Anna Słupik
Marcin Kowalski
Dariusz Białoszewski
Usefulness of a new sensorimotor control scale in patients with gonarthrosis and after total knee replacement
Anna Słupik
Marcin Kowalski
Dariusz Białoszewski
Zakład Rehabilitacji Oddziału Fizjoterapii II Wydziału Lekarskiego, Warszawski Uniwersytet Medyczny, Warszawa, Polska
Katedra i Klinika Ortopedii i Traumatologii Narządu Ruchu I Wydziału Lekarskiego, Warszawski Uniwersytet Medyczny, Warszawa, Polska
Zakład Rehabilitacji Oddziału Fizjoterapii II Wydziału Lekarskiego, Warszawski Uniwersytet Medyczny, Warszawa, Polska
Abstract
Introduction. The importance of sensorimotor control assessment as a crucial factor determining functional recovery is being increasingly appreciated in clinical practice. The aim of this study was to assess the influence of damage associated with severe gonarthrosis on changes in proprioception and sensorimotor control of the knee, compare the results of a new sensorimotor control test developed by the authors with objective methods of proprioception assessment, and analyse the relation between the level of proprioception and sensorimotor system function and the measurements used in clinical practice.
Material and methods. We studied a group of healthy persons (control group, n=74), patients with stage 4 knee osteoarthritis (group 1, n=67), and patients after total knee arthroplasty (group 2, n=62). The participants were assessed with a new sensorimotor control test (TKS) and a joint position sense test (JPS). Moreover, we analysed the patients’ HSS knee scores and Staffelstein scores.
Results. In the Control Group, mean TKS and JPS test scores were 4.9 pts and 3.9°, respectively, while the respective results in group 2 were 3.7 pts and 6.7° (p<0.005). In group 1, the TKS score was 3.2 pts and the JPS test result was 8.2° in the unaffected limb and 10.2° in the affected limb. The results of this group were significantly worse than the scores achieved in the control group and group 2 (p<0.005).
Conclusions. 1. The new knee sensorimotor control test developed by the present authors appears to provide an objective and comprehensive method to evaluate sensorimotor control of the knee in patients with gonarthrosis and after total knee replacement. 2. Further studies of the new test are advised, including an objective evaluation of the test utilising specialised measuring tools.
Cite
Słupik A, Kowalski M, Białoszewski D. Usefulness of a new sensorimotor control scale in patients with gonarthrosis and after total knee replacement. Prz Med Uniw Rzesz Inst Leków 2015; 13 (2): 95–103. doi: 10.15584/przmed.2015.2.3
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