Effects of Sensorimotor and Core Stabilization Exercises After Total Knee Arthroplasty

NCT05248854 | Completed

• 1 other identifier: YeditepeUPT
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Knee Osteoarthritis; Arthroplasty; Joint Replacement

Keywords

total knee replacement; arthroplasty; balance; core stabilization; sensorimotor training

Outcome Measures

Primary Outcomes (1)

• Proprioception

  Joint Position Sense(JPS) was assessed to proprioception. JPS was evaluated via ability to reproduce joint angles using position-matching with active or passive movements (21, 22). Therapist showed each reference 30 and 60 degree flexion angles passively three times, held it for 10 second and returned to starting position during sitting. Then, patients were asked to show the target angles with eyes-closed, three deviated angles were recorded and the mean of errors was used for statistics

  change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks

Secondary Outcomes (7)

• Range of motion (ROM)

  change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks

• Sit to Stand Test

  change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks

• Timed up and Go Test

  change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks

• Berg Balance Test

  change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks

• KOOS Scale

  change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks

Study Arms (2)

Sensorimotor exercise training

EXPERIMENTAL

SM program included combination of traditional hip and knee exercise, various balance and proprioceptive exercises.

Other: Sensorimotor exercise training

Core Stabilization exercise training

EXPERIMENTAL

Core stabilization exercise program contained traditional hip and knee ROM exercise combining the core stabilization as mat activities

Other: Core stabilization exercise training

Interventions

Sensorimotor exercise training OTHER

The program included side stepping, tandem walking, perturbation exercise, overcoming mini obstacles, walking different surfaces and traditional hip and knee exercise. Participants applied these exercise as home program between postoperative second weeks and 8th weeks, 3-5 day /week , 20 25 min every session.

Also known as: SM exercises

Sensorimotor exercise training

Core stabilization exercise training OTHER

Core stabilization exercise program was also prepared parallel to the sensorimotor training group intensity; the program contained traditional hip and knee exercise combining the core stabilization as mat activities depending on previous research.core stabilization exercise program was also prepared parallel to the sensorimotor training group intensity; the program contained traditional hip and knee exercise combining the core stabilization as mat activities depending on previous research

Also known as: CS exercises

Core Stabilization exercise training

Eligibility Criteria

• Age: 50 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• 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.

Sponsors & Collaborators

• Yeditepe University: lead

Study Sites (1)

Yeditepe University

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Osteoarthritis, Knee

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Study Officials

• Emrah DEMİRBAŞ, Operator

  Tuzla Gispir Hospital

  STUDY CHAIR

• Şule BADILLI HANTAL, PhD

  Yeditepe University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants did not know the their grup.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A randomized controlled trial , prospective, single bllinded.

Study Record Dates

• First Submitted: January 11, 2022
• First Posted: February 21, 2022
• Study Start: November 28, 2019
• Primary Completion: May 16, 2020
• Study Completion: July 1, 2020
• Last Updated: March 2, 2023

Record last verified: 2023-02

Locations

TU (1)