잠재적인 무릎넙다리 통증 증후군 환자에게 미세전류를 이용한 IASTM과 플로싱 밴드 적용이 하지 근막의 두께 변화에 미치는 즉각적 효과

Immediate Effect of the Application of IASTM Using Microcurrent and a Flossing Band and on Changes in the Thickness of the Lower Extremity Fascia in Patients with Intrinsic Patellofemoral Pain Syndrome

  • Se-hun Kim (Bareun Corrective Exercise Center) ;
  • Seong-hun Yu (Dept. of Physical Therapy, Nambu University) ;
  • Tae-won Kim (Dept. of Physical Therapy, Wooil Neurosurgery Clinic) ;
  • Seong-hwan Kim (Seong-hwan Kim Pedalo Center) ;
  • Se-jin Park (Dept. of Physical Therapy, Team Doctor Orthopedic Clinic)
  • 투고 : 2024.03.18
  • 심사 : 2024.04.26
  • 발행 : 2024.04.30

초록

Background: This study examined the Immediate effects of IASTM using microcurrent and the flossing band on the lower extremity fascia thickness in subjects with Intrinsic patellofemoral pain syndrome. Methods: Sixty-six subjects with patellofemoral pain syndrome were randomized into three groups (22 each in the microcurrent IASTM (instrument assisted soft-tissue mobilization) group, and flossing band group, and combined microcurrent IASTM and flossing band group) to evaluate the immediate effects of the lower extremity fascia thickness before and after intervention. The thickness of the lower extremity fascia was measured using an ultrasound machine. Using SPSS Window. 22.0, a Shapiro Wilk was conducted to test the normality of all variables; within-group comparisons were made with a paired-samples t-test, and between-group interventions were subjected to a one-way analysis of variance. Results: Changes in the thickness of the fascia in the thigh area were observed before and after intervention in all three groups. There was a significant decrease, and in the combined group, there was a significant decrease in fascia thickness compared to when the IASTM group and the flossing band group were applied separately (p<.05). Conclusion: Through this study, the effect on fascia thickness was confirmed when IASTM and flossing band intervention were combined, and it is believed that it can be used as basic clinical data for patients with knee-thigh pain syndrome.

키워드

과제정보

이 논문은 2023년도 남부대학교 학술연구비의 지원을 받아 연구되었음.

