In-home versus hospital preoperative balance and proprioceptive training in patients undergoing TKR; rationale, design, and method of a randomized controlled trial.
Abstract Background Severe knee osteoarthritis, as well as the surgical procedure of total knee replacement that aims to reduce its symptoms, cause great deterioration on the proprioceptive system. Taking this fact into account, and considering that balance abilities positively influence the capacity to perform basic functional tasks, this trial aims to find the short and mid-term effects of a preoperative balance and proprioceptive training when conducted by patients undergoing total knee replacement. Along with the effects, it is intended to determine whether in-home based training can be as effective as hospital training. The results will help to conclude whether the possible benefits ma…
Association ankle function and balance in community-dwelling older adults.
Background and purpose Ankle function declines with age. The objective of this study was to investigate the association between ankle function and balance in older adults, with a focus on range of motion (ROM) and strength. Methods This was a cross-sectional study that included 88 healthy community-dwelling older adults. Ankle mobility was measured while bearing weight (lunge test) and not bearing weight. The plantar-flexor muscle strength was assessed using a hand-held dynamometer. Balance was measured in terms of dynamic balance and mobility (timed up and go test), monopodal and bipodal static balance with open and closed eyes (single-leg stand test and platform measures), and margins of…
Influencia del entrenamiento del equilibrio con plataforma dinamométrica en artroplastia total de rodilla
Introducción: Debido al en envejecimiento de la población y al aumento en la esperanza de vida, en la actualidad la artroplastia de rodilla es una de las cirugías más frecuentes en el primer mundo. Las causas más frecuentes del reemplazo protésico son la artrosis y la artritis reumatoidea. Dependiendo del dolor, la limitación articular y la impotencia funcional, el cirujano determina dicha cirugía. Gran parte del éxito de esta cirugía tanto a nivel motor como funcional depende en gran medida de la realización de una correcta fisioterapia. Actualmente, todos los protocolos están dirigidos a la recuperar el balance muscular y articular, reducir el dolor y mejorar la deambulación. En este estu…
The effects of preoperative balance training on balance and functional outcome after total knee replacement: a randomized controlled trial.
Objective: To assess the effects of preoperative balance training on the early postoperative balance and functional outcomes after total knee replacement surgery and to test whether an outpatient intervention may be as effective as a domiciliary intervention. Design: This is a three-arm randomized controlled trial. Setting: University hospital. Subjects: Eighty-six individuals were recruited. Seventy-seven were analysed, aged 72.1 (SD 7.6) years, of which 68% were women. Outcome measures: Overall state of balance, as measured with the Berg Balance Scale, and patient-perceived functionality, as measured with the Knee Injury and Osteoarthritis Outcome Score Function in Activities in Daily Liv…
Effects of balance and proprioceptive training on total hip and knee replacement rehabilitation: A systematic review and meta-analysis.
Abstract Backgound Balance and proprioceptive deficits are frequently persistent after total joint replacement, limiting functionality and involving altered movement patterns and difficulties in walking and maintaining postural control among patients. Research question The goal of this systematic review was to evaluate the short- and mid-term effects of proprioceptive and balance training for patients undergoing total knee and hip replacement. Methods This is a systematic review of literature. MEDLINE, Embase, Cochrane Library, PEDro, and Scopus were the databases searched. The review included randomized clinical trials in which the experimental groups underwent a training aimed at improvin…
Sensorimotor training prior total knee arthroplasty and effects on functional outcome: A systematic review and meta-analysis.
Abstract Background Altered muscle activation patterns and proprioception, loss of strength, and weight bearing asymmetries are common limitations after total knee arthroplasty, which can also affect balance. Therefore, preoperative sensorimotor training has been proposed to enhance surgical outcome. Research question Is preoperative sensorimotor training effective in improving functional outcome in patients undergoing total knee arthroplasty? Does preoperative sensorimotor training affect secondary outcomes such as balance, pain, and quality of life? Methods A systematic review and meta-analysis were conducted by searching PEDro, MEDLINE, Embase, Cochrane Library, and Scopus databases from…
The efficacy of virtual reality tools for total knee replacement rehabilitation: A systematic review.
ABSTRACTPurpose. To assess the effects of training with virtual reality tools (VRT) during rehabilitation of patients after total knee replacement (TKR). Methods. Systematic review. Six databases w...
Balance Training With a Dynamometric Platform Following Total Knee Replacement: A Randomized Controlled Trial.
