• The Journal of Korean Physical Therapy
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• 제27권5호
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• pp.304-310
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• 2015

Purpose: The purpose of this study was to examine the change in the kinematics and kinetics of the knee joint depending on high-heeled shoes during sit-to-stand (SitTS) task. Methods: Nineteen healthy females participated in this study. The subjects performed the SitTS task wearing high-heeled shoes and barefoot. The experiment was repeated three times for each task with foot conditions. The kinematics and kinetics of the knee joint were measured and analyzed using a 3D motion analysis system. Results: The result of this study showed kinematic and kinetics differences in knee joints during the SitTS task based on high-heeled shoes. Significant differences in knee flexion angle were observed during SitTS. The knee extensor force showed statistically significant differences during SitTS tasks. At the initial of SitTS, the knee flexor and extensor moment showed significant differences. The knee extensor moment showed statistically significant differences at the terminal of SitTS. At the maximum of SitTS, the knee extensor moment showed statistically significant differences. Conclusion: Therefore, wearing high-heeled shoes during SitTS movements in daily life is considered to influence knee joint kinematics and kinetics due to the HH, suggesting the possibility of increased risk of patellofemoral pain, and knee osteoarthritis caused by changes in loading of the knee joint.

• The Journal of Korean Physical Therapy
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• 제20권2호
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• pp.11-17
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• 2008

Purpose: This study examined the application of electric stimulation to the auricle acupoint (frequency 2 Hz, stimulation level: noxious) with 30 elderly people over 65 years that received treatment in a rural hospital to determine the influence of pain, gait and balance in the aged with knee joint disease. Methods: The subjects were divided into three groups; the degenerative joint diseases (DJD) group (1 male, 9 females), the total knee replacement (TKR) group (1 male, 9 females) and the control group (1 male, 9 females). Auricualr electrical stimulation (AES) was applied with low frequency, high intensity transcutaneous electrical nerve stimulation for 10 seconds per each point. Results: 1. For the change of pain according to AES, there was interaction in the resting period (p<0.001) and gait (p<0.001) and pain of the DJD group and TKR group was decreased. 2. The range of motion (ROM) of the knee joint showed a significant difference in interaction for each group of elderly people (p<0.001) and the ROM for the DJD group and TKR group of elderly people was increased. 3. In the analysis of gait speed changes, there was a significant difference in interaction for each group of elderly people (p<0.001) and for gait speed in the DJD group and TKR group of elderly people. 4. It was found in the change of static balance that there was a significant difference in interaction for each group of elderly people (p<0.01) and balance capacity in the DJD group and TKR group of elderly people was increased. Conclusion: The aged with knee joint disease have pain, and a decreased function of gait and balance. AES was an excellent treatment for control of pain, and an excellent treatment to enhanced joint functions. AES was useful for improving gait and balance due to decreased pain.

• Journal of Acupuncture Research
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• 제40권1호
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• pp.90-96
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• 2023

The discoid meniscus is an innate modified form of the meniscus, characterized by middle hypertrophy and a larger than the regular diameter, leading to an absence of the characteristic "C" arrangement. Previously, no study has reported the traditional Korean medicine treatment of knee pain mainly due to discoid meniscus. Here, we report two cases of a discoid meniscus of the knee as the cause of knee pain. Patients were diagnosed with magnetic resonance imaging for discoid meniscus and received traditional Korean medicine treatments, including pharmacopuncture, acupuncture, herbal medicine, and chuna. The pain was alleviated when assessed by patient-reported pain scale scores, and the general knee condition was improved. Thus, traditional Korean medicine treatments could be effective for patients who had discoid meniscus of the knee joint in this case report.

• Journal of Acupuncture Research
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• 제21권3호
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• pp.249-264
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• 2004

Objective : This study is designed to find out the effects of Sulguanjul-Bang No.1 on osteoarthritis in knee joint. Methods : 45 patients with symptomatic osteoarthritis of the knee joint were enrolled in a short term 8-week open clinical trial. The 45 patients were taken Sulguanjul-bang No.1 two times a day before meals for 8 week. After 8 week treatment period, the following parameters were analyzed ; Visual analogue Scale(VAS) as first effective parameter, Lysholm index score, patient's global assessment, passive movement range of the knee joint. Results : Sulguanjul-bang No.1 treatment led to significant improvement in the pain and symptoms of osteoarthritis as determined by all efficacy measures. After 8 weeks of therapy, there was significant improvement in VAS and Lysholm index; squat, sit down and up, crepitaion, swelling. The range of motion was improved in 6 of 9 cases. The improvement in patient's global assessment was seen in 84%. Conclusion : Sulguanjul-bang No.1 was very beneficial effect in pain relief and improvement functions on osteoarthritis.

• Journal of Acupuncture Research
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• 제21권4호
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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.

• Journal of Acupuncture Research
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• 제17권4호
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• pp.88-99
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• 2000

Objectives : This study was performed to evaluate the clinical effect of acupuncture on microtraumatic injuries of the knee joint. Methods : Among the outpatients with knee joint pain who visited to Department of Acupuncture & Moxibustion, National Medical Center from February 2000 to September 2000, we selected 15 cases that showed normal finding in both X-ray and neurological examination, and that were categorized into microtraumatic injuries by the physical examination based on the Cyriax's orthopedic medicine. During acupuncture therapy, the patients were ordered to move involved side actively. The effect was assessed through questionnaires of CNRS(Cincinnati Knee Rating System). Results : We investigated 11 female and 4 male patients. The most common distribution of age was 30's(40%). The most commom duration of symtoms was from 3 to 5 months(40%). The most common microtraumatic injury was pes anserinus bursitis(33.3%), and followed by iliotibial band friction syndrome(20%), and patellar tendinitis(20%). In the CNRS, the mean number of before treatment was 60.6 and after was 66.5. 10 cases among the 15 patients were improved(66.6%). Conclusions : These results suggest that the acupuncture therapy combined with active movements of involved side was effective treatment modality on microtraumatic injuries of the knee joint.

