Journals / Journal of Kocaeli Health and Technology University / 2026 / Cilt: 3 Sayı: 2

Evaluation Of Lower Extremity Function, Balance And Daily Life Activities In Patients Applied To The Clinic With Complaint Of Knee

Diz Şikayeti İle Kliniğe Başvuran Olgularda, Alt Ekstremite Fonksiyonu, Denge ve Günlük Yaşam Aktivitelerinin Değerlendirilmesi

Taha Ayberk Erdoğan(İSTANBUL MEDİPOL ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ ENSTİTÜSÜ)0000-0003-1023-2561
Devrim Tarakcı(İSTANBUL MEDİPOL ÜNİVERSİTESİ)0000-0001-9804-368X
Pages
1–13
Publication Date
2025-08-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The evaluation content of the software that can be developed should include criteria including dynamic and static balance, proprioception, ADL and functional skills.

📌 3 Key Takeaways

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Objective & Hypothesis:The aim of this study was to evaluate the effects of the most common knee pathologies in individuals on balance and proprioception, functionality, activities of daily living and quality of life.
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Key Findings & Data:In our study, 304 patients aged between 30 and 65 years old were divided into three groups according to their diagnoses; osteoarthritis (OA) group, meniscal tear (MT) group and anterior-posterior cruciate ligament (ACL-PCL) group.
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Conclusion & Impact:The evaluation content of the software that can be developed should include criteria including dynamic and static balance, proprioception, ADL and functional skills.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Denge · Diz Yaralanması · Fonksiyonellik

Abstract

The aim of this study was to evaluate the effects of the most common knee pathologies in individuals on balance and proprioception, functionality, activities of daily living and quality of life. In our study, 304 patients aged between 30 and 65 years old were divided into three groups according to their diagnoses; osteoarthritis (OA) group, meniscal tear (MT) group and anterior-posterior cruciate ligament (ACL-PCL) group. Pain and activities of daily living were evaluated with “Knee Injury and Osteoarthritis Outcome Score” (KOOS-KNEE) and “Knee Outcome Survey Activities of Daily Living Scale” (KOS-ADLS). Balance and proprioception were evaluated with “Berg Balance Scale” (BBS), “Single Leg Stand Test” (SLST) and also for the evaluation of functional abilities “Time Up and Go Test” (TUG), “Five Times Sit to Stant Test” (FTSTS), and “Functional Reach Test” (FRT) were used. There was no statistically significant difference in all evaluation between groups (p>0,05). There were statistically significant correlations in all subscales of KOOS-KNEE, between BBS scores and functional abilities measurement, between BBS and KOS-ADLS scores within groups (p<0,05). The statisttically significant correlations was found between Activity Daily living (ADL) and functional abilities measurements in OA and MT groups (p<0,05). Pain and ADL scores in the ACL-PCL group was better. Proprioception was decreased in all groups, and balance and risk of falling were increased. Establishing and maintaining dynamic balance has become difficult in all pathologies. When the study data is compared with the literature, it shows that the evaluation of individuals through web-based systems can be done by health professionals. The evaluation content of the software that can be developed should include criteria including dynamic and static balance, proprioception, ADL and functional skills.

Özet

Çalışmamız bireylerde en çok görülen diz patolojilerinin, denge ve propriosepsiyon, fonksiyonellik, günlük yaşam aktiviteleri ve yaşam kalitesi üzerine etkisini değerlendirmeyi amaçlamaktadır. 30-65 yaş arasındaki 304 hasta, aldıkları tanılara göre osteoartrit (OA), menisküs yırtığı (MY) ve ön-arka çapraz bağ (ÖÇB-AÇB) grupları olacak şekilde 3 gruba ayrıldı. Ağrı ve günlük yaşam aktiviteleri değerlendirmesi için “Diz Yaralanma ve Osteoartrit Sonuç Skoru” ve “Günlük Yaşam Uğraşlarına İlişkin Diz Testi”, denge ve propriosepsiyon değerlendirmesi için “Berg Denge Ölçeği” ve “Tek Ayak Üzerinde Durma Testi”, fonksiyonel yetenekler değerlendirmesi için “Zamanlı Kalk Yürü Testi”, “5 Defa Otur Kalk Testi” ve “Fonksiyonel Uzanma Testi” web tabanlı sistemler ile online randevu oluşturulup uygulandı. Demografik veriler kişisel bilgi formu ile toplanmıştır. Tüm değerlendirmelerde gruplar arasında istatistiksel olarak anlamlı düzeyde fark bulunamamıştır (p>0,05). Her üç grup içi değişkenler arasındaki ilişkilere bakıldığında; KOOS-Diz tüm alt başlıkları arasında istatistiksel olarak anlamlı düzeyde ilişki, BDÖ ile fonksiyonel yetenek testlerinin skorları arasında istatistiksel anlamlı ilişki, BDÖ ile KOS-ADLS skorları arasında anlamlı ilişki bulunmuştur (p<0,05). Günlük yaşam aktiviteleri (GYA) ve fonksiyonel yetenek testleri skorları arasındaki ilişkiye bakıldığında MY ve OA grubunda istatistiksel olarak anlamlı düzeyde ilişki saptanmıştır (p<0,05). ÖÇB-AÇB grubunun ağrı ve GYA skorları daha üstündü. Tüm gruplarda propriosepsiyon azalmış olup denge ve düşme riski artmıştır. Dinamik dengenin sağlanması ve sürdürülmesi tüm patolojilerde zorlaşmıştır. Çalışma verilerinin literatür ile karşılaştırıldığında web tabanlı sistemler üzerinden bireylerin değerlendirmelerinin sağlık çalışanları tarafından yapılabileceğini göstermektedir. Geliştirilebilecek yazılımların değerlendirme içeriği olarak dinamik ve statik denge, propriosepsiyon, GYA ve fonksiyonel becerileri içeren ölçütleri içermelidir.

