Proprioception: how and why?

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Biology 202
2002 Second Paper
On Serendip

Proprioception: how and why?

Shannon Lee

There are five common senses that are discussed and learned from an early age: sight, hearing, taste, touch, and smell. The I-function, the conscious part of the brain, is very aware of these senses. It voluntarily checks information obtained by these senses in order to experience the environment, and also when a strong enough stimuli has signaled attention to these specific receptors. There are other equally important sensory systems set up that are essential for normal body functioning, but these are not so easily recognized by the I-function because the nervous system keeps the input unconscious.

One overlooked sense, known as proprioception, is as important, if not more important as the other senses, for normal functioning. Proprioception is "the process by which the body can vary muscle contraction in immediate response to incoming information regarding external forces," by utilizing stretch receptors in the muscles to keep track of the joint position in the body (1).
Proprioception and kinesthesia, the sensation of joint motion and acceleration, are the sensory feedback mechanisms for motor control and posture. Theses mechanisms along with the vestibular system, a fluid filled network within the inner ear that can feel the pull of gravity and helps the body keep oriented and balanced, are unconsciously utilized by the brain to provide a constant influx of sensory information (2). The brain can then send out immediate and unconscious adjustments to the muscles and joints in order to achieve movement and balance. Why has the nervous system developed the sense of proprioception, and why is it an unconscious aspect of the sensory system?

Proprioception, also often referred to as the sixth sense, was developed by the nervous system as a means to keep track of and control the different parts of the body. An example that enables one to best understand this sensory system is one showing what happens if this sensory system is no longer there. Ian Waterman lost his sixth sense along with the ability to feel light touch when a virus killed the necessary nerves. The man still had all the nerves to control muscle movement but had no feedback from the outside world about where his limbs were except that obtained by sight. A normal person is able to move a finger, knowing where and what the finger is doing, with little effort. The normal person could just volunteer the finger to move back and forth and proprioception would make this an easy task. Without proprioception, the brain cannot feel what the finger is doing, and the process must be carried out in more conscious and calculated steps. The person must use vision to compensate for the lost feedback on the progress of the finger. Then the I-function must voluntarily and consciously tell the finger what to do while watching the feedback (3).

The eyes have to also be trained to judge weights and lengths of objects. As Waterman attempts to lift objects there is no feedback on how hard to flex the muscles except from what clues vision gives. Studies of Waterman support that through feedback from proprioception the brain is able to calculate angles of movement and command the limb to move exact distances. If vision is taken away, the lights are cut out, then Waterman will fall in a heap on the floor, with no ability to make successful voluntary movements. The examples of Waterman illustrate the type of information obtained because of proprioception and the great importance of this information. Without this sense humans would be forced to spend a great amount of their conscious energy moving around or would not be mobile at all (3).


The proprioception sensory system is carried out utilizing proprioceptors in the muscles that monitor length, tension, pressure, and noxious stimuli. The muscle spindles, the most complex and studied of the proprioceptors, informs other neurons of the length of the muscle and the velocity of the stretch. The density of muscle spindles within a muscle increases for muscles involved in fine movements, as opposed to those involved in larger course movements. The brain needs input from many of these spindles in order to register changes in angle and position that the muscle has accomplished. There is also more spindles found in the arms and legs, muscles that must maintain posture against gravity (1).


Another proprioceptor, the golgi tendon organ, is found where the tendons meet the muscle. They send detailed information about the tension occurring in specific parts of the muscle. There are also proprioceptors sending information to the nervous system from joints and ligaments. Depending on the amount, where in the body, and from what proprioceptors the different input is coming from, determines if the information will be made conscious or processed unconsciously. All the input coming into the nervous system is processed, and then depending on the state of the muscle, there are commands sent back to the muscle (1).


After thinking of Waterman's plight to accomplish many basic movements without the help of proprioception, the realization of the importance of this sense becomes apparent. I can possibly imagine the species successfully evolving without eyesight, especially if the sense of hearing evolved more keenly. However, it is much harder to imagine the human species evolving without the ability to easily move. Waterman's situation also makes the reasoning become clearer as to why the nervous system evolved keeping the I-function separate from most proprioceptor feedback. Proprioception is extremely important and encompasses so many areas of the body. The sensory information being processed is a constant and a monumental amount. If the I-function, which can only focus on a few aspects at once, had to be responsible for all of the input coming in from all the different muscles there would be difficulties. The confusion would be overwhelming and the I-function would be useless in making decisions at the speed necessary, because it would need to think first. Thinking takes time, where the unconscious nervous system responds immediately through processes wired to specifically deal with the type and amount of input coming in. Systems like proprioception and other unconscious, yet crucially essential, systems allow the I-function to develop without having to be bothered with all functioning of the body. These unconscious systems allow a lot to get done at once. The I-function may spend time learning new skills and developing ideas without being inhibited by the large amount of stimulus needed for a successfully functioning of the body.

