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Tsai YJ, Tsai TC, Chung TC, Hsiao CK, Tu YK. Assessment of joint position sense in active and passive modes with various elbow flexion angles and movement speeds using an isokinetic dynamometer. Musculoskelet Sci Pract 2024; 73:103153. [PMID: 39096535 DOI: 10.1016/j.msksp.2024.103153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Revised: 06/14/2024] [Accepted: 07/25/2024] [Indexed: 08/05/2024]
Abstract
BACKGROUND Joint position sense is the ability to detect body segment position in space and is commonly used to represent proprioceptive performance. The isokinetic dynamometer is frequently used to evaluate elbow joint position sense during active and passive reproduction tasks with various testing protocols. However, few studies have reported the performance of joint position sense under different testing conditions. OBJECTIVE To compare elbow joint position sense between active and passive reproduction tasks under different matching speeds and reference targets. DESIGN A cross-sectional study. METHODS Twenty participants without a history of upper-extremity surgery or neuromuscular diseases that affect the joint position sense of the elbow. Active and passive ipsilateral matching tasks were performed at four movement speeds (0.5°/s, 1°/s, 2°/s, and 4°/s) and three reference targets (elbow flexion at 0°-15°, 45°-60°, and 75°-90°), using an isokinetic dynamometer. The absolute and variable errors of each condition were calculated for comparison. RESULTS In active matching task with elbow flexion of 0°-15°, the absolute error at 0.5°/s was significantly larger than that at 2°/s and 4°/s, while the variable error at 1°/s was significantly larger than that at 2°/s. However, no differences were found at elbow flexion angles of 45°-60° and 75°-90°. Larger absolute errors were found at 4°/s with three testing angles in passive matching task. CONCLUSIONS This study compared the joint position sense errors under various testing conditions in the active and passive reproduction tasks. The movement speeds and target position effects should be considered during evaluation.
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Affiliation(s)
- Yi-Jung Tsai
- Department of Medical Research, E-Da Hospital, Kaohsiung, Taiwan; Medical College, I-Shou University, Kaohsiung, Taiwan
| | - Ting-Chien Tsai
- Department of Orthopedics, Ditmanson Medical Foundation Chiayi Christian Hospital, Chia-Yi, Taiwan
| | - Tzu-Chun Chung
- Department of Orthopedics, E-Da Hospital, Kaohsiung, Taiwan; Medical College, I-Shou University, Kaohsiung, Taiwan.
| | - Chih-Kun Hsiao
- Department of Medical Research, E-Da Hospital, Kaohsiung, Taiwan; Medical College, I-Shou University, Kaohsiung, Taiwan
| | - Yuan-Kun Tu
- Department of Orthopedics, E-Da Hospital, Kaohsiung, Taiwan; Medical College, I-Shou University, Kaohsiung, Taiwan.
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Logue Cook RN, Kern KL, Brown SH. Effectiveness of a home training program on improving pinch force perception in older adults. J Hand Ther 2024:S0894-1130(24)00003-6. [PMID: 38942652 DOI: 10.1016/j.jht.2024.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Revised: 09/07/2023] [Accepted: 02/09/2024] [Indexed: 06/30/2024]
Abstract
BACKGROUND Hand function is reduced with aging which can lead to impairments in the performance of daily activities and eventually loss of independence. The ability to perceive the forces being applied to an object is an important component of hand control that also declines with age. However, the extent to which force perception can be improved through training remains largely unknown. PURPOSE This study evaluated the effectiveness of a home-training program focused on improving force perception in older adults. STUDY DESIGN Quasi-experimental - Uncontrolled trial. METHODS Eleven independent, healthy adults (mean age: 77.2 ± 6.8 years) participated in a home-based sensorimotor hand training program 6 days/week for 6 weeks. Force perception, the primary outcome variable, was measured as the ability to reproduce a pinch force equal to 25% maximum voluntary contraction in the absence of visual feedback using either the ipsilateral remembered or contralateral concurrent (CC) hand. We also measured hand strength, dexterity, tactile acuity, and cognition before and after training. RESULTS After the program was completed, participants showed a 35% reduction in absolute (p < 0.01, confidence interval (CI): [7.3, 33.2], effect sizes (ES): 0.87) and constant (p = 0.05, CI: [0.0, 34.9], ES: 0.79) force matching errors in the CC condition. Improvements in dominant hand dexterity (Purdue pegboard test) (p < 0.05, CI: [0.2, 2.4], ES: 0.60) and tactile sensitivity (JVP thresholds) (p < 0.05, CI: [-1.7, -0.1], ES: 0.94), as well as cognition (Trail Making Test B) (p < 0.05, CI: [-24,1. -1.6], ES: 0.30) were also observed post-training. CONCLUSIONS The results suggest that home-hand training can be an effective way to improve force perception among older adults.
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Affiliation(s)
- Rachel N Logue Cook
- Motor Control Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, MI USA
| | - Kathy L Kern
- Motor Control Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, MI USA
| | - Susan H Brown
- Motor Control Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, MI USA.
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3
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Vermette MJ, Prince F, Bherer L, Messier J. Concentrating to avoid falling: interaction between peripheral sensory and central attentional demands during a postural stability limit task in sedentary seniors. GeroScience 2024; 46:1181-1200. [PMID: 37482601 PMCID: PMC10828328 DOI: 10.1007/s11357-023-00860-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 06/25/2023] [Indexed: 07/25/2023] Open
Abstract
Evidence suggests falls and postural instabilities among seniors are attributed to a decline in both the processing of afferent signals (e.g., proprioceptive, vestibular) and attentional resources. We investigated the interaction between the non-visual and attentional demands of postural control in sedentary seniors. Old and young adults performed a postural stability limit task involving a maximal voluntary leaning movement with and without vision as well as a cognitive-attentional subtraction task. These tasks were performed alone (single-task) or simultaneously (dual-task) to vary the sensory-attentional demands. The functional limits of stability were quantified as the maximum center of pressure excursion during voluntary leaning. Seniors showed significantly smaller limits of postural stability compared to young adults in all sensory-attentional conditions. However, surprisingly, both groups of subjects reduced their stability limits by a similar amount when vision was removed. Furthermore, they similarly decreased their anterior-posterior stability limits when concurrently performing the postural and the cognitive-attentional tasks with vision. The overall average cognitive performance of young adults was higher than seniors and was only slightly affected during dual-tasking. In contrast, older adults markedly degraded their cognitive performance from the single- to the dual-task situations, especially when vision was unavailable. Thus, their dual-task costs were higher than those of young adults and increased in the eyes-closed condition, when postural control relied more heavily on non-visual sensory signals. Our findings provide the first evidence that as posture approaches its stability limits, sedentary seniors allot increasingly large cognitive attentional resources to process critical sensory inputs.
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Affiliation(s)
- Marie Julie Vermette
- École de Kinésiologie et des Sciences de l'Activité Physique (EKSAP), Université de Montréal, 2100 Boul. Édouard-Montpetit, Montréal, QC, H3T 1J4, Canada
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), 4545 Chemin Queen Mary, Montréal, QC, H3W 1W5, Canada
| | - François Prince
- Département de Chirurgie, Faculté de Médecine, Université de Montréal, CP6128, Succursale Centre-Ville, Montréal, QC, H3C 3J7, Canada
| | - Louis Bherer
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), 4545 Chemin Queen Mary, Montréal, QC, H3W 1W5, Canada
- Département de Médecine, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada
- Institut de Cardiologie de Montréal, Montréal, QC, Canada
| | - Julie Messier
- École de Kinésiologie et des Sciences de l'Activité Physique (EKSAP), Université de Montréal, 2100 Boul. Édouard-Montpetit, Montréal, QC, H3T 1J4, Canada.
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), 4545 Chemin Queen Mary, Montréal, QC, H3W 1W5, Canada.
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Saenen L, Verheyden G, Orban de Xivry JJ. The differential effect of age on upper limb sensory processing, proprioception, and motor function. J Neurophysiol 2023; 130:1183-1193. [PMID: 37703491 DOI: 10.1152/jn.00364.2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 09/07/2023] [Accepted: 09/13/2023] [Indexed: 09/15/2023] Open
Abstract
Sensory processing consists in the integration and interpretation of somatosensory information. It builds upon proprioception but is a distinct function requiring complex processing by the brain over time. Currently little is known about the effect of aging on sensory processing ability or the influence of other covariates such as motor function, proprioception, or cognition. In this study, we measured upper limb passive and active sensory processing, motor function, proprioception, and cognition in 40 healthy younger adults and 54 older adults. We analyzed age differences across all measures and evaluated the influence of covariates on sensory processing through regression. Our results showed larger effect sizes for age differences in sensory processing (r = 0.38) compared with motor function (r = 0.18-0.22) and proprioception (r = 0.10-0.27) but smaller than for cognition (r = 0.56-0.63). Aside from age, we found no evidence that sensory processing performance was related to motor function or proprioception, but active sensory processing was related to cognition (β = 0.30-0.42). In conclusion, sensory processing showed an age-related decline, whereas some proprioceptive and motor abilities were preserved across age.NEW & NOTEWORTHY Sensory processing consists in the integration and interpretation of sensory information by the brain over time and can be affected by lesion while proprioception remains intact. We investigated how sensory processing can be used to reproduce and identify shapes. We showed that the effect of age on sensory processing is more pronounced than its effect on proprioception or motor function. Age and cognition are related to sensory processing, not proprioception or motor function.
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Affiliation(s)
- Leen Saenen
- Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
| | - Geert Verheyden
- Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
| | - Jean-Jacques Orban de Xivry
- Department of Movement Sciences, KU Leuven, Leuven, Belgium
- Leuven Brain Institute, KU Leuven, Leuven, Belgium
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5
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Tulimieri DT, Semrau JA. Aging increases proprioceptive error for a broad range of movement speed and distance estimates in the upper limb. Front Hum Neurosci 2023; 17:1217105. [PMID: 37886690 PMCID: PMC10598783 DOI: 10.3389/fnhum.2023.1217105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 09/22/2023] [Indexed: 10/28/2023] Open
Abstract
Previous work has identified age-related declines in proprioception within a narrow range of limb movements. It is unclear whether these declines are consistent across a broad range of movement characteristics that more closely represent daily living. Here we aim to characterize upper limb error in younger and older adults across a range of movement speeds and distances. The objective of this study was to determine how proprioceptive matching accuracy changes as a function of movement speed and distance, as well as understand the effects of aging on these accuracies. We used an upper limb robotic test of proprioception to vary the speed and distance of movement in two groups: younger (n = 20, 24.25 ± 3.34 years) and older adults (n = 21, 63 ± 10.74 years). The robot moved one arm and the participant was instructed to mirror-match the movement with their opposite arm. Participants matched seven different movement speeds (0.1-0.4 m/s) and five distances (7.5-17.5 cm) over 350 trials. Spatial (e.g., End Point Error) and temporal (e.g., Peak Speed Ratio) outcomes were used to quantify proprioceptive accuracy. Regardless of the speed or distance of movement, we found that older controls had significantly reduced proprioceptive matching accuracy compared to younger control participants (p ≤ 0.05). When movement speed was varied, we observed that errors in proprioceptive matching estimates of spatial and temporal measures were significantly higher for older adults for all but the slowest tested speed (0.1 m/s) for the majority of parameters. When movement distance was varied, we observed that errors in proprioceptive matching estimates were significantly higher for all distances, except for the longest distance (17.5 cm) for older adults compared to younger adults. We found that the magnitude of proprioceptive matching errors was dependent on the characteristics of the reference movement, and that these errors scaled increasingly with age. Our results suggest that aging significantly negatively impacts proprioceptive matching accuracy and that proprioceptive matching errors made by both groups lies along a continuum that depends on movement characteristics and that these errors are amplified due to the typical aging process.
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Affiliation(s)
- Duncan Thibodeau Tulimieri
- Biomechanics and Movement Science (BIOMS), University of Delaware, Newark, DE, United States
- Department of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, United States
| | - Jennifer A. Semrau
- Biomechanics and Movement Science (BIOMS), University of Delaware, Newark, DE, United States
- Department of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, United States
- Department of Biomedical Engineering, University of Delaware, Newark, DE, United States
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Campoi EG, Campoi HG, Moraes R. The effects of age and postural constraints on prehension. Exp Brain Res 2023:10.1007/s00221-023-06647-0. [PMID: 37256337 DOI: 10.1007/s00221-023-06647-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 05/25/2023] [Indexed: 06/01/2023]
Abstract
Older adults adapt the execution of complex motor tasks to use compensatory strategies in the reaching-to-grasping (i.e., prehension) movement. The presence of postural constraints may exacerbate these compensatory strategies. Therefore, we investigated the reach-to-grasp action with different postural constraints (sitting, standing, and walking) in younger and older people and evaluated the postural stability during the reach-to-grasp action. Thirty individuals (15 younger and 15 older adults) performed the prehension under three postural tasks: sitting, standing, and walking. The reaching movement was slower in the walking task than in the other two postural tasks; however, there was no difference between the age groups. For the grasping action, the older adults presented a larger grip aperture, and the peak grip aperture occurred earlier during hand transportation in sitting and standing tasks. In the standing task, the margin of stability was smaller for older adults. In the walking task, there was no difference between the groups for the margin of stability. Also, prehension during sitting and standing tasks were similar, and both differed from walking across age groups. Finally, older adults reduced their margin of stability compared to younger adults, but only in the standing task. The margin of stability was similar between age groups during the walking task. We concluded that age affected grasping (distal component) but not reaching (proximal component), suggesting that healthy older adults have more difficulty controlling distal than proximal body segments.
