Effect of Postoperative Edema on Proprioception in The Early Period After Total Knee Arthroplasty
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https://doi.org/10.5281/zenodo.10721831Keywords:
Pain, Physiotherapy and Rehabilitation, Postoperative Edema, Proprioception, Total Knee ArthroplastyAbstract
Introduction: Osteoarthritis is the most common degenerative joint disease, with symptoms such as pain, joint stiffness, edema, limitation of range of motion, muscle weakness, and proprioception losses. Total knee arthroplasty (TKA) further increases edema and proprioception losses. We aimed to investigate the effect of postoperative edema after TKA on the loss of proprioception, which adversely affects the quality of life and levels of independence.
Material and Method: Postoperative edema and proprioception measures were taken on 35 volunteer participants one month after TKA. Circumference measurements were converted to volumetric form using the Frustom formula. An Angle-Reproduction test was used for the measurement of proprioception at 40° and 60° knee flexion.
Results: The postoperative edema and proprioception loss in the participants were statistically determined (p<0.05). Volumes above the patella and total volume both had an effect on knee proprioception at 40° knee flexion (p<0.05). Nevertheless 60° knee flexion proprioception was not affected by postoperative edema (p>0.05).
Discussion: Proprioception is processed by stimuli from the bone periosteum, skin, and muscle fibers. Surgical techniques and postoperative edema cause autogenic inhibition in muscles, especially by triggering the spinal inhibitory mechanisms of motor neurons in the Quadriceps Femoris muscle, reducing muscle activity. Periarticular structures located above the patella due to postoperative edema affect proprioception of 40° knee flexion, while postoperative edema below the patella may not have an effect on proprioception.
Conclusion: This study reveals that postoperative edema affects proprioception in early period after TKA. Reducing postoperative edema is of primary importance in physiotherapy programs planned after TKA.
References
Adie, S., Kwan, A., Naylor, J. M., Harris, I. A., & Mittal, R. (2012). Cryotherapy following total knee replacement. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd007911.pub2
Angoules, A., Mavrogenis, A., Dimitriou, R., Karzis, K., Drakoulakis, E., & Michos, J. (2011). Knee proprioception following ACL reconsturction; a prospective trial comparing hamstrings with bone-patellar tendon-bone autograft. Knee.
Brandt, K. D., Dieppe, P., & Radin, E. L. (2008). Etiopathogenesis of Osteoarthritis. In Rheumatic Disease Clinics of North America (Vol. 34, Issue 3, pp. 531–559). https://doi.org/10.1016/j.rdc.2008.05.011
Buz Swanik, C., Lephart, S. M., & Rubash, H. E. (2004). Proprioception, Kinesthesia, and Balance After Total Knee Arthroplasty with Cruciate-Retaining and Posterior Stabilized Prostheses. In THE JOURNAL OF BONE AND JOINT SURGERY.
Carmichael, J., Dennis, D., Jennings, J., Stevens-Lapsley, J., & Bade, M. (2022). Feasibility and initial efficacy of a multimodal swelling intervention after total knee arthroplasty: A prospective pilot study with historical controls. Knee, 35, 25–33. https://doi.org/10.1016/j.knee.2022.01.008
Chan, A. C. M., Jehu, D. A., & Pang, M. Y. C. (2018). Falls After Total Knee Arthroplasty: Frequency, Circumstances, and Associated Factors-A Prospective Cohort Study Background. Individuals with total knee arthroplasty (TKA) often experience pain and (Vol. 98). https://academic.oup.com/ptj
Cho, Y., Hang, B., Lim, S., Kim, H., Ko, Y., & Im, S. (2011). Effects of joint effusion on proprioception in patients with knee osteoarthritis: A single-blind, randomized controlled clinical trial. Osteoartht Cartil.
Cohen, J. (2013). Statistical Power Analysis for the Behavioral Sciences. Routledge. https://doi.org/10.4324/9780203771587
Davis, A., & MacKay, C. (2013). Osteoarthritis year in review: Outcome of rehabilitation. Osteoarthritis and Cartilage.
