• Journal of Acupuncture Research
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• 제38권3호
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• pp.205-218
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• 2021

Background: Korean medicine treatment was assessed in patients with knee osteoarthritis (OA) according to subgroups of: sex, age, cause of knee OA, body mass index, hospitalization period, history, OA compartment, phenotype, and comorbidity. Methods: A retrospective review was performed of 122 inpatients who were admitted to the Hospital of Korean Medicine for Korean medicine treatment of knee pain, and were diagnosed with knee OA based on magnetic resonance imaging findings. Analysis of patient subgroups (sex, age, cause of knee OA, body mass index, hospitalization period, history, OA compartment, phenotype, and comorbidity) was carried out and treatments including acupuncture, cupping, pharmacopuncture, herbal medicine, chuna therapy, medicinal steaming therapy, manual therapy, and extracorporeal shock wave therapy were listed. The numeric rating scale (NRS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and 5-level EuroQol- 5 Dimension (EQ-5D-5L) scores were measured before and after treatment to assess the effects of treatment on pain and quality of life. Results: Seventeen males and 105 females were included in this study. Most patients were in their 60s. In the total study population, NRS, WOMAC, and EQ-5D-5L scores were improved statistically significant when comparing before and after treatment. The NRS and WOMAC scores improved statistically significant in the medial, patellofemoral, medial + patellofemoral, medial + lateral + patellofemoral compartment. Conclusion: Korean medicine treatment significantly reduced pain, stiffness, and physical dysfunction, and improved the quality of life of patients with knee OA, suggesting that it may be an effective alternative to the current conservative treatments.

• 대한물리의학회지
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• 제16권1호
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• pp.41-48
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• 2021

PURPOSE: The purpose of this study was to provide fundamental clinical data to be used in therapeutic approach to patients with patellofemoral pain syndrome by administrating the squat exercise combined with whole body vibration exercise to them and investigating the effect of such exercise to leg muscle activity and muscle fatigue. METHODS: The patients with patellofemoral pain syndrome were randomly assigned to experimental group I (n = 9) where only squat exercise was administered and experimental group II (n = 9) where the squat exercise combined with whole body vibration exercise was provided. The intervention program was administered for two weeks, four days a week, one session a day, three set a session, and 20 reps a set. The pre- and post-test were performed to measure muscle activity and muscle fatigue of vastus medialis and vastus lateralis. RESULTS: The muscle activity significantly changed in both group (p < .05, p < .01, respectively) and the muscle fatigue showed significant change only in group I (p < .05). In addition, there was significant difference between groups in change of muscle fatigue of both muscles (p < .05) but not in change of muscle activity. CONCLUSION: The results showed that both exercise are effective in improving muscle activity, however, that the squat exercise combined with whole body vibration exercise is more effective in preventing muscle fatigue.

• 대한정형외과학회지
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• 제56권6호
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• pp.525-529
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• 2021

건활막 거대세포종은 관절 내에 드물게 발생하는 병변으로 양측 슬관절 내에 발생하는 경우는 국소형보다는 미만형에서 많은 것으로 알려져 있다. 따라서 양측 슬관절 내에 발생한 국소형 건막 거대세포종을 보고하는 문헌은 제한되어 있으며 특히 슬개대퇴간 동통을 초래한 양측에 발생한 국소형 건활막 거대세포종의 국내 보고는 없었다. 저자들은 양측 슬관절 전방부의 동통을 초래한 건활막 거대세포종 증례를 관절경하에서 절제 후 병리학적으로 확진 하였으며 임상적으로 좋은 결과를 보였기에 문헌고찰과 함께 보고하고자 한다.

