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http://dx.doi.org/10.13066/kspm.2021.16.3.45

Effect of Physiotherapeutic Intervention Using TECAR Therapy on Pain Self-Awareness and Hip Joint Function in Hip Impingement Syndrome: A Case Study  

Oh, Dong-Gun (Department of Physical Therapy, Dongnam Health University)
Kim, Seon-Ki (Davinch Academy)
Yoo, Kyung-Tae (Department of Physical Therapy, Namseoul University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.16, no.3, 2021 , pp. 45-53 More about this Journal
Abstract
PURPOSE: The current case study focuses on identifying the effects of the independent application of TECAR therapy and physiotherapeutic intervention using TECAR therapy on pain self-awareness and hip joint function in patients with hip impingement syndrome caused by nonstructural changes. Subjects: The research subject was a 34-year-old woman struggling with acute pain in her left hip, difficulty in actively moving the hip, and a problem in its overall function. METHODS: The subject's pain awareness and hip joint function were measured using a Visual Analog Scale (VAS) and passive range of motion (PROM), respectively. The experimental intervention was carried out in 24 sessions of 16 minutes each, three times a week, for eight weeks. RESULTS: The VAS score decreased to 0 cm on the post-test from 4.3 cm, 6.5 cm, and 7.2 cm in the pre-test at the rest, standing, and gait positions, respectively. The index of PROM measured hip joint flexion, extension, abduction, adduction, internal rotation, external rotation, and passive straight leg raise. The values increased to 122.5°, 24.5°, 78°, 33°, 65°, 42°, and 96.5° in the post-test compared to 88.5°, 15°, 39°, 21.5°, 23°, 22°, and 46.5° in the pre-test, respectively. CONCLUSION: TECAR therapy and physiotherapeutic intervention using TECAR can help reduce pain and enhance the hip joint function in patients with hip impingement syndrome.
Keywords
Hip; Impingement syndrome; Self-awareness; TECAR;
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1 Ito K, Leunig M, Ganz R. Histopathologic features of the acetabular labrum in femoroacetabular impingement. Clin Orthop Relat Res. 2004;429:262-71.   DOI
2 Beck M, Kalhor M, Leunig M, et al. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005;87:1012-18.
3 Cobb J, Logishetty K, Davda K, et al. Cams and pincer impingement are distinct, not mixed: the acetabular pathomorphology of femoroacetabular impingement. Clin Orthop Relat Res. 2010;468:2143-51.   DOI
4 Kim CH, Park JI, Choi YH, et al. Femoroacetabular Impingement Syndrome. J Korean Orthop Assoc. 2017;52:467-75.   DOI
5 Clohisy JC, McClure JT. Treatment of anterior femoroacetabular impingement with combined hip arthroscopy and limited anterior decompression. Iowa Orthop J. 2005;25:164-71.
6 Grant C, Pajaczkowski J. Conservative management of femoral anterior glide syndrome: a case series. J Can Chiropr Assoc. 2018;62:182-92.
7 Beall DP, Sweet CF, Martin HD, et al. Imaging findings of femoroacetabular impingement syndrome. Skeletal Radiol. 2005;34:691-701.   DOI
8 Sahin N, Atici T, Ozturk A, et al. Prevalence of femoroacetabular impingement in asymptomatic contralateral hips in patients with unilateral idiopathic osteoarthritis. J Int Med Res.2011;39:790-97.   DOI
9 Lavigne M, Parvizi J, Beck M, et al. Anterior femoroacetabular impingement: part I. Techniques of joint preserving surgery. Clin Orthop Relat Res. 2004;418:61-6.   DOI
10 Crawford JR, Villar RN. Current concepts in the management of femoroacetabular impingement. J Bone Joint Surg Br. 2005;87:1459-62.   DOI
11 Wisniewski SJ, Grogg B. Femoroacetabular impingement: an overlooked cause of hip pain. Am J Phys Med Rehabil. 2006;85:546-9.   DOI
12 Emara K, Samir W, Motasem EH, et al. Conservative treatment for mild femoroacetabular impingement. J Orthop Surg(Hong Kong). 2011;19:41-5.   DOI
13 Guanche CA, Bare AA. Arthroscopic treatment of femoroacetabular impingement. Arthroscopy. 2006;22:95-106.   DOI
14 Jeon CH, Kim SJ, Lee JW, et al. The effectiveness of ultrasound-guided steroid injection for femoroacetabular impingement: A comparison between the extra-articular and intra-articular approaches. J Korean Soc Radiol. 2013;68:237-43.   DOI
15 Kim PS, Hwang DS, Kang C, et al. Arthroscopic Treatment of Femoroacetabular Impingement in Young Taekwondo Players. J Korean Orthop Assoc. 2011;46:303-11.   DOI
16 Kwon K, Kim CM, Park SJ. The Effect of Diathermy Treatment through Physiotherapist's Hand on the Pain and Disability Index in Chronic Lumbar Pain Patients. Journal of the Korea Convergence Society. 2018;9:289-94.
