Evaluating the Efficacy of Kinesthesia, Balance, and Vestibulo-Postural Training in Knee Osteoarthritis Management

Authors

  • Mohammad Miraj Department of Physical Therapy & Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi Arabia
  • Abdul Rahim Shaik Department of Physical Therapy & Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi Arabia
  • Iftikhar H. Shalla Dubai Health, Dubai, UAE
  • Uzma Farooq Usman Javed Dubai Health, Dubai, UAE
  • Sumaiya Abdul Razzak Dubai Health, Dubai, UAE
  • Basheer Jismitha Neelikatil Dubai Health, Dubai, UAE
  • Mohammad Alhazmi Rehabilitation Centre, King Fahad Hospital, Jazan, Saudi Arabia
  • Mohammed Mahdi Ali Khawaji Physiotherapy Department , Prince Mohammed Bin Nasser Hospital, Jazan, Saudi Arabia

DOI:

https://doi.org/10.62464/ijoprp.v3i6.40

Keywords:

Targeted Balance and Kinesthesia Exercises; Knee Function and Proprioception; Exercise Regimens; Quadriceps and Hamstrings Strength; Knee Osteoarthritis management.

Abstract

Background: Knee osteoarthritis (OA) is a common degenerative joint disease that causes pain, reduced mobility, and impaired quality of life. This study compares the efficacy of kinesthesia and balance exercises with isometric strengthening versus vestibulo-postural training using a bipodalic stabilometric platform with isometric strengthening in improving muscle strength and functional independence in knee OA patients. Methods: Thirty subjects with knee OA, aged between 30-60 years, were randomly assigned to two groups. Group 1 (n=15) received kinesthesia and balance exercises along with isometric strengthening exercises, while Group 2 (n=15) received vestibulo-postural training using a bipodalic stabilometric platform combined with isometric strengthening exercises. Both groups performed their respective exercise regimens three times a week for four weeks. Outcomes measured included quadriceps and hamstrings strength using the Manual Muscle Testing (MMT) grading system and functional independence using the Barthel Index score. Results: Group 2 demonstrated significantly greater improvements in quadriceps strength (mean change: 1.34 vs. 0.40; p < 0.001), hamstrings strength (mean change: 1.07 vs. 0.20; p < 0.001), and Barthel Index score (mean change: 20.54 vs. 5.5; p < 0.001) compared to Group 1. The between-group analysis confirmed that vestibulo-postural training with isometric strengthening was significantly more effective in enhancing muscle strength and functional independence in knee OA patients. Conclusion: Vestibulo-postural training using a bipodalic stabilometric platform combined with isometric strengthening exercises significantly improves muscle strength and functional independence in knee OA patients compared to kinesthesia and balance exercises with isometric strengthening. These findings highlight the importance of incorporating dynamic and challenging balance exercises into OA management strategies to optimize patient outcomes and enhance quality of life.. 

References

Alonso, L., Gomez, L., Billot, M., Garcia-Bernal, M. I., Benitez-Lugo, M. L., Casuso-Holgado, M. J., & Luque-Moreno, C. (2023). Effectiveness of Virtual Reality and Feedback to Improve Gait and Balance in Patients with Diabetic Peripheral Neuropathies: Systematic Review and Meta-Analysis. Healthcare, 11(23), 3037. DOI: https://doi.org/10.3390/healthcare11233037

Bennell, K. L., Hunter, D. J., Paterson, K. L., & Hinman, R. S. (2015). The Effect of a Physiotherapy Rehabilitation Program for Individuals Undergoing Arthroscopic Management of Femoroacetabular Impingement Syndrome: A Randomized Controlled Trial. Journal of Orthopaedic & Sports Physical Therapy, 45(3), 155-164.

Bricca, A., Struglics, A., Larsson, S., Steultjens, M., Juhl, C. B., & Roos, E. M. (2018). Impact of exercise therapy on molecular biomarkers related to Cartilage and inflammation in individuals at risk of, or with established, knee osteoarthritis: A systematic review and meta-analysis of randomized controlled trials. Arthritis Care & Research, 71(9), 1179-1189. DOI: https://doi.org/10.1002/acr.23786

Dadabo, J., Fram, J., & Jayabalan, P. (2019). Noninterventional Therapies for the Management of Knee Osteoarthritis. The journal of knee surgery, 32(1), 46–54. https://doi.org/10.1055/s-0038-1676107 DOI: https://doi.org/10.1055/s-0038-1676107

Diracoglu, D., Aydin, R., Baskent, A., & Celik, A. (2005). Effects of kinesthesia and balance exercises in knee osteoarthritis. Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 11(6), 303–310. https://doi.org/10.1097/01.rhu.0000191213.37853.3d DOI: https://doi.org/10.1097/01.rhu.0000191213.37853.3d

Farrokhi, S., Voycheck, C. A., Tashman, S., & Fitzgerald, G. K. (2013). A biomechanical perspective on physical therapy management of knee osteoarthritis. The Journal of orthopaedic and sports physical therapy, 43(9), 600–619. https://doi.org/10.2519/jospt.2013.4121 DOI: https://doi.org/10.2519/jospt.2013.4121

Felson, D. T. (2006). Clinical practice. Osteoarthritis of the knee. New England Journal of Medicine, 354(8), 841-848. DOI: https://doi.org/10.1056/NEJMcp051726

