• Title/Summary/Keyword: degenerative arthritis

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Relationship between Radiographic Classification and Articular Cartilage Lesions in Medial Degenerative Arthritis of the Ankle (족관절 내측 퇴행성 관절염의 방사선적 분류와 관절 연골 손상의 관계)

  • Lee, Woo-Chun;Moon, Jeong-Suk;Lee, Kang;Choi, Hong-Jun
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.2
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    • pp.130-134
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    • 2007
  • Purpose: To investigate the relationship between classification based on simple radiographic findings and arthroscopic findings of the cartilage lesions in medial degenerative arthritis of the ankle joint. Materials and Methods: We studied 41 ankles of 36 patients with asymmetrical narrowing of the medial joint space. Degenerative arthritis following fracture and those with generalized arthritic disease were excluded, but those with a history of ankle sprain were included. Standing radiographs of all patients were graded according to the Takakura classification and the Kellgren-Lawrence (K/L) classification. Arthroscopic findings were classified according to the depth, width, and anteroposterior dimension of articular cartilage damage. Results: According to the Takakura classification, 29 ankles were classified as stage II, 7 cases as stage IIIA and 2 cases as stage IIIB. According to our classification of arthroscopic findings of 29 ankles in stage II, 1 ankle was graded as Grade I, 3 ankles as grade II, 10 ankles as grade III, and 15 ankles as grade IV. Spearman correlation coefficient between Takakura classification and arthroscopic classification was 0.342 (P=0.028), and coefficient between K/L classification and arthroscopic classification was 0.480 (P=0.001). Conclusion: Degenerative changes of the articular cartilage are more advanced than radiographic findings in many patients with ankle degenerative arthritis with asymmetrical narrowing of medial joint space. Therefore, we conclude that more aggressive effort should be made for correct diagnosis and treatment of degenerative arthritis.

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Animal and Clinical Study of the Efficacy of Mulberry Extract Complex on Degenerative Arthritis (상심자추출복합물의 퇴행성관절염 개선 효능에 대한 동물실험 및 임상연구)

  • Kim, Jinku;Ha, Jeongku;Li, Hua;Jeong, Jong-Moon
    • The Korea Journal of Herbology
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    • v.30 no.3
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    • pp.25-34
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    • 2015
  • Objectives : This study was performed to investigate the efficacy and safety of the Mulberry Extract Complex in a placebo-controlled randomized clinical trial and animal study on degenerative arthritis. Methods : Animal study: Mulberry Extract Complex is composed of extracts of mulberry (Morus alba L.) fruit, mulberry leaves and black beans (Glycine max (L.) Merr.). To evaluate the serum level of interleukin-2, interferon-$\gamma$, and prostaglandin E2, an animal model of degenerative arthritis induced by monosodium iodoacetate was employed. Clinical study: The efficacy index (VAS, K-WOMAC) was compared among patients with symptoms of degenerative arthritis before and after Mulberry Extract Complex ingestion as well as the one in groups. Evaluations of the improvement by the subjects and by doctor assessment were also performed. Results : Animal study: Mulberry Extract Complex reduced the serum level of interferon-$\gamma$ and prostaglandin E2 in an animal model with degenerative arthritis. Clinical study: The VAS change showed statistical significance in the experimental groups after 4 weeks (PP set) and 8 weeks (ITT set) of ingestion. When the K-WOMAC was analyzed using a modified ITT set to determine the effectiveness, statistically significant results were obtained in the fields of pain & symptom within the Mulberry Extract Complex group as well as between the Mulberry Extract Complex and placebo groups after 8 weeks of ingestion. Results from the improvement evaluation by subjects and the assessment of improvement by doctors showed statistical significance in the experimental groups (PP set) after 8 weeks. Conclusions : Mulberry Extract Complex could be useful for the improvement of various symptoms of degenerative arthritis based on its anti-inflammatory activity and its reduction of VAS and K-WOMAC pain scores.

The Effects of Kinesio Taping on the Gait Pattern in Patients with Degenerative Arthritis (키네시오 테이핑이 퇴행성 슬관절염 환자의 보행패턴에 미치는 효과)

  • Son, Gil-Soo;Lee, Moon-Hwan;Lee, Soo-Yeon
    • Journal of Korean Physical Therapy Science
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    • v.15 no.1
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    • pp.57-66
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    • 2008
  • This study was conducted to investigate the effects of kinesio taping in patients with degenerative arthritis. 40 female patients with degenerative arthritis were voluntarily recruited and randomly divided into experimental and control group. Experimental group(mean age was 73.4 years, height was 153.5cm, and weight was 59.9kg) was applied patellar inferior and medial gliding, quadriceps, tibial external rotation, gastrocnemius, and soleus using a kinesio tape. And control group(mean age was 72.7 years, height was 154cm, and weight was 58.6kg) was received a interferential current therapy(ENDOMED 582, Enraf-Nonius, Holland). And we received a consent form from all subjects. Measuring was conducted by using a 3-dimensional gait analysis system for measuring of stride length, cadence, and velocity. The results were as follow: Stride length was significantly increased after than before treatment(p<.05). Cadence was significantly increased after than before treatment(p<.05). And Velocity was significantly increased after than before treatment(p<.05). Cadence was a significant difference between experimental and control group(p<.05), but there was no significant difference stride length and velocity between two groups. So we suggest that kinesio taping has a effectiveness in patients with degenerative arthritis.

