The Effects of Progressive Neuromuscular Training on Postural Balance and Functionality in Elderly Patients with Knee Osteoarthritis: a Pilot Study

Overview

Journal J Phys Ther Sci

Date 2017 Jul 27

PMID 28744054

Citations 3

Authors

Sergio Sazo-Rodriguez

Guillermo Mendez-Rebolledo

Eduardo Guzman-Munoz

Paulo Rubio-Palma

Affiliations

Soon will be listed here.

Abstract

[Purpose] To determine the effects of progressive neuromuscular training on postural balance and functionality in elderly patients with knee osteoarthritis (OA). [Subjects and Methods] Eleven participants between 60 and 75 years of age performed the progressive neuromuscular training for 8 weeks and 4 weeks of follow-up. The area and velocity of the center of pressure were measured on a force platform, and the functionality was measured with a Western Ontario and McMaster Universities Osteoarthritis Index. [Results] The area and velocity (anteroposterior and mediolateral directions) of the center of pressure showed significant differences after 4 and 8 weeks of intervention. Additionally, the global score and some questionnaire dimensions (pain and physical function) showed significant differences after 4 and 8 weeks of intervention. These changes were maintained in all variables at week 4 of follow-up. [Conclusion] The intervention generated improvements in balance and functionality in elderly patients with knee OA. These changes were observed after 4 weeks of training and were maintained 4 weeks after the end of the intervention.

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References

Ageberg E, Link A, Roos E . Feasibility of neuromuscular training in patients with severe hip or knee OA: the individualized goal-based NEMEX-TJR training program. BMC Musculoskelet Disord. 2010; 11:126. PMC: 2896351. DOI: 10.1186/1471-2474-11-126. View

Ageberg E, Nilsdotter A, Kosek E, Roos E . Effects of neuromuscular training (NEMEX-TJR) on patient-reported outcomes and physical function in severe primary hip or knee osteoarthritis: a controlled before-and-after study. BMC Musculoskelet Disord. 2013; 14:232. PMC: 3750589. DOI: 10.1186/1471-2474-14-232. View

Villadsen A, Overgaard S, Holsgaard-Larsen A, Christensen R, Roos E . Immediate efficacy of neuromuscular exercise in patients with severe osteoarthritis of the hip or knee: a secondary analysis from a randomized controlled trial. J Rheumatol. 2014; 41(7):1385-94. DOI: 10.3899/jrheum.130642. View

Sharma L, Pai Y, Holtkamp K, Rymer W . Is knee joint proprioception worse in the arthritic knee versus the unaffected knee in unilateral knee osteoarthritis?. Arthritis Rheum. 1997; 40(8):1518-25. DOI: 10.1002/art.1780400821. View

Hurley M, Scott D, Rees J, Newham D . Sensorimotor changes and functional performance in patients with knee osteoarthritis. Ann Rheum Dis. 1998; 56(11):641-8. PMC: 1752287. DOI: 10.1136/ard.56.11.641. View

Fitzgerald G, Piva S, Gil A, Wisniewski S, Oddis C, Irrgang J . Agility and perturbation training techniques in exercise therapy for reducing pain and improving function in people with knee osteoarthritis: a randomized clinical trial. Phys Ther. 2011; 91(4):452-69. PMC: 3070919. DOI: 10.2522/ptj.20100188. View

Hurley M, Scott D . Improvements in quadriceps sensorimotor function and disability of patients with knee osteoarthritis following a clinically practicable exercise regime. Br J Rheumatol. 1998; 37(11):1181-7. DOI: 10.1093/rheumatology/37.11.1181. View

Ageberg E, Roos E . Neuromuscular exercise as treatment of degenerative knee disease. Exerc Sport Sci Rev. 2014; 43(1):14-22. DOI: 10.1249/JES.0000000000000030. View

Chen Y, Yu Y, He C . [Correlations Between Joint Proprioception, Muscle Strength, and Functional Ability in Patients with Knee Osteoarthritis]. Sichuan Da Xue Xue Bao Yi Xue Ban. 2016; 46(6):880-4. View

10.

Glass N, Torner J, Frey Law L, Wang K, Yang T, Nevitt M . The relationship between quadriceps muscle weakness and worsening of knee pain in the MOST cohort: a 5-year longitudinal study. Osteoarthritis Cartilage. 2013; 21(9):1154-9. PMC: 3774035. DOI: 10.1016/j.joca.2013.05.016. View

11.

Nelson A, Allen K, Golightly Y, Goode A, Jordan J . A systematic review of recommendations and guidelines for the management of osteoarthritis: The chronic osteoarthritis management initiative of the U.S. bone and joint initiative. Semin Arthritis Rheum. 2014; 43(6):701-12. DOI: 10.1016/j.semarthrit.2013.11.012. View

12.

Lord S, Clark R, Webster I . Postural stability and associated physiological factors in a population of aged persons. J Gerontol. 1991; 46(3):M69-76. DOI: 10.1093/geronj/46.3.m69. View

13.

Jinks C, Jordan K, Croft P . Measuring the population impact of knee pain and disability with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Pain. 2002; 100(1-2):55-64. DOI: 10.1016/s0304-3959(02)00239-7. View

14.

Uthman O, van der Windt D, Jordan J, Dziedzic K, Healey E, Peat G . Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis. Br J Sports Med. 2014; 48(21):1579. DOI: 10.1136/bjsports-2014-5555rep. View

15.

Takacs J, Carpenter M, Jayne Garland S, Hunt M . The role of neuromuscular changes in aging and knee osteoarthritis on dynamic postural control. Aging Dis. 2013; 4(2):84-99. PMC: 3659254. View

16.

Diracoglu D, Aydin R, Baskent A, Celik A . Effects of kinesthesia and balance exercises in knee osteoarthritis. J Clin Rheumatol. 2005; 11(6):303-10. DOI: 10.1097/01.rhu.0000191213.37853.3d. View

17.

Bijlsma J, Berenbaum F, Lafeber F . Osteoarthritis: an update with relevance for clinical practice. Lancet. 2011; 377(9783):2115-26. DOI: 10.1016/S0140-6736(11)60243-2. View

18.

Lin D, Seol H, Nussbaum M, Madigan M . Reliability of COP-based postural sway measures and age-related differences. Gait Posture. 2008; 28(2):337-42. DOI: 10.1016/j.gaitpost.2008.01.005. View

19.

Bennell K, Wrigley T, Hunt M, Lim B, Hinman R . Update on the role of muscle in the genesis and management of knee osteoarthritis. Rheum Dis Clin North Am. 2013; 39(1):145-76. DOI: 10.1016/j.rdc.2012.11.003. View

20.

Lin C, Delahunt E, King E . Neuromuscular training for chronic ankle instability. Phys Ther. 2012; 92(8):987-91. DOI: 10.2522/ptj.20110345. View