Proprioception in musculoskeletal rehabilitation. Part 2: Clinical assessment and intervention

Manual Therapy
Nicholas C ClarkJulia Treleaven

Abstract

Proprioception can be impaired in gradual-onset musculoskeletal pain disorders and following trauma. Understanding of the role of proprioception in sensorimotor dysfunction and methods for assessment and interventions is of vital importance in musculoskeletal rehabilitation. In Part 1 of this two-part Masterclass we presented a theory-based overview of the role of proprioception in sensorimotor control, causes and findings of altered proprioception in musculoskeletal conditions, and general principles of assessment and interventions. The aim of this second part is to present specific methods for clinical assessment and interventions to improve proprioception in the spine and extremities. Clinical assessment of proprioception can be performed using goniometers, inclinometers, laser-pointers, and pressure sensors. Manual therapy, taping, and bracing can immediately enhance proprioception and should be used to prepare for exercise interventions. Various types of exercise (active joint repositioning, force sense, co-ordination, muscle performance, balance/unstable surface, plyometric, and vibration training) should be employed for long-term enhancement of proprioception.

References

Sep 1, 1991·British Journal of Sports Medicine·G C Goats, K A Keir
Nov 1, 1982·The American Journal of Sports Medicine·J C KennedyK C Hayes
Jan 1, 1995·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J JeroschM Bischof
Sep 1, 1994·British Journal of Sports Medicine·G C Goats
Jan 23, 1999·Archives of Physical Medicine and Rehabilitation·P J McNair, P J Heine
Mar 10, 2001·Journal of Science and Medicine in Sport·G WaddingtonR Adams
Oct 26, 2001·The Australian Journal of Physiotherapy·Gordon WaddingtonAshley Jones
Feb 4, 2003·Exercise and Sport Sciences Reviews·Marco Cardinale, Carmelo Bosco
Feb 6, 2003·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Jörn SteinbeckUlf Liljenqvist
Apr 5, 2003·The American Naturalist·J V Greenman, T G Benton
Jul 2, 2003·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Paul W Hodges, G Lorimer Moseley
Dec 4, 2003·Medicine and Science in Sports and Exercise·William W N Tsang, Christina W Y Hui-Chan
Mar 20, 2004·Archives of Physical Medicine and Rehabilitation·Eythor KristjanssonKarl Gudmundsson
Nov 19, 2004·Experimental Brain Research·Monica A PerezJens B Nielsen
Jun 14, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ufuk SekirTaner Aydin
Dec 5, 2006·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Gwendolen JullBill Vicenzino
Feb 9, 2007·The Journal of Orthopaedic and Sports Physical Therapy·Shaun O'LearyBill Vicenzino
Jun 19, 2007·Morphologie : Bulletin De L'Association Des Anatomistes·C SteccoV Delmas
Dec 7, 2007·Journal of Motor Behavior·David N SuprakAndrew R Karduna
May 14, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Carrie L Docherty, Brent L Arnold
Feb 27, 2009·Journal of Manipulative and Physiological Therapeutics·Kenneth E LearmanChad E Cook
Sep 23, 2009·Journal of Athletic Training·Jason HandLouis Osternig
Oct 13, 2009·Experimental Brain Research·Astrid WoodhouseOttar Vasseljen
Nov 10, 2009·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Anne BenjaminseScott M Lephart
Nov 17, 2009·Journal of Athletic Training·Brady L TrippPatrick Jacobs
Jul 14, 2010·Clinical Biomechanics·Yan-Ying JuHsin-Yi Kathy Cheng
Nov 9, 2010·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Hsiao-Yun ChangChun-Hou Wang
Jan 5, 2011·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Silvia MuceliDeborah Falla
Feb 22, 2011·Journal of Manipulative and Physiological Therapeutics·Heidi Haavik, Bernadette Murphy
Apr 5, 2011·The American Journal of Sports Medicine·Kam-Ming MokKai-Ming Chan

❮ Previous
Next ❯

Citations

Feb 26, 2016·The Veterinary Clinics of North America. Equine Practice·Catherine M McGowan, Suzanne Cottriall
Jan 15, 2016·BMC Musculoskeletal Disorders·Jean-Alexandre BoucherChristian Larivière
Apr 26, 2016·Sports Biomechanics·João VenâncioFernando Ribeiro
Jun 7, 2016·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Olga L HincapieLaura Vasquez-Welsh
Jul 28, 2016·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Gabriela Lopes SantosThiago Luiz Russo
Jun 4, 2016·Somatosensory & Motor Research·Ahmad AlghadirEinas Al-Eisa
Aug 4, 2016·Journal of Neuroengineering and Rehabilitation·Serena MaggioniHerman van der Kooij
Aug 16, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Paul S Sung, Pamela Danial
Dec 12, 2018·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Maria Grazia BenedettiMarco Manfrini
Jul 30, 2019·Journal of Sports Sciences·Andrea H HamsJeremy Witchalls
Sep 8, 2017·Frontiers in Psychology·Nancy R GeeAngela L Curl
Mar 3, 2020·Work : a Journal of Prevention, Assessment, and Rehabilitation·Gamze YalcinkayaNurullah Buker
Aug 11, 2020·Somatosensory & Motor Research·Alessandro MicarelliMarco Alessandrini
Jul 17, 2019·The South African Journal of Physiotherapy·Jonathan QuarteyChristoph Bauer
Sep 28, 2017·BMC Musculoskeletal Disorders·Ulrik RöijezonGeorge Nikolakopoulos
May 17, 2018·Journal of Physical Therapy Science·Abdalghani YahyaMarcio Dos Santos
Dec 5, 2020·Musculoskeletal Science & Practice·J TreleavenH Sarig-Bahat
Dec 22, 2020·Frontiers in Sports and Active Living·Alex J RawcliffeChris Connaboy
Mar 3, 2021·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Adam GrinbergCharlotte K Häger
Oct 6, 2020·Journal of Sport and Health Science·Xiao'ao XueYinghui Hua
Oct 22, 2016·Journal of Biomechanics·Elizabeth S EdwardsAndrew R Karduna
Apr 8, 2021·The South African Journal of Physiotherapy·Carlyn RhodeLeone Williams
Aug 16, 2021·Journal of Bodywork and Movement Therapies·Mohanakrishnan JagadevanPorchelvan Swaminathan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.