Kinaesthetic Sensations Research Articles

Kinaesthesia and Methods for its Assessment: Literature Review

Kinaesthesia and Methods for its Assessment: Literature ReviewIn this review measurement techniques used for kinaesthetic sense assessment are presented. Kinaesthesia is an important part of human movement control and provides us with better understanding of specific movement system adaptations to fatigue, training and injury. Additionally, decreased kinaesthesia can be an injury predisposing factor, which stresses the necessity for its assessment in sports injury prevention programs. First, terminology and functional concept of kinaesthesia is presented in relation to other related concepts like proprioception and sensory-motor function. For better understanding, basic underlying neurological backgrounds are discussed in chapter two, encompassing peripheral sensory fields as well as the basics of the central processing. Additionally, factors affecting kinaesthesia and its adaptations to training are presented. Functional aspects are discussed, supporting the role of assessment of kinaesthesia in sports and rehabilitation. In the third chapter, a proposal for measuring methods classification is given. In the final chapter, different measuring protocols and their modifications are presented. Due to their usefulness in sports and injury prevention, methods for measuring sense of joint position, movement onset and active tracking are discussed in more detail. Possibilities and examples of their application to sports and sports injury rehabilitation settings are presented. Some basic guidelines are given of how to use these methods in training or for screening kinaesthesia.

The Development of Altruistic Behavior Out of Reactive Crying

Reactive crying, displayed by children as a response to the distress of another, is described as a precursor of helping and caring. There are several stages during the transition from the innate, reactive cry to the intentional response. Children at the age of 6–14 months are able to control their reactive distress response, yet still respond to the distress of others by displaying distress behavior themselves. Two explanations are discussed. According to one explanation, children are confused about what happens to the self and what happens to the other. This explanation is criticized for being based on misunderstandings of the nature of (kinaesthetic) sensations. An alternative and more promising explanation is derived from kin selection theory. According to this explanation, the development of reactive crying and the transition to caring and helping have been shaped by different forces acting on paternally and maternally derived genes.

Non-painful phantom limb phenomena in amputees: incidence, clinical characteristics and temporal course.

58 patients undergoing limb amputation mainly because of peripheral vascular disease were interviewed by means of a standard questionnaire and examined 8 days, 6 months and 2 years after limb amputation regarding non-painful phantom limb phenomena. During the follow-up period, 41% of patients died. The incidence of phantom limb 8 days, 6 months and 2 years after limb loss was 84%, 90% and 71%, respectively. Phantom limb phenomena changed within the first half year after amputation from a mainly proximal and distal distribution to a mainly distal localized sensation. While approximately 3/4 of patients with phantom limb had kinaesthetic sensations in the limb (i.e. feeling of length, volume or other spatial sensation) during the first 6 months after amputation, less than 50% of patients had this later in the course; 30% of patients noticed a clear shortening of the phantom limb during the follow-up period. While the incidence of phantom limb did not decrease during the follow-up period, both the duration and frequency of phantom limb phenomena declined significantly. The distribution of non-painful and painful phantom limb did not differ significantly from each other. The present findings suggest that mechanisms both in periphery, spinal cord and brain participate in generating the phantom limb percept.

Altered motor control patterns in whiplash and chronic neck pain

BackgroundPersistent whiplash associated disorders (WAD) have been associated with alterations in kinesthetic sense and motor control. The evidence is however inconclusive, particularly for differences between WAD patients and patients with chronic non-traumatic neck pain. The aim of this study was to investigate motor control deficits in WAD compared to chronic non-traumatic neck pain and healthy controls in relation to cervical range of motion (ROM), conjunct motion, joint position error and ROM-variability.MethodsParticipants (n = 173) were recruited to three groups: 59 patients with persistent WAD, 57 patients with chronic non-traumatic neck pain and 57 asymptomatic volunteers. A 3D motion tracking system (Fastrak) was used to record maximal range of motion in the three cardinal planes of the cervical spine (sagittal, frontal and horizontal), and concurrent motion in the two associated cardinal planes relative to each primary plane were used to express conjunct motion. Joint position error was registered as the difference in head positions before and after cervical rotations.ResultsReduced conjunct motion was found for WAD and chronic neck pain patients compared to asymptomatic subjects. This was most evident during cervical rotation. Reduced conjunct motion was not explained by current pain or by range of motion in the primary plane. Total conjunct motion during primary rotation was 13.9° (95% CI; 12.2–15.6) for the WAD group, 17.9° (95% CI; 16.1–19.6) for the chronic neck pain group and 25.9° (95% CI; 23.7–28.1) for the asymptomatic group. As expected, maximal cervical range of motion was significantly reduced among the WAD patients compared to both control groups. No group differences were found in maximal ROM-variability or joint position error.ConclusionAltered movement patterns in the cervical spine were found for both pain groups, indicating changes in motor control strategies. The changes were not related to a history of neck trauma, nor to current pain, but more likely due to long-lasting pain. No group differences were found for kinaesthetic sense.

