[논문]환측사용유도 고정식자전거운동이 무릎관절 기능에 미치는 영향: 무릎인공관절수술 환자를 대상으로

최은지; 이상열

doi:10.21598/jkpnfa.2022.20.1.91

환측사용유도 고정식자전거운동이 무릎관절 기능에 미치는 영향: 무릎인공관절수술 환자를 대상으로
The Effect of Cycle Ergometer Exercise Inducing Movement of the Affected Side on Knee Joint Function after Total Knee Arthroplasty 원문보기

PNF and movement, v.20 no.1, 2022년, pp.91 - 101

최은지 (경성대학교 대학원 물리치료학과) , 이상열 (경성대학교 물리치료학과)

Abstract ▼ AI-Helper

Purpose: The purpose of this study was to examine the effect of cycle ergometer exercise inducing movement of the affected side on knee joint function after total knee arthroplasty (TKA). Methods: The primary experiment was conducted on 19 members of the cycle ergometer exercise group to measure the muscle activity of the rectus femoris, hamstring, tibialis anterior, and gastrocnemius muscles during cycle ergometer exercise that induced the affected side's movement. In the second experiment, after receiving physiotherapeutic intervention for 30 min, the general bicycle exercise group and cycle ergometer exercise group performed the corresponding exercise for 15 min, 5 times per week, for 2 weeks. The ROM, muscle strength, pain, and balance were then measured and compared between the two groups. Results: In the results of the primary experiment, cycle ergometer exercise inducing movement of the affected side showed a significantly larger increase in the activity of leg muscles (rectusfemoris, hamstring, tibialis anterior, gastrocnemius) on the affected side than the general bicycle exercise (p <0.05). In the second experiment, the cycle ergometer exercise group showed a significantly larger increase in range of movement of affected side knee flexion and muscle strength of affected side knee flexion, knee extension, and plantarflexion than the general bicycle exercise (p 0.05). Conclusion: Cycle ergometer exercise inducing movement of the affected side increases use of the muscles around the affected side knee joint after TKA more than general bicycle exercise and produces better effects for enhancing muscle strength. The application of cycle ergometer exercise inducing movement of the affected side is expected to reduce the patients' unbalanced use during the early postoperative period and help them to quickly return to normal daily life through rapid muscle strength recovery.

주제어

표/그림 (5)

그림 Fig. 1. Bycicle exercise for inducing movement of the affected side.
표 Table 1. General characteristics of subjects for each group (n=19)
표 Table 2. Comparison of muscle activity according to two types of bicycles (n=19, unit : %MVIC)
표 Table 3. General characteristics of subjects for each group (n=34)
표 Table 4. Comparison of ROM, muscle strength, stability and pain between General bicycle group and Bicycle for inducing movement of the affected side group after Intervention (n=34, unit : °, N, point)

참고문헌 (26)

Bae HS. Effect of Degenerative Arthritis on Health-related Quality of Life in the Elderly. Graduate School of Daegu Haany University. Master's thesis; 2011.
Bolgla LA, Shaffer SW, Malone TR. Vastus medialis activation during knee extension exercises: Evidence for exercise prescription. Journal of Sport Rehabilitation. 2008;17(1):9-10.
Boonstra MC, Schwering PJ, De WM, et al. Sit-to-stand movement as a performance-based measure for patients with total knee arthroplasty. Physical Therapy. 2010;90(2):149-156.

상세보기
Buddhadev HH, Crisafulli DL, Suprak DN, et al. Individuals with knee osteoarthritis demonstrate interlimb asymmetry in pedaling power during stationary cycling. Journal of Applied Biomechanics. 2018;34(4):306-311.

상세보기
Bynum EB, Barrack RL, Alexander AH. Open versus closed chain kinetic exercises after anterior cruciate ligament reconstruction: A prospective randomized study. The American Journal of Sports Medicine. 1995;23(4):401-406.

상세보기
Christensen JC, Mizner RL, Foreman KB, et al. Quadriceps weakness preferentially predicts detrimental gait compensations among common impairments after total knee arthroplasty. Journal of Orthopaedic Research. 2018;36(9):2355-2363.

상세보기
Dupee M, Forneris T, Werthner P. Perceived outcomes of abiofeedback and neurofeedback training intervention for optimal performance: Learning to enhance self-awareness and self-regulation with Olympic athletes. The Sport Psychologist. 2016;30(4):339-349.

상세보기
Fujiwara T, Liu M, Tanuma A, et al. Pedaling exercise for neuromuscular re-education: A review. Critical Review in Physical and Rehabilitation Medicine. 2005;17(3).
Galley PM & Forster AL. Human movement. 2nd ed. Churchill Livingstone. 1985;8(2).
Hancock NJ, Shepstone L, Rowe P, et al. Clinical efficacy and prognostic indicators for lower limb pedalling exercise early after stroke: Study protocol for a pilot randomised controlled trial. 2011;12(1):68.

