[논문]뒤십자인대 및 뒤가쪽 복합체 동반 수술 후 재활운동에 따른 기능회복 차이

김현목; 하성희; 공두환; 김창국

doi:10.15207/jkcs.2022.13.03.327

뒤십자인대 및 뒤가쪽 복합체 동반 수술 후 재활운동에 따른 기능회복 차이
Differences in Functional Recovery according to Exercise Rehabilitation after Posterior Cruciate Ligament with or without Posterolateral Complex Reconstruction 원문보기

한국융합학회논문지 = Journal of the Korea Convergence Society, v.13 no.3, 2022년, pp.327 - 335

김현목 (고려대학교 대학원 사회체육학과) , 하성희 (연세대학교 체육교육학과) , 공두환 (서울백병원 스포츠메디컬센터) , 김창국 (고려대학교 국제스포츠학부)

초록
AI-Helper

본 연구는 뒤십자인대 단독 재건술과 뒤가쪽 복합체 동반 수술 후 재활운동에 따른 기능회복의 차이를 확인하는데 목적이 있다. 뒤십자인대 단독 재건술을 받은 환자 16명과 뒤가쪽 복합체 동반 수술을 받은 환자 16명을 대상으로 24주간 재활운동에 따른 무릎관절 인대 이완, 주관적 설문지, 등속성 근 기능의 변화를 수술 전, 수술 후 12주, 24주에 걸쳐 자료를 분석하였다. 본 연구 결과 뒤십자인대 단독 재건술군과 뒤가쪽 복합체 동반 수술군의 무릎관절 인대 이완 차이(p = 0.048), IKDC 주관적 점수(p < 0.001), Lysholm 무릎 점수(p < 0.001), Tegner 활동 점수(p = 0.027), 등속성 폄 근력(p = 0.040)은 기간에 따른 통계적 차이가 나타났으나 집단 및 상호작용 효과는 관찰되지 않았다(p > 0.05). 등속성 굽힘 근력 결손률은 기간, 집단, 상호작용 효과 모두 차이가 없었다(p > 0.05). 본 연구 결과, 뒤십자인대 단독 재건술과 뒤가쪽 복합체 동반 수술 후 24주간의 재활운동은 기능회복에 영향을 미칠 수 있다.

Abstract ▼ AI-Helper

This study aimed to compare functional recovery after rehabilitation exercise between isolated PCL reconstruction and combined PLC reconstruction. Patients were divided into two groups: those who had isolated PCL reconstruction (n = 16) and those who had combined PLC reconstruction (n = 16). We assessed knee joint ligament laxity, subjective questionnaires, and isokinetic muscle function before, after 12, and 24 weeks of a rehabilitation exercise program. In both groups, there were significant differences in knee joint laxity (p = 0.048), IKDC subject score (p < 0.001), Lysholm knee (p 0.05). These results suggest that rehabilitation exercise after isolated PCL and combined PLC reconstruction influenced structural, subjective, functional recovery positively.

주제어

표/그림 (3)

표 Table 1. Demographic information of participants
표 Table 2. Rehabilitation program (24 weeks)
표 Table 3. Differences in structural, subjective, and functional factors between groups according to 24-week rehabilitation exercise

참고문헌 (48)

H. M. Jin & H. Jung. (2006). A Study on the effects of initial rehabilitative exercise program on knee joint's myofunction after the reconstruction of anterior crucial ligament. Journal of Korean Physical Education Association for Girls and Women, 20(2), 55-66.
S. S. Seo & H. C. Gwak. (2002). The treatment of combined injury of posterior cruciate ligament & medial collateral ligament. Korean Knee Society, 14(2), 1225-1623.
B. K. Lee, I. H. Seong, Y. H. Jang & S. J. Baek. (1999). Clinical study after reconstruction of the posterior cruciate ligament: Factors on posterior stability. Knee Surgery & Related Research, 11(1), 62-69.
S. Pache, Z. S. Aman, M. Kennedy, G. Y. Nakama, G. Moatshe, C. Ziegler, & R. F. LaPrade. (2018). Posterior cruciate ligament: current concepts review. Archives of Bone and Joint Surgery, 6(1), 8-18.
S. L. Logterman, F. B. Wydra & R. M. Frank. (2018). Posterior cruciate ligament: anatomy and biomechanics. Current Reviews in Musculoskeletal Medicine, 11(3), 510-514. DOI : 10.1007/s12178-018-9492-1

