• Title/Summary/Keyword: Knee osteoarthritis

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Prevalence and Related Factors of Knee Osteoarthritis in Rural Woman (농촌지역 여성들의 무릎 골관절염 유병률 및 관련요인)

  • Kang, Pock-Soo;Kim, Seok-Beom;Lee, Kyeong-Soo;Yun, Sung-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.4
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    • pp.331-336
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    • 2001
  • Objectives : To assess the prevalence of knee osteoarthritis through proper diagnosis in a rural community and to elucidate the relevant factors of this health problem in order to develop educational methods for the prevention of female knee osteoarthritis as well to provide basic data for prospective research. Methods : Over a period of three months starting from August, 2000, 432 women over the age of 40 and living in a rural area were selected by a multistage cluster sampling method in order to investigate the prevalence of knee osteoarthritis and the related factors. The study utilized interviews and radiological examination. The criteria of knee osteoarthritis used was the American College of Rheumatology classification criteria for osteoarthritis of the knee(1995). Results : The adjusted prevalence of knee osteoarthritis among the subjects was 55.0%, and multiple logistic regression analysis showed that the odds ratio(OR) of knee osteoarthritis among subjects 50-59 years of age and subjects older than 60 years of age as compared to subjects 40-49 years of age were 2.43(95% CI: 1.30-4.70) and 4.40(95% CI: 2.47-7.83), respectively. The OR of knee osteoarthritis among factory workers or farmers as compared to others was 1.79(95% CI: 1.03-3.12). The OR of knee osteoarthritis among subjects who had a family history and subjects who had knee injury or surgical history against those subjects had neither were 2.56(95% CI: 1.42-4.03) and 4.70(95% CI:1.45-15.19), respectively. The OR of knee osteoarthritis among smokers against non smokers was 0.47(95% CI: 0.22-0.97). Conclusions : Related factors of knee osteoarthritis included age, occupation, family history, smoking, knee injury and history of surgery In order to prevent knee osteoarthritis in high risked rural woman, education concerning self-care methods and safety guideline must be provided at the work place by the public and private health sectors. Additionally, these women should be continually encouraged to exercise, including jogging and swimming regularly.

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Pain Evaluation in Patients with Knee Osteoarthritis (퇴행성슬관절염 환자의 통증에 대한 연구)

  • Yoon, Dae-Yeon
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.4
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    • pp.715-720
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    • 2011
  • We performed this study to assess pain in patients with knee osteoarthritis. Participants were 120 Patients(men 26 and women 94) with knee osteoarthritis. Pain evaluations were conducted using survey composed of 12 items by interview with oriental medicine doctor. Collected data were analyzed by IBM SPSS Statistics 19.0. Women were 3.8 times more than men(21.7% vs 78.3%). Approximately 80% of participants were overweight and obesity. Descending stair is most painful action for knee osteoarthritis patients. The average degree of knee pain was more than moderate. 5. People diagnosed as arthritis before had the much higher knee pain than never diagnosed before. This study showed female gender, overweight and obesity were associated with the risk of knee arthritis and participants complained knee pain more than moderate. It is hoped that our findings provide information that help the treatment of knee osteoarthritis.

Isokinetic Test and the Effect of Exercise Therapy of Ipsilateral Knee Osteoarthritis (일측성 슬관절염에 대한 등속성 근기능 평가 및 운동치료의 효과)