• 한방재활의학과학회지
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• 제33권2호
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• pp.19-32
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• 2023

Objectives The purpose of this study is to systematically review the degree of pain and function improvement in acupuncture treatment for patellofemoral pain syndrome (PFPS). Methods Randomized controlled trials (RCTs) were searched from Medline/PubMed, Cochrane Library, Embase, WanFang Data, China National Knowledge Infrastructure (CNKI), Citation Information by NII (CiNII), Koreanstudies Information Service System (KISS), ScienceON, KoreaMed, and Korean Medical Database (KMbase). The methodological quality of selected RCTs' were evaluated according to Cochrane RoB2 tool. Results Total of 158 studies were identified and 7 RCTs were selected for systematic review. Frequently used evaluation method were visual analogue scale and Kujala scores. All studies showed significant effect on pain reduction and knee function between before and after treatment, but showed partial significance between the intervention and control group. Conclusions Research showed that acupuncture treatment is an effective treatment for improving the pain and function of PFPS, but it is difficult to conclude that it has a significant effect compared to other treatments. Selected studies included subjective evaluation indicators and the total of selected studies were small, so the interpretation of the results is limited. Also most of the included studies are evaluated to have some concerns of bias. Therefore, subsequent research should continously be done in more objective and systematic method.

• Physical Therapy Rehabilitation Science
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• 제12권1호
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• pp.26-32
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• 2023

Objective: This study attempted to compare the effects of bridge exercise using a sling according to the angle of the ankle to confirm the effective lower extremity muscle activation posture of patients with patellofemoral pain syndrome(PFPS). Design: Cross-sectional study Methods: Seventeen patients with PFPS were recruited and the muscle activities of the vastus medialis, vastus lateralis, rectus femoris, and gluteus maximus were measured according to the ankle position (dorsiflexion, neutral, plantar flexion). After measuring the maximum number of isometric contractions of vastus medialis, vastus lateralis, rectus femoris, and gluteus maximus, bridging exercise using a sling according to each ankle posture was applied to measure lower extremity muscle activity. The evaluation was performed 3 times for 10 seconds. The three ankle postures were randomly performed and the average values were compared. Results: As a result of this study, the vastus medialis muscle showed high muscle activity in the order of dorsiflexion, plantar flexion, and neutral position bridge exercise (p<0.05). And the vastus lateralis showed high muscle activity in the order of dorsiflexion, neutral, and plantar flexion (p<0.05). However, rectus femoris and gluteus maximus did not show significant muscle activity according to the ankle posture, but muscle activity was highest in the dorsiflexion posture. Conclusions: As a result of this study, muscle activity was high in the order of vastus medialis and vastus lateralis during ankle dorsiflexion. This is thought to be a major factor that can be applied in various ways in clinical practice according to the ankle angle when treating PFPS patients.

• 대한관절경학회지
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• 제10권1호
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• pp.118-122
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• 2006

목적: 슬개대퇴관절 불안정성에 대한 치료 방법 중 하나인 관절경적 all inside 관절막 중첩술 및 외측 지대 유리술을 소개하고자 한다. 방법: 슬관절의 관절경적 기본 검사 후, 관절경을 전내측 도달법을 개설하여 위치한 후, 외측 지대의 근위부에서 원위부까지 유리술을 시행하기 위하여 상외측 도달법을 개설하여 관절경 scissor를 위치한다. 슬개골의 가장자리부터 5 mm에서 1 cm정도에서 외측 지대 유리술을 시행한다. 외측 지대 유리술 후, 관절경을 전외측 도달법을 개설하여 위치한 후, 상외측 도달법을 개설하여 5 mm 배관을 삽입하고, 조작용 상내측 삽입구를 개설한다. 경피적으로 만곡 침을 상내측 삽입구를 통해 통과시킨 후 봉합사를 상외측 삽입구를 통해 회수하는, all inside 수기로 시행된다. 결론: 근위부 재정렬을 위한 여러 가지 관절경적 방법이 제시되었지만, 대부분이 내측 절개를 이용한 관절경 보조수기 방법들이었다. 관절경적 all inside 관절막 중첩술 및 외측 지대 유리술은 기존의 관절경 보조 수기 방법들에 비해 내측 절개를 피함으로써 내측 광사근에 손상을 주지 않는 점에서 장점을 가진다. 이 수기는 최소 침습적이면서 직접 관찰하면서 내측 슬개대퇴 인대의 긴장의 정도를 조절하기가 쉬운 수술 수기로 사료된다.

