• Title/Summary/Keyword: Knee osteoarthritis

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Validity and Reliability of Ultrasound Measurement of Knee Joint Space Width in Individuals With Knee Osteoarthritis

  • Kim, Geon;Cha, Young-joo;Shin, Ji-won;You, Sung-hyun
    • Physical Therapy Korea
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    • v.26 no.1
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    • pp.60-66
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    • 2019
  • Background: Knee osteoarthritis (OA) is a single most arthritic disease. Knee joint space width (JSW) is commonly used for grading severity of knee OA. However, previous studies did not established criterion validity and test-retest reliability of ultrasound (US) image for measuring JSW. Objects: The aim of this study was to establish criterion validity and test-retest reliability of US measurement of medial and lateral knee JSW. Methods: Twenty-nine subjects with knee OA were participated. The US and X-ray were used to measure knee JSW. One sample Kolmogorov-Smirnov test was used to confirm the data normal distribution. Pearson correlation coefficient and ICC were used to calculated and establish criterion validity and test-retest reliability, respectively. Results: US measurement of medial and lateral knee JSW was highly correlated with radiographic imaging measure (r=.714 and .704, respectively). Test-retest reliabilities of medial and lateral knee JSW were excellent correlated (ICC=.959 for medial side and .988 for lateral side, respectively). Conclusion: US may be valid tool to measure knee JSW.

The Influence of Walking Exercise on Balance Ability of Knee Osteoarthritis (퇴행성 슬관절염 환자의 걷기 운동이 균형 능력에 미치는 영향)

  • Jang, Won-Sug;Bae, Sung-Soo
    • PNF and Movement
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    • v.4 no.1
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    • pp.19-25
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    • 2006
  • Purpose : The main purpose of this study was to investigate the influence of walking exercise on balance ability of knee osteoarthritis. The subject were consisted of 30 women patients with knee osteoarthritis. Method : The walking exercise group with modality treatment. The walking exercise for 40 minutes per day and three times a week during 6 weeks period. Short Form McGill Pain Questionnaire(SFMPQ) was used to measure patient's pain level. Patient Specific Functional Scale(PSFS) was used to measure patient's functional disability level. BPM was used to measure sway area. Global Perceived Effect Scale(GPES) was used to measure recovery or worse of patient's condition. Results : 1. SFMPQ was walking exercise showed significantly decreased more than before treatment (p<.05). 2. PSFS was walking exercise showed significantly increased more than before treatment (p<.05). 3. Sway area was walking exercise showed significantly limited area more than before treatment (p<.05). 4. GPES was walking exercise showed significantly increased more than before treatment(p<.05) Conclusion : This study will be used as exercise method of patient with osteoarhtritis.

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The Effects of Kinesio Taping application on the Pain, Weight-Bearing Distribution, and Walking Ability of Knee Osteoarthritis A Randomized Controlled Trial

  • Kim, Yang Rae;Park, Yong Nam
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.3
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    • pp.1537-1542
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    • 2018
  • This study aimed to identify the effects of kinesio taping (KT) applied in a proprioceptive neuromuscular facilitation (PNF) pattern on the pain, weight-bearing distribution (WBD), and walking ability of knee osteoarthritis (KOA) patients. Thirty women with KOA were randomly allocated to a control group (n=15) with KT at the quadriceps only, and a PNF pattern group (n=15) with KT at the quadriceps and gastrocnemius muscle. Pain intensity was measured using a visual analogue scale during walking. In addition, WBD, and walking ability were measured before and 30 minutes after KT application. The VAS significantly reduced in both groups after the intervention (p<.05). WBD (p<.05, ES=.32) and walking ability (p<.05, ES=.38) showed a significant change in the PNF pattern group, and in the inter-group comparison, the PNF pattern group showed a significant difference compared to the control groups. These results demonstrate that KT application with PNF pattern effectively attenuate the pain and improves WBD and walking ability in KOA patients.

Effects of Aroma Massage on Pain, Activities of Daily Living and Fatigue in Patients with Knee Osteoarthritis (무릎 골관절염 환자에게 시행한 아로마 마사지가 통증, 일상활동 능력 및 피로에 미치는 효과)

  • Kim, In-Ja;Kim, Eun-Kyung
    • Journal of muscle and joint health
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    • v.16 no.2
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    • pp.145-153
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    • 2009
  • Purpose: The effects of aroma massage on pain, activities of daily living, and fatigue were investigated in the patients who have knee osteoarthritis. Method: A quasi-experimental design with non-equivalent control group pretest-posttest measures was used. Twenty one and twenty subjects were included in control and experimental group, respectively. Subjects in experimental group had aroma massage which used lavender, chamomile, and ginger oil on painful knee. They were encouraged to implement aroma massage at least two times a day for 2 weeks. Subjects in the control group had conventional oil massage implementing by exactly same method as did in the experimental group. GRS(graphic rating scale), Korean version of WOMAC (Western Ontario and McMaster) osteoarthritis index, and MAF(multidimensional assessment of fatigue) were used to measure the outcome variables such as pain, activities of daily living and fatigue, respectively. Results: After 2 weeks, those in the experimental group reported significantly less pain and fatigue and better activities of daily living than those in the control group. Conclusion: Based on these results, aroma massage could be recommended as a self managed intervention for the patients with knee osteoarthritis.

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Effects of Complex Exercise Program on Pain and Muscle Activation in elderly Patients with Knee Osteoarthritis (복합운동이 퇴행성 슬관절염 노인환자의 통증과 근활성도에 미치는 영향)

  • Lee, Sun-Ju;Choi, Won-Ho;Lim, Chae-Gil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.4
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    • pp.1684-1689
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    • 2012
  • This research is performed for the elderly patients who have knee osteoarthritis joint and who are applied to complex exercise program to know that how the complex exercise affects on pain and muscle activation. This research is tested 23 elderly patients who have knee osteoarthritis in hospital B. It divided into exercise group(n=2) and control group(n=1), by doing general physical therapy for each case three times a week, 40 minutes, among 10 weeks and measured before and after VAS and muscle activation. For the case exercise group, supplementally, applied to complex exercise program three times a week, 40 minutes, among 10 weeks and also measured before and after VAS and muscle activation. After the test is performed in 10 weeks, the results of this test are as follows. First, both exercise group and control group, they have more in pain after experiment rather than before, respectively(p<0.05). but There was no significant statistical difference between two groups(p>0.05). Second, exercise group have in muscle activation after experiment rather than before(p<0.05). and There was significant statistical difference between two groups(p<0.05). The test is implied that if the people who has knee osteoarthritis wants to get more good effects with complex exercise, they should get more opportunities to complex exercise. as well as fitness, resistance exercise and grafted to the easily create an exciting program to improve the quality of life of seniors in the program will be studied in future study.

The Effect of Chinemys reevesii Gray Pharmacopuncture for Women with Knee Osteoarthritis (구판(龜板)약침이 여성의 퇴행성 슬관절염에 미치는 영향)

