The effect of degenerative arthritis and prosthetic arthroplasty on shoulder proprioception

Cuomo, Frances; Birdzell, Maureen Gallagher; Zuckerman, Joseph D.

doi:10.1016/j.jse.2004.07.009

Cited by 60 publications

(58 citation statements)

References 18 publications

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“…AAR, remains unchanged or deteriorates over the course of six months after shoulder arthroplasty. Our findings can be compared to those of Cuomo and colleagues [4]. They prospectively analysed 20 consecutive patients with unilateral advanced glenohumeral arthritis who underwent TSA.…”

Section: Discussionmentioning

confidence: 77%

“…Parameters routinely examined in previous studies include pain, satisfaction, range of motion, and strength [3]. There is little information available about the proprioception of the osteoarthritic shoulder before and after arthroplasty [4].…”

Section: Introductionmentioning

confidence: 99%

“…There is no consensus on how proprioception should be measured because these different components are difficult to examine at the same time. Cuomo et al performed a passive and guided anglereproduction test in 20 patients with shoulder osteoarthritis before and six months after total shoulder arthroplasty (TSA) with only one degree of freedom at a time and reported improvement in proprioception [4]. In our study, we examined patients with different types of shoulder arthroplasties by means of an active and unlimited anglereproduction test with 3D motion analysis to mimic the actions of their everyday life; the tests were conducted preoperatively and six months postoperatively.…”

Section: Introductionmentioning

confidence: 99%

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Proprioception in total, hemi- and reverse shoulder arthroplasty in 3D motion analyses: a prospective study

Kasten

Maier

Rettig

et al. 2008

International Orthopaedics (SICOT)

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The aim of the study was to assess proprioception after shoulder arthroplasty. Twenty-six patients were enrolled who underwent total shoulder arthroplasty (TSA) (n=13) or hemi-arthroplasty (n=8) for shoulder osteoarthritis or reversed arthroplasty (n=5) for cuff tear arthropathy. All patients were examined before the operation and then again six months thereafter in a motion analysis study with an active angle-reproduction (AAR) test. In all groups the AAR deteriorated at 60°flexion (from 5.5°[SD 2.8] to 7.6°[SD 2.7]; p=0.007) and at 30°external rotation (ER) (from 6.5° [SD 3.6] to 7.3°[SD 4.8°]; p=0.023) six months after surgery. In the subgroup of TSA, there was deterioration at 30°ER (p=0.036). Otherwise, there were no significant changes within or among the subgroups. Proprioception, assessed by the AAR test, remained unchanged or deteriorated six months after shoulder arthroplasty. This might be related to the reduced pain or to the relatively short follow-up period.

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Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Proprioception in total, hemi- and reverse shoulder arthroplasty in 3D motion analyses: a prospective study

Kasten

Maier

Rettig

et al. 2008

International Orthopaedics (SICOT)

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“…For kinesthesia proprioception, movement detection is identified using passive movement. 7,8 This method cannot measure proprioceptive feedback during active motion. In our study, we assessed proprioception during active limb motion with a novel method, the proprioceptive feedback index (PFI), comprised of the total absolute difference between target and replicate trials (magnitude) and the kinematic distribution of the movement (similarity index, SI).…”

mentioning

confidence: 99%

Proprioception assessment in subjects with idiopathic loss of shoulder range of motion: Joint position sense and a novel proprioceptive feedback index

Yang

Chen

Jan

et al. 2008

Journal Orthopaedic Research

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ABSTRACT:We examined the effects of elevation range and plane on shoulder joint proprioception in subjects with idiopathic loss of shoulder range of motion (ROM). Joint position sense (JPS) and a novel proprioceptive feedback index (PFI), including difference magnitude and the similarity index, were used to assess proprioception. Twelve subjects (eight male, four female) with involved stiff shoulders and normal opposite shoulders were recruited from a university hospital. Subjects attempted to repeat six target positions. Target positions consisted of arm elevation in three planes (frontal, scapular, and sagittal planes) and two ranges (end/mid range). Six trials of each target position were used to determine acceptable trials for stabilization of the data, less than 5% of the cumulative mean values for at least three successive trials. The data stabilized at the sixth repetition. Compared to control shoulders, involved shoulders had enhanced proprioception during end range movements (p < 0.05). The magnitude of the repositioning error and difference magnitude decreased (1.68-3.58 for repositioning error and 22.28-62.18 for difference magnitude), whereas similarity index improved at end range movements compared to mid range movements (p < 0.05) in involved stiff shoulders. Results of JPS and PFI suggest that both capsuloligamentous and musculotendinous mechanoreceptors play an important role in proprioception feedback during active movements in subjects with idiopathic loss of shoulder ROM. Proprioception is a type of feedback from the limbs to the central nervous system 1 that has been described as a sensory modality with combination of joint position sense (JPS), the ability of a person to identify and reproduce limb position in space, and kinesthesia, the perception of limb motion. 2 Stimuli from peripheral mechanoreceptors in joints, muscles, and skin provide the central nervous system with information regarding JPS and kinesthesia to modify motor control. 3,4 Proprioceptive mechanisms are essential in maintaining joint stability, especially for the shoulder, where stability is sacrificed for a large range of motion. 5,6 JPS is commonly tested using either active or passive reproduction of joint positioning, whereas kinesthesia studies have been limited to identifying the threshold to detect limb motion using a passive motion. For detecting JPS, the shoulder joint of a blindfolded subject is moved through an active or passive range of motion to a predetermined position and held for 5 to 10 s. Upon return to the starting position, subjects attempt to replicate the target position when they feel the presented position has been matched. The difference between the presented and reproduced position is the repositioning error. For kinesthesia proprioception, movement detection is identified using passive movement. 7,8 This method cannot measure proprioceptive feedback during active motion. In our study, we assessed proprioception during active limb motion with a novel method, the proprioceptive feedback index (PFI...

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“…It is known that joint proprioception plays a considerable role in stabilization of the normal healthy shoulder by helping to control muscular action [1]. However, there is little data available about proprioception of the replaced shoulder before and after surgery [6,12,16]. Parameters routinely examined in previous studies include pain, satisfaction, range of motion, and strength [5].…”

Section: Shoulder Proprioceptionmentioning

confidence: 99%

Development of Proprioception After Shoulder Arthroplasty

Maier¹,

Kasten²

2012

Recent Advances in Arthroplasty

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The effect of degenerative arthritis and prosthetic arthroplasty on shoulder proprioception

Cited by 60 publications

References 18 publications

Proprioception in total, hemi- and reverse shoulder arthroplasty in 3D motion analyses: a prospective study

Proprioception in total, hemi- and reverse shoulder arthroplasty in 3D motion analyses: a prospective study

Proprioception assessment in subjects with idiopathic loss of shoulder range of motion: Joint position sense and a novel proprioceptive feedback index

Development of Proprioception After Shoulder Arthroplasty

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