• 대한관절경학회지
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• 제10권2호
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• pp.214-218
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• 2006

목적: 급성 또는 재발성 슬개골 탈구의 치료에 있어서 내측 슬개-대퇴 인대의 해부학적 위치를 고려하여 견인 봉합술을 이용한 관절경적 내측 관절막 중첩술을 새롭게 고안하였기에 소개하고자 한다. 수술 술기: 관절경하에서 내측 슬개-대퇴 인대가 위치하는 부위의 내측 관절막에 봉합사를 관절 밖에서 안으로 통과시킨다. 슬개골에 유도강선으로 3개의 터널을 뚫는데, 그 관절내 입구가 슬개골의 내측 변연 상부 1/2에 위치하도록 한다. 관절 내로 들어와 있는 봉합사를 슬개골의 터널을 통해 관절 밖으로 빼내고, 봉합사에 긴장을 준 상태에서 적절한 정도로 외측 지대 유리술을 시행한 후 봉합사를 결찰한다. 결론: 본 술기는 최근 중요시되고 있는 내측 슬개-대퇴 인대를 봉합함으로써 내측 관절막 중첩술의 효과를 극대화시키고 슬개골의 아탈구 및 경사를 교정할 수 있으며, 최소 침습적이고 비교적 쉽고 간단하여 급성 또는 재발성 슬개골 탈구의 치료에 있어서 효과적인 술식으로 생각된다.

• 대한관절경학회:학술대회논문집
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• 대한관절경학회 2008년도 춘계 공동 학술대회
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• pp.98-111
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• 2008

슬개대퇴 불안정성의 진단은 정확한 해부학적 지식을 바탕으로 역동적인(dynamic) 기전을 이해하여야 한다. 슬개골의 저명한 탈구는 쉽게 진단되지만, 경미한 외상으로 슬개골이 탈구되어 정복된 후에는 올바른 진찰(dynamic study)없이 방사선 검사(static study)으로 진단을 놓치는 경우가 많다. 그러므로 병력, 이학적 진찰, 방사선 검사, CT, MRI 그리고 관절경 검사까지 다양하게 필요할 수 있다.

• The Journal of Korean Physical Therapy
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• 제32권5호
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• pp.273-276
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• 2020

Purpose: The purpose of this study was to investigate the effects of the resistance conditions on the electromyography (EMG) activity ratio of vastus medialis oblique (VMO) and vastus lateralis (VL) muscle during partial lunge exercise in healthy subjects in order to suggest the basic data of exercise intervention for such as patients with patellofemoral pain syndrome (PFPS). Methods: The participants of this study were healthy twenty two people with no knee pain, limitation of motion and past history of operation at lower extremity. The participants performed three types of lunge 1) no resistance, 2) anterolateral 45° resistance and 3) lateral 90° respectively. The EMG activity of the VMO and VL were recorded by surface EMG and the measured data normalized by the %MVIC value was analyzed by repeated measured ANOVA. Results: The results showed that the VMO/VL EMG activity ratio during lunge with anterolateral 45° resistance was significantly higher than with no resistance and lateral 90° resistance (p<0.05). There was no significant difference in VMO, VL, and VMO/VL muscle activity between male and female subjects (p>0.05). Conclusion: This study suggests that partial lunge exercise with anterolateral 45° resistance can increase the VMO/VL muscle activity in healthy subjects. This result could be used as basic data to develop therapeutic exercise programs such as PFPS patients.

• 대한디지털의료영상학회논문지
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• 제12권1호
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• pp.43-50
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• 2010

The representative study of Patellofemoral Joint Merchant method can show the view for inspection of the sulcus angle, congruence angle and diagnose whether there are the vertical fractures and recognize the degree of dislocation and patella subluxation. However, anatomical correlation about the degree of knee joint curvature changes during position adjustment and distortion of the image reduces reproducibility. In order to resolve these problems, Merchant method needs to use assisting device which reduces the occurrence of repeat projection and effectively to increase unification of examination and the consistency of the image. However, there are disadvantages for patients who take other examinations. For example, they have to change the position for every examination and it might cause the patient's discomfort and increase of examination time. In this study, we newly devised commercial assisting device which improves the reproducibility of the images and reduces inconvenience of patients movement. Further research should be taken to obtain a image without patient's movement and to reduce the time of the examination than existing method.