Effects of proprioceptive neuromuscular facilitation and both sides up ball exercise on pain level, range of motion, muscle function after total knee arthroplasty

• Published in: Journal of exercise rehabilitation Vol. 20; no. 1; pp. 17 - 23
• Main Authors: Park, Keon-Ju, Seo, Tae-Beom, Kim, Young-Pyo
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Society of Exercise Rehabilitation 01-02-2024; 한국운동재활학회
• Subjects: Original; 심리과학; Total knee arthroplasty; Range of motion; Muscle function; Both sides up ball; Proprioceptive neuromuscular facil-itation; Proprioceptive neuromuscular facilitation
• ISSN: 2288-176X; 2288-1778
• DOI: 10.12965/jer.2448004.002

Knee osteoarthritis (OA) is a degenerative joint disease caused tearing and progressive wear of articular cartilage, and total knee arthroplasty (TKA) is recommended to patients with OA. The purpose of this study was to investigate the effect of proprioceptive neuromuscular facilita-tion (PNF) and both sides up ball (BOSU) exercises on pain, range of motion (ROM), and muscle function in patients following TKA. Ten par-ticipants who have limitation of the knee joint from TKA were divided into two groups: the continuous passive motion (CPM)+PNF exercise group (n=5) and the CPM+BOUS exercise group (n=5). Exercise reha-bilitation program consisted of PNF and BOSU exercises, and both ex-ercises were performed twice a day for 2 weeks. To examine effect of exercise rehabilitation, visual analogue scale (VAS), sit and reach flexi-bility, knee ROM, and Timed Up and Go test (TUG) were measured be-fore and after exercise intervention. A two-way repeated analysis of variance was used to confirm the main effect. If there was a significant interaction effect, an independent t-test between groups or a paired t-test between times was applied. VAS, sit and reach flexibility, knee ROM and TUG did not show interaction between the PNF and BOSU exercise groups, but all measured variables showed significant differ-ences over time. Present findings provide information that PNF and BOSU exercise rehabilitation after TKA might be an important part of ensuring successful surgical outcomes as they have a positive impact on reducing pain, increasing ROM, improving muscle strength, and en-hancing daily life movements.