Laçin Naz Taşcılar, Defne Kaya Utlu, Çetin Sayaca, Gökhan Polat, Ersin Kuyucu, Mehmet Emin Erdil

Is plantar foot sensation affected in patients with gonarthrosis

Objective: The aim of this study was to compare pain, plantar foot sensation, postural control, fear of movement, and functional level between women patients with early-stage gonarthrosis and those with late-stage gonarthrosis. Methods: A total of 62 women with gonarthrosis were included in the study. Patients were then divided into two groups: early- stage gonarthrosis group (31 women) and late-stage gonarthrosis group (31 women) according to Kellgren Lawrence criteria. Light touch-pressure sensation (Semmes Weinstein Monofilaments), two-point discrimination sensation (esthesiometer), and vibration sensation (128 Hz diapason) were used to evaluate plantar foot sensation. Pain intensity was assessed by the numeric rating scale, postural control by Berg balance scale, fear of movement by the Tampa kinesiophobia scale, functional mobility by the Timed Up and Go test and knee injury and osteoarthritis outcome score. Results: Early-stage patients were found to have higher light-touch pressure sensation on 1st metatarsal head of dominant side, 5th metatarsal head of non-dominant side, heel of non-dominant side than late stage patients. Early-stage patients had a higher sensation of vibration than late stage patients. The patients in the early stage were found to have higher two-point discrimination sensation on middle of dominant side, heel of dominant side, trans-metatarsal of non-dominant side, middle of non-dominant side, heel of non-dominant side than late stage. Postural control of early-stage patients were found to be higher than late-stage patients. Early-stage patients had lower kinesophobia and higher functional levels than late-stage patients. Conclusion: The light touch sensation, vibration sensation, and two-point discrimination deteriorated by the progression of the disease should be important criteria in patients with gonarthrosis

