Comparison of the sensation of proprioception between healthy persons and patients with knee osteoarthritis

Amaç: Bu çalışmanın amacı dizde osteoartrit (OA) tanısı konan hastalarla, aynı yaş grubundaki sağlıklı kişileri propriosepsiyon duyu düzeyi açısından karşılaştırmaktı. Gereç ve Yöntem: Çalışmaya evre I ve II primer diz OA’sı bulunan 29 kadın hasta ile 20 sağlıklı kadın alındı. Propriosepsiyon duyusu ölçümleri her iki diz ekleminde reprodüksiyon yöntemi kullanılarak 10 ayrı açıda yapıldı. Proprioseptif duyu düzeyi ile ters orantılı olan Ortalama Mutlak Açısal Hata (OMAH) değerleri hesaplandı. Bulgular: OA’lı hasta ve kontrol grubu arasında yaş ve vücut kitle indeksi (VKİ) açısından istatistiksel olarak anlamlı bir fark yoktu (p>0,05). Propriosepsiyon ölçüm sonucuna göre, sağ dizde OMAH değerleri OA’lı hasta grubunda kontrol grubuna göre anlamlı olarak yüksekti (p<0,05). Sol dizde de hasta grubunda, kontrol grubuna göre OMAH daha yüksek olmakla birlikte, fark istatistiksel olarak anlamlı değildi (p=0,154). Sağ ve sol diz arasında OMAH değeri açısından orta derecede pozitif anlamlı korelasyon vardı (p<0,01, r=0,61). Sonuç: Aynı yaş ve VKİ’ye sahip kontrollerle karşılaştıldığında, diz OA’lı hastalarda propriosepsif duyu keskinliği azalmıştır. Ancak bu farklılık, sadece dominant bacakta istatistiksel olarak anlamlıdır. Dolasıyla diz OA’sında proprioseptif duyu bozukluğunun öncelikle dominant bacağı etkilediği düşünülmüştür.Objective: The aim of this study was to compare patients diagnosed as having knee osteoarthritis (OA) with healthy people of the same age group with respect to the level of proprioceptive sense. Materials and Methods: Twenty-nine female patients with stage I and II primary OA and 20 healthy female subjects were included in the study. Measurements of the sensation of proprioception were carried out in both knee joints at 10 separate angles using the reproduction method. The Average Absolute Angular Error (AAAE) values that were inversely proportional to the level of proprioceptive sense were calculated. Results: There was no statistically significant difference between the patient group with OA and the control group with respect to age and body mass index (BMI) (p&gt;0.05). According to the proprioception measurement result, the AAAE values for the right knee were significantly higher in the patient group with OA compared to the control group (p&lt;0.05). Although the AAAE values in the left knee were also higher in the patient group than in the control group, the difference was not statistically significant (p=0.154). There was a moderately positive significant correlation between the right and left knee with respect to AAAE value (p&lt;0.01, r=0.61). Conclusion: Compared with control subjects of the same age and BMI, proprioceptive sense acuity is decreased in patients with knee OA. However, this difference is statistically significant only in the dominant leg. Therefore, this finding suggests that in knee OA proprioceptive sense impairment primarily affects the dominant leg

Comparison of the Effectiveness of Stabilization and Isokinetic Exercise Programs in Patients With Chronic Lumbar Pain

