Assessing Proprioception

Abstract

ÖzetPropriyoseption, vücudun parçalarının göreceli konumunun ve hareket sırasında işe yönelik harcanan efor direncinin hissi anlamına gelmektedir. İyi bir sensorimotor kontrol için propriyosepsiyon gereklidir. İnme, Parkinson hastalığı, periferik duyu nöropatileri gibi ya da ligamentler, eklem kapsülleri ve kaslarda yaralanmalar gibi çeşitli nörolojik ve ortopedik koşullardan sonra propriyoseptif bozulmaların yaygın olduğu bilinse de, klinik pratikte propriyoseptif fonksiyonların ölçümünde objektif, doğru ve güvenilir bir yöntem bulunmamaktadır. Bu bölümde, propriyosepsiyonun değerlendirilmesi için geliştirilen spesifik teknikler kısaca tartışılacaktır. Anahtar Kelimeler: değerlendirme, ekipman, eklem pozisyon duyusu, propriyosepsiyon. AbstractProprioception is the sense of the relative position of parts of the body and strength of effort being employed in movement. Proprioception is essential for well-adapted sensorimotor control. Although proprioceptive deficits are known to be a common after several neurological and orthopedic conditions such as stroke, Parkinson's disease, peripheral sensory neuropathies, or injuries to ligaments, joint capsules, and muscles, there is no objective, accurate, and reliable method available in clinical settings to assess proprioceptive function. In this chapter specific techniques developed to assess proprioception will be briefly discussed.

Nomophobia Kids and Proprioception

“…The subject is asked to alternately touch their nose and the examiner's finger as fast as possible [3].…”

“…The clinician asks the patient to first stand quietly with eyes open, and ultimately with eyes closed. The Romberg test is scored by counting the seconds the person is able to stand with eyes closed [3].…”

“…Nomophobia is described as "the soreness or tension as a result of the nonavailability of a cellular telephone, personal laptop (pc) or any some other digital verbal exchange device" [2]. Clayton et al references Belk (2013) of their explanation of smart-phone loss as the "unintentional lack of a ownership need to be regarded as a loss or lessening of self" [3].…”

A Novel Tool for Quantitative Assessment of Lower Limb Proprioception: Demonstration with Young Adults, Elderly and Stroke Survivors

“…Nevertheless, research of proprioception impairments is limited, and it is difficult to characterise the extent of these impairments due to the large variability among stroke survivors: they vary in age, gender, modalities, the severity of damage and other factors (Connell, Lincoln and Radford, 2008). An important limiting factor in the research of proprioceptive impairments is the lack of objective and quantitative tools (Hillier, Immink and Thewlis, 2015), (Sayar and nübol, 2017). This is partially due to the perception among therapists that motor based assessments provide sufficient information about somatosensory function.…”

“…The distal proprioception test is applied to the big toe, where the examiner grasps it and performs vertical movements (up and down) while the participant observes it, and then is asked to repeat the movement with closed eyes (Sayar and nübol, 2017). These types of evaluation raise the question of objectivity and quantification, since the severity of the impairment may be interpreted differently by different physical therapists because it is harder to quantify it by simply observing it (Hillier, Immink and Thewlis, 2015), (Sayar and nübol, 2017), (Han et al, 2016).…”