상세보기
E. T. Ricchetti, B. J. Sennett & G. Huffman. (2008). Acute and chronic management of posterolateral corner injuries of the knee. Orthopedics, 31(5), 479-488. DOI : 10.3928/01477447-20080501-08

상세보기
J. Cooper & L. McAndrews. (2006). Posterolateral corner injuries of the knee: Anatomy, diagnosis, and treatment. Sports Medicine Arthroscopy Review, 14(4), 213-220. DOI : 10.1097/01.jsa.0000212324.46430.60

상세보기
R. F. LaPrade & G. C. Terry. (1997). Injuries to the postereolateral aspect of the knee. Association anatomic injury patterns with clinical instability. The American Journal of Sports Medicine, 25(4), 433-438. DOI : 10.1177/036354659702500403

상세보기
R. F. LaPrade, F. Wentorf & J. L. Lewis. (2002). The effect of injury to the posterolateral structures of the knee on force in a posterior cruciate ligament graft: a biome-chanical study. The American Journal of Sports Medicine, 30(2), 233-240. DOI : 10.1177/03635465020300021501
K. W. Lee, S. H. Lee, J. G. Park, H. Y. Kim, B. S. Kim & W. S. Choi. (2002). Functional evaluation after arthroscopic reconstruction in isolated and combined injury of posterior cruciate ligament. The Journal of Korean Arthroscopy Society, 6(2), 115-120.
G. C. Fanelli & C. J. Edson. (1995). Posterior cruciate ligament injuries in trauma patients: PART 2. Arthroscopy, 11(5), 526-529.

상세보기
G. C. Fanelli, D. R. Orcutt & C. J. Edson. (2005). The multiple-ligament injured knee: Evaluation, treatment, and results. Arthroscopy, 21(4), 471-486. DOI : 10.1016/j.arthro.2005.01.001

상세보기
A. P. C. Series. (2011). Outcomes of treatment of acute grade-III isolated and combined posterolateral knee injuries. The Journal of Bone and Joint Surgery, 93(18), 1672-1683. DOI : 10.2106/JBJS.J.01639

상세보기
J. R. Brown & T. H. Trojian. (2004). Anterior and posterior cruciate ligament injuries. Primary Care, 31(4), 925-956. DOI : 10.1016/j.pop.2004.07.004

상세보기
Y. Jung & Y. Lee. (2005). Trends in treatment of posterior cruciate ligament and posterolateral rotational instability of the knee joint: Anatomy, functional biomechanics, injury frequency, injury mechanism, diagnosis, and treatment. Journal of Korean Arthroscopy Society, 9(1), 1-8.
G. C. Fanelli & R. V. Larson. (2002). Practical management of posterolateral instability of the knee. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 18(2), 1-8. DOI : 10.1053/jars.2002.31779

상세보기
A. McCadden, M. Akelman, S. A. Traven, S. K. Woolf, J. W. Xerogeanes & H. S. Slone. (2021). Quadriceps tendon autograft is an effective alternative graft for posterior cruciate ligament reconstruction in isolated or multiligament injuries: A systematic review. Journal of ISAKOS, 6(4), 220-225. DOI : 10.1136/jisakos-2020-000487

상세보기
P. W. Winkler et al. (2021). Evolving evidence in the treatment of primary and recurrent posterior cruciate ligament injuries, part 2: Surgical techniques, outcomes and rehabilitation. Knee Surgery, Sports Traumatology, Arthroscopy, 29(3), 682-693. DOI : 10.1007/s00167-020-06337-2

