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슬관절 골관절염 환자의 방사선학적 소견의 심각성과 통증 및 기능장애수준 간에 상관성

Relationship between the Severity of Radiographic Features and Degree of Pain and Dysfunction in Patients with Knee Osteoarthritis

  • 김대훈 (대전대학교 보건의료대학원 물리치료학과) ;
  • 장현정 (대전대학교 보건의료과학대학 물리치료학과) ;
  • 전재균 (대전선병원관절센터) ;
  • 김선엽 (대전대학교 보건의료과학대학 물리치료학과)
  • Kim, Dae-hoon (Dept. of Physical Therapy, The Graduate School of Health Medicine, Daejeon University) ;
  • Jang, Hyun-joung (Dept. of Physical Therapy, College of Health and Medical Science, Daejeon University) ;
  • Cheon, Je-gyun (Dept. of Joint Center, Daejeon Sun Medical Center) ;
  • Kim, Suhn-yeop (Dept. of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 투고 : 2015.09.23
  • 심사 : 2015.10.28
  • 발행 : 2016.02.29

초록

PURPOSE: This study aimed to assess the relationship between the severity of radiographic features and pain and function in patients with knee osteoarthritis (KOA). METHODS: Seventy-eight subjects (14 men, 64 women) with KOA, between the ages of 41 and 83 years (mean age, 61.29 years), were included. All the subjects diagnosed with KOA were scored for severity of radiographic KOA according to the Kellgren-Lawrence (K/L) grade, visual analogue scale (VAS), knee joint range of motion (ROM), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), maximum muscle power (MMP), and sit-to-stand (STS) and one-leg standing (OLS) tests. Associations among the K/L grade, diagnosis, pain, and function were examined by correlation analysis. RESULTS: There were no significant differences between the K/L grade, and the VAS, STS test time, and WOMAC scores (p>.05). There were no significant differences between the K/L grade, bilateral ROM, MMP, and left OLS test time (p>.05). However, there was a significant difference between the K/L grade and right OLS test time (p<.05). The K/L grade was negatively correlated with the left OLS test time(r=-.24, p<.05) and with the right OLS test time (r=-.307, p<.01). CONCLUSION: These results suggest that radiographic KOA was not associated with pain, knee MMP, ROM, and STS test time, but had a weak negative correlation with OLS test time.

키워드

참고문헌

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피인용 문헌

  1. The Level of Pain, Gait Speed, and ROM in Community-dwelling Older Adults with Knee Joint Pain vol.28, pp.2, 2017, https://doi.org/10.12799/jkachn.2017.28.2.156
  2. Effects of Lower Extremity Strengthening Exercise Combined with Balance Exercise on Lower Extremity Function, Range of Motion, Muscle Strength, and Balance in Patients with Knee Osteoarthritis vol.12, pp.4, 2017, https://doi.org/10.13066/kspm.2017.12.4.147