PROPRIOCEPTIVE TRAINING AS AN ADJUNCT IN OSTEOARTHRITIS OF KNEE

2013 ◽  
Vol 16 (01) ◽  
pp. 1350002 ◽  
Author(s):  
Suraj Kumar ◽  
Ashish Kumar ◽  
Ratnesh Kumar
Keyword(s):  
Pain Intensity ◽  
Functional Disability ◽  
Womac Score ◽  
Position Sense ◽  
Joint Position Sense ◽  
Knee Oa ◽  
Post Test ◽  
Proprioceptive Training ◽  
Conventional Physiotherapy ◽  
Single Blind

Osteoarthritis (OA) is steadily becoming the most common cause of disability with advancing age. So, this study was aimed to prevent and rehabilitate the patient with such disability. Proprioception along with other deficits have been established with threat to the concerned joint. Hence, objective of the study was set to show the efficacy of proprioceptive training with conventional physiotherapy versus conventional physiotherapy. A Pre test- Post test single blind experimental study was designed with 44 patients having knee OA and randomly divided in two groups. Outcome measures were pain intensity on NRS, functional disability on Reduced WOMAC and joint position sense (JPS) error on Electronic Goniometer. Results between group comparisons showed significant improvement in pain intensity (p < 0.05), WOMAC score (p < 0.05) and JPS error (p < 0.05). However both the groups improved significantly but there was more significant improvement in group with proprioception intervention. Hence, it can be concluded that proprioceptive training should be included along with conventional physiotherapy in knee OA rehabilitation.

scholarly journals Chen-Style Tai Chi for Individuals (Aged 50 Years Old or Above) with Chronic Non-Specific Low Back Pain: A Randomized Controlled Trial

2019 ◽  
Vol 16 (3) ◽  
pp. 517 ◽  
Author(s):  
Jing Liu ◽  
Albert Yeung ◽  
Tao Xiao ◽  
Xiaopei Tian ◽  
Zhaowei Kong ◽  
...  
Keyword(s):  
Lower Limb ◽  
Tai Chi ◽  
Functional Disability ◽  
Position Sense ◽  
Joint Position Sense ◽  
Control Group ◽  
Joint Position ◽  
Low Back ◽  
Core Stabilization ◽  
Limb Proprioception

Tai Chi (TC) can be considered safe and effective intervention to improve pain and pain-related functional disability. However, it is unclear that whether aging individuals with Chronic Non-Specific Low Back Pain (CNS-LBP) can achieve positive results. This study, therefore, attempted to explore the effects of TC on pain and functional disability in CNS-LBP patients aged 50 years old or above. Forty-three individuals (aged 50 years old or above) with CNS-LBP were randomly assigned into three groups: Chen-Style TC group (n = 15), Core Stabilization training (CST) group (n = 15), and control group (n = 13). Participants in the TC group participated in Chen-style TC training program (three 60-min sessions per week for 12 weeks), individuals in CST group received 12-week Core Stabilization exercise on the Swiss ball, whereas individuals in the control group maintained their unaltered lifestyle. Pain intensity as primary outcome was measured using the Visual Analogue Scale (VAS), A BiodexSystem 3 isokinetic dynamometer was used to measure knee and ankle joint position sense (JPS) as secondary outcomes at baseline and after the 12-week intervention. TC and CST have significant effects in VAS for CNS-LBP patients (p< 0.01, TC group OR CST group versus control group in mean of the post-minus-pre assessment). However, the feature of joint position sense (JPS) of ankle inversion, ankle eversion and knee flexion did not occur, it showed no significant effects with TC and CST. TC was found to reduce pain, but not improve lower limb proprioception in patients with CNS-LBP. Future research with larger sample sizes will be needed to achieve more definitive findings on the effects of TC on both pain and lower limb proprioception in this population.

