한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제13권3호
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  • Pages.327-335
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  • 2022
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  • 2233-4890(pISSN)
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  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
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뒤십자인대 및 뒤가쪽 복합체 동반 수술 후 재활운동에 따른 기능회복 차이

Differences in Functional Recovery according to Exercise Rehabilitation after Posterior Cruciate Ligament with or without Posterolateral Complex Reconstruction

  • 김현목 (고려대학교 대학원 사회체육학과) ;
  • 하성희 (연세대학교 체육교육학과) ;
  • 공두환 (서울백병원 스포츠메디컬센터) ;
  • 김창국 (고려대학교 국제스포츠학부)
  • Kim, Hyun-Mok (Department of Sport and Leisure Studies, Graduate School, Korea University) ;
  • Ha, Sunghe (Department of Physical Education, Yonsei University) ;
  • Kong, Doo-Hwan (Department of Sports Medical Center, Inje University Seoul Paik Hospital) ;
  • Kim, Chang-Kook (Division of Global Sport Studies, Korea University)
  • 투고 : 2022.01.28
  • 심사 : 2022.03.20
  • 발행 : 2022.03.28
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초록

본 연구는 뒤십자인대 단독 재건술과 뒤가쪽 복합체 동반 수술 후 재활운동에 따른 기능회복의 차이를 확인하는데 목적이 있다. 뒤십자인대 단독 재건술을 받은 환자 16명과 뒤가쪽 복합체 동반 수술을 받은 환자 16명을 대상으로 24주간 재활운동에 따른 무릎관절 인대 이완, 주관적 설문지, 등속성 근 기능의 변화를 수술 전, 수술 후 12주, 24주에 걸쳐 자료를 분석하였다. 본 연구 결과 뒤십자인대 단독 재건술군과 뒤가쪽 복합체 동반 수술군의 무릎관절 인대 이완 차이(p = 0.048), IKDC 주관적 점수(p < 0.001), Lysholm 무릎 점수(p < 0.001), Tegner 활동 점수(p = 0.027), 등속성 폄 근력(p = 0.040)은 기간에 따른 통계적 차이가 나타났으나 집단 및 상호작용 효과는 관찰되지 않았다(p > 0.05). 등속성 굽힘 근력 결손률은 기간, 집단, 상호작용 효과 모두 차이가 없었다(p > 0.05). 본 연구 결과, 뒤십자인대 단독 재건술과 뒤가쪽 복합체 동반 수술 후 24주간의 재활운동은 기능회복에 영향을 미칠 수 있다.

This study aimed to compare functional recovery after rehabilitation exercise between isolated PCL reconstruction and combined PLC reconstruction. Patients were divided into two groups: those who had isolated PCL reconstruction (n = 16) and those who had combined PLC reconstruction (n = 16). We assessed knee joint ligament laxity, subjective questionnaires, and isokinetic muscle function before, after 12, and 24 weeks of a rehabilitation exercise program. In both groups, there were significant differences in knee joint laxity (p = 0.048), IKDC subject score (p < 0.001), Lysholm knee (p < 0.001), Tegner activity scale (p = 0.027), and isokinetic muscle deficit (p = 0.040) by estimated period. However, no significant difference between groups was observed (p > 0.05). These results suggest that rehabilitation exercise after isolated PCL and combined PLC reconstruction influenced structural, subjective, functional recovery positively.

키워드

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