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Affiliation(s)
- Eduardo G Campoi
- Biomechanics and Motor Control Lab, School of Physical Education and Sport of Ribeirao Preto, University of Sao Paulo, Av. Bandeirantes, 3900, Ribeirão Preto, SP, 14040-907, Brazil
- Graduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Av. Bandeirantes, 3900, Ribeirão Preto, SP, 14049-900, Brazil
| | - Henrique G Campoi
- Biomechanics and Motor Control Lab, School of Physical Education and Sport of Ribeirao Preto, University of Sao Paulo, Av. Bandeirantes, 3900, Ribeirão Preto, SP, 14040-907, Brazil
- Graduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Av. Bandeirantes, 3900, Ribeirão Preto, SP, 14049-900, Brazil
| | - Renato Moraes
- Biomechanics and Motor Control Lab, School of Physical Education and Sport of Ribeirao Preto, University of Sao Paulo, Av. Bandeirantes, 3900, Ribeirão Preto, SP, 14040-907, Brazil.
- Graduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Av. Bandeirantes, 3900, Ribeirão Preto, SP, 14049-900, Brazil.
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Oleksy Ł, Królikowska A, Mika A, Reichert P, Kentel M, Kentel M, Poświata A, Roksela A, Kozak D, Bienias K, Smoliński M, Stolarczyk A, Mikulski M. A Reliability of Active and Passive Knee Joint Position Sense Assessment Using the Luna EMG Rehabilitation Robot. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15885. [PMID: 36497961 PMCID: PMC9739924 DOI: 10.3390/ijerph192315885] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2022] [Revised: 11/21/2022] [Accepted: 11/25/2022] [Indexed: 06/17/2023]
Abstract
Joint position sense (JPS) is the awareness of joint location in space, indicating accuracy and precision of the movement. Therefore, the aim of the present study is to determine the reliability of active and passive JPS assessment regarding the knee joint. This was carried out using the Luna EMG rehabilitation robot. Further analysis assessed whether the examination of only the dominant site is justified and if there are differences between sites. The study comprised 24 healthy male participants aged 24.13 ± 2.82 years, performing sports at a recreational level. Using the Luna EMG rehabilitation robot, JPS tests were performed for the right and left knees during flexion and extension in active and passive mode, in two separate sessions with a 1-week interval. Both knee flexion and extension in active and passive modes demonstrated high reliability (ICC = 0.866-0.982; SEM = 0.63-0.31). The mean JPS angle error did not differ significantly between the right and left lower limbs (p < 0.05); however, no between-limb correlation was noted (r = 0.21-0.34; p > 0.05). The Bland-Altman plots showed that the between-limb bias was minimal, with relatively wide limits of agreement. Therefore, it was concluded that the Luna EMG rehabilitation robot is a reliable tool for active and passive knee JPS assessment. In our study, JPS angle error did not differ significantly between left and right sides; however, the slight asymmetry was observed (visible in broad level of agreement exceeding 5° in Bland-Altman plots), what may suggest that in healthy subjects, e.g., active athletes, proprioception should always be assessed on both sides.
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Affiliation(s)
- Łukasz Oleksy
- Department of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College Krakow, 31-008 Krakow, Poland
- Oleksy Medical & Sport Sciences, 37-100 Łańcut, Poland
| | - Aleksandra Królikowska
- Ergonomics and Biomedical Monitoring Laboratory, Department of Physiotherapy, Faculty of Health Sciences, Wrocław Medical University, 50-368 Wrocław, Poland
| | - Anna Mika
- Institute of Clinical Rehabilitation, University of Physical Education in Kraków, 31-571 Kraków, Poland
| | - Paweł Reichert
- Department of Trauma Surgery, Clinical Department of Trauma and Hand Surgery, Faculty of Medicine, Wrocław Medical University, 50-368 Wrocław, Poland
| | | | | | | | - Anna Roksela
- Faculty of Automatic Control, Electronics and Computer Science, Silesian University of Technology, 44-100 Gliwice, Poland
| | | | | | - Marcel Smoliński
- Faculty of Automatic Control, Electronics and Computer Science, Silesian University of Technology, 44-100 Gliwice, Poland
| | - Artur Stolarczyk
- Department of Orthopaedics and Rehabilitation, Medical Faculty, Medical University of Warsaw, 02-091 Warsaw, Poland
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Abedi R, Talimkhani A, Mohammadzadeh Z, Daryabor A, Naimi SS. The impact of anodal transcranial direct current stimulation of primary motor cortex on motor learning in older adults with low levels of activity. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2022. [DOI: 10.12968/ijtr.2021.0158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background/aims Older adults with different physical activity levels have often demonstrated individual differences in motor performance and learning. Serial reaction time task training and anodal transcranial direct current stimulation of the primary motor cortex were used in this study to evaluate how these interventions affected motor learning in older adults with low activity levels. Methods In this randomised controlled trial, 28 healthy, right-handed, older adults with low activity levels, with a mean age of 69.92 years, were randomly allocated to an anodal transcranial direct current stimulation group (n=14) or sham transcranial direct current stimulation group (n=14), based on a simple non-probability sampling method. The experimental group was exposed to 20 minutes of anodal transcranial direct current stimulation of the motor cortex, using a tDCS device, alongside eight sequenced or randomised blocks of serial reaction time task activities, for 5 consecutive days. In the control group, the tDCS device was automatically switched off after 1 minute. To assess implicit motor learning, the response time and error rate of two sequenced blocks of serial reaction time task activities were collected before, immediately following, 1 day and 1 week after the completion of the intervention. Results Immediately following the end of the intervention, at day 5, the mean response time and error rate were 925.09 and 2.55 in the experimental group, and 1016.52 and 4.10 in the control group. At 1 day after the completion of the intervention, the mean response time and error rates were 927.40 and 3.03 in the experimental group and 1021.91 and 4.34 in the control group. At 1 week after the completion of the intervention, the mean response time and error rates were 942.26 and 3.63 in the experimental group and 1050.08 and 5.11 in the control group. These findings indicate that response time and error rate were significantly decreased in both stimulation groups at different time points (P<0.001). At the same time, there were no significant differences in the response time and error rate between the two groups at different time points: immediately (P=0.07, P=0.31), 1 day (P=0.06, P=0.41) and 1 week (P=0.04, P=0.35) after the completion of the intervention respectively. Conclusions Serial reaction time task training, with or without applying anodal transcranial direct current stimulation, can improve motor learning in low-activity older adults. Therefore, it appears that anodal transcranial direct current stimulation did not affect or improve motor learning in older adults with low motor activity. Motor learning training can be used alone as a practical and helpful intervention to improve performance and implicit motor skill learning with long-lasting effects in older adults with low levels of activity.
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Affiliation(s)
- Razieh Abedi
- Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ailin Talimkhani
- Department of Physiotherapy, School of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Zahra Mohammadzadeh
- Institute for Cognitive and Brain Science, Shahid Beheshti University, Tehran, Iran
| | - Aliyeh Daryabor
- Physiotherapy Research Center, Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sedigheh Sadat Naimi
- Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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9
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Lee KW, Kang SH, Lim SC. Simple and Reliable Position Sense Assessment under Different External Torques: Toward Developing a Post-stroke Proprioception Evaluation Device. IEEE Trans Neural Syst Rehabil Eng 2022; 30:823-832. [PMID: 35324443 DOI: 10.1109/tnsre.2022.3161948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Evaluation of position sense post-stroke is essential for rehabilitation. Position sense may be an output of a process needing position information, external torque, and the sense of effort. Even for healthy individuals, it is unclear whether external torque affects position sense. Thus, evaluation of position sense under different external torques in clinical settings is strongly needed. However, simple devices for measuring position sense under different external torques in clinical settings are lacking. Technologically advanced devices that may evaluate the elbow position sense under different torques were reported to be infeasible clinically because of device complexity and the need for technical experts when analyzing data. To address the unmet need, in this study, a simple and light elbow position sense measurement device was developed that allows clinicians to measure elbow position sense under different external torques in the form of position matching error objectively without any technical difficulties. The feasibility of the device, including intra-session intra-rater reliability and test-retest reliability over two consecutive days, was verified to be clinically applicable using tests with 25 healthy subjects. Thanks to its ease of use, high reliability, and ease of data analysis, it is expected that the device can help to evaluate the position sense post-stroke comprehensively.
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10
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Logue RN, Goldenkoff ER, Vesia M, Brown SH. Measuring hand sensory function and force control in older adults: Are current hand assessment tools enough? J Gerontol A Biol Sci Med Sci 2021; 77:1405-1412. [PMID: 34908115 DOI: 10.1093/gerona/glab368] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The ability to grasp and manipulate objects is essential for performing activities of daily living. However, there is limited information regarding age-related behavioral differences in hand sensorimotor function due, in part, to the lack of assessment tools capable of measuring subtle but important differences in hand function. The purpose of this study was to demonstrate performance differences in submaximal force control and tactile pattern recognition in healthy older adults using two custom-designed sensorimotor assessment tools. METHODS Sensorimotor function was assessed in 13 healthy older adults (mean age 72.2 ±5.5y, range: 65-84y) and 13 young adults (mean age 20 ±1.4y, range: 19-23y). Clinical assessments included the Montreal Cognitive Assessment (MoCA), monofilament testing, maximum voluntary contraction (MVC), and Grooved Pegboard Test. Sensorimotor assessments included submaximal (5, 20% MVC) grip force step-tracking and tactile pattern recognition tasks. RESULTS Clinical assessments revealed no or minimal group differences in MVC, monofilament thresholds, and MoCA. However, sensorimotor assessments showed that older adults took longer to discriminate tactile patterns and had poorer accuracy than young adults. Older adults also produced submaximal forces less smoothly than young adults at the 20% force level while greater variability in force maintenance was seen at 5% but not 20% MVC. CONCLUSIONS These results demonstrate the ability to integrate higher-order tactile information and control low grip forces is impaired in older adults despite no differences in grip strength or cognition. These findings underscore the need for more sensitive evaluation methods that focus on sensorimotor ability reflective of daily activities.
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Affiliation(s)
- Rachel N Logue
- Motor Control Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA
| | - Elana R Goldenkoff
- Brain Behavior Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA
| | - Michael Vesia
- Brain Behavior Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA
| | - Susan H Brown
- Motor Control Laboratory, School of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA
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11
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Chandrasekaran S, Hibino H, Gorniak SL, Layne CS, Johnston CA. Fear of Falling: Significant Barrier in Fall Prevention Approaches. Am J Lifestyle Med 2021; 15:598-601. [PMID: 34916878 PMCID: PMC8669901 DOI: 10.1177/15598276211035360] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Fear of falling is a critical component in fall prevention approaches; however, it is often overlooked in the majority of fall prevention exercises. Alternative fall prevention approaches that take fear of falling into account are necessary. This article discusses fall prevention activities that are feasible for individuals with limited mobility who have an increased fear of falling. Health care providers should consider the degree to which a patient has a fear of falling and recommend activities that fit most to their patient's comfort level.
