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Chronic ankle instability is associated with Proprioception deficits:A systematic review and meta-analysis

Journal of Sport and Health Science 2021年第2期10卷 182-191页

作者： Xiao’ao Xue Tengjia Ma Qianru Li Yujie Song Yinghui Hua Department of Sports Medicine Huashan HospitalFudan UniversityShanghai 200040China

Background:Acute ankle injury causes damage to joint mechanoreceptors and deafferentation and contributes to Proprioception deficits in patients with chronic ankle instability(CAI).We aimed to explore whether deficits of Proprioception,including kinesthesia and joint position sense(JPS),exist in patients with CAI when compared with the uninjured contralateral side and healthy people.We hypothesized that Proprioception deficits did exist in patients with CAI and that the deficits varied by test methodologies.Methods:The study was a systematic review and meta-analysis.We identified studies that compared kinesthesia or JPS in patients with CAI with the uninjured contralateral side or with healthy controls.Meta-analyses were conducted for the studies with similar test procedures,and narrative syntheses were undertaken for the rest.Results:A total of 7731 studies were identified,of which 30 were included for review.A total of 21 studies were eligible for meta-analysis.Compared with the contralateral side,patients with CAI had ankle kinesthesia deficits in inversion and plantarflexion,with a standardized mean difference(SMD)of 0.41 and 0.92,respectively,and active and passive JPS deficits in inversion(SMD=0.92 and 0.72,respectively).Compared with healthy people,patients with CAI had ankle kinesthesia deficits in inversion and eversion(SMD=0.64 and 0.76,respectively),and active JPS deficits in inversion and eversion(SMD=1.00 and 4.82,respectively).Proprioception deficits in the knee and shoulder of patients with CAI were not statistically significant.Conclusion:Proprioception,including both kinesthesia and JPS,of the injured ankle of patients with CAI was impaired,compared with the uninjured contralateral limbs and healthy people.Proprioception varied depending on different movement directions and test methodologies.The use of more detailed measurements of Proprioception and interventions for restoring the deficits are recommended in the clinical management of CAI.

关键词： Chronic ankle instability Joint position sense Kinesthesia Proprioception

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Journal of Sport and Health Science 2019年第6期8卷 548-554页

作者： Nan Yang Gordon Waddington Roger Adams Jia Han School of International Education Shanghai University of SportShanghai 200438China Research Institute for Sports and Exercise University of CanberraCanberraACT 2600Australia Faculty of Health Arts and DesignSwinburne University of TechnologySydneyVIC 3122Australia School of Kinesiology Shanghai University of SportShanghai 200438China

Background:Ankle complex proprioceptive ability,needed in active human movement,may change from childhood to elderly adulthood;however,its development across all life stages has remained unexamined.The aim of the present study was to investigate the across-the-lifespan trend for proprioceptive ability of the ankle complex during active ankle inversion movement.Methods:The right ankles of 118 healthy right-handed participants in 6 groups were assessed:children(6-8 years old),adolescents(13-15 years old),young adults(18-25 years old),middle-aged adults(35-50 years old),old adults(60-74 years old),and very old adults(75-90 years old).While the participants were standing,their ankle complex Proprioception was measured using the Active Movement Extent Discrimination Apparatus.Results:There was no significant interaction between the effects of age group and gender on ankle proprioceptive acuity(F(5,106)=0.593,p=0.705,η_p^2=0.027).Simple main effects analysis showed that there was a significant main effect for age group(F(5,106)=22.521,pProprioception.For Proprioception of the ankle complex,young adults had significantly better scores than children,adolescents,old adults,and very old adults.The middle-aged group had levels of ankle proprioceptive acuity similar to those of the young adults.The scores for males and females were not significantly different.Examination of the range of the scores in each age group highlights the possible level that ankle complex movement proprioceptive

关键词： Aging Ankle complex Development Motor control Proprioception

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Effect of Taijiquan practice versus wellness education on knee pro-prioception in patients with knee osteoarthritis:a randomized con-trolled trial

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Journal of Traditional Chinese Medicine 2017年第6期37卷 774-781页

