A comparison of the Effect of Quadriceps Taping versus Patellar Taping on Balance and Functional Performance in Patients with Knee Osteoarthritis

Abstract Backgrounds Osteoarthritis (OA) is primarily a disease of cartilage destruction. Knee OA is the most common type of arthritis which can be treated with kinesio taping (KT). Purpose The current study was aimed to compare the effect of quadriceps muscle taping vs. patellar taping on balance and functional performance in patients with knee OA. Patients and Methods 40 patients with knee OA aged from 40 to 65 years entered this interventional study. Eligible participants were randomly divided into 2 groups, the Quadriceps taping group, and patellar taping group. The balance was measured using the modified star excursion balance test (SEBT), functional reach test (FRT), and Berg balance scale test (BBST). Also, functional activity was evaluated using the step test. All variables measured before, immediately after and 24 hr after the intervention in both groups. Results Within-group comparison in both groups showed that KT therapy improved modified SEBT, FRT and step test scores immediately after and 24 h after the intervention compared to baseline, and the difference was more significant 24 h after the intervention compared to immediately after the intervention. However, BBS score was not different in assessed times compared to baseline in both groups. The results of between-group analyses of variables showed no significant differences between the two groups in assessed times. Besides, repeated measure ANOVA showed that time significantly influenced modified SEBT, FRT, and step test. However, there was no group effect on assessed variables. Conclusion Both quadriceps and patellar taping positively influenced balance and functional level of the patients with knee OA. Also, there is no superiority between these 2 methods.

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QUADRICEPS STRENGTH, KNEE PAIN AND FUNCTIONAL PERFORMANCE WITH PATELLAR TAPING IN KNEE OSTEOARTHRITIS

Journal of Musculoskeletal Research ◽

10.1142/s0218957714500146 ◽

2014 ◽

Vol 17 (03) ◽

pp. 1450014 ◽

Cited By ~ 1

Author(s):

Abeer Farag Hanafy ◽

Amira Abdallah Abd El Megeid Abdallah

Keyword(s):

Knee Osteoarthritis ◽

Functional Performance ◽

Quadriceps Muscle ◽

Quadriceps Strength ◽

Stair Climbing ◽

Walking Distance ◽

Knee Oa ◽

Symptomatic Knee ◽

Vas Scores ◽

Patellar Taping

Background: Patellar taping has long been reported to be effective in relieving pain in patients with patello-femoral pain syndrome (PFPS). Yet, there is lack of knowledge that supports its use in knee osteoarthritis (OA) management. Purpose: This study examined the effect of therapeutic patellar taping on concentric and eccentric quadriceps muscle peak torques, VAS pain scores, 6-minute walking distance and stair climbing time in patients with knee OA. Methods: A total of 30 female patients with symptomatic knee OA with mean age 51.8 ± 6.3 years and BMI 32.56 ± 3.26 m2/kg participated in the study. They were tested under three taping conditions that were tested randomly; therapeutic, placebo and no-tape. Results: Repeated measure MANOVA revealed that the quadriceps muscle peak torques and 6-minute walking distance increased significantly (p < 0.05) and the VAS scores and stair climbing time decreased significantly with therapeutic tape use compared with the other two tapes. Moreover, the quadriceps muscle peak torques increased significantly and the VAS scores decreased significantly with placebo tape use compared with no-tape use, with no significant difference (p > 0.05) in between for the 6-minute walking distance and stair climbing time. Conclusion: The findings indicate that therapeutic patellar taping is effective in improving quadriceps strength and functional performance and reducing pain in patients with knee OA.

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Does Motor Training of the Nonparetic Side Influences Balance and Function in Chronic Stroke? A Pilot RCT

The Scientific World JOURNAL ◽

10.1155/2014/769726 ◽

2014 ◽

Vol 2014 ◽

pp. 1-8 ◽

Cited By ~ 6

Author(s):

Shanta Pandian ◽

Kamal Narayan Arya ◽

Dharmendra Kumar

Keyword(s):

