Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
권호 표지
DOI QR코드

DOI QR Code

Combination of Korean Medicine Therapy to Treat Posttraumatic Knee Stiffness: A Case Report

외상 후 슬관절 강직에 대한 복합 한의치료의 경과: 증례보고

  • Received : 2017.03.22
  • Accepted : 2017.04.06
  • Published : 2017.04.30

Abstract

The purpose of this study is to illustrate the potential for clinical improvement in treating a patient with a case of Posttraumatic Knee Stiffness with a combination of Korean medicine therapy. We treated the patient with acupuncture, electroacupuncture, CHUNA manual therapy and Interferential Current Therapy from $5^{th}$ December 2016 to $13^{th}$ January 2017 (total 29 times) by evaluating knee function with VAS score. After six weeks of treatment, this patient achieved effective outcome following the technique, showing that clinical symptom as able to walked and pain was relieved, VAS changed from 10 to 2 and the knee flexion ROM (active/passive) changed from 30/60 degrees to 120/140 degrees. This result shows that Korean Medicine therapy may be an effective option for Posttraumatic Knee Stiffness. Further clinical studies are needed to clarify the effect of Korean Medicine therapy on Posttraumatic Knee Stiffness.

Keywords

Posttraumatic knee stiffness;Acupuncture;Electroacupuncture;Myofascial release technique;CHUNA manual therapy;Korean medicine;Case report

