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59) The hypothesis of a distal-to-proximal loss of proprioception also is sup ported by these studies involving knee and ankle JPS, in addition to research showing that perception of joint motion at the first metatarsophalangeal joint was significantly different between young and old adults. The vibration sensation was evaluated using a vibrating tuning fork (128 Hz); the fork was placed on the dorsum of the metatarsophalangeal joint of the big toe or the dorsum of the metacarpophalangeal joint of the thumb, and the worker was asked to report when the vibration ceased. For the foot, place the tape measure at the mid-point of the metatarsophalangeal joints (the toes) and then at the mid-point of the tarsometatarsal joints (mid-foot). |
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