관절낭 패턴의 임상적 적용과 한계
Clinical Application and Limitations of the Capsular Pattern
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A normal range of motion is essential for performing activities of daily living. The capsular pattern is the proportional motion restriction in range of motion during passive exercises due to tightness of the joint capsule. Although the capsular pattern is widely referred to in clinical practice, there is no scientific evidence to support the concept. In this review, the appropriateness of the capsular pattern for evaluation of joint pathology was assessed. In the Textbook of Orthopaedic Medicine written by Cyriax, the capsular pattern did not specify how much reduction in angular motion is considered motion restriction. As the definition proposed initially was unclear, different methods have been used in previous studies investigating capsular pattern. In addition, the capsular pattern described all the major joints of the human body, but only the hip joint, knee joint, and shoulder joint were studied in experimental studies. Sensitivity and specificity were reported in one study and were meaningful in specific pathologies (loss of extension to loss of flexion). There was no consensus on the reliability and validity. In summary, the capsular pattern suggested by Cyriax or Kaltenborn is not supported or applies only to certain conditions. Various components around a joint complement each other and provide stability to the joint. It is recommended that the therapist perform multiple assessments rather than rely on a single assessment when evaluating joints.
Abstract
A normal range of motion is essential for performing activities of daily living. The capsular pattern is the proportional motion restriction in range of motion during passive exercises due to tightness of the joint capsule. Although the capsular pattern is widely referred to in clinical practice, there is no scientific evidence to support the concept. In this review, the appropriateness of the capsular pattern for evaluation of joint pathology was assessed. In the Textbook of Orthopaedic Medicine written by Cyriax, the capsular pattern did not specify how much reduction in angular motion is considered motion restriction. As the definition proposed initially was unclear, different methods have been used in previous studies investigating capsular pattern. In addition, the capsular pattern described all the major joints of the human body, but only the hip joint, knee joint, and shoulder joint were studied in experimental studies. Sensitivity and specificity were reported in one study and were meaningful in specific pathologies (loss of extension to loss of flexion). There was no consensus on the reliability and validity. In summary, the capsular pattern suggested by Cyriax or Kaltenborn is not supported or applies only to certain conditions. Various components around a joint complement each other and provide stability to the joint. It is recommended that the therapist perform multiple assessments rather than rely on a single assessment when evaluating joints.
참고문헌 (37)
- Oosterwijk AM, "Shoulder and elbow range of motion for the performance of activities of daily living: a systematic review", Physiother Theory Pract, 34(7), pp.505~528 (2018)
- McClelland JA, "Patients with total knee arthroplasty do not use all of their available range of knee flexion during functional activities", Clin Biomech (Bristol, Avon), 43, pp.74~78 (2017)
- Dabadghav R, "Additional effect of neuromuscular electrical stimulation on knee extension lag, pain and knee range of motion in immediate postsurgical phase (0-2 weeks) in primary total knee arthroplasty patient", Ann Transl Med, 7(Suppl 7), pp.S253~ (2019)
- Hirata K, "Associations between range of motion and tissue stiffness in young and older people", Med Sci Sports Exerc, 52(10), pp.2179~2188 (2020)
- Oh D, "Concurrent validity and intra-trial reliability of a Bluetooth-embedded inertial measurement unit for real-time joint range of motion", Int J Comput Sci Sport, 18(3), pp.1~11 (2019)
- Hindle KB, "Proprioceptive neuromuscular facilitation (PNF): its mechanisms and effects on range of motion and muscular function", J Hum Kinet, 31, pp.105~113 (2012)
- Ombregt L, "A system of orthopaedic medicine", pp.844~ (2013), Churchill Livingstone
- Khurana N, "Comparison of Cyriax capsular stretch versus posterior glide in treating adhesive capsulitis of shoulder", Physiother Occup Ther J, 4(1), pp.5~10 (2011)
