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편측 슬관절 통증을 호소하는 환자의 증상 개선에 따른 보행 척도의 변화 보고: 보행 분석을 중심으로

A Case Report on Gait Pattern Change of Unilateral Knee Pain Patient Treated by Korean Medicine: Focused on Gait Analysis Results.

  • 추홍민 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 김광호 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 이영웅 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 박경태 (원광대학교 광주한방병원 한방재활의학과) ;
  • 장종원 (원광대학교 광주한방병원 침구의학과) ;
  • 김선경 (원광대학교 광주한방병원 한방부인과) ;
  • 임현서 (원광대학교 광주한방병원 한방내과) ;
  • 김철현 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 이상관 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 성강경 (원광대학교 한의과대학 순환신경내과학교실)
  • Chu, Hong-Min (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Kim, Kwang-Ho (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lee, Young-Ung (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Park, Kyung-Tae (Dept. of Korean Rehabilitation Medicine, Wonkwang University Gwangju Medical Center) ;
  • Jang, Jong-Won (Dept. of Acupuncture and Moxibustion Medicine, Wonkwang University Gwangju Medical Center) ;
  • Kim, Sun-Kyung (Dept. of Korean Obstetrics and Gynecology Medicine, Wonkwang University Gwangju Medical Center) ;
  • Lim, Hyeon-Seo (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Kim, Cheol-Hyun (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lee, Sang-Kwan (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Sung, Kang-Keyng (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University)
  • 투고 : 2020.02.26
  • 심사 : 2020.06.04
  • 발행 : 2020.06.30

초록

Objectives : The aim of this study was to analyze changes in the gait pattern of a unilateral knee pain patient after treatment with Korean Medicine therapy. Methods : We conducted gait analysis 4 times over 11 days to analyze changes in gait parameters using gait analysis systems. Results : Velocity, cadence, step length, and stride length were all increased. On the collateral side, both stance phase and double support (%) decreased. These results are similar to those of hemiplegic patients with improvement patterns. Conclusions : Gait analysis could be used as a good evaluation tool for tracking improvements in knee pain.

키워드

참고문헌

  1. Kwon SK, Chang CB. Differential Diagnosis of Knee Pain Commonly Encountered in Clinical Practice. J Rheum Dis. 2007;14(3):185-95
  2. Health Insurance Reviews & Assessment Service. Statistics of diseases. behaviors [Internet]. Wonju: Health Insurance Reviews & Assessment Service. 2015 [cited 2020 February 23]
  3. Zhang Q, Yue J, Golianu B, Sun Z, Lu Y. Updated systematic review and meta-analysis of acupuncture for chronic knee pain. Acupunct Med. 2017;0:1-12
  4. Hong S, Won CW, Kim BS, Choi H, Kim S, Choi SE, Hong S. The cut-off point of gait speed as predictor of 3 year mortality in Korean communitydwelling elderly. KJFM. 2016;6(3):166-71.
  5. Kitayuguchi J, Kamada M, Hamano T, Nabika T, Shiwaku K, Kamioka H, Okada S, Mutoh Y. Association between knee pain and gait speed decline in rural Japanese community-dwelling older adults: 1-year prospective cohort study. Geriatr Gerontol Int. 2015;16(1):55-64 https://doi.org/10.1111/ggi.12432
  6. Peters DM, Middleton A, Donley JW, Blanck EL, Fritz SL. Concurrent Validity of Walking Speed Values Calculated via the GAITRite Electronic Walkway and 3 Meter Walk Test in the Chronic Stroke Population. Physiother Theory Pract. 2014;30(3):183-8. https://doi.org/10.3109/09593985.2013.845805
  7. Abellan van Kan G, Rolland Y, Andrieu S, Bauer J, Beauchet O, Bonnefoy M, Cesari M, Donini LM, Gillette Guyonnet S, Inzitari M, Nourhashemi F, Onder G, Ritz P, Salva A, Visser M, Vellas B. Gait speed at usual pace as a predictor of adverse outcomes in communitydwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging. 2009; 13: 881-9. https://doi.org/10.1007/s12603-009-0246-z
  8. Studenski S, Perera S, Patel K et al. Gait speed and survival in older adults. JAMA 2011; 305: 50-8. https://doi.org/10.1001/jama.2010.1923
  9. Um KM, Wang JS. Impact of Musculoskeletal Pain on Pedestrian Crossing among the Aged. Jour. of KoCon.a. 2015;15(12):370-7
  10. Kim KH, Lee JM. The Level of Pain, Gait Speed, and ROM in Communitydwelling Older Adults with Knee Joint Pain. J Korean Acad Community Health Nurs. 2017;28(2):156-64. https://doi.org/10.12799/jkachn.2017.28.2.156
  11. Chae IC, Choi IW, Kim CY, Park MS, Park SS, Jung ES, Cha JY, Jo HK, Kim YS, Seol IC, Yoo HR. A Case Report of a Chronic Intracerebral Hemorrhage Patient with Obstinate Gait Disturbance Treated with Korean Medicine and Rehabilitation Exercise. J. Int. Korean Med. 2019; 40(4): 730-41. https://doi.org/10.22246/jikm.2019.40.4.730
  12. Park KE, Lee IS, Hong HJ, Lee SK, Sung KK. Change of Foot Rotation of Gait Analysis Parameters according to Gait Improvement in Post-Stroke Hemiplegic Patients. J. Int. Korean Med. 2014; 35(4):498-504.
  13. Hong HJ, Kim CY, Sung KK, Lee SK. Changes in the Gait Pattern of Hemiparetic Patients with Subacute Basal Ganglia Stroke: a Retrospective Study. J. Int. Korean Med. 2016;37(6):990-7. https://doi.org/10.22246/jikm.2016.37.6.990
  14. Han JW, Kim KH. Gait Pattern Changes Due to ASMD Spine Manipulation. The Journal of Association of Spinal Manipulation & Diagnostic Method. 2013;2(1): 9-13.
  15. Ko HJ, Yoo JH, Shin JC. 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. Korean J Acupunct. 2019.36(2);104-14 https://doi.org/10.14406/acu.2019.012
  16. Kim JH, Yoon YS, Lee WJ, Ko HJ, Kim SJ. A Systematic Review of Herbal Medicine Treatment for Knee Osteoarthritis. JKMR. 2019;29(4):47-60
  17. Mizrahi J, Susak Z, Heller L, Najenson T. Objective expression of gait improvement of hemiplegics during rehabilitation by time-distance parameters of the stride. Med Biol Eng Comput. 1982; 20(5): 628-34. https://doi.org/10.1007/BF02443413
  18. Kottink, A. I. R., Oostendorp, L. J. M., Buurke, J., Nene, A. V., Hermens, H. J., & IJzerman, M. J. The Orthotic Effect of Functional Electrical Stimulation on the Improvement of Walking in Stroke Patients with a Dropped Foot: A Systematic Review. Artif Organs. 2004;28(6):577-86. https://doi.org/10.1111/j.1525-1594.2004.07310.x