대한정형도수물리치료학회지 (The Journal of Korean Academy of Orthopedic Manual Physical Therapy)

  • 제27권1호
  • /
  • Pages.51-62
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  • 2021
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  • 1226-3680(pISSN)
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  • 2508-7282(eISSN)
대한정형도수물리치료학회 (Korean Academy of Orthopedic Manual Physical Therapy)
권호 표지

무릎관절 전치환술을 시행한 환자의 발목관절에 움직임을 동반한 관절가동술이 발목 관절가동범위, 균형, 보행에 미치는 영향

The Effects of Ankle Mobilization with Movements on the Ankle Range of Motion, Balance, and Gait of Patients after Total Knee Arthroplasty

  • 윤중대 (경인의료재활센터병원 재활치료실) ;
  • 이재남 (경인의료재활센터병원 재활치료실)
  • Yoon, Jung-dae (Dept. of Physical Therapy, Kyoung-in Rehabilitation Center) ;
  • Lee, Jae-nam (Dept. of Physical Therapy, Kyoung-in Rehabilitation Center)
  • 투고 : 2021.03.17
  • 심사 : 2021.04.14
  • 발행 : 2021.04.30
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초록

Background: The purpose of this study was conducted to investigate the effects of the ankle mobilization with movement (MWM) technique on ankle dorsiflexion range of motion (ROM), balance, and gait in patients who underwent total knee replacement (TKR). Methods: Thirty patients with knee osteoarthritis were recruited and randomly divided into two groups: the experimental group (EG; n=15) and the control group (CG; n=15). For five days a week for 3 weeks, participants in the EG were treated with the ankle MWM technique and traditional total knee replacement (TKR) exercise, and those in the CG only performed traditional TKR exercises. The dorsiflexion ROM, balance, and gait of the patients were before and after exercise. Results: Balance system SD was used compare changes in dynamic balance. Patients in the EG group showed statistically significant differences after the intervention (p<.05). In addition, there was a statistically significant difference in dynamic balance between the EG and CG groups after the intervention (p<.05). STT-IBS was used to compare changes in velocity, step length, stride length, and ankle dorsiflexion ROM. Patients in the EG group showed statistically significant differences after the intervention (p<.05). In addition, there was a statistically significant difference in the velocity, step length, stride length, and ankle dorsiflexion ROM between the EC and CG groups after the intervention (p<.05). Conclusion: Our results showed that applying the ankle MWM technique with traditional TKR exercises improved ankle dorsiflexion ROM, dynamic balance, and gait in patients.

