Proprioceptive Disorders
Conditions
Keywords
total knee arthroplasty, Proprioception, osteoarthritis
Brief summary
The osteoarthritis (OA) is a chronic and degenerative disease which brings articular cartilage degeneration. As a consequence, balance and proprioception could be dangerously reduced after total knee arthroplasty. Several studies demonstrated the correlation between OA, proprioception reduction and increased risk of falling. The aim of this study is to evaluate the proprioception improvement in patients with total knee arthroplasty.
Interventions
Proprioceptive training using Delos Postural Proprioceptive System
Sponsors
Study design
Eligibility
Inclusion criteria
are patients with ASA: 1, 2 or 3; patients who have given their informed written consent to participate in the study; patients live in Bologna and neighboring areas.
Exclusion criteria
are patients with previous osteotomy of the lower limbs; patients with post-traumatic arthrosis; patients with severe preoperative valgus deformity (Hip Knee Ankle angle\> 10 °); patients with BMI\> 40 kg / m2; patients with rheumatoid arthritis; patients with chronic inflammatory joint diseases; patients with walking diseases (amputations, neuro-muscular diseases, polio, hip dysplasias); patients with Severe arthrosis of the ankle (Kellgren-Lawrence\> 3); patients with Severe coxarthrosis (Kellgren-Lawrence\> 3); patients with severe postural instability; patients with cognitive impairments, patients with concomitant neurological diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improvement of a proprioception | 24 months | Stability Index (SI) in percentage the maximum is 100% |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of performance in lower limb questionnaire | 24 months | Short Physical Performance Battery - SPPB The score range from 0 (wost performance) to 12 (best performance) |
| KSS Score | 24 months | The score range from 0 to 100 with lower scores being indicative of worse knee conditions and higher scores being indicative of better knee conditions |
| Clinical score | 24 months | Western Ontario and McMaster Universities Osteoarthritis Index the WOMAC evaluates 3 dimensions: pain, stiffness, and physical function with 5, 2, and 17 questions, respectively. The Likert version of the WOMAC is rated on an ordinal scale of 0 to 4, with lower scores indicating lower levels of symptoms or physical disability. |
Countries
Italy