Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effect of Accelerated Rehabilitation with Anti-Gravity Treadmill Program : Isokinetic Myofuction and Functional Score of Knee Joint, ROM, and VAS Score in Meniscus Repair Patients

Anti-Gravity Treadmill Program을 적용한 가속재활의 효과 : 반월상연골 봉합술 환자의 슬관절 등속성 근기능 및 기능점수와 관절의 가동범위, 통증지수

  • Cho, Han-Su (Dept. of Kinesiology & Medical Science, Graduate School, Dankook University) ;
  • Oh, Du-Hwan (Dept. of Kinesiology & Medical Science, Graduate School, Dankook University) ;
  • Lee, Jin-Wook (Dept. of Kinesiology & Medical Science, Graduate School, Dankook University) ;
  • Zang, Seok-Am (Dept. of Kinesiology & Medical Science, Graduate School, Dankook University) ;
  • Lee, Jang-Kyu (Dept. of Kinesiology & Medical Science, Graduate School, Dankook University)
  • 조한수 (단국대학교 대학원 운동의과학과) ;
  • 오두환 (단국대학교 대학원 운동의과학과) ;
  • 이진욱 (단국대학교 대학원 운동의과학과) ;
  • 장석암 (단국대학교 대학원 운동의과학과) ;
  • 이장규 (단국대학교 대학원 운동의과학과)
  • Received : 2016.07.06
  • Accepted : 2016.08.11
  • Published : 2016.08.31
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Abstract

This study was conducted to investigate the effects of participation in the accelerated rehabilitation with an anti-gravity treadmill program for 16 weeks on isokinetic myofunction and functional score of knee joint, ROM, and VAS score in meniscus repair patients. A total of 10 male adult patients who underwent meniscus repair by the same doctor were investigated in this study. Both extension and flexion peak torque at $60^{\circ}/sec$ and $180^{\circ}/sec$ significantly increased (p<0.001, p<0.01), while under muscle deficit, extension and flexion peak torque at $60^{\circ}/sec$ and extension peak torque at $180^{\circ}/sec$ significantly decreased (p<0.01, p<0.05). ROM in extension significantly decreased (p<0.05), whereas ROM in flexion significantly increased (p<0.01) in response to the program. VAS score significantly decreased (p<0.001) and lysholm scores significantly increased after completion of the program (p<0.001). These results suggest that 16 weeks of the anti-gravity treadmill accelerated rehabilitation program improves isokinetic muscle strength and functional score of knee joint, ROM, and VAS score in meniscus repair patients. Therefore, the anti-gravity treadmill accelerated rehabilitation program, which is a more scientific and effective method than conventional rehabilitation, leads to faster recovery of paly ground and normal daily activities.

본 연구의 목적은 16주간의 anti-gravity treadmill program을 적용한 가속재활운동이 반월상연골 봉합술 환자의 슬관절의 등속성 근기능 및 기능점수와 관절가동범위, 통증지수에 어떠한 영향을 미치는 지를 구명하고자 실시되었다. 연구대상자는 슬관절의 반월상연골 파열 진단을 받고 봉합술을 시행한 10명을 대상으로 하였다. 이 연구의 결과에서, 슬관절 등속성 신근력과 굴근력은 16주간의 anti-gravity treadmill program을 적용한 가속재활운동 후, $60^{\circ}/sec$와 $180^{\circ}/sec$에서 모두 유의하게 증가하였으며(p<.001, p<.01), 등속성 근결손율은 $60^{\circ}/sec$에서는 신근력과 굴근력, $180^{\circ}/sec$에서는 신근력이 유의하게 감소한 결과를 나타내었다(p<.01, p<.05). 슬관절 기능점수 또한 가속재활운동 후, 유의하게 증가하였으며(p<.001), 슬관절 가동범위도 가속재활운동 후, 신전의 경우 유의하게 감소하였고(p<.05), 굴곡에서는 유의하게 증가를 나타내었다(p<.01). 시각적사상척도(VAS)를 이용한 주관적 통증지수의 변화는 가속재활운동 후, 유의하게 감소한 결과를 나타내었다(p<.001). 이상의 결과에서, 16주간의 anti-gravity treadmill program을 적용한 가속재활운동은 슬관절의 반월상연골 봉합술 환자의 슬관절 등속성 근기능 및 기능점수와 관절가동범위, 통증지수에 긍정적 효과가 있는 것으로 생각되며 이러한 재활방법은 기존의 전통적 재활방법과 비교하여 보다 안전하고 과학적인 방법으로 빠른 스포츠 현장 및 일상생활로 복귀할 수 있는 가능성이 있는 것으로 사료된다.

Keywords

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