Motor Learning in Knee Osteoarthritis Therapy - A New Rehabilitation Approach
- Project Number: LSC17_014
- Project Lead: Barbara Wondrasch, FH St. Pölten / Institute of Health Sciences
- Project Partner: Orthopaedic Hospital Vienna-Speising, Danube University Krems / Faculty of Health and Medicine, Karl Landsteiner University of Health Sciences / Division of Trauma Surgery (University Hospital St. Pölten)
- Duration: 36 months starting from 01.11.2018
Osteoarthrosis (OA) is a disease of the joint originating from the articular cartilage, the joint capsule and the subchondral bone and is the most common joint disease worldwide. The knee joint is most commonly affected and in addition to the individual impairments due to pain, reduced joint function and restrictions in daily life as well as in sports activities, OA also leads to very high socio-economic burdens (pain medication, operations and rehabilitation stays, sick leave, early retirement). The literature shows that the conservative therapy, and especially the physiotherapy, wins increasingly significance, as it leads to a short-term reduction of symptoms and improvement of the symptoms. The focus of physiotherapy includes on the one hand passive measures for improvement of cartilage metabolism, on the other hand, a neuromuscular training to improve the joint function.
In addition to the local changes in the joint structures in the knee joint, however, there are also changes in the central nervous system leading to altered movement behavior, which in turn increases the intra-articular load. Until now physiotherapy does not take have these central changes into account, maybe a reason for the unsatisfactory long-term results of the knee joint function.
Objective and content:
The local structural and central neuronal changes of VKB (anterior cruciate ligament insufficiency) patients and knee osteoarthritis patients are very similar; therefore, the aim of this project is to examine the influence of special feedback forms on the knee joint functions in patients with knee arthrosis.
A randomized clinical trial will be conducted with two groups of patients. The control group receives a standard physiotherapy program, while the intervention group with special physiotherapy program receives feedback techniques. The program is performed in the form of booster sessions, i.e. units over 3 months. For the evaluation, outcome parameters are used which are in line with the requirements of the international classification of Functioning, Disability and Health (ICF).