The Center for Podiatric Care and Sports Medicine

What Is Proprioception and Why Do Sports Medicine Doctors Recommend It?

Posted by on Friday, September 18th, 2015

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Balance is one of those things we tend to take for granted. Thanks to this psychosomatic ability, we can stand still on two feet, walk a straight line, throw a baseball, hit a tennis ball and focus our eyes on a bird flying in the sky. Even if you consider yourself a clumsy person, your body’s proprioceptors are hard at work.1http://courses.washington.edu/conj/bess/spindle/proprioceptors.html

The word proprioception means “sense of self.” The proprioceptor system involves nerve receptors in the muscles, ligaments, tendons, and joints of our feet and ankles, which send sensory impulses to the brain that control lower limb muscle movements. Furthermore, information trickles in from the vision and vestibular organ systems to keep us upright and steady.

As with anything, balance begins declining with age after 40 — as vision, foot sensitivity, and hair cells within the vestibular system start to diminish. Conditions like diabetes, dizziness, tumors, inflammation, and nerve injury can also disrupt our balance. Falls become more common as strength and agility decrease as well. As a result, 1 in 3 adults over 65 suffer a fall each year, which often necessitates a trip to the hospital with injuries like lacerations, hip fractures, and head traumas.2 http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html

Yet, we at The Center for Podiatric Care and Sports Medicine say this outcome is preventable when attention is paid to proprioception training.

proprioception
Tai chi is one method of proprioception training that improves balance and prevents injury. Image source: Flickr CC user llee-wu

Study Shows Proprioception Training Reverses Aging

A 1996 study conducted by the University of Connecticut School of Medicine found that older Americans in their eighties who engaged in Tai Chi balance and strengthening exercises three days a week demonstrated stability levels of someone three to 10 years younger.3http://www.ncbi.nlm.nih.gov/pubmed/ Significant gains persisted at six months even after the study concluded.

Proprioception Exercises to Improve Stability and Balance

Tai Chi and yoga are a few structured activities you can try out to improve balance, but there are also many exercises you can do at home. For instance:

  • Practice walking from heel-to-toe: Do this barefoot on a firm, flat surface. As you walk, focus on the way your ankles, calves, and joints move to keep you steady. Stand tall with your shoulders, back, and chin level. Look at an immobile point in the distance to walk straight. Eventually, try walking with your eyes closed and work your way to transitioning to a carpet, lawn, or foam balancing pad. Once you graduate to the next levels, try “walking the plank” on a 2×4 — forward, backward, and with your eyes closed.
  • Stand next to a wall in the classic “tree pose”: Put your hands on your hips, bringing your left heel to your right ankle. Concentrate on the balancing act your planted foot is doing and feel the stability up through your spine, while gazing at a fixed point ahead and breathing slowly. Once you can do this steadily, move your left foot to the calf and then the thigh. Look up toward the ceiling or shut your eyes to make it more challenging. Try bringing your hands to your heart and raise them overhead as if they were branches of a tree. Repeat on the opposite side.

You can also add balance training to every day activities such as:

  • Brushing your teeth: Stand on your right foot while brushing on the left side for a minute, then alternate.
  • Dressing: Stand on one foot while pulling on socks, pants, and shoes or applying lotion to the legs.
  • Picking up: Instead of bending at the waist, squat down to pick up groceries, toys, laundry, or other objects.
  • Gardening: Spend a little time barefoot, walking on grass, sand, or cobblestone in your garden.

Tools That Help with Balance

You don’t always need to be on your feet to do balance training. The Bosu Ball is one of our favorite tools for balance training. Here are 41 different exercises you can do with a Bosu Ball that improve strength, stability and balance alike.4http://www.phillymag.com/be-well-philly/2013/04/16/40-exercises-bosu-ball/ Other tools to consider include: balance pads, balance boards, wobble boards and indo boards.

Balance Training in NYC

Doctors at The Center for Podiatric Care and Sports Medicine offices in Manhattan and Westchester work with athletes and people of all ages who want to work on improving performance in sports competition or just everyday life. Our balance and strength training program can help you prevent falls and injuries or recover from illness or trauma. Contact our team of board-certified podiatrists, surgeons, sports medicine doctors, and physical therapists to learn more.

 

 

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1. http://courses.washington.edu/conj/bess/spindle/proprioceptors.html
2. http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html
3. http://www.ncbi.nlm.nih.gov/pubmed/
4. http://www.phillymag.com/be-well-philly/2013/04/16/40-exercises-bosu-ball/

If you have any foot problems or pain, contact The Center for Podiatric Care and Sports MedicineDr. Josef J. GeldwertDr. Katherine Lai, Dr. Ryan Minara and Dr. Mariola Rivera have helped thousands of people get back on their feet. Unfortunately, we cannot give diagnoses or treatment advice online. Please make an appointment to see us if you live in the NY metropolitan area or seek out a podiatrist in your area.