The Convergence Study on the Effects of Combined Exercise Rehabilitation on Lower limb Muscular function and Cytokines in the Taekwondo players with Patellofemoral Pain Syndrome

무릎넙다리통증증후군 태권도 선수들의 복합 운동재활이 하지 근기능 및 사이토카인의 효과에 관한 융합적 연구

  • Received : 2016.12.01
  • Accepted : 2017.01.20
  • Published : 2017.01.28


The purpose of this study was to determined the converge effects of combined exercise rehabilitation on lower limb muscular function and cytokines in taekwondo player with patellofemoral pain syndrome. In this study, combined exercise rehabilitation(aquatic exercise 3 times a week, resistance exercise 2 times a week) was performed and 20 collegiate taekwondo player with patellofemoral pain syndrome(control group: n=10, combined exercise rehabilitation group: n=10) were participated for 8 weeks. Statistical significance verification was carried out by a two - way ANOVA repeated measures design as a mixture using the SPSS 18.0 program. The statistically significant level was set at 0.05. The results of this study were as following. Peak torque was higher significantly in extensor(p<.001) and flexor(p<.01) at $60^{\circ}/sec$ in the combined exercise rehabilitation group than the control group over combined exercise treatment period. Average power was higher significantly in extensor muscles at $180^{\circ}/sec$ in the combined exercise rehabilitation group than the control group over combined exercise treatment period.(p<.01). The variable of TNF-a was higher significantly in the combined exercise rehabilitation group than the control group as over combined exercise treatment period. Therefore, it can be concluded that a combined exercise rehabilitation program is effective in improving the lower limb muscular function and TNF-a in Patellofemoral Pain Syndrome patient.


  1. Gwon-ik Ha", Prevention of Sports Injuries.". The 7th Sports, 1998.
  2. Hyung-Cheol Kim, Yong-Jin Kim, "A Study on the Exercise Injury of Taekwondo Practitioners. Digital Fusion Composite Research", 11 (4), 415-430, 2013.
  3. Yong-Chan Cho, Doo-yong Park, Seung-ho Park, "Analysis of physical injuries of male and female Taekwondo athletes by school class." Sport Information Technology Research 1.1, 49-60, 2006.
  4. Yong-sun Kang, "A survey on the injury of Taekwondo athletes." Unpublished master's thesis. Kunsan National University Graduate School of Education, 2000.
  5. Hee-Su Kyung, "Sports-related Syndrome Knee", Journal of Korean Orthopedic Sports Medicine, v.7, no.2, 75-83, October 2008.
  6. Myoung-Su Kim, Sung-Hee Kim, Shin-ho Lee, "Effects of walking exercise for wellness convergence in the digital age - Based on physical activity -", Journal of digital Convergence , Vol. 13, No. 5, pp. 365-374, 2015.
  7. Ozcakar, L., Kunduracyoolu, B., Cetin, A., Ulkar, B., Gune,r R., & Hascelikz.(2003). Comprehensive isokinetic knee measurements and tendon valuations in football players for assessing functional performance. British Journal of Sports Medicine, 37(6), 507-510.
  8. Aminaka, N., & Gribble, P. A.(2005). A systematic Review of the effects of therapeutic taping on patellofemoral pain syndrome. J Athl Train, 40(4), 341-351.
  9. Davies, A. P., Costa, M. L., Donnell, S. T., Glasgow, M. M., & Shepstone, L.(2000). The sulcus angle and malalignment of the extensor mechanism of the knee. Br. J. Bone joint Surg. 82(B), 1162-1166.
  10. Fredericson,M., Christopher, M., & Powers.(2002). Practical Management of patellofemoral pain. J. Sports Med. 12, 36-38.
  11. Sung-Min Young, Byung-Hoon Lee, Kyung-Ae Oh, & Park Jong, "The effect of carbon surface heating element applied to patients with degenerative arthritis on pain control and improvement of knee function", Digital fusion research, 11 (9), 247-254, 2013
  12. Halling, J. F., Ringholm, S., Nielsen, M. M.,Overby,P.,&Pilegaard,H,PCG-1apromotes exercise-inducedautophagy in mouse skeletal muscle. Physiol Rep,4(3),12698, 2006.
  13. Chan-Kyoung Jung, Jeong-Hown Youm, "The Effect of 12-Weeks Combined Training and Policosanol Supplimentation Inflammatory and Maker and Leptin in Obese Women", Journal of digital Convergence , Vol. 13, No. 4, pp. 387-393, 2015.
  14. Kyung-Mo Oh, "Effects of Long - term Treadmill Exercise on Bovine Blood Banking and Biochemical"Ph.D Thesis, Pukyong National University Graduate School, 2010.
  15. Wells, C, E., Polkey, M. I., &Baker, E. H.(2015). Insulin resistance isassociated with skeletal muscle weakness in COPD. Respirology, 18.
