Impact of Early Proprioceptive Training on Pain, Range of Motion, Muscle Strength, and Gait Post in Patients following Total Knee Replacement: A Research Protocol for Randomised Controlled Trial
Introduction: In cases of Osteoarthritis (OA) affecting knee compartments, Total Knee Replacement (TKR) is highly effective but often leads to postsurgery challenges such as reduced knee flexion, strength, and Range of Motion (ROM). The purpose of this study is to fill in the information gaps regard...
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JCDR Research and Publications Private Limited
2025-05-01
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| author | Anjali Vikas Nawkhare Pratik Phansopkar Aishwarya Borhade |
| author_facet | Anjali Vikas Nawkhare Pratik Phansopkar Aishwarya Borhade |
| author_sort | Anjali Vikas Nawkhare |
| collection | DOAJ |
| description | Introduction: In cases of Osteoarthritis (OA) affecting knee compartments, Total Knee Replacement (TKR) is highly effective but often leads to postsurgery challenges such as reduced knee flexion, strength, and Range of Motion (ROM). The purpose of this study is to fill in the information gaps regarding the best proprioceptive training settings for patients undergoing TKR. Although there is some discussion about the optimal method, early proprioceptive training is essential for enhancing gait, neuromuscular control, balance, and recovery outcomes. This study aims to improve customised rehabilitation techniques by examining the influence of important variables such as muscular strength and knee ROM. The ultimate goals are to improve recovery, prevent falls, and enhance the long-term quality of life for TKR patients.
Need of the study: While traditional TKR rehabilitation has been widely studied, research on early-stage proprioceptive rehabilitation is scarce, highlighting the need for more effective post-TKR rehabilitation techniques.
Aim: To investigate the effect of early intervention using proprioceptive training along with Combined Kinematic Chain Exercise (CCE) in subjects who have undergone TKR.
Materials and Methods: A Randomised Controlled Trial (RCT) will be conducted in the orthopaedic ward (IPD no. 33) of Acharya Vinoba Bhave Rural Hospital, Ravi Nair Physiotherapy College, Sawangi Wardha, with a total sample size of 52. The duration of the study is from February 2024 to June 2025. Twenty-six participants will be allocated to each group. The patients will be divided into two groups: the control group (Group A), which will receive CCE, and the experimental group (Group B), which will receive proprioceptive exercises along with CCE. Both groups will undergo interventions six days a week for four weeks, with outcome measures assessed at baseline and after four weeks.
Primary outcomes will include pain {Numeric Pain Rating Scale (NPRS)}, ROM, gait parameters (X-sens), muscle strength, and gait (balance and functional mobility). These parameters will be assessed using frequency and percentage for categorical data, and mean and standard deviation for continuous data. Continuous outcome variables will be analysed using normality tests and summarised with descriptive statistics; significance will be tested using t-tests for normally distributed data and Mann-Whitney tests for non-normally distributed data. Categorical variables will be summarised by frequency and percentage, with efficacy analysed using Chi-square tests. |
| format | Article |
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| publishDate | 2025-05-01 |
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| spelling | doaj-art-ef80f57cde774776beffe86c9716300b2025-08-20T03:09:54ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-05-01195YK01YK0510.7860/JCDR/2025/74781.20989Impact of Early Proprioceptive Training on Pain, Range of Motion, Muscle Strength, and Gait Post in Patients following Total Knee Replacement: A Research Protocol for Randomised Controlled TrialAnjali Vikas Nawkhare0Pratik Phansopkar1Aishwarya Borhade2Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.Professor, Department of Musculoskeletal Physiotherapy, School of Physiotherapy, Bharati Vidyapeeth (Deemed to be University) Medical College, and Hospital, Sangli, Maharashtra, India.Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.Introduction: In cases of Osteoarthritis (OA) affecting knee compartments, Total Knee Replacement (TKR) is highly effective but often leads to postsurgery challenges such as reduced knee flexion, strength, and Range of Motion (ROM). The purpose of this study is to fill in the information gaps regarding the best proprioceptive training settings for patients undergoing TKR. Although there is some discussion about the optimal method, early proprioceptive training is essential for enhancing gait, neuromuscular control, balance, and recovery outcomes. This study aims to improve customised rehabilitation techniques by examining the influence of important variables such as muscular strength and knee ROM. The ultimate goals are to improve recovery, prevent falls, and enhance the long-term quality of life for TKR patients. Need of the study: While traditional TKR rehabilitation has been widely studied, research on early-stage proprioceptive rehabilitation is scarce, highlighting the need for more effective post-TKR rehabilitation techniques. Aim: To investigate the effect of early intervention using proprioceptive training along with Combined Kinematic Chain Exercise (CCE) in subjects who have undergone TKR. Materials and Methods: A Randomised Controlled Trial (RCT) will be conducted in the orthopaedic ward (IPD no. 33) of Acharya Vinoba Bhave Rural Hospital, Ravi Nair Physiotherapy College, Sawangi Wardha, with a total sample size of 52. The duration of the study is from February 2024 to June 2025. Twenty-six participants will be allocated to each group. The patients will be divided into two groups: the control group (Group A), which will receive CCE, and the experimental group (Group B), which will receive proprioceptive exercises along with CCE. Both groups will undergo interventions six days a week for four weeks, with outcome measures assessed at baseline and after four weeks. Primary outcomes will include pain {Numeric Pain Rating Scale (NPRS)}, ROM, gait parameters (X-sens), muscle strength, and gait (balance and functional mobility). These parameters will be assessed using frequency and percentage for categorical data, and mean and standard deviation for continuous data. Continuous outcome variables will be analysed using normality tests and summarised with descriptive statistics; significance will be tested using t-tests for normally distributed data and Mann-Whitney tests for non-normally distributed data. Categorical variables will be summarised by frequency and percentage, with efficacy analysed using Chi-square tests.https://jcdr.net/articles/PDF/20989/74781_CE[Ra1]__F(IS)_QC(HJ_SS)_PFA(IS)_PB(Pr_IS)_PN(IS).pdfarthroplastiesbalance trainingknee jointposture balancerehabilitationwalking |
| spellingShingle | Anjali Vikas Nawkhare Pratik Phansopkar Aishwarya Borhade Impact of Early Proprioceptive Training on Pain, Range of Motion, Muscle Strength, and Gait Post in Patients following Total Knee Replacement: A Research Protocol for Randomised Controlled Trial Journal of Clinical and Diagnostic Research arthroplasties balance training knee joint posture balance rehabilitation walking |
| title | Impact of Early Proprioceptive Training on Pain, Range of Motion, Muscle Strength, and Gait Post in Patients following Total Knee Replacement: A Research Protocol for Randomised Controlled Trial |
| title_full | Impact of Early Proprioceptive Training on Pain, Range of Motion, Muscle Strength, and Gait Post in Patients following Total Knee Replacement: A Research Protocol for Randomised Controlled Trial |
| title_fullStr | Impact of Early Proprioceptive Training on Pain, Range of Motion, Muscle Strength, and Gait Post in Patients following Total Knee Replacement: A Research Protocol for Randomised Controlled Trial |
| title_full_unstemmed | Impact of Early Proprioceptive Training on Pain, Range of Motion, Muscle Strength, and Gait Post in Patients following Total Knee Replacement: A Research Protocol for Randomised Controlled Trial |
| title_short | Impact of Early Proprioceptive Training on Pain, Range of Motion, Muscle Strength, and Gait Post in Patients following Total Knee Replacement: A Research Protocol for Randomised Controlled Trial |
| title_sort | impact of early proprioceptive training on pain range of motion muscle strength and gait post in patients following total knee replacement a research protocol for randomised controlled trial |
| topic | arthroplasties balance training knee joint posture balance rehabilitation walking |
| url | https://jcdr.net/articles/PDF/20989/74781_CE[Ra1]__F(IS)_QC(HJ_SS)_PFA(IS)_PB(Pr_IS)_PN(IS).pdf |
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