Balance Control is Sequentially Correlated with Proprioception, Joint Range of Motion, Strength, Pain, and Plantar Tactile Sensation Among Older Adults with Knee Osteoarthritis.

IF 4.1 2区 医学 Q1 SPORT SCIENCES
Peixin Shen, Simin Li, Li Li, Daniel T P Fong, Dewei Mao, Qipeng Song
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Abstract

Background: Patients with knee osteoarthritis (KOA) are at high risk for falls, which is attributed to their impaired balance control. Identifying factors associated with balance control facilitates the development of precise KOA rehabilitation programs. This study was to investigate the correlations of balance control with proprioception, plantar tactile sensation (PTS), pain, joint range of motion (ROM), and strength among older adults with and without KOA, as well as the magnitudes and sequence of correlation of these factors to balance control.

Methods: A total of 240 older adults with (n = 124, female: 84, age: 68.8 ± 4.0 years) and without (n = 116, female: 64, age: 67.9 ± 3.5 years) KOA were recruited and assigned to the KOA and control groups. Their proprioception, PTS, pain, ROM, and strength were measured. Pearson or Spearman correlations were used to test whether they were significantly related to their Berg Balance Scale (BBS), and factor analysis and multivariate linear regression were used to determine the degrees of correlation between each factor and the BBS.

Results: Compared to the control group, the KOA group had lower BBS score, larger proprioception and PTS thresholds, smaller ROM, and less strength (p: 0.008, < 0.001-0.016, < 0.001-0.005, < 0.001-0.014, and < 0.001-0.002, respectively). In the KOA group, the BBS was weakly to moderately correlated with proprioception, PTS, pain, ROM, and strength (r: 0.332-0.501, 0.197-0.291, 0.340, 0.212-0.508, and 0.236-0.336, respectively). While in the control group, the BBS was correlated with proprioception and strength (r: 0.207-0.379, and 0.212-0.410). In the KOA group, BBS = 54.41+ (0.668*strength) - (0.579*PTS) - (1.141*proprioception) + (1.054* ROM) - (0.339*pain). While in the control group, BBS = 53.85+ (0.441*strength) - (0.677*proprioception).

Conclusion: Worse proprioception and PTS, smaller ROM, and less strength were detected among older adults with KOA, and their proprioception, PTS, pain, ROM, and strength were all related to balance control. Proprioception had the strongest correlations, followed by ROM, strength, pain, and PTS. Precise KOA rehabilitation programs may be proposed following the sequence of improving the five factors.

平衡控制与患有膝关节骨性关节炎的老年人的直觉、关节活动范围、力量、疼痛和足底触觉依次相关。
背景:膝关节骨性关节炎(KOA)患者摔倒的风险很高,这是因为他们的平衡控制能力受损。确定与平衡控制相关的因素有助于制定精确的 KOA 康复计划。本研究旨在调查患有和未患有 KOA 的老年人的平衡控制与本体感觉、足底触觉(PTS)、疼痛、关节活动范围(ROM)和力量的相关性,以及这些因素与平衡控制相关性的大小和顺序:共招募了 240 名患有(n = 124,女性:84,年龄:68.8 ± 4.0 岁)和未患有(n = 116,女性:64,年龄:67.9 ± 3.5 岁)KOA 的老年人,并将他们分配到 KOA 组和对照组。对他们的本体感觉、PTS、疼痛、ROM 和力量进行了测量。采用皮尔逊或斯皮尔曼相关性来检验这些因素是否与伯格平衡量表(BBS)有显著相关,并采用因子分析和多元线性回归来确定每个因素与 BBS 之间的相关程度:结果:与对照组相比,KOA 组的 BBS 得分更低、本体感觉和 PTS 阈值更大、ROM 更小、力量更小(P:0.008,结论:在患有 KOA 的老年人中,本体感觉和创伤后应激反应较差,关节活动度较小,力量较小,他们的本体感觉、创伤后应激反应、疼痛、关节活动度和力量都与平衡控制有关。本体感觉的相关性最强,其次是 ROM、力量、疼痛和 PTS。可以按照改善这五个因素的顺序提出精确的 KOA 康复方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Sports Medicine - Open
Sports Medicine - Open SPORT SCIENCES-
CiteScore
7.00
自引率
4.30%
发文量
142
审稿时长
13 weeks
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