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A Case Report of YoungsunJaetong-em for Degenerative Arthritis of Knee Joint with Swollen Legs (부종(浮腫)이 동반된 퇴행성관절염(退行性關節炎)에 대한 영선제통음(靈仙除痛飮) 치험 1례)

  • Kim, Guk-Bum;Han, In-Sun;Kim, Yong-Tae;Han, Jong-Hyun
    • The Journal of Internal Korean Medicine
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    • v.27 no.4
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    • pp.975-983
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    • 2006
  • Degenerative arthritis is characterized by progressive degenerative change, particularly change occurring to the joint due to the burden of body weight. Arthritis means inflammation occurring to the joint: it causes pain and limits exercise involving movement of the joint. Edema is not a disease but a condition which is accompanied by progression of a certain disease. Degenerative arthritis patients also have various diseases and mostly brings edema. Even though the cause is known to be abrasion of the joints, there are many cases in which walking difficulties are caused by pressure and pain due to edema. We found patients with walking difficulties caused by pain and increase of pressure in the joints walk better after treatment of both the pain and edema.

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The Effects of Kinesio Taping on the Muscle Activities of Vastus Lateralis and Medialis in Patients with Degenerative Arthritis (키네시오 테이핑이 퇴행성 슬관절염 환자의 외측광근과 내측광근의 근활성도에 미치는 효과)

  • Son, Gil-Soo;Lee, Soo-Yeon;Jeon, Hye-Jin;Lee, Moon-Hwan
    • The Journal of Korean Physical Therapy
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    • v.19 no.1
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    • pp.45-55
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    • 2007
  • Purpose: This study was conducted to investigate the effects of kinesiotaping on the muscle activities in patients with degenerative arthritis. To evaluate the effects of taping therapy, we calculated activation of vastus medialis and vastus lateralis. Methods: 40 female patients with degenerative arthritis of knee joint were participated in this study. Muscle activation were assessed by using a surface EMG. This procedure was performed with and without taping. Results: The activation of vastus lateralis was significantly increased in comparison between pre and post test. And vastus medialis was significantly increased in comparison between pre and post test. Conclusion: We thought that kinesio taping have effectiveness on the muscle activation of vastus lateralis and vastus medialis in patients with degenerative arthritis.

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Developing Degenerative Arthritis Patient Classification Algorithm based on 3D Walking Video (3차원 보행 영상 기반 퇴행성 관절염 환자 분류 알고리즘 개발)

  • Tea-Ho Kang;Si-Yul Sung;Sang-Hyeok Han;Dong-Hyun Park;Sungwoo Kang
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.46 no.3
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    • pp.161-169
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    • 2023
  • Degenerative arthritis is a common joint disease that affects many elderly people and is typically diagnosed through radiography. However, the need for remote diagnosis is increasing because knee pain and walking disorders caused by degenerative arthritis make face-to-face treatment difficult. This study collects three-dimensional joint coordinates in real time using Azure Kinect DK and calculates 6 gait features through visualization and one-way ANOVA verification. The random forest classifier, trained with these characteristics, classified degenerative arthritis with an accuracy of 97.52%, and the model's basis for classification was identified through classification algorithm by features. Overall, this study not only compensated for the shortcomings of existing diagnostic methods, but also constructed a high-accuracy prediction model using statistically verified gait features and provided detailed prediction results.

The Effect of Knee Joint Traction Therapy on Pain, Physical Function, and Depression in Patients with Degenerative Arthritis

  • Lee, Dong Kyu
    • The Journal of Korean Physical Therapy
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    • v.31 no.5
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    • pp.317-321
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    • 2019
  • Purpose: To identify the effect of knee joint traction therapy on pain, physical function, and depression in patients with degenerative arthritis. Methods: In total, 30 patients with degenerative arthritis were randomly assigned to one of two groups: the experimental group, who underwent knee joint traction therapy, and the control group, who underwent general physical therapy (15 patients per group). Pain was measured using the visual analogue scale (VAS), physical function was measured using the Western ontario and McMaster universities osteoarthritis (WOMAC) index, and depression was measured using the Beck depression inventory (BDI). The VAS, WOMAC score, and BDI score were recorded before and after the 4-week treatment. Results: As a result of comparison within groups, the experimental and control group showed significant difference for VAS, WOMAC and BDI after the experiment (p<0.05). In comparison between the two groups, the experimental group in which knee joint traction was applied showed more significant change in VAS, WOMAC and BDI than the control group (p<0.05). Conclusion: This study showed that knee joint traction therapy was effective in improving pain, physical function, and depression in patients with degenerative arthritis.