Lack of Impairment of Kinaesthetic Sensibility in Cervicogenic Headache Patients

To compare the cervical kinaesthetic sensibility of cervicogenic headache (CEH) patients and asymptomatic controls, the head repositioning accuracy of 10 CEH patients and 23 asymptomatic controls was measured. Should an impaired kinaesthetic sensibility be demonstrated, its assessment could be of diagnostic value in the evaluation of patients with suspected CEH. Additionally, specific exercises to improve cervical kinaesthesia could be prescribed. Kinaesthetic sensibility was assessed using a head repositioning task: subjects were asked to relocate their heads as accurately as possible to a previously memorized head position following an active movement (flexion, extension and left and right rotations). The repositioning error was registered using a validated magnetic tracking device (Flock of Birds). No significant differences were found between the asymptomatic controls and the CEH patients (independent-samples T-test, P < 0.05). We conclude that cervical kinaesthetic sensibility is not impaired in non-traumatic CEH. The use of kinaesthetic assessment and treatment in this patient group seems to be limited.

Cervical Musculoskeletal Impairment in Frequent Intermittent Headache. Part 1: Subjects With Single Headaches

Musculoskeletal disorders are considered the underlying cause of cervicogenic headache, but neck pain is commonly associated with migraine and tension-type headaches. This study tested musculoskeletal function in these headache types. From a group of 196 community-based volunteers with headache, 73 had a single headache classifiable as migraine (n = 22), tension-type (n = 33) or cervicogenic headache (n = 18); 57 subjects acted as controls. Range of movement, manual examination of cervical segments, cervical flexor and extensor strength, the cranio-cervical flexion test (CCFT), cross-sectional area of selected extensor muscles at C2 (ultrasound imaging) and cervical kinaesthetic sense were measured by a blinded examiner. In all but one measure (kinaesthetic sense), the cervicogenic headache group were significantly different from the migraine, tension-type headache and control groups (all P < 0.001). A discriminant function analysis revealed that collectively, restricted movement, in association with palpable upper cervical joint dysfunction and impairment in the CCFT, had 100% sensitivity and 94% specificity to identify cervicogenic headache. There was no evidence that the cervical musculoskeletal impairments assessed in this study were present in the migraine and tension-type headache groups. Further research is required to validate the predictive capacity of this pattern of impairment to differentially diagnose cervicogenic headache.

TILGÆNGELIG AKUSTIK: Boligens lyd

The article describes and comments on implications of the absence of codes and regulations&#x0D; regarding the acoustic environment of housing design, in particular regulation of&#x0D; reverberation time. A Ph.D. dissertation, “A House for the Senses” from Royal Danish&#x0D; Academy of Arts, School of Architecture, 2003, forms this article’s basis, the evidence of&#x0D; which is described and documented with citations from the qualitative 1:1 spatial testing.&#x0D; Through empirical work with a group of people living with sensory disabilities, the&#x0D; article addresses, not only the needs and specific requirements for the individual disability,&#x0D; but also several human implications for acoustic perception in housing design. Spatial&#x0D; acoustics are sensed, not only through hearing, but also by one’s use of the sense of&#x0D; feeling, the kinaesthetic sense and balance as they pertain to sensory disabilities. Finally,&#x0D; the article suggests that acoustics serves as a significant element in architectural quality,&#x0D; as well as a measurable parameter of accessibility.&#x0D;

