PTOTSystematic ReviewFrontiers in rehabilitation sciences2022

The Effectiveness of Proprioceptive Training for Improving Motor Performance and Motor Dysfunction: A Systematic Review.

Leoni Winter, Qiyin Huang, Jacquelyn V L Sertic and 1 others

PMID 36188962

WHAT IT FOUND

Proprioceptive training improved proprioception in 71% of studies and motor performance in 81%.

Clinical populations, especially those with neurological or orthopedic conditions, showed larger and more consistent gains than healthy adults. Active movement and balance training were the most common effective interventions.

Key findings

01Proprioceptive training improved proprioceptive performance in 71% of the included studies and motor performance in 81%.

02Clinical populations (orthopedic and neurological) demonstrated more frequent and larger improvements in proprioceptive and motor function compared to non-clinical populations.

03There is no single intervention type that stands out as universally most successful; a wide variety of training types, including active movement, balance, and somatosensory stimulation, positively influenced outcomes.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

Heterogeneity of outcome measures: Studies used a wide variety of proprioceptive and motor tests, making direct comparison and meta-analysis difficult. Lack of follow-up: A majority of studies did not assess long-term retention of training gains, so it is unknown how long improvements last. Definition ambiguity: Many included studies used multimodal training (e.g., visual feedback) rather than 'pure' proprioceptive training, making it difficult to isolate the specific contribution of proprioceptive mechanisms to motor improvement. Quality variation: PEDro scores varied among included studies, with some having lower methodological quality. No clear dosage guidelines: There was no consistent pattern for optimal training duration or intensity, although some evidence suggested longer balance interventions (6+ weeks) were more effective than shorter ones.

Declared interests

The authors declare no commercial or financial relationships that could be construed as a potential conflict of interest. Funding was provided by the University of Minnesota Marty and Jack Rossmann Award.

The easy way to misread this

Do not assume these interventions will produce significant proprioceptive gains in healthy, non-clinical populations or athletes. The review found that less than half of studies in healthy populations showed proprioceptive improvements, whereas clinical populations showed much more consistent benefits. Additionally, because most studies did not measure long-term retention, do not promise patients that these gains will persist indefinitely without ongoing practice.

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