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Effects of Sensorimotor and Core Stabilization Exercises After Total Knee Arthroplasty

Y

Yeditepe University

Status

Completed

Conditions

Arthroplasty
Joint Replacement
Knee Osteoarthritis

Treatments

Other: Core stabilization exercise training
Other: Sensorimotor exercise training

Study type

Interventional

Funder types

Other

Identifiers

NCT05248854
YeditepeUPT

Details and patient eligibility

About

Tha aim of the study is to investigate the effects of core stabilization and sensorimotor exercise program on range of motion, proprioception, balance and functional status in patients with total knee arthroplasty. The study lasts prospective randomized controlled trial. Participants were randomly divided into sensorimotor training (SM,n=17) and core stabilization training group (CS,n=19). The exercise training program was administered for home exercise as 3-5 times a week and for a 6-week duration.

Full description

Objective :

To investigate the effects of core stabilization and sensorimotor exercise program on range of motion, proprioception, balance and functional status in patients with total knee arthroplasty.

Design :

Prospective randomized controlled trial

Subjects :

A total of 36 Ostearthritis patients (69.8 ± 5.1 years) who underwent unilateral knee arthroplasty. Participants were performed TKA surgery by the same physician and followed by the same therapist.

The following inclusion criteria were used: being volunteer, 50-85 age range, being diagnosed with stage 4 OA and undergoing unilateral TKA surgery. The following exclusion criteria were applied: having previous surgery history of affected lower limb, impaired hearing, vision or verbal problems, physical or mental disability, having a neurological or oncologic disease that may affect functional performance.

Patients who met inclusion criteria and were willing to join the study (n=52) were evaluated after being diagnosed with OA and before the operation at the clinic. A total 40 patients undergoing TKA surgery participated in our study and were randomly separated to the Sensorimotor Training Group (SM, n=20) and the Core Stabilization Training Group (CS, n=20). Group allocation was randomized in two blocks of 40 sealed envelopes without external marks, which were mixed and numbered from 1 to 40, containing a piece of paper with the group allocation. All participants were blinded to the treatment type. As a result, 36 patients completed the process.

Outcome Measures :

Patients were assessed on three separate occasions (presurgery, 2 weeks and 8 weeks postsurgery). The primary outcome was proprioception and seconder outcomes were range of motion, Knee Injury and Osteoarthritis Outcome Scale (KOOS), Berg Balance Test, Timed-up & Go test and Sit & Stand -Up tests.

Interventions :

Participants were randomized into two intervention groups: sensorimotor training group (SM, n=17) and Core Stabilization training group (CS, n=19). Both groups were prescribed a 6-week home based exercise programme for 3-5 sessions/week between 2 and 8 weeks postsurgery.

Enrollment

36 patients

Sex

All

Ages

50 to 85 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • being volunteer,
  • 50-85 age range,
  • being diagnosed with unilateral OA and undergoing unilateral TKA surgery

Exclusion criteria

  • having previous surgery history of lower limbs,
  • impaired hearing-vision -verbal problems, physical or mental disability,
  • having a neurological or oncologic disease that may affect functional performance.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

36 participants in 2 patient groups

Sensorimotor exercise training
Experimental group
Description:
SM program included combination of traditional hip and knee exercise, various balance and proprioceptive exercises.
Treatment:
Other: Sensorimotor exercise training
Core Stabilization exercise training
Experimental group
Description:
Core stabilization exercise program contained traditional hip and knee ROM exercise combining the core stabilization as mat activities
Treatment:
Other: Core stabilization exercise training

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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