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Cite This Article

Erdoğan, T. A., Tarakcı, D. (2025). Evaluation Of Lower Extremity Function, Balance And Daily Life Activities In Patients Applied To The Clinic With Complaint Of Knee. Journal of Kocaeli Health and Technology University, Cilt: 3 Sayı: 2, 1–13. https://doi.org/10.66163/jokohtu.1394190

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References (42)

  1. Suri, P., Morgenroth, D.C., Hunter, D.J. (2012). Epidemiology of osteoarthritis and associated comorbidities. American Academy of Physical Medicine and Rehabilitation, 4, S10-S19. https://doi.org/10.1016/j.pmrj.2012.01.007. PMID: 22632687.
  2. Candan, A. Z. (2015). Fizyoterapi ve Rehabilitasyon. In A. ZC (Ed.), Fizyoterapi ve Rehabilitasyon, (2 ed., pp. 91-100).
  3. Caamaño MDC, García-Padilla S, Duarte-Vázquez MÁ, González-Romero KE, Rosado JL. A. (2017). A double-blind, active-controlled clinical trial of sodium bicarbonate and calcium gluconate in the treatment of bilateral osteoarthritis of the knee. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders 10, 1179544116688899. https://doi.org/10.1177/1179544116688899.
  4. Sanders, T.L, Maradit Kremers, H., Bryan, A.J., Larson, D.R., Dahm, D.L., Levy, B.A., Stuart, M.J., Krych, A.J. (2016). Incidence of anterior cruciate ligament tears and reconstruction: a 21-year population-based study. The American Journal of Sports Medicine, 44(6), 1502-1507.
  5. Cook, C. (2012). Orthopedic manual therapy: an evidence- based approach. Prentice Hall Upper Saddle River, NJ.
  6. Race, A., & Amis, A. A. (1994). The mechanical properties of the two bundles of the human posterior cruciate ligament. Journal of Biomechanics, 27(1), 13-24. https://doi.org/https://doi.org/10.1016/0021-9290(94)90028-0
  7. Blake, M. H., & Johnson, D. L. (2018). Knee meniscus injuries: common problems and solutions. Clinics in sports medicine, 37(2), 293-306. https://doi.org/10.1016/j.csm.2017.12.007
  8. Kisner, C., Colby, L. A., & Borstad, J. (2017). Therapeutic exercise: foundations and techniques. Fa Davis.
  9. Getgood, A., vd. (2010). (v) Meniscal tears, repairs and replacement–a current concepts review. Orthopaedics and Trauma 24(2), 121-128. https://doi.org/10.1016/j.mporth.2010.03.011
  10. Sharma, L. J. R. D. C. (1999). Proprioceptive impairment in knee osteoarthritis. Rheumatic Disease Clinics, 25(2), 299-31
  11. Proske, U., & Gandevia, S. C. J. P. r. (2012). The proprioceptive senses: their roles in signaling body shape, body position and movement, and muscle force. American Physiological Society Journals 92(4), 1651-1697.
  12. Knoop, J., Steultjens, M. P. M., Van der Leeden, M., Van der Esch, M., Thorstensson, C. A., Roorda, L. D.,. & Dekker, J. (2011). Proprioception in knee osteoarthritis: a narrative review. Osteoarthritis and Cartilage 19(4), 381-388. https://doi.org/10.1016/j.joca.2011.01.003
  13. Trombetti, A., Reid, K. F., Hars, M., Herrmann, F. R., Pasha, E., Phillips, E. M., & Fielding, R. A. (2016). Age-associated declines in muscle mass, strength, power, and physical performance: impact on fear of falling and quality of life. Osteoporosis ınternational, 27(2), https://doi.org/463-471. 10.1007/s00198-015-3236-5
  14. Kozinc, Ž., Löfler, S., Hofer, C., Carraro, U., & Šarabon, N. (2020). Diagnostic balance tests for assessing risk of falls and distinguishing older adult fallers and non-fallers: a systematic review with meta-analysis. Diagnostics, 10(9), 667. https://doi.org/10.3390/diagnostics10090667
  15. Filbay, S.R, Ackerman, I.N., Russell, T.G., Crossley, K.M. (2017). Return to sport matters—longer‐term quality of life after ACL reconstruction in people with knee difficulties. Scandinavian Journal of Medicine & Science in Sports, 27(5), 514-524. https://doi.org/10.1111/sms.12698