  • Kang, Jung-Hoon;Na, Jung-Yub;Jang, Jae-Huyk;Lee, Kyoung-II;Kim, Kweon-Young
    • Korean Journal of Sport Biomechanics
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    • v.20 no.1
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    • pp.75-81
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    • 2010
  • Knee osteoarthritis is one of the most prevalent arthritis that weakens the muscles. This study focused on evaluating muscular functionality of knee osteoarthritis subjects. Muscular strengths of muscles around knee and hip joints of middle-aged female subjects aged over 40 suffering from knee osteoarthritis were evaluated by isokinetic dynanometer. Also, relation between the observed muscle imbalance in knee and hip joints and visual analogue scale was investigated. Subjects performed 8-weeks exercise on weakened muscles - particularly on knee extensors and hip abductors - and had their isokinetic muscular functionalities analyzed again. After the 8-weeks exercise, subjects' thigh circumferences were increased, accompanied with muscular strength improvements and decrease in visual analogue scale. Hence we emphasize the importance of exercise for muscular strength enhancement of knee extensors and hip abductors, in rehabilitation programs for knee osteoarthritis.

Extracorporeal Shock Wave Therapy with Meridian and Acupoint Theory for Knee Osteoarthritis: Systematic Review (경혈경락이론에 근거한 체외충격파 치료가 무릎 관절염에 미치는 영향: 체계적 문헌 고찰)

  • Kim, Byung-Jun;Lee, Sang-Hyun;Kim, Hyun-Tae;Park, Hye-Jin;Park, Sun-Young;Heo, In;Hwang, Man-Suk;Shin, Byung-Cheul;Hwang, Eui-Hyoung
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.2
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    • pp.41-48
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    • 2021
  • Objectives To determine the evidence of effectiveness and safety of extracorporeal shock wave therapy (ESWT) with meridian and acupoint theory for knee osteoarthritis. Methods By March 3, 2021, five foreign electronic databases and six Korean medical electronic databases were reviewed with the key words 'extracorporeal shock wave' and '(acupoint OR acupuncture point)'. This key words was set up to increase the sensitivity of the search. After the search, knee osteoarthritis study was selected based on the title and abstract and then included after full-texts were read. Results Five randomized controlled trials were eligible in our inclusion criteria. The meta-analysis of three studies showed positive results for the using ESWT with meridian and acupoint theory for knee osteoarthritis compared with the control group on efficancy rate, visual analog scale and lysholm knee score. but there remains a conundrum regarding the safety of ESWT in the treatment of knee osteoarthritis. Conclusions Most of studies showed ESWT with meridian and acupoint theory were statistically effective to knee osteoarthritis. However there are limitations that the number of selected studies was small, risk of bias was unclear. So use of ESWT with meridian and acupoint theory for knee arthritis has limited evidence compared to usual care.

A Systematic Review and Meta-Analysis of Fire Needling Treatment for Knee Osteoarthritis: Focused on Comparative Studies with Manual Acupuncture Treatment during Recent Five Years (퇴행성 슬관절염의 화침 치료에 대한 체계적 문헌 고찰 및 메타분석: 최근 5년간의 호침 치료 비교 연구를 중심으로)

  • Ko, Hong-Je;Yoo, Jae-Hee;Shin, Jeong-Cheol
    • Korean Journal of Acupuncture
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    • v.36 no.2
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    • pp.104-114
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    • 2019
  • Objectives : The purpose of this study is to review the effectiveness of fire needling treatment for knee osteoarthritis in comparison with manual acupuncture treatment. Methods : Through four foreign online databases (PubMed, Cochrane library, EMBASE, and CNKI) and five domestic online databases (NDSL, RISS, KISS, OASIS, and KTKP), we searched for clinical studies that performed fire needling treatment for knee osteoarthritis until May 10, 2019. Only randomized controlled trials were selected and we assessed the risk of bias according to the Cochrane RoB criteria. This review examined the selected studies into first author, publication year, sample size, outcome measurements, results, acupoints, treatment time & period and so on. Results : A total of 7 RCTs were selected in this review and all were conducted in China. Treatment period of more than 4 weeks and treatment visits of 10 to 20 times were the most common. EX-LE4 and ST35 (=EX-LE5) acupoints were most frequently selected in treatment. Among the evaluation indexes, a total efficacy rate was used the most. Most of fire needling groups showed more significant results compared with the manual acupuncture groups statistically. Conclusions : All studies showed that fire needling treatments for knee osteoarthritis were more effective than manual acupuncture treatments statistically. Therefore, the results of this study could be utilized as a preliminary data for another clinical research on fire needling treatment for knee osteoarthritis. However, further well-designed randomized controlled trials will be needed to develop sufficient evidence about the effectiveness and safety of fire needling treatment for knee osteoarthritis in the future.

