Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 3 , Pages 447-453 , March 2009

Joint-Position Sense and Kinesthesia in Cerebral Palsy

Presented to the Annual American Academy of Cerebral Palsy and Developmental Medicine, September 13–16, 2006, Boston, MA.

  • Jason R. Wingert, PhD, MPT

      Affiliations

    • Department of Health and Wellness, University of North Carolina at Asheville, Asheville, NC
    • Corresponding Author InformationReprint requests to Jason R. Wingert, PhD, MPT, Dept of Health and Wellness, WHC CPO #2730, UNC Asheville, One University Heights, Asheville, NC 28804
  • ,
  • Harold Burton, PhD

      Affiliations

    • Departments of Anatomy and Neurobiology, Washington University School of Medicine, St. Louis, MO
  • ,
  • Robert J. Sinclair, PhD

      Affiliations

    • Departments of Anatomy and Neurobiology, Washington University School of Medicine, St. Louis, MO
  • ,
  • Janice E. Brunstrom, MD

      Affiliations

    • Department of Neurology, Washington University School of Medicine, St. Louis, MO
  • ,
  • Diane L. Damiano, PhD, PT

      Affiliations

    • Rehabilitation Medicine Department, National Institutes of Health, Bethesda, MD

  • Image Result

    Proprioception device for arm (A) and leg (B).

    Proprioception device for arm (A) and leg (B).

  • Image Result

    Box-and-whisker plots of group magnitude (in degrees) and direction of joint-position sense error. Ten targets were used for each limb and participant. The 4 plots indicate findings for (A) upper and

    Box-and-whisker plots of group magnitude (in degrees) and direction of joint-position sense error. Ten targets were used for each limb and participant. The 4 plots indicate findings for (A) upper and (B) lower, nondominant and dominant limbs, for controls (black), diplegia (grey), and hemiplegia (white) on the vision and no vision condition trials. The vertical green bars within the boxes mark group medians, and the red crosses mark group means. The boxes represent the first and third quartiles of the data, and the error bars represent the 95% confidence intervals around the median. The negative abscissa represents pronation for arms and hip internal rotation for legs, and the positive represents supination and hip external rotation. The P value is shown where group differences were significant.

  • Image Result
    Bar graphs of accuracy (mean and SD) in detecting passive limb movements by group for (A) upper and (B) lower and for dominant (filled) and nondominant (cross-hatched) limbs in controls (black), diple

    Bar graphs of accuracy (mean and SD) in detecting passive limb movements by group for (A) upper and (B) lower and for dominant (filled) and nondominant (cross-hatched) limbs in controls (black), diplegia (dark grey), and hemiplegia (light grey). *P<.05.

 Supported by the United Cerebral Palsy Research and Education Foundation, the Foundation for Physical Therapy Promotion of Doctoral Studies Scholarship, the Ogle family, and the National Institutes of Health (grant nos. NS054413 and NS31005).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)01647-X

doi: 10.1016/j.apmr.2008.08.217

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 3 , Pages 447-453 , March 2009