[논문]경두개직류전류자극이 무릎관절 전치환술 환자의 통증 및 균형 능력에 미치는 영향

이재홍; 민동기; 이상재

[국내논문] 경두개직류전류자극이 무릎관절 전치환술 환자의 통증 및 균형 능력에 미치는 영향
The Effect of Transcranial Direct Current Stimulation on Pain and Balance of Total Knee Arthroplasty Patients 원문보기

대한정형도수물리치료학회지 = The Journal of Korean Academy of Orthopedic Manual Physical Therapy, v.28 no.3, 2022년, pp.79 - 87

이재홍 (대구보건대학교 물리치료학과) , 민동기 (대구보건대학교 물리치료학과) , 이상재 (대구 더열린병원 물리치료실)

Abstract ▼ AI-Helper

Background: The purpose of this study was to examine the effect of transcranial direct current stimulation (tDCS) on the pain and balance of patients who receive total knee arthroplasty (TKA). Methods: This study subjects were 24 patients in Hospital T, located in Daegu, South Korea who received TKA after being diagnosed with degenerative arthritis. The subjects were randomly divided into and experimental group and a control group, with each group including 12 patients. Both group received superfical thermal therapy, interferential current therapy (ICT), and continue passive motion (CPM), which are conventional knee therapy on the knee joint. The experimental group received the tDCS treatment three times a week for three weeks, from October 1st to October 20th. The visual analogue scale and Wii Balance Board system were used to measure the pain and balancing ability, respectively, of both groups. In the statistical result analysis, to compare about pre and post test difference in each groups was accomplished. Statistical analysis of independent t-test and paired t-test were conducted using SPSS version 23.0. Results: After three weeks of intervation, there were significantly difference in balance ability in pre and post test in the tDCS group. VAS decreased significantly in both groups(p<.05), There was a significantly difference in pain, balance ability in the tDCS group compared to the sham group. Conclusion: These results indicate that applying tDCS together with conventional knee joint therapy for TKA patients is effective in promoting the patients' recovery.

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참고문헌 (41)

Anne SC, Marjorie H, Woollacott. Motor control？theory and practical applications. Seoul. 2th ed. 2006.
Antal A, Terney D, Poreisz C, et al. Towards unravelling task-related modulations of neuroplastic changes induced in the human motor？cortex. Eur J Neurosci. 2007;26:2687-2691.？https://doi.org/10.1111/j.1460-9568.2007.05896.x

상세보기
Antal A, Terney D, Kuhnl S, et al. Andal transcranial direct current stimulation of the？motor cortex ameliorates chronic pain and？reduces short intracortical inhibition. J？Pain Sympt Manage. 2010;39(5):890-903. https://doi.org/10.1016/j.jpainsymman.2009.09.023

상세보기
An TK, Kwon, HC, Lee SM, et al. The effects of？transcranial direct current stimulation on？balance, fall efficacy, and fall-related fitness？in stroke patient's through a virtual reality？rehabilitation program. J of Kor Soc Inter？Med. 2019;7(1):9-17. https://doi.org/10.15268/ksim.2019.7.1.009

원문보기 상세보기
Boggio PS, Castro LO, Savagim EA, et al.？Enhancement of non-dominant hand motor？function by anodal transcranial direct current？stimulation. Neurosci Lett. 2006;404 (1-2)？:232-236. https://doi.org/10.1016/j.neulet.2006.05.051

상세보기
Boggio PS, Zaghi S, Lopes M, et al. Modulatory？effects of anodal transcranial direct current？stimulation on perception and pain thresholds in healthy volunteers. Eur J Neurol.？2008;15:1124-1130. https://doi.org/10.1111/j.1468-1331.2008.02270.x

상세보기
Brodie DJ, Burnett JV, Walker JM, et al. Evaluation？of low back pain by patient questionnaires？and therapist assessment. J Orthop Sports？Phys Ther. 1990;11(11):519-529. https://doi.org/10.2519/jospt.1990.11.11.519

상세보기
Butler AA, Lord SR, Rogers MW, et al. Muscle？weakness impairs the proprioceptive control？of human standing. Brain Res. 2008;1242:？244-251. https://doi.org/10.1016/j.brainres.2008.03.094