17 Hart ES, Metkar US, Rebello GN, et al. Femoroacetabular impingement in adolescents and young adults. Orthop Nurs. 2009;28:117-24.   DOI
18 Kim HS, Lee CH, Jeon JY, et al. A case report on a patient with lumbar HIVD(Herniated Intervertebral Disc) and femoroacetabular impingement, treated by bee venom pharmacopuncture and conservative oriental medical treatment. JKCMSN. 2014;9:81-92.
19 Prouza O, Gonzalez AC. Targeted radiofrequency therapy for training induced muscle fatigue-effective or not. Int J Physiother. 2016;3:707-10.
20 Park SE, Lee HR, Park SJ. The Effect of Corrective Exercise and TECAR therapy on neck alignments and pain in Forward Head Posture Patients. Journal of Digital Convergence. 2018;16:543-51.
21 Lee WJ, Yoon YS, Kim JH, et al. Clinical study on 1 case of cervical dystonia treated by Korean medicine and transfer energy capacitive and resistive (TECAR) therapy. J Korean Med Rehabi. 2019;29:109-15.   DOI
22 Kim JS, Oh DW. Effects of high-frequency current therapy on abdominal obesity in young women: a randomized controlled trial. J Phys Ther Sci. 2015; 27:31-3.   DOI
23 Klaue K, Durnin CW, Ganz R. The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg Br. 1991;73:423-9.   DOI
24 Ganzit GP, Stefanini, L, Stesina G: Tecar® therapy in the treatment of acute and chronic pathologies in sports. FMSI(Italian Sports Medicine Federation) -CONI Institute of Sports Medicine, Torino, 2000.
25 Ribeiro S, Henriques B, Cardoso R. The effectiveness of tecar therapy in musculoskeletal disorders. International Journal of Public Health and Health Systems. 2018;3:77-83.
26 Tannast M, Siebenrock KA, Anderson SE. Femoroacetabular impingement: radiographic diagnosis- what the radiologist should know. AJR Am J Roentgenol. 2007;188: 1540-52.   DOI
27 Lee JB, Hwang DS, Kang C, et al. Arthroscopic management of femoroacetabular impingement in early osteoarthritis of the hip: 2 to 5 Year Results. J Korean Orthop Assoc. 2010;45:188-97.   DOI
28 Takahashi K, Suyama T, Onodera M, et al. Clinical effects of capacitive electric transfer hyperthermia therapy for lumbago. J Phys Ther Sci. 1999;11:45-51.   DOI
29 Jang JH, Doh EJ, Kim KW. A study on the influence of high-frequency therapy and swedish massage up on the alleviation of trapezius muscle pain and stress. Kor J Aesthet Cosmetol. 2009;7:121-30.
30 Kim EC, Hwang DS, Kang C, et al. Recovery of Limitation of Motion in Secondary Osteoarthritis of the Hip Using Arthroscopy. Hip Pelvis. 2013;25:121-6.   DOI
31 Nussbaumer S, Leunig M, Glatthorn JF, et al. Validity and test-retest reliability of manual goniometers for measuring passive hip range of motion in femoroacetabular impingement patients. BMC Musculoskelet Disord. 2010;11:194.   DOI
32 Bennell KL, O'Donnell JM, Takla A, et al. Efficacy of a physiotherapy rehabilitation program for individuals undergoing arthroscopic management of femoroacetabular impingement-the FAIR trial: a randomised controlled trial protocol. BMC Musculoskelet Disord. 2014;15:58.   DOI
33 Calibet, J. Tratado de la transferencia electrica capacitiva. Barcellona: Doyma. 1992.
34 Kim JH, Park JH, Yoon HB, at al. Immediate Effects of High-frequency Diathermy on Muscle Architecture and Flexibility in Subjects With Gastrocnemius Tightness. Phys Ther Korea. 2020;27:133-9.   DOI
35 Beck M, Kalhor M, Leunig M, et al. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005;87:1012-18.
36 Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001;8:1153-57.   DOI
37 Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14:409-15.
38 Norkin CC, White DJ. Measurement of Joint Motion: a Guide to Goniometry. 4th ed., Philadelphia, PA: F. A. David Company, 2009.
39 Sahrmann S: Diagnosis and Treatment of Movement Impairments Syndromes. St. Louis: Mosby Inc, 2002.