A Case Study on Lower Extremity Muscle of Elderly with Osteoarthritis in Ultrasonic Image

초음파영상에서 골관절염을 가진 노인의 하지 근육에 대한 사례연구

  • Yoon, Se-Won (Department of Physical Therapy, Kwangju Women's University) ;
  • Park, Soo-Ji (Department of Physical Therapy, Kwangju Women's University) ;
  • Lee, Jeong-Woo (Department of Physical Therapy, Graduate School, Kwangju Women's University)
  • 윤세원 (광주여자대학교 물리치료학과) ;
  • 박수지 (광주여자대학교 물리치료학과) ;
  • 이정우 (광주여자대학교 일반대학원 물리치료학과)
  • Published : 2013.12.02

Abstract

■ Objectives The purpose of the this study was to investigate organization change(pennation angle) of lower extremity muscle in elderly with knee osteoarthritis through ultrasonic image. Also, we examined organizational change of muscle was by influenced after total knee replacement(TKR). ■ Methods Rectus femoris image was taken at 50% of the distance between the anterior superior iliac spine and the superior border of the patella. Vastus medialis image was taken at the most distal insertion level of vastus medialis on the medial border of the patella. measurements included the most distal insertion level of the vastus medialis on the medial border of the patella. ■ Results Change of pennation angle in rectus femoris showed decrease from 5.11° in preoperation to 4.29° in 1 week after operation. Change of pennation angle in vastus medialis showed decrease from 6.94° in preoperation to 5.76° in 1 week after operation. ■ Conclusion We consider decrease of pennation angle after total knee replacement in this study was casued by organizational change of muscle and this pennation angle was influenced force created by muscle. Therefore, we thinks that this pennation angle through ultrasonic image will be available to plane individual muscle exercise program and to confirm muscle mass by muscle strength training.

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