• Title/Summary/Keyword: Knee Arthritis

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Effects of Taping Therapy on Pain and Physical Functions of Aged People with Degenerative Knee Arthritis (테이핑요법이 퇴행성 슬관절염 노인의 통증 및 신체기능에 미치는 효과)

  • Chung, Kyoung Hwa;Lee, Eun Sook
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.129-140
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    • 2008
  • Purpose: This study was to examine the effect of a taping therapy on pain relief and the improvement of daily living for elderly having degenerative knee arthritis. Method: This study was conducted with a non-equivalent control-group pre-test and post-test design. Data were collected conveniently with 63 elderly who had having(a) pain due to degenerative knee arthritis, and (b) inconvenience in daily life(30 for an experimental group and 33 for a control group). The subjects were recruited from the elderly, participating in welfare programs held in a welfare organization and day-care facilities. The experimental group received an intervention of taping therapy offered twice a week, for 4 weeks. The data collection from the experimental group was done from the beginning of the therapy throughout two weeks later after the end of the therapy. Results: For the experimental group, pain scores came to more decreased significantly, as the periods in which taping therapy was conducted were getting longer. Physical function scores became also more decreased at significantly level, as taping therapy was more conducted. However, compared to the control group, the score change for the experimental was not significantly showed in physical function after the therapy ended. That is, there was no longer-lasting effect on physical function improvement. Conclusion: This study found that this therapy could be a useful self-management method that the elderly with degenerative knee arthritis can use easily at home. Because of insignificant result in longer-lasting effect, this taping therapy would be applied properly with the interval of 2~3days.

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Effects of NOS Inhibitors on Arthritis and Arthritic Pain in Rats

  • Min, Sun-Seek
    • The Korean Journal of Physiology and Pharmacology
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    • v.11 no.6
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    • pp.253-257
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    • 2007
  • Among the arthritis symptoms, chronic pain is the most serious, and it can profoundly affect the quality of human life. Unfortunately, the mechanism of development in arthritis and arthritic pain has not yet been precisely elucidated. Accumulating evidence indicates that nitric oxide (NO) plays a pivotal role in nociceptive processing in the spinal cord. However, the modulation mechanism of NO in the peripheral site of arthritis and arthritic pain has not been clarified. Therefore, I determined in the present study which nitric oxide synthase (NOS) was involved in the induction of arthritis and arthritic pain. Monoarthritis was induced by intra-articular injection of carrageenan (2%, $50{\mu}l$) into rats, and resulted in the reduction of weight load on the injected leg, increase of knee joint diameter and inflammatory response. Pre-treatment of rats with L-N6-(1-iminoethyl)-lysine (L-NIL, $500{\mu}g$, in $50{\mu}l$), an inhibitor of inducible NOS (iNOS), partially prevented the induction of pain-related behavior and partially reduced inflammatory response in the synovial membrane in the knee joint. These results suggest that iNOS in the knee joint may play an important role in the induction of pain-related behavior and inflammation, and that NO produced by iNOS may be associated with nociceptive signaling in the peripheral site.

Micro-current Treatment Effects on Pain, Balance of the Degenerative Knee Arthritis (미세전류치료가 퇴행성 무릎관절염 환자의 통증과 균형에 미치는 영향)

  • Chung, Joonsung;Cho, Namjeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.2
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    • pp.9-16
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    • 2015
  • Purpose: The purpose of this research was to ascertain the effect of Micro-current on a pain, balance, of knee joint in the patients with degenerative arthritis. Method: The 30 subjects who had micro-current in this research and randomly assigned into two group, an experiment group and a control group. micro-current was applied to 15 subject in the experiment group after general physical therapy. experiment group was applies general therapies and micro-current stimulation. The measurement were analyzed by using SPSS(V.20). In order to compare the post to the amount of pre-changes and post-changes of each group, the paired t-test was used. The difference between the experiment group and the control group was analyzed by using the analysis of convariance. Results: The results of this study were as follows; 1) In VAS measures, the pain point was significantly decreased in both the experimental and the control group. 2) Mc Gill Pain Questionnaire(MPQ), the pain point was significantly decreased in both the experimental and the control group. 3) TUG measures, the second was significantly decreased in both the experimental and the control group. 4) Weight distribution measures, the authority was significantly decreased in both the experimental and the control group. Conclusion: The micro-current is considered a degenerative knee arthritis that can be presented as an effective physical therapy intervention.