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Affiliation(s)
| | - Hidetaka Hibino
- Department of Health and Human Performance, University of Houston, Houston, TX, USA (SC, HH, SLG, CSL, CAJ)
| | - Stacey L. Gorniak
- Department of Health and Human Performance, University of Houston, Houston, TX, USA (SC, HH, SLG, CSL, CAJ)
| | - Charles S. Layne
- Department of Health and Human Performance, University of Houston, Houston, TX, USA (SC, HH, SLG, CSL, CAJ)
| | - Craig A. Johnston
- Department of Health and Human Performance, University of Houston, Houston, TX, USA (SC, HH, SLG, CSL, CAJ)
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12
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Acosta-Sojo Y, Martin BJ. Age-related differences in proprioceptive asymmetries. Neurosci Lett 2021; 757:135992. [PMID: 34051338 DOI: 10.1016/j.neulet.2021.135992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 05/18/2021] [Accepted: 05/24/2021] [Indexed: 10/21/2022]
Abstract
Age-related differences in proprioceptive asymmetries have received little attention. This study aimed to determine differences in asymmetry of the right/left upper limb proprioceptive systems between younger and older adults. Asymmetries were compared in two "eyes closed" experiments involving the same elbow joints. Position sense was tested in two matching conditions: ipsilateral remembered and contralateral concurrent. Movement sense was tested while reproducing with the opposite forearm the illusory movement elicited by distal tendon vibration applied to the reference forearm. Older adults exhibited a larger error when matching with the non-dominant than dominant forearm in the ipsilateral remembered condition and a disparate asymmetry in the contralateral condition when compared to younger adults. In addition, in older adults, the velocity of reproduced illusory movements was slower, and asymmetry in movement perception was not significant. The difference in proprioceptive asymmetry between younger and older adults might be attributed to a significant reduction of the sensory system gain affecting, more particularly, the left non-dominant arm sensory system via several physiological and neurophysiological mechanisms.
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Affiliation(s)
- Yadrianna Acosta-Sojo
- Center for Ergonomics, Department of Industrial and Operations Engineering, University of Michigan, 1205 Beal Ave., Ann Arbor, MI, 48109, USA.
| | - Bernard J Martin
- Center for Ergonomics, Department of Industrial and Operations Engineering, University of Michigan, 1205 Beal Ave., Ann Arbor, MI, 48109, USA
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13
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Coffman CR, Capaday C, Darling WG. Proprioceptive Acuity is Enhanced During Arm Movements Compared to When the Arm is Stationary: A Study of Young and Older Adults. Neuroscience 2021; 466:222-234. [PMID: 33905823 DOI: 10.1016/j.neuroscience.2021.04.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 04/09/2021] [Accepted: 04/18/2021] [Indexed: 11/19/2022]
Abstract
Proprioception in old age is thought to be poorer due to degeneration of the central (CNS) and peripheral nervous systems (PNS). We tested whether community-dwelling older adults (65-83 years) make larger proprioceptive errors than young adults (18-22 years) using a natural reaching task. Subjects moved the right arm to touch the index fingertip to the stationary or moving left index fingertip. The range of locations of the target index fingertip was large, sampling the natural workspace of the human arm. The target arm was moved actively by the subject or passively by the experimenter and reaching arm movements towards the target were made under visual guidance, or with vision blocked (proprioceptive guidance). Subjects did not know the direction or speed of upcoming target hand motion in the passive conditions. Mean 3D distance errors between the right and left index finger tips were small in both groups and only slightly larger when vision was blocked than when allowed, but averaged 2-5 mm larger in older than in younger adults in moving (p = 0.002) and stationary (p = 0.07) conditions, respectively. Variable errors were small and similar in the two groups (p > 0.35). Importantly, clearly larger errors were observed for reaching to the stationary than to the moving index fingertip in both groups, demonstrating that dynamic proprioceptive information during movement permits more accurate localization of the endpoint of the moving arm. This novel finding demonstrates the importance of dynamic proprioceptive information in movement guidance and bimanual coordination.
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Affiliation(s)
- Christopher R Coffman
- Department of Health and Human Physiology Motor Control Laboratory, University of Iowa 225 S Grand Ave, Iowa City, IA 52242 United States
| | - Charles Capaday
- Department of Health and Human Physiology Motor Control Laboratory, University of Iowa 225 S Grand Ave, Iowa City, IA 52242 United States
| | - Warren G Darling
- Department of Health and Human Physiology Motor Control Laboratory, University of Iowa 225 S Grand Ave, Iowa City, IA 52242 United States.
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14
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Pinto SM, Cheung JPY, Samartzis D, Karppinen J, Zheng YP, Pang MYC, Wong AYL. Differences in Proprioception Between Young and Middle-Aged Adults With and Without Chronic Low Back Pain. Front Neurol 2020; 11:605787. [PMID: 33408687 PMCID: PMC7779670 DOI: 10.3389/fneur.2020.605787] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Accepted: 11/24/2020] [Indexed: 11/13/2022] Open
Abstract
Introduction: While young adults with chronic low back pain (CLBP) exhibit impaired lumbar proprioception, it remains unclear if the same phenomenon is observed in middle-aged adults with CLBP. Objectives: This study aimed to investigate whether young or middle-aged adults with CLBP displayed different proprioception ability as compared to age-matched asymptomatic controls. Methods: Sixty-four young adults with [median age:34 [interquartile range (IQR): 29-37] years] and without [median age:29 (IQR; 23-34) years] CLBP, and 87 middle-aged adults with [median age:53 (IQR: 49-58) years] and without [median age: 54 (IQR: 45-64) years] CLBP underwent postural sway tests on a force-plate with (unstable surface) and without a foam (stable surface), while bilateral L5/S1 multifidi and triceps-surae were vibrated separately. An individual's proprioception reweighting ability was estimated by relative proprioceptive reweighting (RPW). Higher RPW values indicate less reliance on lumbar multifidus proprioceptive signals for balance. Participants also underwent lumbar repositioning tests in sitting to determine repositioning errors in reproducing target lumbar flexion/extension positions. Results: Young adults with CLBP demonstrated significantly higher median RPW values than age-matched asymptomatic controls for maintaining standing balance [stable surface: CLBP: 0.9 (IQR: 0.7-0.9), asymptomatic: 0.7 (IQR: 0.6-0.8), p < 0.05; unstable surface: CLBP: 0.6 (IQR: 0.4-0.8), asymptomatic: 0.5 (IQR: 0.3-0.7), p < 0.05]. No significant differences in repositioning error were noted between young or middle-aged adults with and without CLBP (p > 0.05). RPW values were unrelated to repositioning errors in all groups (p > 0.05). Conclusion: Young adults with CLBP, and middle-aged adults with and without CLBP had inferior proprioceptive reweighting capability. This finding may indicate potential age-related deterioration in central and peripheral processing of lumbar proprioceptive signals. Future studies should use advanced imaging and/or electroencephalogram to determine mechanisms underlying changes in proprioceptive reweighting in middle-aged adults.
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Affiliation(s)
- Sabina M. Pinto
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China
| | - Jason P. Y. Cheung
- Department of Orthopedics and Traumatology, The University of Hong Kong, Hong Kong, China
| | - Dino Samartzis
- Department of Orthopedics Surgery, Rush University Medical Center, Chicago, IL, United States
- International Spine Research and Innovation Initiative, Rush University Medical Center, Chicago, IL, United States
| | - Jaro Karppinen
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
- Rehabilitation Services of South Karelia Social and Health Care District, Lappeenranta, Finland
| | - Yong-ping Zheng
- Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China
| | - Marco Y. C. Pang
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China
| | - Arnold Y. L. Wong
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China
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15
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Kitchen NM, Miall RC. Adaptation of reach action to a novel force-field is not predicted by acuity of dynamic proprioception in either older or younger adults. Exp Brain Res 2020; 239:557-574. [PMID: 33315127 PMCID: PMC7936968 DOI: 10.1007/s00221-020-05997-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 11/24/2020] [Indexed: 11/25/2022]
Abstract
Healthy ageing involves degeneration of the neuromuscular system which impacts movement control and proprioception. Yet the relationship between these sensory and motor deficits in upper limb reaching has not been examined in detail. Recently, we reported that age-related proprioceptive deficits were unrelated to accuracy in rapid arm movements, but whether this applied in motor tasks more heavily dependent on proprioceptive feedback was not clear. To address this, we have tested groups of younger and older adults on a force-field adaptation task under either full or limited visual feedback conditions and examined how performance was related to dynamic proprioceptive acuity. Adaptive performance was similar between the age groups, regardless of visual feedback condition, although older adults showed increased after-effects. Physically inactive individuals made larger systematic (but not variable) proprioceptive errors, irrespective of age. However, dynamic proprioceptive acuity was unrelated to adaptation and there was no consistent evidence of proprioceptive recalibration with adaptation to the force-field for any group. Finally, in spite of clear age-dependent loss of spatial working memory capacity, we found no relationship between memory capacity and adaptive performance or proprioceptive acuity. Thus, non-clinical levels of deficit in dynamic proprioception, due to age or physical inactivity, do not affect force-field adaptation, even under conditions of limited visual feedback that might require greater proprioceptive control.
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Affiliation(s)
- Nick M Kitchen
- School of Psychology, University of Birmingham, Birmingham, UK.
- Department of Speech and Hearing Science, University of Washington, Seattle, WA, USA.
| | - R Chris Miall
- School of Psychology, University of Birmingham, Birmingham, UK
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16
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Bahmad S, Miller LE, Pham MT, Moreau R, Salemme R, Koun E, Farnè A, Roy AC. Online proprioception feeds plasticity of arm representation following tool-use in healthy aging. Sci Rep 2020; 10:17275. [PMID: 33057121 PMCID: PMC7560613 DOI: 10.1038/s41598-020-74455-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 09/28/2020] [Indexed: 01/09/2023] Open
Abstract
Following tool-use, the kinematics of free-hand movements are altered. This modified kinematic pattern has been taken as a behavioral hallmark of the modification induced by tool-use on the effector representation. Proprioceptive inputs appear central in updating the estimated effector state. Here we questioned whether online proprioceptive modality that is accessed in real time, or offline, memory-based, proprioception is responsible for this update. Since normal aging affects offline proprioception only, we examined a group of 60 year-old adults for proprioceptive acuity and movement's kinematics when grasping an object before and after tool-use. As a control, participants performed the same movements with a weight-equivalent to the tool-weight-attached to their wrist. Despite hampered offline proprioceptive acuity, 60 year-old participants exhibited the typical kinematic signature of tool incorporation: Namely, the latency of transport components peaks was longer and their amplitude reduced after tool-use. Instead, we observed no kinematic modifications in the control condition. In addition, online proprioception acuity correlated with tool incorporation, as indexed by the amount of kinematics changes observed after tool-use. Altogether, these findings point to the prominent role played by online proprioception in updating the body estimate for the motor control of tools.
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Affiliation(s)
- Salam Bahmad
- Laboratoire Dynamique du Langage, CNRS UMR 5596, University Lyon 2, Lyon, France. .,Integrative Multisensory Perception Action & Cognition Team-ImpAct, Lyon Neuroscience Research Center CRNL INSERM U1028, CNRS UMR5292, University UCBL Lyon 1, Lyon, France. .,University of Lyon, Lyon, France. .,, 16 Avenue du Doyen Jean Lépine, 69500, Bron, France.
| | - Luke E Miller
- Integrative Multisensory Perception Action & Cognition Team-ImpAct, Lyon Neuroscience Research Center CRNL INSERM U1028, CNRS UMR5292, University UCBL Lyon 1, Lyon, France.,University of Lyon, Lyon, France
| | - Minh Tu Pham
- Laboratoire Ampère, CNRS UMR5005, INSA Lyon, Univ Lyon, 69621, Villeurbanne, France
| | - Richard Moreau
- Laboratoire Ampère, CNRS UMR5005, INSA Lyon, Univ Lyon, 69621, Villeurbanne, France
| | - Romeo Salemme
- Integrative Multisensory Perception Action & Cognition Team-ImpAct, Lyon Neuroscience Research Center CRNL INSERM U1028, CNRS UMR5292, University UCBL Lyon 1, Lyon, France.,University of Lyon, Lyon, France.,Hospices Civils de Lyon, Mouvement et Handicap & Neuro-immersion, Lyon, France
| | - Eric Koun
- Integrative Multisensory Perception Action & Cognition Team-ImpAct, Lyon Neuroscience Research Center CRNL INSERM U1028, CNRS UMR5292, University UCBL Lyon 1, Lyon, France.,University of Lyon, Lyon, France.,Hospices Civils de Lyon, Mouvement et Handicap & Neuro-immersion, Lyon, France
| | - Alessandro Farnè
- Integrative Multisensory Perception Action & Cognition Team-ImpAct, Lyon Neuroscience Research Center CRNL INSERM U1028, CNRS UMR5292, University UCBL Lyon 1, Lyon, France.,University of Lyon, Lyon, France.,Hospices Civils de Lyon, Mouvement et Handicap & Neuro-immersion, Lyon, France.,Center for Mind/Brain Sciences (CIMeC), University of Trento, Rovereto, Italy
| | - Alice C Roy
- Laboratoire Dynamique du Langage, CNRS UMR 5596, University Lyon 2, Lyon, France.,Integrative Multisensory Perception Action & Cognition Team-ImpAct, Lyon Neuroscience Research Center CRNL INSERM U1028, CNRS UMR5292, University UCBL Lyon 1, Lyon, France.,Center for Mind/Brain Sciences (CIMeC), University of Trento, Rovereto, Italy
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17
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Hibino H, Gorniak SL. Effects of aging on rapid grip force responses during bimanual manipulation of an active object. Exp Brain Res 2020; 238:2161-2178. [PMID: 32661648 PMCID: PMC10103105 DOI: 10.1007/s00221-020-05865-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Accepted: 07/01/2020] [Indexed: 12/17/2022]
Abstract
Rapid grip force responses to unexpected pulling loads on the fingertips are deteriorated in older adults due to, in part, age-related declines in somatosensory function. Such reports are limited to one-hand conditions despite the higher frequency of using two hands together in daily living activities of older adults. Unexpected perturbations during bimanual movements elicit goal-oriented and cortically-meditated bilateral rapid motor responses. Since aging is associated with declined somatosensory and cognitive functions, we hypothesized that bilateral rapid motor responses differ between young and older adults, such that older adults exert stronger grip forces following perturbation and the unperturbed hand is more involved in stabilizing the object in older adults. We tested our hypothesis by comparing the rapid grip force responses of both hands in young and older adults. A total of 13 right-handed young individuals (24.2 ± 4.0 years old, 5 men) and 13 right-handed older individuals (68.7 ± 7.1 years old, 5 men) were recruited. Tactile detection threshold, fingertip friction, and the rapid grip force responses of both hands triggered by unpredicted pulling loads during grip-lift movements were assessed. Older adults had higher tactile detection thresholds and lower fingertip friction compared to young adults. Regardless of age, rapid motor responses were found in both the perturbed (right) hand and the indirectly perturbed (left) hand at 73 ms and 135 ms after the perturbation, respectively, while magnitudes of the responses depended on perturbation magnitudes. Higher values in maximum grip force and maximum grip force rate were found in older adults as compared to young adults. In older adults, the indirectly perturbed (left) hand was more involved in stabilizing the object as compared to young healthy adults. The current study suggests that age-related changes in the peripheral and central nervous systems contribute to the greater involvement of the indirectly perturbed hand in older adults.