  16. Jae-Chul Nah, "Exercise immunology." Seoul: Dae Kyung Books, 112-142, 2002.
  17. Il-shin Kim, "TNF-${\alpha}$ gene polymorphism found in Korean patients with acute periodontitis." Digital fusion research 14.1, 321-326, 2016.
  18. Bolger, A. P., Sharma, R., Von-Haehling, S. ,Doehner, W., Olver, B., Rauchhaus, M., Coats, A. J., Adcock, I. M., & Anker, S. D. "Effect of interleukin-10 on the produc- tion of tumor necrosis factor-alpha by peripheral blood mononuclear cells from patients with chronic heart failure." Am J Cardiol, 90(4), 384-389. 2002.
  19. Ostrowski K1, Rohde T, Asp S, Schjerling P, Pedersen BK. Pro- and anti-inflammatory cytokine balance in strenuous exercise in humans.J Physiol. ( Pt 1):287-91, 1999.
  20. Kohut ML1, McCann DA, Russell DW, Konopka DN, Cunnick JE, Franke WD, Castillo MC, Reighard AE, Vanderah E. .Aerobic exercise, but not flexibility/resistance exercise, reduces serum IL-18, CRP, and IL-6 independent of beta-blockers, BMI, and psychosocial factors in older adults. Brain Behav Immun. 20(3):201-209, 2006.
  21. Degens, H., & Alway, S. E. Control of muscle size during disuse, disease, and aging. Int J Sports Med, 27(2), 94-99, 2006.
  22. Soon-Gi Baek, Young-Sil Min, "Effects of Using Convergence Digital Contents for High-Intensity Interval Exercise on Growth Hormone and Fatigue Elements in Middle Aged Women", Journal of digital Convergence , Vol. 13, No. 9, pp. 523-530, 2015.
  23. Thomee, R., Renstrom, P., karlsson, J., & Grimby, G. Patellofemoral pain syndrome in young women. a clinical analysis of alignment, common symptoms, and functional activity level, Scan. J. Med. Sci. Sports. 5, 237-244, 1995.
  24. Young-Seok Lee, Chang-Soo Kwak, Chung-Il Lee, Tae-Gyu Kim, "Effects of lower extremity stability by kinesio taping method in elite speed skating athletes' one-leg jumping", Journal of digital Convergence , Vol. 13, No. 8, pp. 495-502, 2015.
  25. Baumgartner, T. A., & Jackson, A. S. Measurement for evaluation in physical education and exercise science. 2nd ed, Dubuque. IA: Wm. c. Brown. 241, 1987.
  26. DeVita, P. A. U. L., & Stribling, J. A. N. E. T. Lower extremity joint kinetics and energetics during backward running. Med Sci Sports Exerc, 23(5), 602-610, 1991.
  27. Guhuiseo, et al., Exercise Therapy. University Publishers, 1995.
  28. Jae-Ung Cho, "Analytical Study on Durability due to the Load of Artificial Knee Joint", Journal of the Korea Convergence Society, Vol. 5, No. 2, pp. 7-11, 2014.
  29. Kyung-Hee Kang, Hae-Chan Park, Sung-Jin Yoon. "Effects of aquatic exercise on the cardiopulmonary function and isokinetic isokinetic function of left knee in a left - Korean Journal of Physical Education and Sports 47.2, 411-420, 2008.
  30. Rae-jun Park, Nak-su Jung,"Aquatic exercise therapy".University Publishers, 2003.
  31. Jae-Hoon Lee, "The Effect of Whole Body Vibration Exercise on Lower Extremity Joint in Vertical Jump." Digital fusion research 14.6, 513-518, 2016.
  32. Yong-Seok Ji, Jae-Jong Chang, Man-gum Kim, "The Effects of 12 Weeks Exercise Program on the Muscular Function , Body Composition and Pain Degree in the Patients with Osteoarthritis" Journal of the Korean Society of Physical Education, Vol 13: 377-392, 2000.
  33. Jong-Un Choi, "Effects of Aquatic Exercise on Isokinetic Muscle Strength and Electromyographic Response in College Taekwondo Athletes". PhD thesis, Kunsan National University. 2016.
  34. Heyneman, C. A., & Premo, D. E. (1992). A'water walkers' exercise program for the elderly. Public Health Reports, 107(2), 213.
  35. Costa, R. A., Oliveira L M., Watanabe, S. H., Jones, A., & Natour, J.(2010). Isokinetic assessment of the hip muscles in patients with osteoarthritis of the knee. Clinics, 65(12), 1253-1259.
  36. Ki-Hyun Kim, Tae-Gyu Kim, "Correlation between Elongated Fencing Athlete's Pant Movement and Knee Extensor Muscle Strength and Angular Velocity." Digital convergence research 12.9, 407-415, 2014.
