The Journal of Korean Physical Therapy

  • 제30권5호
  • /
  • Pages.159-165
  • /
  • 2018
  • /
  • 1229-0475(pISSN)
  • /
  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지
DOI QR코드

DOI QR Code

Effect of Game-Based Balance Training with CIMT on Pain, Muscle Strength, Range of Motion and Dynamic Balance in Female Patients with Total Knee Replacement

  • Lee, Hyo Bin (Department of Physical Therapy, Graduate School of Health and Medicine, Daejeon University) ;
  • Choi, Ho Suk (Department of Physical Therapy, College of Health and Medical Science, Daejeon University) ;
  • Shin, Won Seob (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 투고 : 2018.09.13
  • 심사 : 2018.10.31
  • 발행 : 2018.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The aims of this study were to determine if game-based training with constraint-induced movement therapy (CIMT) is effective in improving the balance ability in female patients with a total knee replacement, and to provide clinical knowledge of CIMT game-based training that allows the application of total knee replacement. Methods: Thirty-six patients who had undergone a total knee replacement were assigned randomly to CIMT game training (n=12), general game training (n=12), and self-exercise (n=12) groups. All interventions were conducted 3 times a week for 4 weeks. All patients used a continuous passive motion machine 5 times a week and 2 times a day for 4 weeks. The visual analog scale (VAS), muscle strength of knee flexion and extension, and range of motion (ROM) of knee flexion and extension were assessed, and the functional reach test (FRT), and timed up and go (TUG) test were performed to evaluate the balance ability. Results: All 3 groups showed significant improvement in the VAS, knee flexion and extension muscle strength, FRT, and TUG test after the intervention (p<0.05). Post hoc analysis revealed significant differences in FRT, and TUG of the CIMT game training group compared to the other group (p<0.05). Conclusion: Although the general game training and CIMT game training improved both the knee extension muscle strength and dynamic balance ability, CIMT game training had a larger effect on dynamic balance control.