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Affiliation(s)
- Hidetaka Hibino
- Department of Health and Human Performance, University of Houston, 3855 Holman St., Garrison 104, Houston, TX, 77204-6015, USA
| | - Stacey L Gorniak
- Department of Health and Human Performance, University of Houston, 3855 Holman St., Garrison 104, Houston, TX, 77204-6015, USA.
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18
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Horváth Á, Ragó A, Ferentzi E, Körmendi J, Köteles F. Short-term retention of proprioceptive information. Q J Exp Psychol (Hove) 2020; 73:2148-2157. [PMID: 32972307 PMCID: PMC7672777 DOI: 10.1177/1747021820957147] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The Joint Position Reproduction test (JPR), one of the most widely used measurements to estimate proprioceptive accuracy, requires the short term storage of proprioceptive information. It has been suggested that visuospatial sketchpad plays a fundamental role in the memorization of proprioceptive information. The current study aimed to investigate this assumption. To do so, we developed and used a novel JPR protocol to measure the retention capacity with respect to sequences of different positions. Our goal was to develop the original task further to make it comparable with other widely used short-term memory measurements, in which the memory capacity was determined by the number of the items participants retain (memory span). We compared participants’ (N=39) performance in this task to that of results of Corsi block-tapping task (capacity of the visuospatial sketchpad) and Digit span task (capacity of the phonological loop). Proprioceptive memory capacity did not correlate either with spatial or verbal memory capacity. The exploratory analysis revealed that proprioceptive span correlated positively with the performance if 5 joint positions had to be retained. Further associations with verbal span for 6 or 7 positions, and spatial span for 5 positions were found. Our findings do not support the idea that visuospatial sketchpad plays a fundamental role in the storage of proprioceptive information. The independence of span measures indicates that proprioceptive information might be stored in a subsystem independent of the visuospatial sketchpad or phonological loop.
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Affiliation(s)
- Áron Horváth
- Doctoral School of Psychology, Eötvös Loránd University (ELTE), Budapest, Hungary.,Institute of Health Promotion and Sport Sciences, Eötvös Loránd University (ELTE), Budapest, Hungary
| | - Anett Ragó
- Institute of Psychology, Eötvös Loránd University (ELTE), Budapest, Hungary
| | - Eszter Ferentzi
- Institute of Health Promotion and Sport Sciences, Eötvös Loránd University (ELTE), Budapest, Hungary
| | - János Körmendi
- Institute of Health Promotion and Sport Sciences, Eötvös Loránd University (ELTE), Budapest, Hungary
| | - Ferenc Köteles
- Institute of Health Promotion and Sport Sciences, Eötvös Loránd University (ELTE), Budapest, Hungary
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19
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Yang N, Waddington G, Adams R, Han J. Joint position reproduction and joint position discrimination at the ankle are not related. Somatosens Mot Res 2020; 37:97-105. [PMID: 32281906 DOI: 10.1080/08990220.2020.1746638] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2019] [Accepted: 03/20/2020] [Indexed: 10/24/2022]
Abstract
Purpose: Limited data in current literature can be found on the relation between the two commonly-used active proprioception assessment methods -active joint position reproduction (JPR) and active movement extent discrimination assessment (AMEDA). The current study compared the two active methods, JPR and AMEDA, to investigate their interrelationship over two studies that differed in task difficulty, using active ankle inversion movements made in weight-bearing to maximise ecological validity.Methods: 50 participants volunteered in this research, 20 of whom on a harder protocol and the other 30 on an easier protocol, were tested by both methods, JPR and AMEDA. Proprioceptive acuity was represented by absolute error (AE) and variable error (VE) for JPR and by AE and the area under the curve (AUC) for AMEDA.Results: Proprioceptive acuity scores are found to be significantly correlated within test methods but not between methods for either hard or easy tasks, where JPR AE and VE scores were not correlated with either AMEDA AE or AUC. Further, proprioceptive acuity scores were significantly higher on the easy task when tested with the AMEDA method, but not with JPR method.Conclusion: Scores obtained from the two active movement proprioception tests, movement extent discrimination and joint position reproduction, were not significantly correlated. Taken together with previous findings, these results show that for proprioception, scores from the three classical psychophysical methods for measuring sensitivity (adjustment, limits and constant stimuli) are not correlated with each other. This suggests that each proprioception measurement system assesses a different aspect of proprioception.
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Affiliation(s)
- Nan Yang
- International Education School, Shanghai University of Sport, Shanghai, China
- Faculty of Health, University of Canberra, Canberra, Australia
| | | | - Roger Adams
- Faculty of Health, University of Canberra, Canberra, Australia
| | - Jia Han
- School of Kinesiology, Shanghai University of Sport, Shanghai, China
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20
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Li L, Li Y, Wu C, Zhang X. Test-retest reliability of tip, key, and palmar pinch force sense in healthy adults. BMC Musculoskelet Disord 2020; 21:189. [PMID: 32216796 PMCID: PMC7099785 DOI: 10.1186/s12891-020-3187-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Accepted: 03/03/2020] [Indexed: 11/19/2022] Open
Abstract
Background No previous studies have investigated the test–retest reliability of tip, key, and palmar pinch force sense in healthy adults. The present study explores the test-retest reliability of tip, key, and palmar pinch force sense for different force levels in healthy adults during an ipsilateral force reproduction task. Methods Fifty-six healthy subjects were instructed to produce varying levels of reference forces (10, 30, and 50% maximal voluntary isometric contraction (MVIC)) using three types of pinches (tip pinch, palmar pinch, and key pinch) and to reproduce these forces using the same hand. The subjects were tested twice by the same experienced testers, 1 week apart. Results Based on the high values of the intraclass correlation coefficient (ICC), the tip pinch (0.783–0.895) and palmar pinch (0.752–0.903) force sense tests demonstrated good reliability for all the variables. The ICCs for the key pinch (0.712–0.881) indicated fair to good relative test-retest reliability. Conclusion 1) This study demonstrates that high test-retest reliability of tip, key, and palmar pinch force sense in healthy adults can be achieved using standardized positioning and the proposed approach. 2) According to the reliability measurements, 30 and 50% maximal voluntary isometric contraction (MVIC) are the most reliable pinch force sense levels.
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Affiliation(s)
- Lin Li
- Department of Physical Education, Renmin University of China, Beijing, People's Republic of China
| | - Yanxia Li
- College of Physical Education, Langfang Teachers University, Langfang, Hebei, 065000, People's Republic of China.
| | - Changhong Wu
- College of Physical Education, Langfang Teachers University, Langfang, Hebei, 065000, People's Republic of China
| | - Xinyan Zhang
- School of Sociology and Population Studies, Renmin University of China, Beijing, People's Republic of China
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21
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Georgarakis AM, Sonar HA, Rinderknecht MD, Popp WL, Duarte JE, Lambercy O, Paik J, Martin BJ, Riener R, Klamroth-Marganska V. Age-Dependent Asymmetry of Wrist Position Sense Is Not Influenced by Stochastic Tactile Stimulation. Front Hum Neurosci 2020; 14:65. [PMID: 32194386 PMCID: PMC7063068 DOI: 10.3389/fnhum.2020.00065] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Accepted: 02/12/2020] [Indexed: 12/26/2022] Open
Abstract
Stochastic stimulation has been shown to improve movement, balance, the sense of touch, and may also improve position sense. This stimulation can be non-invasive and may be a simple technology to enhance proprioception. In this study, we investigated whether sub-threshold stochastic tactile stimulation of mechanoreceptors reduces age-related errors in wrist position estimation. Fifteen young (24.5±1.5y) and 23 elderly (71.7±7.3y) unimpaired, right-handed adults completed a wrist position gauge-matching experiment. In each trial, the participant's concealed wrist was moved to a target position between 10 and 30° of wrist flexion or extension by a robotic manipulandum. The participant then estimated the wrist's position on a virtual gauge. During half of the trials, sub-threshold stochastic tactile stimulation was applied to the wrist muscle tendon areas. Stochastic stimulation did not significantly influence wrist position sense. In the elderly group, estimation errors decreased non-significantly when stimulation was applied compared to the trials without stimulation [mean constant error reduction Δμ(θconof)=0.8° in flexion and Δμ(θconoe)=0.7° in extension direction, p = 0.95]. This effect was less pronounced in the young group [Δμ(θcony)=0.2° in flexion and in extension direction, p = 0.99]. These improvements did not yield a relevant effect size (Cohen's d < 0.1). Estimation errors increased with target angle magnitude in both movement directions. In young participants, estimation errors were non-symmetric, with estimations in flexion [μ(θconyf)=1.8°, σ(θconyf)=7.0°] being significantly more accurate than in extension [μ(θconye)=8.3°, σ(θconye)=9.3°, p < 0.01]. This asymmetry was not present in the elderly group, where estimations in flexion [μ(θconof)=7.5°, σ(θconof)=9.8°] were similar to extension [μ(θconoe)=7.7°, σ(θconoe)=9.3°]. Hence, young and elderly participants performed equally in extension direction, whereas wrist position sense in flexion direction deteriorated with age (p < 0.01). Though unimpaired elderly adults did not benefit from stochastic stimulation, it cannot be deduced that individuals with more severe impairments of their sensory system do not profit from this treatment. While the errors in estimating wrist position are symmetric in flexion and extension in elderly adults, young adults are more accurate when estimating wrist flexion, an effect that has not been described before.
