Original Research Article
Year: 2020 | Month: January-March | Volume: 5 | Issue: 1 | Pages: 232-237
Effect of Proprioceptive Training Using Biofeedback (Equiboard) On Pain, Function and Proprioception in Osteoarthritic Knee - An Interventional Study
Mirali Gohil1, Yagna Shukla2
1Assistant Professor, Knowledge Institute of Physiotherapy, Bakrol, Anand
2Senior Lecturer, Government Physiotherapy College, Civil Hospital, Ahmedabad
Corresponding Author: Mirali Gohil
ABSTRACT
Background: Knee osteoarthritis is a prevalent musculoskeletal condition affecting older people causing pain, physical disability and reduce quality of life. It commonly referred to as “wear and tear” of joint but it is the disease of entire joint involving cartilage, joint lining, ligament and bone. Community survey data in rural and urban areas of India in 2007 shows the prevalence of osteoarthritis to be range from 17% to 60.6%, prevalence rate is 32.6% in rural and 60.3% in urban population.
Common sign and symptoms of osteoarthritis of knee include knee pain, tenderness, joint stiffness and decrease muscle strength. In addition, individual with osteoarthritis knee often exhibit poor neuromuscular control, slower walking speed, decreased functional ability and increased susceptibility to fall.
The proprioception sense originate from the stimulation of mechanoreceptors in joint capsule and ligaments. Mechanoreceptor dysfunction could result from a combination of factors related to knee osteoarthritis such as articular mechanoreceptors compromised by osteoarthritis and degeneration of joint structure.
A recent development in rehabilitation is exercising in gaming or virtual reality environment, thus providing a novel form of immersive biofeedback.
Methodology: This study was conducted on 22 patients with knee osteoarthritis, who fulfilled inclusion and exclusion criteria. They were divided into 2 groups. Both groups underwent conventional physiotherapy and interventional group underwent proprioceptive training using biofeedback in addition. Both groups were assessed before and after the treatment for pain, proprioception and function by using NPRS, joint position sense error and WOMAC respectively.
Result: At the end of the 8 weeks, patient in both the groups showed reduction in pain and improvement in joint position sense error and function. Here interventional group showed statistically significant improvement than control group.(p<0.05)
Conclusion: Proprioceptive training along with conventional physiotherapy helps in reducing pain and improving function and proprioception in patients with osteoarthritis of knee.
Keywords: Osteoarthritis, knee joint, proprioceptive training