대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제19권1호
  • /
  • Pages.95-105
  • /
  • 2024
  • /
  • 1975-311X(pISSN)
  • /
  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지
DOI QR코드

DOI QR Code

양측 엉덩관절 전치환술 환자의 횡단보도 걷기 개선을 위해 ICF Tool을 적용한 PNF 중재전략: 사례보고

Effect of a PNF Intervention Strategy with the ICF Tool Applied to a Patient with Bilateral Total Hip Replacement Walking a Crosswalk

  • 김진철 (원광보건대학교 물리치료과 ) ;
  • 임재헌 (원광보건대학교 물리치료과 )
  • Jin-cheol Kim (Department of Physical Therapy, Wonkwang Health Science University) ;
  • Jae-heon Lim (Department of Physical Therapy, Wonkwang Health Science University)
  • 투고 : 2023.11.21
  • 심사 : 2023.12.19
  • 발행 : 2024.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

PURPOSE: This study aimed to utilize the International Classification of Functioning, Disability, and Health (ICF) tool to identify a problem list and explore intervention effects using proprioceptive neuromuscular facilitation (PNF) for improving the crosswalk performance of patients who have undergone a bilateral hip arthroplasty. METHODS: The subject of this study was a 43-year-old male who had undergone a bilateral hip arthroplasty. To address the subject's functional status, a clinical decision-making process was carried out in the order of examination, evaluation, diagnosis, prognosis, intervention, and outcome. Patient information during the examination was collected using the ICF core set. The evaluation involved listing the items of each problem using the ICF assessment sheet and identifying the interaction between activity limitations and the impairment level. The diagnosis explicitly described the causal relationships derived from the evaluation using ICF terminology. The prognosis presented activity goals, body function, and structured goals in terms of the activity and participation levels that needed to be achieved for an individual's functional status. The intervention approached problems through the four components of the PNF philosophy, namely basic principles and procedures, techniques, and patterns, in an indirect-direct-task sequence. Results were compared before and after the intervention using the ICF evaluation display. RESULTS: The results of the study showed that the primary activity limitation, which was the walking time across the crosswalk, showed improvement, and the trunk's counter rotation and the weight-bearing capacity of both the lower limbs, which were impairment level indicators, were enhanced. CONCLUSION: This study suggests that PNF intervention strategies will serve as a positive approach for improving crosswalk walking in patients with bilateral hip arthroplasty.

키워드

과제정보

이 논문은 2023년도 원광보건대학교 교내연구비 지원에 의해서 수행됨.