- Joseph MF, "Clinical evaluation and rehabilitation prescription for knee motion loss", Phys Ther Sport, 13(2), pp.57~66 (2012)
- Kirby K, "Assessment of the importance of glenohumeral peripheral mechanics by practicing physiotherapists", Physiother Res Int, 12(3), pp.136~146 (2007)
- Ramey K, "Variables associated with abandoning the manual therapy approach learned in physical therapy school", J Man Manip Ther, 14(2), pp.108~117 (2006)
- Cyriax JH, "Text-book of orthopaedic medicine. Vol. 1. Diagnosis of soft tissue lesions", pp.711~ (1957), Cassell
- Cyriax JH, "Text-book of orthopaedic medicine. Vol. 1. Diagnosis of soft tissue lesions", pp.768~ (1975), Baillière Tindall
- Cyriax JH, "Text-book of orthopaedic medicine. Vol. 1. Diagnosis of soft tissue lesions", pp.512~ (1982), Baillière Tindall
- Kaltenborn FM, "Manual mobilization of the joints: joint examination and basic treatment. Vol. 1. The extremities", pp.368~ (2014), Orthopedic Physical Therapy Products
- Bijl D, "Validity of Cyriax's concept capsular pattern for the diagnosis of osteoarthritis of hip and", or knee, 1998, pp.27(5), 347~351
- Hayes KW, "An examination of Cyriax's passive motion tests with patients having osteoarthritis of the knee", Phys Ther, 74(8), pp.697~707 (1994)
- Klässbo M, "Examination of passive ROM and capsular patterns in the hip", Physiother Res Int, 8(1), pp.1~12 (2003)
- Rundquist PJ, "Patterns of motion loss in subjects with idiopathic loss of shoulder range of motion", Clin Biomech (Bristol, Avon), 19(8), pp.810~818 (2004)
- 임우택, "Influence of Tibial Rotation on EMG Activities of Medial and Lateral Hamstrings During Maximal Isometric Knee Flexion", 한국전문물리치료학회지, 25(4), pp.46~52 (2018), 한국전문물리치료학회[DOI]
- Lim W, "Appropriateness of tibial rotation for isolation of the medial and lateral hamstrings", Ann Appl Sport Sci, 8(S2), pp.e907~ (2020)
- Petersen CM, "Construct validity of Cyriax's selective tension examination: association of end-feels with pain at the knee and shoulder", J Orthop Sports Phys Ther, 30(9), pp.512~521 (2000)
- Hayes KW, "Reliability of assessing end-feel and pain and resistance sequence in subjects with painful shoulders and knees", J Orthop Sports Phys Ther, 31(8), pp.432~445 (2001)
- Altman R, "The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip", Arthritis Rheum, 34(5), pp.505~514 (1991)
- Fritz JM, "An examination of the selective tissue tension scheme, with evidence for the concept of a capsular pattern of the knee", Phys Ther, 78(10), pp.1046~1056 (1998)
- Chauhan V, "Effect of deep transverse friction massage and capsular stretching in idiopathic adhesive capsulitis", Indian J Physiother Occup Ther, 5(4), pp.185~188 (2011)
- Pellecchia GL, "Intertester reliability of the cyriax evaluation in assessing patients with shoulder pain", J Orthop Sports Phys Ther, 23(1), pp.34~38 (1996)
- Sandler RD, "Osteoarthritis and the inflammatory arthritides", Surgery (Oxford), 36(1), pp.21~26 (2018)
- Trevethan R, "Sensitivity, specificity, and predictive values:foundations, pliabilities, and pitfalls in research and practice", Front Public Health, 5, pp.307~ (2017)
- Watson R, "Quantitative research", Nurs Stand, 29(31), pp.44~48 (2015)
- Greenwood MJ, "Differential diagnosis of the hip vs. lumbar spine: five case reports", J Orthop Sports Phys Ther, 27(4), pp.308~315 (1998)
- Metcalfe AJ, "Is knee osteoarthritis a symmetrical disease? Analysis of a 12 year prospective cohort study", BMC Musculoskelet Disord, 13, pp.153~ (2012)
- Creaby MW, "Gait differs between unilateral and bilateral knee osteoarthritis", Arch Phys Med Rehabil, 93(5), pp.822~827 (2012)
- Mine T, "Gait parameters in women with bilateral osteoarthritis after unilateral versus sequential bilateral total knee arthroplasty", J Orthop Surg (Hong Kong), 23(1), pp.76~79 (2015)
- Smith SL, "Sex- and osteoarthritis-related differences in muscle co-activation during weightbearing tasks", Gait Posture, 79, pp.117~125 (2020)
- Abbate LM, "Demographic and clinical factors associated with nonsurgical osteoarthritis treatment among patients in outpatient clinics", Arthritis Care Res (Hoboken), 70(8), pp.1141~1149 (2018)
- Damen J, "Prevalence and development of hip and knee osteoarthritis according to American College of Rheumatology criteria in the CHECK cohort", Arthritis Res Ther, 21(1), pp.4~ (2019)