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Impaired proprioception and osteoarthritis

L Sharma, Y C Pai

    Current Opinion in Rheumatology
    |May 1, 1997
    PubMed
    Summary

    Osteoarthritis (OA) may worsen with age due to declining joint position sense (proprioception). Impaired proprioception can affect gait and stair walking, but more research is needed to understand this relationship.

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    Area of Science:

    • Biomechanics
    • Neurology
    • Gerontology

    Background:

    • Osteoarthritis (OA) prevalence increases with age, potentially linked to declining neuromechanical factors like joint position sense (proprioception).
    • Studies indicate poorer knee proprioception in OA patients compared to controls.
    • Functional deficits associated with impaired proprioception include reduced gait velocity and stride length.

    Purpose of the Study:

    • To explore the relationship between proprioception and osteoarthritis.
    • To highlight the need for longitudinal studies to establish causality.
    • To investigate the role of sensory input in muscle activity related to OA.

    Main Methods:

    • Review of existing cross-sectional studies on proprioception in OA patients.
    • Comparison of proprioception deficits in OA with other conditions like hypermobility and anterior cruciate ligament insufficiency.
    • Discussion of potential interventions to enhance proprioception, such as orthoses and muscle training.

    Main Results:

    • Knee proprioception is demonstrably worse in individuals with knee OA.
    • Impaired proprioception may lead to functional impairments in gait and mobility.
    • Proprioception deficits are also observed in other musculoskeletal conditions.

    Conclusions:

    • Proprioception impairment may be a contributing factor or a consequence of OA.
    • Longitudinal research is crucial to determine the cause-and-effect relationship and the role of proprioception in OA progression.
    • Further investigation into sensory-motor control in OA is warranted.

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