  37. Kisner, C., and L. A. Colby. "Resistance exercise." Therapeutic exercise foundations and techniques. 4th ed. Philadelphia; FA Davis, 68-9, 2002.
  38. Hwan-pil An "Effects of the Exercise Rehabilitation program on GH, IGF-1 and Isokinetic Muscle Function in Taekwondo players with Patellofemoral Pain Syndrome." PhD thesis, WonkwangNational University Graduate School. 2014.
  39. Nijs, J., Van Geel, C., & Van de Velde, B. Diagnostic value of five clinical tests in patellofemoral pain syndrome. Manual therapy, 11(1), 69-77, 2006.
  40. Borg, Gunnar A. "Psychophysical bases of perceived exertion." Med sci sports exerc 14.5, 377-381, 1982.
  41. Daniels & Worthingham, "Muscle Testing" Techniques of Manual Examination and Performance Testing, 2002.
  42. Kyung-suk Choi, "Effects of combined exercise training on isokinetic isokinetic muscular function of Taekwondo athlete", Journal of Life Science, Vol. 18, No. 1, 30-37.2008.
  43. Jeon-guk Jeong, Jong-Ho Kim, "Effects of Aquatic Exercise Program Participation on Static Balance, ROM, Isokinetic Muscle Function and Joint Function Status in Patients with Knee" Journal of Korean Physical Education, 21 (3), 1005-1016(3), 1005-1016, 2012.
  44. Callaghan, M. J., and J. A. Oldham. "Quadriceps atrophy: to what extent does it exist in patellofemoral pain syndrome?." British journal of sports medicine 38.3, 295-299, 2004.
  45. Thomee, R., Renstrom, P., karlsson, J., & Grimby,G. Patellofemoral pain syndrome in young women.a clinical analysis of alignment, common symptoms,and functional activity level, Scan. J. Med. Sci.Sports. 5, 237-244, 1995.
  46. Simoes, L. A., Dias, J. M., Marinho, K. C., Pinto, C. L., & Britto, R. R. Relationship between functional capacity assessed by walking test and respiratory and lower limb muscle function in community-dwelling elders, Rev. Bras. Fisioter, 14(1), 24-30, 2010.
  47. Mi-Hee Park, "Effects of 12-Week Resistance Exercise on Patients with Patellofemoral Syndrome". PhD thesis, Kyung Hee University, 2007
  48. Tae-Soo Kim, Jung-Woong Ji, Hyuk-Choi Joo, "The effect of rehabilitation exercise on knee isokinetic function and functional score of female soccer players with patellofemoral pain syndrome". Journal of the Korean Society of Sports and Physical Education 42, 1117-1126, 2010.
  49. Tae-Taek Lee, "Aquarobics Leadership Training Materials." 1999.
  50. McDANIEL, W. J., & Dameron, T. B. Untreated ruptures of the anterior cruciate ligament. A follow-up study. J Bone Joint Surg Am, 62(5), 696-705, 1980.
  51. Geffken DF(1), Cushman M, Burke GL, Polak JF, Sakkinen PA, Tracy RP.Association between physical activity and markers of inflammation in a healthy elderly population. Am J Epidemiol. 153, 242- 250, 2001.
  52. Pedersen, B. K., Steensberg, A., & Schjerling, P. Muscle-derived interleukin-6: possible biological effects. J Physiol, 536(2), 329-337, 2001.
  53. Das, U. N. (2004). Anti-inflammatory nature of exercise. Nutrition, 20(3), 323.
  54. Nehlsen-Cannarella, S. L., Fagoaga, O. R., Nieman, D. C., Henson, D. A., Butterworth, D. E., Schmitt, R. L., ... & Davis, J. M. Carbohydrate and the cytokine response to 2.5 h of running. Journal of Applied Physiology, 82(5), 1662-1667, 1997.
  55. Sang-Hee Cho, Soo-Young Lee."Effects of Squat Conjugate Movement on Knee Joint Angle on the Muscle Strength of. Journal of the Korea Convergence Society, Vol 7, No.2, pp 43-52, 2016.
  56. Bounous, G. U. S. T. A. V. O., Sukkar, S., & Molson, J. H.The antioxidant system. Anticancer research, 23(2), 1411-1416, 2003.
  57. Sang-Hoon Yang, "Effects of pre-season high intensity training on professional fitness, stress response and inflammatory cytokines in judo players." Exercise Science 22.3 ,249-261, 2013.
  58. Si-Eun Kang, Jae-Hoon Shim, Sung-Dae Choung, "The Convergence Study on the Effects of Three Pelvic Floor Muscle Excercise on Thickness of Pelvic Floor Muscle and Abdominal Muscles", Journal of the Korea Convergence Society, Vol. 6, No. 7, pp. 105-111, 2016.