Dance's Mind-Body Problem

In section 621 of the Philosophical Investigations, Ludwig Wittgenstein considers the following: 'when raise my arm,' he notes, 'my arm goes up. And the problem arises: what is left over if I subtract the fact that my arm goes up from the fact that I raise my arm?' (Wittgenstein 1958, 161). A dancer might have a number of answers here, as might a viewer of dance performance. Generally, the dancer's gesture of raising her arm is not just movement, but an intended action: it is not mere reflex or nervous tick but consciously willed and controlled; it is governed by a decision to move on the part of the dancer and in some cases also by a decision on the part of the choreographer that this action be performed. These purposes shape the quality and significance of the movement as well as causing it to happen. So if I subtract the fact that my arm goes up from the fact that I raise my arm, I am left with these intentions.1 A dancer might want to add that the remainder also includes her phenomenal experience of the movement: the sensation of the muscles tightening in the shoulder as the arm lifts, the feeling of tension between the arm reaching up and the legs rooted in the ground, the sense that the surrounding air offers resistance to the gesture. There is a whole complex of kinaesthetic sensations associated with the action of raising her arm, and the dancer aware of her performance is very conscious of these sensations: they contribute to the richness of her experience and, arguably, to the particular quality of the action as perceived by the audience. They too make the gesture of raising one's arm more than just a movement of the arm upwards. Of course, Wittgenstein is not suggesting that it is actually possible to isolate intention and phenomenal awareness from physical movement. His question is an analytic one designed to elucidate the character of a human action as opposed to a mere physical occurrence. In the process, it highlights issues key to contemporary debates in analytic philosophy about the mind-body problem and thus offers a route in to the core topics of this article. The dancer's hypothetical answer to Wittgenstein's question suggests that dance centrally involves (or seems to involve) ideas and intentions causing or being embodied in physical movement; it points also to how dance's value depends (or seems to depend) partly on the phenomenal experiences of dancers, choreographers and viewers. Yet what are ideas, intentions and phenomenal experience, what kind of reality do they have, and how do they relate to the world of physical and physiological fact? These aspects of the mind-body problem the issues of mental causation and

A Place of Sense: A Kinaesthetic Ethnography of Cyclists on Mont Ventoux

In this paper I explore the notion that our movements in and through a place define our engagement with it and help to constitute it as a place. Concepts and concomitant interpretations of place as a ‘situated’ and contemplative experience have to date received much cultural geographical attention. In increasingly mobile societies, however, I argue that mobility should be central to the ways in which we conceptualise and understand the character and meanings of different spaces and places. Although geographical exploration has begun concerning the politics and power relations of the mobile subject, little attention has yet been paid to the experiences and spatialities generative of the body-subject in mobility. Whilst acknowledging the importance of representations in directing action, I strategically emphasise and explore the notion that we create meaning and belong in a place according to how we are in a place. Drawing upon ethnographic work with racing and touring cyclists in the United Kingdom and France, I consider how the conjoining of the person and bike and the resulting embodied rhythms and kinaesthetic sensations of the movement of cycling are constitutive of the character and meanings of particular places. Ultimately, in this paper I point to an understanding of the kinaesthetic and sensuous experiences of the hybrid subject–object (in this instance ‘the cyclist’) as fundamental in rethinking how people live, feel, and ultimately create meaningful spatial relations.

Postural neck pain: An investigation of habitual sitting posture, perception of ‘good’ posture and cervicothoracic kinaesthesia

Impairments of cervico-cephalic kinaesthesia and habitual forward head posture have been considered important in the aetiology of postural neck pain, yet these factors have not been specifically examined in a homogeneous clinical population. The objective of this study was to compare the habitual sitting posture (HSP), perception of good posture and postural repositioning error (PRE) of the cervico-thoracic (CT) spine in individuals with postural neck pain, with a matched group of asymptomatic subjects. Twenty-one subjects with postural neck pain and 22 asymptomatic control subjects were recruited into the study. An optical motion analysis system was used to measure the HSP and perceived ‘good’ sitting posture. PRE was measured over six trials where the subject attempted to replicate their self-selected ‘good’ posture. There was no difference between the groups in the HSP but significant differences were identified in the perception of ‘good’ posture. Posture repositioning error was higher for the head posture variables than for CT and shoulder girdle variables in both groups. However, there was no significant difference in posture repositioning error between groups for any of the posture measures. The findings suggest that individuals with postural neck pain may have a different perception of ‘good’ posture, but no significant difference in HSP or kinaesthetic sensibility compared with matched asymptomatic subjects.