Fibel, K. H., Hillstrom, H. J., & Halpern, B. C. (2015). State-of-the-Art management of knee osteoarthritis. World journal of clinical cases, 3(2), 89–101. https://doi.org/10.12998/wjcc.v3.i2.89 DOI: https://doi.org/10.12998/wjcc.v3.i2.89

Fransen, M., McConnell, S., Harmer, A. R., Van der Esch, M., Simic, M., & Bennell, K. L. (2015). Exercise for osteoarthritis of the knee: a Cochrane systematic review. British Journal of Sports Medicine, 49(24), 1554-1557. DOI: https://doi.org/10.1136/bjsports-2015-095424

Grewal, G. S., Schwenk, M., Lee-Eng, J., Parvaneh, S., Bharara, M., Menzies, R. A., Talal, T. K., Armstrong, D. G., & Najafi, B. (2015). Sensor-Based Interactive Balance Training with Visual Joint Movement Feedback for Improving Postural Stability in Diabetics with Peripheral Neuropathy: A Randomized Controlled Trial. Gerontology, 61(6), 567-574. DOI: https://doi.org/10.1159/000371846

Hunter, D. J., Schofield, D., & Callander, E. (2014). The individual and socioeconomic impact of osteoarthritis. Nature Reviews Rheumatology, 10(7), 437-441. DOI: https://doi.org/10.1038/nrrheum.2014.44

Leslie, M. (2000). Knee osteoarthritis management therapies. Pain management nursing : official journal of the American Society of Pain Management Nurses, 1(2), 51–57. DOI: https://doi.org/10.1053/jpmn.2000.7782

Loeser, R. F., Goldring, S. R., Scanzello, C. R., & Goldring, M. B. (2012). Osteoarthritis: a disease of the joint as an organ. Arthritis and Rheumatism, 64(6), 1697-1707. DOI: https://doi.org/10.1002/art.34453

Mao, W., Wang, T., Sun, M., Zhang, F., & Li, L. (2023). Effects of Tai Chi on Postural Control in People with Peripheral Neuropathy: A Systematic Review with Meta-Analysis. Healthcare, 11(1559). DOI: https://doi.org/10.3390/healthcare11111559

Mohammad Miraj; Abdul Rahim Shaik; Shadab Uddin; Waseem Mumtaz Ahamed; Nishat Quddus; Mohd. Yoosuf (2024). Enhancing Postural Stability in Patients with Diabetic Peripheral Neuropathy: Assessing the Impact of Vestibulo-Postural Training Using a Bipodalic Stabilometric Platform International Journal of Physical Therapy Research & Practice, 3(3):182-189. https://doi.org/10.62464/ijoprp.v3i3.15 DOI: https://doi.org/10.62464/ijoprp.v3i3.15

Shakoor, N., & Block, J. A. (2017). Walking barefoot decreases loading on the lower extremity joints in knee osteoarthritis. Arthritis and Rheumatism, 56(9), 2923-2928. DOI: https://doi.org/10.1002/art.22123

Sharma, L., Lou, C., Felson, D. T., Dunlop, D. D., Kirwan-Mellis, G., Hayes, K. W., & Song, J. (2021). Laxity in Knee Osteoarthritis: The Multicenter Osteoarthritis Study. Arthritis and Rheumatology, 73(2), 243-250.

Skoffer, B., Dalgas, U., & Mechlenburg, I. (2020). Progressive resistance training before and after total hip and knee arthroplasty: a systematic review. Clinical Rehabilitation, 34(1), 28-39. DOI: https://doi.org/10.1177/0269215519883420

Skou, S. T., Pedersen, B. K., & Abbott, J. H. (2018). Physical activity and osteoarthritis: A consensus study to harmonise self-reporting methods of physical activity across international cohorts. Osteoarthritis and Cartilage, 26(6), 712-721.

Skou, S. T., Roos, E. M., Laursen, M. B., Rathleff, M. S., Arendt-Nielsen, L., & Rasmussen, S. (2019). A Randomized, Controlled Trial of Total Knee Replacement. New England Journal of Medicine, 380(24), 2290-2300.

Uivaraseanu, B., Vesa, C. M., Tit, D. M., Abid, A., Maghiar, O., Maghiar, T. A., Hozan, C., Nechifor, A. C., Behl, T., Patrascu, J. M., & Bungau, S. (2022). Therapeutic approaches in the management of knee osteoarthritis (Review). Experimental and therapeutic medicine, 23(5), 328. https://doi.org/10.3892/etm.2022.11257 DOI: https://doi.org/10.3892/etm.2022.11257

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Published

2024-06-30

How to Cite

Miraj, M., Rahim Shaik, A. ., Shalla, I. H., Javed, U. F. U., Razzak, S. A., Neelikatil, B. J., Alhazmi, M. ., & Mahdi Ali Khawaji, M. (2024). Evaluating the Efficacy of Kinesthesia, Balance, and Vestibulo-Postural Training in Knee Osteoarthritis Management. International Journal of Physical Therapy Research &Amp; Practice, 3(6), 272–279. https://doi.org/10.62464/ijoprp.v3i6.40

Issue

Vol. 3 No. 6 (2024): IJOPRP

Section

ARTICLE

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Copyright (c) 2024 International Journal of Physical Therapy Research & Practice

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