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Soares FDS, Foppa N, Dionisio VC. Could emotional and sensitization status affect postural sway in adults with knee osteoarthritis?. Physiother Res Int. 2021;e1928doi: 10.1002/pri.1928.
Soares, F. D. S., Foppa, N., & Dionisio, V. C. (2021). Could emotional and sensitization status affect postural sway in adults with knee osteoarthritis?. Physiotherapy research international : the journal for researchers and clinicians in physical therapy, e1928. https://doi.org/10.1002/pri.1928
Soares, Fabiana da Silva, et al. "Could emotional and sensitization status affect postural sway in adults with knee osteoarthritis?." Physiotherapy research international : the journal for researchers and clinicians in physical therapy vol. (2021): e1928. doi: https://doi.org/10.1002/pri.1928
Soares FDS, Foppa N, Dionisio VC. Could emotional and sensitization status affect postural sway in adults with knee osteoarthritis?. Physiother Res Int. 2021 Oct 29;e1928. doi: 10.1002/pri.1928. Epub 2021 Oct 29. PMID: 34714573.
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Physiother Res Int. 2021 Oct 29;e1928. doi: 10.1002/pri.1928. Epub 2021 Oct 29.

Could emotional and sensitization status affect postural sway in adults with knee osteoarthritis?.

Physiotherapy research international : the journal for researchers and clinicians in physical therapy

Fabiana da Silva Soares, Natalia Foppa, Valdeci Carlos Dionisio

Affiliations

  1. Physical Therapy Course, Federal University of Uberlandia, Uberlândia, Brazil.
  2. Doctor Program in Health Sciences, Faculty of Medicine, Federal University of Uberlândia, Uberlândia, Brazil.

PMID: 34714573 DOI: 10.1002/pri.1928

Abstract

BACKGROUND AND PURPOSE: The manipulation of sensory conditions and attentional demand affect the postural sway in older adults with knee osteoarthritis (KOA). However, it is not known if emotional and sensitization status affects postural sway in this population. This study aimed to test if older adults with mild and moderate knee osteoarthritis with symptoms of depression and high sensitization would change the profile of postural sway.

METHODS: Design: A cross-sectional study was undertaken.

PARTICIPANTS: The center of pressure parameters of 30 older adults with mild and moderate knee osteoarthritis and 15 healthy controls were evaluated under different conditions manipulating the visual and attentional demand. We used the pressure pain threshold to measure the sensitization status. Furthermore, we applied the Beck Depression Inventory index to assess emotional status.

RESULTS: Manipulating the visual demand affected the center of pressure parameters for both groups, without differences between them. Compared to the healthy control group, the knee osteoarthritis group presented with worse scores on the Beck Depression Inventory, lower pressure pain threshold scores, and the correlations between the symptoms of depression and sensitization status ranged from weak to moderate. Finally, in the knee osteoarthritis group, we observed few and weak significant associations between the center of pressure parameters and the Beck Depression Inventory and the pressure pain threshold scores.

DISCUSSION: Emotional and sensitization status seem not to be more associated with the center of pressure of older adults with mild to moderate KOA than healthy adults. Thus, it suggests that this population can safely maintain postural sway, irrespective of depression symptoms and high sensitization.

© 2021 John Wiley & Sons Ltd.

Keywords: central sensitization; depression; knee osteoarthritis; postural balance

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