• Title/Summary/Keyword: Knee Joint Pain

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A Retrospective Chart Review of 114 Patients with Knee Pain at a Korean Medicine Hospital Who Had Been Involved in a Traffic Accident

  • Park, Ji Won;Shin, Won Bin;Choi, Hyo Jung;Back, Hye Kyung;Kim, Doo Ri
    • Journal of Acupuncture Research
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    • v.38 no.2
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    • pp.134-139
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    • 2021
  • Background: This study aimed to investigate the demographic characteristics of patients with knee pain caused by traffic accidents and test the effectiveness of Korean medicine (KM) treatment. Methods: The medical charts of 114 inpatients with knee pain caused by a traffic accident were reviewed from July 1, 2019 to October 31, 2019 at Bucheon Jaseng Hospital of KM. The patients' demographics including gender, age, period of hospitalization, and type of pharmacopuncture and herbal medicine prescribed were reviewed. The Numeric Rating Scale scores and Western Ontario and McMaster Universities Osteoarthritis Index scores were used to assess subjective knee pain. Results: There were more females (55%) than males in this study. Patients were more likely to be in their 30s (27.2%), be hospitalized for 11-14 days (41.2%), treated with Hwangryunhaedok pharmacopuncture (78.1%), and be prescribed Hwalhyeoljitong decoction (62.3%).The mean Numeric Rating Scale score for patients with knee pain caused by a traffic accident decreased significantly from 4.26 ± 1.39 to 2.53 ± 1.60 (p < 0.001), and the mean Western Ontario and McMaster Universities Osteoarthritis Index score also decreased significantly from 32.72 ± 18.36 to 23.40 ± 15.80 (p < 0.001) following KM treatment. Conclusion: As a result of analyzing 114 hospitalized patients with knee joint pain due to TAs, inpatients were more likely to be female (55%), a patient in their 30s (27.2%), and be a patient hospitalized for 11-14 days (41.2%). KM treatment of traumatic knee injury using pharmacopuncture therapy and herbal medicine can be an may be effective at reducing pain, and healing functional disorders of the knee.

Effect of Kinesio Taping on Isokinetic Muscular Function and Pain of Knee Joint in Elderly Women (키네시오 테이핑이 고령자의 슬관절 등속성 근 기능 및 통증에 미치는 영향)

  • Bang, Hee-Myung
    • The Journal of the Korea Contents Association
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    • v.6 no.12
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    • pp.226-234
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    • 2006
  • The aim of this study were to evaluate the effect of kinesio taping on isokinetic muscular function and pain of knee joint. The subjects for this study were twelve elderly women($65{\sim}70$years) suffered by knee joint pain over more than three years. The taping methods performed on 3 times a week for 8 weeks for improvement of isokinetic muscular function. Also, the change of visual analogue scale(VSA) and varval rating scale(VRA) has been measured before and post taping 8 weeks. Paired t-test was performed for data analysis at the 0.05 level of significance. After 8 weeks, the results of the study are as follow; First, peak torque, peak torque % BW, total work and ipsilateral balance ratio were significantly improved. And, work fatigue, visual analogue scale and verval rating scale were decreased significantly after 8 weeks taping. The results suggest that applying kinesio taping on knee joint may improve isokinetic muscular function of elderly women. Therefore kinesio taping method was effective for pain relief and prevention of knee joint pain in the elderly women.

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Effects of Tai Chi Exercise in Elderly with Knee Osteoarthritis (슬골관절염 노인환자의 타이치운동 효과)

  • Lee, Hea-Young;Lee, Keum-Jae
    • Journal of Korean Academy of Nursing
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    • v.38 no.1
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    • pp.11-18
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    • 2008
  • Purpose: This study was to determine whether the Sun-style 24 forms of Tai Chi exercise improve pain, stiffness, disability, knee joint motion, mobility, balance or falling. Method: Forty-six community-dwelling elderly subjects (mean age, $75.46{\pm}6.28$) voluntarily participated in an intervention group of either 24 forms of Sun-style T ai Chi for 60 min, 2 times per week for 12 weeks or a control group. A non-equivalent pretest-posttest design was used. Independent t-test and ANCOVA were used to examine group differences by using SPSS12.0. Result: The experimental group had significantly less pain (F=7.60, p=.008) and stiffness (t=-3.19, p=.003) than the control group. Also there were significant improvements in knee joint motion on the right knee (t=2.44, p=.019), left knee (t=2.30, p=.026), rising time (F=8.03, p=.07), balance on the left single leg test (t=2.20, p=.033), and fear of falling (t=-2.33, p=.024) in the Tai Chi exercise group. No significant group differences were found in disability and falls efficacy. Conclusion: The Sun-style 24 forms Tai Chi exercise is effective in decreasing pain, stiffness, fear of falling and it improves balance, rising time, and knee joint motion. We suggest a continuing long term intervention to decrease disability and increase efficacy concerning falls.

