Open Access
Subscription Access
Open Access
Subscription Access
Effects of Closed Chain Exercises as Early Intervention on Knee Joint Proprioception after Total Knee Arthroplasty
Subscribe/Renew Journal
Objective: The objectives of this study were to see effects of closed chain exercises (CCE) as early intervention (post-operative two weeks) and late intervention (post-operative four weeks) till six weeks post TKA on knee joint proprioception.
Method: Pre test post test two group experimental study was utilized. Forty participants with TKA (n=40) participated. Twenty in each group, eight participants from group one and five participants from group two lost to follow up so twenty seven participants (seventeen females and ten males) were included. So, twelve participants were there in group one and fifteen in group two. All participants received CCE five times per week plus Range of motion and strengthening exercises. Early intervention group (group one) received CCE starting two weeks post operatively and late intervention group (group two) four weeks post operatively and continued till six weeks post TKA.
Result: Both the groups showed statistically significant improvement in knee joint proprioception after six weeks post TKA after administering CCE (p<0.05) and there was no statistically significant difference between two groups(p>0.05).
Conclusions: CCE improves knee joint proprioception in people with TKA. However, CCE as early intervention did not have additional benefit in improving proprioception after TKA.
Keywords
- D, Lawrence RC, Dieppe PA, Hirsch CG.Osteoarthritis: new insights. Part 1: the diseaseand its risk factors. Ann Intern Med2000;133(8):635–46.
- Collopy MC, Murry M, Gardner GM.Kinesiologic measurements of functionalperformance before and after geometric totalknee replacement: one year follow up of twentycases. Clin Orthop 1977;126:196–202.
- Knoop J, Steultjens MP, van der Leeden M.Proprioception in knee osteoarthritis: a narrativereview. Osteoarthritis Cartilage. 2011 Apr;19(4):381-8.
- Jau-Yih Tsauo, Pai-Fu Cheng. The Effect ofSensorimotor Training on Knee Proprioceptionand Function for Patients with KneeOsteoarthritis: A Preliminary Report. ClinicalRehabilitation 2008; 22; 448-457
- Ga Rin Lim, Eun Hwa Kwon, Dong Sung Kim.The effects of closed kinetic chain exercise andopen kinetic chain exercise on the knee positionsense in the normal adults. Journal ofinternational academy of physical therapy2010;1;126-135.
- Lisa M. Koralewicz, Gerard A. Engh. Comparisonof Proprioception in Arthritic and Age MatchedNormal Knees. The Journal of Bone and JointSurgery November 2000 Volume 82-A;number11;1582-1588.
- Edwin E Bunton. The Role of Limb Torque,Muscle Action and Proprioception during ClosedKinetic Chain Rehabilitation of Lower Extremity.Journal of Athletic Training 1993;Volume–28;No:1;10-20.
- Nora P. Cacanindin, Julie Wong, Michael D. Ries.Total Knee Arthroplasty. In Lisa Maxey, JimMagnusson. Rehabilitation for the postsurgicalorthopedic patient. second edition, Ch.21, pp 404.
- Rossi MD, Eberle T, Roche M. Closed-chainexercise after simultaneous bilateral kneereplacement surgery: a case report.Physiotherapy Theory Pract. 2010;Apr 22;26(3):204-14.
- H. Mokhtarinia, I. Ebrahimi-Takamjani, M.Salavati. The effect of patellar taping on Knee jointin patients with patellofemoral Syndrome. ActaMedica Iranica 2008; 46(3):183-190.
- Todd S. Ellenbecker, George J Davies. Closedkinetic chain exercise:a comprehensive guide tomulti-joint exercises. J Chiropr Med. 2002 Fall;1(4): 200.
- Harry b. Skinner. Pathokinesiology and TotalJoint Arthroplasty. Clinical Orthopedics andRelated Research March1993;288:78-86.
- Bryan L. Riemann, Scott M. Lephart. TheSensorimotor System, Part II: The Role ofProprioception in Motor Control and FunctionalJoint Stability. Athl Train. 2002 Jan-Mar; 37(1):80–84.
- Geza Pap. Proprioception after Total Kneearthroplasty–A Comparison with ClinicalOutcome. Acta Orthopedic Scand 2000;71(2):153-159.
- Simmons. Proprioception Following Total KneeArthroplasty with and without Posterior CruciateLigament. The Journal of arthroplasty Volume–11;No:7;1996;763-768.
- Shakoor N, Furmanov S, Nelson DE. Pain and itsrelationship with muscle strength andproprioception in knee OA: results of an 8-weekhome exercise pilot study. Journal ofMusculoskeletal Neuronal Interaction. 2008Jan-Mar;8(1):35-42.
- Gail D Deyle, Stephen C Allison, Robert LMatekel. Physical Therapy TreatmentEffectiveness for Osteoarthritis of the Knee: ARandomized Comparison of Supervised ClinicalExercise and Manual Therapy Procedures Versusa Home Exercise Program. Physical TherapyDecember2005;vol.85;no.12;1301-1317.
Abstract Views: 866
PDF Views: 0