• Title/Summary/Keyword: Knee Pain

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Comparison of Knee Muscle Strength and Ankle Dorsiflexion Range of Motion Between Standing Workers With and Without Patellofemoral Pain Syndrome

  • Weon, Young-soo;Ahn, Sun-hee;Kim, Jun-hee;Gwak, Gyeon-tae;Kwon, Oh-yun
    • Physical Therapy Korea
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    • v.27 no.4
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    • pp.241-249
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    • 2020
  • Background: Prolonged standing during work causes a lower extremity pain and disorders. Patellofemoral pain syndrome (PFPS) is one of the common diagnoses of the knee pain. Although the etiology of PFPS is not completely understood, it is considered to be multifactorial. Objects: The purpose of this study was to investigate difference in strength of knee muscles, quadriceps:hamstring muscles strength ratio (Q:H ratio), asymmetry ratio of knee muscles strength and dorsiflexion range of motion (ROM) between standing workers with and without PFPS. Methods: Twenty-eight standing workers with PFPS and 26 age-, height-, and weight-matched standing workers without PFPS participated in this study. A tension sensor measured knee muscle strength, and motion sensor measured dorsiflexion ROM. The asymmetry ratio of knee muscles was calculated by a specific formula using the knee muscles strength of the dominant side and the sound side. An independent t-test was used to identify significant differences in the strength, ROM, Q:H ratio, and asymmetry ratio between the PFPS and normal groups. Results: The standing worker with PFPS have significantly lower dorsiflexion ROM (p < 0.000) and higher asymmetry ratio of the hamstring muscles strength (p < 0.000) compare to the standing worker without PFPS. No significant differences were seen in the strength of quadriceps muscle and hamstring muscles, Q:H ratio, and asymmetry ratio of quadriceps muscle strength. Conclusion: There was a significant difference in the asymmetry ratio of the isometric hamstring muscle strength. This finding suggests that the asymmetry ratio of isometric hamstring muscle strength may be more important than measuring only the hamstring muscle strength of the PFPS side. Furthermore, the results of this study showed a significant difference in dorsiflexion ROM between the standing industrial workers with and without PFPS. Dorsiflexion ROM and isometric hamstring muscle strength should be considered when evaluating the subjects with PFPS.

Effect of 41℃ deep heat formed by vacuum heating on various pain: Dr.Pakk (Dr. 팍) for pain care

  • Chang, Tae-soun
    • CELLMED
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    • v.12 no.4
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    • pp.16.1-16.2
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    • 2022
  • Treatment of patients with pain is directed at relieving pain and restoring function. Heat therapy has been used as a pain treatment. The mean temperatures were 40 and 41℃. Our device, Dr.Pakk heats special silicone to 41℃ with far-infrared rays and attaches it to the painful knee using a vacuum to show the effect. The core technology of the Dr.Pakk is that deep heat is generated when the heat is transmitted deeply by attaching it to the skin. In our experience, Dr.Pakk can be especially effective for knee pain.

The Effect of Manual Joint Mobilization on Pain, ROM, Body Function and Balance in Patients with Knee Osteoarthritis (슬관절 골관절염환자에서 도수 관절가동술이 통증, 관절가동범위, 신체기능과 균형능력에 미치는 효과)

  • Lee, Nam-Young;Kwon, Chun-Suk;Song, Hyun-Seung
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.4
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    • pp.91-99
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    • 2015
  • PURPOSE: The purpose of this study was to investigate effect of the manual joint mobilization to the patients with knee osteoarthritis and to determine the effect of pain, range of motion, body function and balance after applying it. METHODS: The thirty participants who complained the knee pain were randomly assigned to control (Con) group (n=15) that received the general physical therapy and experimental (Exp) group (n=15) that received the applied the manual joint mobilization and the general physical therapy three times per week, 30 minutes per day for four weeks. It measured the visual analogue scale (VAS), the range of motion (ROM), body function (WOMAC) and balance (TUG). RESULTS: It showed the significantly different between the control group and experiment group in VAS, ROM and WOMAC. After 4 weeks, the experiment group was significantly different from other group in VAS, ROM and WOMAC. But the measurement of balance did not show the significantly difference within group and between groups. CONCLUSION: This results suggest that Manual joint mobilization was effective in pain, ROM, function in patient with knee osteoarthritis.

