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special nerve endings in the muscles and tendons and other organs that respond to stimuli regarding the position and movement of the body

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/05/20 18:48:06」(JST)

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"Kinesthetics" redirects here. For the album by Scott Kinsey, see Kinesthetics (album).

The cerebellum is largely responsible for coordinating the unconscious aspects of proprioception.

Proprioception (pron.: /ˌproʊpri.ɵˈsɛpʃən/ PRO-pree-o-SEP-shən), from Latin proprius, meaning "one's own", "individual" and perception, is the sense of the relative position of neighbouring parts of the body and strength of effort being employed in movement.^[1] It is distinguished from exteroception, by which one perceives the outside world, and interoception, by which one perceives pain, hunger, etc., and the movement of internal organs.

History of study [edit]

The position-movement sensation was originally described in 1557 by Julius Caesar Scaliger as a "sense of locomotion".^[2] Much later, in 1826, Charles Bell expounded the idea of a "muscle sense"^[3] and this is credited with being one of the first described physiologic feedback mechanisms.^[4] Bell's idea was that commands are carried from the brain to the muscles, and that reports on the muscle's condition would be sent in the reverse direction. Later, in 1880, Henry Charlton Bastian suggested "kinaesthesia" instead of "muscle sense" on the basis that some of the afferent information (back to the brain) was coming from other structures including tendons, joints, and skin.^[5] In 1889, Alfred Goldscheider suggested a classification of kinaesthesia into three types: muscle, tendon, and articular sensitivity.^[6]

In 1906, Charles Scott Sherrington published a landmark work that introduced the terms "proprioception", "interoception", and "exteroception". The "exteroceptors" are the organs responsible for information from outside the body such as the eyes, ears, mouth, and skin. The interoceptors then give information about the internal organs, while "proprioception" is awareness of movement derived from muscular, tendon, and articular sources. Such a system of classification has kept physiologists and anatomists searching for specialised nerve endings that transmit data on joint capsule and muscle tension (such as muscle spindles and Pacini corpuscles). Muscle spindles are widely believed to play a large role in proprioception. Primary endings of muscle spindles "respond to the size of a muscle length change and its speed" and "contribute both to the sense of limb position and movement".^[7] Secondary endings of muscle spindles detect changes in muscle length, and thus supply information regarding only the sense of position.^[7] Essentially, muscle spindles are stretch receptors.^[8] It has been accepted that cutaneous receptors also contribute directly to proprioception by providing "accurate perceptual information about joint position and movement," and this knowledge is combined with information from the muscle spindles.^[9]

Components [edit]

Kinesthesia is the awareness of the position and movement of the parts of the body using sensory organs, which are known as proprioceptors, in joints and muscles. The discovery of kinestheesia served as a precursor to the study of proprioception. While the terms proprioception and kinesthesia are often used interchangeably, they actually have many different components.^[10]

Often the kinesthetic sense is differentiated from proprioception by excluding the sense of equilibrium or balance from kinesthesia. An inner ear infection, for example, might degrade the sense of balance. This would degrade the proprioceptive sense, but not the kinesthetic sense. The affected individual would be able to walk, but only by using the sense of sight to maintain balance; the person would be unable to walk with eyes closed. Another difference in proprioception and kinesthesia is that kinesthesia focuses on the body's motion or movements, while proprioception focuses more on the body's awareness of its movements and behaviors. This has led to the notion that kinesthesia is more behavioral, and proprioception is more cognitive.^[10] The second major component of proprioception is joint position sense(JPS), which is determined by measuring the accuracy of joint–angle replication.^[11] Clinical aspects of joint position sense are measured in joint position matching tests that measure a subject's ability to detect an externally imposed passive movement, or the ability to reposition a joint to a predetermined position. These involve an individuals ability to perceive the position of a joint without the aid of vision. Often it is assumed that the ability of one of these aspects will be related to another; however, experimental evidence suggests there is no strong relation between these two aspects.^{[citation needed]} This suggests that while these components may well be related in a cognitive manner, they may in fact be physiologically separate.^[12]

More recent work into the mechanism of ankle sprains suggests that the role of reflexes may be more limited due to their long latencies (even at the spinal cord level), as ankle sprain events occur in perhaps 100 ms or less. In accordance, a model has been proposed to include a 'feedforward' component of proprioception, whereby the subject will also have central information about the body's position before attaining it.^[12]