Functional Performance ◽

Berg Balance Scale ◽

Chronic Stroke ◽

The Body ◽

Control Group ◽

Therapy Program ◽

Functional Reach Test ◽

Double Blinded ◽

And Function ◽

Experimental Group

Background. Balance and functional abilities are controlled by both sides of the body. The role of nonparetic side has never been explored for such skills.Objective. The objective of the present study was to examine the effect of a motor therapy program primarily involving the nonparetic side on balance and function in chronic stroke.Method. A randomized controlled, double blinded trial was conducted on 39 poststroke hemiparetic subjects (21, men; mean age, 42 years; mean poststroke duration, 13 months). They were randomly divided into the experimental group(n=20)and control group(n=19). The participants received either motor therapy focusing on the nonparetic side along with the conventional program or conventional program alone for 8 weeks (3 session/week, 60 minutes each). The balance ability was assessed using Berg Balance Scale (BBS) and Functional Reach Test (FRT) while the functional performance was measured by Barthel Index (BI).Result. After intervention, the experimental group exhibited significant(P<0.05)change on BBS (5.65 versus 2.52) and BI (12.75 versus 2.16) scores in comparison to the control group.Conclusion. The motor therapy program incorporating the nonparetic side along with the affected side was found to be effective in enhancing balance and function in stroke.

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Balance a few years after total hip replacement

10.21203/rs.2.11747/v1 ◽

2019 ◽

Author(s):

Agnieszka Wareńczak ◽

Przemysław Lisiński

Keyword(s):

Total Hip Replacement ◽

Hip Replacement ◽

Dynamic Balance ◽

Berg Balance Scale ◽

Step Test ◽

Control Group ◽

Timed Up And Go ◽

Total Hip ◽

Functional Reach ◽

Functional Reach Test

Abstract Background: The aim of the study was to conduct a long-term evaluation of whether total hip replacement permanently affects the quality of postural reactions and body balance. Material and methods: The unilateral Total Hip Replacement (THR) group consisted of 30 subjects (mean age: 69.4). The control group consisted of 30 healthy subjects (mean age: 68.8). The force platform and functional tests such as Timed Up and Go, 3m walk test, Functional Reach Test, 30s Chair Stand Test, Step Test and Berg Balance Scale were used to assess dynamic balance. Results: Subjects from the study group exhibited significantly increased time (p=0.002) and distance (p=0.012) in the tests performed on the force platform compared to the control group. We also observed worse balance and functional test scores in the THR group: Timed Up and Go test (p<0.001), 3m walk test (p<0.001), Functional Reach Test (p=0.003), 30s Chair Stand Test (p=0.002) and Step Test (operated leg: p<0.001, non-operated leg: p=0.002). The results obtained in the Berg Balance Scale tests were not significantly different between the groups (p=0.597). Conclusions: Our research shows that total hip replacement permanently impairs patients’ dynamic balance and functionality in certain lower-extremity activities. Keywords: balance, total hip replacement, gait, muscle strength

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Does the Motor Level of the Paretic Extremities Affect Balance in Poststroke Subjects?

Rehabilitation Research and Practice ◽

10.1155/2014/767859 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Kamal Narayan Arya ◽

Shanta Pandian ◽

C. R. Abhilasha ◽

Ashutosh Verma

Keyword(s):

Functional Performance ◽

Lower Extremities ◽

Underlying Mechanism ◽

Berg Balance Scale ◽

Moderate Correlation ◽

Cross Sectional ◽

Convenience Sample ◽

Functional Reach ◽

Functional Reach Test ◽

Upper And Lower Extremities

Background. Poststroke impairment may lead to fall and unsafe functional performance. The underlying mechanism for the balance dysfunction is unclear.Objective. To analyze the relation between the motor level of the affected limbs and balance in poststroke subjects.Method. A prospective, cross-sectional, and nonexperimental design was conducted in a rehabilitation institute. A convenience sample of 44 patients was assessed for motor level using Brunnstrom recovery stage (BRS) and Fugl-Meyer Assessment: upper (FMA-UE) and lower extremities (FMA-LE). The balance was measured by Berg Balance Scale (BBS), Postural Assessment Scale for Stroke Patients (PASS), and Functional Reach Test (FRT).Results. BRS showed moderate correlation with BBS (ρ=0.54to 0.60;P<0.001), PASS (r=0.48to 0.64;P<0.001) and FRT (ρ=0.48to 0.59;P<0.001). FMA-UE also exhibited moderate correlation with BBS (ρ=0.59;P<0.001) and PASS (ρ=0.60;P<0.001). FMA-LE showed fair correlation with BBS (ρ=0.50;P=0.001) and PASS (ρ=0.50;P=0.001).Conclusion. Motor control of the affected limbs plays an important role in balance. There is a moderate relation between the motor level of the upper and lower extremities and balance. The findings of the present study may be applied in poststroke rehabilitation.