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참고문헌

  1. Andriacchi TP, Galante JO, Fermier RW. The influence of total knee-replacement design on walking and stair-climbing. JBJS. 1982;64(9):1328-1335. https://doi.org/10.2106/00004623-198264090-00008
  2. Bade WM, Kohrt JE, Stevens-Lapsley. Outcomes before and after total knee arthroplasty compared to healthy adults. journal of orthopaedic & sports physical therapy, 2010;40(9):559-567. https://doi.org/10.2519/jospt.2010.3317
  3. Curtis RB, Michael JH, Todd JW, et al. Ankle dorsiflexion range of motion influences dynamic balance in individuals with chronic ankle instability. International journal of sports physical therapy. 2013;8(2):121-128. https://doi.org/10.1016/j.ptsp.2016.07.008
  4. Blackburn T, Guskiewicz KM, Petschauer MA, et al. Balance and joint stability: The relative contributions of proprioception and muscular strength. J Sport Rehabil. 2000;9(4):315-328. https://doi.org/10.1123/jsr.9.4.315
  5. Joanne E Bullock-Saxton. Local sensation changes and altered hip muscle function following severe ankle sprain. Phys Ther. 1994;74(1):17-28 https://doi.org/10.1093/ptj/74.1.17
  6. Chung MY, Kim CJ. The effect of bilateral femoral nerve block combined with intravenous patient-controlled analgesia after a bilateral total knee replacement. Korean J pain. 2008;21(3):211-216. https://doi.org/10.3344/kjp.2008.21.3.211
  7. Collins, P Teys, B Vicenzino. The initial effects of a Mulligan's mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains. Man Ther. 2004;9(2):77-82. https://doi.org/10.1016/s1356-689x(03)00101-2
  8. Cromwell RL, Roberta AN, Gail F. Influence of vision on head stabilization strategies in older adults during walking. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2002;57(7):M442-M448. https://doi.org/10.1093/gerona/57.7.m442
  9. Dijs HM, Roofthooft JM, Driessens MF, et al. Effect of physical therapy on limited joint mobility in the diabetic foot. J Am Podiatr Med Assoc. 2000;90(3):126-132. https://doi.org/10.7547/87507315-90-3-126
  10. Dwyer MK, Boudreau SN, Mattacola CG, et al. Comparison of lower extremity kinematics and hip muscle activation during rehabilitation tasks between sexes. J Athl Train. 2010;45(2):181-190. https://doi.org/10.4085/1062-6050-45.2.181
  11. Felson D. Osteoarthritis: New insights: Part 1: The disease and its risk factors. Ann Intern Med. 2000;133(8):635-646. https://doi.org/10.7326/0003-4819-133-8-200010170-00016
  12. William HG, James SF, Stephen DP, et al. Postural responses following a rotational support surface perturbation, following knee joint replacement: Frontal plane rotations. Gait & posture. 2008;27(2):286-293. https://doi.org/10.1016/j.gaitpost.2007.04.006
  13. Gogate N, Satpute K, Hall T. The effectiveness of mobilization with movement on pain, balance and function following acute and sub acute inversion ankle sprain-A randomized, placebo controlled trial. Physical Therapy in Sport. 2021;48:91-100. https://doi.org/10.1016/j.ptsp.2020.12.016
  14. Goodfellow J, John O'Connor, David WM. The Oxford meniscal unicompart mental knee. J Knee Surg. 2002;15(4):240-246.
  15. Grant AD. Gait analysis: Normal and pathological function. Jama 2010;304(8):907-907. https://doi.org/10.1001/jama.2010.1210
  16. Gupta R, Heggannavar A. Quantitative effects of proprioceptive exercises and Mulligan'S mwm in subjects with osteoarthritis knee-a randomized controlled trial. International Journal of Therapies and Rehabilitation Research. 2015;4(4):191-200. https://doi:10.5455/ijtrr.00000088
  17. Han J, Anson J, Waddington G, et al. The role of ankle proprioception for balance control in relation to sports performance and injury. BioMed research international. 2015;1-8. https://doi.org/10.1155/2015/842804
  18. Harato, Kengo, Otani, et al. When does post-operative standing function after total knee arthroplasty improve beyond preoperative level of function. The Knee. 2009;16(2):112-115. https://doi.org/10.1016/j.knee.2008.10.008
  19. Perry J, Burnfield J. Gait Analysis: Normal and Pathological Function. 2nd ed. SLACK. California. 2010