상세보기
Hummer E, Thorsen T, Weinhandl JT, et al. Knee joint biomechanics of patients with unilateral total knee arthroplasty during stationary cycling. Journal of Biomechanics. 2021;7(3):111-115.
Huskisson EC. Measurement of pain. The Lancet. 1974;7(4).
Jeon SJ, Choi KS, Ko SK. The effect of rehabilitation training on knee muscular strength and function recovery after total knee arthroplasty. Journal of the Korea Sport Research. 2005;18(6):441-448.
Jo US, Park JH, KIM JM. Factors Affecting Range of Motion afer total knee arthroplasty. Journal of The Korean Orthopaedic Association. 2003;38(7):683-688.

상세보기
Katz-Leurer M, Sender I, Keren O, et al. The influence of early cycling training on balance in stroke patients at the subacute stage. results of a preliminary trial. Clinical Rehabilitation. 2006;20(5):398-405.

상세보기
Kell DT, Greer BK. Use of the wattbike cycle ergometer for attenuation of bilateral pedaling asymmetry in trained cyclists. The Journal of Strength & Conditioning Research, 2017;31(2):468-473.

상세보기
Kendall FP, McCreary EK, Provance PG, et al.NMuscles: Testing and function with posture and pain. Philadelphia PA. 2005.
Kim HU, Lee SW, Choi WJ. The Effect of Visual Feedback Bicycle Training on Maximal Oxygen Uptake, Quadriceps Muscle Strength, and Running Performance in Healthy Young Adults. Physical Therapy Rehabilitation Science. 2022;11(1):58-65.

원문보기 상세보기
Kremers HM., & Gabriel S. Epidemiology of the rheumatic diseases. Editors. Kelley's Textbook of Rheumatology. 7th Ed. Philadelphia PA. 2005.
Kuster MS, Wood GA, Stachowiak GW, et al. Joint load considerations in total knee replacement. The Journal of Bone and Joint Surgery. 1997;79(1):109-113.

상세보기
Levangie PK & Cynthia CN. Joint structure and function: a comprehensive analysis. 4th ed. Philadelphia PA. 2002.
Min DK, Lee SJ. The Effects of Therapeutic exercise with Electrical Stimulation on Pain, Range of motion, Muscle strength in patients after Anterior Cruciate Ligament Reconstruction. Journal of the Korea Academia-Industrial cooperation Society. 2019;20(2):694-703.

원문보기 상세보기
Mun MS. Rehabilitation therapy for patients with knee joint disease. Journal of Korean Academy of Rehabilitation Medicine. 1979;3(2):41-44.
Raymond CH, Joseph KN, Gabriel YN. Muscle recruitment pattern in cycling: a review. Physical therapy in sport. 2005;6(2):89-96.

상세보기
Shin JY, Jeon JE. Effect of rehabilitation program on pain, range of motion, and behavior of elderly patients with total knee arthroplasty. Journal of Korean Society of Adult Nursing. 2010;3(1):70-70.
Yin C, Hsueh Y, Yeh C, et al. A virtual reality-cycling training system for lower limb balance improvement. BioMed Research International. 2016;45(2):547-549.

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

환측사용유도 고정식자전거운동이 무릎관절 기능에 미치는 영향: 무릎인공관절수술 환자를 대상으로
The Effect of Cycle Ergometer Exercise Inducing Movement of the Affected Side on Knee Joint Function after Total Knee Arthroplasty 원문보기

Abstract ▼ AI-Helper

주제어

표/그림 (5)

표/그림 (5)

참고문헌 (26)

이 논문을 인용한 문헌

저자의 다른 논문 :

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

연합인증

환측사용유도 고정식자전거운동이 무릎관절 기능에 미치는 영향: 무릎인공관절수술 환자를 대상으로 The Effect of Cycle Ergometer Exercise Inducing Movement of the Affected Side on Knee Joint Function after Total Knee Arthroplasty 원문보기

Abstract ▼ AI-Helper

주제어

표/그림 (5) 모든 표/그림 보기

표/그림 (5) 슬라이드로 보기

참고문헌 (26)

이 논문을 인용한 문헌

저자의 다른 논문 :

이상열 (39)

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

환측사용유도 고정식자전거운동이 무릎관절 기능에 미치는 영향: 무릎인공관절수술 환자를 대상으로
The Effect of Cycle Ergometer Exercise Inducing Movement of the Affected Side on Knee Joint Function after Total Knee Arthroplasty 원문보기

표/그림 (5)

표/그림 (5)