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경두개직류전류자극이 무릎관절 전치환술 환자의 통증 및 균형 능력에 미치는 영향

The Effect of Transcranial Direct Current Stimulation on Pain and Balance of Total Knee Arthroplasty Patients

이상재|민동기|이재홍
대한정형도수물리치료학회 (Korean Academy of Orthopedic Manipulative Physical Therapy)|2022.12|대한정형도수물리치료학회지 (Korean Academy of Orthopedic Manipulative Physical Therapy)|제28권 제3호|pp. 79-87|DOI 10.23101/kaompt.2022.28.3.79

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키워드

PainBalanceTranscranial Direct Current Stimulation(tDCS)Total Knee Arthroplasty

초록

Background: The purpose of this study was to examine the effect of transcranial direct current stimulation (tDCS) on the pain and balance of patients who receive total knee arthroplasty (TKA). Methods: This study subjects were 24 patients in Hospital T, located in Daegu, South Korea who received TKA after being diagnosed with degenerative arthritis. The subjects were randomly divided into and experimental group and a control group, with each group including 12 patients. Both group received superfical thermal therapy, interferential current therapy (ICT), and continue passive motion (CPM), which are conventional knee therapy on the knee joint. The experimental group received the tDCS treatment three times a week for three weeks, from October 1st to October 20th. The visual analogue scale and Wii Balance Board system were used to measure the pain and balancing ability, respectively, of both groups. In the statistical result analysis, to compare about pre and post test difference in each groups was accomplished. Statistical analysis of independent t-test and paired t-test were conducted using SPSS version 23.0. Results: After three weeks of intervation, there were significantly difference in balance ability in pre and post test in the tDCS group. VAS decreased significantly in both groups(p<.05), There was a significantly difference in pain, balance ability in the tDCS group compared to the sham group. Conclusion: These results indicate that applying tDCS together with conventional knee joint therapy for TKA patients is effective in promoting the patients’ recovery.

Abstract

Background: The purpose of this study was to examine the effect of transcranial direct current stimulation (tDCS) on the pain and balance of patients who receive total knee arthroplasty (TKA). Methods: This study subjects were 24 patients in Hospital T, located in Daegu, South Korea who received TKA after being diagnosed with degenerative arthritis. The subjects were randomly divided into and experimental group and a control group, with each group including 12 patients. Both group received superfical thermal therapy, interferential current therapy (ICT), and continue passive motion (CPM), which are conventional knee therapy on the knee joint. The experimental group received the tDCS treatment three times a week for three weeks, from October 1st to October 20th. The visual analogue scale and Wii Balance Board system were used to measure the pain and balancing ability, respectively, of both groups. In the statistical result analysis, to compare about pre and post test difference in each groups was accomplished. Statistical analysis of independent t-test and paired t-test were conducted using SPSS version 23.0. Results: After three weeks of intervation, there were significantly difference in balance ability in pre and post test in the tDCS group. VAS decreased significantly in both groups(p<.05), There was a significantly difference in pain, balance ability in the tDCS group compared to the sham group. Conclusion: These results indicate that applying tDCS together with conventional knee joint therapy for TKA patients is effective in promoting the patients’ recovery.

참고문헌 (41)