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Clinical Tests of Standing Balance in the Knee Osteoarthritis Population: Systematic Review and Meta-analysis

Physical Therapy ◽

10.2522/ptj.20150025 ◽

2016 ◽

Vol 96 (3) ◽

pp. 324-337 ◽

Cited By ~ 14

Author(s):

Gillian L. Hatfield ◽

Adam Morrison ◽

Matthew Wenman ◽

Connor A. Hammond ◽

Michael A. Hunt

Keyword(s):

Knee Osteoarthritis ◽

Quality Index ◽

Data Extraction ◽

Meta Analysis ◽

Standing Balance ◽

Step Test ◽

Healthy Controls ◽

Bilateral Disease ◽

Knee Oa ◽

Functional Reach Test

BackgroundPeople with knee osteoarthritis (OA) have a high prevalence of falls. Poor standing balance is one risk factor, but the extent of standing balance deficits in people with knee OA is unknown.PurposeThe primary purpose of this study was to summarize available data on standing balance in people with knee OA compared with people without knee OA. A secondary purpose was to establish the extent of balance impairment across disease severity.Data SourcesA literature search of the MEDLINE, EMBASE, CINAHL, and Web of Science databases through November 19, 2014, was conducted.Study SelectionStudies on individuals with knee OA containing clinical, quantifiable measures of standing balance were included. Methodological quality was assessed by 2 reviewers using a 16-item quality index developed for nonrandomized studies. Studies scoring >50% on the index were included.Data ExtractionParticipant characteristics (age, sex, body mass index, OA severity, compartment involvement, unilateral versus bilateral disease) and balance outcomes were extracted by 2 reviewers. Standardized mean differences were pooled using a random-effects model.Data SynthesisThe search yielded 2,716 articles; 8 met selection and quality assessment criteria. The median score on the quality index was 13/17. People with knee OA consistently performed worse than healthy controls on the Step Test, Single-Leg Stance Test, Functional Reach Test, Tandem Stance Test, and Community Balance and Mobility Scale. The pooled standardized mean difference was −1.64 (95% confidence interval=−2.58, −0.69). No differences were observed between varying degrees of malalignment, or between unilateral versus bilateral disease.LimitationsNo studies compared between-knee OA severities. Thus, expected changes in balance as the disease progresses remain unknown.ConclusionsFew studies compared people with knee OA and healthy controls, but those that did showed that people with knee OA performed significantly worse. More research is needed to understand the extent of balance impairments in people with knee OA using easy-to-administer, clinically available tests.

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Clinical evaluation of balance in hemiparetic adults: a systematic review

Fisioterapia em Movimento ◽

10.1590/0103-5150.028.001.ar03 ◽

2015 ◽

Vol 28 (1) ◽

pp. 187-200 ◽

Cited By ~ 2

Author(s):

Carla Bambirra ◽

Maria Cecília de Betsan Rodrigues ◽

Christina Danielli Coelho de Morais Faria ◽

Fátima Rodrigues de Paula

Keyword(s):

Psychometric Properties ◽

Intervention Studies ◽

Berg Balance Scale ◽

Therapeutic Interventions ◽

Step Test ◽

Balance Assessment ◽

Timed Up And Go ◽

Balance Scale ◽

Functional Reach Test ◽

Four Square

Introduction Hemiparesis is a common post-stroke impairment often associated with balance deficits. Standardized instruments for balance assessment may be useful in identifying individuals at risk of falling and evaluating intervention outcomes. Objectives To identify instruments with adequate psychometric properties and clinical application to assess balance in hemiparetic cases within the scope of physiotherapy and to verify tools most frequently used in studies that evaluated the effects of therapeutic interventions in order to improve the balance of hemiparetic patients. Methods A search was conducted in the Medline, Lilacs, PEDro, and Web of Science databases by two independent researchers, who selected and analyzed studies that evaluated the reliability and validity of balance assessment instruments and intervention results. Results and discussion The Berg Balance Scale was the most frequently used instrument in the intervention studies. Nine single-task tests (timed up and go, functional reach test, step test, four-square step test, side step test, supported standing balance, standing arm raise, static tandem standing, and weight shifting) and six multiple-task tests (Berg balance scale, Brunel balance assessment, Fugl-Meyer Assessment/balance section, mini balance evaluation systems test, and postural assessment scale for stroke patients) demonstrated adequate psychometric properties and clinical applications to assess balance in hemiparetic individuals. Conclusions The Berg Balance Scale had the most widely studied psychometric properties and was the most frequently used scale in the intervention studies. Further studies are required to validate and adapt other instruments for the Brazilian population.