상세보기
M. Senese, E. Greenberg, J. T. Lawrence & T. Ganley. (2018). Rehabilitation following isolated posterior cruciate ligament reconstruction: a literature review of published protocols. International Journal of Sports Physical Therapy, 13(4), 737-751. DOI : 10.26603/ijspt20180737

상세보기
R, K, Simhal, M. Bovich, E. A. Bahrun & J. C. Dreese. (2021). Postoperative rehabilitation of posterior cruciate ligament surgery: A systematic review. Sports Medicine and Arthroscopy Review, 29(2), 81-87. DOI : 10.1097/JSA.0000000000000307

상세보기
A. D. Lynch et al. (2017). Current concepts and controversies in rehabilitation after surgery for multiple ligament knee injury. Current Reviews in Musculoskeletal Medicine, 10(3), 328-345. DOI : 10.1007/s12178-017-9425-4

상세보기
Y. S. Jee. (2002). The changes of pain degree , range of motion, and musculo-articulation functions in athletes with isolated posterior cruciate ligament injury. The Korean Journal of Physical Education, 41(1), 501-515.
C. J. Edson, G. C. Fanelli & J. D. Beck. (2010). Postoperative rehabilitation of the posterior cruciate ligament. Sports Medicine Arthroscopy Review, 18(4), 275-279. DOI : 10.1097/JSA.0b013e3181f2f23d

상세보기
J. Lysholm & Y. Tegner. (2007). Knee injury rating scales. Acta Orthopaedica. 78(4), 445-53. DOI : 10.1080/17453670710014068

상세보기
J. J. Irrgang, A. F. Anderson & H. U. Staubli. (2000, September). The new IKDC. Proceedings of the Ninth Conference of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy. (pp. 16-20). London.
J. D. Yoo. (2008). Rehabilitation after posterior cruciate ligament, posterolateral rotatory instability, multiple ligament reconstruction. Korean Arthroscopy Society, 12(2), 91-92.
C. M. LaPrade, D. M. Civitarese, M. T. Rasmussen & R. F. Laprade. (2015). Emerging updates on the posterior cruciate ligament: A review of the current literature. The American Journal of Sports Medicine, 43(12), 815-821. DOI : 10.1177/0363546515572770

상세보기
T. M. Jung, A. Lubowicki, A. Wienand, M. Wagner & A. Weiler. (2011). Knee stability after posteriorcruciate ligament reconstruction in female versus male patients: A prospectivematched-group analysis. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 27(3), 399-403. DOI : 10.1016/j.arthro.2010.08.019

상세보기
G. C. Fanelli. (2008). Posterior cruciate ligament rehabilitation: How slow should we go? Arthroscopy, 24(2), 234-235. DOI : 10.1016/j.arthro.2007.09.009

상세보기
S. J. Kim, S. K. Lee, S. H. Kim, S. H. Kim & M. Jung. (2013). Clinical outcomes for reconstruction of the posterolateral corner and posterior cruciate ligament in injuries with mild grade 2 or less posterior translation: Comparison with isolated posterolateral corner reconstruction. The American Journal of Sports Medicine, 41(7), 1613-1620. DOI : 10.1177/0363546513485927

상세보기
D. W. Lee et al. (2014). Clinical, functional, and morphological evaluations of posterior cruciate ligament reconstruction with remnant preservation: Minimum 2-year follow-up. The American Journal of Sports Medicine, 42(8), 1822-1831. DOI : 10.1177/0363546514536680

상세보기
O. A. Lien, E. J. Aas, S. Johansen, T. C. Ludvigsen, W. Figved & L. Engebretsen. (2010). Clinical outcome after reconstruction for isolated posterior cruciate ligament injury. Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA, 18(11), 1568-1572. DOI : 10.1007/s00167-010-1176-3

상세보기
C. H. Jeon, J.D. Jo & G. C. Jeon. (2009). Gait analysis after posterior cruciate ligament reconstruction using fresh-frozen achilles allograft. Korean Orthopaedic Society for Sports Medicine, 8(2), 76-82.
Z. Rachad et al. (2011). Activity level recovery after arthroscopic PCL reconstruction: A series of 21 patients with a mean follow-up of 29 months. The Knee, 18(6), 392-395. DOI : 10.1016/j.knee.2010.11.005

