Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Effect of Corrective Exercise in a patient with knee joint valgus deformity: A single-subject A-B-A experimental design

외반슬 환자의 교정운동의 효과: 단일 피험자 A-B-A 실험 설계

  • Lee, Ho-Seong (Department of Kinesiologic Medical Science, Graduate, Dankook University) ;
  • Kim, Ah-Ram (Department of Kinesiologic Medical Science, Graduate, Dankook University)
  • 이호성 (단국대학교 대학원 운동의과학과) ;
  • 김아람 (단국대학교 대학원 운동의과학과)
  • Received : 2015.12.04
  • Accepted : 2015.12.29
  • Published : 2016.02.29
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Abstract

PURPOSE: The purpose of this study was to determine the effect of corrective exercise on hip joint range of motion, lower limb alignment, radiographs of hip and knee joints, and quadriceps muscle activity in a patient with knee joint valgus deformity. METHODS: A single-subject A-B-A experimental design was used to determine the effects of therapeutic exercise. The single-subject was a 27-year-old male, who presented with knee joint valgus deformity. Corrective exercise program was performed for 40 min/day twice a week for 12-week. Range of motion (hip flexion, extension, abduction, adduction, internal rotation, and external rotation), lower limb alignment test (Q-angle, rear foot alignment, and leg length), standing anterior-posterior radiographs (neck shaft angle and knee joint space), and quadriceps muscle activity of both lower limbs were measured before (A 1), after 6 weeks (B 1) and after 12-weeks (B 2) of corrective exercise and after 6 weeks of exercise completion (A 2). RESULTS: Hip range of motion increased in all directions of both sides at B 2 and A 2 compared to at A 1. Q-angle of both side and leg length discrepancy decreased at B 2 and A 2 compared to at A 1. Neck shaft angle and knee joint space of both sides improve at B 2 and A 2 compared to at A 1. Quadriceps of both side muscle activities improved at B 2 and A 2 compared to at A 1. CONCLUSION: We demonstrated that corrective exercise increases range of motion, and improves lower limb alignment and muscle activity in a patient with knee joint valgus deformity.

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References

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