Advertisement

Topics

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

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

DeepDyve research library

PubMed Articles [11402 Associated PubMed Articles listed on BioPortfolio]

Abnormal loading and functional deficits are present in both limbs before and after unilateral knee arthroplasty.

Unilateral knee replacement is often followed by a contralateral replacement in time and the biomechanics of the other knee before and after knee replacement remains poorly understood. The aim of this...

Knee Joint Loading during Single-Leg Forward Hopping.

Increased or abnormal loading on the intact limb is thought to contribute to the relatively high risk of knee osteoarthritis (OA) in this limb for individuals with unilateral lower limb loss. This the...

Proprioception in Patients With Anterior Cruciate Ligament Tears.

Because of a reduction in the number of mechanoreceptors or alterations of their characteristics, anterior cruciate ligament (ACL) tears lead not only to mechanical instability but also to impaired pr...

Effects of toe-out and toe-in gait with varying walking speeds on knee joint mechanics and lower limb energetics.

Toe-out/-in gait has been prescribed in reducing knee joint load to medial knee osteoarthritis patients. This study focused on the effects of toe-out/-in at different walking speeds on first peak knee...

The effect of exergaming on knee proprioception in older men: A randomized controlled trial.

Proprioception is the ability to sense the body position, muscle sense, joint stability and posture. As balance decreases during the process of aging, knee proprioception has a critical role in body b...

Clinical Trials [4880 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...

Real and Sham Diathermy vs Hand Massage in Lower Limbs Delayed Onset Muscle Soreness (DOMS)Effect on Knee Proprioception

Delayed onset muscle soreness (DOMS) can have an impact on the proprioception of knee joint . The study aim is to assess the effect of manual massage, diathermy and sham diathermy the prop...

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...

Effects of the Proprioceptive Neuromuscular Facilitation for Promoting Muscular Irradiation

This study aims to evaluate the effects of Proprioceptive Neuromuscular Facilitation (PNF) patterns delivered to the upper limb, lower limb and trunk for promoting motor irradiation to the...

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...

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.

Quick Search
Advertisement
 


DeepDyve research library

Relevant Topic

Pain
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...


Searches Linking to this Article