Proprioception: How is it affected by shoulder pain? A systematic review. 2020

Amanda L Ager, and Dorien Borms, and Lode Deschepper, and Robin Dhooghe, and Jason Dijkhuis, and Jean-Sébastien Roy, and Ann Cools
Motor Analysis Laboratory, Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Quebec City, Quebec, Canada; Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium. Electronic address: Amanda.Ager@UGent.be.

BACKGROUND Proprioception encompasses the submodalities of joint position sense (JPS), kinesthesia, sense of force, and velocity. Owing to the vast mobility of the shoulder, it heavily relies on an intact sense of proprioception. Moreover, shoulder injuries are associated with a decreased sense of proprioception. What remains unclear is how shoulder proprioception is affected by pain and competing nociceptive senses. OBJECTIVE To summarize the literature evaluating the relationship between pain and shoulder proprioception. METHODS A literature review was conducted from inception until 22 October 2018, using electronic databases (PubMed, Web of Science, Scopus, EBSCO, CINAHL, and Embase). Retrieved citations were screened for eligibility, and methodological quality was assessed using the Newcastle-Ottawa Scale (NOS). RESULTS Eleven studies were included (n = 447 participants with shoulder pain, n = 20 with experimentally induced pain [EIP]/n = 600 painful shoulders and n = 20 [EIP]). The mean methodological quality of the studies was good (76%). Five studies investigated active JPS, four investigated passive JPS, six investigated kinesthesia, sense of force was measured in one study, and no study investigated sense of velocity. There is moderate evidence for impaired kinesthesia and low evidence for reduced sense of force among painful shoulders. Conflicting evidence is seen for the other proprioceptive submodalities. CONCLUSIONS The overall impact of pain on shoulder JPS remains unclear, while moderate evidence for an affected sense of kinesthesia is possible. There is low evidence for an impaired sense of force among painful shoulders. Standardization between studies is lacking, limiting the range of our conclusions. Further investigation is required into well-controlled and pain-induced studies to better understand the influence of pain on shoulder proprioception.

UI MeSH Term Description Entries
D011434 Proprioception Sensory functions that transduce stimuli received by proprioceptive receptors in joints, tendons, muscles, and the INNER EAR into neural impulses to be transmitted to the CENTRAL NERVOUS SYSTEM. Proprioception provides sense of stationary positions and movements of one's body parts, and is important in maintaining KINESTHESIA and POSTURAL BALANCE. Labyrinthine Sense,Position Sense,Posture Sense,Sense of Equilibrium,Vestibular Sense,Sense of Position,Equilibrium Sense,Sense, Labyrinthine,Sense, Position,Sense, Posture,Sense, Vestibular
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012785 Shoulder Joint The articulation between the head of the HUMERUS and the glenoid cavity of the SCAPULA. Glenohumeral Joint,Glenoid Labrum,Glenohumeral Joints,Joint, Glenohumeral,Joint, Shoulder,Joints, Glenohumeral,Joints, Shoulder,Labrum, Glenoid,Shoulder Joints
D016059 Range of Motion, Articular The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES. Passive Range of Motion,Joint Flexibility,Joint Range of Motion,Range of Motion,Flexibility, Joint
D020069 Shoulder Pain Unilateral or bilateral pain of the shoulder. It is often caused by physical activities such as work or sports participation, but may also be pathologic in origin. Pain, Shoulder,Pains, Shoulder,Shoulder Pains

Related Publications

Amanda L Ager, and Dorien Borms, and Lode Deschepper, and Robin Dhooghe, and Jason Dijkhuis, and Jean-Sébastien Roy, and Ann Cools
January 2017, Journal of hand therapy : official journal of the American Society of Hand Therapists,
Amanda L Ager, and Dorien Borms, and Lode Deschepper, and Robin Dhooghe, and Jason Dijkhuis, and Jean-Sébastien Roy, and Ann Cools
April 2024, Journal of clinical medicine,
Amanda L Ager, and Dorien Borms, and Lode Deschepper, and Robin Dhooghe, and Jason Dijkhuis, and Jean-Sébastien Roy, and Ann Cools
March 2024, Heliyon,
Amanda L Ager, and Dorien Borms, and Lode Deschepper, and Robin Dhooghe, and Jason Dijkhuis, and Jean-Sébastien Roy, and Ann Cools
January 2022, Advances in experimental medicine and biology,
Amanda L Ager, and Dorien Borms, and Lode Deschepper, and Robin Dhooghe, and Jason Dijkhuis, and Jean-Sébastien Roy, and Ann Cools
September 2023, Environmental management,
Amanda L Ager, and Dorien Borms, and Lode Deschepper, and Robin Dhooghe, and Jason Dijkhuis, and Jean-Sébastien Roy, and Ann Cools
April 2023, Journal of shoulder and elbow surgery,
Amanda L Ager, and Dorien Borms, and Lode Deschepper, and Robin Dhooghe, and Jason Dijkhuis, and Jean-Sébastien Roy, and Ann Cools
June 1978, Science (New York, N.Y.),
Amanda L Ager, and Dorien Borms, and Lode Deschepper, and Robin Dhooghe, and Jason Dijkhuis, and Jean-Sébastien Roy, and Ann Cools
July 2019, Gait & posture,
Amanda L Ager, and Dorien Borms, and Lode Deschepper, and Robin Dhooghe, and Jason Dijkhuis, and Jean-Sébastien Roy, and Ann Cools
November 2017, Federal practitioner : for the health care professionals of the VA, DoD, and PHS,
Amanda L Ager, and Dorien Borms, and Lode Deschepper, and Robin Dhooghe, and Jason Dijkhuis, and Jean-Sébastien Roy, and Ann Cools
August 2004, Manual therapy,
Copied contents to your clipboard!