Efficacy of Sensorimotor Training in Improving Joint Position Sense and Reducing Joint Degeneration in Patients with Neurogenic Osteoarthritis

Main Article Content

Khalid Abbas Ranjha
Mahreen Aslam
Ayesha Alam

Abstract

Background: Osteoarthritis (OA) is a debilitating joint condition characterized by degenerative changes, often leading to significant pain and functional limitations. Sensorimotor training has been proposed as a therapeutic approach to improve joint position sense and reduce joint degeneration, especially in neurogenic OA.


Objective: To evaluate the efficacy of sensorimotor training in patients with neurogenic OA in terms of improving joint position sense and functional outcomes.


Methods: In this randomized, single-blinded clinical trial, 46 participants were allocated to either a sensorimotor training group (experimental) or received standard physiotherapy (control) over 9 months. Outcome measures included WOMAC, pain levels (VAS), muscle strength, range of motion, quality of life (SF-36), and patient satisfaction.


Results: The experimental group showed significant improvements post-intervention with a decrease in WOMAC scores from 66.24 to 28.39 (p=0.015), pain levels from 43.88 to 28.08 (p=0.024), and increases in muscle strength and range of motion. Quality of life and patient satisfaction also improved significantly.


Conclusion: Sensorimotor training may be an effective intervention for improving joint function and reducing symptoms in patients with neurogenic OA. These findings support incorporating targeted sensorimotor exercises into rehabilitation programs for OA.

Article Details

How to Cite
Ranjha , K. A., Aslam, M., & Alam, A. (2023). Efficacy of Sensorimotor Training in Improving Joint Position Sense and Reducing Joint Degeneration in Patients with Neurogenic Osteoarthritis. Journal of Health and Rehabilitation Research, 3(2), 112–118. Retrieved from https://jhrlmc.com/index.php/home/article/view/90
Section
Articles
Author Biographies

Khalid Abbas Ranjha , Shalamar Hospital Lahore

Physiotherapist

Mahreen Aslam, Combined Military Hospital Lahore

TDPT,BSPT, Consultant in Physical therapy

Ayesha Alam, University of Lahore

Clinical Coordinator, DPT, MS-msk*

References

Sheikhhoseini R, Dadfar M, Shahrbanian S, Piri H, Salsali M. The effects of exercise training on knee repositioning sense in people with knee osteoarthritis: a systematic review and meta-analysis of clinical trials. BMC Musculoskeletal Disorders. 2023;24(1):592.

Kuş G, Tarakçı E, Razak Ozdincler A, Erçin E. Sensory-motor training versus resistance training in the treatment of knee osteoarthritis: A randomized controlled trial. Clinical Rehabilitation. 2023;37(5):636-50.

Hurley M, Scott D. Improvements in quadriceps sensorimotor function and disability of patients with knee osteoarthritis following a clinically practicable exercise regime. British journal of rheumatology. 1998;37(11):1181-7.

Joshi S, Kolke S. Effects of progressive neuromuscular training on pain, function, and balance in patients with knee osteoarthritis: a randomised controlled trial. European Journal of Physiotherapy. 2023;25(4):179-86.

Hurley MV, Scott DL, Rees J, Newham DJ. Sensorimotor changes and functional performance in patients with knee osteoarthritis. Annals of the rheumatic diseases. 1997;56(11):641-8.

Guede-Rojas F, Benavides-Villanueva A, Salgado-González S, Mendoza C, Arias-Álvarez G, Soto-Martínez A, et al. Effect of strength training on knee proprioception in patients with knee osteoarthritis. A systematic review and meta-analysis. Sports Medicine and Health Science. 2023.

Ince B, Goksel Karatepe A, Akcay S, Kaya T. The efficacy of balance and proprioception exercises in female patients with knee osteoarthritis: A randomized controlled study. Clinical Rehabilitation. 2023;37(1):60-71.

Kulkarni M, Agrawal R, Khan T, Vejlani F. Effect of proprioceptive exercises on knee joint position sense and balance in patients with knee osteoarthritis.

Balão AB, Vassão PG, de Camargo MR, Tucci HT, Rennó ACM. Muscle strength, level of pain and balance in women with knee osteoarthritis after a sensory-motor exercise program associated to photobiomodulation therapy via cluster: a single-blinded randomized with placebo control trial. Global Journal of Medical and Clinical Clinical Image. 2023;10(1):003-0010.

Fazli F, Farsi A, Takamjani IE, Sohani SM, Yousefi N, Azadinia F. Effect of Knee Orthosis and Kinesio Taping on Clinical and Neuromuscular Outcomes in Patients with Knee Osteoarthritis: A Randomized Clinical Trial. Archives of Bone and Joint Surgery. 2023;11(10):625.

Winter L, Huang Q, Sertic JV, Konczak J. The Effectiveness of Proprioceptive Training for Improving Motor Performance and Motor Dysfunction: A Systematic Review. Frontiers in Rehabilitation Sciences. 2022;3:830166.