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Affiliation(s)
- Anna-Maria Georgarakis
- Sensory-Motor Systems (SMS) Lab, Department of Health Sciences and Technology (D-HEST), Institute of Robotics and Intelligent Systems (IRIS), ETH Zurich, Zurich, Switzerland.,Reharobotics Group, Medical Faculty, Spinal Cord Injury Center, Balgrist University Hospital, University of Zurich, Zurich, Switzerland
| | - Harshal A Sonar
- Reconfigurable Robotics Laboratory (RRL), Institute of Mechanical Engineering, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Mike D Rinderknecht
- Rehabilitation Engineering Laboratory (RELab), Department of Health Sciences and Technology (D-HEST), Institute of Robotics and Intelligent Systems (IRIS), ETH Zurich, Zurich, Switzerland
| | - Werner L Popp
- Rehabilitation Engineering Laboratory (RELab), Department of Health Sciences and Technology (D-HEST), Institute of Robotics and Intelligent Systems (IRIS), ETH Zurich, Zurich, Switzerland
| | - Jaime E Duarte
- Sensory-Motor Systems (SMS) Lab, Department of Health Sciences and Technology (D-HEST), Institute of Robotics and Intelligent Systems (IRIS), ETH Zurich, Zurich, Switzerland.,Reharobotics Group, Medical Faculty, Spinal Cord Injury Center, Balgrist University Hospital, University of Zurich, Zurich, Switzerland
| | - Olivier Lambercy
- Rehabilitation Engineering Laboratory (RELab), Department of Health Sciences and Technology (D-HEST), Institute of Robotics and Intelligent Systems (IRIS), ETH Zurich, Zurich, Switzerland
| | - Jamie Paik
- Reconfigurable Robotics Laboratory (RRL), Institute of Mechanical Engineering, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Bernard J Martin
- Department of Industrial and Operations Engineering (IOE), Center for Ergonomics, University of Michigan, Ann Arbor, MI, United States
| | - Robert Riener
- Sensory-Motor Systems (SMS) Lab, Department of Health Sciences and Technology (D-HEST), Institute of Robotics and Intelligent Systems (IRIS), ETH Zurich, Zurich, Switzerland
| | - Verena Klamroth-Marganska
- Sensory-Motor Systems (SMS) Lab, Department of Health Sciences and Technology (D-HEST), Institute of Robotics and Intelligent Systems (IRIS), ETH Zurich, Zurich, Switzerland.,Reharobotics Group, Medical Faculty, Spinal Cord Injury Center, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.,School of Health Professions, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland
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22
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Kulkarni MS, Alaparthi GK, Krishnan S, Ramakrishna A, Acharya V. Reference value for the six-minute peg board and ring test. A cross sectional study. Multidiscip Respir Med 2020; 15:670. [PMID: 32549984 PMCID: PMC7282424 DOI: 10.4081/mrm.2020.670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Accepted: 05/03/2020] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION In our daily life, arm activities, whether supported or unsupported play a major role. Both simple and complex activities require the muscles, namely trapezius, pectoralis minor, scalene, and intercostals, to participate in arm positioning. These muscles also enact as the accessory respiratory muscles. Therefore, arm elevation increases the load on these muscles and they fail to perform dual activities, resulting in arm fatigue and a feeling of dyspnoea in healthy individuals as well as in chronic obstructive pulmonary disease patients. Various upper limb exercise tests were designed to measure this impairment, one of them being the six-minute peg board and ring test. The aim of the study is to derive a reference value for the six-minute peg board and ring test among healthy Indian population (Mangalore) from the age of 20-70 years of either gender. Also, to find a correlation among the number of rings and body mass index, arm length, arm and forearm circumference, the strength of shoulder and elbow flexors-extensors, grip strength of both sides and level of physical activity. METHODS Participants performed two tests, thirty minutes apart. They were asked to load as many rings as possible in 6 minutes. Arm length, arm and forearm circumference were measured with a measuring tape. Shoulder and elbow flexors-extensors were assessed using a handheld push-pull dynamometer. Grip strength was measured with the Jamar hand-held dynamometer. Level of physical activity was assessed using International Physical Activity Questionnairelong form. RESULTS The samples consisted of 450 healthy individuals between the age of 20-70 years. Reference values for each age group for both genders were reported. We found that age was correlated with the six-minute peg board and ring test score (p<0.05). We also found a correlation between the strength variables and the test results (p=0.001). However, no correlation was found between the arm length, arm and forearm circumference and the level of physical activity with the number of rings. CONCLUSION In this study, we derived a reference value for the six-minute peg board and ring test. There was a correlation among age, strength variables and the number of rings.
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Affiliation(s)
- Manjiri Suhas Kulkarni
- Department of Physiotherapy, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, India
| | - Gopala Krishna Alaparthi
- Department of Physiotherapy, College of Health Sciences, University of Sharjah, United Arab Emirates
| | - Shyam Krishnan
- Department of Physiotherapy, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, India
| | - Anand Ramakrishna
- Department of Pulmonary Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, India
| | - Vishak Acharya
- Department of Pulmonary Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, India
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Lee MJ, Romero S, Jia H, Velozo CA, Gruber-Baldini AL, Shulman LM. Self-efficacy for managing hypertension and comorbid conditions. World J Hypertens 2019; 9:30-41. [DOI: 10.5494/wjh.v9.i3.30] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Revised: 09/04/2019] [Accepted: 11/26/2019] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Self-efficacy is defined an individual’s belief in completing necessary actions to achieve the desired goal. For individuals with hypertension and other chronic conditions, self-efficacy has been an essential factor to predict adherence to treatment behaviors.
AIM To examine self-efficacy for managing chronic conditions in individuals with hypertension.
METHODS A total of 1087 individuals with chronic conditions in two groups (hypertension and non-hypertension groups) were selected in this study. The two groups’ self-efficacy for managing chronic conditions were investigated using the five domains of patient reported outcomes measurement information system self-efficacy for managing chronic conditions measures (PROMIS-SE); daily activities, emotions, medication and treatment, social interactions, and symptoms. Also, the relationships between self-efficacy and other health-related outcomes for the hypertension group were examined using structural equation modeling.
RESULTS Among 1087 participants, 437 reported having hypertension. The hypertension and non-hypertension groups were statistically different in self-efficacy for managing daily activities [F (1, 598) = 5.63, P < 0.05]. Structural equation modeling indicated that for individuals with hypertension, two domains of PROMIS-SE (managing daily activities and emotions) significantly predict global physical health (P < 0.001 and P < 0.01 sequentially), and one domain (managing emotions) significantly predicts mental health (P < 0.001). Hypertension patients’ general quality of life was significantly predicted by global physical health (P < 0.001) and mental health (P < 0.001).
CONCLUSION The hypertension group reported deficits in self-efficacy in managing daily activities as compared to the non-hypertension group. In this hypertension group, self-efficacy functioned as an indirect predictor of general quality of life, mediated by global physical and mental health.
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Affiliation(s)
- Mi Jung Lee
- Department of Occupational Therapy, University of Florida, Gainesville, FL 32610, United States
- Huan-Guang Jia, NF/SG VHS, Center of Innovation on Disability and Rehabilitation Research-GNV, Gainesville, FL 32601, United States
| | - Sergio Romero
- Department of Occupational Therapy, University of Florida, Gainesville, FL 32610, United States
- Huan-Guang Jia, NF/SG VHS, Center of Innovation on Disability and Rehabilitation Research-GNV, Gainesville, FL 32601, United States
| | | | - Craig A Velozo
- Division of Occupational Therapy, Medical University of South Carolina, Charleston, SC 29425, United States
| | - Ann L Gruber-Baldini
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD 21201, United States
| | - Lisa M Shulman
- Department of Neurology, University of Maryland School of Medicine, Baltimore, MD 21201, United States
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Négyesi J, Galamb K, Szilágyi B, Nagatomi R, Hortobágyi T, Tihanyi J. Age-specific modifications in healthy adults' knee joint position sense. Somatosens Mot Res 2019; 36:262-269. [PMID: 31691599 DOI: 10.1080/08990220.2019.1684888] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Aim: Right-handed young adults perform target-matching tasks more accurately with the non-dominant (ND) compared to the dominant (D) limb, but it is unclear if age affects this disparity. We determined if age affects target-matching asymmetry in right-side dominant healthy adults. Method: Young (n = 12, age: 23.6 y, 6 females) and older (n = 12; age: 75.1 y, 7 females) adults performed a passive joint position-matching task with the D and ND leg in a randomized order. Result: Age affected absolute, constant, and variable knee JPS errors but, contrary to expectations, it did not affect target-matching asymmetries between the D and ND knees. However, older participants tended to underestimate while young subjects overestimated the target angles. Moreover, older as compared to young subjects performed the target-matching task with higher variability. Conclusion: Altogether, age seems to affect passive knee target-matching behaviour in right-side dominant healthy adults. The present data indicate that healthy aging produces age-specific modifications in passive joint position sense.
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Affiliation(s)
- János Négyesi
- Department of Medicine and Science in Sports and Exercise, Tohoku University Graduate School of Medicine, Sendai, Japan
| | - Kata Galamb
- Department of Movement, Human and Health Sciences, University of Rome, Rome, Italy
| | - Borbála Szilágyi
- Department of Biomechanics, Kinesiology and Informatics, University of Physical Education, Budapest, Hungary
| | - Ryoichi Nagatomi
- Department of Medicine and Science in Sports and Exercise, Tohoku University Graduate School of Medicine, Sendai, Japan.,Division of Biomedical Engineering for Health & Welfare, Tohoku University Graduate School of Biomedical Engineering, Sendai, Japan
| | - Tibor Hortobágyi
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - József Tihanyi
- Department of Biomechanics, Kinesiology and Informatics, University of Physical Education, Budapest, Hungary
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Komisar V, McIlroy WE, Duncan CA. Individual, task, and environmental influences on balance recovery: a narrative review of the literature and implications for preventing occupational falls. IISE Trans Occup Ergon Hum Factors 2019. [DOI: 10.1080/24725838.2019.1634160] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- Vicki Komisar
- Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada.
| | | | - Carolyn A. Duncan
- Department of Kinesiology and Integrative Physiology, Michigan Technological University, Houghton, MI
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Henry M, Baudry S. Age-related changes in leg proprioception: implications for postural control. J Neurophysiol 2019; 122:525-538. [PMID: 31166819 DOI: 10.1152/jn.00067.2019] [Citation(s) in RCA: 113] [Impact Index Per Article: 22.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
In addition to being a prerequisite for many activities of daily living, the ability to maintain steady upright standing is a relevant model to study sensorimotor integrative function. Upright standing requires managing multimodal sensory inputs to produce finely tuned motor output that can be adjusted to accommodate changes in standing conditions and environment. The sensory information used for postural control mainly arises from the vestibular system of the inner ear, vision, and proprioception. Proprioception (sense of body position and movement) encompasses signals from mechanoreceptors (proprioceptors) located in muscles, tendons, and joint capsules. There is general agreement that proprioception signals from leg muscles provide the primary source of information for postural control. This is because of their exquisite sensitivity to detect body sway during unperturbed upright standing that mainly results from variations in leg muscle length induced by rotations around the ankle joint. However, aging is associated with alterations of muscle spindles and their neural pathways, which induce a decrease in the sensitivity, acuity, and integration of the proprioceptive signal. These alterations promote changes in postural control that reduce its efficiency and thereby may have deleterious consequences for the functional independence of an individual. This narrative review provides an overview of how aging alters the proprioceptive signal from the legs and presents compelling evidence that these changes modify the neural control of upright standing.
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Affiliation(s)
- Mélanie Henry
- Laboratory of Applied Biology and Research Unit in Applied Neurophysiology, ULB Neuroscience Institute, Université libre de Bruxelles, Brussels, Belgium
| | - Stéphane Baudry
- Laboratory of Applied Biology and Research Unit in Applied Neurophysiology, ULB Neuroscience Institute, Université libre de Bruxelles, Brussels, Belgium
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Kitchen NM, Miall RC. Proprioceptive deficits in inactive older adults are not reflected in fast targeted reaching movements. Exp Brain Res 2019; 237:531-545. [PMID: 30478636 PMCID: PMC6373199 DOI: 10.1007/s00221-018-5440-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2018] [Accepted: 11/18/2018] [Indexed: 12/11/2022]
Abstract
During normal healthy ageing there is a decline in the ability to control simple movements, characterised by increased reaction times, movement durations and variability. There is also growing evidence of age-related proprioceptive loss which may contribute to these impairments. However, this relationship has not been studied in detail for the upper limb. We recruited 20 younger adults (YAs) and 31 older adults (OAs) who each performed 2 tasks on a 2D robotic manipulandum. The first assessed dynamic proprioceptive acuity using active, multi-joint movements constrained by the robot to a pre-defined path. Participants made perceptual judgements of the lateral position of the unseen arm. The second task required fast, accurate and discrete movements to the same targets in the absence of visual feedback of the hand, and without robotic intervention. We predicted that the variable proprioceptive error (uncertainty range) assessed in Task 1 would be increased in physically inactive OAs and would predict increased movement variability in Task 2. Instead we found that physically inactive OAs had larger systematic proprioceptive errors (bias) than YAs (t[33] = 2.8, p = 0.009), and neither proprioceptive uncertainty nor bias was related to motor performance in either age group (all regression model R2 ≤ 0.06). We suggest that previously reported estimates of proprioceptive decline with ageing may be exaggerated by task demands and that the extent of these deficits is unrelated to control of discrete, rapid movement. The relationship between dynamic proprioceptive acuity and movement control in other tasks with greater emphasis on online feedback is still unclear and warrants further investigation.
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Affiliation(s)
- Nick M Kitchen
- School of Psychology, University of Birmingham, Birmingham, UK.
