Manual Therapy, Posturology & Rehabilitation Journal
http://mtprehabjournal.com/article/doi/10.17784/mtprehabjournal.2017.15.515
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

BALANCE POSTURAL ASSESSMENTS AND FUNCTIONAL MOBILITY IN SUBJECTS WITH KNEE OSTEOARTHRITIS

Ana Carolina Silva De Souza Moreira , Gilmar Moraes Santos

Downloads: 1
Views: 506

Abstract

INTRODUCTION: Knee Osteoarthritis (KOA) affects joint cartilage causing pain, musculoskeletal and proprioceptive disorder that may favor the occurrence of postural balance disorders during activities of daily living. OBJECTIVE: To analyze the clinical variables, the balance profile and the functional mobility of subjects with KOA with and without a history of falls. METHODS: Sixty-four women, 50 to 75 years of age, were separated into three different groups: KOAF group (18 subjects with KOA and previous history of falls); KOANF (24 subjects with KOA and no previous history of falls) and control group - CG (22 healthy subjects). The Womac questionnaire was used to analyze functional disability. For the functional evaluation of the balance, two instruments were used, the Berg’s Balance Scale (BBS) and the Timed Up and Go test (TUG). For static balance evaluation, was used the stabilization diffusion analysis method (SDA) and analysis of the balance stabilizer of center of pressure (COP). RESULTS: It was evidenced that the BBS and WOMAC scores were significantly lower for the KOA group. The functional evaluation of the balance showed that the TUG test time and BBS score were significantly lower in subjects with KOA than in CG. The KOA groups (KOAF and KOANF) presented a greater displacement of the COP, anterior-posterior (AP) direction, and ellipse area than CG, in the closed-eyes condition. The KOAF group showed higher average speed of COP than CG. In the analysis of stabilogram diffusion, for both visual conditions, the KOA groups presented higher values in the short-term interval, long-term interval and critical point position than CG in the AP direction. CONCLUSION: The results imply that subjects with KOA, regardless of the previous history of falls, show a deficit of balance, increasing the risk of falls in this population.

Keywords

Postural Balance. Accidents by Falls. Knee Osteoarthritis.

References

1. Salvato KF, Santos JPM, Pires-Oliveira DAA, Costa VSP. Análise da influência da farmacoterapia sobre a qualidade de vida em idosos com osteoartrite. Rev Bras Reumatol. 2015;55(1):83-8

2. Zeni JA, Higginson JS. Knee osteoarthritis affects the distribution of joint moments during gait. Knee. 2010;18:156-9.

3. Kim I, Kim HA, Seo YI, Song YW, Jeong JY, Kim DH. The prevalence of knee osteoarthritis in elderly community residents in Korea. J Korean Med Sci. 2010;25:293-8.

4. Alencar MA, Arantes PMM, Dias JMD, Kirkwood RN, Pereira LSM, Dias RC. Muscular function and functional mobility of faller and non-faller elderly women with osteoarthritis of the knee. Braz J Med Biol Res. 2007;40:277- 83.

5. Hamill J, Knutzen KM. Bases Biomecânicas do Movimento Humano. 3rd ed. São Paulo: Manole; 2012.

6. Collins JJ, De Luca CJ. Open loop and closed-loop control of posture: a random-walk analysis of center of pressure trajectories. Exp Brain Res.1993;95:308-13.

7. Colbert CJ, Song J, Dunlop D, Chmiel JS, Hayes KW, Cahue S, et al. Knee confidence as it relates to physical function outcome in persons with or at higher risk for knee osteoarthritis in the osteoarthritis initiative. Arthritis Rheum. 2012;64:1437–46.

8. Dunlop DD, Song J, Semanik PA, Sharma L, Chang RW. Physical activity levels and functional performance in the Osteoarthritis Initiative: a graded relationship. Arthritis Rheum. 2011;63:127–36.

9. Radominski, SC. Obesidade e doenças músculo-esqueléticas. Rev Bras Reumatol. 1998;38:275-8.

10. Reyes-Ortiz CA, Snih SA, Markides KS. Falls among elderly persons in Latin América and the Caribbean and among elderly Mexican-Americans. Rev Panam Salud Publica. 2005;17:362-9.

