How proprioception changes before and after total knee arthroplasty: A systematic review

Laura Bragonzoni, Erika Rovini, Giuseppe Barone, Filippo Cavallo, Stefano Zaffagnini, Maria Grazia Benedetti

Research output: Contribution to journalReview article

Abstract

BACKGROUND: Proprioception is one of the most significant factors in balance, joint stability, graceful movement, coordination, and injury prevention. It involves a wide set of receptors located within joints, muscles, and tendons. Given the neurophysiological processes involved in proprioception response are multiple and complex, there is not one single method to measure it. Particularly, proprioception of the knee joint, whether it is healthy, affected by osteoarthritis, or after replacement, is the most investigated by in literature.

RESEARCH QUESTION: This review addresses the analysis of proprioception in the knee joint before and after total knee arthroplasty (TKA). The aim is to obtain an overview of the proprioceptive skills in subjects who suffered from osteoarthritis and were subjected to knee replacement, evaluating changes in proprioception before and after the surgery.

METHODS: The research was conducted within four databases: Web of Science®, PubMed Central®, Cochrane®, and PEDro®, between January 2008 and February 2018. Accurate exclusion criteria and selection strategy were applied to screen the 170 articles found.

RESULTS: Ultimately, 13 papers were fully evaluated and included in this review, divided into two classes: i) works directly measuring proprioception, ii) studies indirectly evaluating proprioception. Contrasting results emerged from the analysis, and no consensus was found in the literature about the improvement or worsening in proprioception before and after TKA.

SIGNIFICANCE: Since currently there is high variability in methods, protocol and parameters used to evaluate knee proprioception, further investigations based on a consistent dataset, a well-defined protocol, measurable outcomes, timeline follow-ups, and rehabilitation programs should be performed in order to obtain reliable results on the effects of TKA on knee proprioception and balance.

Original languageEnglish
Pages (from-to)1-11
Number of pages11
JournalGait and Posture
Volume72
DOIs
Publication statusE-pub ahead of print - May 17 2019

Fingerprint

Proprioception
Knee Replacement Arthroplasties
Knee
Knee Joint
Osteoarthritis
Joints
PubMed
Tendons
Patient Selection
Consensus
Rehabilitation
Databases

Keywords

  • Balance
  • Osteoarthritis
  • Postural sway
  • Proprioception
  • Total knee arthroplasty

Cite this

How proprioception changes before and after total knee arthroplasty: A systematic review. / Bragonzoni, Laura; Rovini, Erika; Barone, Giuseppe; Cavallo, Filippo; Zaffagnini, Stefano; Benedetti, Maria Grazia.

In: Gait and Posture, Vol. 72, 17.05.2019, p. 1-11.

Research output: Contribution to journalReview article

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T1 - How proprioception changes before and after total knee arthroplasty: A systematic review

AU - Bragonzoni, Laura

AU - Rovini, Erika

AU - Barone, Giuseppe

AU - Cavallo, Filippo

AU - Zaffagnini, Stefano

AU - Benedetti, Maria Grazia

N1 - Copyright © 2019 Elsevier B.V. All rights reserved.

PY - 2019/5/17

Y1 - 2019/5/17

N2 - BACKGROUND: Proprioception is one of the most significant factors in balance, joint stability, graceful movement, coordination, and injury prevention. It involves a wide set of receptors located within joints, muscles, and tendons. Given the neurophysiological processes involved in proprioception response are multiple and complex, there is not one single method to measure it. Particularly, proprioception of the knee joint, whether it is healthy, affected by osteoarthritis, or after replacement, is the most investigated by in literature.RESEARCH QUESTION: This review addresses the analysis of proprioception in the knee joint before and after total knee arthroplasty (TKA). The aim is to obtain an overview of the proprioceptive skills in subjects who suffered from osteoarthritis and were subjected to knee replacement, evaluating changes in proprioception before and after the surgery.METHODS: The research was conducted within four databases: Web of Science®, PubMed Central®, Cochrane®, and PEDro®, between January 2008 and February 2018. Accurate exclusion criteria and selection strategy were applied to screen the 170 articles found.RESULTS: Ultimately, 13 papers were fully evaluated and included in this review, divided into two classes: i) works directly measuring proprioception, ii) studies indirectly evaluating proprioception. Contrasting results emerged from the analysis, and no consensus was found in the literature about the improvement or worsening in proprioception before and after TKA.SIGNIFICANCE: Since currently there is high variability in methods, protocol and parameters used to evaluate knee proprioception, further investigations based on a consistent dataset, a well-defined protocol, measurable outcomes, timeline follow-ups, and rehabilitation programs should be performed in order to obtain reliable results on the effects of TKA on knee proprioception and balance.

AB - BACKGROUND: Proprioception is one of the most significant factors in balance, joint stability, graceful movement, coordination, and injury prevention. It involves a wide set of receptors located within joints, muscles, and tendons. Given the neurophysiological processes involved in proprioception response are multiple and complex, there is not one single method to measure it. Particularly, proprioception of the knee joint, whether it is healthy, affected by osteoarthritis, or after replacement, is the most investigated by in literature.RESEARCH QUESTION: This review addresses the analysis of proprioception in the knee joint before and after total knee arthroplasty (TKA). The aim is to obtain an overview of the proprioceptive skills in subjects who suffered from osteoarthritis and were subjected to knee replacement, evaluating changes in proprioception before and after the surgery.METHODS: The research was conducted within four databases: Web of Science®, PubMed Central®, Cochrane®, and PEDro®, between January 2008 and February 2018. Accurate exclusion criteria and selection strategy were applied to screen the 170 articles found.RESULTS: Ultimately, 13 papers were fully evaluated and included in this review, divided into two classes: i) works directly measuring proprioception, ii) studies indirectly evaluating proprioception. Contrasting results emerged from the analysis, and no consensus was found in the literature about the improvement or worsening in proprioception before and after TKA.SIGNIFICANCE: Since currently there is high variability in methods, protocol and parameters used to evaluate knee proprioception, further investigations based on a consistent dataset, a well-defined protocol, measurable outcomes, timeline follow-ups, and rehabilitation programs should be performed in order to obtain reliable results on the effects of TKA on knee proprioception and balance.

KW - Balance

KW - Osteoarthritis

KW - Postural sway

KW - Proprioception

KW - Total knee arthroplasty

U2 - 10.1016/j.gaitpost.2019.05.005

DO - 10.1016/j.gaitpost.2019.05.005

M3 - Review article

C2 - 31129387

VL - 72

SP - 1

EP - 11

JO - Gait and Posture

JF - Gait and Posture

SN - 0966-6362

ER -