File

Download PDF

References

  1. Liu SH, Liu KM, Wang AQ, et al. Management Strategies for Post-traumatic Knee Stiffness. Biomedica. 2016;32(2):115-21.
  2. Liu KM, Tang T, Wang AQ. The Early Clinical Studies on Post-traumatic Treatment of Knee Dysfunction. Ortho J China. 2007;15:94-7.
  3. Bhave A, Mont M, Tennis S, et al. Functional Problems and Treatment Solutions after Total Hip and Knee Joint Arthroplasty. J Bone Joint Surg Am. 2005;87 Suppl 2:9-21.
  4. Liu KM, Liu S, Cui Z, et al. A less Invasive Procedure for Posttraumatic Knee Stiffness. Arch Orthop Trauma Surg. 2011;131(6):797-802. https://doi.org/10.1007/s00402-010-1223-z
  5. Chen B, Zhan H, Marszalek J, et al. Traditional Chinese Medications for Knee Osteoarthritis Pain: A Meta-Analysis of Randomized Controlled Trials. Am J Chin Med. 2016;44(4):677-703. https://doi.org/10.1142/S0192415X16500373
  6. Corbett MS, Rice SJ, Madurasinghe V, et al. Acupuncture and other Physical Treatments for the Relief of Pain due to Osteoarthritis of the Knee: Network Meta-Analysis. Osteoarthritis Cartilage. 2013;21(9):1290-8. https://doi.org/10.1016/j.joca.2013.05.007
  7. Wan C, Wan JH, Zhu XH, et al. The Clinical Research of Warming Needle Moxibustion on "Yanglingquan (GB34)" and Isokinetic Training on Stiff Knee. Guiding Journal of Traditional Chinese Medicine and Pharmacology. 2016;22(5):56-9.
  8. Oberbek J, Synder M. Assessment of Selected Factors Influencing the Development of Stiffness after Total Knee Arthroplasty. Ortop Traumatol Rehabil. 2016;18(5):477-84. https://doi.org/10.5604/15093492.1226593
  9. Boonstra AM, Schiphorst Preuper HR, Reneman MF, et al. Reliability and Validity of the Visual Analogue Scale for Disability in Patients with Chronic Musculoskeletal Pain. Int J Rehabil Res. 2008;31(2):165-9. https://doi.org/10.1097/MRR.0b013e3282fc0f93
  10. Remst DF, Blaney Davidson EN, van der Kraan PM. Unravelling Osteoarthritis-related Synovial Fibrosis: A Step Closer to Solving Joint Stiffness. Rheumatology. 2015;54(11):1954-63. https://doi.org/10.1093/rheumatology/kev228
  11. Williams FM, Kalson NS, Fabiane SM, et al. Joint Stiffness Is Heritable and Associated with Fibrotic Conditions and Joint Replacement. PLoS One. 2015;10(7):e0133629. https://doi.org/10.1371/journal.pone.0133629
  12. De Groote F, Allen JL, Ting LH. Contribution of Muscle Short-range Stiffness to Initial Changes in Joint Kinetics and Kinematics during Perturbations to Standing Balance: A Simulation Study. J Biomech. 2017;S0021-9290(17):30104-5.
  13. Mugge W, Munts AG, Schouten AC, et al. Modeling Movement Disorders--CRPS-related Dystonia Explained by Abnormal Proprioceptive Reflexes. J Biomech. 2012;45(1):90-8. https://doi.org/10.1016/j.jbiomech.2011.09.024
  14. Jubb RW, Tukmachi ES, Jones PW, et al. A Blinded Randomised Trial of Acupuncture (Manual and Electroacupuncture) Compared with a Non-penetrating Sham for the Symptoms of Osteoarthritis of the Knee. Acupunct Med. 2008;26(2):69-78. https://doi.org/10.1136/aim.26.2.69
  15. Deare JC, Zheng Z, Xue CC, et al. Acupuncture for Treating Fibromyalgia. Cochrane Database Syst Rev. 2013;(5):CD007070.
  16. Seo BK, Sung WS, Park YC, et al. The Electroacupuncture-induced Analgesic Effect Mediated by 5-HT1, 5-HT3 Receptor and Muscarinic Cholinergic Receptors in Rat Model of Collagenase-induced Osteoarthritis. BMC Complement Altern Med. 2016;16:212. https://doi.org/10.1186/s12906-016-1204-z
  17. Gang J, Mi Y, Wang H. Clinical Efficacy Comparison between Electroacupuncture and Meloxicam in the Treatment of Knee Osteoarthritis at the Early and Middle Stage: A Randomized Controlled Trial. Zhongguo Zhen Jiu. 2016;36(5):467-70.
  18. Smith M, Fryer G. A Comparison of Two Muscle Energy Techniques for Increasing Flexibility of the Hamstring Muscle Group. J Bodyw Mov Ther. 2008;12(4):312-7. https://doi.org/10.1016/j.jbmt.2008.06.011
  19. Shadmehr A, Hadian MR, Naiemi SS, et al. Hamstring Flexibility in Young Women Following Passive Stretch and Muscle Energy Technique. J Back Musculoskelet Rehabil. 2009;22(3):143-8. https://doi.org/10.3233/BMR-2009-0227
  20. Costantino C, Galuppo L, Romiti D. Short-term Effect of Local Muscle Vibration Treatment versus Sham Therapy on Upper Limb in Chronic Post-stroke Patients: A Randomized Controlled Trial. Eur J Phys Rehabil Med. 2017;53(1):32-40.
  21. Alkatan M, Baker JR, Machin DR, et al. Improved Function and Reduced Pain after Swimming and Cycling Training in Patients with Osteoarthritis. J Rheumatology. 2016;43(3):666-72. https://doi.org/10.3899/jrheum.151110
  22. Harvey LA, Herbert RD. Muscle Stretching for Treatment and Prevention of Contracture in People with Spinal Cord Injury. Spinal Cord. 2002;40(1):1-9. https://doi.org/10.1038/sj.sc.3101241
  23. Pujol N, Boisrenoult P, Beaufils P. Post-traumatic Knee Stiffness: Surgical Techniques. Orthop Traumatol Surg Res. 2015;101(1 Suppl):S179-86. https://doi.org/10.1016/j.otsr.2014.06.026
  24. Desai AS, Karmegam A, Dramis A, et al. Manipulation for Stiffness Following Total Knee Arthroplasty: When and How often to Do it?. Eur J Orthop Surg Traumatol. 2014;24(7):1291-5. https://doi.org/10.1007/s00590-013-1387-7

Acknowledgement

Supported by : 청연의학연구소