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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-06-2012 | Knee

Lower limb proprioception deficits persist following knee replacement surgery despite improvements in knee extension strength

Authors: Pazit Levinger, Hylton B. Menz, Adam D. Morrow, Elin Wee, Julian A. Feller, John R. Bartlett, Neil Bergman

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 6/2012

Abstract

Purpose

Knee pain and disability can persist following knee replacement surgery which may place patients at increased risk of falls. This study investigated the falls risk and the occurrence of falls of people with knee osteoarthritis (OA) before and at 12 months following knee replacement surgery.

Method

Thirty-five patients with knee OA were tested prior to undergoing knee replacement surgery and at 12 months following surgery using the short form Physiological Profile Assessment, which incorporates tests of vision, lower limb proprioception, knee extension strength, reaction time and postural sway. Physical activity, number of falls, fear of falling, pain, disability and health-related quality of life were also assessed.

Results

No significant differences were found between the number of falls pre- and post-surgery (n.s.), with 48.5 and 40% reporting at least one fall in the 12 months before and following the surgery, respectively. Improvements in knee strength, reaction time and fear of falling were evident following surgery, with no improvement in lower limb proprioception. Self-reported pain, function and stiffness were significantly improved, but health-related quality of life deteriorated following the surgery.

Conclusion

The number of falls experienced following knee replacement surgery remained relatively high, which may be attributed to the persistence of impaired lower limb proprioception. Although knee replacement surgery improves function and alleviates pain, people who undergo this procedure may need to engage in rehabilitation following the surgery to reduce the risk of falling.

Level of evidence

Therapeutic study investigating the result of treatment on patient outcomes, Level IV.

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Title: Lower limb proprioception deficits persist following knee replacement surgery despite improvements in knee extension strength
Authors: Pazit Levinger
Hylton B. Menz
Adam D. Morrow
Elin Wee
Julian A. Feller
John R. Bartlett
Neil Bergman
Publication date: 01-06-2012
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 6/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-011-1710-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Lower limb proprioception deficits persist following knee replacement surgery despite improvements in knee extension strength

Abstract

Purpose

Method

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

Level of evidence

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