Effectiveness of proprioceptive training versus conventional exercises on postural sway in patients with early knee osteoarthritis - A randomized controlled trial protocol

Ashish John Prabhakar; Abraham M Joshua; Srikanth Prabhu; Yogeesh Dattakumar Kamat

doi:10.1016/j.isjp.2020.09.002

Effectiveness of proprioceptive training versus conventional exercises on postural sway in patients with early knee osteoarthritis - A randomized controlled trial protocol

Int J Surg Protoc. 2020 Sep 28:24:6-11. doi: 10.1016/j.isjp.2020.09.002. eCollection 2020.

Authors

Ashish John Prabhakar¹, Abraham M Joshua¹, Srikanth Prabhu², Yogeesh Dattakumar Kamat³

Affiliations

¹ Department of Physiotherapy, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, India.
² Department of Computer Science & Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India.
³ Consultant Knee & Hip Surgeon, KMC Hospital, Ambedkar Circle, Mangaluru. Adjunct Faculty, MAHE, India.

Abstract

Introduction: In recent times, 'early osteoarthritis' (EOA) has achieved recognition as a disease entity. The importance of defining EOA is in the fact that a variety of joint preservation treatments are available. Development of the sense of proprioception is a known vital element of most exercise rehabilitation programmes. Postural sways have been found to be prevalent in arthritic patients. It follows therefore that correction of early postural aberrations should help patients with EOA. The current study aims to determine the effectiveness of such proprioceptive training versus conventional exercises in patients with EOA.

Method: This study is a randomized controlled trial. A total of 100 participants between the age of 20-45 years will be recruited. Participants will be randomly assigned to conventional or interventional group. Participants in both the groups will receive 12 session of treatment over a period of four weeks. Outcome measure considered are center of pressure excursion, joint position sense, hand held dynamometer, visual analog scale and knee injury and osteoarthritis Outcome Score for functional outcome.

Results: Data collected will be analyzed by mean, SD and 2 factor ANOVA for repeated measure, followed by Bonferroni post hoc analysis. Data will be analyzed using SPSS package version 17.0, p < 0.05 will be considered as significant.

Conclusion: The authors hope to determine whether proprioceptive training improves outcome better than conventional exercise therapy and hope to contribute to an improved targeted treatment for patients with Early osteoarthritis.

Keywords: Balance; Early knee osteoarthritis; Postural sway; Proprioception.