The Effect of Aqua Exercise on Female Patients with Knee Degenerative Arthritis (수중운동이 무릎퇴행성관절염 여성 환자에 미치는 영향)

  • Park, Jin-Sik;Yoo, Wang-Keun;Jung, Hyun-Suk;Han, Jong-Man;Yang, Kyung-Han
    • Journal of Society of Preventive Korean Medicine
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    • v.12 no.3
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    • pp.129-139
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    • 2008
  • The purpose of this study was to investigate the effect of aqua exercise on women 50 years of age or older with knee degenerative arthritis, and then examining the therapeutic value of aqua exercise in degenerative arthritis of the knee. The subjects of the study were 115 residents 50 years of age or older who had been diagnosed as degenerative arthritis of the knee by doctors from medical institutions and applied for the aqua exercise program in the Public Health Care Center in Suseong-gu in 2006 and 2007. Experiments were conducted to all the subjects with the application of the 8-week aqua exercise program (2 times a week, 50 minutes a time), designed in the study, and the differences before and after the aqua exercise were compared through questionnaires for measuring the state of the body such as the knee extension angles, weight, body fat, and abdominal obesity. The data was analyzed by t-test and the Wilcoxon method through SPSS 14.0 and the statistical significance level ${\alpha}$ was set at 0.05 and 0.01. The results of the study are as the following. First, In comparison of before and after the aqua exercise, there was improvement in the extension angle of the right knee(p<0.01), while there was some improvement in the extension angle of the left knee, it was not significant. Second, In comparison of before and after the aqua exercise there were statistically significant differences in weight(p<0.05), body fat ratio, and abdominal obesity(p<0.01). The results of this study showed that the aqua exercise program to female patients with knee degenerative arthritis significantly increased the extension angle of the knee. Therefore it is thought that aqua exercise is an effective meditating method to improve their symptoms of female patients 50 years of age or older

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Clinical Report for Piroxicam in Orthopedic Field (류마치양 관절염 및 퇴행성관절염에 대한 Piroxicam의 사용경험)

  • Youn Sung-Ho;Rhee Kwang-Zin;Ahn Sang-No
    • The Korean Journal of Pharmacology
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    • v.15 no.1_2 s.25
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    • pp.39-43
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    • 1979
  • Piroxicam is known to be a new nonsteroidal anti-inflammatory drug which has anti-inflammatory, antiedema, antigranuloma and analgesic activities through the mechanism of inhibition of prostaglandin synthetase. Clinical survey for piroxicam was carried cut on 40 cases of rheumatoid arthritis and 30 cases of degenerative arthritis who visited University Hospital from Feb. to June, 1979. Following results could be obtained: 1) In rheumatoid and degenerative arthritis, the effect of piroxicam was significant in decrease of joint pain, shortening of duration of morning stiffness, decrease in number of swollen joints, improvement of joint stiffness, decrease of E.S.R., increase of mean grip strength and decrease of articular index. 2) Side effects, almost all in G-I troubles were encountered in 6 cases in 40 cases of rheumatoid arthritis and 4 cases in 30 cases of degenerative arthritis.

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The Behavior Patterns of using Complementary and Alternative Medicine among Degenerative Arthritis Patients (퇴행성관절염 환자의 보완.대체요법 이용행태)

  • Lee, Hee-Bok
    • Journal of muscle and joint health
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    • v.15 no.1
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    • pp.41-52
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    • 2008
  • Purpose: The purpose of this study was to study Complementary and Alternative Medicine (CAM) used among degenerative arthritis patients in Korea. Method: This study used a descriptive survey method. Study subjects of the study were 278 degenerative arthritics selected from hospitals located in Kyungpook province and Daegu city. Data were collected between February 15, 2007 and March 31, 2007. Results: 62.6% of degenerative arthritics had used CAM. Manipulative Methods has shown to be one of the most effective methods on CAM. The utilization of CAM may be interpreted mainly due to the desperate need find therapeutics of their disease by all possible means (57.5%). Major factors that affect the decision of the patient include family, relatives, friends(42%), and the other patients who were in the similar circumstance (32.8%). Effectiveness of CAM has shown the following result "for complete cure of symptoms(77.0%), for health promotion (42.0%) and for psychological stabilization (29.9%)". 43.7% of the patients answered that they stopped of using CAM because of non-effectiveness. Conclusion: This study found that CAM among degenerative arthritic patients was a popular alternative method. Therefore, some nursing-oriented intervention method is needed together with a systematic guidelines of CAM usage is required.

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