The Effect of 8 Constitution Acupuncture on degenerative arthritis of knee joint (퇴행성(退行性) 슬관절염(膝關節炎)에 체질침요법(體質鍼療法)이 미치는 영향)

  • Chae, Sang-jin;Song, Ho-sueb
    • Journal of Acupuncture Research
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    • v.21 no.4
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    • pp.65-73
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    • 2004
  • Objective: This study was designed to compared the effect of general acupuncture on degenerative arthritis of knee joint with 8 constitution acupuncture by Visual Analogue Scale(VAS). Methods: VAS was used for this research, with the pain indicator of 10 and 0 which represents a pain of first visit and a status of no pain respectively. Two groups, consisting of 40 patients, was randomly allocated for this research. SPSS(Statistic Program for Social Science) 10.0 for window was used for a statistical analysis. Independent T-test and Mann Whitney U test was performed to evaluate the improvement of each group by the treatment number and to compare that of two groups. Results: As a result of the comparison analysis between two groups after 20th treatment, the improvement of subjective symptoms in 8 constitution acupuncture group was shown more effective than that in general acupuncture group, while, After 10th treatment, there was no significant difference between two groups in VAS. Conclusion: It is suggested that the effect of 8 constitution acupuncture should be significantly different from that of general acupuncture on degenerative arthritis of knee joint. Further study is needed to confirm the effectiveness of 8 constitution acupuncture.

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Effects of the Moxibustion Therapy on the Pain Decrease and Joint Recovery with Degenerative Knee Arthritis (뜸 치료가 퇴행성 슬관절 환자의 동통완화와 관절기능 회복에 미치는 영향)

  • Doh, Myung-Hea;Kim, Tae-Yeol
    • Journal of Society of Preventive Korean Medicine
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    • v.13 no.1
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    • pp.81-92
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    • 2009
  • Objective : This study was designed to the effect of moxibustion therapy on the pain decrease and joint recovery with degenerative knee arthritis Methods : The research was administered from January to March 2008. The study subjects are menopause female 20 person and over 50 years old with degenerative knee arthritis patients, The Research were conducted with 10 moxibustion group and to 10 hot pack group during 4 Weeks. Results : 1. There is no significant difference of LSS of pre-treatment between hot pack group and moxibustion group(p<0.05). 2. There is no significant difference of LSS of post-treatment between hot pack group and moxibustion group(p<0.05). 3. There is no significant difference of LSS between pretreatment and post-treatment in hot pack group and moxibustion group(p<0.05). 4. There is no significant difference of VAS of pre-treatment between hot pack group and moxibustion group(p<0.05). Conclusion : This study suggests that hot pack used usually in physical therapy can decrease pain but the there is no significantly different between these two methods.

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Total Knee Arthroplasty (슬관절 전 치환 성형술)

  • Lee, Dong-Chul;Sohn, Wook-Jin
    • Journal of Yeungnam Medical Science
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    • v.21 no.1
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    • pp.1-11
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    • 2004
  • Total knee arthroplasty has become a common procedure for treatment of severe osteoarthritis, rheumatoid arthritis and post-traumatic arthritis. In the past, failure of total knee arthroplasty was commonly attributable to aseptic loosening, often associated with component malalignment, soft tissue imbalance. With improved surgical instrumentation and soft tissue balancing techiniques, failure secondary to mechanical loosening has been minimal. But surgeons are still dissatisfied with implant malalignment. Correct tibiofemoral alignment seems to be particularly important since it is generally agreed that axial deviation and imprecise implantation may lead to loosening of the implant component. Navigation systems and robotic techniques could potentially solve problems of imprecision in traditional total knee arthroplasty. It is expected that the success rate and longevity of total knee arthroplasty will be improved during the twenty first century.

