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FRI0637-HPR The Effects of Clinical Pilates Exercises on Kinestesia and Position Sense in Patients with Osteoarthritis of The Knee
  1. P. Kisacik1,1,
  2. S. Oksuz2,
  3. S. Oksuz2,
  4. G. Arın1,
  5. G. Arın1,
  6. A. Akdogan3,
  7. A. Akdogan3,
  8. O. Dogan4,
  9. O. Dogan4,
  10. E. Karabulut5,
  11. E. Karabulut5,
  12. E. Unal1,
  13. E. Unal1
  1. 1Physiotherapy and Rehabilitation, Hacettepe University Faculty of Health Science, Ankara, Turkey
  2. 2Physiotherapy and Rehabilitation, Eastern Meditterrenean University Faculty of Health Science, Famagusta, Cyprus
  3. 3Rheumatology-Internal Medicine, Hacettepe University Faculty of Medicine
  4. 4Child Development, Hacettepe University Faculty of Health Science
  5. 5Biostatistics, Hacettepe University Faculty of Medicine, Ankara, Turkey

Abstract

Background Proprioception is a deep perception which constitutes kinesthesia and position sense. In particular, it is extremely affected due to cartilage degeneration in patients with osteoarthritis (OA) of the knee (1–3). Although exercise treatment is suggested as an effective method in OA, there is no study that investigates the effects of clinical pilates exercises on proprioception in patients with OA of the knee.

Objectives The aim of this study is to investigate the effects of clinical pilates exercises on kinesthesia and position sense in patients with knee OA.

Methods 39 patients with knee osteoarthritis defined as Kellgren-Lawrence (K-L) grade1 and 2 at mean age 55.95± 5.54 years and disease duration 6.59± 3.15 years were participated in this study (Control group; 20 patients, Exercise group; 19 patients). Exercise group attended in clinical pilates exercises sessions for three times a week (one hour session) during ten weeks. Kinesthesia and position sense were assessed with PMS-1000 Proprioception Test, Sport Expert Proprioceptional Sports Tech. Instrument. All measurements were repeated after ten weeks.

Results Although the kinesthesia perception of patients improved (p<0.05), position sense did not improve in exercise group (p>0.05). There were no improvements in control group according to pre- and post-treatment values.

Table 1

Conclusions As a conclusion, clinical pilates exercises should be kept in mind in terms of kinesthesia in patients with OA of the knee. We recommended that in further OA-related-studies using clinical pilates exercises, position sense should be examined in more detail.

  1. Felson DT, Gross KD, Nevitt MC, Yang M, Lane NE, Torner JC, et al. The effects of impaired joint position sense on the development and progression of pain and structural damage in knee osteoarthritis. Arthritis and rheumatism. 2009;61(8):1070–6.

  2. van der Esch M, Steultjens M, Harlaar J, Knol D, Lems W, Dekker J. Joint proprioception, muscle strength, and functional ability in patients with osteoarthritis of the knee. Arthritis and rheumatism. 2007;57(5):787–93.

  3. Cammarata ML, Dhaher YY. Associations between frontal plane joint stiffness and proprioceptive acuity in knee osteoarthritis. Arthritis care & research. 2012;64(5):735–43.

Disclosure of Interest None declared

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