지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 20 - 30 (11page)
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초록· 키워드
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Background: Total knee arthroplasty (TKA) recovers the alignment of the knee joint, but fails to automatically restore the alignment and function of the hip and ankle joints. It may affect the alignment and stability of the knee joint, therefore therapeutic intervention in hip and ankle joint is necessary for the rehabilitation process after TKA.
Objects: The aim of this study was to comparison of the effects of the two exercise methods on the coronal plane alignment after TKA. This study conducted an experiment by dividing subjects into a lower extremity isometric co-contraction group (LEIC) and a quadriceps isolated isometric contraction (QIIC) group.
Methods: A total of 37 subjects were randomly assigned to the LEIC (n1=19) or the QIIC (n2=18). Exercise was applied to five times per week for three weeks, starting on the eighth day after surgery. Range of motion exercises were performed as a common intervention and then each group performed quadriceps isometric contraction exercises with 10 sets of 5 repetitions. Radiological imaging was performed prior to surgery, one month and six months after surgery. In addition, the hip-knee-ankle angle (HKA) and tibiotalar angle (TTA) were measured.
Results: The HKA was close to neutral in the LEIC rather than the QIIC (p<.05). The LEIC showed varus and the QIIC exhibited valgus TTA (p<.05). In a comparison of HKA and TTA over time, there was no significant change in either group (p>.05). According to the comparison of the TTA before surgery, the LEIC showed significant changes in the varus direction (p<.05), while there was no significant change in the QIIC (p>.05).
Conclusion: The LEIC method triggered changes in the TTA and brought the HKA close to the neutral. Thus, LEIC is more effective than QIIC in creating stability in the coronal plane alignment of the knee and ankle joints after TKA.
목차
등록된 정보가 없습니다.
참고문헌 (46)
참고문헌 신청
Rashid B. Abu-Rajab / 2015 / Hip–Knee–Ankle Radiographs Are More Appropriate for Assessment of Post-Operative Mechanical Alignment of Total Knee Arthroplasties than Standard AP Knee Radiographs / The Journal of Arthroplasty 30(4):695~700
Ahlbäck S / 1968 / Osteoarthrosis of the knee. A radiographic investigation / Acta Radiol Diagn (Suppl 277):7~72
Anne Reilly K / 2006 / Influence of foot characteristics on the site of lower limb osteoarthritis / Foot Ankle Int 27(3):206~211
Bae SY / 2007 / Radiologic evaluation of change of ankle joint after total knee arthroplasty / J Korean Foot Ankle Soc 11(2):135~140
Bargren JH / 1983 / Alignment in total knee arthroplasty: Correlated biomechanical and clinical observations / Clin Orthop Relat Res (173):178~183
Ahlbäck S / 1968 / Osteoarthrosis of the knee. A radiographic investigation / Acta Radiol Diagn (Suppl 277):7~72
Anne Reilly K / 2006 / Influence of foot characteristics on the site of lower limb osteoarthritis / Foot Ankle Int 27(3):206~211
Bae SY / 2007 / Radiologic evaluation of change of ankle joint after total knee arthroplasty / J Korean Foot Ankle Soc 11(2):135~140
Bargren JH / 1983 / Alignment in total knee arthroplasty: Correlated biomechanical and clinical observations / Clin Orthop Relat Res (173):178~183
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