Clinical Pain
- 제18권2호
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- Pages.121-125
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- 2019
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- 1598-5490(pISSN)
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- 2765-5156(eISSN)
DOI QR Code
고관절염과 근 긴장을 동반한 강직성 척추염의 빠른 기능 회복
Rapid Functional Enhancement of Ankylosing Spondylitis with Severe Hip Joint Arthritis and Muscle Strain
- 황상원 (연세대학교 의과대학 재활의학교실) ;
- 임상희 (연세대학교 의과대학 재활의학교실) ;
- 신지철 (연세대학교 의과대학 재활의학교실) ;
- 박진영 (연세대학교 의과대학 재활의학교실 및 희귀난치성 신경근육병 재활연구소)
- Hwang, Sangwon (Department of Rehabilitation Medicine and Research Institute, Yonsei University College of Medicine) ;
- Im, Sang Hee (Department of Rehabilitation Medicine and Research Institute, Yonsei University College of Medicine) ;
- Shin, Ji Cheol (Department of Rehabilitation Medicine and Research Institute, Yonsei University College of Medicine) ;
- Park, Jinyoung (Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine)
- 투고 : 2019.06.20
- 심사 : 2019.10.04
- 발행 : 2019.12.31
초록
Arthritis of hip joints deteriorates the quality of life in ankylosing spondylitis (AS) patients. Secondary to the articular inflammatory process, the shortened hip-girdle muscles contribute to the decreased joint mobility which may lead to the functional impairment. As the limitation of range of motion (ROM) usually progress slowly, clinicians regard it as a chronic condition and prescribe long-term therapy. However, by short-term intensive multimodal treatment, a 20-year-old man diagnosed as AS with severely limited hip joint ROM who relied on crutches doubled the joint angle and could walk independently only within 2 weeks. The combination included intra-articular steroid injection, electrical twitch obtaining intramuscular stimulation, extracorporeal shock wave therapy, heat, manual therapy, and stretching exercises. The management focused on the relaxation of hip-girdle muscles as well as the direct control of intra-articular inflammation. Hereby, we emphasize the effectiveness of intensive multimodal treatment in improving the function even within a short period.