키워드

참고문헌

  1. Cho WS, Youm YS, Yang BS. The causes of revision total knee arthroplasty. J Korean Orthop Assoc. 2007;42(2):216-20. https://doi.org/10.4055/jkoa.2007.42.2.216
  2. Boonstra MC, Schwering PJ, De Waal Malefijt MC et al. Sit-to-stand movement as a performance-based measure for patients with total knee arthroplasty. Phys Ther. 2010;90(2):149-56. https://doi.org/10.2522/ptj.20090119
  3. Hatfield GL, Hubley-Kozey CL, Wilson JLA et al. The effect of total knee arthroplasty on knee joint kinematics and kinetics during gait. J Arthroplasty. 2011;26(2):309-18. https://doi.org/10.1016/j.arth.2010.03.021
  4. Meretta BM, Whitney SL, Marchetti GF et al. The five times sit to stand test: Responsiveness to change and concurrent validity in adults undergoing vestibular rehabilitation. J Vestib Res. 2006;16(4, 5):233-43.
  5. Yoshida Y, Zeni Jr J, Snyder-Mackler L. Do patients achieve normal gait patterns 3 years after total knee arthroplasty? J Orthop Sports Phys Ther. 2012;42(12):1039-49. https://doi.org/10.2519/jospt.2012.3763
  6. Christensen JC, Mizner RL, Foreman KB et al. Quadriceps weakness preferentially predicts detrimental gait compensations among common impairments after total knee arthroplasty. J Orthop Res. 2018.
  7. Harato K, Nagura T, Matsumoto H et al. Extension limitation in standing affects weight-bearing asymmetry after unilateral total knee arthroplasty. J Arthroplasty. 2010;25(2):225-9. https://doi.org/10.1016/j.arth.2009.02.003
  8. Gage WH, Frank JS, Prentice SD et al. Postural responses following a rotational support surface perturbation, following knee joint replacement: frontal plane rotations. Gait Posture. 2008;27(2):286-93. https://doi.org/10.1016/j.gaitpost.2007.04.006
  9. Stratton G, Ridgers N. Energy expenditure in adolescents playing new generation computer games. Br J Sports Med. 2008;42(7):592-4.
  10. Lange B, Flynn S, Proffitt R et al. Development of an interactive gamebased rehabilitation tool for dynamic balance training. Top Stroke Rehabil. 2010;17(5):345-52. https://doi.org/10.1310/tsr1705-345
  11. Nitz J, Kuys S, Isles R et al. Is the Wii FitTM a new-generation tool for improving balance, health and well-being? A pilot study. Climacteric. 2010;13(5):487-91. https://doi.org/10.3109/13697130903395193
  12. Deutsch JE, Borbely M, Filler J et al. Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther. 2008;88(10):1196-207. https://doi.org/10.2522/ptj.20080062
  13. Baltaci G, Harput G, Haksever B et al. Comparison between Nintendo Wii Fit and conventional rehabilitation on functional performance outcomes after hamstring anterior cruciate ligament reconstruction: Prospective, randomized, controlled, double-blind clinical trial. Knee Surg Sports Traumatol Arthrosc. 2013;21(4):880-7. https://doi.org/10.1007/s00167-012-2034-2
  14. Fung V, Ho A, Shaffer J et al. Use of Nintendo Wii FitTM in the rehabilitation of outpatients following total knee replacement: a preliminary randomised controlled trial. Physiotherapy. 2012;98(3):183-8. https://doi.org/10.1016/j.physio.2012.04.001
  15. Kendall FP, McCreary EK, Provance PG et al. Muscles, testing and function: with posture and pain. Baltimore, Williams & Wilkins, 1993.
  16. Duncan PW, Weiner DK, Chandler J et al. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):192-7.
  17. Podsiadlo D, Richardson S. The timed "up & go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  18. Leach JM, Mancini M, Peterka RJ et al. Validating and calibrating the Nintendo Wii balance board to derive reliable center of pressure measures. Sensors. 2014;14(10):18244-67. https://doi.org/10.3390/s141018244
  19. Choi HS, Shin WS, Bang DH et al. Effects of game-based constraint-induced movement therapy on balance in patients with stroke: a single-blind randomized controlled trial. Am J Phys Med Rehabil. 2017;96(3):184-90. https://doi.org/10.1097/PHM.0000000000000567
  20. Numata K, Murayama T, Takasugi J et al. Effect of modified constraintinduced movement therapy on lower extremity hemiplegia due to a higher-motor area lesion. Brain Inj. 2008;22(11):898-904. https://doi.org/10.1080/02699050802425436
  21. Ding Q, Stevenson IH, Wang N et al. Motion games improve balance control in stroke survivors: a preliminary study based on the principle of constraint-induced movement therapy. Displays. 2013;34(2):125-31. https://doi.org/10.1016/j.displa.2012.08.004
  22. Cho WS, Ahn HS, Kim MY et al. Pain after total knee arthroplasty. J Korean Orthop Assoc. 2006;41(1):129-33. https://doi.org/10.4055/jkoa.2006.41.1.129
  23. Mahomed NN, Liang MH, Cook EF et al. The importance of patient expectations in predicting functional outcomes after total joint arthroplasty. J Rheumatol. 2002;29(6):1273-9.
  24. Wilson MG, Kelley K, Thornhill T. Infection as a complication of total knee-replacement arthroplasty. Risk factors and treatment in sixty-seven cases. J Bone Joint Surg Am. 1990;72(6):878-83. https://doi.org/10.2106/00004623-199072060-00013
  25. Kuster M, Sakurai S, Wood G. Kinematic and kinetic comparison of downhill and level walking. Clin Biomech. 1995;10(2):79-84. https://doi.org/10.1016/0268-0033(95)92043-L
  26. Hong SW, Wang TM, Lu TW et al. Redistribution of intra-and interlimb support moments during downhill walking on different slopes. J Biomech. 2014;47(3):709-15. https://doi.org/10.1016/j.jbiomech.2013.11.028
  27. Song CH, Shin WS, Lee KJ et al. The effect of a virtual reality-based exercise program using a video game on the muscle strength, balance and gait abilities in the elderly. J Korean Gerontol Soc. 2009;29(4):1261-75.
  28. Sung SC, Lee MG. Effects of resistance and balance exercise training on isokinetic function, postural stability, and balance efficacy in elderly women. Korean J Sport Sci. 2007;18(4):21-33. https://doi.org/10.24985/kjss.2007.18.4.21
  29. Lizaur A, Marco L, Cebrian R. Preoperative factors influencing the range of movement after total knee arthroplasty for severe osteoarthritis. J Bone Joint Surg Br. 1997;79(4):626-9. https://doi.org/10.1302/0301-620X.79B4.7242
  30. Bade MJ, Kittelson JM, Kohrt WM et al. Predicting functional performance and range of motion outcomes after total knee arthroplasty. American journal of physical medicine & rehabilitation/Association of Academic Physiatrists. 2014;93(7):579. https://doi.org/10.1097/PHM.0000000000000065
  31. Heller F, Beuret-Blanquart F, Weber J. Postural biofeedback and locomotion reeducation in stroke patients. Ann Readapt Med Phys. 2005;48:187-95. https://doi.org/10.1016/j.annrmp.2005.02.002
  32. Bateni H. Changes in balance in older adults based on use of physical therapy vs the wii fit gaming system: a preliminary study. Physiotherapy. 2012;98(3):211-6. https://doi.org/10.1016/j.physio.2011.02.004
  33. Sihvonen SE, Sipila S, Era PA. Changes in postural balance in frail elderly women during a 4-week visual feedback training: a randomized controlled trial. Gerontology. 2004;50(2):87-95. https://doi.org/10.1159/000075559
  34. Lee SR, Bae SS. Effects of virtual reality program on standing-balance in stroke with sensory deficit. Korean Soc Phys Med. 2010;5(1):63-70.

피인용 문헌

  1. Analysis of Research Trends Using G-power in Physiotherapy Research in Korea: Systematic Review vol.32, pp.2, 2018, https://doi.org/10.18857/jkpt.2020.32.2.114