11. Santos KA, Koszuoski R, Costa JSD, Pattussi MP. Fatores associados com a incapacidade funcional em idosos do município de Guatambu Santa Catarina Brasil. Cad Saúde Pública. 2007;23:2781-8.

12. McNair PJ, Marshall RN, Maguire K. Swelling of the nee Joint: Effects of exercise on quadriceps muscle strength. Arch Phys Med Rehabil. 1996;77:896-

13. Mackintosh SF, Hill KD, Dodd KJ, Goldie PA, Culham EG. Balance score and a history of falls in hospital predict recurrent falls in the 6 months following stroke rehabilitation. Arch Phys Med Rehabil. 2006;87:1583-9.

14. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the timed up and go test. Phys Ther. 2000;80:896-903.

15. Lajoie Y, Gallagher SP. Predicting falls within the elderly community: comparison of postural sway reaction time the Berg balance scale and the Activities-specific Balance Confidence (ABC) scale for comparing fallers and non-fallers. Arch Gerontol Geriatr. 2004;38:11-26.

16. Sun SF, Hsu CW, Hwang CW, Hsu PT, Wang JL, Tsai SL, et al. Hyaluronate improves pain, physical function and balance in the geriatric osteoarthritic knee: a 6-month follow-up study using clinical tests. Osteoarthritis Cartilage. 2006;14(7):696-01.

17. Sharma L, Pai YC. Impaired proprioception and osteoarthritis. Curr Opin Rheumatol. 1997;9:253–8.

18. Ellenbecker TS. Reabilitação dos ligamentos do joelho. São Paulo: Manole; 2002

19. Perracini MR, Ramos LR. Fatores associados a quedas em uma coorte de idosos residentes na comunidade. Rev Saúde Pública. 2002;36:709-16.

20. Petrella M, Neves TM, Reis JG, Gomes MM, Oliveira RDR, Abreu DCC. Postural control parameters in elderly female fallers and non-fallers diagnosed or not with knee osteoarthritis. Rev Bras Reumatol. 2012;52:512- 17.

21. Haibach PS, Slobounov SM, Newell KM. The potential applications of a virtual moving environment for assessing falls in elderly adults. Gait Posture. 2008;27:303-8.

22. Ostrowska B, Kuczyński M, Dean E. Does osteoarthritis further compromise the postural stability of women with osteoporosis? Ortop Traumatol Rehabil. 2008;10:179-82.

23. Masui T, Hasegawa Y, Yamaguchi J, Kanoh T, Ishiguro N, Suzuki S. Increasing postural sway in rural-community-dwelling elderly persons with knee osteoarthritis. J Orthop Sci. 2006;11(4):353-58.

24. Hinman RS, Bennell KL, Metcalf BR, Crossley KM. Balance impairments in subjects with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatology. 2002;41:1388–94.

25. Anson E, Bigelow RT, Swenor B, Deshpande N, Studenski S, Jeka JJ, et al. Loss of Peripheral Sensory Function Explains Much of the Increase in Postural Sway in Healthy Older Adults. Front Aging Neurosci. 2017;20(9):202.

26. Mitchell SL, Collins JJ, De Luca CJ, Burrows A, Lipsitz LA. Open-loop and closed-loop postural control mechanisms in Parkinson’s disease: increased mediolateral activity during quiet standing. Neurosci Lett. 1995;197:133-6.

27. Raymakers JA, Samson MM, Verhaar HJJ. The assessment of body sway and the choice of the stability parameter(s). Gait Posture. 2005;21:48–58.

28. Kurz I, Oddsson L, Melzer I. Characteristics of balance control in older persons who fall with injury – A prospective study. J Electromyo Kinesio. 2013;23:814–9.

29. Laughton CA, Slavin M, Katdare K, Nolan L, Bean JF, Kerrigan DC, Phillips E, Lipsitz LA, Collins JJ. Aging muscle activity and balance control: physiologic changes associated with balance impairment. Gait Posture. 2003;18:101-8.

30. Tanaka H, Uetake T, Kuriki S, Ikeda S. Changes in centro-pressure dynamics during upright standing related to decreased balance control in young adults: fractional Brownian motion analysis. J Hum Ergol. 2002;31:1–11.

5ad62de50e8825996cead76d mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections