• Title/Summary/Keyword: Knee OA

Search Result 94, Processing Time 0.031 seconds

The Effect of Compression Knee Band and Heat Treatment on Blood Velocity of the Elderly with Osteoarthritis (무릎밴드 가압과 가온요법이 퇴행성 무릎관절염 노인의 혈류속도에 미치는 효과)

  • Kim, Nam Yim;Hong, Kyunghi
    • Fashion & Textile Research Journal
    • /
    • v.18 no.5
    • /
    • pp.716-723
    • /
    • 2016
  • The purpose of this study was to investigate the change in blood velocity(mm/sec) when compression and/or heat were applied to the knee joint for the elderly who has both normal and painful legs with osteoarthritis(OA). Experimental compression knee band was prepared from the 3D knee data of the average women in 60's. 3D replica of knee was reduced by 7, 10, and 13% from the nude pattern in course direction. Clothing pressure was measured at the front and back of each healthy and painful knee of elderly women for one minute while standing and sitting on the chair. Blood velocity was measured at 13 cm upper from the mid-patella for 15 minutes. Results are as follows: first, compression or heating treatment itself did not change blood velocity of both legs; second, combination treatment with heating and compression was effective to increase blood velocity. In details, for healthy legs, combination treatments with compression by 10% reduced pattern(about 1.3kPa) and heating($43^{\circ}C$) induced the maximal blood velocity, however, for knees with OA, 7% reduced pattern(about 1.0kPa) with simultaneous heating($43^{\circ}C$) was more effective than other cases. These results indicated that pain and spasticity of knee joint with OA could be reduced by applying heat and compression therapy, where the compression level of painful knee should be slightly lower than of healthy leg.

Short-Term Results of Hybrid Closed-Wedge High Tibial Osteotomy: A Case Series with a Minimum 3-Year Follow-up

  • Saito, Hidetomo;Saito, Kimio;Shimada, Yoichi;Yamamura, Toshiaki;Yamada, Shin;Sato, Takahiro;Nozaka, Koji;Kijima, Hiroaki;Miyakoshi, Naohisa
    • Knee surgery & related research
    • /
    • v.30 no.4
    • /
    • pp.293-302
    • /
    • 2018
  • Purpose: High tibial valgus osteotomy (HTO) is a well-established surgical procedure for patients with medial compartment osteoarthritis (OA) of the knee. The hybrid closed-wedge HTO (CWHTO) procedure permits extensive correction in patients with severe deformities or patellofemoral joint OA. The aim of this study was to report the short-term results in a consecutive series of patients treated with hybrid CWHTO. Materials and Methods: We retrospectively evaluated the clinical outcomes and radiographic parameters in 29 consecutive knees that underwent hybrid CWTHO to correct medial compartment OA at an average follow-up of 52.6 months. Clinical outcomes were assessed using the Lysholm score and knee scoring system of the Japanese Orthopedic Association (JOA). The Kellgren-Lawrence grading system and pre- and postoperative mechanical axis (MA), femorotibial angle (FTA), posterior tibial slope, and patella height were assessed. Results: The FTA and MA significantly changed from $180.7^{\circ}$ to $170.4^{\circ}$ and from $22.0^{\circ}$ to $60.2^{\circ}$, respectively. No significant differences were observed between the mean pre- and postoperative posterior tibial slope, Insall-Salvati ratio, or Caton-Deschamps index. The postoperative JOA and Lysholm scores significantly improved from 76.7 to 95.8 and from 58.8 to 90.2, respectively. Conclusions: Satisfactory outcomes can be achieved with hybrid CWHTO in patients with medial OA.

Effect on Muscle Questionnaire of Knee Osteoarthritis with Lower Extremity Patterns of the Proprioceptive Neuromuscular Facilitation (고유수용성 신경근 촉진법의 하지패턴이 퇴행성 슬관절염 환자의 근기능에 미치는 영향)

  • Jeong, Hyeon-Seong;Bae, Sung-Soo;Jung, Yeon-Woo
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.2 no.1
    • /
    • pp.21-30
    • /
    • 2007
  • Purpose : this study was to investigate the influence on lower extremity pattern of PNF to muscle questionnaire ability of patients with knee OA. Methods : The subjects were consisted of 60 women patients with knee OA. And all subjects were randomly devide to two group which was modality group and PNF group. Each group had a treatment for 30 minutes per day and three times a week during 8 weeks period. VAS was used to measure pain, patient specific functional scale(PSFS) was used to measure patient's functional disability level, global perceived effect scale(GPES) was used to measure recovery or worse of patient's condition, muscle assessment questionnaire (MAQ) was used to measure patient's pain level. Results : 1. VAS was showed that PNF group had more significantly decreased than modality group(p<.05). 2. PSFS was showed that PNF group had more significantly increased than modality group(p<.05). 3. GPES was showed that PNF group had more significantly decreased than modality group(p<.05). 4. MAQ was showed that PNF group had more significantly decreased than modality group(p<.05). Conclusion : There are strong significant between PNF group and modality group.

