Subject: Influence of elastic bandage on knee pain, proprioception, and postural sway in subjects with knee osteoarthritis



 

 


Journal List > Ann Rheum Dis > v.61(1); Jan 2002

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Hassan, B.

Mockett, S.

Doherty, M.


Ann Rheum Dis. 2002 January; 61(1): 24–28.

doi: 10.1136/ard.61.1.24.

PMCID: PMC1753880

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Influence of elastic bandage on knee pain, proprioception, and postural sway in subjects with knee osteoarthritis

B Hassan, S Mockett, and M Doherty

Academic Rheumatology, Clinical Sciences Building, University of Nottingham, City Hospital, Hucknall Road, Nottingham NG5 1PB, UK.


  This article has been cited by other articles in PMC.

Abstract

Objectives: To investigate whether a "standard" sized (that is, a size that would be prescribed by a physiotherapist) elastic bandage (S-bandage) around the knee of subjects with knee osteoarthritis (OA) would, in the short term (a) reduce pain, (b) improve knee joint proprioception, and (c) decrease sway in comparison with a looser (L-bandage).

Methods: In a cross over, within-subject study, 68 subjects (49 women, 19 men; mean age 67.1, range 36–87) with symptomatic and radiographic knee OA were randomly assigned to either an S-bandage or an L-bandage. Two weeks later they were assigned to the opposite bandage size. Knee pain (10 cm visual analogue scale (VAS)), knee proprioception, and static postural sway were assessed for each bandage two weeks apart. During each visit assessments were performed at baseline, after 20 minutes of bandage application, and immediately after bandage removal.

Results: The S-bandage did not have any effect on knee pain, proprioception, or postural sway. The L-bandage reduced knee pain significantly (pre-bandage application: median VAS 4.36, IQR 3.84 –4.90; after 20 minutes of bandage application: median VAS 3.80, IQR 3.3–4.3, p<0.001), improved static postural sway (pre-bandage: median sway 4.50, IQ range 3.5–6.4; bandage applied: median sway 4.45, IQ range 3.4–6.3, p=0.027), but had no significant influence on knee proprioception.

Conclusions: In subjects with knee OA application of an elastic bandage around the knee can reduce knee pain and improve static postural sway. This outcome depends on the size of applied bandage.

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Selected References

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  • Barrett DS, Cobb AG, Bentley G. Joint proprioception in normal, osteoarthritic and replaced knees. J Bone Joint Surg Br. 1991 Jan;73(1):53–56. [PubMed]
  • Jerosch J, Prymka M. Knee joint proprioception in normal volunteers and patients with anterior cruciate ligament tears, taking special account of the effect of a knee bandage. Arch Orthop Trauma Surg. 1996;115(3-4):162–166. [PubMed]
  • Jerosch J, Prymka M. Knee joint proprioception in patients with posttraumatic recurrent patella dislocation. Knee Surg Sports Traumatol Arthrosc. 1996;4(1):14–18. [PubMed]
  • Perlau R, Frank C, Fick G. The effect of elastic bandages on human knee proprioception in the uninjured population. Am J Sports Med. 1995 23(2):251–255.Mar–Apr; [PubMed]
  • Jerosch J, Prymka M, Castro WH. Proprioception of knee joints with a lesion of the medial meniscus. Acta Orthop Belg. 1996 Mar;62(1):41–45. [PubMed]
  • Burgess PR, Wei JY, Clark FJ, Simon J. Signaling of kinesthetic information by peripheral sensory receptors. Annu Rev Neurosci. 1982;5:171–187. [PubMed]
  • Clark FJ, Horch KW, Bach SM, Larson GF. Contributions of cutaneous and joint receptors to static knee-position sense in man. J Neurophysiol. 1979 May;42(3):877–888. [PubMed]
  • Clark FJ, Burgess RC, Chapin JW, Lipscomb WT. Role of intramuscular receptors in the awareness of limb position. J Neurophysiol. 1985 Dec;54(6):1529–1540. [PubMed]
  • Ferrell WR, Gandevia SC, McCloskey DI. The role of joint receptors in human kinaesthesia when intramuscular receptors cannot contribute. J Physiol. 1987 May;386:63–71. [PubMed]
  • Gandevia SC, McCloskey DI. Joint sense, muscle sense, and their combination as position sense, measured at the distal interphalangeal joint of the middle finger. J Physiol. 1976 Sep;260(2):387–407. [PubMed]
  • Gandevia SC, McCloskey DI, Burke D. Kinaesthetic signals and muscle contraction. Trends Neurosci. 1992 Feb;15(2):62–65. [PubMed]
  • Goodwin GM, McCloskey DI, Matthews PB. The contribution of muscle afferents to kinaesthesia shown by vibration induced illusions of movement and by the effects of paralysing joint afferents. Brain. 1972;95(4):705–748. [PubMed]
  • McCloskey DI. Differences between the senses of movement and position shown by the effects of loading and vibration of muscles in man. Brain Res. 1973 Oct 26;61:119–131. [PubMed]
  • Millar J. Joint afferent fibres responding to muscle stretch, vibration and contraction. Brain Res. 1973 Dec 7;63:380–383. [PubMed]
  • Kavounoudias A, Gilhodes JC, Roll R, Roll JP. From balance regulation to body orientation: two goals for muscle proprioceptive information processing? Exp Brain Res. 1999 Jan;124(1):80–88. [PubMed]
  • Raunest J, Sager M, Bürgener E. Proprioceptive mechanisms in the cruciate ligaments: an electromyographic study on reflex activity in the thigh muscles. J Trauma. 1996 Sep;41(3):488–493. [PubMed]
  • Rymer WZ, D'Almeida A. Joint position sense: the effects of muscle contraction. Brain. 1980 Mar;103(1):1–22. [PubMed]
  • Solomonow M, Baratta R, Zhou BH, Shoji H, Bose W, Beck C, D'Ambrosia R. The synergistic action of the anterior cruciate ligament and thigh muscles in maintaining joint stability. Am J Sports Med. 1987 15(3):207–213.May–Jun; [PubMed]
  • Maki BE, Perry SD, Norrie RG, McIlroy WE. Effect of facilitation of sensation from plantar foot-surface boundaries on postural stabilization in young and older adults. J Gerontol A Biol Sci Med Sci. 1999 Jun;54(6):M281–M287. [PubMed]
  • Corrigan JP, Cashman WF, Brady MP. Proprioception in the cruciate deficient knee. J Bone Joint Surg Br. 1992 Mar;74(2):247–250. [PubMed]
  • Skinner HB, Barrack RL, Cook SD. Age-related decline in proprioception. Clin Orthop Relat Res. 1984 Apr;(184):208–211. [PubMed]
  • Bellamy N. Pain assessment in osteoarthritis: experience with the WOMAC osteoarthritis index. Semin Arthritis Rheum. 1989 May;18(4 Suppl 2):14–17. [PubMed]
  • Horch KW, Clark FJ, Burgess PR. Awareness of knee joint angle under static conditions. J Neurophysiol. 1975 Nov;38(6):1436–1447. [PubMed]

 

Figures and Tables

 

Figure 1

Box plots showing knee pain (VAS) pre-bandage application and after 20 minutes of bandage application, for an S-bandage and an L-bandage.

 

Figure 2

Proprioception assessed pre-application, after 20 minutes of bandage application, and immediately after removal of bandage, for both bandage types.

 

Figure 3

Postural lateral sway at pre-application of bandage, after 20 minutes of bandage application, and upon removal of the bandage, for both bandage types.



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