Browse > Article

The Effect of Chuna Manual and Taping Treatment on Genu Varum  

Kim, Kyoung-Seok (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University)
Lee, Jong-Soo (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University)
Publication Information
Journal of Korean Medicine Rehabilitation / v.20, no.3, 2010 , pp. 93-107 More about this Journal
Abstract
Objectives : The purpose of this study was to assess the efficacy of Chuna and taping treatment in patients with genu varum. Methods : Twenty-seven patients(male:10, female:17) with genu varum were recruited in this study. Chuna treatment at pelvic, and taping treatment at both legs were applied to whole participants. Outcomes were assessed using Q-angle(Quadriceps angle, QA), tibiofemoral angle(TFA), width and length of lesser trochanter(LT), pelvic incidence(PI), pelvic(PT), sacral slope(SS), lumber lordosis angle(LLA), meridian-electromyography(MEMG), Korean western ontario and McMaster universities osteoarthritis index(KWOMAC), and distance of femoral intercondylar distance(ICD). Results : 1. QA, LT width and LT length in radiograph were significantly increased. 2. PI, SS, PT and TFA in radiograph were significantly decreased. 3. The left vastus medialis portion contraction of female was significantly decreased after treatment. 4. The left rectus femoris portion fatigue was significantly decreased after treatment in male subjects. 5. The vastus medialis portion fatigue was significantly decreased after treatment in female subjects. 6. The distance of femoral ICD was significantly decreased. Conclusions : This study showed that Chuna and taping treatment could be used as an effective method for the treatment of genu varum.
Keywords
Chuna; Taping; Genu varum; Q-angle;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 송윤경, 이종수, 임형호, 조남경. 근막경선해부학. 성울:현문사. 2005:170-87.
2 Clark JM, Haynor DR. Anatomy of the abductor muscles of the hip as studied by computed tomography. J Bone Joint Surg. 1987;69A:l201-31.
3 Dostal WF, Soderberg GL, Andrews JG. Actions of hip muscles. Phys Ther. 1986;66:351-9.   DOI
4 이승준, 주성대, 박상원, 이광석, 전지성, 이순혁. 하지의 외견과 축성 배열의 관계. 대한정형외과학회지. 2004;39(7):753-8.
5 Bauer GC, Insall J, Koshino T. Tibial osteotomy in gonarthrosis(osteo-arthritis of the knee). J Bone Joint Surg. 1969;51-A:1545-63.
6 Qi Zhang, Huaijun Liu, Wei Chen, Xicheng Li, Zhaohui Song, Jinshe Pan, Yingze Zhang. Radiologic measurement of lesser trochanter and its clinical significance in Chinese. Skeletal Radiol. 2009;38:1175-81.   DOI   ScienceOn
7 Howe TE. Evaluation of the muscle performance measures used to assess electrotherapeutic rehabilitation of the quadriceps. Phd Thesis. University of Manchester. 1994.
8 Anh-Dung Nguyen, Sandra J. Shultz. Identifying relationships among lower extremity alignment characteristics. Journal of Athletic Training. 2009;44(5):511-8.   DOI   ScienceOn
9 Lafage V, Schwab F, Patel A, Hawkinson N, Farcy JP. Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity. SPINE. 2009;34(17):599-606.
10 Delisle A, Gagnon M, Sicard C. Effect of pelvic tilt on lumbar spine geometry. IEEE Trans Rehabil Eng. 1997;5:360-6.   DOI   ScienceOn
11 Bae SC, Lee HS, Yun HR, Kim TH. Cross-cultural adaptation and validation of Korean Western Ontario and McMaster Universities(WOMAC) and Lequesne osteoarthritis indices for clinical research. Osteoarthritis and Cartilage. 2001;9:746-50.   DOI   ScienceOn
12 Haut Donahue TL, Hull ML, Rashid MM, Jacobs CR. The sensitivity of tibiofemoral contact pressure to the size and shape of the lateral and medial menisci. Journal of Orthopaedic Research. 2004;22:807-14.   DOI   ScienceOn
13 Emily JM, Rose FR, Tammy L. HD, Kenton RK. Experimental validation of a tibiofemoral model for analyzing joint force distribution. Journal of Biomechanics. 2009;42(9):1355-9.   DOI   ScienceOn
14 Yoo JH, Choi IH, Cho TJ, Chung CY, Yoo WJ. Development of tibiofemoral angle in Korean children. J Korean Med Sci. 2008;23:714-7.   DOI   ScienceOn
15 Witvrouw E, Danneels L, Thijs Y, Cambier D, Bellemans J. Does soccer participation lead to genu varum? Knee Surg Sports Traumatol Arthrosc. 2009;17:422-7.   DOI   ScienceOn
16 Chantrain A. Knee joint in soccer players: osteoarthritis and axis deviation. Med Sci Sports Exerc. 1985;17:434-9.   DOI   ScienceOn
17 이인석, 정민근, 기도형. 심물리학적 방법을 이용한 다양한 하지 자세의 부하 평가. 대한인간공학회지. 2002;21(4):47-65.
18 김근우, 이태훈, 남우동, 유기형. 굴곡을 중심으로 본 정상 성인 고관절의 운동 범위. 대한정형외과학회지. 2006;41:361-7.