  1. Anne SC, "Motor control theory and practical applications" (2006)
  2. Antal A, "Towards unravelling task-related modulations of neuroplastic changes induced in the human motor cortex", Eur J Neurosci, 26, pp.2687~2691 (2007)[DOI]
  3. Antal A, "Andal transcranial direct current stimulation of the motor cortex ameliorates chronic pain and reduces short intracortical inhibition", J Pain Sympt Manage, 39(5), pp.890~903 (2010)[DOI]
  4. 안태규, "경두개 직류전류자극과 가상현실재활프로그램을 적용한 뇌졸중환자의 균형과 낙상관련 체력 및 낙상효능감에 미치는 영향", 대한통합의학회지, 7(1), pp.9~17 (2019), 대한통합의학회[DOI]
  5. Boggio PS, "Enhancement of non-dominant hand motor function by anodal transcranial direct current stimulation", Neurosci Lett, 404(1-2), pp.232~236 (2006)[DOI]
  6. Boggio PS, "Modulatory effects of anodal transcranial direct current stimulation on perception and pain thresholds in healthy volunteers", Eur J Neurol, 15, pp.1124~1130 (2008)[DOI]
  7. Brodie DJ, "Evaluation of low back pain by patient questionnaires and therapist assessment", J Orthop Sports Phys Ther, 11(11), pp.519~529 (1990)[DOI]
  8. Butler AA, "Muscle weakness impairs the proprioceptive control of human standing", Brain Res, 1242, pp.244~251 (2008)[DOI]
  9. 최창재, "Does the Kyphotic Change Decrease the Risk of Fall?", Clinical and Experimental Otorhinolaryngology, 4(3), pp.118~121 (2011), 대한이비인후과학회
  10. Crowninshield RD, "Changing demographics of patients with total joint replacement", J Clin Orthop and Related Res, 443, pp.266~272 (2006)[DOI]
  11. Fregni F, "Technology insight : noninvasive brain stimulation in neurology-perspectives on the therapeutic potential of rTMS and tDCS", Nat Clin Prac Neur, 3(7), pp.383~393 (2007)[DOI]
  12. Gandiga PC, "Transcranial DC stimulation(tDCS) : A tool for double-blind sham-controlled clinical studies in brain stimulation", Clin Neurophysiol, 117, pp.845~850 (2006)[DOI]
  13. Hodoush H, "Bilateral anodal transcranial direct current stimulation effect on balance and fearing of fall in patient with Parkinson’s disease", NeuroRehabilitation, 42(1), pp.63~68 (2018)[DOI]
  14. Hoffman M, "The effects of proprioceptive ankle disk training on healthy subjects", J Orthop Sports Phys Ther, 21(2), pp.90~93 (1995)[DOI]
  15. Huang L, "Transcranial direct current stimulation with halo sport enhances repeated sprint cycling and cognitive performance", Frontiers in physiology, 10, pp.118~ (2019)[DOI]
  16. 김고운, "경두개 직류전류자극 및 가상현실 재활프로그램 적용이 경도인지장애 환자의 균형 및 낙상관련 체력에 미치는 영향", 인문사회 21, 10(5), pp.1337~1348 (2019), 인문사회 21[DOI]
  17. Kwon YH, "Primary motor cortex activation by transcranial direct current stimulation in the human brain", Neurosci Lett, 435(1), pp.56~59 (2008)
  18. 이준용, "편마비 환자의 발목관절에 시행된 메이틀랜드 관절가동술과 움직임을 동반한 관절가동술이 관절가동범위, 정적 및 동적 균형, 족저압, 보행 능력에 미치는 영향에 관한 연구", 대한정형도수물리치료학회지, 28(1), pp.61~69 (2022), 대한정형도수물리치료학회[DOI]
  19. Liebetanz D, "Pharmacological approach to the mechanisms of transcranial DC-stimulation-induced after-effects of human motor cortex excitability", Brain, 125(10), pp.2238~2247 (2002)[DOI]
  20. Litvan I, "Diagnostic criteria for mild cognitive impairment in parkinson’s disease: movement disorder society task force guidelines", Movement Disorders, 27(3), pp.349~356 (2012)[DOI]
  21. Meinzer M, "Transcranial direct current stimulation in mild cognitive impairment: behavioral effects and neural mechanisms", Alzheimer’s &Dementia, 11(9), pp.1032~1040 (2015)[DOI]
  22. Min DK, "Effect of Transcranial direct current stimulation on sensory function", Doctor, pp.2013
  23. Min DK, "The effects of obstacles gait on balance and falls-efficacy in patients with total knee arthroplasty", J Kor Orthopedic Manual Phys Ther, 25(1), pp.37~43 (2019)
  24. 민혜숙, "근력강화 운동프로그램이 슬관절 전치환술 여성 노인환자의 통증, 피로, 신체적 기능에 미치는 영향", 근관절건강학회지, 18(2), pp.203~214 (2011), 대한근관절건강학회
  25. Nitsche MA, "Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation", J Physiol, 527, pp.633~669 (2000)[DOI]
  26. Poreisz C, "Safety aspects of transcranial direct current stimulation concerning healthy subjects and patients", Brain Res Bull, 72, pp.208~214 (2007)[DOI]
  27. Ragert P, "Improvement of spatial tactile acuity by transcranial direct current stimulation", Clin Neurophys, 119, pp.805~811 (2008)[DOI]
  28. Rahmann, "A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement surgery : A randomized controlled trial", Arch Phys Med Rehbil, 90(5), pp.745~755 (2009)[DOI]
  29. Redfern MS, "Attention influences sensory integration for postural control in older adults", Gait & Posture, 14(3), pp.211~216 (2001)[DOI]
  30. Ross A, "Validity and reliability of the nintendo wii balance board for assessment of standing balance", Gait &Posture, 31, pp.307~310 (2010)[DOI]
  31. Ryan CG, "An electromyographical study to investigate the effects of patellar taping on the vastus medialis", vastus lateralis ratio in asymptomatic participants, 2006, pp.22(6), 309~315
  32. Satistical Office, "Population projections for korea:2010-2060;42 Daejeon", ~ (2011)
  33. Shin JY, "The effect of Rehabilitation Program on Pain, ROM of the Knee Joint, and Mobility in Elderly with Total Knee Arthroplasty", master, pp.2011
  34. 손민균, "Effect of Transcranial Direct Current Stimulation on Postural Stability and Lower Extremity Strength in Hemiplegic Stroke Patients", Annals of Rehabilitation Medicine, 37(6), pp.759~765 (2013), 대한재활의학회
  35. Stagg CJ, "Polarity and timing-dependent effects of transcranial direct current stimulation in explicit motor learning", Neuropsychologia, 49(5), pp.00~04 (2011)[DOI]
  36. Stitik TP, "Rehabilitation of orthopedic and rheumatologic disorders. osteoarthritis assessment, treatment, and rehabilitation", Arch Phy Med Rehabil, 86(1), pp.48~55 (2005)[DOI]
  37. Talelli P, "Does brain stimulation after stroke have a future?", Curr Opin Neurol, 19(6), pp.543~550 (2006)[DOI]
  38. Wagner T, "Transcranial direct current stimulation : a computer-based human model study", Neuroimage, 35(3), pp.1113~1124 (2007)[DOI]
  39. Yosephi MH, "Multi-session anodal tDCS enhances the effects of postural training on balance and postural stability in older adults with high fall risk : Primary motor cortex versus cerebellar stimulation", Brain Stimul, 11(6), pp.1239~1250 (2018)[DOI]
  40. 윤지영, "슬관절 전치환술 후 세라밴드 운동프로그램이 수술 후 통증, 슬관절 굴곡각도 및 심리적 지수에 미치는 효과", Journal of Korean Academy of Nursing, 45(6), pp.823~833 (2015), 한국간호과학회
  41. Zandvliet SB, "Short-Term effects of cerebellar tDCS on standing balance performance in patients with chronic stroke and healthy age-matched elderly", The cerebellum, 17(5), pp.75~589 (2018)[DOI]

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