Physical and psychological factors maintain long-term predictive capacity post-whiplash injury

Higher initial levels of pain and disability, older age, cold hyperalgesia, impaired sympathetic vasoconstriction and moderate post-traumatic stress symptoms have been shown to be associated with poor outcome 6 months following whiplash injury. This study prospectively investigated the predictive capacity of these variables at a long-term follow-up. Sixty-five of an initial cohort of 76 acutely injured whiplash participants were followed to 2–3 years post-accident. Motor function (ROM; kinaesthetic sense; activity of the superficial neck flexors (EMG) during cranio-cervical flexion), quantitative sensory testing (pressure, thermal pain thresholds and brachial plexus provocation test), sympathetic vasoconstrictor responses and psychological distress (GHQ-28, TSK and IES) were measured. The outcome measure was Neck Disability Index (NDI) scores. Participants with ongoing moderate/severe symptoms at 2–3 years continued to manifest decreased ROM, increased EMG during cranio-cervical flexion, sensory hypersensitivity and elevated levels of psychological distress when compared to recovered participants and those with milder symptoms. The latter two groups showed only persistent deficits in cervical muscle recruitment patterns. Higher initial NDI scores (OR 1.00–1.1), older age (OR 1.00–1.13), cold hyperalgesia (OR 1.1–1.13) and post-traumatic stress symptoms (OR 1.03–1.2) remained significant predictors of poor outcome at long-term follow-up ( r 2 = 0.56). The robustness of these physical and psychological factors suggests that their assessment in the acute stage following whiplash injury will be important.

Realistic Active Haptic Guided Exploration with Cartesian Control for Force–Position Tracking in Finite Time

Perception and interaction with virtual surfaces, through kinaesthetic sensation and visual stimuli, is the basic issue of a haptic interface. When the virtual or real object is in a remote location, and guidance is required to perceive kinaesthetic feedback, a haptic guidance scheme is required. In this document, with purpose of haptic-guided exploration, a new scheme for simultaneous control of force and cartesian position is proposed without using inverse kinematics, and without using the dynamic model of PHANToM, though a strict stability analysis includes the dynamic model of PHANToM. We rely on our previously proposed results to propose a new haptic cartesian controller to reduce the burden of computing cartesian forces in PHANToM. Furthermore, a time base generator for finite-time tracking is also proposed to achieve very fast tracking and high precision, which translated into high fidelity kinaesthetic feedback.

Realistic Active Haptic Guided Exploration with Cartesian Control for Force–Position Tracking in Finite Time

Perception and interaction with virtual surfaces, through kinaesthetic sensation and visual stimuli, is the basic issue of a haptic interface. When the virtual or real object is in a remote location, and guidance is required to perceive kinaesthetic feedback, a haptic guidance scheme is required. In this document, with purpose of haptic‐guided exploration, a new scheme for simultaneous control of force and cartesian position is proposed without using inverse kinematics, and without using the dynamic model of PHANToM, though a strict stability analysis includes the dynamic model of PHANToM. We rely on our previously proposed results to propose a new haptic cartesian controller to reduce the burden of computing cartesian forces in PHANToM. Furthermore, a time base generator for finite‐time tracking is also proposed to achieve very fast tracking and high precision, which translated into high fidelity kinaesthetic feedback.

Clinical tests of musculoskeletal dysfunction in the diagnosis of cervicogenic headache