作者： Zhu Qingguang Huang Lingyan Li Jingxian Mao Lijuan Zhang Yunya Min Fang Yu Liu Department of Physical Therapy with Chinese Massage Yueyang Hospital of Integrated TraditionalChinese and Western MedicineShanghai University of Traditional Chinese MedicineShanghai 200437ChinaKey Laboratory of Exercise and Health SciencesMinistry of Educa-tionShanghai University of SportShanghai 200438China Key Laboratory of Exercise and Health Sciences Ministry of EducationShanghai University of SportShanghai 200438China Key Laboratory of Exercise and Health Sciences Ministry of EducationShanghai University of SportShanghai 200438ChinaSchool of Human KineticsFaculty of Health SciencesUniversity of OttawaOttawa KIN 6N5Canada

OBJECTIVE: To determine the effects of Taijiquan practice on knee Proprioception in patients with knee osteoarthritis(OA).METHODS: We conducted a randomized controlled trial comparing Taijiquan with a control condition(wellness education) in patients with knee OA. The patients participated in either a 60-min Taijiquan session three times weekly or a 60-min weekly educational session, for 24 consecutive weeks. The primary outcomes were changes in knee Proprioception. Secondary outcomes were changes in the Western Ontario and Mc Master University Osteoarthritis Index(WOMAC).RESULTS: After 24 weeks, compared with the control group, the Taijiquan group demonstrated better improvements in the joint position sense in knee flexion(left:-2.12°; right:-2.02°), and knee extension(left:-2.22°; right:-1.54°). In addition,the Taijiquan group showed significantly greater improvements in the WOMAC scores(P Proprioception in patients with knee OA. The present findings add increasing evidence regarding the clinical benefits of Taijiquan as a therapeutic modality for patients to improve the reflex protection of knee joints against potentially harmful forces.

关键词： Tai ji Osteoarthritis, knee Rheumaticdiseases Pain Proprioception Randomized con-trolled trial

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Correlation analysis of national elite Chinese male table tennis players’ shoulder Proprioception and muscle strength

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World Journal of Clinical Cases 2022年第24期10卷 8514-8524页

作者： Xue-Dong Shang En-Ming Zhang Zhen-Lei Chen Lei Zhang Jing-Hua Qian Institute of Sport Medicine National Research Institute of Sports MedicineBeijing 100061China School of Sports Medicine and Rehabilitation Beijing Sport UniversityBeijing 100084China School of Physical Education Hubei University of EducationWuhan 430205Hubei ProvinceChina Graduate School Shandong Sport UniversityJinan 250102Shandong ProvinceChina

BACKGROUND Shoulder is the most injured part in table tennis players,and it takes multiple roles in transmitting power and striking the center of the ball during the stroke.Proprioception is strongly correlated with high level of athletic performance.It is customary to assume that there is a correlation between Proprioception and muscle strength and therefore proprioceptive assessment and rehabilitation is often neglected.AIM To investigate the correlation between isokinetic muscle strength and Proprioception in the internal and external rotation muscle groups of elite Chinese male table tennis players,to provide reference for physical training and rehabilitation of elite table tennis players.METHODS A total of 19 national elite table tennis players from the Chinese National Table Tennis Team were recruited in this research.All of them had more than 10 years training experience and had participated major competitions such as the National Games and World Youth Championships.IsoMed 2000 was used to test the peak torque of internal and external rotation isokinetic concentric contraction of the athletes'bilateral shoulder joints at low speed(60°/s)and high speed(180°/s)respectively;IsoMed 2000 was used to conduct the Joint Position Reproduction test to evaluate the athletes'proprioceptive ability capacity at low speed(60°/s)and high speed(180°/s)respectively.If the data satisfied the normal distribution,the correlation between the differences in peak torque s and angles in different directions was analyzed using a Pearson simple linear model;otherwise,Spearman correlation analysis was used.The comparison of proprioceptive ability between the table tennis racket-holding hand and non-racket-holding hands was performed using independent samples t-test if the data satisfied a normal distribution;otherwise,the Mann-Whitney U test was used.RESULTS There was no direct linear correlation between the strength and proprioceptive correlation analysis at slow speed(60°/s)and fast speed(180°/s)in the racket-holding hand;At the sl