The I-function is most likely very aware of senses such as sight, hearing, and smell, because it can focus on the details that it wishes to consciously concentrate on. A lot of stimulus can be discounted by the I-function very quickly, if not ignored before it reaches that far, so that the I-function can concentrate. This is a necessary property of the I-function because we are multi-task beings that are constantly surrounded by stimuli. The I-function must have the ability to make decisions and be able to identify the stimuli in the environment relevant to our well being. The information coming in from the proprioceptors cannot be ignored, just as the neurons that are signaled to pump the heart cannot ignore the stimulus, because the majority of the information coming in is necessary for normal movement.

While proprioception is necessary for learning a type of movement or skill involving muscle, concentration from the I-function is essential as well. Once the skill, such as the appropriate movements of driving or the movements a baby must accomplish to walk, have been conquered and learned the I-function is not as functional during these tasks. The proprioception and motor systems can take over, utilizing a feedback system to accomplish a job that the unconscious brain already has learned. The I-function can go on to do other things, because it would mainly just hinder smooth muscle processes with to much thought and analysis. That is why humans do so many learned things best if not thought about. For example, the harder a driver focuses on what her muscles are doing as she drives, the choppier her movements will be, and the worse the driving will be.

The phantom limb also indirectly supports reasoning for the evolution of proprioception. A person with a phantom limb still feels pain or some sort of sensation even though they were born without the limb or it was amputated. The evidence that people having no limb at birth still can experience a phantom limb supports Ronald Melzack's idea of there existing a "neuromatrix" (4). The brain has a particular matrix, or map of the body, genetically installed in the brain that both responds to stimuli from proprioception and continuously sends impulses to different parts of the body to check on the condition and location of the body parts. The matrix can be altered due to experience such as storing memory or changing synaptic connections, but the overall organization is set from birth. Studies show that the matrix can record the experience of pain and generate experiences of sensation on its own (4).

When the matrix sends out signals to the missing limb and receives no response from proprioception the matrix registers a problem in the limb instead of no limb. When the brain recognizes something wrong it reports a painful sensation to clarify that there is a problem in the area of the limb to the rest of the brain, and the person experiences a painful limb even though they know it is not there (4).


There is a matrix in the brain monitoring all of the sensory information and constantly checking to see where the limbs are. This matrix is able to adjust; recording data and generating certain sensation long after the stimulus has stopped. Therefore, it may also have the ability to record patterns of action by the muscles, while the I-function consciously works the muscles through new unfamiliar patterns of movement. The patterns recorded or learned, like those of pain, could be triggered by the I-function to signal for a pattern of movement. Then a learned pattern of movement could be set forth, initiating smooth muscle movements, such as a free throw during a basket ball game, without the I-function monitoring or interfering.

If this is a way that the brain records and utilizes sensory input to conquer and utilize movement pattern, then proprioception is a primary building block in the human's ability to learn, repeat, and become comfortable with so many movements throughout life. Therefore, it is essential that the I-function not be bothered by the sense of proprioception, unless learning a new movement, because these movement patterns would be useless if the I-function had to deal with the incoming proprioception anyway. With proprioception as an unconscious sense and the matrix giving unconscious feedback to muscles, utilizing my already learned movement patterns, I can concentrate on what I am saying in my paper without having to also consciously tell my fingers to hit certain keys at certain times.

With the sense of proprioception our lives are made less complicated, and we are given the ability to learn and utilize many movement patterns freeing the I-function to focus awareness on new tasks and thoughts. The I-function seems to be one of the most complicated aspects of the brain. Was the I-function one of the last aspects to evolve in the human brain thus far? If so was it because the necessities for survival were accomplished by the species, proprioception allows movement and eating is instinctual to the brain? Why did evolution cause the human to develop the I-function?

 

References

1)Proprioception, A simplified overview of anatomical structures and neurophysiological actions involved in joint stability.

2)Mixed up in Space, An article concerning how the vestibular and proprioceptor systems react in space.