Kinesthesia is a key component in muscle memory and hand-eye coordination, and training can improve this sense (see blind contour drawing). The ability to swing a golf club or to catch a ball requires a finely tuned sense of the position of the joints. This sense needs to become automatic through training to enable a person to concentrate on other aspects of performance, such as maintaining motivation or seeing where other people are. The sense of equilibrium and balance is another distinction that can be made between propricetion and kinethesia. It is argued that balance sense is uniquely related to proprioception

Basis of proprioceptive sense [edit]

The initiation of proprioception is the activation of a proprioreceptor in the periphery.^[13] The proprioceptive sense is believed to be composed of information from sensory neurons located in the inner ear (motion and orientation) and in the stretch receptors located in the muscles and the joint-supporting ligaments (stance). There are specific nerve receptors for this form of perception termed "proprioreceptors," just as there are specific receptors for pressure, light, temperature, sound, and other sensory experiences. Proprioreceptors are sometimes known as adequate stimuli receptors. TRPN, a member of the transient receptor potential family of ion channels, has been found to be responsible for proprioception in fruit flies,^[14] nematode worms,^[15] African clawed frogs,^[16] and zebrafish.^[17] The human proprioceptor has yet to be discovered.

Although it was known that finger kinesthesia relies on skin sensation, recent research has found that kinesthesia-based haptic perception relies strongly on the forces experienced during touch.^[18] This research allows the creation of "virtual", illusory haptic shapes with different perceived qualities.^[19]

Conscious and unconscious proprioception [edit]

In humans, a distinction is made between conscious proprioception and unconscious proprioception:

Conscious proprioception is communicated by the posterior column-medial lemniscus pathway to the cerebrum.^[20]

Unconscious proprioception is communicated primarily via the dorsal spinocerebellar tract^[21] and ventral spinocerebellar tract,^[22] to the cerebellum.

An unconscious reaction is seen in the human proprioceptive reflex, or righting reflex – in the event that the body tilts in any direction, the person will cock their head back to level the eyes against the horizon.^[23] This is seen even in infants as soon as they gain control of their neck muscles. This control comes from the cerebellum, the part of the brain affecting balance.

Applications [edit]

Field sobriety test [edit]

Proprioception is tested by American police officers using the field sobriety test to check for alcohol intoxication. The subject is required to touch his or her nose with eyes closed; people with normal proprioception may make an error of no more than 20 millimeters, while people suffering from impaired proprioception (a symptom of moderate to severe alcohol intoxication) fail this test due to difficulty locating their limbs in space relative to their noses.

Diagnosis [edit]

There are several relatively specific tests of the subject's ability to proprioceive. These tests are used in the diagnosis of neurological disorders. They include the visual and tactile placing reflexes.^[24]

Learning new skills [edit]

Proprioception is what allows someone to learn to walk in complete darkness without losing balance. During the learning of any new skill, sport, or art, it is usually necessary to become familiar with some proprioceptive tasks specific to that activity. Without the appropriate integration of proprioceptive input, an artist would not be able to brush paint onto a canvas without looking at the hand as it moved the brush over the canvas; it would be impossible to drive an automobile because a motorist would not be able to steer or use the pedals while looking at the road ahead; a person could not touch type or perform ballet; and people would not even be able to walk without watching where they put their feet.

Oliver Sacks once reported the case of a young woman who lost her proprioception due to a viral infection of her spinal cord.^[25] At first she was not able to move properly at all or even control her tone of voice (as voice modulation is primarily proprioceptive). Later she relearned by using her sight (watching her feet) and inner ear only for movement while using hearing to judge voice modulation. She eventually acquired a stiff and slow movement and nearly normal speech, which is believed to be the best possible in the absence of this sense. She could not judge effort involved in picking up objects and would grip them painfully to be sure she did not drop them.

