The Effects of Neuroscience Based Proprioceptive Exercise Training

Pamukkale University

Status: Active, not recruiting

Conditions: Chronic Knee Pain; Elderly; Pain, Chronic

Treatments: Other: Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT06554483

NEUROSCIENCE IN KNEE PAIN

Details and patient eligibility

About

Neuroscience based proprioceptive exercise trainig using laser pointer (nbpet) is a new aproach exercise training method. In this study, This study aimed to investigate the effects of nbpet using laser pointer on different fonctional parameters.

Full description

This study aim to investigate the effects of nbpet using laser pointer on different fonctional parameters.

Participants will divide into two groups (experimental and control ). Joint position errors will evaluate with the jonit position error assessment method, range of motion with a goniometer, kinesiophobia with the Tampa kinesiophobia scale, pain with the Mc Gill pain scale, quality of life with the Older People Quality of Life questionnaire (OPQoL-brief), and mobility with the time up and go test. Both groups will include in the exercise program with proprioceptive exercise training for 2 sessions per week for 6 weeks. In addition, the experimental group will train with nbpet using laser pointer at the same time.

Properioceptive training A proprioceptive training regimen will establish with Swiss balls. The proprioceptive activities is advanced on a weekly basis in order to test the patient's balance in response. Patients have training in three stages: beginning, intermediate, and advanced. Each exercise will perform as 3x10 repetitions. Between sets, 2-3 minutes rest breaks will given. The beginning phase will applied in the 1st and 2nd weeks, the intemediate phase in the 3rd and 4th weeks, and the advanced phase in the 5th and 6th weeks. The proprioceptive rehabilitation protocol is based on a previous study. All the program will conducted by one experienced physiotherapist.

Neuroscience based proprioceptive training using laser pointer A pre-created wallpaper indicating various directions will fix on the wall 90 cm away from the patient (at the level of the patient's knee when the patient was standing upright) . Then, the laser pointer (producted by NMC training system) will fix to the patient's knee with the help of a velcro so as not to interfere with the patient's knee movement.

At the beginning of the exercise, the patient is asked to move the light on the laser pointer to the midpoint of the wallpaper. The patient is then asked to follow the instructions on the wallpaper by moving the knee in flexion-extension, medio-lateral directions. These instructions are continued throughout the exercise in different directions. Meanwhile, the patient is asked to perform mild cognitive tasks such as counting numbers, names of people starting with any letter, city names or animal names. The training continues for approximately 20 minutes.

Enrollment: 24 estimated patients

Sex: All

Ages: 60 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• having a history of knee pain for 6 months or longer
• having unilateral knee pain, being 60 years of age or older, and completing the assessments.

Exclusion criteria

• being under 60 years of age, having bilateral knee pain
• being diagnosed with a disease that may cause knee pain (osteatritis, meniscus rupture, ACL rupture...)
• having knee pain for less than 6 months
• have visual and hearing impairments that affect exercise, having knee extension limitations.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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24 participants in 2 patient groups

neuroscience based proprioceptive exercise training group

Experimental group

Description:

Neuroscience based proprioceptive training using laser pointer A pre-created wallpaper indicating various directions is fixed on the wall 90 cm away from the patient (at the level of the patient's knee when the patient is standing upright). Then, the laser pointer (producted by NMC training system) will fixed to the patient's knee with the help of a velcro so as not to interfere with the patient's knee movement. At the beginning of the exercise, the patient is asked to move the light on the laser pointer to the midpoint of the wallpaper. The patient is then asked to follow the instructions on the wallpaper by moving the knee in flexion-extension, medio-lateral directions. These instructions are continued throughout the exercise in different directions. Meanwhile, the patient is asked to perform mild cognitive tasks such as counting numbers, names of people starting with any letter, city names or animal names. The training continued for approximately 20 minutes.

Treatment:

Other: Exercise

Proprioceptive exercise group

Active Comparator group

Description:

A proprioceptive training regimen will established with Swiss balls. The proprioceptive activities are advanced on a weekly basis in order to test the patient's balance in response. Patients have training in three stages: beginning, intermediate, and advanced. Each exercise is performed as 3x10 repetitions. Between sets, 2-3 minutes rest breaks is given. The beginning phase is applied in the 1st and 2nd weeks, the intemediate phase in the 3rd and 4th weeks, and the advanced phase in the 5th and 6th weeks.

Treatment:

Other: Exercise