The Effect of Balance Training Using a Dynamometric Platform in Patients Undergoing Total Knee Arthroplasty
The Effect of Balance Training Using a Dynamometric Platform on Muscle Strength, Proprioception, Balance, and Gait in Patients Undergoing Total Knee Arthroplasty: A Single-Blind Randomized Controlled Trial
Ankara Etlik City Hospital
46 participants
May 1, 2025
INTERVENTIONAL
Conditions
Summary
Total knee arthroplasty (TKA) is a common surgery used to treat advanced knee osteoarthritis, especially when other treatments no longer help. While the surgery often reduces pain and improves joint alignment, many patients still have problems with balance and movement afterward. This study will explore whether adding balance training using the Tecnobody ProKin system to standard physical therapy helps patients recover better after TKA. The researchers will measure balance, walking ability, leg strength, and body awareness (also called proprioception) using special equipment. The main goal is to test the hypothesis that technology-supported balance training improves recovery outcomes more effectively than standard rehabilitation alone.
Eligibility
Inclusion Criteria3
- Patients who have undergone total knee arthroplasty within the past 2 years and are hospitalized at the Orthopedic Rehabilitation Clinic of Ankara Etlik City Hospital, Physical Therapy Hospital.
- Able to fully bear weight on the operated lower extremity in the third postoperative week.
- Willingness to participate and signing of the written informed consent form.
Exclusion Criteria12
- Bilateral knee arthroplasty
- Age under 18 years
- Receiving treatment at a physical therapy unit within the first 2 weeks after knee arthroplasty
- Presence of significant visual or hearing impairment, active infection
- Clinically unstable condition
- Presence of central nervous system lesions (e.g., stroke, multiple sclerosis)
- Presence of malignancy
- Presence of a fracture in the lower extremity
- Presence of any condition that would prevent participation in the treatment
- History of lumbar disc surgery
- History of previous surgery in the lower extremity
- Presence of advanced osteoarthritis in the non-operated lower extremity
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Interventions
Balance training using Tecnobody ProKin dynamometric platform, administered 5 sessions per week for 3 weeks in addition to standard rehabilitation.
The standard rehabilitation protocol includes cold pack application to the knee region, transcutaneous electrical nerve stimulation (TENS), quadriceps muscle stimulation, knee stretching, active-assisted and active range of motion (ROM) exercises, strengthening exercises for the knee extensors and hip abductors/extensors, gait training, and balance exercises. Each patient will undergo a total of 15 physical therapy sessions.
Locations(1)
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NCT07080814