Lower limb proprioception deficits persist following knee replacement surgery despite improvements in knee extension strength.

12:19 EDT 5th September 2015 | BioPortfolio

Summary of "Lower limb proprioception deficits persist following knee replacement surgery despite improvements in knee extension strength."


PURPOSE:
Knee pain and disability can persist following knee replacement surgery which may place patients at increased risk of falls. This study investigated the falls risk and the occurrence of falls of people with knee osteoarthritis (OA) before and at 12 months following knee replacement surgery.
METHOD:
Thirty-five patients with knee OA were tested prior to undergoing knee replacement surgery and at 12 months following surgery using the short form Physiological Profile Assessment, which incorporates tests of vision, lower limb proprioception, knee extension strength, reaction time and postural sway. Physical activity, number of falls, fear of falling, pain, disability and health-related quality of life were also assessed.
RESULTS:
No significant differences were found between the number of falls pre- and post-surgery (n.s.), with 48.5 and 40% reporting at least one fall in the 12 months before and following the surgery, respectively. Improvements in knee strength, reaction time and fear of falling were evident following surgery, with no improvement in lower limb proprioception. Self-reported pain, function and stiffness were significantly improved, but health-related quality of life deteriorated following the surgery.
CONCLUSION:
The number of falls experienced following knee replacement surgery remained relatively high, which may be attributed to the persistence of impaired lower limb proprioception. Although knee replacement surgery improves function and alleviates pain, people who undergo this procedure may need to engage in rehabilitation following the surgery to reduce the risk of falling. LEVEL OF
EVIDENCE:
Therapeutic study investigating the result of treatment on patient outcomes, Level IV.

Affiliation

Musculoskeletal Research Centre, Faculty of Health Sciences, La Trobe University, Bundoora, VIC, 3086, Australia, p.levinger@latrobe.edu.au.

Journal Details

This article was published in the following journal.

Name: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Pages:

Links

PubMed Articles [10466 Associated PubMed Articles listed on BioPortfolio]

Coronal alignment of the lower limb and the incidence of constitutional varus knee in korean females.

In total knee arthroplasty (TKA), it is important to restore neutral mechanical alignment. The purpose of this study was to assess whether the lower limb alignment is neutral in healthy Korean females...

Falls Associated with Muscle Strength in Patients with Knee Osteoarthritis and Self-reported Knee Instability.

We aimed to evaluate the associations between knee muscle strength (MS) and falls, controlling for knee joint proprioception, varus-valgus knee joint laxity, and knee pain, among patients with knee os...

Viscosupplementation for Osteoarthritis of the Knee.

To the Editor: I am a knee surgeon and specialist in knee replacement, and I have three remarks regarding the review article by Hunter (March 12 issue).(1) First, I want to emphasize that viscosupplem...

Viscosupplementation for Osteoarthritis of the Knee.

To the Editor: I am a knee surgeon and specialist in knee replacement, and I have three remarks regarding the review article by Hunter (March 12 issue).(1) First, I want to emphasize that viscosupplem...

Viscosupplementation for Osteoarthritis of the Knee.

To the Editor: I am a knee surgeon and specialist in knee replacement, and I have three remarks regarding the review article by Hunter (March 12 issue).(1) First, I want to emphasize that viscosupplem...

Clinical Trials [3159 Associated Clinical Trials listed on BioPortfolio]

Correlation Between Alignment of Lower Limb and Clinical Outcome After Total Knee Prosthesis.

Evaluation of the clinical results after total knee prosthesis, and correlation with the alignment of the lower limb. Radiological measurements by means of 3D technology will be performed...

A Targeted Strengthening Program Following Total Hip Replacement.

Total Hip Replacement (THR) is a common surgical procedure performed in people with hip osteoarthritis and appears to be effective in relieving pain and improving function. However signifi...

Effect of Sling Suspension Exercises in Proprioception of Patients With Knee Osteoarthritis

Therapeutic exercise is important to patients with knee osteoarthritis. Few studies reported the effect of therapeutic exercise in proprioception for these patients. The purposes of this s...

ShapeMatch Cutting Guide Functional Outcomes Study

Randomized evaluation of the ShapeMatch Cutting Guide for primary total knee replacement (TKR) in a consecutive series of patients who meet the eligibility criteria.

A Multicenter Study to Evaluate the ConforMIS iTotal® (CR) Knee Replacement System Versus Off-the-Shelf Replacement

Patients will be randomized to either ConforMIS iTotal Knee Replacement or Off the Shelf knee replacement. The patient will conduct functional testing and answer questionnaires. Th...

Medical and Biotech [MESH] Definitions

Replacement of the knee joint.

Replacement for a knee joint.

The region of the lower limb in animals, extending from the gluteal region to the FOOT, and including the BUTTOCKS; HIP; and LEG.

Sensory functions that transduce stimuli received by proprioceptive receptors in joints, tendons, muscles, and the INNER EAR into neural impulses to be transmitted to the CENTRAL NERVOUS SYSTEM. Proprioception provides sense of stationary positions and movements of one's body parts, and is important in maintaining KINESTHESIA and POSTURAL BALANCE.

The inferior part of the lower extremity between the KNEE and the ANKLE.


Advertisement
 

Relevant Topic

Pain
Latest News Clinical Trials Research Drugs Reports Corporate
Pain is defined by the International Association for the Study of Pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage”. Some illnesses can be excruci...

Advertisement