The Effect of Burning Acupuncture Therapy on the Traumatic Injury of Medial Collateral Ligament : Report of Five Cases (가열식 화침을 이용한 외상성 내측측부인대 손상 치험 5례)

  • Lee, Kwang-Ho;Ryu, Young-Jin;Sun, Seung-Ho;Kwon, Ki-Rok
    • Journal of Acupuncture Research
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    • v.27 no.1
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    • pp.149-155
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    • 2010
  • Objective : The purpose of these cases is to observe the effect of burning acupuncture therapy on the traumatic injury of medical collateral ligament. Methods : The patients were treated by burning acupuncture therapy to recover injury of medical collateral ligament. The progress evaluation of knee joint pain was measured by the knee society knee score(KSKS), function score (KSFS) and visual analog scale(VAS). Results : KSKS & KSFS were increased and VAS decreased in all cases. Conclusions : We had concluded that the burning acupuncture therapy can be effective to knee joint pain caused by traumatic injury of medial collateral ligament.

Effects of NOS Inhibitors on Arthritis and Arthritic Pain in Rats

  • Min, Sun-Seek
    • The Korean Journal of Physiology and Pharmacology
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    • v.11 no.6
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    • pp.253-257
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    • 2007
  • Among the arthritis symptoms, chronic pain is the most serious, and it can profoundly affect the quality of human life. Unfortunately, the mechanism of development in arthritis and arthritic pain has not yet been precisely elucidated. Accumulating evidence indicates that nitric oxide (NO) plays a pivotal role in nociceptive processing in the spinal cord. However, the modulation mechanism of NO in the peripheral site of arthritis and arthritic pain has not been clarified. Therefore, I determined in the present study which nitric oxide synthase (NOS) was involved in the induction of arthritis and arthritic pain. Monoarthritis was induced by intra-articular injection of carrageenan (2%, $50{\mu}l$) into rats, and resulted in the reduction of weight load on the injected leg, increase of knee joint diameter and inflammatory response. Pre-treatment of rats with L-N6-(1-iminoethyl)-lysine (L-NIL, $500{\mu}g$, in $50{\mu}l$), an inhibitor of inducible NOS (iNOS), partially prevented the induction of pain-related behavior and partially reduced inflammatory response in the synovial membrane in the knee joint. These results suggest that iNOS in the knee joint may play an important role in the induction of pain-related behavior and inflammation, and that NO produced by iNOS may be associated with nociceptive signaling in the peripheral site.

Effects of the Progressive Exercise Program on Flexibility, Grip Strength, Pain, and Fatigue for Osteoarthritis Patients (점진적 운동강화 자조관리프로그램이 골관절염 환자의 유연성과 악력, 통증 및 피로에 미치는 효과)

  • Kim, Sam-Sook;Lee, Eun-Nam
    • Journal of muscle and joint health
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    • v.16 no.2
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    • pp.184-192
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    • 2009
  • Purpose: The purpose of this study was to examine the effects of a progressive exercise program for osteoarthritis patients. Methods: This study was performed from 24th March. to 7th July. 2009. Thirty six osteoarthritis patients were participated in the progressive exercise program. Outcome measures were shoulder flexibility, knee flexibility, grip strength, pain intensity, number of pain site and fatigue. SPSS/WIN Version 14.0 was used for the data analysis. Results: At the completion of 6 weeks of progressive exercise program, there were statistically significant differences in shoulder flexibility and knee flexibility. But no significant differences were found in grip strength, pain, number of pain site and fatigue between pretest and posttest. Conclusion: Progressive exercise program was proved to be an effective nursing intervention for improving the shoulder and knee flexibility. However, progressive exercise program did not increase pain & fatigue.

Effects of McConnell Taping and Kinesio Taping on Pain and Lower Extremity Joint Angles During Stair Ascent in People with Patellofemoral Pain Syndrome (McConnell 테이핑과 Kinesio 테이핑이 무릎넙다리통증증후군 환자의 계단 올라가기 시 통증과 다리관절 각도에 미치는 영향)

  • Yoon, Sam-won;Son, Ho-hee
    • PNF and Movement
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    • v.20 no.2
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    • pp.189-201
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    • 2022
  • Purpose: The purpose of this study was to investigate the effect of McConnell taping and Kinesio taping on pain and lower extremity joint angles when patients with patellofemoral pain syndrome (PFPS) ascend stairs. Methods: Fifty young adults who were experiencing anterior knee pain due to PFPS were selected as participants. Then, 25 patients were randomly assigned to the McConnell taping group and 25 to the Kinesio taping group. Pain and lower extremity joint angle were measured while ascending stairs before and after the intervention. A paired t-test was performed to evaluate the amount of change in the parameter values after the intervention within the groups, and an independent t-test was used to compare the results of the groups. Results: In the within-group comparisons, a statistically significant difference was found in both groups between the anterior knee pain scale scores recorded before and after the intervention (p < 0.05). A statistically significant difference was also found between the groups (p < 0.05). Comparison of the lower extremity joint angles at initial contact, loading response, terminal stance, and pre-swing within the groups showed that there were statistically significant differences in the hip, knee flexion, abduction, lateral rotation, and dorsiflexion angles in both the McConnell and Kinesio taping groups (p < 0.05). There was also a statistically significant difference in all angles between the groups during the following events (p < 0.05): (1) at initial contact, (2) at loading response (except hip flexion angle), (3) at terminal stance (except hip flexion and lateral rotation angles), and (4) at pre-swing (except hip, knee abduction, and inversion angles). Conclusion: McConnell taping and Kinesio taping both effectively improved the occurrence of knee pain and the lower extremity joint angles during stair ascent in patients with PFPS. However, McConnell taping had a significant impact on pain reduction and lower extremity joint angles compared to Kinesio taping.