Alfuth M, Vieten E. Sensorimotor or Balance Training to Increase Knee-Extensor and Knee-Flexor Maximal Strength in Patients With Knee Osteoarthritis: A Critically Appraised Topic. Journal of Sport Rehabilitation. 2023;1(aop):1-7.

Saeed Alshahrani M, Reddy RS, Asiri F, Tedla JS, Alshahrani A, Kandakurti PK, et al. Correlation and comparison of quadriceps endurance and knee joint position sense in individuals with and without unilateral knee osteoarthritis. BMC Musculoskeletal Disorders. 2022;23(1):444.

Sarkar A, Sibbala N. Examining Sensory-motor Training Versus Impairment-based Training on Pain and Function in Subjects With Knee Osteoarthritis. Physical Treatments-Specific Physical Therapy Journal. 2022;12(2):103-12.

Morsi Galal DOS, Abd-Elfattah HM, Sakr HR, Elserty N, Elias MAG. Efficacy of high-power laser therapy combined with exercise on wrist pain, function and joint position sense in female gymnasts with non-specific chronic wrist pain. 2022.

Pirayeh N, Kazemi K, Rahimi F, Mostafaee N, Shaterzadeh-Yazdi M-J. The Effect of Balance Training on Functional Outcomes in Patients with Knee Osteoarthritis: A Systematic Review. Medical journal of the Islamic Republic of Iran. 2022;36.

Cantero-Téllez R, Pérez-Cruzado D, Villafañe JH, García-Orza S, Naughton N, Valdes K. The effect of proprioception training on pain intensity in thumb basal joint osteoarthritis: a randomized controlled trial. International Journal of Environmental Research and Public Health. 2022;19(6):3592.

Markande S, Patil S. EFFICACY OF JOINT REPOSITIONING TRAINING FOR JOINT POSITION SENSE AND FUNCTIONAL OUTCOME IN OSTEOARTHRITIS OF KNEE. International Journal of Early Childhood Special Education. 2022;14(3).

Cantero-Téllez R, Algar LA, Valdes KA, Naughton N. Clinical effects of proprioceptive thumb exercise for individuals with carpometacarpal joint osteoarthritis: A randomized controlled trial. Journal of Hand Therapy. 2022;35(3):358-66.

Strong A, Srinivasan D, Häger CK. Development of supine and standing knee joint position sense tests. Physical Therapy in Sport. 2021;49:112-21.

Arumugam A, Björklund M, Mikko S, Häger CK. Effects of neuromuscular training on knee proprioception in individuals with anterior cruciate ligament injury: a systematic review and GRADE evidence synthesis. BMJ open. 2021;11(5):e049226.

Ahmadi M, Yalfani A, Gandomi F. Effect of Twelve weeks of sensorimotor training on pain, improvement proprioception, muscle strength, and postural control in men with patellofemoral pain syndrome: A randomized single-blind clinical trial. The Scientific Journal of Rehabilitation Medicine. 2021;10(1):1-13.

Gohil M, Shukla Y. Effect of proprioceptive training using biofeedback (equiboard) on pain, function and proprioception in osteoarthritic knee-an interventional study. population. 2020;2(3).

Ouegnin A, Valdes K. Joint position sense impairments in older adults with carpometacarpal osteoarthritis: a descriptive comparative study. Journal of Hand Therapy. 2020;33(4):547-52.

di Laura Frattura G, Zaffagnini S, Filardo G, Romandini I, Fusco A, Candrian C. Total knee arthroplasty in patients with knee osteoarthritis: effects on proprioception. A systematic review and best evidence synthesis. The Journal of arthroplasty. 2019;34(11):2815-22.

Nagai T, Bates NA, Hewett TE, Schilaty ND. Paradoxical relationship in sensorimotor system: Knee joint position sense absolute error and joint stiffness measures. Clinical Biomechanics. 2019;67:34-7.

Ahmed AF. Effect of sensorimotor training on balance in elderly patients with knee osteoarthritis. Journal of Advanced Research. 2011;2(4):305-11.

Moitra M. Effectiveness of Proprioceptive Training Programme on Joint Position Sense and Balance in Patients with Knee Osteo Arthritis-A Randomized Control Trial. Journal of Disability Studies. 2017;3(1):5-7.

Tsauo J-Y, Cheng P-F, Yang R-S. The effects of sensorimotor training on knee proprioception and function for patients with knee osteoarthritis: a preliminary report. Clinical rehabilitation. 2008;22(5):448-57.

Jan M-H, Lin C-H, Lin Y-F, Lin J-J, Lin D-H. Effects of weight-bearing versus nonweight-bearing exercise on function, walking speed, and position sense in participants with knee osteoarthritis: a randomized controlled trial. Archives of physical medicine and rehabilitation. 2009;90(6):897-904.