- Department of Speech and Hearing Science, University of Washington, Seattle, WA, USA.
| | - R Chris Miall
- School of Psychology, University of Birmingham, Birmingham, UK
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Van Meerbeek IM, De Sa CM, Shepherd RF. Soft optoelectronic sensory foams with proprioception. Sci Robot 2018; 3:3/24/eaau2489. [DOI: 10.1126/scirobotics.aau2489] [Citation(s) in RCA: 85] [Impact Index Per Article: 14.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Accepted: 11/09/2018] [Indexed: 02/01/2023]
Affiliation(s)
- I. M. Van Meerbeek
- Department of Mechanical and Aerospace Engineering, Cornell University, Ithaca, NY 14853, USA
| | - C. M. De Sa
- Department of Computer Science, Cornell University, Ithaca, NY 14853, USA
| | - R. F. Shepherd
- Department of Mechanical and Aerospace Engineering, Cornell University, Ithaca, NY 14853, USA
- Department of Materials Science and Engineering, Cornell University, Ithaca, NY 14853, USA
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Galamb K, Szilágyi B, Magyar OM, Hortobágyi T, Nagatomi R, Váczi M, Négyesi J. Effects of side-dominance on knee joint proprioceptive target-matching asymmetries. Physiol Int 2018; 105:257-265. [PMID: 30269560 DOI: 10.1556/2060.105.2018.3.22] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
AIMS Right- and left-side-dominant individuals reveal target-matching asymmetries between joints of the dominant and non-dominant upper limbs. However, it is unclear if such asymmetries are also present in lower limb's joints. We hypothesized that right-side-dominant participants perform knee joint target-matching tasks more accurately with their non-dominant leg compared to left-side-dominant participants. METHODS Participants performed position sense tasks using each leg by moving each limb separately and passively on an isokinetic dynamometer. RESULTS Side-dominance affected (p < 0.05) knee joint absolute position errors only in the non-dominant leg but not in the dominant leg: right-side-dominant participants produced less absolute position errors (2.82° ± 0.72°) with the non-dominant leg compared to left-side-dominant young participants (3.54° ± 0.33°). CONCLUSIONS In conclusion, right-side-dominant participants tend to perform a target-matching task more accurately with the non-dominant leg compared to left-side-dominant participants. Our results extend the literature by showing that right-hemisphere specialization under proprioceptive target-matching tasks may be not evident at the lower limb joints.
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Affiliation(s)
- K Galamb
- 1 Pain Clinic , Budapest, Hungary.,2 Department of Movement, Human and Health Sciences, University of Rome , Rome, Italy
| | | | | | - T Hortobágyi
- 3 Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen , Groningen, The Netherlands
| | - R Nagatomi
- 4 Department of Medicine and Science in Sports and Exercise, Tohoku University Graduate School of Medicine , Sendai, Japan.,5 Division of Biomedical Engineering for Health & Welfare, Tohoku University Graduate School of Biomedical Engineering , Sendai, Japan
| | - M Váczi
- 6 Institute of Sport Sciences and Physical Education, University of Pécs , Pécs, Hungary
| | - J Négyesi
- 1 Pain Clinic , Budapest, Hungary.,4 Department of Medicine and Science in Sports and Exercise, Tohoku University Graduate School of Medicine , Sendai, Japan
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Reliability, validity, and clinical feasibility of a rapid and objective assessment of post-stroke deficits in hand proprioception. J Neuroeng Rehabil 2018; 15:47. [PMID: 29880003 PMCID: PMC5991441 DOI: 10.1186/s12984-018-0387-6] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2017] [Accepted: 05/11/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Proprioceptive function can be affected after neurological injuries such as stroke. Severe and persistent proprioceptive impairments may be associated with a poor functional recovery after stroke. To better understand their role in the recovery process, and to improve diagnostics, prognostics, and the design of therapeutic interventions, it is essential to quantify proprioceptive deficits accurately and sensitively. However, current clinical assessments lack sensitivity due to ordinal scales and suffer from poor reliability and ceiling effects. Robotic technology offers new possibilities to address some of these limitations. Nevertheless, it is important to investigate the psychometric and clinimetric properties of technology-assisted assessments. METHODS We present an automated robot-assisted assessment of proprioception at the level of the metacarpophalangeal joint, and evaluate its reliability, validity, and clinical feasibility in a study with 23 participants with stroke and an age-matched group of 29 neurologically intact controls. The assessment uses a two-alternative forced choice paradigm and an adaptive sampling procedure to identify objectively the difference threshold of angular joint position. RESULTS Results revealed a good reliability (ICC(2,1) = 0.73) for assessing proprioception of the impaired hand of participants with stroke. Assessments showed similar task execution characteristics (e.g., number of trials and duration per trial) between participants with stroke and controls and a short administration time of approximately 12 min. A difference in proprioceptive function could be found between participants with a right hemisphere stroke and control subjects (p<0.001). Furthermore, we observed larger proprioceptive deficits in participants with a right hemisphere stroke compared to a left hemisphere stroke (p=0.028), despite the exclusion of participants with neglect. No meaningful correlation could be established with clinical scales for different modalities of somatosensation. We hypothesize that this is due to their low resolution and ceiling effects. CONCLUSIONS This study has demonstrated the assessment's applicability in the impaired population and promising integration into clinical routine. In conclusion, the proposed assessment has the potential to become a powerful tool to investigate proprioceptive deficits in longitudinal studies as well as to inform and adjust sensorimotor rehabilitation to the patient's deficits.
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Age-Related Impairment of Hand Movement Perception Based on Muscle Proprioception and Touch. Neuroscience 2018; 381:91-104. [DOI: 10.1016/j.neuroscience.2018.04.015] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Revised: 04/04/2018] [Accepted: 04/12/2018] [Indexed: 11/17/2022]
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Impact of motor task execution on an individual's ability to mirror forearm positions. Exp Brain Res 2018; 236:765-777. [PMID: 29330571 DOI: 10.1007/s00221-018-5173-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2017] [Accepted: 01/05/2018] [Indexed: 10/18/2022]
Abstract
This work is motivated by our goal of determining why individuals with stroke are impaired when locating their arms in space. We assessed the ability of individuals without neurological impairments to mirror their forearms during various motor tasks so that we could identify baseline performance in an unimpaired population. Nine right-hand dominant participants without neurological impairments mirrored forearm positions bi-directionally (i.e., right forearm mirrors left forearm, vice versa) for three motor tasks (i.e., passive, passive/active, and active) and two position identification modes (i.e., mirroring to a position stored in working memory versus concurrently felt by the opposite arm). During each trial, the participant's reference forearm moved to a flexion ([Formula: see text]) or extension ([Formula: see text]) position, and then, their opposite forearm mirrored the position of their reference forearm. The main finding across all tested conditions is that participants mirrored forearm positions with an average magnitude of error [Formula: see text]. When controlling their forearms' movements (active motor task), participants mirrored forearm positions more accurately by up to, on average, [Formula: see text] at the flexion location than at the extension location. Moreover, participants mirrored forearm positions more accurately by up to, on average, [Formula: see text] when their forearms were moved for them rather than when they controlled their forearms' movements. Task directionality and position identification mode did not significantly affect participant arm mirroring accuracy. These findings are relevant for interpreting in future work the reason why impairments occur, on similar tasks, in individuals with altered motor commands, working memory, and arm impedance, e.g., post-stroke hemiparesis.
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Kaur J, Singh SK, Vij JS. Optimization of Aerobic Exercise Protocols in Diabetes Mellitus: A Randomized Trial. ROMANIAN JOURNAL OF DIABETES NUTRITION AND METABOLIC DISEASES 2017. [DOI: 10.1515/rjdnmd-2017-0039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Background and Aims: diabetes mellitus one of the non-communicable disorders which is spreading globally irrespective of nation being developed or developing. The aim of this study was to optimize the exercise protocols and to find the efficacy of these protocols on glucose control, balance, gait and proprioception in patients suffering from type 2 diabetes mellitus.
Material and Methods: 40 individuals with type 2 DM with age 35 to 60 were randomly allotted to four groups with 10 subjects in each. Cycle ergometer based aerobic exercises were given with duration of 20 or 30 minutes twice or thrice weekly for 6 weeks. Pre and post intervention was collected using Fullerton Advanced Balance scale for balance, spatiotemporal gait parameters for gait, Continuous passive motion for Proprioception and High Performance Liquid Chromatography in the laboratory.
Results: data was analysed using Design Expert software. Full factorial design was used to compare role of duration and frequency of exercise on each patient. The results showed significant effect of exercises on balance, gait, proprioception and glycated haemoglobin (HbA1c).
Conclusion: Aerobic exercises if given for 30 minutes and thrice weekly can show a significant improvement in complications in Diabetics.
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Affiliation(s)
- Jaspreet Kaur
- Department of Physiotherapy , Guru Jambheshwar University of Science & Technology , Hisar , India
| | - Shailendra Kumar Singh
- Department of Physiotherapy , Guru Jambheshwar University of Science & Technology , Hisar , India
| | - Jaspreet Singh Vij
- College of Physiotherapy , Baba Farid University of Health Sciences , Faridkot , India
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Van de Winckel A, Tseng YT, Chantigian D, Lorant K, Zarandi Z, Buchanan J, Zeffiro TA, Larson M, Olson-Kellogg B, Konczak J, Keller-Ross ML. Age-Related Decline of Wrist Position Sense and its Relationship to Specific Physical Training. Front Hum Neurosci 2017; 11:570. [PMID: 29209188 PMCID: PMC5702425 DOI: 10.3389/fnhum.2017.00570] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Accepted: 11/10/2017] [Indexed: 11/13/2022] Open
Abstract
Perception of limb and body positions is known as proprioception. Sensory feedback, especially from proprioceptive receptors, is essential for motor control. Aging is associated with a decline in position sense at proximal joints, but there is inconclusive evidence of distal joints being equally affected by aging. In addition, there is initial evidence that physical activity attenuates age-related decline in proprioception. Our objectives were, first, to establish wrist proprioceptive acuity in a large group of seniors and compare their perception to young adults, and second, to determine if specific types of training or regular physical activity are associated with preserved wrist proprioception. We recruited community-dwelling seniors (n = 107, mean age, 70 ± 5 years, range, 65–84 years) without cognitive decline (Mini Mental State Examination-brief version ≥13/16) and young adult students (n = 51, mean age, 20 ± 1 years, range, 19–26 years). Participants performed contralateral and ipsilateral wrist position sense matching tasks with a bimanual wrist manipulandum to a 15° flexion reference position. Systematic error or proprioceptive bias was computed as the mean difference between matched and reference position. The respective standard deviation over five trials constituted a measure of random error or proprioceptive precision. Current levels of physical activity and previous sport, musical, or dance training were obtained through a questionnaire. We employed longitudinal mixed effects linear models to calculate the effects of trial number, sex, type of matching task and age on wrist proprioceptive bias and precision. The main results were that relative proprioceptive bias was greater in older when compared to young adults (mean difference: 36% ipsilateral, 88% contralateral, p < 0.01). Proprioceptive precision for contralateral but not for ipsilateral matching was smaller in older than in young adults (mean difference: 38% contralateral, p < 0.01). Longer years of dance training were associated with smaller bias during ipsilateral matching (p < 0.01). Other types of training or physical activity levels did not affect bias or precision. Our findings demonstrate that aging is associated with a decline in proprioceptive bias in distal arm joints, but age does not negatively affect proprioceptive precision. Further, specific types of long-term dance related training may attenuate age-related decline in proprioceptive bias.
