Purpose: To identify the effect of knee joint traction therapy on pain, physical function, and depression in patients with degenerative arthritis. Methods: In total, 30 patients with degenerative arthritis were randomly assigned to one of two groups: the experimental group, who underwent knee joint ...
Purpose: To identify the effect of knee joint traction therapy on pain, physical function, and depression in patients with degenerative arthritis. Methods: In total, 30 patients with degenerative arthritis were randomly assigned to one of two groups: the experimental group, who underwent knee joint traction therapy, and the control group, who underwent general physical therapy (15 patients per group). Pain was measured using the visual analogue scale (VAS), physical function was measured using the Western ontario and McMaster universities osteoarthritis (WOMAC) index, and depression was measured using the Beck depression inventory (BDI). The VAS, WOMAC score, and BDI score were recorded before and after the 4-week treatment. Results: As a result of comparison within groups, the experimental and control group showed significant difference for VAS, WOMAC and BDI after the experiment (p<0.05). In comparison between the two groups, the experimental group in which knee joint traction was applied showed more significant change in VAS, WOMAC and BDI than the control group (p<0.05). Conclusion: This study showed that knee joint traction therapy was effective in improving pain, physical function, and depression in patients with degenerative arthritis.
Purpose: To identify the effect of knee joint traction therapy on pain, physical function, and depression in patients with degenerative arthritis. Methods: In total, 30 patients with degenerative arthritis were randomly assigned to one of two groups: the experimental group, who underwent knee joint traction therapy, and the control group, who underwent general physical therapy (15 patients per group). Pain was measured using the visual analogue scale (VAS), physical function was measured using the Western ontario and McMaster universities osteoarthritis (WOMAC) index, and depression was measured using the Beck depression inventory (BDI). The VAS, WOMAC score, and BDI score were recorded before and after the 4-week treatment. Results: As a result of comparison within groups, the experimental and control group showed significant difference for VAS, WOMAC and BDI after the experiment (p<0.05). In comparison between the two groups, the experimental group in which knee joint traction was applied showed more significant change in VAS, WOMAC and BDI than the control group (p<0.05). Conclusion: This study showed that knee joint traction therapy was effective in improving pain, physical function, and depression in patients with degenerative arthritis.
* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.
문제 정의
However, the traction of the joints using external fixation devices is difficult to apply to a large number of people because it requires surgery and causes the inconvenience of wearing the device during daily life. Therefore, this study investigated the impact of knee joint traction therapy on pain, physical function, and depression in patients with degenerative arthritis.
This study investigated the impact of knee joint traction therapy on pain, physical function, and depression in patients with degenerative arthritis. According to our results, a decrease in pain was observed in this study after the application of knee joint traction therapy.
Based on these results, traction therapy is thought to improve pain, physical function, and depression in patients with degenerative arthritis, all of which were confirmed to improve after therapy in the patients with degenerative arthritis in this study. This study was conducted to examine the effect of knee joint traction on degenerative arthritis in improving their pain, physical functions, and depression. Given that most tractions are focused on spine, little research has been carried out in Korea.
제안 방법
The experimental and control groups received general physical therapy, which was carried out in three ways and included 20 minutes of superficial heat therapy, 5 minutes of deep heat therapy, and 20 minutes of electric therapy five times a week for 4 weeks. In addition, the experimental group received a knee joint traction workout for 20 minutes a day, five times a week, for 4 weeks. The participants were asked to bend their hip and knee joints at 60 degrees in the supine position.
In patients with knee degenerative arthritis, depression and pain were correlated, and pain was shown to have a negative influence on patients. In this study, both depression and knee pain decreased upon the application of traction therapy, which normalized the movements of the lower limbs during daily life activities. Knee joint traction therapy has also previously been found to significantly decrease depression, in agreement with this study’s result.
Its total scores range from 0 to 63, 9 points, 10-15 points, 16-23 points, and 24-63 points equate with no depression, mild depression, depression, and serious depression, respectively. The VAS, WOMAC score, and BDI score were recorded before and after the 4-week treatment.
The experimental and control groups received general physical therapy, which was carried out in three ways and included 20 minutes of superficial heat therapy, 5 minutes of deep heat therapy, and 20 minutes of electric therapy five times a week for 4 weeks. In addition, the experimental group received a knee joint traction workout for 20 minutes a day, five times a week, for 4 weeks.
대상 데이터
This study included 30 patients who had been diagnosed by their attending doctors with knee degenerative arthritis based on clinical findings and images taken using X-ray equipment. These subjects were selected from patients who had either been hospitalized at S Hospital or who had visited the hospital as outpatients.
데이터처리
Descriptive statistics were used to compare the general characteristics of the participants. All data were verified for normality using the Shapiro-Wilks verification test, and the paired t-test was used to compare values before and after the experiment. An independent t-test was also conducted to compare intergroup differences among the changes that occurred after the experiment.
All data were verified for normality using the Shapiro-Wilks verification test, and the paired t-test was used to compare values before and after the experiment. An independent t-test was also conducted to compare intergroup differences among the changes that occurred after the experiment. The statistical significance level was set at α= 0.
이론/모형
Depression was measured using the Beck depression inventory (BDI), which is a four-point measurement method that includes 21 questions. Its total scores range from 0 to 63, 9 points, 10-15 points, 16-23 points, and 24-63 points equate with no depression, mild depression, depression, and serious depression, respectively.