  • Shin, So Yeon;Seo, Dong Kyun;Kim, Shin Young;Seo, Jong Cheol;Seo, Yeon Ju;Lee, Yoon Joo;Bin, Chang Hyun;Jung, Taek Gun;Song, Chun Ho;Yoon, Hyun Min;Kim, Cheol Hong;Jang, Kyung Jeon
    • Journal of Acupuncture Research
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    • v.32 no.3
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    • pp.163-173
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    • 2015
  • Objectives : The aim of this study is to determine whether Chinemys reevesii Gray pharmacopuncture is a clinically effective treatment for women with knee osteoarthritis. Methods : Female patients with knee osteoarthritis were recruited from May $1^{st}$, 2014 to April $15^{th}$, 2015 at the Department of Acupuncture & Moxibustion Medicine of Dong-Eui University Korean Medical Hospital. Patients were randomly assigned to two groups. 4.0 ml of Chinemys reevesii Gray pharmacopuncture was injected at acupuncture points of the experimental group(n = 24) twice a week for three weeks. The control group(n = 24) received 5 % dextrose injections in order to identically stimulate the same acupuncture points of $ST_{35}$, $ST_{34}$, $SP_9$, $SP_{10}$, $GB_{34}$, $LR_8$, $EX-LE_4$, and $EX-LE_2$. The Short-Form McGill Pain Questionnaire(SF-MPQ), the Korean Western Ontario and McMaster Universities Osteoarthritis Index(KWOMAC), and the European Quality of Life-5 Dimensions(EQ-5D) were recorded to evaluate treatment efficacy at first visit, after two weeks and four weeks from the initial visit. Results : 40 patients completed the trial. The experimental group showed more significant improvement than the control group in the scores of SF-MPQ, KWOMAC, and EQ-5D. However, there was no significant difference between groups in a few of the assessment scales. Conclusions : Chinemys reevesii Gray pharmacopuncture can be an effective treatment in control of pain, improvement in function and health-related quality of life for women with knee osteoarthritis.

Effect of kinesio taping on gait function in elderly individuals with knee osteoarthritis: A pilot study

  • Park, Jaeyoung;Paik, Youngrim;Oh, Donghwan
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.3
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    • pp.1830-1833
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    • 2019
  • Background: Knee osteoarthritis (OA) causes not only pain during walking but also walking disorders. Therefore, intervention for older patients with OA is important. Objective: To study investigated the effects of kinesio taping (KT) on pain and walking ability in elderly persons with knee OA. Design: One group, pre-post design Methods: This study enrolled 12 community-dwelling elderly people with knee OA. KT was applied on the surrounding structures, including the patellar and bilateral lateral ligaments. Assessment was made using the visual analog scale and GAITRite system to measure pain and walking ability during KT and non-KT conditions. Results: In this study, compared to the non-KT condition, the KT condition showed a significant improvement in walking ability and pain reduction during walking (velocity, cadence, step length, and stride length) (p < 0.05). Conclusion: This study demonstrated that knee KT has a positive effect on pain reduction and walking ability of the elderly with OA.

Effects on Knee Joint Pain by Phonophoresis of Piroxicam Gel (피록시캄 겔의 음파영동이 슬관절 통증에 미치는 효과)

  • Choi, Sug-Ju;Yoon, Se-Won
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.1 no.2
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    • pp.31-38
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    • 2003
  • This study was to compared the effectiveness of piroxicam gel phonophoresis with conventional ultrasound therapy in knee osteoarthritis. Eighteen patients with a means age of $55.7{\pm}5$ years were randomly assigned to phonophoresis or ultrasound groups. Continuous ultrasonic waves of 1 MHz frequency and $1\;W/cm^2\;SATA_i$ were applied for 5 minutes to the target knee joint. This study indicated their pain level by marking on a visual analog scale(VAS) at the start of treatment and at the end of 3day. Osteoarthritis VAS scores, pain on rest state, non weight bearing range of motion, 20 meters walking, and walking step by the patients were evaluated before and after therapy. Both therapeutic modalities were found to be effective and generally well tolerated after 3 therapy sessions. But piroxicam phonophoresis was not superior to conventional ultrasound in patients with knee osteoarthritis.

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The Change of Gait as Q-angle in Chronic Knee Osteoarthritis Disease (만성 무릎 퇴행성관절염 환자의 Q각 변화에 따른 보행의 변화)

  • Chae, Jung-Byung;Cho, Hyun-Rae;Hwa, Nam-Jin;Kim, Yong-Hun
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.1
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    • pp.71-79
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    • 2010
  • Purpose : To investigate of gait change as Q-angle in chronic knee osteoarthritis patients. Methods : Participated osteoarthritis disease patients(n=16) and normal adults(n=16). gait measure was used by GaitRite and Q-angle measure was used by tape measur