Association of Postural Sway with Kellengren Lawrence Grade II and III of Osteoarthritis of Knee Joint among Elderly Population.

Postural sway among elderly OA Knee patients.

Authors

  • Sheetal Agrawal Under Graduate Student
  • Dr. Sonyabapu Shewale (PT) AssistantProfessor
  • Dr. Shyam Ganvir (PT) Professor & HOD

DOI:

https://doi.org/10.46858/VIMSJPT.4108

Abstract

Background: Postural sway is very common in elderly population. It is mainly associated with balance. There are two factors, Decreased proprioception –which leads to sway when walking and increased reliance on vision. Vestibular weakness – as the person ages it’s common to have vestibular deficits which affects gaze stability and ability to turn head which affects balance. This may cause fall and increase the risk of injury.

Objective: 1. To investigate the postural sway in elderly OA knee patients.

  1. To investigate the postural sway according to different grades of OA.

Methodology: It was a cross-sectional study. Total 60 elderly individuals with OA knee were included using simple random sampling method.

Result: The data was collected in OA Knee patients for sway in all four directions was analyzed with eyes open and eyes closed conditions. All 60 subjects having more sway in anterior and left lateral direction with both eyes open and eyes closed condition compared to their sway in posterior and right lateral direction.

Conclusion: This study concludes that more sway was observed in anterior and left lateral direction both with eyes opened and eyes closed compared to posterior and right lateral direction in all Grade I, Grade II ,Grade III patients, all males and females, young old and middle old subjects. While in old old subjects the sway was found more in anterior and right lateral direction compared to posterior and left lateral direction.

 

Author Biographies

Sheetal Agrawal, Under Graduate Student

Under Graduate Student, Department of Community Physiotherapy, D.V.V.P.F’s College of Physiotherapy, Ahmednagar

Dr. Sonyabapu Shewale (PT), AssistantProfessor

AssistantProfessor, Department of Community Physiotherapy, D.V.V.P.F’s College of Physiotherapy, Ahmednagar

Dr. Shyam Ganvir (PT), Professor & HOD

Professor & HOD, Department of Community Physiotherapy, D.V.V.P.F’s College of Physiotherapy, Ahmednagar.

Keywords:

Elderly population, Postural Sway Meter., OA knee, postural sway

References

Pandya NK, Draganich LF, Mauer A, Piotrowski GA, Pottenger L. Osteoarthritis of the knees increases the propensity to trip on an obstacle. Clinical Orthopaedics and Related Research®. 2005 Feb 1;431:150-6.

Hassan BS, Mockett S, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Annals of the rheumatic diseases. 2001 Jun 1;60(6):612-8.

Brandt KD, Dieppe P, Radin EL. Etiopathogenesis of osteoarthritis. Rheumatic Disease Clinics of North America. 2008 Aug 1;34(3):531-59

4. Martel-Pelletier J. Pathophysiology of osteoarthritis. Osteoarthritis and cartilage. 1999 Jul 1;7(4):371-3.

Barrett DS, Cobb AG, Bentley G. Joint proprioception in normal, osteoarthritic and replaced knees. The Journal of bone and joint surgery. British volume. 1991 Jan;73(1):53-6.

Marks R, Quinney HA, Wessel J. Proprioceptive sensibility in women with normal and osteoarthritic knee joints. Clinical rheumatology. 1993 Jun 1;12(2):170-5..

Maki BE, Holliday PJ, Fernie GR. Aging and postural control: a comparison of spontaneous?and induced?sway balance tests. Journal of the American Geriatrics Society. 1990 Jan;38(1):1-9.

Woollacott MH, Shumway-Cook A, Nashner LM. Aging and posture control: changes in sensory organization and muscular coordination. The International Journal of Aging and Human Development. 1986 Sep;23(2):97-114.

Berg KO, Maki BE, Williams JI, Holliday PJ, Wood-Dauphinee SL. Clinical and laboratory measures of postural balance in an elderly population. Archives of physical medicine and rehabilitation. 1992 Nov 1;73(11):1073-80.

Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Annals of the rheumatic diseases. 1957 Dec;16(4):494.

Ramachandran S, Yegnaswamy R. Measurement of postural sway with a sway meter-an analysis. Journal of Physical Therapy (JPT). 2011;2(2):46-53.

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Published

2022-08-13

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How to Cite

Agrawal, S., Shewale (PT), D. S., & Ganvir (PT), D. S. . (2022). Association of Postural Sway with Kellengren Lawrence Grade II and III of Osteoarthritis of Knee Joint among Elderly Population.: Postural sway among elderly OA Knee patients. VIMS JOURNAL OF PHYSICAL THERAPY, 4(1), 39-45. https://doi.org/10.46858/VIMSJPT.4108