Training [edit]

The proprioceptive sense can be sharpened through study of many disciplines. Examples are the Feldenkrais method^[26] and the Alexander Technique. Juggling trains reaction time, spatial location, and efficient movement^{[citation needed]} . Standing on a wobble board or balance board is often used to retrain or increase proprioception abilities, particularly as physical therapy for ankle or knee injuries. Slacklining is another method to increase proprioception. Standing on one leg (stork standing) and various other body-position challenges are also used in such disciplines as Yoga, Wing Chun and T'ai chi.^[27] Several studies have shown that the efficacy of these types of training is increased by closing the eyes,^{[citation needed]} because the eyes give invaluable feedback to establishing the moment-to-moment information of balance. There are even specific devices designed for proprioception training, such as the exercise ball, which works on balancing the abdominal and back muscles.

Joint Position Matching [edit]

Joint position matching (JPM) is an established protocol for measuring proprioception, and joint position sense specifically, without the aid of visual or vestibular information.^[28] During such tasks, individuals are blindfolded while a joint is moved to a specific angle for a given period of time, returned to neutral, and asked to replicate the specified angle. Measured by constant and absolute errors, ability to accurately identify joint angles over a series of conditions is the most accurate means of determining proprioceptive acuity in isolation to date. Recent investigations have shown that hand dominance, participant age, active versus passive matching, and presentation time of the angle can all affect performance on joint position matching tasks.^[29] Joint position matching has been used in clinical settings in both the upper and lower extremities.

Impairment [edit]

It has been seen that temporary loss or impairment of proprioception may happen periodically during growth, mostly during adolescence. Growth that might also influence this would be large increases or drops in bodyweight/size due to fluctuations of fat (liposuction, rapid fat loss or gain) and/or muscle content (bodybuilding, anabolic steroids, catabolisis/starvation). It can also occur in those that gain new levels of flexibility, stretching, and contortion. A limb's being in a new range of motion never experienced (or at least, not for a long time since youth perhaps) can disrupt one's sense of location of that limb. Possible experiences include suddenly feeling that feet or legs are missing from one's mental self-image; needing to look down at one's limbs to be sure they are still there; and falling down while walking, especially when attention is focused upon something other than the act of walking.

Proprioception is occasionally impaired spontaneously, especially when one is tired. One's body may appear too large or too small, or parts of the body may appear distorted in size. Similar effects can sometimes occur during epilepsy or migraine auras. These effects are presumed to arise from abnormal stimulation of the part of the parietal cortex of the brain involved with integrating information from different parts of the body.^[30]

Proprioceptive illusions can also be induced, such as the Pinocchio illusion.

The proprioceptive sense is often unnoticed because humans will adapt to a continuously present stimulus; this is called habituation, desensitization, or adaptation. The effect is that proprioceptive sensory impressions disappear, just as a scent can disappear over time. One practical advantage of this is that unnoticed actions or sensation continue in the background while an individual's attention can move to another concern. The Alexander Technique addresses these issues.

People that have a limb amputated may still have a confused sense of that limb's existence on their body, known as phantom limb syndrome. Phantom sensations can occur as passive proprioceptive sensations of the limb's presence, or more active sensations such as perceived movement, pressure, pain, itching, or temperature. There are a variety of theories concerning the etiology of phantom limb sensations and experience. Jack Tsao, MD. at Walter Reed Hospital has advanced a theory based on the concept of "proprioceptive memory." This theory argues that the brain retains a memory of specific limb positions and that after amputation there is a conflict between the visual system, which literally sees that the limb is missing, and the memory system which remembers the limb as a functioning part of the body.^[31] Phantom sensations and phantom pain may also occur after the removal of body parts other than the limbs, such as after amputation of the breast, extraction of a tooth (phantom tooth pain), or removal of an eye (phantom eye syndrome).

Temporary impairment of proprioception has also been known to occur from an overdose of vitamin B6 (pyridoxine and pyridoxamine). Most of the impaired function returns to normal shortly after the intake of vitamins returns to normal. Impairment can also be caused by cytotoxic factors such as chemotherapy.

It has been proposed that even common tinnitus and the attendant hearing frequency-gaps masked by the perceived sounds may cause erroneous proprioceptive information to the balance and comprehension centers of the brain, precipitating mild confusion.

Proprioception is permanently impaired in patients that suffer from joint hypermobility or Ehlers-Danlos Syndrome (a genetic condition that results in weak connective tissue throughout the body). It can also be permanently impaired from viral infections as reported by Sacks. The catastrophic effect of major proprioceptive loss is reviewed by Robles-De-La-Torre (2006).^[32]

One of the most commonly overlooked diagnoses for impairment of Proprioception that affects a person's walking, especially in people over 60, is Vitamin B12 deficiency. If a Vitamin B12 deficiency is left untreated it can result in permanent damage to nerves in the upper spinal cord called Subacute combined degeneration of the spinal cord, resulting in the nerves from the feet not communicating properly with the cerebellum.

