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Effects of Treatment Using PNF Pattern Irradiation in the Weight-Bearing Position on Pain and Foot Alignment in a Patient with Patellofemoral Pain Syndrome: A Single-Subject Experimental Study

  • Dong-Kyu Kim (Department of Physical Therapy, National Traffic Injury Rehabilitation Hospital) ;
  • Duck-Won Oh (Department of Physical Therapy, College of Health and Medical Science, Cheongju University)
  • Received : 2024.05.29
  • Accepted : 2024.06.17
  • Published : 2024.08.31

Abstract

Purpose: This study aimed to investigate the use of insoles in patients with temporomandibular joint disorders to assess the function and changes in pain when walking in daily life. Methods: Sixty-five patients with temporomandibular joint disorder, were selected, with 34 assigned to the control group and 31 to the experimental group. The control group walked more than 7,000 steps per day in their daily life, while the experimental group wore insoles and was instructed to take at least 7,000 steps every day. To evaluate the effect on temporomandibular joint pain, steady-state pain, maximum mouth opening, average pain, and the most severe pain were measured before and after the experiment. In addition, to determine function, mouth opening in a comfortable state, mouth opening pain, and the point of sound and the maximum degree of mouth opening were evaluated before and after the experiment. Results: After the experiment, pain, mouth opening, and sound points showed significant differences compared to the control group. However, there was no significant difference in the maximum mouth opening range. Conclusion: The application of air insoles to patients with temporomandibular joint disorder confirmed the function of the temporomandibular joint and its positive effects on pain.