상세보기
Choi CJ, Lim HW, Park MK, et al. Does the kyphotic change decrease the risk of fall?.？Clin Exp Otorhinolaryngol. 2011;4(3):118-121. https://doi.org/10.3342/ceo.2011.4.3.118

상세보기
Crowninshield RD, Rosenberg AG, Sporer SM.？Changing demographics of patients with total joint replacement. J Clin Orthop and？Related Res. 2006;443:266-272. https://doi.org/10.1097/01.blo.0000188066.01833.4f
Fregni F, Pascual-Leone A. Technology insight:？noninvasive brain stimulation in neurology-perspectives on the therapeutic potential of rTMS and tDCS. Nat Clin Prac Neur.？2007:3(7):383-393. https://doi.org/10.1038/ncpneuro0530

상세보기
Gandiga PC, Hummel FC, Cohen LG. Transcranial？DC stimulation(tDCS): A tool for double-blind sham-controlled clinical studies in？brain stimulation. Clin Neurophysiol.？2006;117:845-850. https://doi.org/10.1016/j.clinph.2005.12.003

상세보기
Hodoush H, Al-Jarrah M, Khalil M, et al. "Bilateral？anodal transcranial direct current stimulation？effect on balance and fearing of fall in patient？with Parkinson's disease". NeuroRehabilitation.？2018;42(1):63-68. https://doi.org/10.3233/nre172212

상세보기
Hoffman M, Payne VG. The effects of proprioceptive？ankle disk training on healthy subjects. J？Orthop Sports Phys Ther. 1995;21(2):90-93. https://doi.org/10.2519/jospt.1995.21.2.90

상세보기
Huang L, Deng Y, Zheng X, et al. Transcranial？direct current stimulation with halo sport？enhances repeated sprint cycling and cognitive？performance. Frontiers in physiology. 2019;10:118. https://doi.org/10.3389/fphys.2019. 00118

상세보기
Kim KU. Effects of transcranial direct current？stimulation and virtual reality rehabilitation？program on balance, fall efficacy, and？fall-related fitness in people with mild？cognitive impairment. J Hum and Soc sci.？2019;10(5):1337-1348. https://doi.org/10.22143/hss21.10.5.95

상세보기
Kwon YH, Ko MH, Ahn SH, et al. Primary motor？cortex activation by transcranial direct current stimulation in the human brain.？Neurosci Lett. 2008;435(1):56-59.

상세보기
Lee JY, Sim HP, Choi YJ. The study on the effects？of maitland mobilization and MWM for range？of motion, static and dynamic balance,？plantar pressure, gait ability performed on？the ankle joint of hemipegic patients. J of？Kor Orthopedic Manual Phys Ther.？2022;28(1):61-69.
Liebetanz D, Nitsche MA, Tergau F, et al.？Pharmacological approach to the mechanisms of transcranial DC-stimulation-induced after-effects of human motor cortex？excitability. Brain. 2002;125(10):2238-2247.？http://doi.org/10.1093/brain/awf238

상세보기
Litvan I, Goldman JG, Troster AI, et al. "Diagnostic？criteria for mild cognitive impairment in parkinson's disease: movement disorder society？task force guidelines". Movement Disorders.？2012;27(3):349-356. https://doi.org/10.1002/mds.24893

상세보기
Meinzer M, Lindenberg R, Phan MT, et al.？"Transcranial direct current stimulation in？mild cognitive impairment: behavioral effects？and neural mechanisms". Alzheimer's &？Dementia. 2015;11(9):1032-1040. https://doi.org/10.1016/j.jalz.2014.07.159

상세보기
Min DK. Effect of Transcranial direct current？stimulation on sensory function. Keimyung？University. Doctoral Dissertation. 2013.
Min DK, Lee SJ. The effects of obstacles gait on？balance and falls-efficacy in patients with？total knee arthroplasty. J Kor Orthopedic？Manual Phys Ther. 2019;25(1):37-43.
Min HS, Jung YH, KIM ES, et al. Effects of muscle？strenghtening exercise program on pain, fatigue, physical funcion in elderly women？with total knee arthroplasty. J Muscle and？Joint Health. 2011;18(2):203-214. https://doi.org/10.5953/jmjh.2011.18.2.203

원문보기 상세보기
Nitsche MA, Paulus W. Excitability changes induced in the human motor cortex by weak？transcranial direct current stimulation. J？Physiol. 2000;527:633-669. https://doi.org/10.1111/j.1469-7793.2000.t01-1-00633.x

