Ismail Khadrawi¹*, Ahmad Aljuaid¹, Hamza Althobaiti², Abdulaziz Alotaibi¹, Arwa Aldibani¹, Naif Khan¹ and Abdulrahman Miyajan¹

¹Department of Rehabilitation, King Abdullah Medical City, Makkah, Saudi Arabia
²Prince Sultan Military Hospital, Taif

*Corresponding Author: Ismail Khadrawi, Department of Rehabilitation, King Abdullah Medical City, Makkah, Saudi Arabia.

Received: October 03, 2023; Published: October 16, 2023

Abstract

Background : Knee osteoarthritis (OA) is a common chronic degenerative joint disease resulting in pain, fatigue, functional limitations, increased healthcare utilization, and high economic costs to society. The burden of OA is projected to increase, due in part to obesity and population aging. Recent US data demonstrated that half of the people with symptomatic knee OA are diagnosed by age 55. Joint replacement surgery should be considered in patients who experience persistent pain and reduced function that are refractory to non-surgical therapies, and which impact markedly on their quality of life. Physiotherapy rehabilitation following knee arthroplasty was to reduce pain, increase joint range of motion, improve muscle strength, and maximize functional ability.

Objective: The purpose of this study is to investigate the application of physical therapists in Saudi Arabia of Proprioceptive Exercises for Post- Total Knee Arthroplasty patients.

Methods: The design of this study is a cross-section study. So, a survey will be published for physical therapists in Saudi Arabia about the application of proprioceptive exercises for post-total knee arthroplasty patients. Then, the survey data will be analyzed. Finally, the result of the data analysis will show how widely proprioceptive exercises for post-total knee arthroplasty have been applied; then the recommendations for applying proprioceptive exercises will be suggested.

Keywords: Osteoarthritis; Total knee arthroplasty; proprioceptive exercise; physiotherapy

References

1. Maradit Kremers H., et al. “Prevalence of Total Hip and Knee Replacement in the United States”. The Journal of Bone and Joint Surgery 97 (2015): 1386-1397.
2. Nguyen US., et al. “Increasing prevalence of knee pain and symptomatic knee osteoarthritis: survey and cohort data”. Annals of Internal Medicine 155 (2011): 725-732.
3. Litwic A., et al. “Epidemiology and burden of osteoarthritis”. British Medical Bulletin 105 (2013): 185-199.
4. Palsis JA., et al. “The Cost of Joint Replacement: Comparing Two Approaches to Evaluating Costs of Total Hip and Knee Arthroplasty”. The Journal of Bone and Joint Surgery 100 (2018): 326-333.
5. Clement ND., et al. “What is the Minimum Clinically Important Difference for the WOMAC Index After TKA?” Clinical Orthopaedics and Related Research 476 (2018): 2005-2014.
6. National Institute for Health and Clinical Excellence. Osteoarthritis-national clinical guideline for care and management in adults”. NICE and Royal College of Physician Guidelines on osteoarthritis (2008).
7. Zhang W., et al. “OARSI recommendations for the management of hip and knee osteoarthritis. Part I: critical appraisal of existing treatment guidelines and systematic review of current research evidence”. Osteoarthritis Cartilage 15 (2007): 981-1000.
8. Jordan KM., et al. Standing Committee for International Clinical Studies Including Therapeutic Trials ESCISIT. “EULAR Recommendations 2003: an evidence-based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT)”. Annals of the Rheumatic Diseases12 (2003): 1145-1155.
9. (National Center for Health Statistics.). American Academy and American Association of Orthopaedic Surgeons Bulletin 47.3 (1999): 14.
10. Jones DL., et al. “Update on hip and knee arthroplasty: current state of evidence”. Arthritis and Rheumatism5 (2005): 772-780.
11. Mizner RL., et al. “Quadriceps strength and the time course of functional recovery after total knee arthroplasty”. The Journal of Orthopaedic and Sports Physical Therapy7 (2005): 424-436.
12. Tsai CC., et al. “Effect of the herbal drug guilu erxian jiao on muscle strength, articular pain, and disability in elderly men with knee osteoarthritis”. Evidence-Based Complementary and Alternative Medicine 2014 (2014): 297458.
13. Neil A Segal., et al. “The Effect of Thigh Strength on Incident Radiographic and Symptomatic Knee Osteoarthritis in the Multicenter Osteoarthritis (MOST) Study”. Arthritis and Rheumatology 61 (2009): 1210-1217.
14. Onwunzo CN., et al. “Effects of Isometric Strengthening Exercises on Pain and Disability Among Patients with Knee Osteoarthritis”. Cureus 13 (2021): e18972.
15. Knoop J., et al. “Knee joint stabilization therapy in patients with Osteoarthritis of the knee: A randomized, controlled trial”. Osteoarthritis and Cartilage 21 (2013): 1025-1034.
16. Luksurapan W and Boonhong J. “Effects of Phonophoresis of Piroxicam and Ultrasound on Symptomatic Knee Osteoarthritis”. Archives of Physical Medicine and Rehabilitation 94 (2013): 250-255.
17. Draper DO., et al. “Effect of low-intensity long-duration ultrasound on the symptomatic relief of knee osteoarthritis: A randomized, placebo-controlled double-blind study”. Journal of Orthopaedic Surgery and Research 13 (2018): 257.
18. Zeng C., et al. “Electrical stimulation for pain relief in knee osteoarthritis: Systematic review and network meta-analysis”. Osteoarthritis and Cartilage 23 (2015): 189-202.
19. Schwartz I., et al. “Balance is an important predictive factor for the quality of life and function after primary total knee replacement”. The Journal of Bone and Joint Surgery. British Volume 6 (2012): 782-786.
20. Shimada H., et al. “Relationship with dynamic balance function during standing and walking”. American Journal of Physical Medicine and Rehabilitation7 (2003): 511-516.
21. Zech A., et al. “Neuromuscular training for rehabilitation of sports injuries: a systematic review”. Medicine and Science in Sports and Exercise10 (2009): 1831-1841.
22. Ahmed A. “Effect of sensorimotor training on balance in elderly patients with knee osteoarthritis”. Journal of Advanced Research4 (2011).
23. Moutzouri M., et al. “What is the effect of sensori- motor training on functional outcome and balance performance of patients' undergoing TKR? A systematic review”. Physiotherapy2 (2016): 136-144.
24. Oducado Rayan Michael. “Survey Instrument Validation Rating Scale” (2020).
25. Bruun-Olsen V., et al. “The immediate and long-term effects of a walking- skill program compared to usual physiotherapy care in patients who have undergone total knee arthroplasty (TKA): a randomized controlled trial”. Disability and Rehabilitation 35 (2013): 2008-2015.
26. Liao CD., et al. “Functional outcomes of outpatient balance training following total knee replacement in patients with knee osteoarthritis: a randomized controlled trial”. Clinical Rehabilitation 29 (2015): 855-867.
27. Ni M., et al. “Comparative impacts of Tai Chi, balance training, and a specially designed yoga program on balance in older fallers”. Archives of Physical Medicine and Rehabilitation9 (2014): 1620-1628.

Citation

Citation: Ismail Khadrawi., et al. “The Extent of Application of Physiotherapists in Saudi of Proprioceptive Exercises for Post-Total Knee Arthroplasty Patients, A Cross-Sectional Study".Acta Scientific Orthopaedics 6.11 (2023): 77-88.

Copyright

Copyright: © 2023 Ismail Khadrawi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.