Palanisamy Yuvarajan, Prasad Arjun R, Seetharaman Karthik, Ganesan K, Kavitha M, Rajan David V
Ortho-One Orthopaedic Speciality Centre, Coimbatore, Tamil Nadu 641005 India.
Department of Physiotherapy, Ortho-One Orthopaedic Speciality Centre, Coimbatore, Tamil Nadu 641005 India.
Indian J Orthop. 2024 Aug 5;58(10):1375-1387. doi: 10.1007/s43465-024-01218-z. eCollection 2024 Oct.
Rehabilitation after Total Knee Arthroplasty (TKA) often includes proprioceptive exercises to prevent falls, but studies on proprioceptive training have yielded conflicting findings. This study aims to explore impact of proprioceptive training on functional performance after TKA.
Eighty patients who underwent unilateral TKA were randomly assigned to a proprioceptive exercise (PE) group or a routine exercises (RE) group. The PE group received proprioceptive exercises in addition to routine physiotherapy. Osteoarthritis Research Society Internal (OARSI) recommended tests and Oxford Knee Score (OKS) were used to assess performance and outcome at 3 and 6 months.
In the 30-s chair sits test, the PE group outperformed the RE group at 3 months (13.69 vs. 9.17) and 6 months (21.07 vs. 18.63) ( < 0.001 and = 0.030). Stair climbing favoured PE group at 3 months (8.86 vs. 16.66, = 0.037) and 6 months (0.556 vs. 1.133, p = 0.001). At 6 months in the 40-m fast-paced walk test, the PE group had a significantly shorter time (0.308 min vs. 0.557 min, < 0.001). Timed up and go test at 6 months favoured PE group (0.204 min vs. 0.377 min). In the 6-min walk test, the PE group covered significantly greater distances than the RE group at 3 months (589.59 vs. 346.53 m, < 0.001) and 6 months (649.60 vs. 448.32 m, < 0.001). OKS at 3 months was 38 ± 2.0 for PE group and 38 ± 4 for RE group ( = 1). OKS at 6 months was 42 ± 4 for PE group and 40 ± 2 for RE group ( = 0.94).
This study highlights the importance of proprioception-based rehabilitation in improving functional performance for TKA patients, surpassing traditional rehabilitation programmes.
全膝关节置换术（TKA）后的康复通常包括本体感觉训练以预防跌倒，但关于本体感觉训练的研究结果相互矛盾。本研究旨在探讨本体感觉训练对TKA术后功能表现的影响。
80例行单侧TKA的患者被随机分为本体感觉训练（PE）组或常规训练（RE）组。PE组在常规物理治疗的基础上接受本体感觉训练。采用骨关节炎研究学会国际（OARSI）推荐的测试和牛津膝关节评分（OKS）在3个月和6个月时评估功能表现和结果。
在30秒坐立试验中，PE组在3个月（13.69对9.17）和6个月（21.07对18.63）时的表现优于RE组（<0.001和=0.030）。爬楼梯方面，PE组在3个月（8.86对16.66，=0.037）和6个月（0.556对1.133，p=0.001）时更具优势。在40米快步行走试验中，6个月时PE组的时间明显更短（0.308分钟对0.557分钟，<0.001）。6个月时的计时起立行走试验中，PE组更具优势（0.204分钟对0.377分钟）。在6分钟步行试验中，PE组在3个月（589.59对346.53米，<0.001）和6个月（649.60对448.32米，<0.001）时行走的距离明显长于RE组。PE组3个月时的OKS为38±2.0，RE组为38±4（=1）。PE组6个月时的OKS为42±4，RE组为40±2（=0.94）。
本研究强调了基于本体感觉的康复对改善TKA患者功能表现的重要性，优于传统康复方案。
