Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests

Rheumatology (Oxford). 2002 Dec;41(12):1388-94. doi: 10.1093/rheumatology/41.12.1388.

Abstract

Objectives: To compare balance in individuals with symptomatic knee osteoarthritis (OA) and in age-, gender- and body-mass-matched controls using simple clinical measures.

Methods: Thirty-three people with OA and 33 controls participated. Static postural sway [antero-posterior (AP), lateral and total] was measured using a swaymeter on two different surfaces and under two visual conditions. Dynamic standing balance was assessed using the 'step test'.

Results: Both groups displayed similar postural sway on most variables measured. Significantly greater sway was noted in the OA group on a firm surface in both lateral (eyes open) and AP directions (eyes closed), as well as total sway (eyes closed) (P < 0.05). Poorer dynamic standing balance was observed in the OA group as evidenced by the step test (P < 0.0001).

Conclusions: Balance deficits can be identified in the osteoarthritic population using simple, inexpensive measures. However, the clinical relevance of the small deficits identified remains unknown and warrants further investigation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Case-Control Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis, Knee / complications*
  • Postural Balance*
  • Sensation Disorders / diagnosis
  • Sensation Disorders / etiology*