López GM, González LM, Soler HE, Pérez BA, Campuzano GD

Language: Spanish
References: 13
Page: 76-81
PDF size: 188.23 Kb.

ABSTRACT

Introduction: Multiple studies relate a deficiency of proprioception with the incidence of knee OA the purpose of exercise is restore proprioceptive neuromuscular control, to improve strength, coordination, balance and compensate for the loss of sensation caused after injury. Objective: Evaluate the efficacy of a specific proprioceptive exercise program as a treatment for knee osteoarthritis grade I and II. Material and methods: Quasi-experiment on a sample of 34 patients with ages between 55 and 65 years, with clinical diagnosis and radiographic knee osteoarthritis grade I and II. We performed an initial evaluation and final muscle strength, range of motion, basic activities of daily life and presence of pain. Results: We found a significant (p ‹ 0.05) in the presence of pain with EVA, and increased knee joint motion and muscle strength. Deformity varus/valgus decreased. Conclusion: Proprioceptive exercises improves muscle strength increasing joint stability and contribute to the reduction of pain, increased range of motion as a result are improved activities of daily living, just like allows to reduce the need for painkillers.

REFERENCES

1. Laskwoski ER, Newcomer-Aney K, Smith J. Proprioception. Phys Med Rehabil Clin N Am. 2000; 11: 323-340.

2. Pincivero DM, Bachmeier B, Coelho AJ. The effects of joint angle and reliability on knee proprioception. Med Sci Sports Exerc. 2001; 33: 1708-1712.

3. Griffin, 2003. Citado por Ávalos Ardila y Berrio Villegas, 2007.

4. Hassan BS, Mockett S, Doherty M. Static postural sway, proprioception, an maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis. 2001; 60(6): 612-618.

5. Saavedra MP, Coronado ZR, Chávez AD, Diez GMP. Relación entre la fuerza muscular y propiocepción de rodilla en sujetos asintomáticos. Rev Mex Med Fis Rehab. 2003; 15: 17-23.

6. Caraffa A, Cerulli G, Projetti M, Aisa G, Rizzo A. Prevention of anterior cruciate ligament injuries in soccer. A prospective controlled study of proprioceptive training. Knee Surg Sports Traumatol Arthrosc. 1996; 4: 19-21.

7. Holm I, Fosdahl MA, Friis A, Risberg MA, Myklebust G, Steen H. Effect of neuromuscular training on proprioception, balance, muscle strength, and lowerlimb function in female team handball players. Clin J Sport Med. 2004; 14: 88-94.

8. Manual de Fisioterapia; W.AA. Editorial MAD.

9. Torres GR, Pérez CJ, Gaytan ML. Escala de puntuación para evaluar la osteoartritis de la rodilla. Red de Revistas Científicas de América Latina, el Caribe, España y Portugal. 2006; 74(5):

10. Evaluación y Medición del Dolor. Escala del dolor (Adaptado de Ginés, 1999).

11. Edin B. Cutaneous afferents provide information about knee joint movements in humans. J Physiol. 2001; 531: 289-297.

12. Thompson KR, Mikesky AE, Bahamonde RE, Burr DB. Effects of physical training on proprioception in older women. J Musculoskeletal Neuronal Interact. 2003; 3(3): 223-231.

13. Fort VA, Costa TL, Ruiz PA, Massó ON. Efectos de un entrenamiento propioceptivo sobre la extremidad inferior en jóvenes deportistas jugadores de voleibol. Apunts Medicina de l’Esport. 2008; 157: 5-13.