Impact of Sitting vs Prone on Knee Proprioception in Osteoarthritis
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Influence of Sitting and Prone Lying Positions on Proprioceptive Knee Assessment Score in Early Knee Osteoarthritis
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
This page presents a generated summary with additional references; See source (below) for actual content.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Vijay Batra, Vijai Prakash Sharma, Meenakshi Batra, Girdhar Gopal Agarwal, Vineet Sharma
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Influence of Sitting and Prone Lying Positions on Proprioceptive Knee Assessment Score in Early Knee Osteoarthritis
Year: 2011
Copyright (license): CC BY 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
Proprioception, the sense of limb position and movement, plays a critical role in motor control and the reflex protection of joints. Compromised knee proprioception is commonly observed in individuals with knee osteoarthritis (OA), affecting their neuromusculoskeletal integrity, leading to pain and functional disabilities. Despite several methods to assess proprioceptive acuity, there is no consensus on the ideal testing position for accurate measurement. This study aimed to evaluate how two different positions—sitting and prone lying—affect proprioceptive acuity assessment scores in patients with early knee osteoarthritis.
Influence of Testing Positions on Proprioceptive Acuity
The research comprised 70 subjects diagnosed with early knee osteoarthritis, who were assessed for proprioceptive acuity in both sitting and prone lying positions, at angles of 30° and 60° of knee flexion. The study utilized a proprioceptive assessment device that measured the subjects' ability to replicate knee positions passively displaced by a therapist. The results indicated that the prone lying position yielded more sensitive proprioceptive acuity scores compared to the sitting position. Specifically, significant statistical differences were found in proprioceptive acuity impairment scores, particularly for the left knee at both angles and the right knee at 60° in the prone position, with P values ranging from less than 0.001 to 0.028.
Conclusion
The findings of the study underscore the importance of testing position when evaluating proprioceptive acuity in knee osteoarthritis. The prone lying position was found to be more effective in detecting proprioceptive impairment than the sitting position, highlighting the need for standardized methodologies in clinical assessments. These results can have implications for both rehabilitation practices and future research focusing on proprioceptive deficits in knee osteoarthritis, suggesting that positioning should be a key consideration in clinical proprioceptive evaluations.
FAQ section (important questions/answers):
What was the aim of the study on knee proprioception?
The study aimed to evaluate the influence of two testing positions (sitting versus prone lying) on proprioceptive knee assessment scores in patients with early knee osteoarthritis.
How many subjects were included in the knee proprioception study?
The study included 70 subjects, aged between 40 and 60 years, with a diagnosis of early knee osteoarthritis, specifically grade I and grade II according to Kellgren and Lawrence Classification System.
What were the main findings regarding the testing positions?
The prone lying position was found to be more sensitive in assessing proprioceptive acuity compared to the sitting position, with statistically significant results in impairment scores across different angles of knee flexion.
What interventions were used during the study for treatment?
Group 1 received context-specific proprioceptive retraining with multijoint coupling strategies, while group 2 received conventional treatment involving exercises, physical modalities, and manual therapy, both implemented over eight weeks.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Impact of Sitting vs Prone on Knee Proprioception in Osteoarthritis”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Study (Studying):
The study refers to a specific research effort aimed at investigating the effects of knee testing positions on proprioceptive acuity in patients with early knee osteoarthritis. It encompasses methodology, participant selection, treatment interventions, and statistical analysis, all crucial in drawing valid conclusions about knee proprioception.
2) Table:
The table in this context provides structured data, showcasing the comparison of proprioceptive acuity scores between different testing positions (sitting and prone lying). It summarizes findings, allowing for quick reference and enhancing the clarity of results within the study, which aids in interpretation.
3) Post:
Post refers to the evaluation phase that occurs after the treatment interventions are completed. This phase is critical for assessing changes in proprioceptive acuity scores in patients, enabling researchers to determine the effectiveness of the interventions applied over the 8-week treatment period.
4) Disease:
In this context, disease pertains to knee osteoarthritis, a degenerative joint condition that compromises proprioception among other symptoms. Understanding the disease's impact on proprioceptive acuity is essential for developing targeted interventions and improving rehabilitation strategies for affected individuals.
5) Pain:
Pain is a significant symptom experienced by individuals with knee osteoarthritis. It affects mobility and quality of life, necessitating effective treatment and rehabilitation. The study aims to address proprioceptive deficits that may contribute to pain, highlighting the interconnectedness of proprioception, disease, and discomfort.
6) Transformation (Transform, Transforming):
Transformed indicates the data that has undergone mathematical adjustment for analysis purposes. In the study, transformed proprioceptive acuity scores were analyzed using statistical tests, allowing for a more accurate interpretation of results and the effectiveness of different testing positions on knee proprioception.
7) Unconscious:
Unconscious relates to the subconscious awareness and control of body position and movement. It plays a crucial role in proprioception, as many proprioceptive responses occur without conscious thought. Understanding this aspect is vital for assessing how proprioceptive impairments affect individuals with knee osteoarthritis.
8) Measurement:
Measurement refers to the process of assessing proprioceptive acuity in this study. Various methods, such as the proprioceptive knee assessment device, highlight the need for accurate evaluation techniques to gauge the impact of treatment on knee function in osteoarthritis patients, influencing rehabilitation strategies.
9) Lucknow:
Lucknow is the location where the study was conducted, specifically at Chhatrapati Shahuji Maharaj Medical University. The setting plays a vital role in contextualizing the research, as it pertains to the local population's health issues and the relevance of osteoarthritis within that demographic.
10) Family:
Family in this context refers to the accompanying relatives of participants who provided informed consent for their involvement in the study. Their role emphasizes the importance of support networks in therapeutic settings, potentially influencing patient outcomes during treatment and rehabilitation.
11) Reason:
Reason pertains to the rationale behind conducting the study, specifically the need to identify effective methods for evaluating proprioceptive acuity in patients with knee osteoarthritis. The insights gained may inform future research and clinical guidelines, enhancing patient care and functional outcomes.
12) King:
King relates to King George Medical College, the former name of Chhatrapati Shahuji Maharaj Medical University. The institution signifies the academic authority and ethical oversight behind the study, highlighting its commitment to advancing medical research and healthcare practices in osteoarthritis management.
13) Life:
Life denotes the overall quality of life for individuals suffering from knee osteoarthritis, a focus of the study. Proprioceptive impairments can significantly affect daily activities; hence addressing these issues through effective interventions is vital for improving the quality of life for patients.
14) Male:
Male refers to the demographic aspect of the participants in the study, which included both males and females. Analyzing data across gender differences allows for a more comprehensive understanding of how knee osteoarthritis and proprioception affect various populations, potentially influencing treatment strategies.