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The Effects of Tai Chi for Arthritis on Chronic Arthritic Pain of Senior Female : A Pilot Study (만성 관절 통증 여성 노인환자에 있어 관절염 태극권의 효과에 대한 pilot study)

  • Hwang, Eui-Hyoung;Kim, Jung-Hwan;Jang, In-Soo;Yang, Chang-Sop;Kang, Jun-Won
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.1
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    • pp.79-90
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    • 2010
  • Objectives : Tai Chi for arthritis was developed in 1997 by Paul Lam, M.D. of family medicine in Australia. It is an exercise treatment program and a good approaching method for arthritis. However its application is limited to arthritis of knee joint only. Even there have been no clinical study in korean traditional medical society. The aim of this study is to investigate effect of the Tai Chi for arthritis on chronic pain of body. Methods : We designed this trial as objectives were (1) senior female over 60 years, (2) suffering for osteoarthritis and chronic body pain, (3) have no physical or mental dysfunctions (4) able to walk and exercise alone. Objectives mactched these criteria had been trained the Tai Chi for arthritis 2 hours a day for 21 weeks. Before and after training, pain of 8 joints (neck, shoulder, elbow, wrist, waist, hip, knee, ankle) were estimated with the VAS(Visual Analog Scale). Results : Training the Tai Chi for arthritis relieved multiple joint pain(especially neck, lower back, shoulder, wrist and knee) and these were statistically significant. Conclusions : This study is a pilot study to investigate effect of the Tai Chi for arthritis on chronic pain of whole body. Absence of control group, and other scale to test joint function except VAS were limitations of this study. It is the first clinical approach about Tai Chi in korean medicine field, also the first study of Tai Chi for pain of the whole body.

The Effects of a Case Management Program of Customized Home Visiting Health Service for Clients with Arthritis (보건소 맞춤형 방문건강관리사업 관절염 사례관리 효과)

  • Yang, Soon-Ok;Kwon, Myung-Soon;Choi, Yong-Jun;Lee, Seung-Hee
    • Research in Community and Public Health Nursing
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    • v.22 no.2
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    • pp.151-161
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    • 2011
  • Purpose: The purpose of this study was to analyze the effects of a case management program on range of motion, pain, depression and self efficacy in community-dwelling older women with knee arthritis. Methods: The research design was one-group pre and post-test design with 40 participants with knee arthritis who agreed to participate in the 12-week case management program. Data were collected four times, before and after 4, 8 and 12 weeks. Results: Repeated measures ANOVA revealed significant differences between before and after the service in range of motion, pain, depression and self efficacy. Significant improvements from the baseline to 4 weeks after the service were observed in the measurements of range of motion, pain, depression and self efficacy. There were no significant differences in range of motion, pain and depression between 4 and 12 weeks after the services. Conclusion: This study represents the first effort showing that a case management program can have positive outcomes on range of motion, pain, depression and self efficacy for older women with knee arthritis. More research using a control group pre-post test design considering time lapse is needed in order to examine more accurately the effects of case management programs for knee arthritis.

Anti-inflammation Effect of Low Intensity Laser Therapy in Collagen-induced Arthritis in Rats

  • Kim, Young-Eok;Kim, Eun-Jung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.5
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    • pp.870-875
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    • 2011
  • Arthritis of the knee is the most common type of joint inflammatory disorder and it is associated with pain and inflammation of the joint capsule. The aim of present study was to investigate the endogenous effect of low intensity laser acupuncture on collagen-induced arthritis in rats. Forty Sprague-Dawley rats were randomly divided into normal group, arthritis group, low laser group with 10 rats in each group. Arthritis in rats was induced by subcutaneous injection of type II collagen combined with complete Freund's adjuvant. Here we investigated the effects of low intensity laser therapy in experimentally induced rat knee arthritis. To evaluate preventive and therapeutic effects of low intensity laser acupuncture on collagen-induced arthritis rats. In collagen induced arthritic rats, there was significant increase in rat paw volume and decrease in body weight increment, whereas low intensity laser therapy groups, showed significant reduction in paw volume and normal gain in body weight. The altered biochemical parameters(blood urea, serum creatinine, total proteins and acute phase proteins) in the arthritic rats were significantly brought back to near normal by the low intensity laser therapy. Therefore, low intensity laser acupuncture may be a useful treatment in the prevention and treatment of collagen-induced arthritis.