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A Novel Virtual Reality Technique (Cervigame®) Compared to Conventional Proprioceptive Training to Treat Neck Pain: A Randomized Controlled Trial

Journal of Biomedical Physics and Engineering ◽

10.31661/jbpe.v9i3jun.556 ◽

2019 ◽

Vol 9 (3Jun) ◽

Cited By ~ 1

Author(s):

I Rezaei ◽

M Razeghi ◽

S Ebrahimi ◽

S Kayedi ◽

A Rezaeian Zadeh

Keyword(s):

Virtual Reality ◽

Visual Analogue Scale ◽

Neck Pain ◽

Analogue Scale ◽

Controlled Trial ◽

Neck Disability Index ◽

Repeated Measure ◽

Balance Test ◽

Proprioceptive Training ◽

Neck Disability

Background: Despite the potential benefits of virtual reality technology in physical rehabilitation, only a few studies have evaluated the efficacy of this type of treatment in patients with neck pain.Objective: The aim of this study was to compare the effects of virtual reality training (VRT) versus conventional proprioceptive training (CPT) in patients with neck pain.Methods: Forty four participants with nonspecific chronic neck pain were randomly assigned to VRT or CPT in this assessor-blinded clinical trial. A novel videogame called Cervigame® was designed for VRT. It comprises of 50 stages divided into unidirectional and two-directional stages ordered from easy to hard. CPT consisted of eye-follow, gaze stability, eye-head coordination and position and movement sense training. Both groups completed 8 training sessions over 4 weeks. Visual analogue scale score, neck disability index and Y-balance test results were recorded at baseline, immediately after and 5 weeks post-intervention. Mixed repeated measure ANOVA was used to analyze differences between mean values for each variable at an alpha level of 0.05.Results: There were significant improvements in all variables in both groups immediately after and 5 weeks after the intervention. Greater improvements were observed in the visual analogue scale and neck disability index scores in VRT group, and the results for all directions in Y-balance test were similar in both groups. No side effects were reported.Conclusion: Improvements in neck pain and disability were greater in VRT than CPT group. Cervigame® is a potentially practical tool for rehabilitation in patients with neck pain.

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Myofascial Release of the Hamstrings Improves Physical Performance—A Study of Young Adults

Healthcare ◽

10.3390/healthcare9060674 ◽

2021 ◽

Vol 9 (6) ◽

pp. 674

Author(s):

Keisuke Itotani ◽

Kanta Kawahata ◽

Wakana Takashima ◽

Wakana Mita ◽

Hitomi Minematsu ◽

...

Keyword(s):

Young Adults ◽

Physical Performance ◽

Walking Speed ◽

Quadriceps Muscle ◽

Lower Limbs ◽

Joint Movement ◽

Myofascial Release ◽

Functional Reach Test ◽

Hamstring Flexibility ◽

Walking Speeds

Physical performance is mainly assessed in terms of gait speed, chair rise capacity, and balance skills, and assessments are often carried out on the lower limbs. Such physical performance is largely influenced by the strength of the quadriceps and hamstrings muscles. Flexibility of the hamstrings is important because quadriceps muscle activity influences the hip flexion angle. Therefore, hamstring flexibility is essential to improve physical performance. In this study, Myofascial Release (MFR) was applied to the hamstrings to evaluate its effects. MFR on the hamstrings was performed on 17 young adults. Physical function and physical performance were measured before, immediately after, and 5 days after the MFR intervention: finger floor distance (FFD), range of motion (ROM) of the straight leg raising test (SLR), standing long jump (SLJ), squat jump (SJ), functional reach test (FRT), comfortable walking speeds (C-walking speed), and maximum walking speeds (M-walking speed). The results of the analysis show a significant increase in FFD (−2.6 ± 8.9 vs. 0.4 ± 9.4 vs. 2.4 ± 8.9, p < 0.01), SLJ (185.6 ± 44.5 vs. 185.0 ± 41.8 vs. 196.6 ± 40.1, p < 0.01), and M-walking speed (2.9 ± 0.6 vs. 3.0 ± 0.6 vs. 3.3 ± 0.6, p < 0.01). This study has shown that MFR for hamstrings not only improves flexibility but also increases M-walking speed and physical performance of the SLJ. As MFR is safe and does not involve joint movement, it may be useful for maintaining and improving performance and flexibility during inactivity and for stretching before exercise.

