슬개대퇴통증 증후군 환자에게 적용한 고관절 견인과 근력 강화 운동이 무릎 통증, 관절가동범위, 하지기능에 미치는 영향-사례 연구

A Case Study of a Female Patient with Patellofemoral Pain Syndrome for Effect of Hip Joint Traction and Hip Posterolateral Muscles Strengthening on Knee Pain, Range of Motion, and Lower Extremity Function Scale

  • 투고 : 2014.02.13
  • 심사 : 2014.03.15
  • 발행 : 2014.06.30

초록

Background: The case study examined the effect of a hip joint traction and hip posterolateral muscles strengthening on knee pain, range of motion, and lower extremity function scale of patients with patellofemoral pain syndrome (PFPS). Although PFPS has previously been attributed to quadriceps dysfunction, more recent research has linked this condition to impairment of the hip musculature and kinematic. Methods: Subject is a 27-years-old female with PFPS. Performed hip joint traction with belt and posterolateral muscles(hip abductors, external rotators) strengthening for 4 weeks, 3 times a week, once a day. Before and after the therapy, measurements were made on the visual analog scale (VAS) and of the ROM, and a lower extremity functional scale (LEFS) was conducted. Results: The results showed positive changes in VAS and range of motion and lower extremity functional scale. First VAS of knee changed from 6 to 2. Second hip joint range of motion showed that internal rotation recored from $53^{\circ}$ to $58^{\circ}$ and external rotation recorded from $32^{\circ}$ to $37^{\circ}$. Third The lower extremity functional scale showed before therapy of 44; after therapy, 63. Conclusion: The hip joint traction and hip posterolateral muscles strengthening was effective in alleviating knee pain, increasing ROM and Lower extremity functional scale of the PFPS patients.

키워드

참고문헌

  1. Boling M, Padua D, Marshall S, er al. Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scand J Med Sci Sports. 2010;20(5):725-730. https://doi.org/10.1111/j.1600-0838.2009.00996.x
  2. Cichanowski HR, Schmitt JS, Johnson RJ, et al. Hip strength in collegiate female athletes with patellofemoral pain. Med Sci Sports Exerc. 2007;39(8):1227-1232. https://doi.org/10.1249/mss.0b013e3180601109
  3. Dolak KL, Silkman C, Medina Mckeon J, et al. Hip strengthening prior to functional exercises reduces pain sooner than quadriceps strengthening in females with patellofemoral pain syndrome: A randomized clinical trial. J Orthop Sports Phys Ther. 2011;41(8):560-570. https://doi.org/10.2519/jospt.2011.3499
  4. Earl JE, Vetter CS. Patellofemoral pain. Phys Med Rehabil Clin N Am. 2007;18:439-458. https://doi.org/10.1016/j.pmr.2007.05.004
  5. Fukuda TY, Melo WP, Zaffalon BM, et al. Hip posterolateral musculature strengthening in sedentary women with patellofemoral pain syndrome: A randomized controlled clinical trial with 1-year follow-up. J Orthop Sports Phys Ther. 2012;42(10):823-830. https://doi.org/10.2519/jospt.2012.4184
  6. Grossley K, Bennell K, Green S, et al. A systematic review of physical intervention for patellofemoral pain syndrome. Clin J Sport Med. 2001;11(2):103-110. https://doi.org/10.1097/00042752-200104000-00007
  7. Hoeksma HL, Dekker J, Ronday HK, et al. Comparisson of manual therapy and exercise therapy in osteoathritis of the hip: A randomized clinical trial. Arthritis Rheum. 2004;51(5):722-729. https://doi.org/10.1002/art.20685
  8. Meira EP, Brumitt J. Influence of the hip on patients with patellofemoral pain syndrome: A systematic review. Sports health. 2011;3;(5):455-465. https://doi.org/10.1177/1941738111415006
  9. Powers CM. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: A theoretical perspective. J Orthop Sports Phys Ther. 2003;33(11):639-646. https://doi.org/10.2519/jospt.2003.33.11.639
  10. Vaarbakken K, Ljunggren AE. Superior effect of forceful compared with standard traction mobilizations in hip disability? Adv Physiother. 2007;9(3):117-128. https://doi.org/10.1080/14038190701395739