Robotic tests for position sense and movement discrimination in the upper limb reveal that they each are highly reproducible but not correlated in healthy individuals.
Catherine R Lowrey, Benett Blazevski, Jean-Luc Marnet and 3 others
PMID 32711540WHAT IT FOUND
In healthy adults, two robotic upper-limb tests each gave repeatable results, but movement-discrimination and position-matching scores were unrelated.
One test may not tell you how someone performs on the other.
Key findings
01The movement discrimination threshold was repeatable, with test-retest agreement of 0.78 for the task and 0.90 when calculated from 50 trials.
02Movement discrimination thresholds were not significantly related to arm position matching scores (correlations from -0.24 to 0.30).
03Most arm position matching measures were repeatable, but matching variability was not (intraclass correlation 0.37).
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
All participants were healthy young adults, so the results do not show how the tests perform in people with stroke or other neurological injury. Only 21 people were tested, and they were all 18 to 22 years old, so the reliability estimates may not apply to other ages or to patient groups. The two repetitions were done on the same day, so this does not show whether the tests stay repeatable over longer periods. The task order was fixed, with position matching always done before movement discrimination, so practice, fatigue or inattention could have affected later performance. Healthy controls had low between-person variability, which can make reliability estimates different from those in patients with a wider range of performance. The study reports no treatment or clinical outcome, so it cannot show that using these tests improves patient care.
Declared interests
The funding and conflicts declaration names GlaxoSmithKline and the Canadian Institutes of Health Research as funders. The supplied text does not say that a sponsor designed the study or wrote the manuscript.
The easy way to misread this
Do not conclude that one upper-limb proprioception test can replace another, or that these tests have been shown to work in patients. The study used 21 healthy young adults and found no significant relationship between movement discrimination and position matching.