3)Why can't this man feel whether or not he is standing up?, The story of one man's loss of proprioception

4)Phantom Limbs, Discussions about what and why there are phantom limbs

 

 

Continuing conversation
(to contribute your own observations/thoughts, post a comment below)

04/28/2005, from a Reader on the Web

Thank you for posting the paper by Shannon Lee entitled "Proprioception - how and why".The paper described exactly what I had gone through during the last year. As a result of a lumbar disc herniation L4-L5 I experienced a loss of proprioception in my lower left leg. It was difficult to communicate this problem to my surgeon. I now understand that they don't operate on sensory nerve damgag alone (not that I was asking them to perform another surgery). I had taken a oourse in neurobiology in graduate school. However, realizing that I may be influenced by additional reasearch on the subject, I simply described my symptoms to the surgeon. After a lumbar laminectomy last May I was able to walk without a limp. The symptoms returned by mid July; only this time they became progressively worse until I could only drag my lower leg along. On November first I had a spinal fusion. The first time I took a step I knew where my foot was again. I could relate to the individual in the article. It was mentally exhuasting to concentrate on every step. Without looking at my foot I would trip or even attempt to walk on the top of my foot without feeling pain. By the time of surgery I had lost the ability to walk with a heel to toe movement. I could not place my toes on the floor to push off like you would at the start of a race. This was frustrating because before the back injury I ran serveral miles a day, was a member of a racquetball league, and enjoyed a very active lifestyle. I am thankful that my surgeon was willing to operate based on the results of a discogram. I also had a lot of back pain. Today I still am unable to move one of my toes laterally. That is quite an improvement over dragging my entire lower leg. Recovery has been slower than I expected. It is like I had to teach myself to walk.


11/13/2005, from a Reader on the Web

In late 2004, I had a reaction from 2 different heart medications - a beta blocker and a statin, that resulted in severe muscle weakness (more like total collapse) and I lost my sense of propriaception. When I got up in the morning, I spent about an hour and a half figuring out how to walk. It really is a chore when one must think about the task. Around Thanksgiving time, I got to the point that I could not stand up. After I quit both medications, I slowly recovered. It is now almost a year later, and within the last 2 or 3 months, I have realized that I am functioning without conscious effort. It was a bizarre experience, and the medical community wanted me to have psychiatric help for delusions. It is very difficult to convince someone that your body structure is not working the way it is designed to. I am back in my routine of exercising every day - I scull a shell. I have energy and endurance. Regards,


01/22/2006, from a Reader on the Web

I am working with horses that are often one-sided in that they can only turn one way efficiently. The inefficiency is similar to the autistic child that can only do things in one quadrant, left or right limbs, and can only turn in one direction. In this it seems that there has been a deficiency in learning bilateral movement on one side and just like a right dominant person has as inability to write with the left hand so a horse, like a Thoroughbred whom has been trained to go to the left around a track will have difficulty turning to the right because there is insufficient memory of how to balance in this 'new' direction. Even the head will feel uncomfortable in the position of trying and the animal may feel like he is running into an empty void. These comments are made as a surmise to the difficulty. The solutin is often weeks of patiently trying to get the horse trained in this new way of walking, trot, canter. Thank you, Michael.

 


Additional comments made prior to 2007
On July 14, 2003 years ago I had a Hemorrhagic Stroke. The bleed was about 2.5 centmeters. The result of the stroke was left hemoplegia and fortunately no observed distortion of my cognitive capabilities. At first the only part of my left-side that I could move was my left thumb. While in the hospital my left eyelid would get stuck and I thought I was not able to see out of my left eye (... my first concious experience loss of proprioception). Eventually I found a talented Licensed Physical Therapist who specialized in Neural patients. Since then my ADLs and/or functionality have improved remarkably according to my Neurologist. In my last blood tests all items were within range except for Tryglycerides, which were border-line high. Two-weeks ago my blood pressure was "officially" 120/80 (... would you believe). I would characterize my progress as moderate but steady and sure. In my last therapy session, my therapist told me that "we!" were establishing a new objective; n!
amely, to move from my broad-based cane to a point-cane and that I should start preparing my mind to work on proprioception. Not knowing much about the subject I began goggling the subject an found Ms. Lee\'s article. However, none of the articles I have found discuss loss of proprioception as a result of an hemorrhagic stroke. Does anybody in the forum have any thoughts or suggestions for sources on this subject? Thank for printing Ms. Lee's article. I read it with some nostalgia as I lived in Rosemont many years ago, while I was on Villanova\'s mathematics faculty and attended the University of Pennsylvania. In the summers I used to participate in the faculty-student softball games at Brynmawr at the invitation of my good friends Drs Ethan and Joan Bolker( ... now ar UMASS) ... Placido E. Jaramillo, 12 February 2006

 

 

