Browse > Article
http://dx.doi.org/10.22156/CS4SMB.2022.12.02.174

The Effects of Active Exercise Program using Sling on the Pain and Balance Following Total Knee Replacement  

Ryu, Je-Ju (Cheongju medical center)
Jeong, Beom-Cheol (Noble care hospital)
Yoo, Kyung-Tae (Dept. of Physical therapy, Namseoul University)
Publication Information
Journal of Convergence for Information Technology / v.12, no.2, 2022 , pp. 174-183 More about this Journal
Abstract
This study was conducted to investigate the effect of the active exercise program using sling on the pain and balance of total knee replacement patients. Subjects were 20 patients who received total knee replacement and are hospitalized, 10 patients in each group were randomly assigned to a group (CPM group) that applied only CPM (Continuous passive motion) and a group (CSG) that combined CPM with a active exercise program using sling. CG was performed CPM 5 days a week, CSG performed CPM 2 days a week and a active exercise program using sling 3 days a week, and each intervention was performed for 40 minutes a day for a total of 4 weeks. Pain was evaluated using VAS (Visual analog scale), and balance was measured using BT4 (Balance training 4) to measure C90 area, trace length, and Sway average velocity with eyes open and closed. As a result, there was a significant decrease in pain in both groups, and there was also a significant difference in the amount of change between groups. In balance, all variables except C90 of CG showed significant changes after intervention, and there was a significant difference between C90 and Vel with eyes closed in the amount of change between groups. Therefore, we believe that CPM and active exercise program using sling are effective interventions to reduce pain and improve balance in total knee replacement patients.
Keywords
CPM; Balance; Total knee replacement; Sling; Pain;
Citations & Related Records
Times Cited By KSCI : 7  (Citation Analysis)
연도 인용수 순위
1 Health Insurance Review & Assessment Service & National Health Insurance Service, (2021). 2020 National Health Insurance Statistical Yearbook. Seoul : Kyungsung.
2 J. H. Yu & H. J. Lee. (2016). Effects of motivational interviewing intervention for patients with total knee replacement. Journal of Muscle and Joint Health, 23(3), 139-151. DOI : 10.5953/JMJH.2016.23.3.139   DOI
3 The Korean Orthopaedic Association. (2019). Rehabilitation after total knee arthroplasty [Internet]. Seoul: Korean Orthopaedic Association. https://www.koa.or.kr/info/index_10_7.php
4 S. H. Lee, Y. J. Kim, H. J. Baik & J. H. Kim. (2006). A comparison of patient-controlled epidural analgesia and continuous epidural analgesia after total knee arthroplasty in elderly patients over 60 years of age. Korean Journal of Anesthesiology. 50(3), 285-291. DOI : 10.4097/kjae.2006.50.3.285   DOI
5 S. Milne et al. (2003). Continuous passive motion following total knee arthroplasty. Cochrane Database of Systematic Reviews. (2), CD004260. DOI : 10.1002/14651858.CD004260   DOI
6 M. V. Radomski & C. A. Latham. (2008). Occupational therapy for physical dysfunction. Baltimore, MD [etc.] : Wolters Kluwer/Lippincott Williams & Wilkins.
7 G. Borg. (1998). Borg's perceived exertion and pain scales. Champain : Human Kinetics.
8 J. O. Kim, B. J. Park, H. K. Lim & K. H. Noh. (2006). Balance in Patients After TKA. Knee Surgery & Related Research, 18(2), 167-174. UCI(KEPA) I410-ECN-0102-2009-510-000015171
9 H. S. Min, Y. H. Jung, E. S. Kim, S. H. Kim & Y. J. Choi. (2011). Effects of muscle strengthening exercise program on pain, fatigue, physical function in elderly women with total knee arthroplasty. Journal of Muscle and Joint Health. 18(2), 203-214. DOI : 10.5953/JMJH.2011.18.2.203   DOI
10 S. J. Park & J. H. Lee. (2016). Effect of joint mobilization and kinesio taping on pain, range of motion, and knee function in patients with knee osteoarthritis. The Korea Society of Physical Therapy, 28(5), 279-285. DOI : 10.18857/jkpt.2016.28.5.279   DOI
11 R. N. Maniar, J. V. Baviskar, T. Singhi & S. S. Rathi. (2012). To use or not to use continuous passive motion post-total knee arthroplasty presenting functional assessment results in early recovery. The Journal of Arthroplasty. 27(2), 193-200. DOI : 10.1016/j.arth.2011.04.009   DOI
12 J. Y. Bae, M. A. Gim, M. K. Kim, J. H. Choi, K. T. Yoo & S. B. Lee. (2014). The Effect of Bridging Exercises Featuring Various Knee-joint Angles on Static and Dynamic Balance. Journal of the Korea Entertainment Industry Association, 8(3), 381-390. http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE02497389
13 H. S. Hwang, J. H. Kim & B. R. Choi. (2017). Comparison of the effects of visual feedback training and unstable surface training on static and dynamic balance in patients with stroke. Journal of physical therapy science, 29(10), 1720-1702.   DOI
14 Y. H. Pua, Z. Liang, P. H. Ong, A. L. Bryant, N. N. Lo & R. A. Clark. (2011). Associations of knee extensor strength and standing balance with physical function in knee osteoarthritis. Arthritis Care Res (Hoboken). 63(12), 1706-14. DOI : 10.1002/acr.20615. PMID: 21905251.   DOI
15 S. J. Lim, S. H. Cho & G. S. Nam. (2016). The effects of standing balance in anteroposterior and mediolateral directions on knee strengthening in post-total knee replacement. Journal of physical therapy science. 28(1), 261-263. DOI : 10.1589/ jpts.28.261.   DOI
16 Y. J. Son. (2019). Immediate effect on muscle strength after quadriceps muscle fatigue regarding applying directions of kinesiology tape on the patella.. Master's thesis. Dong-eui University, Busan. http://www.riss.kr/link?id=T15063342
17 J. S. Yoon. (2016). The effect of quadriceps isometric exercise method on pain, muscle strength and balance of early phase of total knee arthroplasty patients. Master's thesis. Daegu University. Daegu. http://www.riss.kr/link?id=T14224003
18 K. B. Lim. (2009). The effect of balance and pain in the osteoarthritis patients after bio-feedback and strengthening exercises. Maste'sr thesis. Daegu University. Daegu. http://www.riss.kr/link?id=T11846479
19 J. K. Lee. (2008). Effects of Fitness Profiles and the Correlations between Falling Risk and Fitness Variables in the Elderly Women by Sling Exercise Program. Journal of Sport and Leisure Studies, 32. 1119-1126. UCI : G704-000763.2008..32.089   DOI
20 C. H. Bae, Y. W. Jung, D. W. Lee & S. H. Cho. (2014). The Effect of Sling Exercise on Muscular Strength and Range of Motion in Female Patients who Received Total Knee Replacement. Korea Academy Industrial Cooperation Society, 15(7), 4395-4403. http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE07213549   DOI
21 M. S. Chung & H. S. Kwak. (2008). The effects of a muscle strengthening exercise program after total knee arthroplasty. The Journal of Korean Academic Society of Nursing Education. 14(1), 20-29. DOI : 10.5977/JKASNE.2008.14.1.020   DOI
22 A. Mau-Moeller, M. Behrens, S. Finze, S. Bruhn, R. Bader & W. Mittelmeier. (2014). The effect of continuous passive motion and sling exercise training on clinical and functional outcomes following total knee arthroplasty: a randomized active-controlled clinical study. Health and quality of life outcomes, 12, 68. DOI : 10.1186/1477-7525-12-68   DOI
23 C. H. Bae, Y. W. Jung, D. W. Lee & S. H. Cho. (2014). The Effect of Sling Exercise on Muscular Strength and Range of Motion in Female Patients who Received Total Knee Replacement. Journal of the Korea Academia-Industrial cooperation Society. 15(7), 4395-4403. DOI : 10.5762/KAIS.2014.15.7.4395   DOI
24 B. Cole, E. Finch & C. Gowland. (1994). Physical rehabilitation outcome measure. Toronto : Canadian physiotherapy association.
25 I. Schwartz, L. Kandel, A. Sajina, D. Litinezki, A. Herman & Y. Mattan. (2012). Balance is an important predictive factor for quality of life and function after primary total knee replacement. The Journal of bone and joint surgery. British volume, 94(6), 782-786. DOI : 10.1302/0301-620X.94B6.27874   DOI
26 J. H. Yu, S. M. Jeong & H. S. Park. (2013). The Effect of 3 Balance Training Programs on Improving Capabilities of Balancing among Some Female Students. The Journal of the Korea Institute of Electronic Communication Sciences, 8(4), 619-629. DOI : 10.13067/JKIECS.2013.8.4.619   DOI
27 M. Synder, P. Kozlowski, M. Drobniewski, A. Grzegorzewski & A. Glowacka. (2004). The use of continuous passive motion (CPM) in the rehabilitation of patients after total knee arthroplasty. Orthopedia, Traumatologia, Rehabilitacja. 6(3), 336-341. PMID: 17675995.
