Proprioception and Geriatric Low Back Pain

Proprioception is a deep sensation that perceives the position of each part of the body, state of movement and muscle contraction, and resistance and mass applied to the body. Proprioceptive feedback influences movement and positional accuracy, resulting in key somatosensory functions for human post...

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Main Authors: Yoshihito Sakai, Tsuyoshi Watanabe, Norimitsu Wakao, Hiroki Matsui, Naoaki Osada, Takaya Sugiura, Yoshifumi Morita, Keitaro Kawai, Tadashi Ito, Kazunori Yamazaki
Format: Article
Language:English
Published: The Japanese Society for Spine Surgery and Related Research 2022-09-01
Series:Spine Surgery and Related Research
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/ssrr/6/5/6_2021-0269/_pdf/-char/en
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author Yoshihito Sakai
Tsuyoshi Watanabe
Norimitsu Wakao
Hiroki Matsui
Naoaki Osada
Takaya Sugiura
Yoshifumi Morita
Keitaro Kawai
Tadashi Ito
Kazunori Yamazaki
author_facet Yoshihito Sakai
Tsuyoshi Watanabe
Norimitsu Wakao
Hiroki Matsui
Naoaki Osada
Takaya Sugiura
Yoshifumi Morita
Keitaro Kawai
Tadashi Ito
Kazunori Yamazaki
author_sort Yoshihito Sakai
collection DOAJ
description Proprioception is a deep sensation that perceives the position of each part of the body, state of movement and muscle contraction, and resistance and mass applied to the body. Proprioceptive feedback influences movement and positional accuracy, resulting in key somatosensory functions for human postural control. Proprioception encompasses signals received from proprioceptors located in the skin, subcutaneous tissue, muscles, tendons, and joint capsules, commonly known as mechanoreceptors. The muscle spindle, a crucial proprioceptor, is stretched during eccentric contraction of muscle, thus generating an action potential on afferent fibers to convey a proprioceptive information to the sensorimotor cortex in the brain. For exercise therapy in patients with locomotor disease, proprioception serves an essential function for motor control; thus, this should be considered to obtain effective muscle output. As postural control is achieved by proprioceptive function according to the balance between the lower limb and trunk, relative proprioceptive weighting ratio can help clarify proprioceptive control using muscle response to mechanical vibration. The absence of proprioceptive information congruent with motor intention activates cortical center monitoring incongruence of sensation, leading to pathological pain. Therapeutic procedures may aim to restore the integrity of cortical information processing in musculoskeletal chronic pain. Poor proprioception is one of the main causes of decreased postural balance control in elderly patients with low back pain (LBP). It has been hypothesized that proprioception of the lower limbs deteriorates with age-related muscle mass loss (sarcopenia), which increases the proprioceptive burden on the lumbar spine. Accurate diagnosis of the proprioceptive function is important for establishing a treatment procedure for proprioceptive recovery, and further prospective research is required to clarify the relationship between proprioception and LBP improvement.
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spelling doaj.art-eb7d8534efcc45daa9a16a2960e0af152022-12-22T04:13:16ZengThe Japanese Society for Spine Surgery and Related ResearchSpine Surgery and Related Research2432-261X2022-09-016542243210.22603/ssrr.2021-02692021-0269Proprioception and Geriatric Low Back PainYoshihito Sakai0Tsuyoshi Watanabe1Norimitsu Wakao2Hiroki Matsui3Naoaki Osada4Takaya Sugiura5Yoshifumi Morita6Keitaro Kawai7Tadashi Ito8Kazunori Yamazaki9Department of Orthopaedic Surgery, National Center for Geriatrics and GerontologyDepartment of Orthopaedic Surgery, National Center for Geriatrics and GerontologyDepartment of Orthopaedic Surgery, National Center for Geriatrics and GerontologyDepartment of Orthopaedic Surgery, National Center for Geriatrics and GerontologyDepartment of Orthopaedic Surgery, National Center for Geriatrics and GerontologyDepartment of Orthopaedic Surgery, National Center for Geriatrics and GerontologyDepartment of Electrical and Mechanical Engineering, Graduate School of Engineering, Nagoya Institute of TechnologyDepartment of Electrical and Mechanical Engineering, Graduate School of Engineering, Nagoya Institute of TechnologyThree-Dimensional Motion Analysis Room, Aichi Prefectural Mikawa Aoitori Medical and Rehabilitation Center for Developmental DisabilitiesInstitutional Research Center, Aichi Mizuho CollegeProprioception is a deep sensation that perceives the position of each part of the body, state of movement and muscle contraction, and resistance and mass applied to the body. Proprioceptive feedback influences movement and positional accuracy, resulting in key somatosensory functions for human postural control. Proprioception encompasses signals received from proprioceptors located in the skin, subcutaneous tissue, muscles, tendons, and joint capsules, commonly known as mechanoreceptors. The muscle spindle, a crucial proprioceptor, is stretched during eccentric contraction of muscle, thus generating an action potential on afferent fibers to convey a proprioceptive information to the sensorimotor cortex in the brain. For exercise therapy in patients with locomotor disease, proprioception serves an essential function for motor control; thus, this should be considered to obtain effective muscle output. As postural control is achieved by proprioceptive function according to the balance between the lower limb and trunk, relative proprioceptive weighting ratio can help clarify proprioceptive control using muscle response to mechanical vibration. The absence of proprioceptive information congruent with motor intention activates cortical center monitoring incongruence of sensation, leading to pathological pain. Therapeutic procedures may aim to restore the integrity of cortical information processing in musculoskeletal chronic pain. Poor proprioception is one of the main causes of decreased postural balance control in elderly patients with low back pain (LBP). It has been hypothesized that proprioception of the lower limbs deteriorates with age-related muscle mass loss (sarcopenia), which increases the proprioceptive burden on the lumbar spine. Accurate diagnosis of the proprioceptive function is important for establishing a treatment procedure for proprioceptive recovery, and further prospective research is required to clarify the relationship between proprioception and LBP improvement.https://www.jstage.jst.go.jp/article/ssrr/6/5/6_2021-0269/_pdf/-char/enproprioceptionlow back painsarcopeniaagingelderly patient
spellingShingle Yoshihito Sakai
Tsuyoshi Watanabe
Norimitsu Wakao
Hiroki Matsui
Naoaki Osada
Takaya Sugiura
Yoshifumi Morita
Keitaro Kawai
Tadashi Ito
Kazunori Yamazaki
Proprioception and Geriatric Low Back Pain
Spine Surgery and Related Research
proprioception
low back pain
sarcopenia
aging
elderly patient
title Proprioception and Geriatric Low Back Pain
title_full Proprioception and Geriatric Low Back Pain
title_fullStr Proprioception and Geriatric Low Back Pain
title_full_unstemmed Proprioception and Geriatric Low Back Pain
title_short Proprioception and Geriatric Low Back Pain
title_sort proprioception and geriatric low back pain
topic proprioception
low back pain
sarcopenia
aging
elderly patient
url https://www.jstage.jst.go.jp/article/ssrr/6/5/6_2021-0269/_pdf/-char/en
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