Static Balance Reliability Test with One Leg Stance Test in Knee Osteoarthritis Patients

Authors

  • Dwi Rosella Komalasari Universitas Muhammadiyah Surakarta
  • Shafira Rizky Nur Khairunnisa Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.35451/jkf.v6i1.1751

Keywords:

Reliabilitas, one leg stance test, lanjut usia, osteoarthritis lutut.

Abstract

Introduction: Osteoarthritis (OA) is the most common joint inflammation that often occurs in the knee region and its prevalence increases with age. The prevalence of knee OA is the highest compared to other regions. Static balance is one of the problems in OA patients which is evaluated by the One leg stance test, but the reliability of this measuring instrument for patients with knee OA has not been reported in Indonesia. Research objective: To determine the reliability of the intra rater and inter rater one leg stance test as a measure of static balance in patients with knee osteoarthritis. Materials and methods: The research method used was an observational study with a methodological research approach. There were 58 respondents who signed informed consent and were involved in this study. Results/findings: Intra rater reliability showed a very high internal consistency in both right and left eye open positions (?>0.9) with ICC=0.8-0.9. Whereas OLS in closed eyes shows moderate to low internal consistency and moderate ICC. The results of the inter-rater reliability analysis showed very high internal consistency and ICC for the right and left leg open eyes. Whereas in closed eyes it has internal consistency and moderate to high ICC for the right and left. Conclusion: The ability to maintain static balance in the closed eye position is something that is not easy for patients with knee OA to do, possibly due to pain and also reduced function in the elderly, this is indicated by the low consistency value for OLS in the closed eye position.

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References

Cui A, Li H, Wang D, Zhong J, Chen Y, Lu H. Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine. Dec 2020;29-30:100587. doi:10.1016/j.eclinm.2020.100587

Siddik M, Haryadi RD. The Risk Factors Effect of Knee Osteoarthritis Towards Postural Lateral Sway. Indian Journal of Forensic Medicine & Toxicology. 04/29 2020;14(2):1787-1792. doi:10.37506/ijfmt.v14i2.3196

Losina E, Weinstein AM, Reichmann WM, et al. Lifetime risk and age at diagnosis of symptomatic knee osteoarthritis in the US. Arthritis Care Res (Hoboken). May 2013;65(5):703-11. doi:10.1002/acr.21898

Peck J, Slovek A, Miro P, et al. A Comprehensive Review of Viscosupplementation in Osteoarthritis of the Knee. Orthop Rev (Pavia). 2021;13(2):25549. doi:10.52965/001c.25549

Mora JC, Przkora R, Cruz-Almeida Y. Knee osteoarthritis: pathophysiology and current treatment modalities. J Pain Res. 2018;11:2189-2196. doi:10.2147/jpr.S154002

Segal N, Glass N. Is Quadriceps Muscle Weakness a Risk Factor for Incident or Progressive Knee Osteoarthritis? The Physician and sportsmedicine. 11 2011;39:44-50. doi:10.3810/psm.2011.11.1938

Pristianto A, Adiputra N, Irfan M. Perbandingan Kombinasi Bergantian Senam Lansia Dan Latihan Core Stability Dengan Hanya Senam Lansia Terhadap Peningkatan Keseimbangan Statis Lansia. 2016;

Khalaj N, Abu Osman NA, Mokhtar AH, Mehdikhani M, Wan Abas WA. Balance and risk of fall in individuals with bilateral mild and moderate knee osteoarthritis. PLoS One. 2014;9(3):e92270. doi:10.1371/journal.pone.0092270

Dunsky A, Zeev A, Netz Y. Balance Performance Is Task Specific in Older Adults. Biomed Res Int. 2017;2017:6987017. doi:10.1155/2017/6987017

Chomiak T, Pereira FV, Hu B. The single-leg-stance test in Parkinson's disease. J Clin Med Res. Mar 2015;7(3):182-5. doi:10.14740/jocmr1878w

