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proprioception |
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proprioceptionPerception of stimuli relating to position, posture, equilibrium, or internal condition. Receptors (nerve endings) in skeletal muscles and on tendons provide constant information on limb position and muscle action for coordination of limb movements. Awareness of equilibrium changes usually involves perception of gravity. In humans, gravity, position, and orientation are registered by tiny grains called otoliths moving within two fluid-filled sacs in the inner ear in response to any change in position or orientation. Their motion is detected by sense hairs. Rotation is detected by the inertial lag of fluid in the semicircular canals acting on the sense hairs. The central nervous system integrates signals from the canals to perceive rotation in three dimensions. See also sense. |
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Proprioception can be assessed clinically through examination of awareness of JPS and joint kinesthesia (motion). EMG - electromyograph - a continuous record of the intrinsic electrical activity associated with muscle contraction and kinesthesia (swish of skirt and blink of eye). General LE exercise program (including muscle force resistance, flexibility, and mobility/coordination) versus control, level 1 (8 RCTs, n=876): grade A for pain at night and ability on stairs (clinically important benefit); grade C for knee flexion ROM, muscle force, knee joint position sense, kinesthesia, stance, gait, functional status, qualify of life, muscle activation, stiffness, and physical activity (no benefit). |
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