Persistent intermittent headache is a common disorder and is often accompanied by neck aching or stiffness, which could infer a cervical contribution to headache. However, the incidence of cervicogenic headache is estimated to be 14–18% of all chronic headaches, highlighting the need for clear criterion of cervical musculoskeletal impairment to identify cervicogenic headache sufferers who may benefit from treatments such as manual therapy. This study examined the presence of cervical musculoskeletal impairment in 77 subjects, 27 with cervicogenic headache, 25 with migraine with aura and 25 control subjects. Assessments included a photographic measure of posture, range of movement, cervical manual examination, pressure pain thresholds, muscle length, performance in the cranio-cervical flexion test and cervical kinaesthetic sense. The results indicated that when compared to the migraine with aura and control groups who scored similarly in the tests, the cervicogenic headache group had less range of cervical flexion/extension ( P = 0.048 ) and significantly higher incidences of painful upper cervical joint dysfunction assessed by manual examination (all P < 0.05 ) and muscle tightness ( P < 0.05 ). Sternocleidomastoid normalized EMG values were higher in the latter three stages of the cranio-cervical flexion test although they failed to reach significance. There were no between group differences for other measures. A discriminant analysis revealed that manual examination could discriminate the cervicogenic headache group from the other subjects (migraine with aura and control subjects combined) with an 80% sensitivity.

Learning to produce predicted static handgrip forces

The objective of this study was to prove the hypothesis that kinaesthetic sensations, without visual or verbal guidance, give sufficient information to produce predictive handgrip forces. The ability of 70 girls and 70 boys aged 11 to 17 years to produce predicted static handgrip force was examined. The subjects were requested to produce 50% of their individual maximum handgrip force and maintain it for 2 seconds without visual control. Ten trials were done first by the right-hand and then by the left-hand. The maximum grip strength increased parallel with age, but significant differences were found between both the right and the left-hand, and the genders. Close correlations were found between the desired and the exerted forces. The differences between the desired forces and the exerted forces produced by the fifth trials were significantly smaller than that of the first trials. The verbal information about each exerted force contributed to the learning with right-hand since it caused a further decrease in the difference between the desired force and the exerted force. In contrast, the learning with left-hand was not enhanced by verbal feedback. These results suggest that kinaesthetic feedback information from the hand plays an effective role in learning to produce predicted grip strengths without visual and verbal information.

Physical and psychological factors predict outcome following whiplash injury

Predictors of outcome following whiplash injury are limited to socio-demographic and symptomatic factors, which are not readily amenable to secondary and tertiary intervention. This prospective study investigated the predictive capacity of early measures of physical and psychological impairment on pain and disability 6 months following whiplash injury. Motor function (ROM; kinaesthetic sense; activity of the superficial neck flexors (EMG) during cranio-cervical flexion), quantitative sensory testing (pressure, thermal pain thresholds, brachial plexus provocation test), sympathetic vasoconstrictor responses and psychological distress (GHQ-28, TSK, IES) were measured in 76 acute whiplash participants. The outcome measure was Neck Disability Index scores at 6 months. Stepwise regression analysis was used to predict the final NDI score. Logistic regression analyses predicted membership to one of the three groups based on final NDI scores (<8 recovered, 10–28 mild pain and disability, >30 moderate/severe pain and disability). Higher initial NDI score (1.007–1.12), older age (1.03–1.23), cold hyperalgesia (1.05–1.58), and acute post-traumatic stress (1.03–1.2) predicted membership to the moderate/severe group. Additional variables associated with higher NDI scores at 6 months on stepwise regression analysis were: ROM loss and diminished sympathetic reactivity. Higher initial NDI score (1.03–1.28), greater psychological distress (GHQ-28) (1.04–1.28) and decreased ROM (1.03–1.25) predicted subjects with persistent milder symptoms from those who fully recovered. These results demonstrate that both physical and psychological factors play a role in recovery or non-recovery from whiplash injury. This may assist in the development of more relevant treatment methods for acute whiplash.

Recent advances in therapeutic exercise for the neck: implications for patients with head and neck pain.

There have been recent advances in the rehabilitation of the muscles that control the head and neck. These advances are based on evidence of specific neck muscle dysfunction in individuals with persistent head and neck pain. Traditional rehabilitation strategies have focused predominantly on muscle strength and endurance under high loads. New evidence suggests that in people with neck pain there are underlying neuromuscular problems that may require more immediate attention and may not be adequately addressed by simple strength and high-load endurance retraining. Evidence of altered coordination between the deep and superficial neck muscles, greater neck muscle fatigue under sustained low loads, and deficits in kinaesthetic sense have been identified in symptomatic individuals. There is evidence to indicate that addressing these muscle control problems, with specific gentle exercise strategies, results in a reduction in neck pain and associated symptoms.