Pain was measured using the visual analogue scale (VAS), which evaluates the intensity of subjective pain. The patient scores their pain on a scale of 0-10 (0 = no pain, 10 = the most severe pain).
Physical function was measured using the Western ontario and McMaster universities osteoarthritis (WOMAC) scale, which measures specific diseases, personal health management, and physical conditions. It is a clinically important functional evaluation tool for assessing pain, stiffening, and physical function in patients with osteoarthritis and coxarthritis.
성능/효과
The control group exhibited a significant difference as its BDI score, which decreased from 19.53±1.18 before treatment to 18.13±1.59 after treatment (p < 0.05) (Table 2).
The control group exhibited a significant difference as its VAS score, which decreased from 6.06 ± 0.88 before treatment to 5.06± 0.79 after treatment (p < 0.05)(Table 2).
The control group exhibited a significant difference as its WOMAC score, which decreased from 44.13± 2.29 before treatment to 35.26± 2.76 after treatment (p < 0.05)(Table 2).
The experimental group exhibited a significant difference as its BDI score, which decreased from 22.33±1.34 before treatment to 13.80 ±1.61 after treatment (p < 0.05)(Table 2).
The experimental group exhibited a significant difference as its VAS score, which decreased from 7.13± 0.91 before treatment to 2.40± 0.91 after treatment (p < 0.05)(Table 2).
The experimental group exhibited a significant difference as its WOMAC score, which decreased from 47.20±1.65 before treatment to 25.33± 2.38 after treatment (p < 0.05)(Table 2).
후속연구
Furthermore, we could not conduct a follow-up study to investigate the long-term the effects of continuous knee joint traction after treatment termination. To generalize the results of our study, it will be necessary to conduct a long-term follow-up study using a larger cohort of patients with knee joint arthritis in the future.
참고문헌 (24)
Altman RD, Moskowitz R. Intraarticular sodium hyaluronate (Hyalgan) in the treatment of patients with osteoarthritis of the knee: a randomized clinical trial. Hyalgan Study Group. J Rheumatol. 1998;25(11):2203-12.
Park SJ, Lee JH. Effect of joint mobilization and kinesio taping on pain, range of motion, and knee function in patients with knee osteoarthritis. J Kor Phys Ther. 2016;28(5):279-85.
Felson DT, Anderson JJ. Across-study evaluation of association between steroid dose and bolus steroids and avascular necrosis of bone. Lancet. 1987;1(8538):902-6.
Lee JH, Cho HS, Song IY. Effectiveness of shortwave therapy in management of knee osteoarthritis: A systematic review and meta-analysis of randomized controlled trials. J Kor Phys Ther. 2014;26(5):331-43.
McKay C, Prapavessis H, Doherty T. The effect of a prehabilitation exercise program on quadriceps strength for patients undergoing total knee arthroplasty: a randomized controlled pilot study. PM R. 2012;4(9):647-56.
Turner JA, Ersek M, Kemp C. Self-efficacy for managing pain is associated with disability, depression, and pain coping among retirement community residents with chronic pain. J Pain. 2005;6(7):471-9.
Hochberg MC, Altman RD, April KT et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2012;64(4):465-74.
Yildiriim MA, Ucar D, Ones K. Comparison of therapeutic duration of therapeutic ultrasound in patients with knee osteoarthritis. J Phys Ther Sci. 2015;27(12):3667-70.
Zhang W, Moskowitz RW, Nuki G et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage. 2008;16(2):137-62.
Krause M, Refshauge KM, Dessen M et al. Lumbar spine traction: evaluation of effects and recommended application for treatment. Man Ther. 2000;5(2):72-81.
Intema F, Van Roermund PM, Marijnissen AC et al. Tissue structure modification in knee osteoarthritis by use of joint distraction: an open 1-year pilot study. Ann Rheum Dis. 2011;70(8):1441-6.
Alpayci M, Ozkan Y, Yazmalar L et al. A randomized controlled trial on the efficacy of intermittent and continuous traction for patients with knee osteoarthritis. Clin Rehabil. 2013;27(4):347-54.
van Valburg AA, van Roermund PM, Marijnissen AC et al. Joint distraction in treatment of osteoarthritis: a two-year follow-up of the ankle. Osteoarthritis Cartilage. 1999;7(5):474-9.
Bjordal JM, Johnson MI, Lopes-Martins RA. Short-term efficacy of physical interventions in osteoarthritic knee pain. A systematic review and meta-analysis of randomised placebo-controlled trials. BMC Musculoskelet Disord. 2007;8(1):51.
Khademi-Kalantari K, Mahmoodi Aghdam S, Akbarzadeh Baghban A et al. Effects of non-surgical joint distraction in the treatment of severe knee osteoarthritis. J Bodyw Mov Ther. 2014;18(4):533-9.
Lee DK, Lee NY. Case study of continuous knee joint traction treatment on the pain and quality of life of patients with degenerative gonarthritis. J Phys Ther Sci. 2018;30(6):848-9.
Lee NY, Kwon CS, Kim SY. The effect of mechanical traction on pain and physical function in patients with knee osteoarthritis. Phys Ther Korea. 2015;22(3):23-32.
Krause M, Refshauge KM, Dessen M et al. Lumbar spine traction: Evaluation of effects and recommended application for treatment. Man Ther. 2000;5(2):72-81.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.