Does sensorimotor training improve postural stability in early stages of knee osteoarthritis?

Knee osteoarthritis (OA) leads to the damage of all joint components, with consequent proprioceptive impairment leading to a decline in balance and an increase in the risk of falls. This study was aimed at assessing postural stability and proprioception in patients with knee OA, and the relation between the impairment in postural stability and proprioception with the severity of OA and functional performance. Thirty-eight patients with knee OA were recruited. OA severity was classified with the Kellgren–Lawrence score. Postural stability and proprioception were assessed in double- and single-limb stance, in open- and closed-eyes with an instrumented device. Functional performance was assessed using the Knee Score Society (KSS) and the Short Performance Physical Battery (SPPB). Relationships between variables were analyzed. Postural stability was reduced with respect to reference values in double-limb stance tests in all knee OA patients, while in single-stance only in females. Radiological OA severity, KSS-Functional score and SPPB were correlated with greater postural stability impairments in single-stance. Knee OA patients show decreased functional abilities and postural stability impairments. Proprioception seems to be impaired mostly in females. In conclusion, clinical management of patients with OA should include an ongoing assessment and training of proprioception and postural stability during rehabilitation.

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The effect of Tai Chi exercises on postural stability and control in older patients with knee osteoarthritis

Journal of Bodywork and Movement Therapies ◽

10.1016/j.jbmt.2016.09.001 ◽

2017 ◽

Vol 21 (3) ◽

pp. 594-598 ◽

Cited By ~ 6

Author(s):

Elham Ghandali ◽

Saeed Talebian Moghadam ◽

Mohammad Reza Hadian ◽

Gholamreza Olyaei ◽

Shohreh Jalaie ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Postural Stability ◽

Older Patients ◽

Tai Chi ◽

Stability And Control ◽

And Control

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Effect of Incorporating Short-Foot Exercises in the Balance Rehabilitation of Flat Foot: A Randomized Controlled Trial

Healthcare ◽

10.3390/healthcare9101358 ◽

2021 ◽

Vol 9 (10) ◽

pp. 1358

Author(s):

Dongchul Moon ◽

Juhyeon Jung

Keyword(s):

Randomized Controlled Trial ◽

Postural Stability ◽

Balance Control ◽

Dynamic Balance ◽

Controlled Trial ◽

Combined Effects ◽

Sensorimotor Training ◽

Flat Foot ◽

Randomized Controlled ◽

Balance Rehabilitation

Effective balance rehabilitation is essential to address flat foot (pes planus) which is closely associated with reduced postural stability. Although sensorimotor training (SMT) and short-foot exercise (SFE) have been effective for improving postural stability, the combined effects of SMT with SFE have not been evaluated in previous studies. The aim of this study was to compare the lone versus combined effects of SMT with SFE on postural stability among participants with flat foot. This was a single-blinded, randomized controlled trial. A total of 32 flat-footed participants were included in the study (14 males and 18 females) and assigned to the SMT combined with SFE group and SMT alone group. All participants underwent 18 sessions of the SMT program three times a week for six weeks. Static balance, dynamic balance, and the Hmax/Mmax ratio were compared before and after the interventions. Static and dynamic balance significantly increased in the SMT combined with SFE group compared with the SMT alone group. However, the Hmax/Mmax ratio was not significantly different between the two groups. Therefore, this study confirms that the combination of SMT and SFE is superior to SMT alone to improve postural balance control in flat-footed patients in clinical settings.

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Platelet-Rich Plasma Is Effective in Early Stages of Knee Osteoarthritis

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2020.07.308 ◽

2020 ◽

Vol 231 (4) ◽

pp. S188

Author(s):

Dibakar Sarkar

Keyword(s):

Knee Osteoarthritis ◽

Platelet Rich Plasma ◽

Early Stages

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Effects of different foot progression angles and platform settings on postural stability and fall risk in healthy and medial knee osteoarthritic adults

Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine ◽

10.1177/0954411917750409 ◽

2017 ◽

Vol 232 (2) ◽

pp. 163-171 ◽

Cited By ~ 1

Author(s):

Saad Jawaid Khan ◽

Soobia Saad Khan ◽

Juliana Usman ◽

Abdul Halim Mokhtar ◽

Noor Azuan Abu Osman

Keyword(s):