Preliminary Study to Develop the Instrument on Pattern Identifications Knee Osteoarthritis (퇴행성무릎관절염 변증도구 개발에 관한 기초연구)

  • Jeon, Dong Hwi;Lee, Eun Jung;So, Hyun Woo;Hwang, Man Suk;Yoo, Jeong Eun;Park, Yang Chun;Jung, In Chul;Oh, Min Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.2
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    • pp.77-91
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    • 2017
  • Objectives The aim of this study was to develop a standard tool of pattern identification for Knee Osteoarthritis, which will be applied to clinical research. Methods The advisor committee for this study was organized by 11 panel of experts (Korean Rehabilitation Medicine professors, Acupuncture and Moxibustion professors belonging to Korean Medicine colleges, Principal Researcher of Korea Institute of Oriental Medicine, Doctor of Korean medicine). The pattern identifications and symptoms for this tool were extracted from published Korean and Chinese literature. Through the discussion among internal experts and consultation from advisors, the Instrument on Pattern Identifications for Knee Osteoarthritis was developed. Results 1) Five pattern identifications (The Wind, Chill, and Moisture, The Moist-Heat, Blood Stasis, Yang Deficiency of Spleen and Kidney, Yin Deficiency of Liver and Kidney) were set for the tool. 2) The mean weights which represent the importance of each symptom and scored on a hundred-point scale was obtained. 3) The Instrument on Pattern Identifications for Knee Osteoarthritis was designed in the self-reporting format composed of 46 questions. Conclusions The Instrument on Pattern Identifications for Knee Osteoarthritis was created through this study. Though this study is not proved about validity, reliability, the instrument of pattern identification for Knee Osteoarthritis is meaningful and expected to be applied to the subsequent.

Piriformis Syndrome in Knee Osteoarthritis Patients after Wearing Rocker Bottom Shoes

  • Byeon, Gyeong-Jo;Kim, Kyung-Hoon
    • The Korean Journal of Pain
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    • v.24 no.2
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    • pp.93-99
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    • 2011
  • Background: Rocker bottom shoes (RBS) are popular among patients with different foot, leg, or back problems in Korea. Patients with knee osteoarthritis concurrent weakness in the quadriceps femoris muscle, who wear these shoes, are often assumed to develop piriformis syndrome (PS). This study was performed to improve the understanding about the effect of wearing such shoes on duration of the syndrome in knee osteoarthritis. Methods: We randomly assigned 150 patients with PS, who had used RBS daily for at least 6 months, to 2 groups, the S (stopped wearing) and K (kept wearing) groups. Both the groups were subdivided into the O and N groups, comprising patients with and without knee osteoarthritis, respectively. The effects of the treatment, including piriformis muscle injections and a home exercise program, were compared between the 2 groups by using a flexion-adduction-internal rotation (FAIR) test, a numeric rating scale (NRS), and the revised Oswestry disability index (ODI) during the 12-week follow-up. Results: The positive FAIR test ratios, mean NRS scores, and revised ODIs were higher in the KO group than the SN group from 4-12 weeks after treatment. Conclusions: RBS may extend duration of the PS in osteoarthritis patients.