19 이상용, 신형수, 배성수. 외측 쐐기 깔창이 골관절염 환자의 내반슬에 미치는 영향에 관한 고찰. 대한정형도수치료학회지. 2005;11(1):65-73.
20 Baker KR, Xu L, Zhang Y, Nevitt M, Niu J, Aliabadi P, Wei Y, Felson D. Quadriceps weakness and its relationship to tibiofemoral and patellofemoral knee osteoarthritis in Chinese: the Beijing osteoarthritis study. Arthritis and rheumatism. 2004;50(6):1815-21.   DOI   ScienceOn
21 Mizuno Y, Kumagai M, Mattessich SM, Elias JJ, Ramrattan N, Cosgarea AJ, Chao EYS. Q-angle influences tibiofemoral and patellofemoral kinematics. Journal of Orthopaedic Research. 2001;19:834-40.   DOI   ScienceOn
22 Grace PY, Leon MS, Peter B. A comparison of symptomatic and asymptomatic office workers performing monotonous keyboard work: Neck and shoulder muscle recruitment patterns. Manual Therapy. 2005;10:270-80.   DOI   ScienceOn
23 Hughston JC, Hergenroeder PT, Courtenay BG. Osteochondritis dissecans of the femoral condyles. J Bone Joint Surg Am. 1984;66(9):1340-8.
24 Sogabe A, Mukai N, Shimojo H, Shiraki H, Miyakawa S, Mesaki N, Miyanaga Y. A genu varum effects on each lower extremity muscle activity during leg press exercise. The Japanese Society of Physical Fitness and Sports Medicine. 2003;52:275-84.
25 Sogabe A, Mukai N, Miyakawa S, Mesaki N, Maeda K, Yamamoto T, Gallagher PM, Schrager M, Fry AC. Influence of knee alignment on quadriceps cross-sectional area. Journal of Biomechanics. 2009;42:2313-7.   DOI   ScienceOn
26 김정룡, 정명철. 근전도의 정량적 분석시 사용되는 수리적 파라미터의 민감도 비교. 대한산업공학회지. 1999;25(3):330-5.
27 Nguyen AD, Michelle CB, Beverly L, Sandra JS. Relationships between lower extremity alignment and the quadriceps angle. Clin J Sport Med. 2009;19(3):201-6.   DOI   ScienceOn
28 김기택, 이정희. 시사염 불균형. 대한척추외과학회지. 2009;16(2):142-51.
29 Kling TF Jr, Hensinger RN. Angular and torsional deformities of the lower limbs in children. Clin Orthop Relat Res. 1983;176:136-47.
30 Do TT. Clinical and radiographic evaluation of bowlegs. Curr Opin Pediatr. 2001;13(1):42-6.   DOI   ScienceOn
31 Issa SN, Dunlop D, Chang A, Song J, Prasad PV, Guermazi A, Peterfy C, Cahue S, Marshall M, Kapoor D, Hayes K, Sharma L. Full-limb and knee radiography assessments of varus-valgus alignment and their relationship to osteoarthritis disease features by magnetic resonance imaging. Arthritis Rheum. 2007;57:398-406.   DOI   ScienceOn
32 Mckellop HA, Llinas A, Sarmiento A. Effects of tibial malalignment on the knee and ankle. Orthop Clin North Am. 1994;25:415-23.
33 Miller EJ, Riemer RF, Haut Donahue TL, Kaufman KR. Experimental validation of a tibiofemoral model for analyzing joint force distribution. Journal of Biomechanics. 2009; 42(9):1355-9.   DOI   ScienceOn
34 이주립. 여대생들의 척추이상에 관한 분석연구. 한국체육학회지. 1994;35(4):311-7.
35 Delgado ED, Schoenecker PL, Rich MM, Caplli AM. Treatment of severe torsional malalignment syndrom. J Pediatr Orthop. 1996;16:484-8.   DOI   ScienceOn
36 Ribeiro CH, Severino NR, de Paula Leite Cury R, de Oliveira VM, Avakian R, Ayhara T, de Camargo OP. A new fixation material for open-wedge tibial osteotomy for genu varum. The Knee. 2009;16(5):366-70.   DOI   ScienceOn
37 Lo WN, Cheung KW, Yung SH, Chiu KH. Arthroscopy-assisted computer navigation in high tibial osteotomy for varus knee deformity, Orthop Surg(Hong Kong). 2009;17(1):51-5.   DOI
38 King-Martinez AC, Cusllar-Avaroma A, Perez-Correa J, Torres-Gonzalez R, Guevara-Lopez U. High tibial dome osteotomy complications in genu varum patients. Rev Med Inst Mex Seguro Soc. 2007;45(2):111-6.
39 Wolfe SA, Brueckmann FR. Conservative treatment of genu valgus and varum with medial/lateral heel wedges. Indiana Med. 1991;84(9):614-5.
40 강승호, 이원재, 김택연. 재활프로그램의 적용이 내반슬 대학생의 체중심동요와 교정에 미치는 영향. 한국사회체육학회지. 2009;35:1061-72.
41 서경배. 비수술적 방법에 의한 성인 내반슬 치료; 증례보고. 대한재활의학회 26차 추계학술대회. 1998.