A comparison of the proprioception of osteoarthritic knees and post total knee arthroplasty
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20172525Keywords:
Proprioception, Knee arthroplasty, Passive joint reproductionAbstract
Background: Proprioception of the knee joint is an important factor for establishing balance, and smooth walking. The effect of arthroplasty on proprioception can be a determinant of post-operative function and subjective feeling of the arthroplasty. We wished to check the status of osteoarthritic knees and how their proprioceptive function is, in comparison to knees post total knee replacement.
Methods: We compared 80 unilateral knee replacement patients with their osteoarthritic counterpart in the opposite knee. There was 50% Cruciate Retaining (n =40), Posterior Stabilized 50% (n =40). We assessed the proprioception using threshold to detection of passive motion and conscious awareness of passive joint position.
Results: 73.8% (n =59) of patients experienced a better joint position sense, 21% (n =17) had decreased joint position sense and 5% (n =4) had the same, when compared to the contralateral osteoarthritic knee. The mean of threshold to detection of passive motion was 2.16+0.68 for the replaced knees versus 2.72±0.61 for the contralateral osteoarthritic knee.
Conclusions: The proprioception of the knees that were replaced with arthroplasties had a better proprioceptive function then the osteoarthritic knees. This further solidifies the reasons to replace the dysfunctional osteoarthritic knee.
References
The physiology of mechanoreceptors - Prentice W. Rehabilitation techniques in sports medicine. St. Louis: Mosby; 1994.
Ribiero F, Oliveria J. Factors influencing proprioception: What do they reveal?? Biomechanics in med applications. In: Tech Croatia. 2011: 323-346.
Sarlegna FR, Sainburg RL. The roles of vision and proprioception in planning of reaching movements. Adv Med Biol. 2009;629:317-35.
Felson DT, Gross KD, Nevitt MC, Yang M, Lane N, Torner J. The effects of impaired joint position sense on the development and progression of pain and structural damage in knee osteoarthritis. Arthritis Rheum. 2009;61(8):1070-6.
Sorger JI, Federle D, Kirk PG, Grood E, Cochran J. The posterior cruciate ligament in total knee. J Arthroplasty. 1997;12(8):869-79.
Lephart S, Pincivero D, Giraido J, Fu F. The Role of Proprioception in the Management and Rehabilitation of Athletic Injuries. Am J Sports Med. 1997;25(1):130-7.
Swanik CB, Lephart SM, Rubash HE. Proprioception, kinesthesia, and balance after total knee arthroplasty with cruciate-retaining and posterior stabilized prostheses. J Bone Joint Surg Am. 2004;86:328–34.
Franchi A, Zaccherotti G, Aglietti P. Neural system of the human posterior cruciate ligament in osteoarthritis. J Arthroplasty. 1995;10:679-82.
Simmons S, Lephart S, Rubash H, Borsa P, Barrack R. Proprioception following total knee arthroplasty with and without the posterior cruciate ligament. J Arthroplasty. 1996;11(7):763-8.
Kleinbart F, Bryk E, Evangelista J, Scott W, Vigorita V. Histologic comparison of posterior cruciate ligaments from arthritic and age-matched knee specimens. J Arthroplasty. 1996;11(6):726-31.
Warren PJ, Olanlokun TK, Cobb AG, Bentley G. Proprioception after knee arthroplasty. The influence of prosthetic design. Clin Orthop Relat Res. 1993;297:182-7.
Ishii Y, Terajima K, Terashima S, Bechtold J, Laskin R. Comparison of joint position sense after total knee arthroplasty. J Arthroplasty. 1997;12(5):541-5.
Cash R, Gonzalez M, Garst J, Barmada R, Stern S. Proprioception After Arthroplasty. Clinical Orthop Relat Res. 1996;331:172-8.
Attfield SF, Wilton TJ, Pratt DJ, Sambatakakis A Soft-tissue balance and recovery of proprioception after total knee replacement. J Bone Joint Surg Br. 1996;78:540-5.
Barrett DS, Cobb AG, Bentley G. Joint proprioception in normal, osteoarthritic and replaced knees. J Bone Joint Surg Br. 1991;73(1):53-6.
Lattanzio P, Chess D, Mac Dermid J. Effect of the posterior cruciate ligament in knee-joint proprioception in total knee arthroplasty. J Arthroplasty. 1998;13(5):580-5.
Wada M, Kawahara H, Shimada S, Miyazaki T, Baba H. Joint Proprioception Before and After Total Knee Arthroplasty. Clin Orthop Relat Res. 2002;403:161-7.