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Affiliation(s)
- Ann Van de Winckel
- Brain Plasticity Laboratory, Division of Physical Therapy and Division of Rehabilitation Science, Department of Rehabilitation Medicine, Medical School, University of Minnesota, Minneapolis, MN, United States
| | - Yu-Ting Tseng
- Human Sensorimotor Control Laboratory, School of Kinesiology, University of Minnesota, Minneapolis, MN, United States
| | - Daniel Chantigian
- Division of Rehabilitation Science, Department of Rehabilitation Medicine, Medical School, University of Minnesota, Minneapolis, MN, United States
| | - Kaitlyn Lorant
- Illinois Bone and Joint Institute, Chicago, IL, United States
| | - Zinat Zarandi
- Human Sensorimotor Control Laboratory, School of Kinesiology, University of Minnesota, Minneapolis, MN, United States
| | - Jeffrey Buchanan
- Human Sensorimotor Control Laboratory, School of Kinesiology, University of Minnesota, Minneapolis, MN, United States
| | | | - Mia Larson
- Division of Rehabilitation Science, Department of Rehabilitation Medicine, Medical School, University of Minnesota, Minneapolis, MN, United States
| | - Becky Olson-Kellogg
- Division of Physical Therapy, Department of Rehabilitation Medicine, Medical School, University of Minnesota, Minneapolis, MN, United States
| | - Jürgen Konczak
- Human Sensorimotor Control Laboratory, School of Kinesiology, University of Minnesota, Minneapolis, MN, United States
| | - Manda L Keller-Ross
- Cardiovascular Research and Rehabilitation Laboratory, Division of Physical Therapy and Division of Rehabilitation Science, Department of Rehabilitation Medicine, Medical School, University of Minnesota, Minneapolis, MN, United States
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Hübner L, Voelcker-Rehage C. Does physical activity benefit motor performance and learning of upper extremity tasks in older adults? - A systematic review. Eur Rev Aging Phys Act 2017; 14:15. [PMID: 28919929 PMCID: PMC5596935 DOI: 10.1186/s11556-017-0181-7] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Accepted: 07/13/2017] [Indexed: 12/18/2022] Open
Abstract
Upper extremity motor performance declines with increasing age. However, older adults need to maintain, learn new and relearn known motor tasks. Research with young adults indicated that regular and acute physical activity might facilitate motor performance and motor learning processes. Therefore, this review aimed to examine the association between chronic physical activity and acute bouts of exercise on motor performance and motor learning in upper extremity motor tasks in older adults. Literature was searched via Cochrane library, PubMED, PsycINFO and Scopus and 27 studies met all inclusion criteria. All studies dealt with the influence of chronic physical activity on motor performance or motor learning, no appropriate study examining the influence of an acute bout of exercise in older adults was found. Results concerning the association of chronic physical activity and motor performance are mixed and seem to be influenced by the study design, kind of exercise, motor task, and exercise intensity. Regarding motor learning, a high physical activity or cardiovascular fitness level seems to boost the initial phase of motor learning; results differ with respect to motor retention. Overall, (motor-coordinative) intervention studies seem to be more promising than cross-sectional studies.
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Affiliation(s)
- Lena Hübner
- Sports Psychology, Institute of Human Movement Science and Health, Faculty of Behavioural and Social Sciences, Chemnitz University of Technology, Thueringer Weg 11, 09126 Chemnitz, Germany
| | - Claudia Voelcker-Rehage
- Sports Psychology, Institute of Human Movement Science and Health, Faculty of Behavioural and Social Sciences, Chemnitz University of Technology, Thueringer Weg 11, 09126 Chemnitz, Germany
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Georgarakis AM, Sonar HA, Rinderknecht MD, Lambercy O, Martin BJ, Klamroth-Marganska V, Paik J, Riener R, Duarte JE. A novel pneumatic stimulator for the investigation of noise-enhanced proprioception. IEEE Int Conf Rehabil Robot 2017; 2017:25-30. [PMID: 28813788 DOI: 10.1109/icorr.2017.8009216] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Executing coordinated movements requires that motor and sensory systems cooperate to achieve a motor goal. Impairment of either system may lead to unstable and/or inaccurate movements. In rehabilitation training, however, most approaches have focused on the motor aspects of the control loop. We are examining mechanisms that may enhance the sensory system to improve motor control. More precisely, the effects of stochastic subliminal vibratory tactile stimulation on wrist proprioception. We developed a device - based on a novel soft pneumatic actuator skin technology - to stimulate multiple sites simultaneously and independently. This device applies vibratory stimulation (amplitude < 0.50 mm, bandwidth 20-120 Hz) to the skin overlaying the tendons of a joint to target the receptors in charge of position and movement encoding. It achieves high spatial resolution (< 1 mm2), uses a soft and flexible interface, and has the potential to be used in combination with additional rehabilitation interventions. We conducted a feasibility study with 16 healthy subjects (11 younger - 6 females; 5 older - 2 females) in which a robotic manipulandum moved the subject's wrist to defined positions that had to be matched with a gauge. Comparing trials with and without stimulation we found that stochastic stimulation influenced joint position sense. The device we developed can be readily used in psycho-physical experiments, and subsequently benefit physiotherapy and rehabilitation treatments.
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Rinderknecht MD, Lambercy O, Raible V, Liepert J, Gassert R. Age-based model for metacarpophalangeal joint proprioception in elderly. Clin Interv Aging 2017; 12:635-643. [PMID: 28435235 PMCID: PMC5388205 DOI: 10.2147/cia.s129601] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Neurological injuries such as stroke can lead to proprioceptive impairment. For an informed diagnosis, prognosis, and treatment planning, it is essential to be able to distinguish between healthy performance and deficits following the neurological injury. Since there is some evidence that proprioception declines with age and stroke occurs predominantly in the elderly population, it is important to create a healthy reference model in this specific age group. However, most studies investigate age effects by comparing young and elderly subjects and do not provide a model within a target age range. Moreover, despite the functional relevance of the hand in activities of daily living, age-based models of distal proprioception are scarce. Here, we present a proprioception model based on the assessment of the metacarpophalangeal joint angle difference threshold in 30 healthy elderly subjects, aged 55-80 years (median: 63, interquartile range: 58-66), using a robotic tool to apply passive flexion-extension movements to the index finger. A two-alternative forced-choice paradigm combined with an adaptive algorithm to define stimulus magnitude was used. The mixed-effects model analysis revealed that aging has a significant, increasing effect on the difference threshold at the metacarpophalangeal joint, whereas other predictors (eg, tested hand or sex) did not show a significant effect. The adaptive algorithm allowed reaching an average assessment duration <15 minutes, making its clinical applicability realistic. This study provides further evidence for an age-related decline in proprioception at the level of the hand. The established age-based model of proprioception in elderly may serve as a reference model for the proprioceptive performance of stroke patients, or of any other patient group with central or peripheral proprioceptive impairments. Furthermore, it demonstrates the potential of such automated robotic tools as a rapid and quantitative assessment to be used in research and clinical settings.
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Affiliation(s)
- Mike D Rinderknecht
- Rehabilitation Engineering Laboratory, Department of Health Sciences and Technology, Institute of Robotics and Intelligent Systems, ETH Zurich, Zurich, Switzerland
| | - Olivier Lambercy
- Rehabilitation Engineering Laboratory, Department of Health Sciences and Technology, Institute of Robotics and Intelligent Systems, ETH Zurich, Zurich, Switzerland
| | - Vanessa Raible
- Department of Neurorehabilitation, Kliniken Schmieder, Allensbach, Germany
| | - Joachim Liepert
- Department of Neurorehabilitation, Kliniken Schmieder, Allensbach, Germany
| | - Roger Gassert
- Rehabilitation Engineering Laboratory, Department of Health Sciences and Technology, Institute of Robotics and Intelligent Systems, ETH Zurich, Zurich, Switzerland
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Boisgontier MP, Serbruyns L, Swinnen SP. Physical Activity Predicts Performance in an Unpracticed Bimanual Coordination Task. Front Psychol 2017; 8:249. [PMID: 28265253 PMCID: PMC5316524 DOI: 10.3389/fpsyg.2017.00249] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2016] [Accepted: 02/08/2017] [Indexed: 11/17/2022] Open
Abstract
Practice of a given physical activity is known to improve the motor skills related to this activity. However, whether unrelated skills are also improved is still unclear. To test the impact of physical activity on an unpracticed motor task, 26 young adults completed the international physical activity questionnaire and performed a bimanual coordination task they had never practiced before. Results showed that higher total physical activity predicted higher performance in the bimanual task, controlling for multiple factors such as age, physical inactivity, music practice, and computer games practice. Linear mixed models allowed this effect of physical activity to be generalized to a large population of bimanual coordination conditions. This finding runs counter to the notion that generalized motor abilities do not exist and supports the existence of a “learning to learn” skill that could be improved through physical activity and that impacts performance in tasks that are not necessarily related to the practiced activity.
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Affiliation(s)
- Matthieu P Boisgontier
- Department of Kinesiology, Movement Control and Neuroplasticity Research Group, Group of Biomedical Sciences KU Leuven, Leuven, Belgium
| | - Leen Serbruyns
- Department of Kinesiology, Movement Control and Neuroplasticity Research Group, Group of Biomedical Sciences KU Leuven, Leuven, Belgium
| | - Stephan P Swinnen
- Department of Kinesiology, Movement Control and Neuroplasticity Research Group, Group of Biomedical Sciences KU Leuven, Leuven, Belgium
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Rinderknecht MD, Popp WL, Lambercy O, Gassert R. Reliable and Rapid Robotic Assessment of Wrist Proprioception Using a Gauge Position Matching Paradigm. Front Hum Neurosci 2016; 10:316. [PMID: 27445756 PMCID: PMC4925678 DOI: 10.3389/fnhum.2016.00316] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2016] [Accepted: 06/10/2016] [Indexed: 11/13/2022] Open
Abstract
Quantitative assessments of position sense are essential for the investigation of proprioception, as well as for diagnosis, prognosis and treatment planning for patients with somatosensory deficits. Despite the development and use of various paradigms and robotic tools, their clinimetric properties are often poorly evaluated and reported. A proper evaluation of the latter is essential to compare results between different studies and to identify the influence of possible confounds on outcome measures. The aim of the present study was to perform a comprehensive evaluation of a rapid robotic assessment of wrist proprioception using a passive gauge position matching task. Thirty-two healthy subjects undertook six test-retests of proprioception of the right wrist on two different days. The constant error (CE) was 0.87°, the absolute error (AE) was 5.87°, the variable error (VE) was 4.59° and the total variability (E) was 6.83° in average for the angles presented in the range from 10° to 30°. The intraclass correlation analysis provided an excellent reliability for CE (0.75), good reliability for AE (0.68) and E (0.68), and fair reliability for VE (0.54). Tripling the assessment length had negligible effects on the reliabilities. Additional analysis revealed significant trends of larger overestimation (constant errors), as well as larger absolute and variable errors with increased flexion angles. No proprioceptive learning occurred, despite increased familiarity with the task, which was reflected in significantly decreased assessment duration by 30%. In conclusion, the proposed automated assessment can provide sensitive and reliable information on proprioceptive function of the wrist with an administration time of around 2.5 min, demonstrating the potential for its application in research or clinical settings. Moreover, this study highlights the importance of reporting the complete set of errors (CE, AE, VE, and E) in a matching experiment for the identification of trends and subsequent interpretation of results.
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Affiliation(s)
- Mike D Rinderknecht
- Rehabilitation Engineering Laboratory, Department of Health Sciences and Technology, Institute of Robotics and Intelligent Systems, ETH Zurich Zurich, Switzerland
| | - Werner L Popp
- Rehabilitation Engineering Laboratory, Department of Health Sciences and Technology, Institute of Robotics and Intelligent Systems, ETH Zurich Zurich, Switzerland
| | - Olivier Lambercy
- Rehabilitation Engineering Laboratory, Department of Health Sciences and Technology, Institute of Robotics and Intelligent Systems, ETH Zurich Zurich, Switzerland
| | - Roger Gassert
- Rehabilitation Engineering Laboratory, Department of Health Sciences and Technology, Institute of Robotics and Intelligent Systems, ETH Zurich Zurich, Switzerland
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Helsen WF, Van Halewyck F, Levin O, Boisgontier MP, Lavrysen A, Elliott D. Manual aiming in healthy aging: does proprioceptive acuity make the difference? AGE (DORDRECHT, NETHERLANDS) 2016; 38:45. [PMID: 27044301 PMCID: PMC5005912 DOI: 10.1007/s11357-016-9908-z] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2015] [Accepted: 03/24/2016] [Indexed: 06/05/2023]
Abstract
The present study examines whether non-active older adults are more dependent on visual information when executing aiming movements and whether age-related declines in proprioception play a mediating role herein. Young (N = 40) and older adults (N = 38) were divided into physically active and non-active subgroups based on self-reported sports participation levels. In experiment 1, participants executed wrist-aiming movements with and without visual feedback. In experiment 2, passive proprioceptive acuity was assessed using wrist motion detection and position matching tests. Results showed similar aiming accuracy across age groups both with and without visual feedback, but older adults exhibited longer movement times, prolonged homing-in phase, and made more corrective submovements. Passive proprioceptive acuity was significantly affected by physical activity level and age, with participants in the active group scoring better than their non-active peers. However, these declines did not predict performance changes on the aiming task. Taken together, our observations suggest that decline in proprioceptive acuity did not predict performance changes on the aiming task and older adults were able to compensate for their decreased motion and position sense when allowed sufficient time. In line with these observations, we proposed that older adults are able to compensate for their decline in proprioception by increasing their reliance on predictive models.