  20. Jacobs JV, Horak FB. External postural perturbations induce multiple anticipatory postural adjustments when subjects can not pre-select their stepping foot. Exp Brain Res. 2007;179(1):29-42. https://doi.org/10.1007/s00221-006-0763-5
  21. Jaramillo J, Worrell TW, Ingersoll CD. Hip isometric strength following knee surgery. J Orthop Sports Phys Ther. 1994;20(3):160-165. https://doi.org/10.2519/jospt.1994.20.3.160
  22. Jeng SF, Schenkman M, Riley PO, et al. Reliability of a clinical kinematic assessment of the sit-to-stand movement. Phys Ther. 1990;70(8):511-520. https://doi.org/10.1093/ptj/70.8.511
  23. Judd DL, Eckhoff DG, Lapsley SL, et al. Muscle strength loss in the lower extremity following total knee arthroplasty. American journal of physical medicine & rehabilitation/Association of Academic Physiatrists. 2012;91(3):220-230. https://doi:10.1097/PHM.0b013e3182411e49
  24. Kim, HU, Seo KC. The effects of task-related circuit training by type of dual task on the gait of chronic stroke patients. Journal of The Korean Society of Physical Medicine. 2013;8(3):407-415. https://doi.org/10.13066/kspm.2013.8.3.407
  25. Kim RS. Knee Joint. Latest Medical History. Seoul. 2007;152-153.
  26. Pamela A, John P, Ronald M, et al. Supervised fitness walking in patients with osteoarthritis of the knee: A randomized, controlled trial. Ann Intern Med. 1992;116(7):529-534. https://doi.org/10.7326/0003-4819-116-7-529
  27. Kurtz, Steven M, Schmier J, et al. Future clinical and economic impact of revision total hip and knee arthroplasty. JBJS. 2007;89(3):144-151. https://doi:10.2106/JBJS.G.00587
  28. Li Xinning, Shah A, Franklin P, et al. Arthroscopic debridement of the osteoarthritic knee combined with hyaluronic acid (Orthovisc®) treatment: A case series and review of the literature. Journal of Orthopaedic Surgery and Research. 2008;3(1):1-8. https://doi.org/10.1186/1749-799x-3-43
  29. Limbird, TJ, Shiavi R, Frazer M, et al. EMG profiles of knee joint musculature during walking: changes induced by anterior cruciate ligament deficiency. J Orthop Res. 1988;6(5):630-638. https://doi.org/10.1002/jor.1100060503
  30. Lin PY, Yang YR, Cheng SJ, et al. The relation between ankle impairments and gait velocity and symmetry in people with stroke. Arch Phys Med Rehabil. 2006;87(4):562-568. https://doi.org/10.1016/j.apmr.2005.12.042
  31. Maniar RN, Baviskar JV, Tushar S, et al. To use or not to use continuous passive motion post-total knee arthroplasty: Presenting functional assessment results in early recovery. J Arthroplasty. 2012;27(2):193-200. https://doi.org/10.1016/j.arth.2011.04.009
  32. Martinez-Cava A, Hernandez-Belmonte A, Courel-Ibanez J, et al. Reliability of technologies to measure the barbell velocity: Implications for monitoring resistance training. PloS one 2020;15(6):e0232465. https://doi.org/10.1371/journal.pone.0232465
  33. Kluding PM, Santos M. Effects of ankle joint mobilizations in adults poststroke: A pilot study. Arch Phys Med Rehabil. 2008;89(3):449-456. https://doi.org/10.1016/j.apmr.2007.12.005
  34. Mariani Vivi, Lanny Indriastuti. Comparison of sling suspension versus balance and proprioceptive exercise for patients with knee osteoarthritis. Indonesian Journal of Physical Medicine & Rehabilitation. 2012;1(1):18-26. https://doi.org/10.36803/ijpmr.v1i1.188
  35. Min HS, Jung YH, Kim ES, et al. Effects of muscle strengthening exercise program on pain, fatigue, physical function in elderly women with total knee arthroplasty. Journal of muscle and joint health. 2011;18(2):203-214. https://doi.org/10.5953/JMJH.2011.18.2.203
  36. Mulligan, Brian R. Mobilizations with movement (MWM'S). Journal of Manual & Manipulative Therapy. 19931(4):154-156. https://doi.org/10.1179/jmt.1993.1.4.154
  37. Neptune RR, Kautz SA, Zajac FE, et al. Contributions of the individual ankle plantar flexors to support, forward progression and swing initiation during walking. J Biomech. 2001;34(11):1387-1398. https://doi.org/10.1016/S0021-9290(01)00105-1
  38. Neumann DA. Kinesiology of the Musculoskeletal System. Wisconsin, Mosby, 2002:519-29.
  39. Oatis CA. Kinesiology: The Mechanics & Pathomechanics of Human Movement. North America: Lippincott Williams & Wilkins 2004.
