Detection of movements imposed on human hip, knee, ankle and toe joints.

1. The angular displacements necessary for 70% correct detection were determined in normal subjects at the hip, knee and ankle joints, and the interphalangeal joint of the big toe. Angular velocities between 0.1 and 50 deg s‐1 were tested. The hip and knee joints were tested in slight flexion and the ankle and toe joints were tested in the mid‐range of the normal excursion. The joints were carefully supported for testing and the muscles acting at the joints were relaxed. 2. When detection thresholds and velocities were assessed in terms of angular displacements and angular velocities, proprioceptive performances at the hip, knee and ankle joints were superior to that at the toe joint. 3. When detection levels and displacement velocities were expressed in terms of linear displacements and velocities at the tip of the extended toe for all four joints, instead of in angular terms, the ankle gave the best performance and the hip and knee the worst. 4. The detection level and velocity data were expressed also in terms of proportional changes in the fascicle lengths of muscles operating these joints. Analysis in these terms showed that performance was similar at the hip, knee and ankle joints, but that performance for the toe was much poorer than for the other joints. 5. These results for the hip, knee and ankle are similar to those previously measured for the elbow and distal interphlangeal joint of the finger, and are consistent with the theory that muscle fascicle length is the variable of significance to the central nervous system. However, the proprioceptive performance at the big toe is notably poorer than all other joints studied and analysed in terms of this variable.

[1]  F. J. Clark,et al.  Proprioception with the proximal interphalangeal joint of the index finger. Evidence for a movement sense without a static-position sense. , 1986, Brain : a journal of neurology.

[2]  K. A. Provins,et al.  The effect of peripheral nerve block on the appreciation and execution of finger movements , 1958, The Journal of physiology.

[3]  R. Lieber,et al.  Frog semitendinosis tendon load-strain and stress-strain properties during passive loading. , 1991, The American journal of physiology.

[4]  R. Bossemeyer,et al.  Quantitation of motion perception in the digits: A psychophysical study in normal human subjects , 1977, Annals of neurology.

[5]  G. M. Goodwin The Sense Of Limb Position And Movement , 1976, Exercise and sport sciences reviews.

[6]  D. McCloskey,et al.  Sensory effects of pulling or vibrating exposed tendons in man. , 1983, Brain : a journal of neurology.

[7]  Gary L. Soderberg Kinesiology: Application to Pathological Motion , 1986 .

[8]  H. D. Darcus,et al.  The Sensibility to Passive Movement of the Human Elbow Joint , 1952 .

[9]  K. Browne,et al.  The sensation of passive movement at the metatarso‐phalangeal joint of the great toe in man , 1954 .

[10]  J. L. Taylor,et al.  Detection of slow movements imposed at the elbow during active flexion in man. , 1992, The Journal of physiology.

[11]  F. J. Clark,et al.  Role of intramuscular receptors in the awareness of limb position. , 1985, Journal of neurophysiology.

[12]  J. E. Winter The sensation of movement. , 1912 .

[13]  R. Fitzpatrick,et al.  Proprioceptive, visual and vestibular thresholds for the perception of sway during standing in humans. , 1994, The Journal of physiology.

[14]  D. McCloskey,et al.  Detections of movements imposed on finger, elbow and shoulder joints. , 1983, The Journal of physiology.

[15]  R. F. Ker,et al.  The Architecture of Leg Muscles , 1990 .

[16]  P. Grigg,et al.  Joint-position sense after total hip replacement. , 1973, The Journal of bone and joint surgery. American volume.

[17]  H. Cotta [On the physiology of joints]. , 1966, Langenbecks Archiv fur Chirurgie.

[18]  J P Corrigan,et al.  Proprioception in the cruciate deficient knee. , 1992, The Journal of bone and joint surgery. British volume.

[19]  F. J. Clark,et al.  Awareness of knee joint angle under static conditions. , 1975, Journal of neurophysiology.

[20]  P. Karanjia,et al.  Passive joint position sense after total hip replacement surgery , 1983, Annals of neurology.

[21]  H. Skinner,et al.  Effect of articular disease and total knee arthroplasty on knee joint-position sense. , 1983, Journal of neurophysiology.