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Affiliation(s)
- Werner F Helsen
- Department of Kinesiology, Movement Control and Neuroplasticity Research Group, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium
| | - Florian Van Halewyck
- Department of Kinesiology, Movement Control and Neuroplasticity Research Group, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium
| | - Oron Levin
- Department of Kinesiology, Movement Control and Neuroplasticity Research Group, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium.
| | - Matthieu P Boisgontier
- Department of Kinesiology, Movement Control and Neuroplasticity Research Group, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium
| | - Ann Lavrysen
- Department of Kinesiology, Movement Control and Neuroplasticity Research Group, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium
| | - Digby Elliott
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Tom Reilly Building, Byrom Street, Liverpool, L3 3AF, UK
- Department of Kinesiology, McMaster University, 1280 Main Street West Ivor Wynne Centre Hamilton, Ontorio, L8S 4K1, Canada
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Han J, Waddington G, Adams R, Anson J, Liu Y. Assessing proprioception: A critical review of methods. JOURNAL OF SPORT AND HEALTH SCIENCE 2016; 5:80-90. [PMID: 30356896 PMCID: PMC6191985 DOI: 10.1016/j.jshs.2014.10.004] [Citation(s) in RCA: 262] [Impact Index Per Article: 32.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2014] [Revised: 09/25/2014] [Accepted: 10/20/2014] [Indexed: 05/12/2023]
Abstract
To control movement, the brain has to integrate proprioceptive information from a variety of mechanoreceptors. The role of proprioception in daily activities, exercise, and sports has been extensively investigated, using different techniques, yet the proprioceptive mechanisms underlying human movement control are still unclear. In the current work we have reviewed understanding of proprioception and the three testing methods: threshold to detection of passive motion, joint position reproduction, and active movement extent discrimination, all of which have been used for assessing proprioception. The origin of the methods, the different testing apparatus, and the procedures and protocols used in each approach are compared and discussed. Recommendations are made for choosing an appropriate technique when assessing proprioceptive mechanisms in different contexts.
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Affiliation(s)
- Jia Han
- Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai 200438, China
- Research Institute for Sport and Exercise, University of Canberra, Canberra, ACT 2600, Australia
| | - Gordon Waddington
- Research Institute for Sport and Exercise, University of Canberra, Canberra, ACT 2600, Australia
| | - Roger Adams
- Research Institute for Sport and Exercise, University of Canberra, Canberra, ACT 2600, Australia
| | - Judith Anson
- Research Institute for Sport and Exercise, University of Canberra, Canberra, ACT 2600, Australia
| | - Yu Liu
- School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China
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Jayakumar P, Overbeek CL, Ring DC. Relationship of age on enjoyment of physical activity in upper extremity illness. Hand (N Y) 2015; 10:767-72. [PMID: 26568738 PMCID: PMC4641094 DOI: 10.1007/s11552-015-9754-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Orthopaedic surgeons often work under the assumption that patients over 60 are low-demand individuals. This study addressed the primary null hypothesis that older age does not correlate with the enjoyment of physical activities in patients with upper extremity illness. Secondary analyses sought factors associated with enjoyment of physical activity, activity level and magnitude of disability. METHODS A cohort of 98 new and follow-up outpatients with upper extremity illnesses completed a measure of enjoyment of physical activity (Physical Activity Enjoyment Scale (PACES)), were categorized into one of three levels of activity after interview, and completed measures of general disability (Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function CAT), upper extremity-specific disability (Quick Disability of the Arm, Shoulder and Hand (QuickDASH) score), coping responses to pain (PROMIS Pain Interference CAT), and symptoms of depression (PROMIS Depression CAT). RESULTS Greater enjoyment of physical activity correlated with older age (r = 0.29, p = 0.0039) but not with other explanatory variables. The final multivariable model of factors associated with greater physical activity included older age and male sex. The final multivariable model of factors associated with diminished PROMIS Physical Function included greater PROMIS Pain Interference, male sex, other pain conditions, and separated/divorced and single marital status and accounted for 34 % of the variance. CONCLUSIONS Enjoyment of physical activity does not decrease with age. Patient-specific expectations, goals and preferences for physical activity should be assessed prior to decision-making on treatment. LEVEL OF EVIDENCE Level IV, Prognostic Study case series.
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Affiliation(s)
- Prakash Jayakumar
- The Hand and Upper Extremity Service, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114 USA
| | - Celeste L. Overbeek
- The Hand and Upper Extremity Service, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114 USA
| | - David C. Ring
- The Hand and Upper Extremity Service, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114 USA ,Yawkey Center for Outpatient Care, Suite 2C, 55 Fruit Street, Boston, MA 02114 USA
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44
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Oh U, Findlater L. A Performance Comparison of On-Hand versus On-Phone Nonvisual Input by Blind and Sighted Users. ACM TRANSACTIONS ON ACCESSIBLE COMPUTING 2015. [DOI: 10.1145/2820616] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
On-body interaction, in which the user employs one's own body as an input surface, has the potential to provide efficient mobile computing access for blind users. It offers increased tactile and proprioceptive feedback compared to a phone and, because it is always available, it should allow for quick audio output control without having to retrieve the phone from a pocket or bag. Despite this potential, there has been little investigation of on-body input for users with visual impairments. To assess blind users’ performance with on-body input versus touchscreen input, we conducted a controlled lab study with 12 sighted and 11 blind participants. Study tasks included basic pointing and drawing more complex shape gestures. Our findings confirm past work with sighted users showing that the hand results in faster pointing than the phone. Most important, we also show that: (1) the performance gain of the hand applies to blind users as well, (2) the accuracy of where the pointing finger first lands is higher with the hand than the phone, (3) on-hand pointing performance is affected by the location of targets, and (4) shape gestures drawn on the hand result in higher gesture recognition rates than those on the phone. Our findings highlight the potential of on-body input to support accessible nonvisual mobile computing.
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Affiliation(s)
- Uran Oh
- University of Maryland, College Park, MD
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45
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Use of a robotic device to measure age-related decline in finger proprioception. Exp Brain Res 2015; 234:83-93. [PMID: 26378004 DOI: 10.1007/s00221-015-4440-4] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2015] [Accepted: 09/05/2015] [Indexed: 10/23/2022]
Abstract
Age-related changes in proprioception are known to affect postural stability, yet the extent to which such changes affect the finger joints is poorly understood despite the importance of finger proprioception in the control of skilled hand movement. We quantified age-related changes in finger proprioception in 37 healthy young, middle-aged, and older adults using two robot-based tasks wherein participants' index and middle fingers were moved by an exoskeletal robot. The first task assessed finger position sense by asking participants to indicate when their index and middle fingers were directly overlapped during a passive crisscross movement; the second task assessed finger movement detection by asking participants to indicate the onset of passive finger movement. When these tasks were completed without vision, finger position sense errors were 48 % larger in older adults compared to young participants (p < 0.05); proprioceptive reaction time was 78 % longer in older adults compared to young adults (p < 0.01). When visual feedback was provided in addition to proprioception, these age-related differences were no longer apparent. No difference between dominant and non-dominant hand performance was found for either proprioception task. These findings demonstrate that finger proprioception is impaired in older adults, and visual feedback can be used to compensate for this deficit. The findings also support the feasibility and utility of the FINGER robot as a sensitive tool for detecting age-related decline in proprioception.
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46
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Boisgontier MP, Swinnen SP. Age-related deficit in a bimanual joint position matching task is amplitude dependent. Front Aging Neurosci 2015; 7:162. [PMID: 26347649 PMCID: PMC4543861 DOI: 10.3389/fnagi.2015.00162] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Accepted: 08/07/2015] [Indexed: 11/23/2022] Open
Abstract
The cognitive load associated with joint position sense increases with age but does not necessarily result in impaired performance in a joint position matching task. It is still unclear which factors interact with age to predict matching performance. To test whether movement amplitude and direction are part of such predictors, young and older adults performed a bimanual wrist joint position matching task. Results revealed an age-related deficit when the target limb was positioned far from (25°) the neutral position, but not when close to (15°, 5°) the neutral joint position, irrespective of the direction. These results suggest that the difficulty associated with the comparison of two musculoskeletal states increases towards extreme joint amplitude and that older adults are more vulnerable to this increased difficulty.
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Affiliation(s)
- Matthieu P Boisgontier
- Movement Control and Neuroplasticity Research Group, Department of Kinesiology, Biomedical Sciences Group, KU Leuven Leuven, Belgium
| | - Stephan P Swinnen
- Movement Control and Neuroplasticity Research Group, Department of Kinesiology, Biomedical Sciences Group, KU Leuven Leuven, Belgium ; Leuven Research Institute for Neuroscience and Disease (LIND), KU Leuven Leuven, Belgium
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47
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Cebolla EC, Rodacki ALF, Bento PCB. Balance, gait, functionality and strength: comparison between elderly fallers and non-fallers. Braz J Phys Ther 2015; 19:146-51. [PMID: 25993628 PMCID: PMC4481835 DOI: 10.1590/bjpt-rbf.2014.0085] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Accepted: 11/18/2014] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Accidental falls are a major health problem related to aging and affect one in every three elderly individuals over the age of sixty. OBJECTIVE To evaluate and compare the muscle strength, gait kinematics parameters, and performance in functional tests between elderly subjects with and without a prior history of falls. In addition, the association between the history of falls and the variables that demonstrated differences between groups were tested. METHOD 62 elderly subjects participated in the study and were allocated to the group with falls history (FG; n=20; 68.0 ± 6.9 years old) or the group without falls history (CG; n=42; 65.5 ± 4.1 years old). Maximal strength, gait kinematics parameters, and functional tests were tested. RESULTS The FG showed lower muscle strength in the knee flexors (51.45 ± 8.6 vs. 62.09 ± 19 Kg), lower average toe clearance during the swing phase (0.04 ± 0.006 vs. 0.043 ± 0.005 m), and lower performance in the "8-foot up-and-go" test (5.3 ± 0.7 vs. 5.8 ± 0.7 s) (p<0.05). There were no associations between any variables and falls, but the increased time in the "8-foot up-and-go" test may double the likelihood of a fall occurring. CONCLUSION Fallers have reduced lower limb strength, gait alterations, the worst performance in the dynamic balance test, and an increased risk of falls.
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Affiliation(s)
- Elaine C Cebolla
- Departamento de Educação Física, Centro de Estudos do Comportamento Motor, Universidade Federal do Paraná, Curitiba, PR, Brazil
| | - André L F Rodacki
- Departamento de Educação Física, Centro de Estudos do Comportamento Motor, Universidade Federal do Paraná, Curitiba, PR, Brazil
| | - Paulo C B Bento
- Departamento de Educação Física, Centro de Estudos do Comportamento Motor, Universidade Federal do Paraná, Curitiba, PR, Brazil
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48
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Hughes CML, Tommasino P, Budhota A, Campolo D. Upper extremity proprioception in healthy aging and stroke populations, and the effects of therapist- and robot-based rehabilitation therapies on proprioceptive function. Front Hum Neurosci 2015; 9:120. [PMID: 25784872 PMCID: PMC4345814 DOI: 10.3389/fnhum.2015.00120] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2014] [Accepted: 02/17/2015] [Indexed: 12/31/2022] Open
Abstract
The world’s population is aging, with the number of people ages 65 or older expected to surpass 1.5 billion people, or 16% of the global total. As people age, there are notable declines in proprioception due to changes in the central and peripheral nervous systems. Moreover, the risk of stroke increases with age, with approximately two-thirds of stroke-related hospitalizations occurring in people over the age of 65. In this literature review, we first summarize behavioral studies investigating proprioceptive deficits in normally aging older adults and stroke patients, and discuss the differences in proprioceptive function between these populations. We then provide a state of the art review the literature regarding therapist- and robot-based rehabilitation of the upper extremity proprioceptive dysfunction in stroke populations and discuss avenues of future research.
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Affiliation(s)
- Charmayne Mary Lee Hughes
- Robotics Research Centre, School of Mechanical and Aerospace Engineering, Nanyang Technological University , Singapore
| | - Paolo Tommasino
- Robotics Research Centre, School of Mechanical and Aerospace Engineering, Nanyang Technological University , Singapore
| | - Aamani Budhota
- Robotics Research Centre, School of Mechanical and Aerospace Engineering, Nanyang Technological University , Singapore ; Interdisciplinary Graduate School, Nanyang Technological University , Singapore
| | - Domenico Campolo
- Robotics Research Centre, School of Mechanical and Aerospace Engineering, Nanyang Technological University , Singapore
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49
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Schaap TS, Gonzales TI, Janssen TWJ, Brown SH. Proprioceptively guided reaching movements in 3D space: effects of age, task complexity and handedness. Exp Brain Res 2014; 233:631-9. [DOI: 10.1007/s00221-014-4142-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2014] [Accepted: 11/04/2014] [Indexed: 12/19/2022]
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50
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The projected hand illusion: component structure in a community sample and association with demographics, cognition, and psychotic-like experiences. Atten Percept Psychophys 2014; 77:207-19. [DOI: 10.3758/s13414-014-0748-6] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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