关键词： Elite table tennis player Shoulder Proprioception Muscle strength Correlation analysis

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Effect of vision loss on plasticity of the head and neck Proprioception

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International Journal of Ophthalmology(English edition) 2021年第7期14卷 1059-1065页

作者： Tian-Yu Jiang Bin Shi Dong-Mei Wu Lin Zhang Chang-Shui Weng Li-Hai Zhang Department of Rehabilitation Medicine 2nd Medical Center of Chinese PLA General HospitalBeijing 100853China Department of Orthopedics Chinese PLA General HospitalBeijing 100853China Weizikeng Clinic Chinese PLA General HospitalBeijing 100101China Special Education College Beijing Union UniversityBeijing 110106China

AIM:To investigate whether head and neck Proprioception and motor control could be compensatory enhanced by long-term vision loss or impairment.METHODS:Individuals who were blind,low vision or sighted were included in the study,which would undergo the head repositioning test(HRT).The constant error(CE),absolute error(AE),variable error(VE)and root mean square error(RMSE)of each subject were statistically analyzed.Data were analyzed using the SAS 9.4.Tukey-Kramer for one-way ANOVA was used for comparison of blind,low vision,and sighted subjects,as well as to compare subjects with balanced vision,strong vision in the left eye and strong vision in the right eye.Independent sample t-test was used to compare subjects with congenital blindness and acquired blindness,as well as left and right hand dominance subjects.RESULTS:A total of 90 individuals(25 blind subjects,31 low vision subjects,and 34 sighted subjects)were included in the study.Among the blind subjects,14 cases had congenital blindness and 11 cases had acquired blindness.Among the blind and low vision subjects,21 cases had balanced binocular vision,17 cases had strong vision in the left eye and 18 cases had strong vision in the right eye.Among all subjects,11 cases were left hand dominance,and 79 cases were right hand dominance.There were significant differences in AE,VE,and RMSE in head rotation between blind,low vision,and sighted subjects(P0.05).Significant differences in CE and AE of head right rotation and CE of general head rotation between congenital and acquired(P0.05).CONCLUSION:Long-term vision loss or impairment does not lead to compensatory enhancement of head and neck Proprioception and motor control.Acquired experience contributes to HRT performance in the bli

关键词： blindness vision neuronal plasticity Proprioception rehabilitation

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Effect of posterior root amputation on rabbit knee joint cartilage and Proprioception

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Journal of Hainan Medical University 2021年第16期27卷 7-11页

作者： Rong-Ting Hu Zhao-Hui Chen Ting-Ting Wang Graduate School Anhui University of Chinese MedicineHefei 230038China College of Acupuncture and Massage Anhui University of Chinese MedicineHefei 230038China

Objective:To Observe the characteristics of changes in the cartilage of the rabbit's knee joint after spinal nerve transection,as well as the influence of proprioceptors and proprioceptive pathways,and explore the relationship between Proprioception disorder and knee osteoarthritis.Methods:According to the principle of random allocation,20 New Zealand white rabbits were divided into groups,9 in the control group and 11 in the model group.In the model group,the posterior roots of the L5-L6 spinal nerve were cut off using the posterior root cutting method,while the control group only cut the skin and paraspinal muscles.8 weeks after the operation,the modified Tarlov scoring standard was used to evaluate the behavioral differences between the two groups of rabbits,and electrophysiology-SEPs(Somatosensory Evoked Potentials)and EMG(Surface Electromyography)were used to evaluate Proprioception and muscle contraction.After the test was completed,it was unified They were sacrificed and performed HE staining.Mankin's score was used to evaluate the pathological conditions of the knee articular cartilage in the two groups.The anterior cruciate ligament(ACL)of the right knee was taken and the Bielschowsky nerve staining method was used to observe the number of proprioceptors in the two groups.Results:8 weeks after the operation,the hind limbs of the model group showed a light stroke posture,and the motor function basically returned to normal.Compared with the control group,there was no significant difference in behavioral changes(P>0.05);the model group rabbits SEPs and EMG were compared with the control group Compared with the prolonged incubation period,the amplitude decreased,and the difference was statistically significant(P<0.05).The rabbit articular cartilage surface of the model group was rough or even disappeared,and the cell arrangement was disordered.The Mankin's score was significantly higher than that of the control group(P<0.01),and cartilage damage was more severe.Compared with the control group,the number of p

