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Proprioception in knee osteoarthritis: a narrative review

Knoop, J.; Steultjens, M. P. M.; van der Leeden, M.; van der Esch, M.; Thorstensson, Carina LU ; Roorda, L. D.; Lems, W. F. and Dekker, J. (2011) 2010 World Congress of Osteoarthritis In Osteoarthritis and Cartilage 19(4). p.381-388
Abstract
Objective: To give an overview of the literature on knee proprioception in knee osteoarthritis (OA) patients. Method: A literature search was performed and reviewed using the narrative approach. Results: (1) Three presumed functions of knee proprioception have been described in the literature: protection against excessive movements, stabilization during static postures, and coordination of movements. (2) Proprioceptive accuracy can be measured in different ways; correlations between these methods are low. (3) Proprioceptive accuracy in knee OA patients seems to be impaired when compared to age-matched healthy controls. Unilateral knee OA patients may have impaired proprioceptive accuracy in both knees. (4) Causes of impaired proprioceptive... (More)
Objective: To give an overview of the literature on knee proprioception in knee osteoarthritis (OA) patients. Method: A literature search was performed and reviewed using the narrative approach. Results: (1) Three presumed functions of knee proprioception have been described in the literature: protection against excessive movements, stabilization during static postures, and coordination of movements. (2) Proprioceptive accuracy can be measured in different ways; correlations between these methods are low. (3) Proprioceptive accuracy in knee OA patients seems to be impaired when compared to age-matched healthy controls. Unilateral knee OA patients may have impaired proprioceptive accuracy in both knees. (4) Causes of impaired proprioceptive accuracy in knee OA remain unknown. (5) There is currently no evidence for a role of impaired proprioceptive accuracy in the onset or progression of radiographic osteoarthritis (ROA). (6) Impaired proprioceptive accuracy could be a risk factor for progression (but not for onset) of both knee pain and activity limitations in knee OA patients. (7) Exercise therapy seems to be effective in improving proprioceptive accuracy in knee OA patients. Conclusions: Recent literature has shown that proprioceptive accuracy may play an important role in knee OA. However, this role needs to be further clarified. A new measurement protocol for knee proprioception needs to be developed. Systematic reviews focusing on the relationship between impaired proprioceptive accuracy, knee pain and activity limitations and on the effect of interventions (in particular exercise therapy) on proprioceptive accuracy in knee OA are required. Future studies focusing on causes of impaired proprioceptive accuracy in knee OA patients are also needed, taking into account that also the non-symptomatic knee may have proprioceptive impairments. Such future studies may also provide knowledge of mechanism underlying the impact of impaired proprioceptive accuracy on knee pain and activity limitations. (C) 2011 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
Proprioception, Knee osteoarthritis, Measurement, Pain, Activity, limitations, Intervention
in
Osteoarthritis and Cartilage
volume
19
issue
4
pages
381 - 388
publisher
Elsevier
conference name
2010 World Congress of Osteoarthritis
external identifiers
  • wos:000289823500009
  • scopus:79952816459
ISSN
1063-4584
1522-9653
DOI
10.1016/j.joca.2011.01.003
language
English
LU publication?
yes
id
0d857d30-1a67-4a08-aac8-f4cd46a4342a (old id 1964875)
date added to LUP
2011-05-23 13:31:20
date last changed
2017-10-08 03:05:42
@inproceedings{0d857d30-1a67-4a08-aac8-f4cd46a4342a,
  abstract     = {Objective: To give an overview of the literature on knee proprioception in knee osteoarthritis (OA) patients. Method: A literature search was performed and reviewed using the narrative approach. Results: (1) Three presumed functions of knee proprioception have been described in the literature: protection against excessive movements, stabilization during static postures, and coordination of movements. (2) Proprioceptive accuracy can be measured in different ways; correlations between these methods are low. (3) Proprioceptive accuracy in knee OA patients seems to be impaired when compared to age-matched healthy controls. Unilateral knee OA patients may have impaired proprioceptive accuracy in both knees. (4) Causes of impaired proprioceptive accuracy in knee OA remain unknown. (5) There is currently no evidence for a role of impaired proprioceptive accuracy in the onset or progression of radiographic osteoarthritis (ROA). (6) Impaired proprioceptive accuracy could be a risk factor for progression (but not for onset) of both knee pain and activity limitations in knee OA patients. (7) Exercise therapy seems to be effective in improving proprioceptive accuracy in knee OA patients. Conclusions: Recent literature has shown that proprioceptive accuracy may play an important role in knee OA. However, this role needs to be further clarified. A new measurement protocol for knee proprioception needs to be developed. Systematic reviews focusing on the relationship between impaired proprioceptive accuracy, knee pain and activity limitations and on the effect of interventions (in particular exercise therapy) on proprioceptive accuracy in knee OA are required. Future studies focusing on causes of impaired proprioceptive accuracy in knee OA patients are also needed, taking into account that also the non-symptomatic knee may have proprioceptive impairments. Such future studies may also provide knowledge of mechanism underlying the impact of impaired proprioceptive accuracy on knee pain and activity limitations. (C) 2011 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.},
  author       = {Knoop, J. and Steultjens, M. P. M. and van der Leeden, M. and van der Esch, M. and Thorstensson, Carina and Roorda, L. D. and Lems, W. F. and Dekker, J.},
  booktitle    = {Osteoarthritis and Cartilage},
  issn         = {1063-4584},
  keyword      = {Proprioception,Knee osteoarthritis,Measurement,Pain,Activity,limitations,Intervention},
  language     = {eng},
  number       = {4},
  pages        = {381--388},
  publisher    = {Elsevier},
  title        = {Proprioception in knee osteoarthritis: a narrative review},
  url          = {http://dx.doi.org/10.1016/j.joca.2011.01.003},
  volume       = {19},
  year         = {2011},
}