Background and Purpose: Sensorimotor training has proven to be an efficient approach for recovering balance control following total knee replacement (TKR). The purpose of this trial was to evaluate the influence of specific balance-targeted training using a dynamometric platform on the overall state of balance in older adults undergoing TKR. Methods: This was a randomized controlled clinical trial conducted at a university hospital rehabilitation unit. Patients meeting the inclusion criteria were randomly assigned to a control group or an experimental group. Both groups participated in the same 4-week postoperative rehabilitation training protocol. Participants in the experimental group per…
Preferred Outcome Measures Used in Randomized Clinical Trials of Total Knee Replacement Rehabilitation: A Systematic Review.
Objective To determine the most frequently used outcome measures in total knee replacement rehabilitation trials. Literature survey Systematic review of randomized trials searched in five databases: Web of Science, MEDical Literature Analysis and Retrieval System, Physiotherapy Evidence Database, Scopus, and Cochrane Library. Methodology Trials were included if participants underwent total knee replacement rehabilitation and outcome measures were used to assess rehabilitation outcomes. A descriptive synthesis determined the frequency of using outcome measures and preferred assessment time points. Outcomes were classified into eight categories: patient- and clinician-reported function, perfo…
The condition of the contralateral knee may induce different degrees of knee extensor strength asymmetry and affect functionality in individuals with unilateral or bilateral osteoarthritis
Abstract Background Loss of knee extensor strength in individuals with knee osteoarthritis (KOA) may induce inter-limb strength asymmetries and alter functionality. The aims were to analyse whether the condition of the uninvolved knee (advanced to severe KOA or no affection) may induce different degrees of knee extensor strength asymmetry in individuals with KOA and to study whether functionality may differ in cases of unilateral or bilateral KOA. Methods Sixty-eight subjects with advance-to-severe KOA were categorized into two groups (unilateral or bilateral KOA). The knee extensor strength ratio (KESR), and self-reported and performance-based functionality were analysed and compared. Sex …
Valoració articular del turmell i el peu
Autors: Ruescas-Nicolau, Mª Arántzazu; Díaz-Díaz, Beatriz; Roig-Casasús, Sergio; Sánchez-Sánchez, M. Luz; Pérez-Alenda, Sofía;Data: 2015.Resum: Setè vídeo d'una sèrie de set sobre valoració articular, en el qual es mostra la valoració goniomètrica del turmell i el peu en els tres plànols de l'espai.Producció: Centre de Formació i Qualitat Manuel Sanchis Guarner (http://www.uv.es/cfq).
Valoración articular de la muñeca
Cuarto vídeo de una serie de siete sobre valoración articular, en el que se muestra la valoración goniométrica de la muñeca en dos de los tres planos del espacio.Producción: Centre de Formació i Qualitat Manuel Sanchis Guarner (http://www.uv.es/cfq).
Valoración articular: Lectura del goniómetro
Primer vídeo de una serie de siete sobre valoración articular, en el que se muestra cómo se realiza la lectura del goniómetro de forma correcta.Producción: Centre de Formació i Qualitat Manuel Sanchis Guarner (http://www.uv.es/cfq).
Valoración articular de la cadera
Quinto vídeo de una serie de siete sobre valoración articular, en el que se muestra la valoración goniométrica de la cadera en los tres planos del espacio.Producción: Centre de Formació i Qualitat Manuel Sanchis Guarner (http://www.uv.es/cfq).
Valoración articular del hombro
Segundo vídeo de una serie de siete sobre valoración articular, en el que se muestra la valoración goniométrica del hombro en los tres planos del espacio.Producción: Centre de Formació i Qualitat Manuel Sanchis Guarner (http://www.uv.es/cfq).
Valoració articular del canell
Autors: Ruescas-Nicolau, Mª Arántzazu; Díaz-Díaz, Beatriz; Roig-Casasús, Sergio; Sánchez-Sánchez, M. Luz; Pérez-Alenda, Sofía;Data: 2015.Resum: Quart vídeo d'una sèrie de set sobre valoració articular, en el qual es mostra la valoració goniomètrica del canell en dues dels tres plànols de l'espai.Producció: Centre de Formació i Qualitat Manuel Sanchis Guarner (http://www.uv.es/cfq).
Valoración articular del tobillo y pie
Séptimo vídeo de una serie de siete sobre valoración articular, en el que se muestra la valoración goniométrica del tobillo y pie en los tres planos del espacio.Producción: Centre de Formació i Qualitat Manuel Sanchis Guarner (http://www.uv.es/cfq).