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논문 기본 정보

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학술저널
저자정보
Lee, Sang Hee (Department of Orthopedic Surgery, Korea University Ansan Hospital) Han, Ji Hoon (Department of Orthopedic Surgery, Korea University Ansan Hospital) Lee, Sung Jae (Center for Integrative Medicine, Korean University Medical Center, Korea University College of Medicine) Cho, Hwi Young (Department of Physical Therapy, Gachon University) Baek, Jung Heum (Department of Orthopedic Surgery, Korea University Ansan Hospital) Kim, Jae Gyoon (Department of Orthopedic Surgery, Korea University Ansan Hospital)
저널정보
물리치료재활과학회 Physical therapy rehabilitation science Physical therapy rehabilitation science 제8권 제1호
발행연도
2019.1
수록면
22 - 31 (10page)

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Objective: For knee osteoarthritis (OA), there is a demand for alternative modalities in order to delay surgery and to avoid the side effects of medications. This study compared the effects of applying seaweed pack and mudpack for the treatment of knee OA. Design: Randomized controlled trial. Methods: Twenty-five patients with knee OA who satisfied the criteria were included. The patients were divided into two groups according to the treatment method: mudpack (n=12) and seaweed pack (n=13). The two groups were treated for 20 minutes, twice a day for five continuous days at the Ocean Healing Center at Wando Island, South Korea. Participants were assessed by clinical scores (Western Ontario and McMaster Universities Osteoarthritis Index, Hospital for Special Surgery Knee Score, Knee injury and Osteoarthritis Outcome Score and 36-Item Short Form Health Survey) and lab results (erythrocyte sedimentation rate, C-reactive protein, insulin-like growth factor-1 [IGF-1], tumor necrosis $factor-{\alpha}$ [$TNF-{\alpha}$]) during the follow-up period. Results: For the most part, clinical scores improved after therapy and maintained improvements for four weeks in both groups (p<0.05). In the seaweed group, $TNF-{\alpha}$ was significantly decreased at two weeks post-therapy (p<0.05). In both groups, IGF-1 was significantly increased immediately post-therapy (p<0.05). There were no statistically significant differences after therapy between the groups in clinical scores and labs. Conclusions: Seaweed packs and mudpacks had similar positive effects for knee OA. Additionally, the seaweed pack group showed decreased levels of $TNF-{\alpha}$ at two weeks post-treatment, which may explain the reduced inflammatory reaction. For rehabilitation therapy, use of seaweed packs may serve as an alternative modality for the treatment of knee OA.
#Climatotherapy #Knee #Mud therapy #Osteoarthritis #Seaweed therapy

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참고문헌 (37)

참고문헌 신청
Bijlsma JW / 2007 / Strategies for the prevention and management of osteoarthritis of the hip and knee / Best Pract Res Clin Rheumatol 21:59~76 google schola Caban-Martinez AJ / 2011 / Arthritis, occupational class, and the aging US workforce / Am J Public Health 101:1729~1734 google schola Brown GA / 2013 / AAOS clinical practice guideline: treatment of osteoarthritis of the knee: evidence-based guideline, 2nd edition / J Am Acad Orthop Surg 21:577~579 google schola Altman R / 1986 / Development of criteria for the classification and reporting of osteoarthritis: Classification of osteoarthritis of the knee / Arthritis Rheum 29:1039~1049 google schola Ray WA / 2004 / Cardiovascular toxicity of valdecoxib / N Engl J Med 351:2767 google schola

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