References [edit]

^ Mosby's Medical, Nursing and Allied Health Dictionary, Fourth Edition, Mosby-Year Book 1994, p. 1285
^ Jerosch, Jörg; Heisel, Jürgen (May 2010). Management der Arthrose: Innovative Therapiekonzepte (in German). Deutscher Ärzteverlag. p. 107. ISBN 978-3-7691-0599-5. Retrieved 8 April 2011.
^ Singh, Arun Kumar (September 1991). The Comprehensive History of Psychology. Motilal Banarsidass Publ. p. 66. ISBN 978-81-208-0804-1. Retrieved 8 April 2011.
^ Dickinson, John (1976). Proprioceptive control of human movement. Princeton Book Co. p. 4. Retrieved 8 April 2011.
^ Foster, Susan Leigh (15 December 2010). Choreographing Empathy: Kinesthesia in Performance. Taylor & Francis. p. 74. ISBN 978-0-415-59655-8. Retrieved 8 April 2011.
^ Brookhart, John M.; Mountcastle, Vernon B. (Vernon Benjamin); Geiger, Stephen R. (1984). The Nervous system: Sensory processes ; volume editor: Ian Darian-Smith. American Physiological Society. p. 784. ISBN 978-0-683-01108-1. Retrieved 8 April 2011.
^ ^a ^b Proske, U; Gandevia, SC (2009). "The kinaesthetic senses". The Journal of Physiology 587 (Pt 17): 4139–4146. doi:10.1113/jphysiol.2009.175372. PMC 2754351. PMID 19581378.
^ Winter, JA; Allen, TJ; Proske, U (2005). "Muscle spindle signals combine with the sense of effort to indicate limb position". The Journal of physiology 568 (Pt 3): 1035–46. doi:10.1113/jphysiol.2005.092619. PMC 1464181. PMID 16109730.
^ Collins, DF; Refshauge, KM; Todd, G; Gandevia, SC (2005). "Cutaneous receptors contribute to kinesthesia at the index finger, elbow, and knee". Journal of neurophysiology 94 (3): 1699–706. doi:10.1152/jn.00191.2005. PMID 15917323.
^ ^a ^b Konradsen, L (2002). "Factors Contributing to Chronic Ankle Instability: Kinesthesia and Joint Position Sense". Journal of Athletic Training 37 (4): 381–385. PMC 164369. PMID 12937559.
^ Dover, G; Powers, ME (2003). "Reliability of Joint Position Sense and Force-Reproduction Measures During Internal and External Rotation of the Shoulder". Journal of Athletic Training 38 (4): 304–310. PMC 314388. PMID 14737211.
^ ^a ^b Feuerbach, JW; Grabiner, MD; Koh, TJ; Weiker, GG (1994). "Effect of an ankle orthosis and ankle ligament anesthesia on ankle joint proprioception". The American journal of sports medicine 22 (2): 223–9. doi:10.1177/036354659402200212. PMID 8198191.
^ Sherrington CS (1907). "On the proprioceptive system, especially in its reflex aspect". Brain 29 (4): 467–85. doi:10.1093/brain/29.4.467.
^ Walker, R. G.; Willingham, A. T.; Zuker, C. S. (2000). "A Drosophila mechanosensory transduction channel". Science 287 (5461): 2229–2234. doi:10.1126/science.287.5461.2229. PMID 10744543. edit
^ Li, W.; Feng, Z.; Sternberg, P. W.; Shawn Xu, X. Z. (2006). "A C. Elegans stretch receptor neuron revealed by a mechanosensitive TRP channel homologue". Nature 440 (7084): 684–687. doi:10.1038/nature04538. PMC 2865900. PMID 16572173. edit
^ Shin, J. -B.; Adams, D.; Paukert, M.; Siba, M.; Sidi, S.; Levin, M.; Gillespie, P. G.; Gründer, S. (2005). "Xenopus TRPN1 (NOMPC) localizes to microtubule-based cilia in epithelial cells, including inner-ear hair cells". Proceedings of the National Academy of Sciences 102 (35): 12572–12577. doi:10.1073/pnas.0502403102. PMC 1194908. PMID 16116094. edit
^ Sidi, S.; Friedrich, R. W.; Nicolson, T. (2003). "NompC TRP Channel Required for Vertebrate Sensory Hair Cell Mechanotransduction". Science 301 (5629): 96–99. doi:10.1126/science.1084370. PMID 12805553. edit
^ Robles-De-La-Torre G, Hayward V (2001). "Force can overcome object geometry in the perception of shape through active touch". Nature 412 (6845): 445–8. doi:10.1038/35086588. PMID 11473320.
^ the MIT Technology Review article "The Cutting Edge of Haptics"
^ Fix, James D. (2002). Neuroanatomy. Hagerstown, MD: Lippincott Williams & Wilkins. p. 127. ISBN 0-7817-2829-0.
^ Swenson RS. "Review of Clinical and Functional Neuroscience, Chapter 7A: Somatosensory Systems". (online version Dartmouth college). Retrieved 2008-04-10.
^ Siegel, Allan (2010). Essential Neuroscience. Lippincott Williams & Wilkins. p. 263.
^ http://erikdalton.com/NewslettersOnline/Feb06Newsletter.htm
^ Introduction to Neurology, 2nd Edition 1976, A.C.Palmer, Blackwell Scientific, Oxford
^ Sacks, O.. "The Disembodied Lady", in The Man Who Mistook His Wife for a Hat and his autobiographical case study A Leg to Stand On.
^ http://ecam.oxfordjournals.org/cgi/content/full/nep055
^ cheng man ch'ing. T'ai Chi Ch'uan. Blue Snake Books usa. pp. 86, 88. ISBN 978-0-913028-85-8.
^ Goble, DJ; Noble, BC; Brown, SH (2010). "Where was my arm again? Memory-based matching of proprioceptive targets is enhanced by increased target presentation time" (PDF). Neuroscience letters 481 (1): 54–8. doi:10.1016/j.neulet.2010.06.053. PMID 20600603.
^ Goble, DJ (2010). "Proprioceptive acuity assessment via joint position matching: From basic science to general practice". Physical therapy 90 (8): 1176–84. doi:10.2522/ptj.20090399. PMID 20522675.
^ Ehrsson H, Kito T, Sadato N, Passingham R, Naito E (2005). "Neural substrate of body size: illusory feeling of shrinking of the waist". PLoS Biol. 3 (12): e412. doi:10.1371/journal.pbio.0030412. PMC 1287503. PMID 16336049.
^ Weeks, S.R., Anderson-Barnes, V.C., Tsao, J. (2010). "Phantom limb pain: Theories and therapies". The Neurologist 16 (5): 277–286.[1]
^ Robles-De-La-Torre G (2006). "The Importance of the Sense of Touch in Virtual and Real Environments". IEEE Multimedia 13 (3): 24–30. doi:10.1109/MMUL.2006.69.