  16. Heiden, T.L., Lloyd, D.G., Ackland, T.R. (2009). Knee joint kinematics, kinetics and muscle co-contraction in knee osteoarthritis patient gait. Clinical Biomechanics, 24(10), 833-841. https://doi.org/10.1016/j.clinbiomech.2009.08.005
  17. Sabırlı, N. P. D. B. F., & Ersoy, S. Ö. S. (2007). Knee Injury and Osteoarthritis Outcome Score: reliability and validation of the Turkish version. Turkiye Klinikleri Journal of Medical Sciences, 27(3), 350-356.
  18. Evcik D, Ay S, Ege A, Turel A, Kavuncu V. (2009). Adaptation and validation of Turkish version of the knee outcome survey-activities for daily living scale. Clinical Orthopaedics and Related Research, 467(8), 2077-2082. https://doi.org/10.1007/s11999-009-0826-6
  19. Sahin F, Yilmaz F, Ozmaden A, Kotevolu N, Sahin T, Kuran B. (2008). Reliability and validity of the Turkish version of the Berg Balance Scale. J Geriatr Phys Ther. 31(1):32-7. https://doi.org/ 10.1519/00139143-200831010
  20. Zumbrunn T, MacWilliams BA, Johnson BA. (2011). Evaluation of a single leg stance balance test in children. Gait & Posture, 34(2), 174-177. https://doi.org/10.1016/j.gaitpost.2011.04.005
  21. Kear BM, Guck TP, McGaha AL. (2017). Timed Up and Go (TUG) test: normative reference values for ages 20 to 59 years and relationships with physical and mental health risk factors. Journal of primary care & community health, 8(1), 9-13. https://doi.org/10.1177/2150131916659282
  22. Vitaloni M, Botto-van Bemden A, Sciortino Contreras RM, Scotton D, Bibas M, Quintero M, Monfort J, Carné X, de Abajo F, Oswald E, Cabot MR, Matucci M, du Souich P, Möller I, Eakin G, Verges J (2019). Global management of patients with knee osteoarthritis begins with quality of life assessment: a systematic review. BMC Musculoskeletal Disorders, 20(1), 493. https://doi.org/10.1186/s12891-019-2895-3
  23. Lam, K.C., Thomas, S.S., Valier, A.R.S., McLeod, T.C.V., Bay, R.C. (2017). Previous knee injury and health-related quality of life in collegiate athletes. Journal of Athletic Training, 52(6), 534-540. doi: 10.4085/1062-6050-50.5.01
  24. Lohmander, L.S., Ostenberg, A., Englund, M., Roos, H. (2004). High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. American College of Rheumatology 50(10), 3145-3152. https://doi.org/10.1002/art.20589
  25. Lohmander, L.S., Englund, P.M., Dahl, L.L., Roos, E.M. (2007). The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. The American Journal of Sports Medicine, 35(10), 1756-1769. https://doi.org/10.1177/0363546507307396
  26. Logerstedt, D.S., Zeni, J. Jr, Snyder-Mackler, L. (2014). Sex Differences in Patients With Different Stages of Knee Osteoarthritis. Archives of Physical Medicine and Rehabilitation, 95(12), 2376-2381. https://doi.org/https://doi.org/10.1016/j.apmr.2014.07.414
  27. Goodwin, P.C., Morrissey, M.C., Omar, R.Z., Brown, M., Southall, K., McAuliffe, T.B. (2003). Effectiveness of Supervised Physical Therapy in the Early Period After Arthroscopic Partial Meniscectomy. Physical Therapy, 83(6), 520-535. https://doi.org/10.1093/ptj/83.6.520
  28. Bennell, K., Dobson, F. and Hinman, R. (2011), Measures of physical performance assessments: Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (6MWT), Chair Stand Test (CST), Timed Up & Go (TUG), Sock Test, Lift and Carry Test (LCT), and Car Task. Arthritis Care Res, 63: S350-S370. https://doi.org/10.1002/acr.20538
  29. Büyükafşar, E., Başar, S., Kanatli, U. (2020). Proprioception following the Anterior Cruciate Ligament Reconstruction with Tibialis Anterior Tendon Allograft. J Knee Surg, 33(07), 722-727. https://doi.org/10.1055/s-0039-1684010