Propriaception......fascinating. I have been recovering from what I felt was the world's longest ankle break. Been in PT 3 months. Can walk but with limp, cannot weight bear completely on bad foot yet! PT's told me about propriaception and how powerful the brain is in communicating to the injured area. Takes a long time for the brain to trust that the injured area is ok and even longer yet to communicate it to the area. Kinda reassuring when you get to the point of just considering yourself a PT wimp! We need PT for the brain! ... Sue, 18 August 2006

 

 

Thank you for your very informative paper on proprioception. 10 months ago I ruptured the quad tendon just above my knee. After surgery to reattach it and 40+ physical therapy visits, I still had a problem with balance, uneven terrain, inclines, etc. It has now been diagnosed as a problem with proprioception and a new physical therapy regimen has been developed to focus on that problem. After only two sessions, I can already notice an improvement ... Wes Mayer, 10 October 2006

 

 

The physical therapist for my 15 month old told me about Proprioception and how my son has this. The therapist suggested that we put little half pound weights on his wrists and one pound weights on his ankles to help him know where his limbs are. When sitting on a swing, he does not hold on, not even when the swing is moving, he would fall off if it were not for the therapist.

 

I wonder what could possible cause the following conditions:

 

Before birth: tachycardia and bradycardia
After birth: Supraventricular tachycardia
Hemolytic anemia
Moderate Hypotonia
Hyperbilirubinemia
3 blood transfusions
Congenital heart defect
Head is not growing 5% on chart
Mri and spectroscopy results normal

 

The latest tested for Alpha 1 antitrypsin deficiency positive

 

Next we have a hearing test as his speech is delayed and there is some hearing loss.

 

Is there a connection between the hearing loss and the Proprioception????? ... Amy, 3 January 2007

Comments

Serendip Visitor's picture

Knee injuries

I suffered a knee injury and was told that in addition to the I jury I must have torn my ACL many years before as it was gone. Trying to strengthen my legs enough to run on trails again, the PT has me doing proprioception exercises. I learned about proprioception when writing a paper on trail running a few years ago. I did not understand until today that my balance issues aren't caused only by the injury to the knee, but from the loss of proprioception abilities from torn ligaments and the loss of necessary receptors. I'm going to PT to aggressively tackle this issue as all the muscle strength in the world isn't going to give me the ability to hop over ruts, rocks and roots and jump out of the way of obstacles. Anyone having any s sues I recommend doing whatever you must to get to a PT who will show you exercises, techniques to develop these receptors to lead as full a life as possible. My very best wishes to all who have posted here. Keep on working! You WILL improve if you do.

Veronica Catan's picture

loss of proprioception from stroke

This has been very helpful. I'm trying to assist a family member recovering from a severe stroke. While I have been told that he has a loss of proprioception, I didn't really understand prior to reading this what that meant. I am gratified that he is recovering well cognitively and speaking clearly, but his control of his body is scary. Does this improve over time? Does the brain re-learn any of this? It is 2 months since he had the stroke.

Serendip Visitor's picture

Found you with an online search

I did a search on Bing for "Proprioception" when doing research for a muscle building website I was considering, however don't think it really applies to my theme. Instead, I found your website a fascinating read and spent probably the last hour learning something new. Thanks

henry traum's picture

proprioception

after reading the article and comments I thought I would offer some information. I teach yoga and have included balance poses/exercises in every class. I can't remember the exact source of the teaching, but the point was that balancing on one foot for at least one minute develops the sense of proprioception. It'helps' tune or 're -set' an internal 'gyroscope' that allows for restoration of health. It's a laymans description; simple and not meant to be 'scientific'.
If it works that is what counts. Spinning in a clockwise circle with your arms outstrectched 21 times is also an
old exercise. It is reputed to balance the inner ear which
is known to affect one's balance. Healing takes time. Practice the balancing on one foot(remember to do both sides!) every day at least once for at least one minute a side. Spin 21x every day...(or work up to 21....it doesn't matter how many you do to begin with....you don't have to go beyond the 21 however). this quote may help you stay
committed to the practice: "Success is the sum of small efforts, repeated day in and day out." - Robert Collier
good luck and good health, henry

Tracy's picture

Just wanted to say thanks.

Just wanted to say thanks. My 16-year-old son rolled his ankle in basketball June '09, diagnosis severe ankle sprain, and continued to have problems all summer. Finally saw an orthopedist recently who said he still had two unhealed ligaments but also, he'd lost proprioception. Began a PT program and was reevaluated with the PT saying most of the memory was restored but still a bit to go. I was fascinated with this concept and had to look it up. Thank you for this article...absolutely amazing. I've printed it so I can show my son who will also find it fascinating. If anyone in a similar situation is wondering, do not postpone PT. The memory training has made all the difference in such a short time.