  • PDF

Reproduction of Walking Asymmetry in Knee Osteoarthritis with Split-Belt Conditions (분할 벨트 조건을 이용한 무릎 관절 이상군의 보행 비대칭성 모사)

  • Lee, Myunghyun;Park, Heewon;Park, Sukyung
    • Journal of the Korean Society for Precision Engineering
    • /
    • v.32 no.10
    • /
    • pp.885-890
    • /
    • 2015
  • Walking on split-belt treadmill has been applied to study walking disabilities, such as osteoarthritis (OA), to show asymmetric walking characteristics. In this study, we compared asymmetric walking in OA patients with healthy subjects under split-belt conditions and examined the reproduction of walking asymmetry in OA. Seven OA patients were instructed to walk at four frequencies, while four healthy subjects walked on a treadmill with tied-belt and split-belt conditions. To compare walking asymmetries, kinetic and kinematic measurements were made using force-plates and motion capture cameras, and subsequently center of mass (CoM) velocity, mechanical work and potential energy were calculated. Horizontal velocity change during split-belt walking of healthy subjects was similar to OA patients. Difference of mechanical work during single support phase occurred due to fall of CoM in fast belt. OA walking asymmetry could be reproduced by reducing differences of belt speeds to prevent rapid fall of CoM.

Anti-osteoarthritic effects of a combination of pomegranate concentrate powder, Eucommiae cortex and Achyranthis radix in rats

  • Choi, Beom-Rak;Ku, Sae-Kwang;Kang, Su-Jin;Park, Hye-Rim;Sung, Mi-Sun;Lee, Young-Joon;Park, Ki-Moon
    • The Journal of Korean Medicine
    • /
    • v.39 no.4
    • /
    • pp.86-113
    • /
    • 2018
  • Objectives: We examined the effects of a mixed formula consisting of dried pomegranate concentrate powder (PCP) and the aqueous extracts of Eucommiae cortex (EC) and Achyranthis radix (AR) in rats with surgically induced osteoarthritis (OA). Methods: Two weeks after OA-inducing surgery, a PCP:EC:AR 5:4:1 (g/g) combination or single formula was orally administered. Changes in body weight, knee thickness, maximum knee extension angle, bone mineral density of the knee joints, femoral and tibial articular surfaces, and compressive strength of the femoral and tibial articular cartilage (AC) were assessed, along with the prostaglandin E2 level, 5-lipoxygenase, matrix metalloproteinase (MMP)-2 and MMP-9 activity, and chondrogenic gene mRNA expression in the femoral and tibial AC with the synovial membrane (SM). In addition, the number of cleaved poly(ADP-ribose) polymerase, cyclooxygenase and tumor necrosis factor-${\alpha}$-immunoreactive cells in the femoral and tibial AC with SM were monitored, and the rate of cell proliferation was determined with a 5-bromo-2'-deoxyuridine uptake assay. Results : The signs of surgically induced OA in rats were significantly inhibited by both PCP, EC and AR combined and single formulas. In particular, the combination formula-treated OA model rats showed dose-dependent, significantly increased inhibitory activity against all tested criteria compared with single formula-treated rats. Conclusions: Taken together, our results suggest that the combination formula synergistically increased the anti-OA effects of its components through anti-inflammatory and chondrogenic activity in rats with surgically induced OA. In addition, 200, 100 and 50 mg/kg combination formula treatments showed dose-dependent inhibitory activity against all of the tested criteria.

