Effects of Sensorimotor and Core Stabilization Exercises After Total Knee Arthroplasty
Condition: Knee Osteoarthritis; Arthroplasty; Joint Replacement
MeSH terms: Osteoarthritis; Osteoarthritis, Knee
Study type: Interventional

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.
    

Detailed 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.
    

Intervention name(s): Sensorimotor exercise training; Core stabilization exercise training
Intervention type(s): Other; Other
Intervention description(s): 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.; 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
Other intervention name(s): SM exercises; CS exercises
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: A randomized controlled trial , prospective, single bllinded.
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: total knee replacement; arthroplasty; balance; core stabilization; sensorimotor training