Objective: To compare dynamic lumbar stabilization and isokinetic exercise programs in patients with chronic lumbar pain. Design: Randomized controlled study. Setting: Exercise treatment.Participants: 84 patients between the ages of 18 and 55 years with complaints of lumbar pain due to at least 3 months of lumbar diskal hernia and who did not have any neurologic deficits.Interventions: Group 1 was given dynamic lumbar stabilization (DLS) exercises and lumbar school education (LSE) 3d/wk, 1h/d for a period of 6 weeks. Group 2 was given isokinetic exercises and LSE 3d/wk, 30min/d for a period of 6 weeks. Group 3 (control) was given only LSE. Main Outcome Measures: Visual analog scale (VAS), angular velocities of 90°/s and 120°/s performedby Biodex System 3 Pro isokinetic dynamometer, and lifting capacity with progressive isoinertial lifting evaluation (PILE). Results: Group 1 was the best, followed by group 2 and group 3 (P.01). Significant improvement in VAS was observed in groups 1 and 2; in group 3, there was only posttreatment improvement and improvement was not maintained at month 3. When muscle strength and endurance results were compared, increase in muscle strength and endurance values in group 2 was higher compared with the other groups. The 90° extension peak torque results performed in group 2 in month 3 were statistically significant compared with the other groups. In the PILE lifting capacity, more improvement was detected in the groups 1 and 2 compared with the control group (P.05). Conclusion: The DLS and isokinetic exercise program had positive effects on lifting capacity, skeletal muscle power, and endurance in patients with chronic lumbar disk hernia. Key Words: Education; Exercise; Low back pain; Rehabilitation; Treatment outcome. Poster 5

Effects of kinesthesia and balance exercises in knee osteoarthritis

Background: In patients with knee osteoarthritis (OA), there is a prominent loss in proprioception and kinesthesia sensation compared with control subjects of the same age and gender

Investigating the effectiveness of postural muscle electrostimulation and static posturography feedback exercises in elders with balance disorder

WOS: 000370181500019PubMed ID: 26406192BACKGROUND: Deterioration associated with aging in the erect posture and balance to change the location of the center increased the rate of fall in older age is one of the reasons. Loss of muscle strength is one of the major factors affecting the posture. In this prospective, randomized and controlled study, it was aimed to investigate the effectiveness of strengthening postural muscles through electrostimulation or by applying biofeedback exercises with static posturography in patients aged 60 years and over with balance disorder. METHODS: Patients aged between 60-80 years, who applied to Istanbul Faculty of Medicine Physical Medicine and Rehabilitation Department outpatient clinic and had been diagnosed with balance disorder using the Timed Up and Go (TUG) test, were included. 250 patients were screened, from them 67 patients were enrolled and 57 of them completed the study. Patients were randomized to three groups. The patients in Tetrax (R) group (TG) group (n: 18) participated in a 15-minute exercise with Tetrax (R) which consisted of 15 minutes exercise session 3 times weekly for 4 weeks. The patients in EG group (n: 19) received an electrostimulation program of postural muscles of 40 minutes per session 3 times weekly for 4 weeks. Patients in the control group (n: 20) did 6-week balance exercises which were performed by other groups as well. 48 out of 57 patients attended the 6th-month control. As determinants of balance status Timed Up and Go Test (TUG), Berg Balance Scale (BBS) and Fall Index measured by Tetrax (R) were calculated at baseline, 1-month and 6-month follw up assesments. The patient's quality of life was assesed by Turkish version of World Health Organisation Quality of Life Questionnaire in Older Adults (WHOQOL-OLD. TR) at baseline and 6-month follow up assesments. RESULTS: TUG values in both EG and TG decreased significantly between baseline assesment and 1-month (mean differences for TG: -4,00 +/- 1,309 and EG -2,588 +/- 1,839 p = 0,002 for the each of groups) and baseline assesment and 6-month (mean differences for TG: -2,933 +/- 1,223 and EG -2,058 +/- 1,477 p = 0,003 for the each of groups). A significant increase was determined in BBS values between baseline and 1-month (mean differences for TG: 4.000 +/- 2,360 and EG: 3,529 +/- 2,672 p = 0,031 for the each of groups). Fall Index (FI) measured by Tetrax (R) decreased between baseline assesment and 1-month (p = 0,185), and 6-month (p = 0,086) respectively, also between 1-month and 6-month follow up assesments (p = 0,627), but all of them were not significant changes. In all three groups the quality of life (p = 0,951) improved. Exercises conducted with Tetrax (R) were more effective than electrostimulation of postural muscles in increasing TUG values and decreasing BBS values. CONCLUSIONS: Even though applying electrostimulation to postural muscles affected patients positively compared to pretreatment, exercises performed with Tetrax (R) were more effective than the electrostimulation protocol to postural muscles in reducing balance disorder and this well-being continued even in the 6th month