Knee Osteoarthritis ◽

Fall Risk ◽

Postural Stability ◽

Medial Knee ◽

Medial Knee Osteoarthritis ◽

Risk Levels ◽

Balance System ◽

Participant Group ◽

Biodex Balance System ◽

Healthy Participants

This study aims to investigate the effects of varying toe angles at different platform settings on Overall Stability Index of postural stability and fall risk using Biodex Balance System in healthy participants and medial knee osteoarthritis patients. Biodex Balance System was employed to measure postural stability and fall risk at different foot progression angles (ranging from −20° to 40°, with 10° increments) on 20 healthy (control group) and 20 knee osteoarthritis patients (osteoarthritis group) randomly (age: 59.50 ± 7.33 years and 61.50 ± 8.63 years; body mass: 69.95 ± 9.86 kg and 70.45 ± 8.80 kg). Platform settings used were (1) static, (2) postural stability dynamic level 8 (PS8), (3) fall risk levels 12 to 8 (FR12) and (4) fall risk levels 8 to 2 (FR8). Data from the tests were analysed using three-way mixed repeated measures analysis of variance. The participant group, platform settings and toe angles all had a significant main effect on balance ( p ≤ 0.02). Platform settings had a significant interaction effect with participant group F(3, 144) = 6.97, p < 0.01 and toe angles F(21, 798) = 2.83, p < 0.01. Non-significant interactions were found for group × toe angles, F(7, 266) = 0.89, p = 0.50, and for group × toe angles × settings, F(21, 798) = 1.07, p = 0.36. The medial knee osteoarthritis group has a poorer postural stability and increased fall risk as compared to the healthy group. Changing platform settings has a more pronounced effect on balance in knee osteoarthritis group than in healthy participants. Changing toe angles produced similar effects in both the participant groups, with decreased stability and increased fall risk at extreme toe-in and toe-out angles.

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Postural stability in relation to anthropometric and functional characteristics in women with knee osteoarthritis following total knee arthroplasty

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-014-1940-9 ◽

2014 ◽

Vol 134 (5) ◽

pp. 685-692 ◽

Cited By ~ 11

Author(s):

Doris Vahtrik ◽

Jaan Ereline ◽

Helena Gapeyeva ◽

Mati Pääsuke

Keyword(s):

Total Knee Arthroplasty ◽

Knee Osteoarthritis ◽

Knee Arthroplasty ◽

Postural Stability ◽

Functional Characteristics ◽

Total Knee

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Correlation between Postural Stability and Functional Mobility in Patients with Knee Osteoarthritis

Althea Medical Journal ◽

10.15850/amj.v2n4.639 ◽

2015 ◽

Vol 2 (4) ◽

Author(s):

Arlinda De Hafsari ◽

Vitriana ◽

Alwin Tahid

Keyword(s):

Knee Osteoarthritis ◽

Postural Stability ◽

Functional Mobility

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Evaluation of the Effectiveness of Orthokine Therapy: Retrospective Analysis of 1000 Cases

Ortopedia Traumatologia Rehabilitacja ◽

10.5604/01.3001.0014.1167 ◽

2020 ◽

Vol 22 (2) ◽

pp. 107-119

Author(s):

Piotr Godek ◽

Sebastian Szajkowski ◽

Dominik Golicki

Keyword(s):

Knee Osteoarthritis ◽

Retrospective Analysis ◽

Tennis Elbow ◽

Hip Osteoarthritis ◽

Symptomatic Treatment ◽

Autologous Serum ◽

Osteoarthritis Of The Knee ◽

Early Stages ◽

Canal Stenosis ◽

Common Diagnosis

Background. Osteoarthritis is a global health problem. Approaches to symptomatic treatment of its consequences include biological methods, including autologous serum. The aim of the study was to evaluate the effectiveness of Orthokine therapy in our experience. Material and methods. Retrospective analysis of 1000 cases. The results were evaluated on a modified McNab scale (A – excellent, B – good, C – fair, D – poor) two and six months after the end of therapy. The effectiveness of the therapy was estimated as the percentage of satisfactory (A or B) or unsatisfactory (C or D) results. Results. Osteoarthritis of the lumbar spine (n = 400) and knee joint (n = 219) was the most common diagnosis. The highest percentage of patients with a grade A or B result after 6 months was seen with therapy of tennis elbow enthesopathy (88.2%), rotator cuff tendinopathy (72.0%), Achilles tendon tendinopathy (75.0%) and in the early stages of osteoarthritis of the knee (75.9%) and small joints of the hand (77.0%). For cervical and lumbar discopathy, treatment efficacy was at 56.0-62.0% regardless of the size of the hernia. Unsatisfactory results (C and D) predominated in the group of patients with lumbar spinal stenosis (66.1%), wrist osteoarthritis (66.7%), and especially in late-stage hip osteoarthritis (85.3 %). For the largest groups, the frequency of unsatisfactory results was analyzed for selected age ranges. A significant increase in this parameter in subjects over 75 years of age was only seen in patients with severe knee osteoarthritis. Conclusions. 1. Orthokine therapy is highly effective in cases of tendinopathy, enthesopathy, osteoarthritis of the small joints of the hand and in early stages of knee osteoarthritis. 2. Satisfactory results are achieved in the treatment of cervical and lumbar discopathy, while unsatisfactory results prevail in severe degenerative changes in the knee and hip joints and in spinal canal stenosis.

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