A Study on Comparisons of the Effect of Local Heat and Cold Therapy on the Symptoms of the Arthritic Knee Joint (관절염환자에게 적용한 냉요법과 온요법의 효과비교)

  • Lim, Nan-Young
    • Journal of muscle and joint health
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    • v.2 no.1
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    • pp.73-86
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    • 1995
  • Heat and cold often produce a similar clinical effect but different physiologic mechanisms. The purpose of this study was to compare the effects of local heat and cold therapy on joint pain, discomfort and, ROM of the arthritic knee joint. Thirty female subjects took Ice bag and hot bag with random assignment of initial therapy Subjects rated the degree of Joint pain and discomfort before and after each therapy, and then ROM was measured. The results of the study were as follows : 1. The hot bag group showed significantly lower joint pain & discomfort score than the ice bag group. ROM was increased in the hot bag group compared with subjects in the ice bag group. But there is not significant differences. 2. The ice bag group showed significantly lower joint pain score after than before therapy. But there are no significant differences in discomfort score & ROM between after & before therapy. 3. The hot bag group showed significantly lower joint pain, discomfort score after than before therapy. ROM was significantly increased after than before therapy in hot bag group. Therefore hot bag was significantly more effective than the ice bag in relieving the arthritic joint symptoms. A further study is necessary to determine the effect of local heat and cold therapy including the related variables such as preference for heat or cold.

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Effect of Aquatic Exercise Program on Lower Limbs, Muscle Strength, Knee Joint Flexion and Pain Changes of Arthritis Patients (수중운동이 관절염 환자의 하지근력, 관절각도 및 통증에 미치는 영향)

  • Lee, Young-Ok;Choi, Myung-Han;Kim, Jong-Im;Lee, Tae-Yong
    • Journal of muscle and joint health
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    • v.5 no.2
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    • pp.222-237
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    • 1998
  • In an attempt to investigate the effect of long-term aquatic exercise program on lower limbs' muscle strength, knee Joint flexion, pain reduction and weight changes with aquatic exercise program. Forty three women with arthritis were pre and post tested for changes of muscle strength, range of motion, weight and pain. This data was collected from April 1, 1997 to February 24, 1998. The mean age was 52.5. Statistically significant in lower limbs' muscle strength with an aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 12 weeks after experiment. Statistically significant in knee joint flexion with aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 12 weeks after experiment. Statistically significant in pain reduction with aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 12 weeks after experiment. Statistically significant in weight changes with aquatic exercise program by age, BMI, education, rheumatic drug use, illness duration until 6 weeks after experiment. As a conclusion, aquatic exercise programs for the patients with arthritis require at least 12 weeks and a variety of aquatic exercise programs for the effective control should be developed.

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The Influence of High-heeled Shoes on Kinematics and Kinetics of the Knee Joint during Sit-to-stand task

  • Park, Ji-Won;Kim, Yun-Jin
    • The Journal of Korean Physical Therapy
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    • v.27 no.5
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    • pp.304-310
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    • 2015
  • Purpose: The purpose of this study was to examine the change in the kinematics and kinetics of the knee joint depending on high-heeled shoes during sit-to-stand (SitTS) task. Methods: Nineteen healthy females participated in this study. The subjects performed the SitTS task wearing high-heeled shoes and barefoot. The experiment was repeated three times for each task with foot conditions. The kinematics and kinetics of the knee joint were measured and analyzed using a 3D motion analysis system. Results: The result of this study showed kinematic and kinetics differences in knee joints during the SitTS task based on high-heeled shoes. Significant differences in knee flexion angle were observed during SitTS. The knee extensor force showed statistically significant differences during SitTS tasks. At the initial of SitTS, the knee flexor and extensor moment showed significant differences. The knee extensor moment showed statistically significant differences at the terminal of SitTS. At the maximum of SitTS, the knee extensor moment showed statistically significant differences. Conclusion: Therefore, wearing high-heeled shoes during SitTS movements in daily life is considered to influence knee joint kinematics and kinetics due to the HH, suggesting the possibility of increased risk of patellofemoral pain, and knee osteoarthritis caused by changes in loading of the knee joint.