关键词： Osteoarthritis Rabbit Proprioception Cartilage degeneration Apoptosis

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The measurement of proprioceptive accuracy:A systematic literature review

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Journal of Sport and Health Science 2023年第2期12卷 219-225页

作者： Àron Horváth Eszter Ferentzi Kristóf Schwartz Nina Jacobs Pieter Meyns Ferenc Köteles Doctoral School of Psychology ELTE Eötvös Loránd UniversityKazinczy street 23-27Budapest 1075Hungary Institute of Health Promotion and Sport Sciences ELTE Eötvös Loránd UniversityPrielle Kornélia Street 47-49Budapest 1117Hungary Rehabilitation Research(REVAL) Faculty of Rehabilitation SciencesUniversity of HasseltMartelarenlaan 42Hasselt 3500Belgium

Background:Proprioceptive accuracy refers to the individual’s ability to perceive proprioceptive information,that is,the information referring to the actual state of the locomotor system,which originates from mechanoreceptors located in various parts of the locomotor system and from tactile receptors located in the skin.Proprioceptive accuracy appears to be an important aspect in the evaluation of sensorimotor functioning;however,no widely accepted standard assessment exists.In this systematic review,our goal was to identify and categorize different methods that are used to assess different aspects of proprioceptive accuracy.Methods:A literature search was conducted in 5 different databases(PubMed,SPORTDiscus,PsycINFO,ScienceDirect,and SpringerLink).Results:Overall,1139 scientific papers reporting 1346 methods were included in this review.The methods assess 8 different aspects of Proprioception:(a)the perception of joint position,(b)movement and movement extent,(c)trajectory,(d)velocity,and the sense of(e)force,(f)muscle tension,(g)weight,and(h)size.They apply various paradigms of psychophysics(i.e.,the method of adjustment,constant stimuli,and limits).Conclusion:As the outcomes of different tasks with respect to various body parts show no associations(i.e.,proprioceptive accuracy is characterized by site-specificity and method-specificity),the appropriate measurement method for the task needs to be chosen based on theoretical considerations and/or ecological validity.

关键词： Assessment Kinesthesia Motor control Proprioception Proprioceptive accuracy

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Analysis of Proprioception of Hip Joint in Total Hip Arthroplasty

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Open Journal of Orthopedics 2017年第2期7卷 53-62页

作者： Hitoshi Onishi Satoshi Nagoya Tsuneo Takebayashi Toshihiko Yamashita Department of Orthopaedic Surgery School of Medicine Sapporo Medical University Sapporo Japan Department of Musculoskeletal Biomechanics and Surgical Development School of Medicine Sapporo Medical University Sapporo Japan

Introduction: The instability of the joint is classified roughly into mechanical and functional. It is reported that the postoperative dislocation often occurs by the posterior approach of the THA and may be caused by functionality instability due to the injury of the periarticular soft tissue. We analyzed the joint position sense of the hip according to an approach of the THA and examined effect to give postoperative dislocation. Materials & Methods: 92 patients (184 hip joints) who received THA in our hospital were selected in the study. Cases in which position sensation measurements were insufficient were excluded. As for the classification, the posterior approach (PL groups) was 39 hips, anterolateral approach (AL groups) was 30 hips, and control group was 37 hips. Results: There was no significant difference between the AL group and PL group in the absolute reproduction angle error score (ARAES). The relative reproduction angle error scores (RRAES) for passive internal and external rotations and active internal rotation were significantly lower in the AL and control groups than the PL group. Discussion: This study was suggested that the hip joint position sense in the AL group was better retained for the preservation of the soft tissue.