Motor and parietal cortical areas both underlie kinaesthesia

Tendon vibration has long been known to evoke perception of illusory movements through activation of muscle spindle primary endings. Few studies, however, have dealt with the cortical processes resulting in these kinaesthetic illusions. We conceived an fMRI experiment to investigate the cortical structures taking part in these illusory perceptions. Since muscle spindle afferents project onto different cortical areas involved in motor control it was necessary to discriminate between activation related to sensory processes and activation related to perceptual processes. To this end, we designed and compared different conditions. In two illusion conditions, covibration at different frequencies of the tendons of the right wrist flexor and extensor muscle groups evoked perception of slow or fast illusory movements. In a no illusion condition, covibration at the same frequency of the tendons of these antagonist muscle groups did not evoke a sensation of movement. Results showed activation of most cortical areas involved in sensorimotor control in both illusion conditions. However, in most areas, activation tended to be larger when the movement perceived was faster. In the no illusion condition, motor and premotor areas were little or not activated. Specific contrasts showed that perception of an illusory movement was specifically related to activation in the left premotor, sensorimotor, and parietal cortices as well as in bilateral supplementary motor and cingulate motor areas. We conclude that activation in motor as well as in parietal areas is necessary for a kinaesthetic sensation to arise.

Cervicocephalic kinaesthesia: reliability of a new test approach

Relocating either the natural head posture (NHP) or predetermined points in range are clinical tests of impaired neck proprioception but memory might influence these tests. Three new tests, reasoned to be more challenging for the proprioceptive system, were developed. The objectives were to assess the reliability of all tests and whether the three new tests were more challenging for the proprioceptive system. A test-retest design was used to assess the reproducibility and errors of all five tests. Twenty asymptomatic volunteers were assessed a week apart, using an electromagnetic movement sensor system, the 3-Space Fastrak. A measure of error magnitude was used to detect kinaesthetic sensibility. Comparison of the means and their corresponding dispersion were analysed descriptively. The between-day intraclass correlation coefficients (ICCs) were calculated and plots of mean differences between days 1 and 2 were conducted to estimate test reliability. Multivariate analysis of variance (MANOVA) and least significant difference (LSD) pairwise comparisons were performed to compare the test accuracy between different target positions. ICCs were between 0.35 and 0.9, but plotting the data modified the interpretation in some tests. Relocating a NHP was easier when the trunk was in a neutral position than when pre-rotated (error 2.46 degrees (+/- 0.2 degree) versus 5.95 degrees (+/- 0.7 degree). Relocating a 30 degrees rotation position (error 5.8 degrees (+/- 0.6 degree) and repeatedly moving through a target (error 4.82 degrees (+/- 0.7 degree) was also difficult. The new tests were more challenging than relocating the NHP but the reliability of tests relocating uncommon positions was questionable.

Secondary impingement in the shoulder

Non-traumatic shoulder pain in the overhead athlete is a diagnostic challenge. In the last decade shoulder arthroscopy and magnetic resonance imaging (MRI) techniques have extended our knowledge. Previously unknown pathologic changes in the glenohumeral joint have been demonstrated and it is recognized that impingement symptoms and instability are often related. Shoulder dysfunction in overhead athletes may be caused by shoulder instability. However, a possible instability in the shoulder is often "silent" and difficult to demonstrate by ordinary tests and has therefore by some been termed "functional instability". It is now thought that functional instability in the shoulder may lead to a vicious cycle involving microtraumata and attenuation of the capsular complex, and may eventually lead to shoulder pain. Changes in shoulder proprioception, measured by testing kinaesthetic sense and position sense, can be related to different pathologic changes in the shoulder, and sensory motor control may be an important factor for functional stability in the shoulder. MRI and arthroscopical findings in athletes with shoulder pain are changes in the glenoid labrum, the humeral head, the rotator cuff, biceps tendon and the capsular complex. However, these findings often present other clinical entities than impingement and are not always associated with instability. Clinically, there are tests that can objectively distinguish some of the pathological findings. However, we need more exact methods to further improve our clinical diagnoses of the painful shoulder. One of the keys could be an extended knowledge about the pathophysiology behind functional instability. This review focuses on an improved terminology in impingement based on the current knowledge of impingement and instability in the shoulder.