Clinical trial NCT05248854: Effects of Sensorimotor and Core Stabilization Exercises After Total Knee Arthroplasty
Official title: Effects of Sensorimotor and Core Stabilization Exercise Programs Following Total Knee Arthroplasty : A Randomize Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Knee Osteoarthritis
Arthroplasty
Joint Replacement
Keywords: total knee replacement
arthroplasty
balance
core stabilization
sensorimotor training
Lead sponsor: Yeditepe University
Sponsor class: OTHER
First posted: 2022-02-21
Enrollment: 36
Sex: ALL
Minimum age (years): 50
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: A randomized controlled trial , prospective, single bllinded.
Primary purpose: TREATMENT

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.

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.

Eligibility criteria: 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.

Primary outcomes:
measure: Proprioception
timeFrame: change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks
Secondary outcomes:
measure: Range of motion (ROM)
timeFrame: change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks
measure: Sit to Stand Test
timeFrame: change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks
measure: Timed up and Go Test
timeFrame: change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks
measure: Berg Balance Test
timeFrame: change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks
measure: KOOS Scale
timeFrame: change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks
measure: Tampa Scale of Kinesiophobia
timeFrame: change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks
measure: Oswestry Low Back Disability Questionnaire
timeFrame: change from baseline to postsurgery second weeks , change from postsurgery second weeks to eighth weeks
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Yeditepe University
Study officials:
affiliation: Tuzla Gispir Hospital
name: Emrah DEMİRBAŞ, Operator
role: STUDY_CHAIR
affiliation: Yeditepe University
name: Şule BADILLI HANTAL, PhD
role: STUDY_CHAIR
References: