1348 Louvain-la-Neuve, Belgium; (J.N.); (O.D.); (P.P.)
- Psychological Sciences Research Institute, University of Louvain, 1348 Louvain-la-Neuve, Belgium
- Leuven Mindfulness Centre, Humanities and Social Sciences Group, Faculty of Psychology and Educational Sciences, KU Leuven, 3000 Leuven, Belgium;
- Correspondence:
| | - Jessica Notermans
- Human Sciences Sector, Faculty of Psychology and Educational Sciences, School of Psychology, University of Louvain, 1348 Louvain-la-Neuve, Belgium; (J.N.); (O.D.); (P.P.)
| | - Olivier Desmedt
- Human Sciences Sector, Faculty of Psychology and Educational Sciences, School of Psychology, University of Louvain, 1348 Louvain-la-Neuve, Belgium; (J.N.); (O.D.); (P.P.)
- Psychological Sciences Research Institute, University of Louvain, 1348 Louvain-la-Neuve, Belgium
- Fund for Scientific Research, Belgium (FRS-FNRS), 1000 Brussels, Belgium
| | - Katleen Van der Gucht
- Leuven Mindfulness Centre, Humanities and Social Sciences Group, Faculty of Psychology and Educational Sciences, KU Leuven, 3000 Leuven, Belgium;
| | - Pierre Philippot
- Human Sciences Sector, Faculty of Psychology and Educational Sciences, School of Psychology, University of Louvain, 1348 Louvain-la-Neuve, Belgium; (J.N.); (O.D.); (P.P.)
- Psychological Sciences Research Institute, University of Louvain, 1348 Louvain-la-Neuve, Belgium
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Lapanantasin S, Thongloy N, Samsee M, Wonghirunsombat N, Nuangpulsarp N, Ua-areejit C, Phattaraphanasakul P. Comparative Effect of Walking Meditation and Rubber-band Exercise on Ankle Proprioception and Balance Performance Among Persons With Chronic Ankle Instability: A Randomized Controlled Trial. Complement Ther Med 2022; 65:102807. [DOI: 10.1016/j.ctim.2022.102807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 01/25/2022] [Accepted: 01/25/2022] [Indexed: 11/03/2022] Open
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Phoobangkerdphol C, Limampai P, Dasri S, Kuptniratsaikul V. Walking meditation versus balance training for improving balance abilities among older adults with history of fall: A randomized controlled trial. Clin Rehabil 2021; 36:538-549. [PMID: 34931904 DOI: 10.1177/02692155211068232] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To investigate improvement in balance abilities compared between walking meditation and balance training among older adults with history of fall. INTERVENTIONS Walking meditation or mindfulness meditation whilst standing and moving (n = 35) or balance training (n = 33) 20-30 min/day, 5-7 days/week for 24 weeks was performed at home. MAIN OUTCOMES The primary outcomes were dynamic balance abilities as assessed by Timed Up and Go test (TUGT), and static balance as assessed by Functional Reach Test (FRT) and Single Leg Stance Test (SLST). The secondary outcomes were quality of life as measured by the EuroQOL 5-dimensions 5-levels (EQ-5D-5L), and mental health as evaluated by the Thai Geriatric Mental Health Assessment Tool-15 (TGMHA-15). All outcomes were assessed at baseline, 6 months, and 9 months. Self-reported compliance, adverse events, and patient satisfaction were recorded at 6 and 9 months. RESULTS The mean age was 69 years (range: 60-85). No significant difference was observed between groups for the 3 primary outcome measures. The mean difference (95% confidence interval) between groups was -0.48 (-1.40, 0.44) for TUGT, -1.11 (-3.66, 1.45) for FRT, and 0.82 (-5.03, 6.67) for SLST. The EQ-5D-5L and TGMHA-15 also showed no significant difference between groups. Most participants were in good compliance with the exercise protocol (48.3-68.0%), and no serious adverse events were reported. CONCLUSION Our results showed walking meditation to be comparable to balance training for improving balance abilities in older adults with history of fall. Walking meditation may be considered an alternative treatment for improving balance abilities in this patient population.