Elmallah, R. K., Chughtai, M., Khlopas, A., Newman, J. M., Stearns, K. L., Roche, M., Kelly, M. A., Harwin, S. F., & Mont, M. A. (2018). Pain Control in Total Knee Arthroplasty. Journal of Knee Surgery, 31(6), 504–513. https://doi.org/10.1055/s-0037-1604152
Eymir, M. (2016). Total Diz Protezli Hastalarda Hastane İçi Dönemde Neopren Dizlik’in Proprioseptif Duyu Üzerine Etkisinin Araştırılması. Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü.
Fallah Yakhdani, H., Bafghi, H., Meijer, O., Bruijn, S., Dikkenberg, N. van den, & Stibbe, A. (2010). Stability and variability of knee kinematics during gait in knee osteoarthritis before and after replacement surgery. Clin Biomech.
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/bf03193146
Fritz, C. O., Morris, P. E., & Richler, J. J. (2012). Effect size estimates: Current use, calculations, and interpretation. Journal of Experimental Psychology: General, 141(1), 2–18. https://doi.org/10.1037/a0024338
Fuchs, S., Tibesku, C. O., Frisse, D., Genkinger, M., Laaß, H., & Rosenbaum, D. (2005). Clinical and functional comparison of uni- and bicondylar sledge prostheses. Knee Surgery, Sports Traumatology, Arthroscopy, 13(3), 197–202. https://doi.org/10.1007/s00167-004-0580-y
Henderson, K. G., Wallis, J. A., & Snowdon, D. A. (2018). Active physiotherapy interventions following total knee arthroplasty in the hospital and inpatient rehabilitation settings: a systematic review and meta-analysis. Physiotherapy, 104(1), 25–35. https://doi.org/10.1016/j.physio.2017.01.002
Jerosch Prymka, J. M., Jerosch, J. N., & Prymka, M. (1996). Proprioception and joint stability. In Knee Surg, Sports Traumatol (Vol. 4). Springer-Verlag.
Kadı, M. R., Hepgüler, S., Atamaz, F. C., Dede, E., Aydoğdu, S., Aktuglu, K., Ozkayın, N., & Ozturk, C. (2019). Is interferential current effective in the management of pain, range of motion, and edema following total knee arthroplasty surgery? A randomized double-blind controlled trial. Clinical Rehabilitation, 33(6), 1027–1034. https://doi.org/10.1177/0269215519829856
Kaulesar Sukul, D. M. K. S., den Hoed, P. T., Johannes, E. J., van Dolder, R., & Benda, E. (1993). Direct and indirect methods for the quantification of leg volume: comparison between water displacement volumetry, the disk model method and the frustum sign model method, using the correlation coefficient and the limits of agreement. Journal of Biomedical Engineering, 15(6), 477–480. https://doi.org/10.1016/0141-5425(93)90062-4
Kim, D., Park, G., Kuo, L. T., & Park, W. (2018). The effects of pain on quadriceps strength, joint proprioception and dynamic balance among women aged 65 to 75 years with knee osteoarthritis 11 Medical and Health Sciences 1103 Clinical Sciences. BMC Geriatrics, 18(1). https://doi.org/10.1186/s12877-018-0932-y
Lee, H., Cheng, C., & Liau, J. (2009). Correlation between propriocepstion, muscle strength, knee laxity, and dynamic standing balance in patients with chronic anterior cruciate ligament deficiency. Knee.