상세보기
Poreisz C, Boros K, Antal A, et al. Safety aspects？of transcranial direct current stimulation？concerning healthy subjects and patients.？Brain Res Bull. 2007;72:208-214. https://doi.org/10.1016/j.brainresbull.2007.01.004

상세보기
Ragert P, Vandermeeren Y, Camus M, et al.？Improvement of spatial tactile acuity by？transcranial direct current stimulation. Clin？Neurophys. 2008;119:805-811. https://doi.org/10.1016/j.clinph.2007.12.001

상세보기
Rahmann, AE, Brauer SG, Nitz JC. A specific？inpatient aquatic physiotherapy program？improves strength after total hip or knee？replacement surgery: A randomized？controlled trial. Arch Phys Med Rehbil. 2009;？90(5):745-755. https://doi.org/10.1016/j.apmr.2008.12.011？

상세보기
Redfern MS, Jennings JR, Martin C, et al. Attention？influences sensory integration for postural？control in older adults. Gait & Posture.？2001;14(3):211-216. https://doi.org/10.1016/s0966-6362(01)00144-8

상세보기
Ross A, Clark RA, Bryant AL, et al. Validity and？reliability of the nintendo wii balance board？for assessment of standing balance. Gait &？Posture. 2010;31:307-310. https://doi.org/10.1016/j.gaitpost.2009.11.012

상세보기
Ryan CG, Rowe PJ. An electromyographical study？to investigate the effects of patellar taping？on the vastus medialis/vastus lateralis ratio？in asymptomatic participants. Physiother？Theor Pr. 2006;22(6):309-315. https://doi.org/10.1080/09593980601023739

상세보기
Satistical Office. Population projections for korea:2010-2060;42 Daejeon, 2011.
Shin JY. The effect of Rehabilitation Program on？Pain, ROM of the Knee Joint, and Mobility in？Elderly with Total Knee Arthroplasty.？Dongeui University. Unpublished master's？thesis. 2011.
Sohn MK, Jee SJ, Kim YW. Effect of transcranial？direct current stimulation on postural stability and lower extremity strength in hemiplegic stroke patients. Annals of rehb medi.？2013;37(6):759-765. https://doi.org/10.5535/arm.2013.37.6.759

상세보기
Stagg CJ, Jayaram G, Pastor D, et al. Polarity and？timing-dependent effects of transcranial direct current stimulation in explicit motor？learning. Neuropsychologia. 2011;49(5):00- 04.？https://doi.org/10.1016/j.neuropsychologia.011.02.009
Stitik TP, Kaplan RJ, Kamen LB, et al.？Rehabilitation of orthopedic and rheumatologic disorders. osteoarthritis assessment,？treatment, and rehabilitation. Arch Phy Med？Rehabil. 2005;86(1):48-55. https://doi.org/10.016/j.apmr.2004.12.010
Talelli P, Rothwell J. Does brain stimulation after？stroke have a future?. Curr Opin Neurol.？2006;19(6):543-550. https://doi.org/10.1097wco.0b013e32801080d1

상세보기
Wagner T, Fregni F, Fecteau S, et al. Transcranial？direct current stimulation: a computer-based？human model study. Neuroimage. 2007;35(3):？1113-1124. https://doi.org/10.1016/j.neuroimage.2007.01.027

상세보기
Yosephi MH, Ehsani F, Zoghi M, et al. Multi-session？anodal tDCS enhances the effects of postural？training on balance and postural stability in？older adults with high fall risk: Primary motor？cortex versus cerebellar stimulation. Brain？Stimul. 2018;11(6):1239-1250. https://doi.org/10.1016/j.brs.2018.07.044

상세보기
Yun JY, Lee JK. Effects of a thera-band exercise？program on pain, knee felxion ROM, and？psychological parameters following total knee？arthroplasty. J Korean Acad Nurs.？2015;45(6):823-833. https://doi.org/10.4040/kan.2015.45.6.823
Zandvliet SB, Meskers CG, Kwakkel G, et al.？Short-Term effects of cerebellar tDCS on？standing balance performance in patients？with chronic stroke and healthy age-matched elderly. The cerebellum. 2018;17(5):？75-589. https://doi.org/10.1007/12311-018-939-0？

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