참고문헌

  1. Kotlarsky P, Haber R, Bialik V, et al. Developmental dysplasia of the hip: what has changed in the last 20 years?. World J Orthop. 2015;6(11):886.
  2. Eskelinen A, Helenius I, Remes V, et al. Cementless total hip arthroplasty in patients with high congenital hip dislocation. J Bone Joint Surg Am. 2006;88(1):80-91.
  3. Cromwell RL, Newton RA, Forrest G. Influence of vision on head stabilization strategies in older adults during walking. J Gerontol A Biol Sci Med Sci. 2002;57(7):M442-M8. https://doi.org/10.1093/gerona/57.7.M442
  4. Unlu E, Eksioglu E, Aydog E, et al. The effect of exercise on hip muscle strength, gait speed and cadence in patients with total hip arthroplasty: a randomized controlled study. Clin Rehabil. 2007;21(8):706-11. https://doi.org/10.1177/0269215507077302
  5. Wang Y, Owen A, Franks A, et al. Functional outcomes following hip replacement in community-dwelling older adults. J clin Med. 2022;11(17):5117.
  6. Salassa T, Hoeffel D, Mehle S, et al. Efficacy of revision surgery for the dislocating total hip arthroplasty: report from a large community registry. Clin Orthop Relat Res. 2014;472:962-7. https://doi.org/10.1007/s11999-013-3344-5
  7. Walker WC, Keyser-Marcus LA, Cifu DX, et al. Inpatient interdisciplinary rehabilitation after total hip arthroplasty surgery: a comparison of revision and primary total hip arthroplasty. Arch Phys Med Rehabil. 2001;82(1):129-33. https://doi.org/10.1053/apmr.2001.18604
  8. Levine B, Kaplanek B, Scafura D, et al. Rehabilitation after total hip and knee arthroplasty: a new regimen using pilates training. Bull NYU Hosp Jt Dis. 2007;65(2):120-5.
  9. Gilbey HJ, Ackland TR, Wang AW, et al. Exercise improves early functional recovery after total hip arthroplasty. Clin Orthop Relat Res. 2003;408:193-200. https://doi.org/10.1097/00003086-200303000-00025
  10. Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide. Springer. 2007.
  11. ustun TB, Chatterji S, Bickenbach J, et al. The international classification of functioning, disability and health: a new tool for understanding disability and health. Disabil Rehabil. 2003;25(11-12):565-71.
  12. Rauch A, Cieza A, Stucki G. How to apply the International classification of functioning, disability and health (ICF) for rehabilitation management in clinical practice. Eur J Phys Rehabil Med. 2008;44(3):329-42.
  13. Robinett CS, Vondran MA. Functional ambulation velocity and distance requirements in rural and urban communities: a clinical report. Phys Ther. 1988;68(9):1371-3. https://doi.org/10.1093/ptj/68.9.1371
  14. Rahman M, Alagappan TR. The test-retest reliability of 10 meter walk test in healthy young adults-a Cross sectional study. IOSR J Sports Phys Edu. 2019;6(3):1-6.
  15. Gao J, Thung JS, Wei S, et al. Absolute reliability and concurrent validity of the modified goniometric platform for measuring trunk rotation in the sitting position. Appl Sci. 2022;12(17):8891.
  16. Hurkmans HLP, Bussmann JBJ, Benda E, et al. Techniques for measuring weight bearing during standing and walking. Clin Biomech. 2003;18(7):576-89. https://doi.org/10.1016/S0268-0033(03)00116-5
  17. Schatz C, Klein N, Caroline, et al. Preoperative predictors of health-related quality of life changes (EQ-5D and EQ VAS) after total hip and knee replacement: a systematic review. BMC Musculoskelet Disord. 2022;23(1):1-12. https://doi.org/10.1186/s12891-021-04954-7
  18. Gracovetsky S. An hypothesis for the role of the spine in human locomotion: a challenge to current thinking. J Biomed Eng. 1985;7(3):205-16. https://doi.org/10.1016/0141-5425(85)90021-4
  19. Kim JC, Lee JA. A PNF intervention strategy with ICF tool applied for improvement of dressing in a patient with rotator cuff syndrome: A case report. J Korean Soc Phys Med. 2018;13(3):49-60.
  20. Pfeufer D, Zeller A, Mehaffey S, et al. Weight-bearing restrictions reduce postoperative mobility in elderly hip fracture patients. Arch Orthop Trauma Surg. 2019;139(9):1253-9. https://doi.org/10.1007/s00402-019-03193-9
  21. Refshauge K, Ada L, Ellis E. Science-based rehabilitation: theories into practice. Butterworth Heinemann. 2005.
  22. Atkinson HL, Nixon-Cave K. A tool for clinical reasoning and reflection using the international classification of functioning, disability and health (ICF) framework and patient management model. Phys Ther. 2011;91(3): 416-30. https://doi.org/10.2522/ptj.20090226
  23. Ariumi A, Sato T, Kobayashi K, et al. Three-dimensional lower extremity alignment in the weight-bearing standing position in healthy elderly subjects. J Orthop Sci. 2010;15(1):64-70. https://doi.org/10.1007/s00776-009-1414-z
  24. Bohannon RW, Larkin PA. Lower extremity weight bearing under various standing conditions in independently ambulatory patients with hemiparesis. Phys Ther. 1985;65(9):1323-5. https://doi.org/10.1093/ptj/65.9.1323
  25. Gracovetsky SA, Iacono S. Energy transfers in the spinal engine. J Biomed Eng. 1987;9(2):99-114. https://doi.org/10.1016/0141-5425(87)90020-3
  26. Gracovetsky SA. Linking the spinal engine with the legs: a theory of human gait. New York: Churchill Livingstone. 1997:243-51.