Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effects of Therapeutic exercise with Electrical Stimulation on Pain, Range of motion, Muscle strength in patients after Anterior Cruciate Ligament Reconstruction

전기자극치료를 동반한 운동치료가 전방십자인대 재건술 환자의 통증, 관절가동범위, 근력에 미치는 영향

  • Received : 2018.10.11
  • Accepted : 2019.02.01
  • Published : 2019.02.28
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Abstract

This study was to investigate the effect of therapeutic exercise with electrical stimulation on knee joint pain, range of motion and muscle strength in patients who underwent anterior cruciate ligament reconstruction. The subjects of this study were recruited who diagnosed with anterior cruciate ligament rupture and undergoing anterior cruciate ligament reconstruction, total of 20 patients were randomly divided to the 10 control groups and 10 experimental groups. The therapeutic exercise was carried out for 3 weeks with three exercises made by referring to the previous study. The measurement tools used were knee joint pain measurements were made using the visual analogue scale, range of motion was measured using a goniometer, and the muscle strength was measured using a handheld dynamometer. In the statistical analysis, to compare about pre and post test the difference in each same groups was accomplished by using the paired t-test, and compare the difference between the different each groups was accomplished by using the independent t-test. The results of the study showed that the experimental group showed significantly enhanced results than the control group(p<.05). Based on these results, it is concluded that it is effective for the recovery of the patient if the therapeutic exercise with electrical stimulation in parallel with knee joint therapy are performed for the patients with anterior cruciate ligament reconstruction.

본 연구는 전방십자인대 파열로 전방십자인대 재건술을 받은 환자를 대상으로 전기자극치료를 동반한 운동치료가 무릎관절 통증, 관절가동범위, 근력에 어떠한 영향을 미치는지 알아보고자 한다. 본 연구 대상자는 전방십자인대 파열로 진단받아 전방십자인대 재건술을 받은 환자 20명을 선정하여, 무작위 배분으로 운동치료을 수행할 대조군 10명, 전기자극치료를 동반한 운동치료를 수행할 실험군 10명으로 구성하였다. 운동치료방법은 선행 연구를 참고하여 구성한 3가지 운동을 총 3주간 실시하였다. 측정도구로 무릎관절 통증정도는 시각적 상사척도를 관절가동범위는 측각기를 근력은 휴대용역량계를 이용하였다. 통계학적 분석은 각 그룹 내 비교는 대응표본 t-검정, 각 그룹 간 비교는 독립표본 t-검정으로 분석하였다. 본 연구 결과 중재 후 실험군이 대조군에 비해 모든 측정 결과가 유의하게 향상되어 나타났다(p<.05). 이와 같은 결과를 바탕으로 전방십자인대 재건술 환자를 대상으로 무릎관절 치료와 함께 전기자극치료를 동반한 운동치료를 실시한다면 환자의 통증, 관절가동범위, 근력에 좀 더 효과적이라고 판단된다.

Keywords

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Fig. 1. quadriceps - setting exercise (start, finish)

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Fig. 2. prone knee flexion exercise (start, finish)

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Fig. 3. supine balance exercise

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Fig. 4. quadriceps - setting exercise with 20Hz electrical stimulation

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Fig. 5. prone knee flexion exercise with 20Hz electrical stimulation

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Fig. 6. supine balance exercise with 20Hz electrical stimulation

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Fig. 7. quadriceps femoris muscle strength measurement

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Fig. 8. hamstring muscle strength measurement

Table 1. General characteristics of subjects

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Table 2. Comparison of visual analogue scale score between each groups

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Table 3. Comparison of knee flexion range of motion each groups

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Table 4. Comparison of knee extension range of motion each groups

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Table 5. Comparison of quadriceps femoris muscle strength between each groups

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Table 6. Comparison of hamstring muscle strength between each groups

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