Mohd AK, Ismail S, Saleh AL. Contractor’s Performance Appraisal System in the Malaysian Construction Industry: Current Practice, Perception and Understanding. International Journal of Engineering & Technology. 07 2018;7:46. doi:10.14419/ijet.v7i3.9.15272

Koo TK, Li MY. A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med. Jun 2016;15(2):155-63. doi:10.1016/j.jcm.2016.02.012

Selvanathan M, Jayabalan N, Saini G, Supramaniam M, Hussain N. Employee Productivity in Malaysian Private Higher Educational Institutions. PalArch's Journal of Archaeology of Egypt/ Egyptology. 10 2020;17:66-79. doi:10.48080/jae.v17i3.50

Ng CT, Tan MP. Osteoarthritis and falls in the older person. Age and Ageing. 2013;42(5):561-566. doi:10.1093/ageing/aft070

Glass N, Segal NA, Sluka KA, et al. Examining sex differences in knee pain: the multicenter osteoarthritis study. Osteoarthritis Cartilage. Aug 2014;22(8):1100-6. doi:10.1016/j.joca.2014.06.030

Ana BM. Why Are Women More Prone to Osteoarthritis? Arthritis-health blog. February, 27 2023. https://www.arthritis-health.com/blog/why-are-women-more-prone-osteoarthritis

Chidi-Ogbolu N, Baar K. Effect of Estrogen on Musculoskeletal Performance and Injury Risk. Front Physiol. 2018;9:1834. doi:10.3389/fphys.2018.01834

Murphy LB, Helmick CG, Schwartz TA, et al. One in four people may develop symptomatic hip osteoarthritis in his or her lifetime. Osteoarthritis Cartilage. Nov 2010;18(11):1372-9. doi:10.1016/j.joca.2010.08.005

Tummala S, Schiphof D, Byrjalsen I, Dam EB. Gender Differences in Knee Joint Congruity Quantified from MRI: A Validation Study with Data from Center for Clinical and Basic Research and Osteoarthritis Initiative. Cartilage. Jan 2018;9(1):38-45. doi:10.1177/1947603516684590

Statistics OO. National Association of Diabetes and Digestive and Kidney Diseases. Accessed February 15, 2023, 2023. https://www.niddk.nih.gov/health-information/health-statistics/overweight-obesity

D'Lima DD, Fregly BJ, Patil S, Steklov N, Colwell CW, Jr. Knee joint forces: prediction, measurement, and significance. Proc Inst Mech Eng H. Feb 2012;226(2):95-102. doi:10.1177/0954411911433372

Teo I, Thompson J, Neo YN, Lundie S, Munnoch DA. Lower limb dominance and volume in healthy individuals. Lymphology. 2017;50(4):197-202.

Promsri A, Haid T, Werner I, Federolf P. Leg Dominance Effects on Postural Control When Performing Challenging Balance Exercises. Brain Sci. Feb 25 2020;10(3)doi:10.3390/brainsci10030128

Tsze DS, von Baeyer CL, Pahalyants V, Dayan PS. Validity and Reliability of the Verbal Numerical Rating Scale for Children Aged 4 to 17 Years With Acute Pain. Annals of Emergency Medicine. 2018;71(6):691-702.e3. doi:10.1016/j.annemergmed.2017.09.009

Antony J. PhD Thesis: Automatic quantification of radiographic knee osteoarthritis severity and associated diagnostic features using deep convolutional neural networks. 01 2018;

El-Sobkey S. Normative Values for One Leg Stance Balance Test in Population Based Sample of Community Dwelling Older People. Middle East Journal of Scientific Research. 01 2011;4:497-503.

Rodríguez-Sanz D, García-Sánchez A, Becerro-de-Bengoa-Vallejo R, et al. Eyes-Open Versus Eyes-Closed Somatosensory Motor Balance in Professional Soccer Players With Chronic Ankle Instability: A Case-Control Study. Orthop J Sports Med. Mar 2021;9(3):2325967120983606. doi:10.1177/2325967120983606

Anson E, Bigelow RT, Swenor B, et al. Loss of Peripheral Sensory Function Explains Much of the Increase in Postural Sway in Healthy Older Adults. Front Aging Neurosci. 2017;9:202. doi:10.3389/fnagi.2017.00202

Kaukinen PT, Arokoski JP, Huber EO, Luomajoki HA. Intertester and intratester reliability of a movement control test battery for patients with knee osteoarthritis and controls. J Musculoskelet Neuronal Interact. Sep 1 2017;17(3):197-208.

