Proprioceptive Impairment Has a Significant Impact

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COURSE NAME: Neuro-musculoskeletal Proprioceptive impairment has a significant impact on rehabilitation outcome – discuss The term ‘rehabilitate’ means to make someone ‘able’ (Allen, 2002). The outcome of rehabilitation is to help a person achieve the highest level of function, independence and quality of life (Edwards, 2002). However, the process of rehabilitation is much individualised and its structure will often depend on the source of the pathology and the presence of co-morbidities; this will also affect the extent and duration needed for patients to achieve their highest level of functioning. One example of a deficit that is considered to hinder the prognosis of rehabilitation, subsequently impacting on rehabilitation outcome, is the presence of a proprioceptive impairment. Proprioception was first introduced by the English physiologist, Charles Sherrington (Cohen, 1999). If translated from its Latin derivative propius, it literally means “one’s own” (Cohen, 1999). Proprioception is a collective term used to describe our ability to acknowledge where our limbs are in space (position sense), when they have moved and in what direction (movement sense) (Cohen, 1999). Proprioception is often used interchangeably with the term kinaesthesia, but specifically kinaesthesia applies only to movement sense (Stillman, 2002). Proprioception is regarded as an interoceptive sense, meaning it provides continual feedback regarding out internal environment (Cohen, 1999). This information originates from mechanoreceptors located in muscles, joints and skin. Two primary examples of such receptors include muscle spindles and Golgi tendon organs. Muscle spindles, located within muscles, inform other neurons of the length of the muscle and velocity of stretch (Tortora & Derrickson, 2006). The Golgi tendon organ, located where the tendons meet the muscle, sends information

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