The clinical identification of peripheral neuropathy among older persons

Richardson, James K.

doi:10.1053/apmr.2002.35656

Cited by 84 publications

(60 citation statements)

References 35 publications

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“…The examiner scores for correct perception of movement and direction. Although it is a simple bedside test, interexaminer variability in the magnitude of moving digits and low sensitivity in detecting proprioceptive deficit is a problematic area (Richardson, 2002).…”

Section: Distal Proprioception Testmentioning

confidence: 99%

Assessing Proprioception

Sayar¹,

nübol²

2017

JNBS

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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.

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Section: Distal Proprioception Testmentioning

confidence: 99%

Assessing Proprioception

Sayar¹,

nübol²

2017

JNBS

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“…The proprioception of the ankle was evaluated (sense of movement and sense of position), and vibration sensitivity was determined with a 128-Hz tuning fork. Participants had to be able to feel the 4.31-calibrated Semmens-Weinstein filaments (Saltzman, Rashid, Hayes, Fellner, Fitzpatrick, Klapach, & Hillis, 2004), to identify correctly ≥5 of 6 movements and positions of articulation, and to feel the vibration for ≥10 s (Kokmen, Bossemeyer, Barney, & Williams, 1977;Richardson, 2002). To verify their ability to perceive different weights, the participants were also asked to place four identical cylinders of different weights in increasing order.…”

Section: Clinical Assessmentmentioning

confidence: 99%

Magnitude of force perception errors during static contractions of the knee extensors in healthy young and elderly individuals

Lauzière

Dubois

Brière

et al. 2011

Atten Percept Psychophys

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The accuracy of force perception during muscular contraction has not been studied extensively, despite its importance in rehabilitation and training. The purpose of this study was to quantify the errors made by healthy young and elderly individuals in their perceptions of force produced at the knee. Four different tasks were used to evaluate the perception of force and the effect of a sensory-motor reference and simultaneous contraction on the accuracy of perception. The absolute errors were similar between groups, with values of 11.9% to 16.3%, depending on the task. The raw perception errors were greater for high levels of force (>50% of the maximal voluntary contraction, or MVC), indicating an overestimation of the forces produced for both groups. At 70% MVC, the sensory-motor reference reduced raw perception errors, and the simultaneous contraction improved the accuracy of force production. Healthy young and elderly individuals had about the same capacity to judge the muscular force of their knee extensors. Therapists involved in the training of active elderly individuals should be aware that the accuracy of force perception is not perfect and that these clients have the same ability as young individuals to perceive their knee extension strength.

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“…It is essential to diagnose peripheral neuropathy as it is often associated with treatable systemic disorders, furthermore, early identification of peripheral neuropathy may be an important element in preventing falls, but the clinical evaluation of peripheral neuropathy in the elderly can be very challenging 27,28 , among others because the cognitively impaired patients may have difficulties understanding and responding verbally to the examination tests, and thus indicating if the perception is perceived. Furthermore, the common symptoms of peripheral neuropathy may not be as straightforward in older patients 6,8 .…”

Section: Introductionmentioning

confidence: 99%

Identifying Peripheral Neuropathy in Fall Patients with the Heat-Washout Method

Midttun¹

2017

J Neurol Neuromedicine

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The clinical identification of peripheral neuropathy among older persons

Cited by 84 publications

References 35 publications

Assessing Proprioception

Assessing Proprioception

Magnitude of force perception errors during static contractions of the knee extensors in healthy young and elderly individuals

Identifying Peripheral Neuropathy in Fall Patients with the Heat-Washout Method

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