关键词： Hip Joint Position Sense Total Hip Arthroplasty Proprioception

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The ecological validity of traditional standing and novel bicycle balance and agility tests for predicting performance in mountain bikers

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Sports Medicine and Health Science 2022年第4期4卷 287-292页

作者： K.Buchholtz M.Lambert T.L.Burgess Health Physical ActivityLifestyleand Sport(HPALS)Research CentreUniversity of Cape TownCape TownSouth Africa Department of Physiotherapy LUNEX International University of HealthExercise and SportsLuxembourg Division of Physiotherapy University of Cape TownAnzio RoadObservatoryCape TownSouth Africa Centre for Medical Ethics and Law Faculty of Medicine and Health SciencesStellenbosch UniversityCape TownSouth Africa

Falls are a common mechanism of injury in mountain biking and may be related to a loss of control of the bicycle.Traditionally,the components of bicycle control(balance and agility)are measured in standing and running,which may not reflect the skills required in mountain biking.In this paper,we present the validity of both traditional standing and novel bicycle-specific balance tests in mountain bikers.Twenty-nine male and female participants completed indoor laboratory tests and an outdoor downhill trail.Participants completed single-leg stance balance,Y-balance test,one static and four dynamic bicycle-specific balance tests,a bicycle agility test,and an outdoor downhill trail.Single-leg stance balance and Y-balance tests with eyes open had poor validity when associated with bicycle control.The static(r=-0.57,p=0.001)and four dynamic bicycle balance tests(r=-0.51 to-0.78,p=0.005 to 0.0001),and the bicycle agility test(r=0.87,p<0.0001)had moderate to strong relationships with the outdoor downhill run.Single-leg stance balance and Y-balance tests with eyes open are not valid measures of performance on a mountain bike,and should not be used to assess these populations.Our novel bicycle balance tests have adequate validity to be used as measures of performance in mountain bikers.

关键词： Bicycling Control Proprioception

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Passive eye movements induced by electromagnetic force(EMF) in rats

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Zoological Research 2019年第3期40卷 211-218页

作者： Yue Yu Jun Huang Chun-Ming Zhang Tian-Wen Chen David S.Sandlin Shao-Xun Wang Alberto A.Arteaga Jerome Allison Yang Ou Susan Warren Paul May Hong Zhu Wu Zhou Departments of Otolaryngology and Communicative Sciences University of Mississippi Medical CenterJackson MS 39216USA Department of Otolaryngology First Affiliated HospitalShanxi Medical UniversityTaiyuan Shanxi 030001China MD/PhD Program University of Mississippi Medical CenterJackson MS 39216USA Pharmacology and Toxicology University of Mississippi Medical CenterJackson MS 39216.USA Neurobiology and Anatomical Sciences University of Mississippi Medical CenterJackson MS 39216USA Neurology University of Mississippi Medical CenterJackson MS 39216USA

Accurate information on eye position in the orbit is available from visual feedback,efference copy of the oculomotor commands and proprioceptive signals from the extraocular muscles (EOM).Whereas visual feedback and oculomotor commands have been extensively studied,central processing of EOM proprioceptive signals remains to be elucidated.A challenge to the field is to develop an approach to induce passive eye movements without physically contacting the eyes.A novel method was developed to generate passive eye movements in rats.A small rare-earth magnet disk (0.7 mm diameter,0.5 mm thickness) was attached to the surface of a rat's eyeball.A metal rod (5 mm diameter) wrapped with an electromagnetic (EM) coil was placed near the magnet (8-15 mm).By passing currents to the EM coil,electromagnetic force (EMF) was generated and acted upon the magnet and induced passive eye movements.The EMF induced well-defined passive eye movements,whose directions were dependent on current polarity and amplitudes and peak velocities were dependent on current intensity and duration.Peak velocities of the EMF-induced eye movements were linearly related to amplitudes,exhibiting main sequence relationships similar to that of saccades in awake rats and eye movements induced by electrical microstimulation of the abducens nucleus in anesthetized rats.Histological examination showed that repetitive EMF stimulations did not appear to result in damages in the EOM fibers.These results validated the EMF approach as a novel tool to investigate EOM proprioceptive signals and their roles in visual localization and gaze control.

关键词： Eye movement Proprioception Extraocular muscles Stretch reflex

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