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Affiliation(s)
- Chalida Phoobangkerdphol
- Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, 65106Mahidol University, Bangkok, Thailand
| | - Patchara Limampai
- Division of Rehabilitation Psychology and Recreation, Department of Rehabilitation Medicine, 65106Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Sirinuch Dasri
- Division of Surgical Nursing, Department of Nursing, Siriraj Hospital, Bangkok, Thailand
| | - Vilai Kuptniratsaikul
- Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, 65106Mahidol University, Bangkok, Thailand
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Rodrigues de Oliveira D, Wilson D, Palace-Berl F, de Mello Ponteciano B, Fungaro Rissatti L, Sardela de Miranda F, Piassa Pollizi V, Fuscella JC, Mourão Terzi A, Lepique AP, D'Almeida V, Demarzo M. Mindfulness meditation training effects on quality of life, immune function and glutathione metabolism in service healthy female teachers: A randomized pilot clinical trial. Brain Behav Immun Health 2021; 18:100372. [PMID: 34761243 PMCID: PMC8566766 DOI: 10.1016/j.bbih.2021.100372] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 10/06/2021] [Accepted: 10/13/2021] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND Despite the crucial role of educators in encourage students' academic learning, addressing educator stress inside the classroom remains a significant challenge in the educational context. Mindfulness Meditation training (MM) has been recommended as an environmental enrichment strategy in schools to help teachers cope with stress and cultivating a state of awareness in daily life. Although studies have shown that MM can improve immune system dynamics the biological mechanism underlying glutathione metabolism in a healthy human is unclear. OBJECTIVE The purpose of this study was to determine whether MM training benefits psychological and behavioral response, immunological functions and glutathione metabolism in service healthy female teachers from public schools. METHODS We randomly assigned 76 teachers to an 8-week Mindfulness-Based Health Program for Educators (MBHPEduca) or Neuroscience for Education program (Neuro-Educa; active control group). Using the quality of life as our primary outcome, perceived stress, negative affectivity, and resilience as our secondary outcome, and pro-inflammatory cytokines and glutathione levels as our third outcome at baseline and post-intervention that occurred in public schools. Blood samples were collected for the measurement of three proinflammatory markers, including interleukin-1β (IL-1β), interleukin-6 (IL-6), and interleukin-8 (IL-8) and three GSH metabolism, including Cysteine (Cys), Homocysteine (HCys) and GSH were conducted at pre-and post-intervention, with selfreported assessments over time. Treatment effects were analyzed using generalized estimating equations (GEE) with to intention to treat. RESULTS We observed statistically significant improvements to the MBHP-Educa group compared to active control in perceived stress, resilience, positive and negative affect, and quality of life after 8-weeks MM (p < 0.0001). Further, the MBHP-Educa group exhibited lower circulating IL-6 production accompanied by high circulating GSH, and Cys (p < 0.0001). Additional analyses indicated that enhancing quality of life through mindfulness meditation training was mediated by reducing perceived stress and serum levels of IL- 6 and increasing resilience and teachers 'plasma GSH levels. CONCLUSIONS The present study is a pilot trial with low-power and provides preliminary evidence that mindfulness meditation training help teachers to cope with stress in the school environment with an impact on the quality of life, immune function, and glutathione metabolism.
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Affiliation(s)
- Daniela Rodrigues de Oliveira
- Mente Aberta - Brazilian Center for Mindfulness and Health Promotion, Departamento de Medicina Preventiva, Universidade Federal de São Paulo, São Paulo, SP, Brazil
- Departamento de Patologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - David Wilson
- Mente Aberta - Brazilian Center for Mindfulness and Health Promotion, Departamento de Medicina Preventiva, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - Fanny Palace-Berl
- Departamento de Patologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - Bárbara de Mello Ponteciano
- Departamento de Patologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil
- Laboratório de Investigação Médica (LIM-26), Departamento de Cirurgia, Universidade de São Paulo, SP, Brazil
| | | | - Flávia Sardela de Miranda
- Laboratório de Imunomodulação, Departamento de Imunologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Valéria Piassa Pollizi
- Mente Aberta - Brazilian Center for Mindfulness and Health Promotion, Departamento de Medicina Preventiva, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | | | - Alex Mourão Terzi
- Instituto Federal de Educação, Ciência e Tecnologia do Sudeste de Minas Gerais, Campus, São João del-Rei, MG, Brazil
| | - Ana Paula Lepique
- Laboratório de Imunomodulação, Departamento de Imunologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Vânia D'Almeida
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - Marcelo Demarzo
- Mente Aberta - Brazilian Center for Mindfulness and Health Promotion, Departamento de Medicina Preventiva, Universidade Federal de São Paulo, São Paulo, SP, Brazil
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