External links [edit]

Neuroscience Tutorial See "Basic somatosensory pathway", Eastern International College.
Joint & Bone – Ehlers-Danlos/Joint Hypermobility Syndrome – Proprioception
Humans have six senses, why does everyone think we only have five? at Everything2
Proprioception this essay by Charles Wolfe takes its cue from such thinkers & artists as Charles Olson, Merleau-Ponty, James J. Gibson, and Andy Clark to illustrate the view of the "priority of dynamic embodied activity over isolated 'mental' and 'physical' regions" to define this concept
WNYC – Radio Lab: Where Am I? (May 05, 2006) radio program looks at the relationship between the brain and the body
The Dancers Mind ABC (Aust) podcast on the nature of proprioception.
Proprioception at the US National Library of Medicine Medical Subject Headings (MeSH)

English Journal

Behavioural evidence for a visual and proprioceptive control of head roll in hoverflies (Episyrphus balteatus, Dipteran).

Goulard R1, Julien-Laferriere A2, Fleuriet J3, Vercher JL1, Viollet S4.
The Journal of experimental biology.J Exp Biol.2015 Oct 20. pii: jeb.127043. [Epub ahead of print]
Hoverflies' ability to control their head orientation with respect to their body contributes importantly to their agility and their autonomous navigation abilities. Many tasks performed by this insect during flight, especially while hovering, involve a head stabilization reflex. This reflex mediated
PMID 26486370

Complex impairment of IA muscle proprioceptors following traumatic or neurotoxic injury.