Liebs, T. R., Herzberg, W., Rther, W., Haasters, J., Russlies, M., & Hassenpflug, J. (2012). Multicenter randomized controlled trial comparing early versus late aquatic therapy after total hip or knee arthroplasty. Archives of Physical Medicine and Rehabilitation, 93(2), 192–199. https://doi.org/10.1016/j.apmr.2011.09.011
Liu, P., Mu, X., Zhang, Q., Liu, Z., Wang, W., & Guo, W. (2020). Should compression bandage be performed after total knee arthroplasty? A meta-analysis of randomized controlled trials. Journal of Orthopaedic Surgery and Research, 15(1). https://doi.org/10.1186/s13018-019-1527-9
Meier, W., Mizner, R., Marcus, R., Dibble, L., Peters, C., & Lastayo, P. C. (2008). Total knee arthroplasty: Muscle impairments, functional limitations, and recommended rehabilitation approaches. In Journal of Orthopaedic and Sports Physical Therapy (Vol. 38, Issue 5, pp. 246–256). Movement Science Media. https://doi.org/10.2519/jospt.2008.2715
Moutzouri, M., Gleeson, N., Billis, E., Tsepis, E., Panoutsopoulou, I., & Gliatis, J. (2017). The effect of total knee arthroplasty on patients’ balance and incidence of falls: a systematic review. In Knee Surgery, Sports Traumatology, Arthroscopy (Vol. 25, Issue 11, pp. 3439–3451). Springer Verlag. https://doi.org/10.1007/s00167-016-4355-z
Neumann, D. (2002). Knee. İçinde: Kinesiology of the Musculoskeletal System Foundations for Physical Rehabilitation. Mosby.
Petersson, I. F., & Jacobsson, L. T. H. (2002). Osteoarthritis of the peripheral joints. Best Practice and Research: Clinical Rheumatology, 16(5), 741–760. https://doi.org/10.1053/berh.2002.0266
Pohl, T., Brauner, T., Wearing, S., Stamer, K., & Horstmann, T. (2015). Effects of sensorimotor training volume on recovery of sensorimotor function in patients following lower limb arthroplasty. BMC Musculoskeletal Disorders, 16(1). https://doi.org/10.1186/s12891-015-0644-9
Polit, D., & Beck, C. (2017). Nursing research: generating and assesing evidence for nursing practice (10th ed.) (D. Polit & C. Beck, Eds.; 10th ed.). Lippincott Williams & Wilkins.
Proske, U. (2006). Kinesthesia: The role of muscle receptors. In Muscle and Nerve (Vol. 34, Issue 5, pp. 545–558). https://doi.org/10.1002/mus.20627
Rankin, E., Alarcon, G., Chang, R., Cooney, L., Costley, L., & Delitto, A. (2004). NIH Consensus Statements Total Knee Replacement Replacement December 8-10, 2003. http://consensus.nih.gov
Schult, A., Mehlig, K., Björkelund, C., Wallerstedt, S., & Kaczynski, J. (2018). Waist-to-hip ratio but not body mass index predicts liver cirrhosis in women. Scandinavian Journal of Gastroenterology, 53(2), 212–217. https://doi.org/10.1080/00365521.2017.1420219
Sharma, L., Cahue, S., Song, J., Hayes, K., Pai, Y. C., & Dunlop, D. (2003). Physical Functioning over Three Years in Knee Osteoarthritis: Role of Psychosocial, Local Mechanical, and Neuromuscular Factors. Arthritis and Rheumatism, 48(12), 3359–3370. https://doi.org/10.1002/art.11420
Xue, Y. Y., Shi, J. N., Zhang, K., Zhang, H. H., & Yan, S. H. (2022). The effects of total knee arthroplasty on knee proprioception of patients with knee osteoarthritis: a meta-analysis. In Journal of Orthopaedic Surgery and Research (Vol. 17, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s13018-022-03142-0
Yaray, O., Akesen, B., Ocaklioǧlu, G., & Aydinli, U. (2011). Validation of the Turkish version of the visual analog scale spine score in patients with spinal fractures. Acta Orthopaedica et Traumatologica Turcica, 45(5), 353–358. https://doi.org/10.3944/AOTT.2011.2528
Yau, L. K., Henry, F., Man Hong, C., Amy, C., Wai Kwan Vincent, C., Ping Keung, C., & Kwong Yuen, C. (2022). Swelling assessment after total knee arthroplasty. Journal of Orthopaedic Surgery, 30(3), 102255362211276. https://doi.org/10.1177/10225536221127668
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