28 J. A. Herbold et al. (2014). Randomized controlled trial of the effectiveness of continuous passive motion after total knee replacement. Archives of Physical Medicine and Rehabilitation. 95(7), 1240-1245. DOI : 10.1016/j.apmr.2014.03.012   DOI
29 W. H. Gage, J. S. Frank, S. D. Prentice & P. Stevenson. (2008). Postural responses following a rotational support surface perturbation, following knee joint replacement: frontal plane rotations. Gait & posture, 27(2), 286-293. DOI : 10.1016/j.gaitpost.2007.04.006   DOI
30 G. C. Gauchard, G. Vancon, P. Meyer, D. Mainard & P. P. Perrin. (2010). On the role of knee joint in balance control and postural strategies: effects of total knee replacement in elderly subjects with knee osteoarthritis. Gait & posture, 32(2), 155-160. DOI : 10.1016/j.gaitpost.2010.04.002   DOI
31 R. S. Hinman, M. A. Hunt, M. W. Creaby, T. V. Wrigley, F. J. McManus & K. L. Bennell. (2010). Hip muscle weakness in individuals with medial knee osteoarthritis. Arthritis care & research, 62(8), 1190-1193. DOI : 10.1002/acr.20199   DOI
32 G. E. Park & T. K. Han. (2018). The Effect of Acute Neck Sling Exercise on the Range of Motion, Muscle Strength, Visual Analog Scale in University Students. The Korean Journal of Sport. 16(1), 415-422. https://www.earticle.net/Article/A325232
33 S. R. Piva, P. E. Teixeira, G. J. Almeida, A. B. Gil, A. M. 3rd. DiGioia, T. J. Levison & G. K. Fitzgerald. (2011). Contribution of hip abductor strength to physical function in patients with total knee arthroplasty. Physical therapy, 91(2), 225-233. DOI : 10.2522/ptj.20100122   DOI
34 J. H. Lee. (2010). Effect of lower extremity patterns of proprioceptive neuromuscular facilitation on pain and balance in total knee replacement. Master's thesis. Daegu University. Daegu. http://www.riss.kr/link?id=T12138739
35 T. P. Stitik, R. J. Kaplan, L. B. Kamen, A. N. Vo, A. A. Bitar & V. C. Shih. (2005). Rehabilitation of orthopedic and rheumatologic disoder. 2. Osteoarthritis assessment, treatment, and rehabilitation. Archives of Physical Medicine and Rehabilitation. 86 (Suppl 1), S48-S55. DOI : 10.1016/j.apmr.2004.12.010   DOI
36 J. F. Sarwark. (2010). Essentials of musculoskeletal care. 4th ed. Park JH, Lee YJ, translator. Rosemount, IL : American Academy of Orthopaedic Surgeons.
37 W. T. Gong. (2015). Effects of bridge exercises with a sling and vibrations on abdominal muscle thickness in healthy adults. Journal of back and musculoskeletal rehabilitation, 28(4), 645-649. DOI : 10.3233/BMR-140560   DOI
38 A. H. Saeterbakken, R. van den Tillaar & S. Seiler. (2011). Effect of core stability training on throwing velocity in female handball players. Journal of strength and conditioning research, 25(3), 712-718. DOI : 10.1519/JSC.0b013e3181cc227e   DOI
39 M. D. Kim, H. S. Ku, E. J. Lee, H. J. Lee, C. H. Jeong & D. H. Lee. (2015). Comparison of Trunk Stabilization Muscle Activity According to Change of the Sling Height and Hip Abduction, Adduction during Bridging Exercise. Korea Academy Industrial Cooperation Society. 588-590. URL: http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE07217732
40 D. H. Seong, S. D. Yoon, S. H. Kim, J. S. Jang, S. H. Lee & G. D. Park. (2017). The Effect of Sling Exercise and Proprioceptive Neuromuscular Facilitation on Foot Pressure and Range of Motion after Total Knee Replacement - Case Study -. Korean Journal of Sports Science 26(5), 1335-1343. http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE07257289   DOI
41 W. H. Gage, J. S. Frank, S. D. Prentice & P. Stevenson. (2008). Postural responses following a rotational support surface perturbation, following knee joint replacement: frontal plane rotations. Gait & posture, 27(2), 286-293. DOI : 10.1016/j.gaitpost.2007.04.006   DOI
42 S. J. Hwang, N. J. Cho & J. W. Lee. (2010). Effects of Core Program Exercise on Static Balance of Females in Their Twenties. Journal of the Korean Academy of Clinical Electrophysiology, 8(1), 31-36. DOI : 10.5627/KACE.2010.8.1.031   DOI
43 E. C. Huskisson. (1974). Measurement of Pain. The lancet, 304(7889), 1127-1131. DOI : 10.1016/S0140-6736(74)90884-8   DOI
44 H. L. Ahn & M. S. Shin. (2007). The Effect of Sling Exercise Therapy on Pain Decrease and Muscle Strengthening for Low Back Pain Paitents Journal of Korean Medicine Rehabilitation, 17(4), 167-174. UCI : G704-001658.2007.17.4.005
45 S. J. Park. (2021). The Effects of Exercise Program on Pain and Balance ability in Patients with Total Knee Replacement : Meta-analysis. Journal of the Korea Society of Computer and Information. 26(5), 119-126. http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE10558726   DOI
46 S. G. Ji, M. K. Kim, D. G. Lee & H. K. Cha. (2012). Effect of Task-Oriented Exercise on the Balance in Degenerative Arthritis Patients with Total Knee Replacement. Journal of the Korea Contents Association. 12(3), 222-232. http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE01813189   DOI
47 C. C. Jorgensen, H. Kehlet & Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group. (2013). Fall-related admissions after fast-track total hip and knee arthroplast - cause of concern or consequence of success. Journal of Clinical Interventions in Aging, 8, 1569-1577. DOI : 10.2147/CIA.S52528   DOI