• 대한임상전기생리학회지
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• 제1권2호
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• pp.31-38
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• 2003

This study was to compared the effectiveness of piroxicam gel phonophoresis with conventional ultrasound therapy in knee osteoarthritis. Eighteen patients with a means age of $55.7{\pm}5$ years were randomly assigned to phonophoresis or ultrasound groups. Continuous ultrasonic waves of 1 MHz frequency and $1\;W/cm^2\;SATA_i$ were applied for 5 minutes to the target knee joint. This study indicated their pain level by marking on a visual analog scale(VAS) at the start of treatment and at the end of 3day. Osteoarthritis VAS scores, pain on rest state, non weight bearing range of motion, 20 meters walking, and walking step by the patients were evaluated before and after therapy. Both therapeutic modalities were found to be effective and generally well tolerated after 3 therapy sessions. But piroxicam phonophoresis was not superior to conventional ultrasound in patients with knee osteoarthritis.

• 한국산학기술학회논문지
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• 제17권7호
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• pp.326-333
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• 2016

본 연구는 무릎손상 엘리트 배구선수에 관절가동운동이 무릎통증, 등속성근력, 근긴장도, 근경직에 미치는 효과를 확인한 사례연구이다. 사례자는 왼쪽 무릎관절에 연골결손과 수술경험이 있고 평소 지속적인 통증과 운동 시 통증을 호소하였다. 연구기간은 2015년 8월 5일부터 12월 24일이며, 왼쪽 무릎관절에 관절가동술을 1일 1회 15분씩 총 8회 적용하였다. 연구의 측정은 시각적사상척도를 이용하여 무릎통증, 등속성 근력측정장비를 사용하여 넙다리네갈래근과 넙다리뒤근육 동심성 최대회전력, 근긴장도측정장비를 사용하여 손상쪽에 넙다리곧은근, 안쪽넓은근, 가쪽넓은근의 근긴장도와 근경직을 중재 전과 중재 후 실시하였다. 연구 결과, 단기간 관절가동운동이 손상 쪽 무릎통증 감소, 양쪽 넙다리네갈래근과 넙다리뒤근육 동심성 최대회전력의 증가, 손상 쪽 넙다리네갈래근의 근경직 증가에 긍정적인 효과가 있었다. 특히 손상 쪽 넙다리네갈래근의 경우 관절가동운동 횟수가 증가할수록 동심성 최대회전력이 크게 증가되어 손상 쪽과 정상 쪽 다리의 동심성 최대회전력의 차이가 크게 감소되었다. 하지만 손상 쪽 넙다리뒤근육/넙다리네갈래근의 근력 비율의 개선에는 효과가 없었다. 본 연구를 통해 엘리트 배구선수에 무릎통증, 등속성 근력, 근경직 개선을 위해 단기간에 관절가동운동이 효과적인 중재방법이 될 수 있지만 적절한 근력비율을 위해 트레이닝을 함께 실시할 필요가 있겠다.

• 대한정형도수물리치료학회지
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• 제14권2호
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• pp.34-40
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• 2008

Purpose: We defined osteoarthritis of the knee as knee pain and crepitus in over 40 years old. The usual clinical manifestation include pain, stiffness, crepitus and loss of function. Methods: We studied 40 cases of the degenerative arthritis of knee clinically. The body mass index(BMI, weight(kg)/height($m^2$) was used as a measure of obesity. Pain self assessment scale by Million Index in according to age, occupation, BMI. Results: Gender by pain self assessment scale was 6.5 in male and 6.6 in female(P<0.05). The prevalence rates obese was 40%. Occupation by pain self assessment scale was 7.0 in Sitting and 5.7 in Standing(P<0.05). Prevalence was increased with age by pain self assessment scale in aged 40-69 years. Conclusion: It has been known that the obesity is one of the predispsing factors of the primary degenerative arthritis of knee. A flexion weight bearing view of the knee obtained at $30^{\circ}$ to $40^{\circ}$ of the joint flexion may be more sensitive in assessing damages to hyaline cartilage because the knee flexion is an important component of the stance phase.

• 대한물리의학회지
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• 제19권3호
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• pp.13-20
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• 2024

PURPOSE: To determine the effect of four weeks of exercise training on knee circumference and range of motion (ROM), pain perception, wellness, and VO_2max in patients at Osun State University Teaching Hospital, Osogbo, Nigeria. METHODS: Forty subjects who met the inclusion criteria were randomized into control and experimental groups. patients were subjected to four weeks of flexibility and strengthening exercise, which included squatting exercise, ROM exercise, both groups were given some cardiovascular exercise. VO_2max), Wellness score and circumference. RESULTS: Compared to the baseline values (week 1), there was increase in the knee ROM, and decrease in the pain perception in both groups after four weeks. However, the improvements seen in the experimental group, were significantly better relative to the control group after four weeks of intervention. owever, knee ROM and wellness scores of the experimental group, and the VO_2max of both significantly increase, but significantly decrease in the knee circumference and pain perception of both groups following 4 weeks of exercise was recorded. CONCLUSION: he exercise modality in the study promote cardiovascular endurance, knee joint integrity, reduce pain perception in subjects. xercise intervention s beneficia to both groups since both reduction in the pain felt and also in knee swelling.