Tateuchi H. Gait- and postural-alignment-related prognostic factors for hip and knee osteoarthritis: Toward the prevention of osteoarthritis progression. Phys Ther Res. 2019;22(1):31-37. doi:10.1298/ptr.R0003

Wang WJ, Liu F, Zhu YW, Sun MH, Qiu Y, Weng WJ. Sagittal alignment of the spine-pelvis-lower extremity axis in patients with severe knee osteoarthritis: A radiographic study. Bone Joint Res. May 2016;5(5):198-205. doi:10.1302/2046-3758.55.2000538

Abe H, Matsunaga A, Watanabe H, et al. Sagittal spinopelvic alignment in the standing position associated with low back pain in patients with knee osteoarthritis. The Kitasato medical journal. 2018;48:9-15.

Do Nascimento JA, Silva CC, Dos Santos HH, de Almeida Ferreira JJ, de Andrade PR. A preliminary study of static and dynamic balance in sedentary obese young adults: the relationship between BMI, posture and postural balance. Clin Obes. Dec 2017;7(6):377-383. doi:10.1111/cob.12209

Rosic G, Milston AM, Richards J, Dey P. Fear of falling in obese women under 50?years of age: a cross-sectional study with exploration of the relationship with physical activity. BMC Obesity. 2019/03/04 2019;6(1):7. doi:10.1186/s40608-019-0230-z

Khasawneh RR, Allouh MZ, Abu-El-Rub E. Measurement of the quadriceps (Q) angle with respect to various body parameters in young Arab population. PLoS One. 2019;14(6):e0218387. doi:10.1371/journal.pone.0218387

Halvarsson A, Dohrn IM, Ståhle A. Taking balance training for older adults one step further: the rationale for and a description of a proven balance training programme. Clin Rehabil. May 2015;29(5):417-25. doi:10.1177/0269215514546770

Park HJ, Ko S, Hong HM, Ok E, Lee JI. Factors related to standing balance in patients with knee osteoarthritis. Ann Rehabil Med. Jun 2013;37(3):373-8. doi:10.5535/arm.2013.37.3.373

Congying L, Qiaoqin W, Weijiao Z, Xiaolin F, Shaomei S. Factors associated with balance function in patients with knee osteoarthritis: An integrative review. International Journal of Nursing Sciences. 2017;4(4):402-409. doi:https://doi.org/10.1016/j.ijnss.2017.09.002

Oddsson LIE, Bisson T, Cohen HS, et al. The Effects of a Wearable Sensory Prosthesis on Gait and Balance Function After 10 Weeks of Use in Persons With Peripheral Neuropathy and High Fall Risk - The walk2Wellness Trial. Front Aging Neurosci. 2020;12:592751. doi:10.3389/fnagi.2020.592751

Morioka S, Fukumoto T, Hiyamizu M, Matsuo A, Takebayashi H, Miyamoto K. Changes in the equilibrium of standing on one leg at various life stages. Curr Gerontol Geriatr Res. 2012;2012:516283. doi:10.1155/2012/516283

Underwood FB. Chapter 20 - Clinical Research and Data Analysis. In: Jeffrey DP, David AB, eds. Orthopaedic Physical Therapy Secrets (Third Edition). Third Edition ed. Elsevier; 2017:150-162.

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Published

2023-10-31

How to Cite

Dwi Rosella Komalasari, & Shafira Rizky Nur Khairunnisa. (2023). Static Balance Reliability Test with One Leg Stance Test in Knee Osteoarthritis Patients. JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF), 6(1), 26–38. https://doi.org/10.35451/jkf.v6i1.1751