The effects of progressive neuromuscular training on postural balance and functionality in elderly patients with knee osteoarthritis: a pilot study

Sazo-Rodríguez, Sergio; Méndez-Rebolledo, Guillermo; Guzmán-Muñoz, Eduardo; Rubio-Palma, Paulo

doi:10.1589/jpts.29.1229

Cited by 10 publications

(8 citation statements)

References 40 publications

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“…Also, knee OA as radiologically measured by means of the Kellgren-Lawrence score resulted in correlation to the average Stability Index in the open eyes trial, suggesting that a worse functional performance is present in more severe radiological OA. This finding confirms previous evidence of impaired postural stability in patients with osteoarthritis of the knee, especially those diagnosed with grade III or IV degeneration [6,17,20]. The worst performance of women in the clinical-functional scores, namely the KSS-F and SPPB scores, confirm a strong relationship between clinical and instrumental tests, in accordance with previous literature reporting higher levels of disability in females compared to males with knee OA [43].…”

Section: Discussionsupporting

confidence: 91%

“…Literature has reported impairments in standing balance and proprioception in people with knee OA both through clinical tests [8,[15][16][17] and laboratory-based measurements [17][18][19][20]. These studies clearly show that the lack or the inappropriate proprioceptive information arising from the knee joint has a negative effect on static and dynamic balance control.…”

Section: Introductionmentioning

confidence: 88%

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Postural Stability and Proprioception Abnormalities in Patients with Knee Osteoarthritis

et al. 2021

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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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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 88%

Postural Stability and Proprioception Abnormalities in Patients with Knee Osteoarthritis

et al. 2021

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“…A possible reason for the protective effect may be that the quadriceps can attenuate loading during functional tasks (37). The quadriceps help maintain the dynamic stability of knee joint (38), and the process of strength training can reduce the long-term low-grade inflammation of the knee joint (39). Thus, more prospective, longitudinal studies are required to confirm the protective role of quadriceps strength.…”

Section: Discussionmentioning

confidence: 99%

Pain‐Related Risk Factors Among Radiologic Stages of Knee Osteoarthritis: Data From the Osteoarthritis Initiative

Zou

et al. 2023

Arthritis Care & Research

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Objective To investigate whether risk factors related to pain vary at different stages of knee osteoarthritis (OA). Methods Individuals from the Osteoarthritis Initiative with available Kellgren/Lawrence (K/L) grade and numerical rating scale (NRS) data at baseline were included in this study. Pain severity was classified into 3 categories based on NRS scores: no pain, mild pain, and moderate/severe pain. Knee OA severity was stratified into 4 categories according to the K/L system. Pain risk factors were evaluated using generalized ordinal logistic regression analysis, and a heatmap was created to compare differences in standardized regression coefficients between subgroups of patients with different knee OA severities. Results A total of 4,446 subjects were included in this study: 1,574 individuals without pain (35.4%), 1,138 individuals with mild pain (25.6%), and 1,734 individuals with moderate/severe pain (39.0%). For the entire population and subjects in the premorbid‐stage subgroup, knee injury history, diabetes mellitus, depression, use of nonsteroidal anti‐inflammatory drugs (NSAIDs), and valgus malaligned knees were associated with more severe pain. Older age and stronger quadriceps muscles were associated with milder pain. As the disease progressed, the number of significant risk factors decreased. Only age and quadriceps muscle force remained significant in end‐stage disease. Conclusion Multiple factors are associated with pain in patients with knee OA. As the disease progresses, the number of significant risk factors gradually reduces. These findings suggest that strategies for managing pain related to knee OA should vary depending on radiographic grades.

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“…Takacs et al in their study reported that dynamic balance training exercises benefitted OA knee patients by the significant reduction in pain, kinesiophobia, and improvement in their physical function. He-Sang et al also found that patients with moderate and severe OA demonstrate increased balance deficits than those with mild OA [13][14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Effect of retro walking versus balance training on pain and disability in patients with osteoarthritis of the knee: a randomized controlled trial

Krishnan¹,

Pithadia²

2021

Bull Fac Phys Ther

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Background Osteoarthritis (OA) is a chronic, degenerative, inflammatory musculoskeletal dysfunction. It is associated with pain, reduced functional capacity, and deficient quality of life posing a challenge for rehabilitation. The study objective was to determine the treatment protocol for effectively managing pain and functional disability of patients with OA knee. Methods This is a single-blinded study conducted in the outpatient department of a tertiary care hospital. This three-arm study consisted of 20 patients randomly allocated to each group, prearranged to receive conventional treatment (group A), conventional treatment with retro walking training (group B), and conventional treatment with balance training (group C) for a time frame of 6 weeks. Patients were screened prior to the pre-set eligibility criteria before inclusion in the study. Pain and functional disability were assessed at the baseline and post-intervention. Results The findings reported 66.66% female participation. The results established statistical significance for both pain and functional disability across all the three groups for both intergroup and intragroup analysis. Group B demonstrated the most promising results. Conclusion The 6-week rehabilitation protocol comprising retro walking as an adjunct to conventional therapy resulted in greater pain reduction and enhanced functional performance of patients with OA knee. This benefits the community at large. All stakeholders should be encouraged to include retro walking in their routine life. Trial registration The University Hospital Medical Information Network Centre (UMIN-CTR), UMIN000044483. Retrospectively registered on June 09, 2021.

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The effects of progressive neuromuscular training on postural balance and functionality in elderly patients with knee osteoarthritis: a pilot study

Cited by 10 publications

References 40 publications

Postural Stability and Proprioception Abnormalities in Patients with Knee Osteoarthritis

Postural Stability and Proprioception Abnormalities in Patients with Knee Osteoarthritis

Pain‐Related Risk Factors Among Radiologic Stages of Knee Osteoarthritis: Data From the Osteoarthritis Initiative

Effect of retro walking versus balance training on pain and disability in patients with osteoarthritis of the knee: a randomized controlled trial

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