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Postural Stability and Proprioception Abnormalities in Patients with Knee Osteoarthritis

Applied Sciences ◽

10.3390/app11041469 ◽

2021 ◽

Vol 11 (4) ◽

pp. 1469

Author(s):

Luciana Labanca ◽

Giuseppe Barone ◽

Stefano Zaffagnini ◽

Laura Bragonzoni ◽

Maria Grazia Benedetti

Keyword(s):

Knee Osteoarthritis ◽

Postural Stability ◽

Functional Performance ◽

Functional Score ◽

Functional Abilities ◽

Knee Score ◽

Knee Oa ◽

Risk Of Falls ◽

Ongoing Assessment ◽

And Training

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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Comparison of Y-Balance Test Performance by maturation status in youth distance runners

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967121s00084 ◽

2021 ◽

Vol 9 (7_suppl3) ◽

pp. 2325967121S0008

Author(s):

Mitchell J. Rauh ◽

Micah C. Garcia ◽

David M. Bazett-Jones ◽

Jason T. Long ◽

Kevin R. Ford ◽

...

Keyword(s):

Muscle Strength ◽

Quadriceps Muscle ◽

Limb Length ◽

Distance Running ◽

Distance Runners ◽

Long Distance ◽

Balance Test ◽

Convenience Sample ◽

Quadriceps Muscle Strength ◽

Increased Risk

Background: Distance running is a popular interscholastic sport, but also has an associated high risk of running-related injuries. Recent literature suggests that functional tests may help to identify athletes at increased risk of injury. The Y-Balance Test (YBT) is an objective measure used to assess functional muscle strength and balance and to expose asymmetries between tested limbs. Purpose: To determine if YBT performance was associated with maturation status in healthy, youth distance runners. We hypothesized that mid-pubertal (MP) runners would demonstrate less functional reach distance than pre-pubertal (PrP) or post-pubertal (PoP) runners. Methods: A convenience sample of 142 (Females: n=79, Males: n=63) uninjured youth runners (ages 13.5±2.7 years; weekly running distance: 18.2±20.4 km) were recruited from the local community. All runners met inclusion criteria, indicating that they were between 9 and 19 years old and participated in long-distance running activities such as school/club track and field, cross country, road races, trail running, and/or soccer. The runners completed a modified Pubertal Maturational Observation Scale (PMOS), then were screened for right (R) and left (L) anterior (ANT), posteromedial (PM) and posterolateral (PL) reach distances (cm) normalized by lower limb length (cm). Composite reach distance was calculated by the sum of the three reach distances divided by three times the limb length multiplied by 100 for R and L limbs. ANOVA with Bonferroni post hoc tests were used to compare maximum normalized reach distances for the three directions and composite reach distance by maturation status and sex. Results: Overall, 31.7% were classified as PrP status, 26.1% as MP, and 42.3% as PoP, with similar percentages by sex ( p=0.84). The only significant mean difference was found for R ANT maximum normalized reach distance between PrP and PoP ( p=0.02), indicating a greater normalized reach in PrP athletes. No significant mean differences were found for R or L PM and PL maximum normalized reach distances, or for R or L composite reach distances, by maturation status or when stratified by maturation and sex ( p>0.05). Conclusions: In this sample of youth runners, the YBT was only a discriminator of anterior reach distance between pre-pubertal and post-pubertal runners. As decreased anterior reach is associated with reduced quadriceps muscle strength and anterior knee pain, reduced anterior reach in post-pubertal runners may potentially signify an increased risk of sustaining a running-related injury. Thus, preventive efforts to ensure good functional quadriceps muscle strength may be merited.

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