The effectiveness of proprioceptive training for improving motor function: a systematic review.
The effectiveness of proprioceptive training for improving motor function: a systematic review.
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DOI：
10.3389/fnhum.2014.01075
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发表时间：
2014
影响因子：
2.9
通讯作者：
Konczak J
中科院分区：
文献类型：
--
作者：
Aman JE;Elangovan N;Yeh IL;Konczak J
目的：大量报道认为本体感觉训练是改善运动功能受损的一种可行的行为疗法。然而，对于本体感觉训练的构成以及它的效果如何，几乎没有一致意见。因此，我们对现有文献进行了全面、系统的回顾，以明确训练本体感觉系统的概念。方法：检索4个主要科学数据库。随后应用以下标准：(1)量化的本体感觉功能治疗前和治疗后测量。(2)一种被认为影响或增强本体感觉功能的干预或训练方案。(3)包含至少一种形式的治疗或结果测量，表明体感觉功能。从总共1284篇文章中，51篇研究符合所有标准，并被选中进行进一步审查。结果：总体而言，本体感觉训练在所有结果测量中平均改善了52%。持续较长时间（即，min vs. s）施加30 Hz以上的肌肉振动可使结果改善高达60%。关节位置和目标达成训练持续提高关节位置感（高达109%），平均提高48%。皮层卒中是研究最多的疾病实体，但没有明确的证据表明本体感觉训练在报道的疾病中有不同的益处。结论：越来越多的证据表明，本体感觉训练可以显著改善躯体感觉和感觉运动功能。然而，显然还需要进一步的工作。这些形式的训练利用被动和主动运动，有或没有视觉反馈往往是最有益的。也有初步证据表明，本体感觉训练诱导皮层重组，加强了本体感觉训练是改善感觉运动功能的可行方法的概念。
Objective: Numerous reports advocate that training of the proprioceptive sense is a viable behavioral therapy for improving impaired motor function. However, there is little agreement of what constitutes proprioceptive training and how effective it is. We therefore conducted a comprehensive, systematic review of the available literature in order to provide clarity to the notion of training the proprioceptive system. Methods: Four major scientific databases were searched. The following criteria were subsequently applied: (1) A quantified pre- and post-treatment measure of proprioceptive function. (2) An intervention or training program believed to influence or enhance proprioceptive function. (3) Contained at least one form of treatment or outcome measure that is indicative of somatosensory function. From a total of 1284 articles, 51 studies fulfilled all criteria and were selected for further review. Results: Overall, proprioceptive training resulted in an average improvement of 52% across all outcome measures. Applying muscle vibration above 30 Hz for longer durations (i.e., min vs. s) induced outcome improvements of up to 60%. Joint position and target reaching training consistently enhanced joint position sense (up to 109%) showing an average improvement of 48%. Cortical stroke was the most studied disease entity but no clear evidence indicated that proprioceptive training is differentially beneficial across the reported diseases. Conclusions: There is converging evidence that proprioceptive training can yield meaningful improvements in somatosensory and sensorimotor function. However, there is a clear need for further work. Those forms of training utilizing both passive and active movements with and without visual feedback tended to be most beneficial. There is also initial evidence suggesting that proprioceptive training induces cortical reorganization, reinforcing the notion that proprioceptive training is a viable method for improving sensorimotor function.