본문 바로가기
KERD
논문KCI 등재

슬관절 전치환술 후 한방병원에 입원한 환자 20명에 대한 후향적 분석

Effects of Korean Medicine on 20 Post-TKR Inpatients : A Retrospective Observational Study

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류한의학

초록

This study aimed to evaluate the effectiveness of Korean rehabilitation treatement for patients with post-TKR. The medical records of inpatients undergoing Korean rehabilitation treatment after TKR from 2016.01.01. to 2021.12.31. during the admission, were analyzed retrospectively. The effect of treatment was evaluated by using a numeric rating scale(NRS) and range of motion(ROM) of knee. Statistical analysis was done using the IBM SPSS statistics 26 program. If the period of hospitalization was within 7 days or change of NRS and ROM was not recorded properly, the case was excluded. All inpatients received acupuncture treatment, Electro-acupuncture. Soyeom pharmaco-acupuncture were used at a high rate. Blood letting cupping therapy, dry cupping therapy, Interferential Current Therapy(ICT) continuous passive motion(CPM), cryotherapy were used at a high rate. A significant improvement was noted when comparing the NRS and knee ROM results at the time of admission and discharge. Korean medical rehabilitation can be effectively used for patients who have undergone TKR, to relieve pain and enable returning to daily activities. It is expected to be helpful in future studies of post-TKR in Korean Medicine. Also It can be used for medical treatment of post-TKR in Korean Medicine Hospital and clinic. However, further research with a high level of evidence is necessary to support this finding.

Abstract

This study aimed to evaluate the effectiveness of Korean rehabilitation treatement for patients with post-TKR. The medical records of inpatients undergoing Korean rehabilitation treatment after TKR from 2016.01.01. to 2021.12.31. during the admission, were analyzed retrospectively. The effect of treatment was evaluated by using a numeric rating scale(NRS) and range of motion(ROM) of knee. Statistical analysis was done using the IBM SPSS statistics 26 program. If the period of hospitalization was within 7 days or change of NRS and ROM was not recorded properly, the case was excluded. All inpatients received acupuncture treatment, Electro-acupuncture. Soyeom pharmaco-acupuncture were used at a high rate. Blood letting cupping therapy, dry cupping therapy, Interferential Current Therapy(ICT) continuous passive motion(CPM), cryotherapy were used at a high rate. A significant improvement was noted when comparing the NRS and knee ROM results at the time of admission and discharge. Korean medical rehabilitation can be effectively used for patients who have undergone TKR, to relieve pain and enable returning to daily activities. It is expected to be helpful in future studies of post-TKR in Korean Medicine. Also It can be used for medical treatment of post-TKR in Korean Medicine Hospital and clinic. However, further research with a high level of evidence is necessary to support this finding.

참고문헌 (24)

  1. Suk SI, "Orthopedics", pp.1297~1299 (2013), Choisin Medical Publishing Co
  2. Arden N, "Osteoarthritis : epidemiology", Best Pract Res Clin Rheumatol, 20, pp.3~25 (2006)
  3. 박하림, "Treatment patterns of knee osteoarthritis patients in Korea", The Korean Journal of Internal Medicine, 34(5), pp.1145~1153 (2019), 대한내과학회[DOI]
  4. "Medical statistics for disease and service in 2020" (2021)[URL]
  5. Korean Medicine Clinical Practice Guideline for Post-operative treatment of total knee arthroplasty, "Song YK", NCKM, 16~ (2017)
  6. Bourne RB, "Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?", Clin Orthop Relat Res, 468, pp.57~63 (2010)
  7. Franklin PD, "The Chitranjan Ranawat award : functional outcome after total knee replacement varies with patient attributes", Clin Orthop Relat Res, 466, pp.2597~2604 (2008)
  8. Ranawat CS, "Total knee arthroplasty rehabilitation protocol : what makes the difference?", J Arthroplasty, 22, pp.12~15 (2007)
  9. 김창곤, "슬관절 전치환술 후 한방재활치료의 효과 보고", 한방재활의학과학회지, 24(1), pp.111~118 (2014), 한방재활의학과학회
  10. 한수연, "슬관절 전치환술 후 한방 재활치료 프로토콜 적용의 임상적 효과: 증례 보고", 한방재활의학과학회지, 30(4), pp.219~231 (2020), 한방재활의학과학회[DOI]
  11. Bae IH, "A Case Report on Chronic Post-surgical Pain after Total Knee Replacement Treated with Ultrasound Therapy", J of The spine & joint Korean medicine, 16(1), pp.97~110 (2019)
  12. Hong JE, "The Retrospective Review of 105 Inpatients with Rib Fracture in Korean Medicine Hospital", J of the spine & joint korean medicine, 15(1), pp.25~38 (2018)
  13. Della Valle C RA, "The adult knee" (2003), Lippincott Williams & Wilkins
  14. Biau D, "Is anyone too old for a total knee replacement?", Clin Orthop Relat Res, 448, pp.180~184 (2006)
  15. Erdogan A, "Preoperative planning of total knee replacement" (2013), InTech
  16. "Medical statistics for disease and service in 2020" (2021)[URL]
  17. Yoo JD, "Arthrology of the knee", pp.1077~1089 (2019), Yungchang Publishing Co
  18. Charles EG, "Clinical Orthopaedic Rehabilitation", pp.410~413 (2019), Hanmi Publishing Co
  19. De Klerk BM, "No clear association between female hormonal aspects and osteoarthritis of the hand, hip and knee : a systematic review", Rheumatology(Oxford), 48, pp.1160~1165 (2009)
  20. Shin MS, "Pharmacopuncturology in Musculoskeletal Disease", pp.8~10 (2021), Gaon Publishing Co
  21. Mistry JB, "Rehabilitative guide-lines after total knee arthroplasty : a review", J Knee Surg, 29, pp.201~217 (2016)
  22. 김영모, "슬관절 전치환술 후 기능 회복을 위한 치료법", 대한정형외과학회지, 55(2), pp.117~126 (2020), 대한정형외과학회[DOI]
  23. 김민기, "加味大羌活湯이 Collagen Ⅱ로 유발된 관절염에 미치는 영향", 한방재활의학과학회지, 19(2), pp.89~102 (2009), 한방재활의학과학회
  24. Han EJ, "The Effects of Chungyeulsaseip-tang (Qingrexieshi-tang) on Anti-inflammatory, Analgesic and Anti-febrile Activities on the Arthritis", J of korean Medicine Rehabilatation, 13(3), pp.101~112 (2003)

관련 논문AI추천

이 간행물의 다른 논문 (6건)