The Research of Pain and Functional Disability Assessment Scales for Knee Joint Disease

슬관절의 통증과 기능장애의 평가도구에 관한 연구

  • Jung, Chan-Yung (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Unive-Seoul) ;
  • Kim, Eun-Jung (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Unive-Seoul) ;
  • Hwang, Min-Seop (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Unive-Seoul) ;
  • Cho, Hyun-Seok (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Unive-Seoul) ;
  • Kim, Kyung-Ho (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Unive-Seoul) ;
  • Lee, Seung-Deok (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Unive-Seoul) ;
  • Kim, Kap-Sung (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Unive-Seoul)
  • 정찬영 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 김은정 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 황민섭 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 조현석 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 김경호 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 이승덕 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 김갑성 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실)
  • Received : 2010.03.19
  • Accepted : 2010.03.31
  • Published : 2010.04.20

Abstract

Objectives : The knee pain is the main reason of getting acupuncture treatment. In order to have confidence in the results of a study, it is necessary to establish that questionnaire is both valid and reliable in questionnaire related study. The aim of this study was to review the instruments that are currently in sue for assessing the knee joint. Methods : A literature study was performed to choose appropriate scales for assessment for pain and the function of the knee. Theoretically based scales were selected for review. Therefore, 18 scales for knee and 9 scale for pain were reviewed. the status of scales involved in knee treatment of acupuncture throughout several countries was evaluated. Results & Conclusion : Lysholm Knee Scoring Scale, Cincinnati knee rating system(CKRS) are adequate for ligament injury in knee. International Knee Documentation Committee scoring system(IKDC) may become a publication requirement for journals in view of the international standing of the committee. The available outcome measure for use in osteoarthritis are Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC), Lequesne Functional Severity Index(LFI) and Knee Injury and Osteoarthritis Outcome Score(KOOS), and in rheumatoid arthritis are McMaster-Toronto Arthritis patient function preference questionnaire(MACTAR), Quality of Life-Rheumatoid Arthritis Scale(QoL-RA Scale). Visual analog scale(VAS), verbal rating scale(VRS) are commonly used for the standard pain scale. For long term follow-up study The Medical Outcomes Study Short Form-36(SF-36), Arthritis Impact Measurement Scales(AIMS), Health Assessment Questionnaire(HAQ) should be included. Each measurement has its own composition and characteristics. Their validity, reliability, responsiveness and practical characteristics were already evaluated. We found 20 domestic and 28 overseas papers about knee treatment using acupuncture assessed with knee scales.

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