Effects of Bee Venom on Papain-induced Osteoarthritis in an Animal Model (봉독이 Papain으로 유도된 골관절염 동물 모델에 미치는 영향)

  • An, Hyun-Jin;Lee, Chong-Kee;Park, Ji-Hyun;Kim, Kyung-Hyun;Lee, Woo-Ram;Park, In-Young;Han, Sang-Mi;Lee, Kwang-Gill;Park, Kwan-Kyu
    • Korean Journal of Pharmacognosy
    • /
    • v.43 no.2
    • /
    • pp.167-172
    • /
    • 2012
  • Osteoarthritis (OA) is an age-related joint disease characterized by degradation of articular cartilage and its association with chronic pain. Purified Bee venom (PBV) has been traditionally used to the treatment for inflammatory diseases. The purpose of the current study is to examine whether PBV regulates the pro-inflammation against a mouse model of knee OA induced by papain. We studied the effect of PBV on papain-induced OA in the knee joints of mice. Mice were split into following groups: normal control, papain induced OA, OA treated with PBV, OA treated with meloxicam as positive control. Proteoglycan deposition was analyzed by safranin O-fast green staining and H&E staining. Papain injection significantly degraded the proteoglycan in OA mice at 42 days. Cartilage proteoglycan density was significantly higher in PBV treated OA group than those of the positive control groups. These results demonstrate that PBV efficiently suppresses pathological processes in an OA model. Thus, PBV could be a potential therapeutic strategy for the treatment of OA.

Study on the Applicability of Thermography as Severity Measurement in the Patients with Osteoarthritis of the Knee (퇴행성 슬관절염 환자의 증상 중증도 지표와 DITI의 상관성 연구)

  • Seo, Byung-Kwan;Ryu, Seong-Ryong;Kang, Jung-Won;An, Kyung-Eh;Lee, Jae-Dong;Choi, Do-Young;Kim, Keon-Sik;Lee, Doo-Ik;Lee, Yun-Ho;Lee, Sang-Hoon
    • Journal of Acupuncture Research
    • /
    • v.22 no.4
    • /
    • pp.35-45
    • /
    • 2005
  • Objectives : To investigate the applicability of thermography as severity measurement in the patients with osteoarthritis (OA) of the knee. Methods : Data were obtained from 80 patiens with OA of the knee. They were asked to answer two disease-specific questionnaire (Western Ontario and McMaster Universities (WOMAC) OA index. Lequesne's Functional Index (LFI)), one generic instrument (Korean Health Assessment Questionnaire (KHAQ)), VAS in order to assess the severity of disease, quality of life, and degree of pain and taken thermography in standardized environment. Results : The thermal difference between ipsilateral side and contralaterla side of lateral aspect of knee was correlated with that of medial aspect of knee, and the thermal difference of anterior thigh was correlated with that of lateral, medial aspect of knee and patella region. Age, duration of disease, duration of morning stiffness, sex, crepitus, and painful side of knee were not correlated with the thermal differences of each region. LFI, WOMAC, WOMAC pain subscale, WOMAC stiffness subscale, WOMAC physical function, KHAQ, VAS were not correlated with the thermal differences of each region. Conclusion : Futher study on the thermography on OA of the knee in population with appropriate severity grade and the standardization of analysis of thermographic data were recommended.

  • PDF

Quality of life of persons after total knee replacement surgery

  • Leem, Soo-Hyun;Lee, Byounghee;Chung, EunJung;Lee, Jiyeon;Kim, Jung-Hee
    • Physical Therapy Rehabilitation Science
    • /
    • v.8 no.3
    • /
    • pp.170-174
    • /
    • 2019
  • Objective: The objective of this study was to investigate the differences in the quality of life between two groups of patients who received or did not receive total knee replacement (TKR) surgery after being diagnosed with knee osteoarthritis (OA), and to investigate changes in the quality of life for persons who had TKR surgery. Design: Cross-sectional study. Methods: The subjects were randomized into a surgery group (n=70) and a non-surgery group (n=65). Subjects were selected from individuals diagnosed with knee OA from Himchan Hospital in Seoul, South Korea. Their sex, age, weight, height, body mass index, unilateral or bilateral, and quality of life were evaluated. Changes in the quality of life was measured using the Short Form-36 Health Survey (SF-36). Seventy out of 135 patients had TKR surgery, and their quality of life was evaluated at 6 months and 12 months after the surgery. Results: SF-36 scores were significantly improved at 6 months and 12 months after the surgery compared to the scores before the surgery (p<0.05). Also, the comparison between 6 and 12 months after surgery showed that the Vitality and Social Function scores in the SF-36 were significantly increased (p<0.05). Conclusions: The findings of this study showed that TKR surgery has a positive effect on the quality of life for persons with knee OA as a therapeutic intervention.