Effect of Dynamic Balance Training on Physical Function and Proprioception in Individuals with Knee Osteoarthritis
DOI:
https://doi.org/10.61919/jhrr.v4i2.912Keywords:
Balance, dynamic balance, joint position sense, knee osteoarthritis, knee proprioception, proprioceptive assessment, weight bearingAbstract
Background: Osteoarthritis (OA) is a prevalent joint disorder affecting synovial joints, particularly the knee. It leads to degeneration of cartilage, causing pain and reduced physical function. Effective treatment strategies are essential for managing symptoms and improving quality of life.
Objective: To determine the effect of dynamic balance training on physical function and proprioception in individuals with knee osteoarthritis.
Methods: This quasi-experimental trial was conducted at Riphah International University Lahore, Aziz Medical Clinic, and Ali Hospital, Mughal Pura Lahore. A total of 48 patients with anterior knee pain were recruited and divided into two groups: one receiving dynamic balance training and the other receiving conventional physical therapy (control). Non-probability convenience sampling was used. Outcomes were measured using NPRS, a goniometer, the Community Balance and Mobility Scale (CB&M), and the Western Ontario and McMaster Universities Arthritis Index (WOMAC). Knee proprioception was assessed by joint position sense using a universal goniometer, with the average of three angles taken for the final reading. Data were analyzed using SPSS version 25.
Results: Significant differences were observed in joint proprioception between weight-bearing (WB) and non-weight-bearing (NWB) procedures. The mean difference for WB was -3.07 compared to -2.18 for NWB, with a higher relative error in WB (p < 0.05). Dynamic balance training resulted in greater reductions in NPRS scores and improvements in WOMAC scores compared to conventional physical therapy (p < 0.05).
Conclusion: Dynamic balance training was more effective than conventional physical therapy in improving physical function and proprioception in individuals with knee osteoarthritis.
Downloads
References
David T. Felson M, MPH; Jennifer J. Anderson, PhD Obesity and Knee Osteoarthritis The Framingham Study
David T. Felson M, MPH; Jennifer J. Anderson, PhD. EPIDEMIOLOGY OF HIP AND KNEE OSTEOARTRRITIS. https://doiorg/101093/oxfordjournalsepireva036019. 1988;10.
Gianrico Farrugia MD. Osteoarthritis Mayo clinic.
Madhavi V Lokhande 1* JS. assessment of Knee Joint Proprioception in Weight Bearing and in Non-Weight Bearing Positions in Normal Subjects. July-Dec. 2013;2.
Hurley MV. The role of muscle weakness in the pathogenesis of osteoarthritis. Rheumatic Disease Clinics of North America. 1999;25(2):283-98.
Altner H, Dudel J, Grüsser O-J, Grüsser-Cornehls U, Klinke R, Zimmermann M. Fundamentals of Sensory Physiology: Springer Science & Business Media; 2012.
Pai YC, Rymer WZ, Chang RW, Sharma L. Effect of age and osteoarthritis on knee proprioception. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 1997;40(12):2260-5.
Ellenbecker TS, Davies GJ. The application of isokinetics in testing and rehabilitation of the shoulder complex. Journal of athletic training. 2000;35(3):338.
Barr M, Kiernan J. Visual system. The Human Nervous System—An Anatomical Viewpoint, 4th Edition Philadelphia, PA, Harper & Row. 1983:294-309.
Pollock AS, Durward BR, Rowe PJ, Paul JP. What is balance? Clinical rehabilitation. 2000;14(4):402-6.
Kim HA. Pharmacological treatment of osteoarthritis. J Korean Orthop Res Soc. 2010;13(1):16.
Lin D-H, Lin C-HJ, Lin Y-F, Jan M-H. Efficacy of 2 non-weight-bearing interventions, proprioception training versus strength training, for patients with knee osteoarthritis: a randomized clinical trial. Journal of orthopaedic & sports physical therapy. 2009;39(6):450-7.
Zhang X, Huang L, Peng X, Xie Y, Bao X, Huang J, et al. Association of handgrip strength with hypertension among middle-aged and elderly people in Southern China: A cross-sectional study. Clinical and Experimental Hypertension. 2020;42(2):190-6.
Stillman BC, McMeeken JM. The role of weightbearing in the clinical assessment of knee joint position sense. Australian Journal of Physiotherapy. 2001;47(4):247-53.
Refshauge KM, Fitzpatrick RC. Perception of movement at the human ankle: effects of leg position. The Journal of physiology. 1995;488(1):243-8.
Wilson LR, Gandevia SC, Burke D. Discharge of human muscle spindle afferents innervating ankle dorsiflexors during target isometric contractions. The Journal of physiology. 1997;504(1):221-32.
Darling WG, Hondzinski JM. Kinesthetic perceptions of earth-and body-fixed axes. Experimental Brain Research. 1999;126(3):417-30.
Rabin E, Bortolami SB, DiZio P, Lackner JR. Haptic stabilization of posture: changes in arm proprioception and cutaneous feedback for different arm orientations. Journal of Neurophysiology. 1999;82(6):3541-9.
Lönn J, Crenshaw AG, Djupsjöbacka M, Pedersen J, Johansson H. Position sense testing: influence of starting position and type of displacement. Archives of physical medicine and rehabilitation. 2000;81(5):592-7.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Mehak Bushra, Aiza Yousaf, Muhammad Usama Sohail, Atiba Saeed, Meshaal Tariq, Tarab Rasool
This work is licensed under a Creative Commons Attribution 4.0 International License.