  30. Park, J.H., Jeong, W.K., Lee, J.H., Cho, J.J., Lee, D.H. (2015). Postural stability in patients with anterior cruciate ligament tears with and without medial meniscus tears. Knee Surg Sports Traumatol Arthrosc, 23(1), 240-245. https://doi.org/10.1007/s00167-013-2675-9
  31. Kosy, J. D., & Mandalia, (2018). Anterior cruciate ligament mechanoreceptors and their potential importance in remnant-preserving reconstruction: a review of basic science and clinical findings. The Journal Of Knee Surgery 31(08), 736-746.
  32. Sazo-Rodríguez S, Méndez-Rebolledo G, Guzmán-Muñoz E, Rubio-Palma P. (2017). The effects of progressive neuromuscular training on postural balance and functionality in elderly patients with knee osteoarthritis: a pilot study. Journal of Physical Therapy Science, 29(7), 1229-1235. https://doi.org/10.1589/jpts.29.1229
  33. Palm H.G., Laufer, C., von Lübken, F., Achatz, G., Friemert, B. (2010). Beeinträchtigen Meniskusverletzungen den stabilen Stand? [Do meniscus injuries affect postural stability?]. Orthopade, 39(5), 486-494. https://doi.org/10.1007/s00132-009-1578-4
  34. Clark, R.A., Howells, B., Feller, J., Whitehead, T., Webster, K.E. (2014). Clinic-Based Assessment of Weight-Bearing Asymmetry During Squatting in People With Anterior Cruciate Ligament Reconstruction Using Nintendo Wii Balance Boards. Archives of Physical Medicine and Rehabilitation, 95(6), 1156-1161. https://doi.org/https://doi.org/10.1016/j.apmr.2014.02.024
  35. McVeigh, F., & Pack, S. M. J. J. o. s. r. (2015). An exploration of sports rehabilitators’ and athletic rehabilitation therapists’ views on fear of reinjury after anterior cruciate ligament reconstruction. Journal Of Sports Rehabilitation 24(2), 140-150. https://doi.org/10.1123/jsr.2014-0127
  36. Good, L., Roos, H., Gottlieb, D.J., Renström, P.A., Beynnon, B.D. (1999). Joint position sense is not changed after acute disruption of the anterior cruciate ligament. Acta Orthopaedica Scandinavica 70(2), 194-198. https://doi.org/10.3109/17453679909011261
  37. Eitzen I, Moksnes H, Snyder-Mackler L, Risberg MA. (2010). A progressive 5-week exercise therapy program leads to significant improvement in knee function early after anterior cruciate ligament injury. The Journal of orthopaedic and sports physical therapy, 40(11), 705–721. https://doi.org/10.2519/jospt.2010.3345
  38. Hinman, R. S., Bennel, B., Metcalf, B.R., Cossley, K.M. (2002). Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatology, 41(12), 1388-1394. https://doi.org/10.1093/rheumatology/41.12.1388
  39. Khalaj, N., Abu Osman, N.A., Mokhtar, A.H., Mehdikhani, M., Wan Abas, W.A. (2014). Balance and risk of fall in individuals with bilateral mild and moderate knee osteoarthritis. PLoSONE 9(3), e92270. https://doi.org/10.1371/journal.pone.0092270
  40. Akgül, A., Tarakci, E., Arman, N., Büyükkaya, F., Irmak, H. S., & Karaaslan, T. (2018). Yaşlılarda denge, mobilite ve düşmenin değerlendirilmesi. Türkiye Klinikleri. Tip Bilimleri Dergisi, 38(1), 94-98. https://doi.org/10.5336/medsci.2018-59723
  41. Caamaño MDC, García-Padilla S, Duarte-Vázquez MÁ, González-Romero KE, Rosado JL. A. (2017). A double-blind, active-controlled clinical trial of sodium bicarbonate and calcium gluconate in the treatment of bilateral osteoarthritis of the knee. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders 10, 1179544116688899. https://doi.org/10.1177/1179544116688899.
  42. Knoop, J., Steultjens, M. P. M., Van der Leeden, M., Van der Esch, M., Thorstensson, C. A., Roorda, L. D.,. & Dekker, J. (2011). Proprioception in knee osteoarthritis: a narrative review. Osteoarthritis and Cartilage 19(4), 381-388. https://doi.org/10.1016/j.joca.2011.01.003