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1. Citaker S, Gunduz AG, Guclu MB, Nazliel B, Irkec C, Kaya D. Relation- ship between foot sensation and standing balance in patients with multi- ple sclerosis. Gait Posture. 2011;34(2):275-278. 10.1016/j.gaitpost.2011.05. 015
2. Zhang S, Li L. The differential effects of foot sole sensory on plantar pressure distribution between balance and gait. Gait Posture. 2013;37(4):532-535. 10. 1016/j.gaitpost.2012.09.012
3. Eils E, Behrens S, Mers O, Thorwesten L, Völker K, Rosenbaum D. Reduced plantar sensation causes a cautious walking pattern. Gait Posture. 2004;20 (1):54-60. 10.1016/S0966-6362(03)00095-X
4. Kafa N, Citaker S, Tuna Z, et al. Is plantar foot sensation associated with standing balance in type 2 diabetes mellitus patients. Int J Diabetes Dev Ctries. 2015;35(3):405-410. 10.1007/s13410-015-0396-y
5. Kars HJ, Hijmans JM, Geertzen JH, Zijlstra W. The effect of reduced somato- sensation on standing balance: A systematic review. J Diabetes Sci Technol. 2009;3(4):931-943. 10.1177/193229680900300441
6. Hussain SM, Neilly DW, Baliga S, Patil S, Meek R. Knee osteoarthritis: A review of man agement opt ions. Scott Med J. 2 01 6 ;61 (1 ) :7- 1 6. 1 0 . 11 7 7/ 0036933015619588
7. Kim HS, Yun DH, Yoo SD, et al. Balance control and knee osteoarthritis severity. Ann Rehabil Med. 2011;35(5):701-709. 10.5535/arm.2011.35.5.701
8. Khalaj N, Abu Osman NA, Mokhtar AH, George J, Wan Abas WAB. Effect of intra articular hyaluronic injection on postural stability and risk of fall in patients with bilateral knee osteoarthritis. ScientificWorld Journal. 2014;2014:815184.
9. Sánchezherán A, Agudo-Carmona D, Ferrer-Peña R, et al. Postural stability in osteoarthritis of the knee and hip: Analysis of association with pain catastrophizing and fear- avoidance beliefs. PMR. 2016;8(7):618-628. 10. 1016/j.pmrj.2015.11.002
10. Phinyomark A, Osis ST, Hettinga BA, Kobsar D, Ferber R. Gender differences in gait kinematics for patients with knee osteoarthritis. BMC Musculoskelet Dis- ord. 2016;17:157. 10.1186/s12891-016-1013-z
11. Bejek Z, Paróczai R, Illyés A, Kiss RM. The influence of walking speed on gait parameters in healthy people and in patients with osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2006;14(7):612-622. 10.1007/ s00167-005-0005-6
12. Altman R, Alarcón G, Appelrouth D, Bloch D, Borenstein D, Brandt K. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum. 1991;34(5):505-514. 10.1002/art. 1780340502
13. Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957;16(4):494-502. 10.1136/ard.16.4.494
14. Downie WW, Leatham PA, Rhind VM, Wright V, Branco JA, Anderson JA. Studies with pain rating scales. Ann Rheum Dis. 1978;37 4 :378-381. 10.1136/ ard.37.4.378
15. Semmes J, Weinstein S, Ghent L, Teuber H. Somatosensory Changes after Penetrating Brain Wounds in Man. Cambridge: Harvard University Press; 1960.
16. Akseki D, Erduran M, Özarslan S, Pınar H. Parallelism of vibration sense with proprioception sense in patients with patellofemoral pain syndrome: a pilot study. Eklem Hastalik Cerrahisi. 2010;21(1):23-30. 20302557
17. Periyasamy R, Manivannan M, Narayanamurthy VB. Correlation between two- point discrimination with other measures of sensory loss in diabetes mellitus patients. Int J Diabetes Dev Ctries. 2008;28(3):71-78. 10.4103/0973-3930.44076
18. Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: Validation of an instrument. Can J Public Health. 1992;83(2):7-11. 1468055
19. Sahin F, Yilmaz A, Ozmaden A, Kotevolu N, Sahin T, Kuran B. Reliability and validity of the Turkish version of the berg balance scale. J Geriatr Phys Ther. 2008;31(1):32-37. 10.1519/00139143-200831010-00006
20. Lundberg EKM, Styf J, Carlsson SG. Apsychometric evaluation of the tampa scale for kinesiophobia—From a physiotherapeutic perspective. Physiother Theory Pract. 2004;20(2):121-133. 10.1080/09593980490453002
21. Yılmaz ÖT, Yakut Y, Uygur F, Uluğ N. Turkish version of the tampa scale for kinesiophobia and its test-retest reliability. Fizyoter Rehabil. 2011;22(1):44-49.
22. Khalaj N, Abu Osman NA, Mokhtar AH, Mehdikhani M, Wan Abas WAB. Balance and risk of fall in individuals with bilateral mild and moderate knee osteoarthritis. PLoS One. 2014;9(3):e92270. 10.1371/journal.pone.0092270
23. Roos EM, Lohmander LS. The knee injury and osteoarthritis outcome score (KOOS): From joint injury to osteoarthritis. Health Qual Life Outcomes. 2003;1 (64 ):134.10.1186/1477-7525-1-64
24. Paker N, Buğdaycı D, Sabırlı F, Özel S, Ersoy S. Knee injury and osteoarthritis outcome score: Reliability and validation of the turkish version. Turkiye Klinik- leri J Med Sci. 2007;27:350-356.
25. Erdoğanoğlu Y, Yalçin B, Külah E, Kaya D. Is there a relationship between plantar foot sensation and static balance, physical performance, fear of falling, and quality of life in hemodialysis patients? Hemodialysis International. 2019;23 2 :273-278. 10.1111/hdi.12724
26. Rosenbaum D, Schmiegel A, Meermeier M, Gaubitz M. Plantar sensitivity, foot loading and walking pain in rheumatoid arthritis. Rheumatology. 2006;45 2 :212-214. 10.1093/rheumatology/kei137
27. Park JH. The effects of plantar perception training on balance and falls efficacy of the elderly with a history of falls: A single-blind, randomized controlled trial. Arch Gerontol Geriatr. 2018;77:19-23. 10.1016/j.archger. 2018.03.014
28. Wang TY, Lin SI. Sensitivity of plantar cutaneous sensation and postural stability. Clin Biomech. 2008;23(4):493-499. 10.1016/j.clinbiomech.2007.11.014
29. Menz HB, Morris ME, Lord SR. Foot and ankle risk factors for falls in older people: A prospective study. J Gerontol A Biol Sci Med Sci. 2006;61(8):866-870. 10.1093/gerona/61.8.866
30. Hafström A. Perceived and functional balance control is negatively affected by diminished touch and vibration sensitivity in relatively healthy older adults and elderly. Gerontol Geriatr Med. 2018;4 :1-10.
31. Hou PW, Fu PK, Hsu HC, Hsieh CL. Traditional chinese medicine in patients with osteoarthritis of the knee. J Tradit Complement Med. 2015;5(4):182-196. 10.1016/j.jtcme.2015.06.002
32. Takacs J, Carpenter MG, Garland SJ, Hunt MA. The role of neuromuscular changes in aging and knee osteoarthritis on dynamic postural control. Aging Dis. 2013;14(2):84-99. 23696951
33. Avelar NCP, Simão AP, Tossige-Gomes R, et al. The effect of adding whole-body vibration to squat training on the functional performance and self-report of disease status in elderly patients with knee osteoarthritis: A randomized, con- trolled clinical study. J Altern Complement Med. 2011;17(12):1149-1155. 10. 1089/acm.2010.0782
34. Lord SR, Clark RD, Webster IW. Postural stability and associated physiological factors in a population of aged persons. J Gerontol. 1991;46(3):M69-76. 10.1093/ geronj/46.3.M69
5. Takacs J, Carpenter MG, Garland SJ, Hunt MA. Factors associated with dy- namic balance in people with knee osteoarthritis. Arch Phys Med Rehabil. 2015;96(10):1873-1879. 10.1016/j.apmr.2015.06.014
36. Al-Khlaifat L, Herrington LC, Tyson SF, Hammond A, Jones RK. The effective- ness of an exercise programme on dynamic balance in patients with medial knee osteoarthritis: A pilot study. Knee. 2016;23(5):849-856. 10.1016/j.knee. 2016.05.006
37. Takacs J, Krowchuk NM, Goldsmith CH, Hunt MA. Factor analysis of the community balance and mobility scale in individuals with knee osteoarthritis. Physiother Res Int. 2017;22 e1675(4). 10.1002/pri.1675