Anonymous's picture

proprioception

Nobel Prize winner Dr. Roger Sperry (1981, cerebral hemisphere elucidation) is quoted as having said, "Better than 90% of the brain's activity goes to just keeping us upright in gravity...."
Does anyone have an original source for this quotation?
Thanks,
dmbones

Anonymous's picture

proprioception and carbon monoxide

hi, your article offered some great insite. i had a bad situation where i was living in a home with an improperly vented propane range and became very ill. doctors not much help. i figured out it was the range and fumes. felt i had developed a disconnect between the brain and the feet even though i could still walk...my muslce's in general felt very weak. had very poor help from doctors and eventually lost lots of joint stability and now have acclerated arthritis especially in the spine. finally found a very talented physical therapist(my third)who identified immediealty the proprioception, particulary inthe feet was playing a signicant role as by the time i got into her hands i was almost in a wheel chair. now 2 1/2 years later my proprioceoption is back to normal, i still have intense p.t. and we are trying to get as much of my body back as possible now that the arthritis has added to the problem. your information helped me understand what happened more, wish the medical world understood it too.

Susan Ives's picture

Propioception and Diabetes

My husband has been a Type II, insulin dependant diabetic for 40 years. Along with other complications that the disease has brought him, he suffers from neuropathy in his lower legs and feet. He has recently been diagnosed with a loss of propioception in his lower legs and feet and big-time balance issues have resulted. Can anyone tell me if this is as a result of the neuropathy or, is there is another reason for his loss of propioception.

Norval Smith's picture

proprioception and paralysis

In 1976 when I had a cerebral haemorrhage and concomitant paralysis in my right arm and leg, an irritating side-effect was the total loss of proprioception in my arm. At night, when I couldn't see it, I had absolutely no idea where it was. I did have the sensation of touch, however, so I would move my arm from time to time to find out where it was! I obviously knew that it was somewhere, but I might have been lying on it for all I knew, which probably wouldn't have been a good idea. It was also rather unsettling.

Norval Smith

PS. I now have full control over my arm and leg.

Bill Anschell's picture

Spinal cord tumor surgery

I'm active on a website that connects survivors of spinal cord tumors. Virtually all of us have suffered moderate to complete loss of proprioception as a result of the surgery, which - in the process of filleting the spinal cord to get at the tumor - destroys the proprioceptors. This article is the best explanation I've read as to why we're so quickly fatigued and suffer from chronic pain that doesn't directly correspond to problems in the musculature. Thanks!

Doug Schlueter's picture

Spinal cord tumor

While searching the web for "proprioception" I ran across your submission.
You mention that you are active on a website that connects survivors of spinal cord tumors. I was diagnosed in May of 2006 with a spinal cord astrocytoma. I under went two surgery's in June of 2006. The tumor was in the spinal cord. The surgeon removed a portion of the tumor but was not able to remove all of it. I also under chemo and radiation for six weeks. I lost all propriception in my right leg including the hip. I have an MRI every three months to monitor what is left of the tumor. So far it has been stable, it is not getting any larger or smaller. I under went extensive physical therapy to learn how to walk again. I am very interested in finding out what the name of the website is.
Thanks

Bill Anschell's picture

Spinal Cord Tumor website

The most direct url is http://spinalcordtumor.proboards54.com/index.cgi?board=general

Hope it's helpful to you.

--Bill

Anonymous's picture

Was good

This really helped me with my coursework.Thanx :)

Anonymous's picture

7 year old son

Hello. We went for an OT eval. with our 7 year old son and was told that along with low muscle tone our son also had proprioception. I am looking for anyone out there that might have a child around the same age also with low muscle tone, proprioception that would be willing to share information with us. This is all new and I want to get my son the best help I can but at this point I just started looking into what proprioception is and couldn't even tell you if it is something he will outgrow. Any advise, help, comments, support please email me at leecindy417@aol.com. Thank you so much.

Anonymous's picture

7 Year old daughter

Hello, I have a daughter who was diagnosed with proprioception and low muscle tone at the age of 6, she is nearly 8 now and I am still struggling to find anything that will make a difference and to fully understand what it is. I sincerely wish I had an answer for you, but all I can do is let you know that you are not alone in being unable to get any answers. Please let me know if you have had any success.

pk's picture

Hi, i just saw your post

Hi, i just saw your post about proprioception and low muscle tone. I have a nine yr old son with similar issues. Have you found any additional information or PT suggestions?
Thanks and I hope that you have had some success.

Katelynn's picture

Thank you very much for the

Thank you very much for the helpful information. I am researching for my Sports Medicine and Rehabilitation class in school and sometimes it's hard to find good information.

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