Piriformis Syndrome in Knee Osteoarthritis Patients after Wearing Rocker Bottom Shoes

  • Byeon, Gyeong-Jo;Kim, Kyung-Hoon
    • The Korean Journal of Pain
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    • v.24 no.2
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    • pp.93-99
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    • 2011
  • Background: Rocker bottom shoes (RBS) are popular among patients with different foot, leg, or back problems in Korea. Patients with knee osteoarthritis concurrent weakness in the quadriceps femoris muscle, who wear these shoes, are often assumed to develop piriformis syndrome (PS). This study was performed to improve the understanding about the effect of wearing such shoes on duration of the syndrome in knee osteoarthritis. Methods: We randomly assigned 150 patients with PS, who had used RBS daily for at least 6 months, to 2 groups, the S (stopped wearing) and K (kept wearing) groups. Both the groups were subdivided into the O and N groups, comprising patients with and without knee osteoarthritis, respectively. The effects of the treatment, including piriformis muscle injections and a home exercise program, were compared between the 2 groups by using a flexion-adduction-internal rotation (FAIR) test, a numeric rating scale (NRS), and the revised Oswestry disability index (ODI) during the 12-week follow-up. Results: The positive FAIR test ratios, mean NRS scores, and revised ODIs were higher in the KO group than the SN group from 4-12 weeks after treatment. Conclusions: RBS may extend duration of the PS in osteoarthritis patients.

The Influence of Contract-Relax Technique of PNF and Taping treatment on Pain and Range of Motion of osteoarthritis of Knee (PNF의 수축-이완 기법과 테이핑 치료가 퇴행성 슬관절염의 통증과 관절가동범위에 미치는 영향)

  • Kim, Sang-Su;Seo, Hae-Jin
    • PNF and Movement
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    • v.7 no.2
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    • pp.27-35
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    • 2009
  • Purpose : The purpose of this study was to compare the influence of Contract-Relax Technique of PNF(Proprioceptive Neuromuscular Facilitation) and taping treatment on the ROM(Range of Motion), pain and gait speed of osteoarthrits of knee. Methods : In this study K hall for the aged were selected. Twenty-six subjects with osteoarthrits participated in the experiment. The subjects were partitioned into two groups are 13person PNF group and 13person taping group. All subjects randomly assigned to the PNF treatment group and taping treatment group. Both group received treatment for 3times a week during 4 weeks. (PNF group received treatment for twenty times at once). Algometer and VAS(Visual Analogue Scale) were used to measure pain, the ROM was meaured using goniometer and gait speed was measured using a stopwatch (30m-test). All measurements of each subject were measured at pre-treatment and post-treatment. The data were analyzed with SPSS WIN 11.5 using t-test. Results : The PNF group had a significantly increase of knee extension ROM and significantly decrease of pain after treatment 4 weeks(P<0.05). The taping group had a significantly increase of knee extension ROM and gait speed and significantly decrease of pain after treatment 4 weeks(P<0.05). Conclusion : These data suggests that PNF is beneficial to increase knee extension ROM and to decrease pain. Taping is beneficial to increase knee extension ROM and gait speed and to decrease of pain.

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Effects of Muscle Electric Stimulation on Chronic Knee Pain, Activities of Daily Living, and Living Satisfaction for Korean Elderly Women (여성노인의 만성무릎통증, 일상생활활동 및 생활만족도에 미치는 근육 전기자극 요법의 적용 효과)

  • Sok, So-Hyune R.;Kim, Kwuy-Bun
    • Journal of Korean Academy of Nursing
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    • v.37 no.3
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    • pp.305-312
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    • 2007
  • Purpose: This study was to examine effects of muscle electric stimulation on chronic knee pain, activities of daily living, and living satisfaction for Korean elderly women. Methods: The design was a nonequivalent control group pretest-posttest study. Subjects were 60 (experimental: 30, control: 30) elderly women 65 years old or above with good orientation and communication. The experimental treatment was electric stimulation on both thigh quadriceps muscles for 15 minutes per time, 3 times per week, for a total of 12 weeks. Measures were the S-F McGill Pain Questionnaire and Arthritis Impact Measurement Scale for chronic knee pain, activities measurement of daily living for activities of daily living, and living satisfaction measurement for living satisfaction. Data was analyzed through the SPSS Win 12.0. Results: Chronic knee pain by S-F MPQ (t=43.563, p=.000) and chronic knee pain by AIMS (t=31.364, p=.000) were significantly decreased in the experimental group, and the activities of daily living (t=124.353, p=.000) and living satisfaction (t=71.268, p=.000) were significantly increased in the experimental group for Korean elderly women. Conclusion: Muscle electrical stimulation decreased chronic knee pain, and increased the activities of daily living and living satisfaction for Korean elderly women. Further studies for muscle electric stimulation need to be done.