Vincent JA1, Nardelli P1, Gabriel HM1, Deardorff AS1, Cope TC1.
Journal of anatomy.J Anat.2015 Aug;227(2):221-30. doi: 10.1111/joa.12312. Epub 2015 Jun 5.
The health of primary sensory afferents supplying muscle has to be a first consideration in assessing deficits in proprioception and related motor functions. Here we discuss the role of a particular proprioceptor, the IA muscle spindle proprioceptor in causing movement disorders in response to eithe
PMID 26047324

Differential control of temporal and spatial aspects of cockroach leg coordination.

Couzin-Fuchs E1, Gal O2, Holmes P3, Ayali A4.
Journal of insect physiology.J Insect Physiol.2015 Aug;79:96-104. doi: 10.1016/j.jinsphys.2015.06.007. Epub 2015 Jun 15.
Ensembles of neuronal networks and sensory pathways participate in controlling the kinematic and dynamic parameters of animal movement necessary to achieve motor coordination. Determining the relative contribution of proprioceptive feedback is essential for understanding how animals sustain stable,
PMID 26086675

Japanese Journal

Proprioceptors involved in stinging response of the honeybee, Apis mellifera

Ogawa Hiroto,Kawakami Zenji,Yamaguchi Tsuneo
Journal of Insect Physiology 57(10), 1358-1367, 2011-10-00
… Two types of mechanosensitive proprioceptor organ are present on the stinging apparatus of the honeybee: campaniform sensilla and mechanosensory hairplates. …
NAID 120003464631

上肢関節牽引がヒラメ筋H波に及ぼす影響

小山貴之,柳澤健,相澤純也
日本保健科学学会誌 10(3), 168-173, 2007-12-25
本研究は,上肢を他動的に関節牽引操作を加えたときの,対側ヒラメ筋支配脊髄運動ニューロンの興奮性に及ぼす影響を検討した。健常男性16名を対象とし,背臥位にて右上肢基本肢位及び上肢PNF肢位(伸展・外転・内旋位)の2肢位に無負荷・3kg・6kg・9kgの牽引を組み合わせた8通りの実験肢位と基本肢位(対照肢位)を他動的に保持させ,左ヒラメ筋より誘発筋電図H波を各々測定した。各実験肢位のH波振幅率を算出し …
NAID 110006534166

足底, 下腿筋個別冷却後の立位姿勢制御に関する研究 : 閉眼での静的, 動的立位姿勢制御の筋活動と重心総軌跡長比較

崎田正博,熊谷秋三,河野一郎 [他],高杉紳一郎
理学療法科学 21(4), 341-347, 2006-11-20
NAID 10018450820

Related Pictures

★リンクテーブル★

リンク元

「自己受容器」

　　[★]

英: proprioceptor
関: 固有受容器

[1] Mosby's Medical, Nursing and Allied Health Dictionary, Fourth Edition, Mosby-Year Book 1994, p. 1285

[2] Jerosch, Jörg; Heisel, Jürgen (May 2010). Management der Arthrose: Innovative Therapiekonzepte (in German). Deutscher Ärzteverlag. p. 107. ISBN 978-3-7691-0599-5. Retrieved 8 April 2011.

[Singh1991-3] Singh, Arun Kumar (September 1991). The Comprehensive History of Psychology. Motilal Banarsidass Publ. p. 66. ISBN 978-81-208-0804-1. Retrieved 8 April 2011.

[Dickinson1976-4] Dickinson, John (1976). Proprioceptive control of human movement. Princeton Book Co. p. 4. Retrieved 8 April 2011.

[Foster2010-5] Foster, Susan Leigh (15 December 2010). Choreographing Empathy: Kinesthesia in Performance. Taylor & Francis. p. 74. ISBN 978-0-415-59655-8. Retrieved 8 April 2011.

[BrookhartMountcastle1984-6] Brookhart, John M.; Mountcastle, Vernon B. (Vernon Benjamin); Geiger, Stephen R. (1984). The Nervous system: Sensory processes ; volume editor: Ian Darian-Smith. American Physiological Society. p. 784. ISBN 978-0-683-01108-1. Retrieved 8 April 2011.

