EFFECTIVENESS OF STRUCTURED PHYSIOTHERAPY INTERVENTION ON PAIN, PROPRIOCEPTION AND BALANCE IN TOTAL KNEE ARTHROPLASTY :PRE AND POST TEST PILOT STUDY.
STRUCTURED PHYSIOTHERAPY INTERVENTION IN TOTAL KNEE ARTHROPLASTY
Keywords:
Knee OA, TKR, pain, proprioception, balance, physiotherapy interventionAbstract
Background: Patients with severe knee osteoarthritis requires Total knee arthroplasty (TKA). TKA is a surgical procedure to replace the weight bearing surfaces of the knee joint to reduce pain and disability. The main aim of this study is to find out the effectiveness of structured physiotherapy intervention on pain, proprioception and balance in patients with TKA. Material and Methods: 10 participants were included in this pilot study with unilateral TKA. Structured physiotherapy intervention was given for 4 weeks post TKA. Outcomes were assessed at baseline, 2 weeks and at 4 weeks after structured physiotherapy intervention. Results: Pain decreased significantly from baseline (60.50%), balance (28.40%) and knee ROM (31.81%) have been improved. There was only 5.63% change in joint proprioception from its baseline values. Conclusion: After 4 weeks of Structured Physiotherapy intervention we found a significant reduction in pain and improvement in balance and knee ROM while there was no improvement in knee joint proprioception. However, adequate powered RCTs are needed to determine the long term effect of exercise therapy on pain, proprioception and balance after TKA.
References
Khalaj N, Osman NA, Mokhtar AH, Mehdikhani M, Abas WA. Balance and risk of fall in individuals with bilateral mild and moderate knee osteoarthritis. PloS one. 2014 Mar 18;9(3):e92270.
Swanik CB, Lephart SM, Rubash HE. Proprioception, kinesthesia, and balance after total knee arthroplasty with cruciate-retaining and posterior stabilized prostheses. JBJS. 2004 Feb 1;86(2):328-34.
Jawahir A Pachore, shrinanand V Vaidya. ISHKS joint registry: A preliminary report. Indian J Orthop. 2013 sept-oct;47(5):505-509.
Wilson Mello Alves Júnior, Eduardo Zaniol Migon, Jose Luis Amim Zabeu. Pain following total knee arthroplasty – a systematic approach. Rev Bras Ortop. 2010;45(5):384-91.
Joseph T. Costello, Alan E. Donnelly. Cryotherapy and Joint Position Sense in Healthy Participants: A Systematic Review. Journal of Athletic Training. 2010;45(3):306–316.
Laura Wegener, Carolyn Kisner, Deborah Nichols. Static and Dynamic Balance Responses in Persons With Bilateral Knee Osteoarthritis: J Orthop Sports Phys Ther. 1997;25(1):13-18.
Neil Artz, Karen T Elvers, Catherine Minns Lowe, Cath Sackley, Paul Jepsonand Andrew D Beswick. Effectiveness of physiotherapy exercise following total knee replacement: systematic review and meta-analysis. BMC Musculoskeletal Disorders. 2015;16(15):1-21.
Gandek B, Ware Jr JE. Validity and responsiveness of the knee injury and osteoarthritis outcome score: a comparative study among total knee replacement patients. Arthritis care & research. 2017 Jun;69(6):817-25.
Chun-De Liao, Tsan-Hon Liou, Yu-Yun Huang, Yi-Ching Huang. Effects of balance training on functional outcome after total knee replacement in patients with knee osteoarthritis: a randomized controlled trial. Clinical Rehabilitation. 2013;27(8):697 –709.
Knee injury and Osteoarthritis Outcome Score (KOOS), Marathi (India) version LK 1.0, July 2013
Torsten Pohl, TorstenBrauner, Scott Wearing, Knut Stamer,ThomasHorstmann. Effects of sensorimotor training volume on recovery of sensorimotor function in patients following lower limb arthroplasty: BMC Musculoskeletal Disorder. 2015;16(195):1-9.
José-María Blasco, CeledoniaIgual-Camacho, Sergio Roig-Casasús. In-home versus hospital preoperative balance and proprioceptive training in patients undergoing TKR; rationale, design, and method of a randomized controlled trial. BMC Musculoskeletal Disorders. 2017;18(518):1-9.
Brotzman SB, Manske RC. Clinical orthopaedic rehabilitation e-book: An evidence-based approach-expert consult. Elsevier Health Sciences; 2011 May 6.
Isaac D, Falode T, Liu P, I'Anson H, Dillow K, Gill P. Accelerated rehabilitation after total knee replacement. The knee. 2005 Oct 1;12(5):346-50.
Liao CD, Liou TH, Huang YY, Huang YC. Effects of balance training on functional outcome after total knee replacement in patients with knee osteoarthritis: a randomized controlled trial. Clinical rehabilitation. 2013 Aug;27(8):697-709.
Artz N, Dixon S, Wylde V, Marques E, Beswick AD, Lenguerrand E, Blom AW, Gooberman-Hill R. Comparison of group-based outpatient physiotherapy with usual care after total knee replacement: a feasibility study for a randomized controlled trial. Clinical rehabilitation. 2017 Apr;31(4):487-99.
Noh EK, An CS. Changes in pain, swelling, and range of motion according to physical therapy intervention after total knee arthroplasty in elderly patients. Physical Therapy Rehabilitation Science. 2015 Dec 26;4(2):79-86.
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