Effect of Traditional Korean Medicine Treatments on the Discoid Meniscus of Knee Joint: Two Clinical Cases

  • Yoon-Jae Won;Sun-Woo Kang;Myeong-Yeol Yang;Jae-Joon Ha;Ji-Sun Kim;Hong-Wook Choi;Gyu-Bin Lee
    • Journal of Acupuncture Research
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    • v.40 no.1
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    • pp.90-96
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    • 2023
  • The discoid meniscus is an innate modified form of the meniscus, characterized by middle hypertrophy and a larger than the regular diameter, leading to an absence of the characteristic "C" arrangement. Previously, no study has reported the traditional Korean medicine treatment of knee pain mainly due to discoid meniscus. Here, we report two cases of a discoid meniscus of the knee as the cause of knee pain. Patients were diagnosed with magnetic resonance imaging for discoid meniscus and received traditional Korean medicine treatments, including pharmacopuncture, acupuncture, herbal medicine, and chuna. The pain was alleviated when assessed by patient-reported pain scale scores, and the general knee condition was improved. Thus, traditional Korean medicine treatments could be effective for patients who had discoid meniscus of the knee joint in this case report.

Development of the 3D Knee Protector for Yoga (요가용 3차원 무릎보호대 개발 및 평가)

  • Jung, Hyunju;Lee, Heeran;Chung, Ihn Hee
    • Journal of the Korean Society of Clothing and Textiles
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    • v.46 no.4
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    • pp.657-671
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    • 2022
  • This study aims to develop three dimensional (3D) yoga knee protectors that provide excellent wearing comfort. Three types of pads were modeled using 3D human data: two types of 3.0-cm-wide pads separated into top and bottom with thicknesses of 0.1 cm (TPU-1: A) and 0.2 cm (TPU-2: B); and one type with three 0.2-cm-thick separated panels (TPU-S: C). Based on these models, five knee protectors were developed using 3D patterning and 3D printing. Types A, B, and C were integrated with 0.6-cm neoprene pads. Type D was fabricated with a donut-shaped 0.6-cm neoprene pad inserted, while Type E consisted of two discrete 0.6-cm neoprene pads embedded in the protector's upper and lower sides. Wearing comfort was evaluated in terms of fit, pressure, and cushioning while in a standing and kneeling position and while in motion. The findings suggest that the fabricated knee protectors were evaluated as comfortable to the individuals with knee pain, rather than those without knee pain. The individuals with knee pain preferred the soft pads made of neoprene positioned around the knee (NEO-S: E), while those without knee pain favored the cushioned pads with a pattern structure maintained by thin 3D-printed pads (TPU-1: A).

Effects of a Thera-Band Exercise Program on Pain, Knee Flexion ROM, and Psychological Parameters Following Total Knee Arthroplasty (슬관절 전치환술 후 세라밴드 운동프로그램이 수술 후 통증, 슬관절 굴곡각도 및 심리적 지수에 미치는 효과)

  • Yun, Ji Yeong;Lee, Jong Kyung
    • Journal of Korean Academy of Nursing
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    • v.45 no.6
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    • pp.823-833
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    • 2015
  • Purpose: The purpose of the study was to investigate the effects of the Thera-Band exercise program following total knee arthroplasty. Methods: The research design for this study was a nonequivalent control group non-synchronized design. Participants were 30 patients for the experimental group and 30 patients for the control group. The experimental group participated in the Thera-Band exercise program in addition to conventional CPM (continuous passive motion) exercise. The control group received conventional CPM exercise only. Outcome measures were pain, knee flexion range of motion, CRP, and psychological parameters (self-efficacy and fear of falling). Data were analyzed using ${\chi}^2$-test, Fisher's exact test, t-test, and repeated measure ANOVA with SPSS/PC version 21.0. Results: There were significant improvement in self-efficacy, and decreases in pain, and fear of falling in the experimental group compared to the control group. However, no significant differences were found between the two groups for CRP and knee flexion ROM. Conclusion: The Thera-Band exercise program gave an additional benefit over the conventional CPM exercise for patients following total knee arthroplasty, and is recommended for use as an effective nursing intervention for patients after total knee arthroplasty.