[Proske-7] Proske, U; Gandevia, SC (2009). "The kinaesthetic senses". The Journal of Physiology 587 (Pt 17): 4139–4146. doi:10.1113/jphysiol.2009.175372. PMC 2754351. PMID 19581378.

[8] Winter, JA; Allen, TJ; Proske, U (2005). "Muscle spindle signals combine with the sense of effort to indicate limb position". The Journal of physiology 568 (Pt 3): 1035–46. doi:10.1113/jphysiol.2005.092619. PMC 1464181. PMID 16109730.

[9] Collins, DF; Refshauge, KM; Todd, G; Gandevia, SC (2005). "Cutaneous receptors contribute to kinesthesia at the index finger, elbow, and knee". Journal of neurophysiology 94 (3): 1699–706. doi:10.1152/jn.00191.2005. PMID 15917323.

[Konradsen-10] Konradsen, L (2002). "Factors Contributing to Chronic Ankle Instability: Kinesthesia and Joint Position Sense". Journal of Athletic Training 37 (4): 381–385. PMC 164369. PMID 12937559.

[11] Dover, G; Powers, ME (2003). "Reliability of Joint Position Sense and Force-Reproduction Measures During Internal and External Rotation of the Shoulder". Journal of Athletic Training 38 (4): 304–310. PMC 314388. PMID 14737211.

[Feuerbach-12] Feuerbach, JW; Grabiner, MD; Koh, TJ; Weiker, GG (1994). "Effect of an ankle orthosis and ankle ligament anesthesia on ankle joint proprioception". The American journal of sports medicine 22 (2): 223–9. doi:10.1177/036354659402200212. PMID 8198191.

[13] Sherrington CS (1907). "On the proprioceptive system, especially in its reflex aspect". Brain 29 (4): 467–85. doi:10.1093/brain/29.4.467.

[14] Walker, R. G.; Willingham, A. T.; Zuker, C. S. (2000). "A Drosophila mechanosensory transduction channel". Science 287 (5461): 2229–2234. doi:10.1126/science.287.5461.2229. PMID 10744543. edit

[15] Li, W.; Feng, Z.; Sternberg, P. W.; Shawn Xu, X. Z. (2006). "A C. Elegans stretch receptor neuron revealed by a mechanosensitive TRP channel homologue". Nature 440 (7084): 684–687. doi:10.1038/nature04538. PMC 2865900. PMID 16572173. edit

[16] Shin, J. -B.; Adams, D.; Paukert, M.; Siba, M.; Sidi, S.; Levin, M.; Gillespie, P. G.; Gründer, S. (2005). "Xenopus TRPN1 (NOMPC) localizes to microtubule-based cilia in epithelial cells, including inner-ear hair cells". Proceedings of the National Academy of Sciences 102 (35): 12572–12577. doi:10.1073/pnas.0502403102. PMC 1194908. PMID 16116094. edit

[17] Sidi, S.; Friedrich, R. W.; Nicolson, T. (2003). "NompC TRP Channel Required for Vertebrate Sensory Hair Cell Mechanotransduction". Science 301 (5629): 96–99. doi:10.1126/science.1084370. PMID 12805553. edit

[18] Robles-De-La-Torre G, Hayward V (2001). "Force can overcome object geometry in the perception of shape through active touch". Nature 412 (6845): 445–8. doi:10.1038/35086588. PMID 11473320.

[19] the MIT Technology Review article "The Cutting Edge of Haptics"

[isbn0-7817-2829-0-20] Fix, James D. (2002). Neuroanatomy. Hagerstown, MD: Lippincott Williams & Wilkins. p. 127. ISBN 0-7817-2829-0.

[titleChapter_7A:_Somatosensory_Systems-21] Swenson RS. "Review of Clinical and Functional Neuroscience, Chapter 7A: Somatosensory Systems". (online version Dartmouth college). Retrieved 2008-04-10.

[22] Siegel, Allan (2010). Essential Neuroscience. Lippincott Williams & Wilkins. p. 263.

[23] ttp://erikdalton.com/NewslettersOnline/Feb06Newsletter.htm

[24] Introduction to Neurology, 2nd Edition 1976, A.C.Palmer, Blackwell Scientific, Oxford

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proprioceptor