참고문헌

  1. Beak HJ. The Effects of Instrument Assisted Soft Tissue and Proprioception Neuromuscular Faciliation for Range of Motion, Dynamic Stability, Strength in The Ankle Joint. CHA University. Master Thesis. 2018. 
  2. Blanchette MA, Normand MC. Augmented soft tissue mobilization vs natural history in the treatment of lateral epicondylitis: A pilot study. J Manipulative Physiol Ther. 2011;34(2):123-130. https://doi.org/10.1016/j.jmpt.2010.12.001. 
  3. Bolgla LA, Malone TR, Umbrger BR. Hip strength and hip and knee kinematics during stair descent in females with and without patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2008;38(1):12-18. https://www.jospt.org/doi/10.2519/jospt.2008.2462. 
  4. Brindle T, Nyland J, Johnson DL. The meniscus; Review of basic principles with application to surgery and rehabilitation. J Athl Train. 2001;36(2):160-169. 
  5. Driller M, Mackay K, Mills B, et al. Tissue flossing on ankle range of motion, jump and sprint performance: A follow-up study. Phys Ther Sport. 2017;28:29-33. https://doi.org/10.1016/j.ptsp.2017.08.081. 
  6. Earl JE, Hertel J, Denegar CR. Patterns of dynamic malaligament, muscle activation, jointmotion, and patellofemoral pain syndrome. J Sport Rehabil. 2005;14(3):216-233. https://doi.org/10.1123/jsr.14.3.216. 
  7. Gaitonde DY, Ericksen A, Robbins RC. Patellofemoral pain syndrome. Am Fam Physician. 2019;99(2):88-94. 
  8. Garcia-Luna MA, Cortell-Tormo JM, Gonzalez-Martinez J, et al. The effects of tissue flossing on perceived knee pain and jump performance: A pilot study. International Journal of Human Movement and Sports Sciences. 2020;8(2):63-68. https://doi.org/10.13189/saj.2020.080203. 
  9. Green ST. Patellofemoral syndrome. J Bodyw Mov Ther. 2005;9:16-26. https://doi.org/10.1016/j.jbmt.2003.12.001 
  10. Hammer WI, Pfefer MT. Treatment of a case of subacute lumbar compartment syndrome using the graston technique. J Manipulative Physiol Ther. 2005;28(3):199-204. https://doi.org/10.1016/j.jmpt.2005.02.010. 
  11. Han SW, Lee JW. Effects of integrated treatment with LED and microcurrent on performance and fatigue in the calf muscle and performance during moderate aerobic exercise. J Phys Ther Sci. 2018;30(6):816-819. https://doi.org/10.1589/jpts.30.816. 
  12. Irrgang JJ, Ho H, Harner CD, et al. Use of the international knee documentation committee guidelines to assess outcome following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 1998;6(2):107-144. https://doi.org/10.1007/s001670050082. 
  13. Kim HS, Park SJ. Functional anatomy and biomechanics of the patellofemoral joint. Journal of Korean Orthopaedic Sports Medicine. 2005;4(2):74-78. 
  14. Kim JY, Kim DW, Kim JG. The effectiveness of the IKDC subjective score in clinical outcome study after anterior cruciate ligament reconstruction. Journal of Korean Orthopaedic Sports Medicine. 2008;7(2):95-121. 
  15. Looney B, Srokose T, Fernandez-de-las-Penas C, et al. Graston instrument soft tissue mobilization and home stretching for the management of plantar heel pain: A case series. J Manipulative Physiol Ther. 2021;34(2):138-142. https://doi.org/10.1016/j.jmpt.2010.12.003. 
  16. Loudon JK, Doug W, Goist-Foley HL, et al. Intrarater reliability of functional performancetests for subjects with patellofemoral pain syndrome. J Athl Train. 2002;37(3):256-261. 
  17. McKenzie K, Galea V, Wessel J, et al. Lower extremity kinematics of females with patellofemoral pain syndrome while stair stepping. J Orthop Sports Phys Ther. 2010;40(10):625-632. https://www.jospt.org/doi/10.2519/jospt.2010.3185 
  18. Moon BH, Kim JW. Effects of floss band on ankle joint functional range of motion and gait ability. Journal of The Korea Convergence Society. 2021;12(12):419-425. https://doi.org/10.15207/JKCS.2021.12.12.419. 
  19. Nijs J, Van Geel C, Van der auwera C, et al. Diagnostic value of five clinical tests in patellofemoral pain syndrome. Man Ther. 2006;11(1):69-77. 
  20. Park JJ. Effects of self myofascial release on pain and exercise performance for bicycle club people with iliotibial band syndrome. Hanyang University. Master Thesis. 2022. 
  21. Pavlu D, Panek D, Kuncova E, et al. Effect of blood circulation in the upper limb after flossing strategy. Applied sciences. 2021;11(4):1634. https://doi.org/10.3390/app11041634 
  22. Plocker DB, Wahlquist B, Dittrich B. Effects of tissue flossing on upper extremity range of motion and power. International Journal of Exercise Science. 2015;12(1):37. https://digitalcommons.wku.edu/ijesab/vol12/iss1/37. 
  23. Reeves ND, Narici MV. Behaviour of human muscle fascicles during shortening and lengthening contractions in vivo. J Appl Physiol. 2003;95(3):1090-1096. https://doi:10.1152/japplphysiol.01046.2002. 
  24. Roland K, Klaas S, Hendrik E, et al. Flossing; Powerful aid for treating pain and injuries, effective muscle-building exercises. panmunedu. Panmooneducation. Korea. 2017.
  25. Schleip R. Fascial plasticity - A new neurobiological explanation: Part 1. J Bodyw Mov Ther. 2003;7(1):11-19. https://doi.org/10.1016/S1360-8592(02)00067-0. 
  26. Scott WC, Russell B. Quantification of the rockfloss® floss band stretch force at different elongation lengths. J Sport Rehabil. 2019;29(3):377-380. https://doi.org/10.1123/jsr.2019-0034. 
  27. Solomon DH, Simel DL, Bates DW, et al. The rational clinical examination. Does this patient have a torn meniscus or ligament of the knee? Value of the physical examination. JAMA. 2001;286(13):1610-1620. https://doi.org/10.1001/jama.286.13.1610 
  28. Starrett K, Cordoza G. Becoming a supple leopard: The ultimateguide to resolving pain, preventing injury, and optimizing athletic performance. J Can Chiropr Assoc. 2013;217-220. 
  29. Witvrouw E, Bellemans J, Lysens R, et al. Intrinsic risk factors for the development of patellar tendinitis in an athletic population: a two-year prospective study. Am J Sports Med. 2001;29(2):190-195. https://doi.org/10.1177/03635465010290021201. 
  30. Yoon TL, Kim KS. Gender comparison of muscle activity and strength in gluteus medius and quadriceps and knee valgus angle during controlled single-leg squat in individuals with patellar femoral pain syndrome. Physical Therapy Korea. Korean Research Society of Physical Therapy. 2016;23(1):11-19. https//doi.org/10.12674/ptk.2016. 23.1.011.