Department of Physiotherapy, Vocational School of Health Services, Fenerbahçe University, İstanbul, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bursa Uludağ University, Bursa, Turkey.
Acta Orthop Traumatol Turc. 2021 Dec;55(6):518-526. doi: 10.5152/j.aott.2021.21213.
The aim of this study was to compare pain, plantar foot sensation, postural control, fear of movement, and functional level between women patients with early-stage gonarthrosis and those with late-stage gonarthrosis.
A total of 62 women with gonarthrosis were included in the study. Patients were then divided into two groups: earlystage gonarthrosis group (31 women) and late-stage gonarthrosis group (31 women) according to Kellgren Lawrence criteria. Light touch-pressure sensation (Semmes Weinstein Monofilaments), two-point discrimination sensation (esthesiometer), and vibration sensation (128 Hz diapason) were used to evaluate plantar foot sensation. Pain intensity was assessed by the numeric rating scale, postural control by Berg balance scale, fear of movement by the Tampa kinesiophobia scale, functional mobility by the Timed Up and Go test and knee injury and osteoarthritis outcome score.
Early-stage patients were found to have higher light-touch pressure sensation on 1st metatarsal head of dominant side, 5th metatarsal head of non-dominant side, heel of non-dominant side than late stage patients. Early-stage patients had a higher sensation of vibration than late stage patients. The patients in the early stage were found to have higher two-point discrimination sensation on middle of dominant side, heel of dominant side, trans-metatarsal of non-dominant side, middle of non-dominant side, heel of non-dominant side than late stage. Postural control of early-stage patients were found to be higher than late-stage patients. Early-stage patients had lower kinesophobia and higher functional levels than late-stage patients.
The light touch sensation, vibration sensation, and two-point discrimination deteriorated by the progression of the disease should be important criteria in patients with gonarthrosis.
Level III, Therapeutic Study.
本研究旨在比较早期和晚期膝骨关节炎女性患者的疼痛、足底感觉、姿势控制、运动恐惧和功能水平。
共纳入 62 名膝骨关节炎女性患者。根据 Kellgren-Lawrence 标准，患者分为早期膝骨关节炎组（31 例）和晚期膝骨关节炎组（31 例）。使用 Semmes-Weinstein 单丝触觉压力觉、两点辨别觉（触觉计）和振动觉（128 Hz 音叉）评估足底感觉。疼痛强度采用数字评分法评估，姿势控制采用 Berg 平衡量表评估，运动恐惧采用 Tampa 运动恐惧量表评估，功能性移动性采用计时起立行走测试和膝关节损伤和骨关节炎结局评分评估。
与晚期患者相比，早期患者优势侧第 1 跖骨头、非优势侧第 5 跖骨头和非优势侧足跟的轻触压力觉更高。早期患者的振动觉比晚期患者高。早期患者优势侧中部、足跟、非优势侧跖骨间、非优势侧中部和非优势侧足跟的两点辨别觉高于晚期患者。早期患者的姿势控制优于晚期患者。早期患者的运动恐惧程度较低，功能水平较高。
随着疾病的进展，触觉、振动觉和两点辨别觉的恶化可能是膝骨关节炎患者的重要标准。
III 级，治疗性研究。
