슬관절 미세손상환자의 침치료에 관한 임상적 고찰

Clinical Study of Acupucture Effect on Microtraumatic Injuries of the Knee Joint

  • 우영민 (국립의료원 침구과) ;
  • 이진헌 (국립의료원 한방내과) ;
  • 김진문 (국립의료원 물리치료실) ;
  • 남영 (국립의료원 침구과)
  • Woo, Young-Min (Department of Acupuncture & Moxibustion, National Medical Center) ;
  • Lee, Jin-Heon (Department of Oriental Internal Medicine, National Medical Center) ;
  • Kim, Jean-Moon (Department of Physical Therapy, National Medical Center) ;
  • Nam, Young (Department of Acupuncture &Moxibustion, National Medical Center)
  • 투고 : 2000.10.30
  • 심사 : 2000.11.14
  • 발행 : 2000.12.20

초록

Objectives : This study was performed to evaluate the clinical effect of acupuncture on microtraumatic injuries of the knee joint. Methods : Among the outpatients with knee joint pain who visited to Department of Acupuncture & Moxibustion, National Medical Center from February 2000 to September 2000, we selected 15 cases that showed normal finding in both X-ray and neurological examination, and that were categorized into microtraumatic injuries by the physical examination based on the Cyriax's orthopedic medicine. During acupuncture therapy, the patients were ordered to move involved side actively. The effect was assessed through questionnaires of CNRS(Cincinnati Knee Rating System). Results : We investigated 11 female and 4 male patients. The most common distribution of age was 30's(40%). The most commom duration of symtoms was from 3 to 5 months(40%). The most common microtraumatic injury was pes anserinus bursitis(33.3%), and followed by iliotibial band friction syndrome(20%), and patellar tendinitis(20%). In the CNRS, the mean number of before treatment was 60.6 and after was 66.5. 10 cases among the 15 patients were improved(66.6%). Conclusions : These results suggest that the acupuncture therapy combined with active movements of involved side was effective treatment modality on microtraumatic injuries of the knee joint.

키워드

참고문헌

  1. 컴퓨터 작업자의 경견완장애 외국의 경견완장애 실태 및 관리현황 고경심
  2. 대한물리치료사학회지 v.12 no.1 Dr. Cyriax의 Orthopaedic Medicine에 관한 연구 구희서
  3. 대한한의학회지 v.9 퇴행성관절염에 대한 임상적 고찰 나창수;안병철
  4. 정형외과학 대한정형외과학회
  5. 대한산업의학회지 v.7 no.1 Cumulative trauma disorder-their recognition and ergonomic intervention 박동현
  6. 董氏奇穴鍼灸學 楊維傑
  7. 사지와 허리 통증의 실제적 접근 이중근
  8. 대한침구학회지 v.15 no.2 슬관절의 퇴행성관절염에 대한 고찰 장준혁;김경호
  9. 董氏奇穴集成 蔡禹錫
  10. 대한스포츠임상의학회지 v.2 no.1 슬관절의 해부 및 생역학 한대용
  11. 精校黃帝內經 홍원식
  12. Foot Ankle v.7 The biomechanics of lower extremity action in distance running Cavanagh, P.
  13. Thorofare Tendinitis and plantar fascitis in runners. In Prevention and treatment of running injuries Clancy, W.G.;D'ambrosia, R.;Drez, D.(eds.)
  14. diagnosis of soft tissue lesion(8th ed.) v.1 Text of orthopaedic medicine Cyriax, J.
  15. Illustrated manual of orthopaedic medicine Cyriax, J.H.;Cyriax, P.J.
  16. the Crucial ligaments Introduction:Principles of diagmosis and treatment Feagin, J.A.;feagin, J.A.(ed.)
  17. Rehabilitation of the knee: a problemsolving approach Sequential evaluation of the knee Greenfield, B.H.;Greenfield, B.H.(eds.)
  18. Introduction to overuse injuries v.6 Herring, S.A.;Nilson, K.L.
  19. Rehaof the knee:a problem-solving approach Rehabilitaion of Microtrauma injuries Johanson, M.A.;Donatell,i R.;Greenfield, B.H.;Greenfield, B.H.(eds.)
  20. Sports-induced inflammation : clinical and basic science concepts An introduction to sports-induced soft-tissue inflammation Leadbetter, W.B.;Buckwalter, J.A.;Gordon, S.L.(eds.)
  21. Orthopedic physical assessment.(3rd. ed.) Magee, D.J.
  22. Am J Sports Med. v.8 Iliotibial band friction syndrome in runners Noble, C.A.
  23. Spors Med. v.1 Functional disability in the anterior cruciate insufficient knee syndrome:Review of knee rating systems and projected risk factors in determining treatment Noyes, F.R.;McGinnis, G.H.;Mooar, L.A.
  24. Clin. Orthop. v.246 A rationale for assessing sports activity levels and limitations in knee disorders Noyes, F.R.;Barber, S.D.;Mooar, L.A.
  25. A system of orthopaedic medicine Ombregt, L.;Bisschop, P.;Ter veer HJ;Van de velde T
  26. Clin Sports Med. v.6 The chronically inflamed bursa Reilly, J.P.;Nicholas, J.A.
  27. J Bone & Joint Surg [Am] v.57 The iliotibial band friction syndrome Renne, J.W.
  28. Sports Med. v.2 Overuse injuries in sports: a review Renstrom, P.;Johnson, R.J.
  29. Am J Sports Med. v.6 Patellar tendinitis:jumper's knee Roles, J.
  30. Acta Radiol v.1 A hitherto unknown affection of the patellar in children Sinding-Larsen CMF;Kristina, M.D.
  31. Physical examination of the spine and extremities Hoppenfeld, S.
  32. Occupational medicine(3rd) Zenz, C.