Effect of laterality discrimination on joint position sense and cervical range of motion in patients with chronic neck pain: a randomized single-blind clinical trial

2019 ◽  
Vol 36 (2) ◽  
pp. 136-143
Author(s):  
Jose Vicente León-Hernández ◽  
David Marcos-Lorenzo ◽  
David Morales-Tejera ◽  
Ferran Cuenca-Martínez ◽  
Roy La Touche ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Neck Pain ◽  
Range Of Motion ◽  
Chronic Neck Pain ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Cervical Range Of Motion ◽  
Single Blind

scholarly journals Limbs joint position sense in patients with chronic non-specific back pain

2018 ◽  
Vol 51 ◽  
pp. 02015
Author(s):  
Natalija Pahomova ◽  
Daina Smite
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Cross Sectional Study ◽  
Position Sense ◽  
Joint Position Sense ◽  
Lower Limbs ◽  
Knee Joints ◽  
Cross Sectional ◽  
Study Results ◽  
General Data

Purpose: To analyze limbs joint positions’ sense and its relationship with pain intensity and duration in patients with chronic non-specific back pain. Methods: Study design: cross-sectional study. For assessment of patients, the following elements were used: general data collection protocol; evaluation of pain intensity using the Visual Analogue Scale; assessment of limb kinesthesia: determination of reposition precision of a 90-degree flexion angle in shoulder, elbow, hip and knee joints. Subjects. The study included 100 patients (88 women, 12 men) with chronic non-specific back pain, who met the selection criteria for the study. The average age of patients was 45.9 ± 11.6 years, and it ranged from 19 to 64 years. Results: All participants of the study were found to have diminished upper and lower limbs kinesthesia. The study results showed plausible (p < 0.05) relation between limbs kinesthesia and pain intensity and duration, and these correlations were significantly determined by pain localization. Conclusion: Limb kinesthesia is plausibly related to the manifestation of pain in patients with chronic non-specific back pain.

scholarly journals The effect of co-stabilizer muscle activation on knee joint position sense: a single group pre-post test

2016 ◽  
Vol 28 (7) ◽  
pp. 2119-2122
Author(s):  
Yeongyo Nam ◽  
Ho Jun Lee ◽  
Myongryol Choi ◽  
Sangmi Chung ◽  
Junhyung Park ◽  
...  
Keyword(s):  
Knee Joint ◽  
Muscle Activation ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Single Group ◽  
Post Test

scholarly journals The Relationship Between Quadriceps Muscle Atrophy and Proprioception Function in Knee Osteoarthritis Patients

2019 ◽  
Vol 1 (2) ◽  
pp. 59
Author(s):  
Ayu Susanti ◽  
Rr. Indrayuni Lukitra Wardhani ◽  
I Putu Alit Pawana
Keyword(s):  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Muscle Atrophy ◽  
Quadriceps Muscle ◽  
Joint Position Sense ◽  
Osteoarthritis Of The Knee ◽  
Cross Sectional ◽  
Knee Oa ◽  
Proprioceptive Function ◽  
The Relationship

Background: Osteoarthritis of the knee (OA) patients can experience impaired proprioceptive function which causes instability, balance disorder and limited activity. Further analysis is needed to detect changes that occur. There are two methods to evaluate the speed and angle of a particular motion as an analysis of the function of proprioception, Time to Detect Passive Movements (TTDPM) and Joint Position Sense (JPS).Aim: To analyze the relationship between quadriceps muscle atrophy with proprioception in knee osteoarthritis patients.Methods: The design of this research is cross sectional analysis done in Dr. Soetomo General Hospital Surabaya, Indonesia. There were 25 knee OA patients (2 men and 23 women) with each subject had proprioception (JPS and TTDPM) function measured using isokinetics dynamometer on both sides of the knee.Results: This study shows the atrophic side had greater pain intensity and greater disturbance of proprioception. In addition, there were significant differences in JPS measurements at  angle of 30⁰, and 60⁰ and TTDPM (p <0.05). No difference obtained at 45⁰ measurements angle.Conclusion: In this study, there was no association between quadriceps atrophy and function of proprioception in knee osteoarthritis patients. This was due to a number of confounding factors that cannot be controlled such as duration, difference in pain intensity, OA severity, physical activity before measurement, and fatigue which can affect proprioception function and bring misinterpretation on measurements.

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