Effect of core stability exercises on knee proprioception, function and quality of life in chronic total knee replacement patients
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20241177Keywords:
Chronic TKR, Core stability exercises, ProprioceptionAbstract
Background: Chronic osteoarthritis of knee joint leads to severe pain after weight bearing and prolonged activities .TKR is widely used as a successful and effective last-stage surgical treatment for relieving chronic knee pain and functional disability. This research aimed to study the effect of core stability exercises on knee proprioception, function and quality of life in chronic total knee replacement patients.
Methods: Total 40 patients with chronic total knee replacement with age between 45-65 years were included. They were divided into two groups: Group-A (n=20) and Group-B (n=20). Both group received conventional treatment, in addition Group-B received core stability exercise. Patients were evaluated pre-intervention (0 week) and post-intervention (4 week) for proprioception (by universal goniometer), for function (LEFS) and for quality of life (SF-12). Statistical analysis was done using SPSS 20 version. Significance level was set at p<0.05.
Results: Wilcoxon signed rank test was applied for within group comparison. There was statistically significant difference in mean of proprioception, function and SF-12 PCS in both groups during four week intervention period. Mann Whitney U test was applied for between group comparison. Significant difference was found between Group-A and Group-B in mean difference of proprioception, function.
Conclusions: The concluded that the core stability exercise along with conventional treatment is more effective for improving knee proprioception, function and quality of life than alone conventional treatment in chronic total knee replacement patients.
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References
Pachore JA, Vaidya SV, Thakkar CJ, Bhalodia HK, Wakankar HM. ISHKS joint registry: A preliminary report. Ind J Orthopaed. 2013;47(5):505.
Pai YC, Rymer WZ, Chang RW, Sharma L. Effect of age and osteoarthritis on knee proprioception. Arthri Rheumat: J Ame Coll Rheumatol. 1997;40(12):2260-5.
Healy WL, Della Valle CJ, Iorio R, Berend KR, Cushner FD, Dalury DF, et al. Complications of total knee arthroplasty: standardized list and definitions of the Knee Society. Clin Orthopaed Related Res®. 2013;471(1):215-20.
Meier W, Mizner R, Marcus R, Dibble L, Peters C, Lastayo PC. Total knee arthroplasty: muscle impairments, functional limitations, and recommended rehabilitation approaches. J Orthopaed Sports Phys Ther. 2008;38(5):246-56.
Attfield SF, Wilton TJ, Pratt DJ, Sambatakakis A. Soft-tissue balance and recovery of proprioception after total knee replacement. J Bone Joint Surg. 1996;78(4):540-5.
Wylde V, Dieppe P, Hewlett S, Learmonth ID. Total knee replacement: is it really an effective procedure for all?. The Knee. 2007;14(6):417-23.
Papalia R, Campi S, Vorini F, Zampogna B, Vasta S, Papalia G, et al. The role of physical activity and rehabilitation following hip and knee arthroplasty in the elderly. J Clin Med. 2020;9(5):1401.
Ranawat CS, Ranawat AS, Mehta A. Total knee arthroplasty rehabilitation protocol: What makes the difference?. The J Arthroplas. 2003;18(3):27-30.
Sellentin R, Jones R. The effect of core and lower limb exercises on trunk strength and lower limb stability on Australian soldiers. J Milit Veter Heal. 2012;20(4):21.
Li J, Xie X. Effects of core-stability training on gait improvement in patients after anterior cruciate ligament reconstruction. Int J Clin Experim Medi. 2019;12(5):5731-7.
McCaskey A. The effects of core stability training on star excursion balance test and global core muscular endurance (Doctoral dissertation, University of Toledo). 2011.
Dingemans SA, Kleipool SC, Mulders MA, Winkelhagen J, Schep NW, Goslings JC, et al. Normative data for the lower extremity functional scale (LEFS). Actaorthopaed. 2017;88(4):422-6.
Ware J, Kosinski M, Turner-Bowker D, Gandek B. How to score SF-12 items. SF-12 v2: How to Score Version 2 of the SF-12 Health Survey.2002;29-38.
Ware JE, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medi Care. 1996;34(3):220-33.
Webster KE, Feller JA. Comparison of the short form-12 (SF-12) health status questionnaire with the SF-36 in patients with knee osteoarthritis who have replacement surgery. Knee Surg Sports Traumatol Arthrosc. 2016;24(8):2620-6.
Soleman Warner AA, Afzal MW, Khan S, Aslam MM, Gillani SA. Comparison of routine physical therapy exercises with and without core stability exercises in total knee replacement patients. Rawal Medi J. 2020;45(4).
Raisi A, Shojaedin SS, Habibi R. The effect and durability of hip and core exercises on pain and performance in females with patellofemoral pain syndrome. 2020;10(3):0-.
Hernandez D, Dimaro M, Navarro E, Dorado J, Accoce M, Salzberg S, et al. Efficacy of core exercises in patients with osteoarthritis of the knee: a randomized controlled clinical trial. Jo Body Movem Therap. 2019;23(4):881-7.
Motealleh A, Mohamadi M, Moghadam MB, Nejati N, Arjang N, Ebrahimi N. Effects of Core neuromuscular training on pain, balance, and functional performance in women with Patellofemoral pain syndrome: a clinical trial. J Chiropra Medi. 2019;18(1):9-18.
Bhalekar PA, Bagade VK. The effect of core strengthening exercises along with conventional treatment on knee joint proprioception, balance, and functional disability in patellofemoral osteoarthritis. IJPOT. 2017;11(3):90.
Irmola T, Kangas J, Eskelinen A, Niemeläinen M, Huhtala H, Mattila VM, et al. Functional outcome of total knee replacement: a study protocol for a prospective, double-blinded, parallel-group randomized, clinical controlled trial of novel, personalized and conventional implants. BMC Musculosk Disor. 2019;20(1):1-8.
Hopper DM, Creagh MJ, Formby PA, Goh SC, Boyle JJ, Strauss GR. Functional measurement of knee joint position sense after anterior cruciate ligament reconstruction. Arch Phys Medi Rehabil. 2003;84(6):868-72.
Rossi MD, Eberle T, Roche M, Brunt D, Wong M, Waggoner M, et al. Use of a squatting movement as a clinical marker of function after total knee arthroplasty. Am J Phys Med Rehabilit. 2013;92(1):53-60.
Thienpont E. Does advanced cryotherapy reduce pain and narcotic consumption after knee arthroplasty?. Clin Orthop Rela Res®. 2014;472(11):3417-23.
Lokhande MV, Shetye J, Mehta A, Deo MV. Assessment of knee joint proprioception in weight bearing and in non-weight bearing positions in normal subjects. JKIMSU. 2013;2(2):94-101.
