Assessment of balance and proprioception in patients with total knee arthroplasty

ABSTRACT

To assess posture stability using Computerized Dynamic Posturography [CDP] in patients with both unilateral and bilateral total knee arthroplasty [TKA] and to study the Berg balance scale [BBS] as balance functional impairment of patients with TKA one and three months after rehabilitation training program. A total of 30 patients with TKA 18 with unilateral and 12 with bilateral TKA with a mean age of 58 +/- 5.5 years they were 22 females and 8 males They were collected three months after doing the operation. Ten age and sex matched healthy volunteers as a controls group All patients were examined clinically and neurologically and postural assessment was done for patients and controls then patients received a rehabilitation training program for three months Patients were evaluated for postural stability using the BBS and dynamic posturography one and 3 months after rehabilitation training program. Our data demonstrated that there was a statistically significant increase in Berge balance scale three months after treatment in patients with TKA Moreover, a high significant increase was observed for the composite equilibrium score [ES] after three months. Both unilateral and bilateral TKA patients showed improvements in balance, stability and function after a balance training program for 3 months