  40. Ouellet D, Moffet H. Locomotor deficits before and two months after knee arthroplasty. Arthritis Care & Research. 2002;47(5):484-493. https://doi.org/10.1002/art.10652
  41. Park, JE, Lee JH, Cha YJ. The effect of treadmill gait training in an adjusted position from functional training system on chronic stroke patients' walking and balance ability. Journal of The Korean Society of Physical Medicine. 2017;12(1):35-42. https://doi.org/10.13066/kspm.2017.12.1.35
  42. Reid A, Birmingham TB, Alcock G. Efficacy of mobilization with movement for patients with limited dorsiflexion after ankle sprain: A crossover trial. Physiother Can. 2007;59(3):166-172. https://doi.org/10.3138/ptc.59.3.166
  43. Saari T, Tranberg R, Zugner R, et al. Changed gait pattern in patients with total knee arthroplasty but minimal influence of tibial insert design: Gait analysis during level walking in 39 TKR patients and 18 healthy controls. Acta orthopaedica. 2005;76(2):253-260. https://doi.org/10.1080/00016470510030661
  44. Segal NA, Robert W. Tolerance of an aquatic power training program by older adults with symptomatic knee osteoarthritis. Arthritis. 2012;9:1-9. https://doi.org/10.1155/2012/895495
  45. Shumway-Cook Anne, Marjorie H. Woollacott. Motor Control: Translating Research into Clinical Practice. Lippincott Williams & Wilkins, 2007.
  46. Singelyn FJ, Deyaert M, Joris D, et al. Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty. Anesth Analg. 1998;87(1):88-92. https://doi.org/10.1213/00000539-199807000-00019
  47. Jung SI, Oh SH, Kim JO, et al. Reaction of ankle muscles by functional electrical stimulation. The Korean Society for Noise and Vibration Engineering. 2012;22(1):15-21. https://doi.org/10.5050/KSNVE.2012.22.1.015
  48. Skelton DA, Nina B. Exercise and injury prevention in older people. Scand J Med Sci Sports. 2003;13(1):77-85. https://doi.org/10.1034/j.1600-0838.2003.00300.x
  49. Stanek JM, Alex EP. Effectiveness of clinician-and patient-applied mobilization with movement technique to increase ankle dorsiflexion range of motion. International Journal of Therapy And Rehabilitation. 2020;27(4):1-11. https://doi.org/10.12968/ijtr.2018.0118
  50. Spink MJ, Fotoohabadi MR, Wee E, et al. Foot and ankle strength, range of motion, posture, and deformity are associated with balance and functional ability in older adults. Arch Phys Med Rehabil. 2011;92(1):68-75. https://doi.org/10.1016/j.apmr.2010.09.024
  51. Stevens-Lapsley JE, Balter JE, Kohrt WM, et al. Quadriceps and hamstrings muscle dysfunction after total knee arthroplasty. Clin Orthop Relat Res. 2010;468(9):2460-2468. https://doi.org/10.1007/s11999-009-1219-6
  52. Tabrizi P, McIntyre WMJ, Quesnel MB, et al. Limited dorsiflexion predisposes to injuries of the ankle in children. The Journal of bone and joint surgery. British volume. 2000;82(8):1103-1106. https://doi.org/10.1302/0301-620x.82b8.0821103
  53. The Korean Orthopaedic Association. Orthopedics. Latest Medical History. Korea. 2002.
  54. Vandervoort AA, Chesworth BM, Cunningham DA, et al. An outcome measure to quantify passive stiffness of the ankle. Canadian journal of public health= Revue canadienne de sante publique. 1992;83:19-23. https://doi.org/10.1080/02255189.1992.9669450
  55. Vicenzino B, Branjerdporn M, Teys P, et al. Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain. J Orthop Sports Phys Ther. 2006;3(7):464-471. https://di.org/10.2519/jospt.
  56. Walsh NE, Brooks P, Hazes JM, et al. Standards of care for acute and chronic musculoskeletal pain: The Bone and Joint Decade. Arch Phys Med Rehabil. 2008;89(9):1830-1845. https://doi.org/10.1016/j.apmr.2008.04.009
  57. Woollacott MH, Anne Shumway-Cook, Nasshner LM, et al. Aging and posture control: Changes in sensory organization and muscular coordination. The International Journal of Aging and Human Development. 1986;23(2):97-114. https://doi.org/10.2190/vxn3-n3rt-54jb-x16x
  58. Yeo HN, Kim YK, Kang MA, et al. Effects of elastic band exercise on pain, range of motion, and fear of falling in patients with total knee replacement. Journal of Korean Clinical Nursing Research. 2015;21(2):266-275. https://doi.org/10.22650/JKCNR.2015.21.2.266