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Effects of Early Body-weight Supported Treadmill Training on Strength, Pain, and Arthrogenic Muscle Inhibition after Knee Surgery

무릎 수술 후 조기 체중 지지 트레드밀 훈련이 근력, 통증, 관절기원성 근억제에 미치는 영향

  • Jin-Ee Kim (Physical Therapy and Rehabilitation Center, Eulji University Medical Center ) ;
  • Min-Seo Gu (Department of Orthopaedic Surgery, Eulji University Medical Center, Eulji University College of Medicine ) ;
  • Jeong-Hoon Lee (Physical Therapy and Rehabilitation Center, Eulji University Medical Center) ;
  • Min-Hee Kim (Department of Physical Therapy, College of Health Science, Eulji University) ;
  • Hyo-Yeol Lee (Department of Orthopaedic Surgery, Eulji University Medical Center, Eulji University College of Medicine )
  • 김진이 (대전을지대학교병원 재활치료실) ;
  • 구민서 (대전을지대학교병원 정형외과) ;
  • 이정훈 (대전을지대학교병원 재활치료실) ;
  • 김민희 (을지대학교 보건과학대학 물리치료학과) ;
  • 이효열 (대전을지대학교병원 정형외과)
  • Received : 2024.06.10
  • Accepted : 2024.06.17
  • Published : 2024.08.31

Abstract

Purpose: The purpose of this study was to evaluate the effects of early body-weight-supported treadmill training on quadriceps strength, knee pain, and arthrogenic muscle inhibition (AMI) after knee surgery. Methods: Sixteen adults were selected. Seven patients in the experimental group performed body-weight-supported treadmill training, and nine patients in the control group performed general therapeutic exercise programs. Both groups received 20 minutes of neuromuscular electrical stimulation and 20 minutes of exercise therapy for two weeks. We measured quadriceps strength, visual analogue scale, and modified AMI classification grade before and after the intervention. Data were analyzed using the Mann-Whitney U test and Wilcoxon signed-rank test. Results: Within the experimental group, significant differences were observed in quadriceps strength, visual analogue scale, and modified AMI classification grade. Significant differences were observed between the before- and after-intervention groups in quadriceps strength and visual analogue scale. However, no significant differences were found in the modified AMI classification. Conclusion: The results of this study indicate that early body-weight-supported treadmill training may be an effective intervention for improving strength, reducing pain, and addressing arthrogenic muscle inhibition following knee surgery.

Keywords

Acknowledgement

이 논문은 2023학년도 을지대학교 학술연구비 지원에 의하여 이루어진 것임(EJRG-23-19).

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