Effects of Dynamic Balance Training on Pain, Physical Function, and Balance Ability in Patients with Chronic Knee Osteoarthritis (동적 균형 훈련이 만성 슬관절 관절염 환자의 통증, 신체 기능과 균형 능력에 미치는 영향)

  • Bang, Dae-Hyouk;Bong, Soon-Young
    • PNF and Movement
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    • v.16 no.1
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    • pp.105-113
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    • 2018
  • Purpose: The aim of this study was to explore the effects of dynamic balance training on pain, physical function, and dynamic balance in individuals with knee osteoarthritis. Methods: Fourteen patients with knee osteoarthritis participated in this study. The patients were randomly assigned to two groups: an experimental group (n=7) or a control group (n=7). All the patients took part in a lower extremity strength program for 30 min. In addition, the experimental group participated in a 30-min dynamic balance program. Both groups performed the program five times a week for 3 weeks. Outcomes, including the numeric rating scale (NRS), Western Ontario and MacMaster Universities Arthritis Index (WOMAC), and Community Balance and Mobility Scale (CB&M), were measured at baseline and after 3 weeks. Results: Both groups showed pre-to-post intervention improvements on all outcome measures (p<0.05). The experimental group showed a significant improvement in WOMAC (p = 0.00; Z = -2.82) and CB&M (p = 0.03; Z = -2.20) scores after the intervention as compared with those of the control group. Conclusion: The results revealed that dynamic balance training improved physical function, as well as balance ability, in patients with knee osteoarthritis as compared with that of a control group with no balance training.

The Effects of Exercise with Taping on Muscle Strength and Bone Mineral Density, IGF-1 in Blood of Elderly Women (퇴행성슬관절염 여성노인의 운동과 테이핑이 근력과 골밀도, 혈중 IGF-1에 미치는 영향)

  • Park, Il-Bong;Ahn, So-Yoon
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.2
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    • pp.289-300
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    • 2010
  • Purpose : This study was to explore the effects of knee joint taping exercise on muscle strength, bone mineral density, pain and IGF-1 in blood of elderly women with knee Osteoarthritis. Methods : Thirty elderly women with knee osteoarthritis were divided into three groups: the taping with exercise group (n=10), the regular exercise group (n=10) and control group (n=10). Participants' muscle strength, bone mineral density, pain and IGF-1 in blood were measured three times : before exercise, after 6 weeks, and after 12 weeks. Results : Participants in both exercise (taping & non-taping) groups showed improvement in muscle strength, bone mineral density, pain and IGF-1 in blood after 6 and 12 weeks compared to before exercise. In particular, the taping exercise group had a greater effect on muscle strength than the regular exercise group. Conclusion : Both exercise programs considerably improved muscle strength, bone mineral density, reduced pain and IGF-1 in blood in elderly women with knee Osteoarthritis. The knee joint taping exercise is perhaps a better exercise to improve muscle strength than the regular exercise in treating elderly women with knee Osteoarthritis

Changes of Lower Limb Joints Stiffness with Gait Speed in Knee Osteoarthritis (무릎 골관절염 환자의 보행속도에 따른 하지 관절 강성 변화)

  • Park, Hee-Won;Park, Su-Kyung
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.7
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    • pp.723-729
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    • 2012
  • Spring-like leg models have been employed to explain various dynamic characteristics in human walking. However, this leg stiffness model has limitations to represent complex motion of actual human gait, especially the behaviors of each lower limb joint. The purpose of this research was to determine changes of total leg stiffness and lower limb joint stiffness with gait speed in knee osteoarthritis. Joint stiffness defined as the ratio of the joint torque change to the angular displacement change. Eight subjects with knee osteoarthritis participated to this study. The subject walked on a 12 m long and 1 m wide walkway with three sets of four different randomly ordered gait speeds, ranging from their self-selected speed to maximum speed. Kinetic and kinematic data were measured using three force plates and an optical marker system, respectively. Joint torques of lower limb joints calculated by a multi-segment inverse dynamics model. Total leg and each lower limb joint had constant stiffness during single support phase. The leg and hip joint stiffness increased with gait speed. The correlation between knee joint angles and torques had significant changed by the degree of severity of knee osteoarthritis.