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上肢本体感受知觉的关节特异性和偏侧化。

Joint Specificity and Lateralization of Upper Limb Proprioceptive Perception.

机构信息

Aix Marseille Univ, CNRS, ISM, Marseille, France.

Institut Supérieur de Rééducation Psychomotrice, Marseille, France.

出版信息

Percept Mot Skills. 2022 Jun;129(3):431-453. doi: 10.1177/00315125221089069. Epub 2022 May 11.

DOI:10.1177/00315125221089069
PMID:35543706
Abstract

Proprioception is the sense of position and movement of body segments. The widespread distribution of proprioceptors in human anatomy raises questions about proprioceptive uniformity across different body parts. For the upper limbs, previous research, using mostly active and/or contralateral matching tasks, has suggested better proprioception of the non-preferred arm, and at the elbow rather than the wrist. Here we assessed proprioceptive perception through an ipsilateral passive matching task by comparing the elbow and wrist joints of the preferred and non-preferred arms. We hypothesized that upper limb proprioception would be better at the elbow of the non-preferred arm. We found signed errors to be less variable at the non-preferred elbow than at the preferred elbow and both wrists. Signed errors at the elbow were also more stable than at the wrist. Across individuals, signed errors at the preferred and non-preferred elbows were correlated. Also, variable signed errors at the preferred wrist, non-preferred wrist, and preferred elbow were correlated. These correlations suggest that an individual with relatively consistent matching errors at one joint may have relatively consistent matching errors at another joint. Our findings also support the view that proprioceptive perception varies across upper limb joints, meaning that a single joint assessment is insufficient to provide a general assessment of an individual's proprioception.

摘要

本体感觉是身体部位位置和运动的感觉。本体感受器在人体解剖结构中的广泛分布提出了关于不同身体部位本体感觉均匀性的问题。对于上肢,以前的研究主要使用主动和/或对侧匹配任务,表明非优势手臂和肘部的本体感觉更好,而不是手腕。在这里,我们通过比较优势手臂和非优势手臂的肘部和手腕关节,通过同侧被动匹配任务评估本体感觉感知。我们假设非优势手臂的非优势肘部的上肢本体感觉会更好。我们发现,非优势肘部的符号误差比优势肘部和两个手腕的符号误差变化更小。肘部的符号误差也比手腕更稳定。在个体之间,优势和非优势肘部的符号误差相关。此外,优势手腕、非优势手腕和优势肘部的可变符号误差也相关。这些相关性表明,一个在一个关节上具有相对一致的匹配误差的个体可能在另一个关节上具有相对一致的匹配误差。我们的研究结果还支持这样一种观点,即本体感觉感知在不同的上肢关节之间存在差异,这意味着单个关节评估不足以提供个体本体感觉的总体评估。

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