Proprioception and Mechanoreceptors in Osteoarthritis: A Systematic Literature Review
Purpose: Osteoarthritis (OA) is one of the most common chronic diseases in the world. It is frequently accompanied by high levels of persistent pain, as well as substantial impairments in function and functional capacity. This review aims to systematically analyze the changes in proprioception and r...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/20/6623 |
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| author | Francesca Salamanna Silvio Caravelli Laura Marchese Melania Carniato Emanuele Vocale Giammarco Gardini Giulia Puccetti Massimiliano Mosca Gianluca Giavaresi |
| author_facet | Francesca Salamanna Silvio Caravelli Laura Marchese Melania Carniato Emanuele Vocale Giammarco Gardini Giulia Puccetti Massimiliano Mosca Gianluca Giavaresi |
| author_sort | Francesca Salamanna |
| collection | DOAJ |
| description | Purpose: Osteoarthritis (OA) is one of the most common chronic diseases in the world. It is frequently accompanied by high levels of persistent pain, as well as substantial impairments in function and functional capacity. This review aims to systematically analyze the changes in proprioception and related mechanoreceptors in OA patients. Methods: Studies from September 2013 to September 2023 were identified by conducting searches on the PubMed, Web of Science, and Scopus electronic databases following the PRISMA statement. One reviewer independently assessed and screened the literature, extracted the data, and graded the studies. The body of evidence underwent an evaluation and grading process using the ROBINS-I tool, which was specifically designed to assess the risk of bias in non-randomized studies of interventions. Results were summarized using descriptive methods. Results: A search through 37 studies yielded 14 clinical studies that were ultimately included. The primary focus of the studies was on the knee joint, particularly the posterior cruciate ligament (PCL). The studies found that PCL in OA patients had impaired proprioceptive accuracy, possibly due to changes in mechanoreceptors (Ruffini, Pacini, and Golgi Mazzoni corpuscles). This suggests that dysfunctional articular mechanoreceptors, especially in severe cases of OA, may contribute to reduced proprioception. Dynamic stabilometry also identified significant proprioceptive deficits in patients with knee articular cartilage lesions, underscoring the impact of such lesions on knee proprioception. Conclusions: Literature data have shown that proprioceptive accuracy may play an important role in OA, particularly in the knee PCL and cartilage. However, the role of proprioception and related mechanoreceptors needs to be further clarified. Future studies focusing on the relationship between proprioception, OA disease, and symptoms, considering age and gender differences, and exploring OA joints other than the knee should be conducted to improve clinical and surgical outcomes in cases where proprioception and mechanoreceptors are impaired in OA patients. |
| first_indexed | 2024-03-10T21:10:06Z |
| format | Article |
| id | doaj.art-a9e1960a0e044c0abcade0e6e0352582 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T21:10:06Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-a9e1960a0e044c0abcade0e6e03525822023-11-19T16:53:41ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011220662310.3390/jcm12206623Proprioception and Mechanoreceptors in Osteoarthritis: A Systematic Literature ReviewFrancesca Salamanna0Silvio Caravelli1Laura Marchese2Melania Carniato3Emanuele Vocale4Giammarco Gardini5Giulia Puccetti6Massimiliano Mosca7Gianluca Giavaresi8Surgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136 Bologna, ItalyIRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, ItalySurgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136 Bologna, ItalySurgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136 Bologna, Italy2nd Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy2nd Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy2nd Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, ItalyIRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, ItalySurgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136 Bologna, ItalyPurpose: Osteoarthritis (OA) is one of the most common chronic diseases in the world. It is frequently accompanied by high levels of persistent pain, as well as substantial impairments in function and functional capacity. This review aims to systematically analyze the changes in proprioception and related mechanoreceptors in OA patients. Methods: Studies from September 2013 to September 2023 were identified by conducting searches on the PubMed, Web of Science, and Scopus electronic databases following the PRISMA statement. One reviewer independently assessed and screened the literature, extracted the data, and graded the studies. The body of evidence underwent an evaluation and grading process using the ROBINS-I tool, which was specifically designed to assess the risk of bias in non-randomized studies of interventions. Results were summarized using descriptive methods. Results: A search through 37 studies yielded 14 clinical studies that were ultimately included. The primary focus of the studies was on the knee joint, particularly the posterior cruciate ligament (PCL). The studies found that PCL in OA patients had impaired proprioceptive accuracy, possibly due to changes in mechanoreceptors (Ruffini, Pacini, and Golgi Mazzoni corpuscles). This suggests that dysfunctional articular mechanoreceptors, especially in severe cases of OA, may contribute to reduced proprioception. Dynamic stabilometry also identified significant proprioceptive deficits in patients with knee articular cartilage lesions, underscoring the impact of such lesions on knee proprioception. Conclusions: Literature data have shown that proprioceptive accuracy may play an important role in OA, particularly in the knee PCL and cartilage. However, the role of proprioception and related mechanoreceptors needs to be further clarified. Future studies focusing on the relationship between proprioception, OA disease, and symptoms, considering age and gender differences, and exploring OA joints other than the knee should be conducted to improve clinical and surgical outcomes in cases where proprioception and mechanoreceptors are impaired in OA patients.https://www.mdpi.com/2077-0383/12/20/6623osteoarthritisproprioceptionmechanoreceptorsclinical studiessystematic review |
| spellingShingle | Francesca Salamanna Silvio Caravelli Laura Marchese Melania Carniato Emanuele Vocale Giammarco Gardini Giulia Puccetti Massimiliano Mosca Gianluca Giavaresi Proprioception and Mechanoreceptors in Osteoarthritis: A Systematic Literature Review Journal of Clinical Medicine osteoarthritis proprioception mechanoreceptors clinical studies systematic review |
| title | Proprioception and Mechanoreceptors in Osteoarthritis: A Systematic Literature Review |
| title_full | Proprioception and Mechanoreceptors in Osteoarthritis: A Systematic Literature Review |
| title_fullStr | Proprioception and Mechanoreceptors in Osteoarthritis: A Systematic Literature Review |
| title_full_unstemmed | Proprioception and Mechanoreceptors in Osteoarthritis: A Systematic Literature Review |
| title_short | Proprioception and Mechanoreceptors in Osteoarthritis: A Systematic Literature Review |
| title_sort | proprioception and mechanoreceptors in osteoarthritis a systematic literature review |
| topic | osteoarthritis proprioception mechanoreceptors clinical studies systematic review |
| url | https://www.mdpi.com/2077-0383/12/20/6623 |
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