상세보기
M. J. Skyhar, R. F. Warren, G. J. Ortiz, E. Schwartz & J. C. Otis. (1993). The effects of sectioning of the posterior cruciate ligament and the posterolateral complex on the articular contact pressures within the knee. The Journal of Bone and Joint Surgery, 75(5), 694-699. DOI : 10.2106/00004623-199305000-00008

상세보기
S. W. Lee, B. H. Seo, Y. S. Lee, S. H. Kim, Y. W. Oh. & B. G. An. (2013). Posterior cruciate ligament reconstruction with tibialis anterior tendon allograft in the acute posterior cruciate ligament injuries. Journal of Korean Musculoskeletal Tissue Transplantation Society, 13(2), 74-81.
E. B. Goudie, E. M. Will & J. F. Keating. (2010). Functional outcome following PCL and complex knee ligament reconstruction. The Knee, 17(3), 230-234. DOI : 10.1016/j.knee.2009.08.008

상세보기
C. Zorzi, M. Alam, V. Iacono, V. Madonna, D. Rosa & N. Maffulli. (2013). Combined PCL and PLC reconstruction in chronic posterolateral instability. Knee Surgery, Sports Traumatology, Arthroscopy, 21(5), 1036-1042. DOI : 10.1007/s00167-011-1771-y

상세보기
B. O. Lim & I. A. Choi. (2009). Posterior cruciate ligament injury mechanism and biomechanics. The Official Journal of the Korean Academy of Kinesiology, 11(1), 75-83.
C. C. Lu, H. I. Yao, T. Y. Fan, Y. C. Lin, H. T. Lin & P. P. H. Chou. (2021). Twelve weeks of a staged balance and strength training program improves muscle strength, proprioception, and clinical function in patients with isolated posterior cruciate ligament injuries. International Journal of Environmental Research and Public Health, 18(23), 12849. DOI : 10.3390/ijerph182312849

상세보기
D. W. Lee, J. G. Kim, S. J. Yang & S. I. Cho. (2019). Return to sports and clinical outcomes after arthroscopic anatomic posterior cruciate ligament reconstruction with remnant preservation. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 35(9), 2658-2668. DOI : 10.1016/j.arthro.2019.03.061

상세보기
M. J. Berry & Z. Dvir. (1995). Isokinetics: Muscle testing, interpretation, and clinical applications. Medicine & Science in Sports & Exercise, 27(12), 1709.

상세보기
C. L. Ardern, K. E. Webster, N. F. Taylor & J. A. Feller. (2011). Return to the preinjury level of competitive sport after anterior cruciate ligament reconstruction surgery: Two-thirds of patients have not returned by 12 months after surgery. The American Journal of Sports Medicine, 39(2), 538-543.

상세보기
M. A. Risberg, I. Holm, G. Myklebust & L. Engebretsen. (2007). Neuromuscular training versus strength training during first 6 months after anterior cruciate ligament reconstruction: A randomized clinical trial. Physical Therapy, 87(6), 737-750.

상세보기
D. K. Kim & W. H. Park. (2014). The correlation of the evaluation of quality of life depends on knee strength after 1-year an anterior cruciate ligament reconstruction. The Korean Journal of Sports Medicine, 32(2), 139-143.

상세보기
E. Kalfs & D. D. Arnheim. (1973). Modern principles of athletics training. St. Louis County: Mosby.
S. Yang, J. Jung, S. Oh & J. Kim. (2007). Effects of functional performance test after anterior cruciate ligament reconstruction. Kinesiology, 9(2), 63-68.
S. N. de Jong, D.R. van Caspel, M. J. van Haeff & D. B. Saris. (2007). Functional assessment and muscle strength before and after reconstruction of chronic anterior cruciate ligament lesions. Arthroscopy, 23(1), 21-e1.

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증