Investigation of knee joint position sensation balance reaction time and function in individuals with knee osteoarthritis and unilateral total knee arthroplasty

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dc.contributor.authorYurttas, Ayse Nihal
dc.contributor.authorAraci, Ayca
dc.contributor.authorAkkoyun Sert, Ozlem
dc.contributor.authorIsmayilov, Toghrul
dc.date.accessioned2026-01-24T12:29:06Z
dc.date.available2026-01-24T12:29:06Z
dc.date.issued2025
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractObjective: The aim of this study was to evaluate and compare the joint position sense of individuals diagnosed with knee osteoarthritis (OA), unilateral total knee arthroplasty (TKA) for knee OA and healthy individuals and to examine the effect of joint position sense (JPS) on balance, physical performance, reaction time, kinesiophobia, pain stiffness and function. Method: Sixty participants (n = 20 per group) were assessed using the RateFastGonio (R) app for JPS at 15 degrees, 45 degrees, and 60 degrees, the Berg Balance Scale (BBS) for balance, the Nelson Foot Reaction Test for reaction time, time up and go (TUG) and Stair Climb Up and Down Test (SCUDT) for physical performance, the Tampa Scale for kinesiophobia, and the The Western Ontario and McMaster University Osteoarthritis Index (WOMAC) for pain, stiffness, and physical capacity. Results: The results revealed no statistically significant differences in JPS and reaction time across the three groups (p > 0.05). However, balance scores were significantly higher in healthy individuals compared to the OA and TKA groups (p < 0.05). Physical performance scores (TUG and SCUDT) were significantly better in the healthy group, with OA patients performing better than the TKA group (p < 0.05). Kinesiophobia, pain, stiffness, and functional impairment were all significantly lower in healthy participants (p < 0.05). While JPS values were not significantly correlated with most variables, a moderate, positive correlation was observed between JPS at 60 degrees and reaction time in the OA group, and between JPS at 15 degrees and TUG results in the healthy and OA groups. Conclusion: In conclusion, both TKA and OA negatively impact balance and physical performance and contribute to movement related fear. Although TKA affects JPS, it does not appear to enhance it. These findings highlight the need for preventive and rehabilitative interventions, including proprioceptive training, particularly given the growing elderly population.
dc.identifier.doi10.1177/10538127251387392
dc.identifier.issn1053-8127
dc.identifier.issn1878-6324
dc.identifier.pmid41143951
dc.identifier.scopus2-s2.0-105020052814
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1177/10538127251387392
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5133
dc.identifier.wosWOS:001602731400001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSage Publications Inc
dc.relation.ispartofJournal of Back and Musculoskeletal Rehabilitation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260121
dc.subjectTotal knee arthroplasty
dc.subjectknee joint position sensation
dc.subjectbalance
dc.subjectfunction
dc.subjectreaction time
dc.titleInvestigation of knee joint position sensation balance reaction time and function in individuals with knee osteoarthritis and unilateral total knee arthroplasty
dc.typeArticle

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