Keywords

References

  1. Adler S, Beckers D, Buck M. PNF in practice: an illustrated guide. Berlin. Springer. 2007.
  2. An JM, An CS. Effect of Foot Intrinsic Muscle Exercise and Gluteus Medius, Combination Exercise on Balance Ability of Elite Athletet. Korean Journal of Neuromuscular Rehabilitation. 2023;13(2).
  3. Bennell K, Duncan M, Cowan S, et al. Effects of vastus medialis oblique retraining versus general quadriceps strengthening on vasti onset. Medicine and Science in Sports and Exercise. 2010;42(5):856-864. https://doi.org/10.1249/MSS.0b013e3181c12771
  4. Boling M, Padua D, Marshall S, et al. Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scandinavian Journal of Medicine & Science in Sports. 2010;20(5):725-730. https://doi.org/10.1111/j.1600-0838.2009.00996.x
  5. Choi SH, Rhee MH, Ha KJ, et al. Effects of irradiation on the muscle activity around an amputation site during proprioceptive neuromuscular facilitation pattern exercise for upper extremity and scapular exercise on the non-amputated part-a case study. PNF and Movement. 2019;17(1):11-18. https://doi.org/10.21598/JKPNFA.2019.17.1.11
  6. Crossley KM, van Middelkoop M, Callaghan MJ, et al. Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 2: Recommended physical interventions (exercise, taping, bracing, foot orthoses and combined interventions). British Journal of Sports Medicine. 2016;50(14):844-52.
  7. Fenter PC, Bellew JW, Pitts TA, et al. Reliability of stabilised commercial dynamometers for measuring hip abduction strength: A pilot study. British Journal of Sports Medicine. 2003;37(4):331-334. https://doi.org/10.1136/bjsm.37.4.331
  8. Fredericson M, Yoon K. Physical examination and patellofemoral pain syndrome. American Journal of Physical Medicine & Rehabilitation, 2006;85(3): 234-243. https://doi.org/10.1097/01.phm.0000200390.67408.f0
  9. Gaitonde DY, Ericksen A, Robbins RC. Patellofemoral pain syndrome. American Family Physician. 2019;99(2):88-94.
  10. Kim JJ, Park SY. A Comparative Study between the Effects of Proprioceptive Neuromuscular Facilitation Stretching and Passive Stretching on Weight Distribution and Flexibility for Trunk Flexion. PNF and Movement. 2018;16(3):345-353. https://doi.org/10.21598/JKPNFA.2018.16.3.345
  11. Klein DA, Stone WJ, Phillips WT, et al. PNF training and physical function in assisted-living older adults. Journal of Aging and Physical Activity. 2002;10(4):476-488. https://doi.org/10.1123/japa.10.4.476
  12. Lee BK, Yun JH. Influence of body weight support and walking speed in the static posture of stroke patients using indirect PNF treatment: a case report. PNF and Movement. 2012;10(4):71-76. https://doi.org/10.21598/JKPNFA.2012.10.4.71
  13. Lee SM, Lee SY. The effects of contralateral upper and lower limb and trunk muscle activation during ipsilateral upper limb D2 pattern exercise. PNF and Movement. 2018;16(1):151-159. https://doi.org/10.21598/JKPNFA.2018.16.1.151
  14. Lu TW, Hsu HC, Chang LY, et al. Enhancing the examiner's resisting force improves the reliability of manual muscle strength measurements: Comparison of a new device with hand-held dynamometry. Journal of Rehabilitation Medicine. 2007;39(9):679-684. https://doi.org/10.2340/16501977-0107
  15. Nijs J, Van Geel C, Van de Velde B. Diagnostic value of five clinical test in patellofemoral pain syndrome. Manual Therapy. 2006;11(1):69-77. https://doi.org/10.1016/j.math.2005.04.002
  16. Oh DK. Effects of elastic band exercise using PNF and CNS-stimulating exercise on functional fitness and EMG in hemiplegic stroke patients. Kyung Hee University. Dissertation of Master's Degree. 2011.
  17. Petersen W, Ellermann A, Gosele-Koppenburg A, et al. Patellofemoral pain syndrome. Knee Surgery, Sports Traumatology, Arthroscopy. 2014;22:2264-2274. https://doi.org/10.1007/s00167-013-2759-6
  18. Plisky MS, Rauh MJ, Heiderscheit B, et al. Medial tibial stress syndrome in high school cross-country runners: Incidence and risk factors. Journal of Orthopedic Sports Physical Therapy. 2007;37(2):40-47. https://doi.org/10.2519/jospt.2007.2343
  19. Rhee MH, Choi SH, Ha KJ, et al. The effect of irradiation during resistance exercise using a diagonal pattern on the excitability of nerves. PNF and Movement. 2021;19(1):97-104. https://doi.org/10.21598/JKPNFA.2021.19.1.97
  20. 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):1610-20. https://doi.org/10.1001/jama.286.13.1610
  21. Son SJ, Kim WD, Moon KY et al. Effects of One-leg Squat Using a Slide on Hip Strength and Q Angle in Patients with Chronic Hip Joint Pain. Korean Journal of Neuromuscular Rehabilitation. 2023;13(2):41.
  22. Stathopulu E, Baildam E. Anterior knee pain: a long-term follow up. Rheumatology. 2003;42(2):380-382. https://doi.org/10.1093/rheumatology/keg093
  23. Utting MR, Davies G, Newman JH. Is anterior knee pain a predisposing factor to patellofemoral osteoarthritis? Knee. 2005;12(5):362-365. https://doi.org/10.1016/j.knee.2004.12.006
  24. Waryasz GR, McDermott AY. Patellofemoral pain syndrome (PFPS): A systematic review of anatomy and potential risk factors. Dynamic Medicine. 2008;7:1-14. https://doi.org/10.1186/1476-5918-7-1
  25. Yang JM, Yeo GE, Kim DW, et al. The relationship of pelvic pressure and irradiation of the PNF upper arm pattern in the sitting position with an elastic band; A randomized control trial. PNF and Movement. 2019;17(3):421-429. https://doi.org/10.21598/JKPNFA.2019.17.3.421
  26. Yu HJ, Jung SD, Shim JH. Comparison of the Effect of Intrinsic Foot Exercise on the Abductor Hallucis in Hallux Valgus. Korean Journal of Neuromuscular Rehabilitation. 2023;13(1):20-28. https://doi.org/10.37851/kjnr.2023.13.1.3