외상으로 인한 슬개골 골절을 가진 환자의 국소진동을 동반한 물리치료 중재가 신체기능에 미치는 영향: 사례군 연구 = The Effects of Physical Therapy Intervention with Local Vibration on Physical Function in Patients with Traumatic Patella Fracture: Case Series

다국어 초록 (Multilingual Abstract)

Background: The purpose of this study was to investigate the effects of physical therapy intervention with local vibration on the physical function of patients with traumatic patella fractures.
Methods: This study recruited 6 subjects who had suffered traumatic patella fractures. The study was conducted for an average of 12.8 weeks. Before the treatment (2 weeks post-surgery), they were evaluated using the numeric pain rating scale (NPRS), the Korean-version of the impact of event scale-revised (IES-R-K), pressure pain threshold (PPT), range of motion (ROM) of the knee joint, and the Korean knee injury and osteoarthritis outcome score (K-KOOS) and were reevaluated after 7 and 12 weeks, post-surgery. This study was conducted according to ORIF Patella Fracture Post-Operative Rehabilitation Protocol after applying local vibration. The protocol consists of Phases 1~5 and this study has been applied from phase 2.
Results: A comparison of the performance of the participants before and after the intervention showed a decrease in NPRS (9.83±.41→4.83±.98), IES-R-K (68.67±2.73→23.83±2.40), and K-KOOS (Function, Daily living: 70.5±5.96→34.0±3.35, Function, Sports and Recreational activities: 22.83±2.32→10.77±1.37, Quality of Life: 19.33±7.33→7.33±.52) scores. And the ROM (Knee flexion: 30.0±4.47°→128.73±3.6°, Knee extension: -6.83±2.48°→–1.33±1.03°) and PPT (9.67±.52㎏/㎠→22.44±2.33㎏/㎠) scores increased.
Conclusion: These results show that physical intervention with local vibration using a Blackroll® booster and head can help to improve pain, physical function, and psychological status. Also, it was possible to select interventions depending on the patient’s condition and the desired goal, using physical intervention with the Blackroll® booster technique.

참고문헌 (Reference)

1 은헌정 ; 권태완 ; 이선미 ; 김태형 ; 최말례 ; 조수진, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구" 대한신경정신의학회 44 (44): 303-310, 2005

2 이범석 ; 박병문 ; 양봉석 ; 김규완, "최소 침습 기법 슬개건 부하 분산 봉합술과 유관 나사못을 이용한 슬개골 횡골절의 치료" 대한정형외과학회 56 (56): 540-545, 2021

3 김재운 ; 유성훈 ; 김성수, "진동을 이용한 IASTM이 만성 어깨통증 환자의 어깨 근활성도, 유연성, 통증에 미치는 영향" 대한통합의학회 9 (9): 13-21, 2021

4 서승석 ; 정경칠 ; 김영복, "슬관절 손상에 대한 국문 Knee Injury and Osteoarthritis Outcome Score(KOSS)의 적용을 타당성, 신뢰성 및 반응성 평가" 대한정형외과학회 41 (41): 441-453, 2006

5 고상훈 ; 조성도 ; 나화엽 ; 김우석 ; 정유영 ; 곽창렬 ; 김범수, "슬개골 골절에서 관절경을 이용한 정복 및 내 고정술" 대한골절학회 16 (16): 7-489, 2003

6 금지혜 ; 우현준 ; 김종규 ; 이정한, "무릎뼈 골절 후 한방 재활치료의 임상적 효과: 증례 보고" 한방재활의학과학회 30 (30): 203-217, 2020

7 Cardinale M, "Whole body vibration exercise : Are vibrations good for you?" 39 (39): 585-589, 2005

8 Issurin VB., "Vibrations and their applications in sport. A review" 45 (45): 324-336, 2005

9 Ivan U, "Vibration therapy and its influence on health" 6 (6): 5499-5502, 2018

10 Rittweger J, "Treatment of chronic lower back pain with lumbar extension and whole-body vibration exercise : A randomized controlled trial" 27 (27): 1829-1834, 2002

11 Rodrìguez-Merchán EC., "Traumatic Injuries of the Knee" Springer 37-39, 2013

12 McFarlane AC, "The long-term costs of traumatic stress : Intertwined physical and psychological consequences" 9 (9): 3-10, 2010

13 Boucher JA, "The effects of vibration and muscle fatigue on trunk sensorimotor control in low back pain patients" 10 (10): e0135838-, 2015

14 Ahn SW, "The effects of physical therapy intervention with local vibration on pain, ROM and psychological status in multiple trauma patients caused by traffic accident : Case study" 25 (25): 65-72, 2019

15 Lee SH, "The Effects of Physical Therapy Intervention Methods on Range of Motion, Muscular Strength, and Balance after Total Knee Replacement" Graduate school of Kwangju Woman's University 2014

16 Ylinen J, "Stretching exercise vs manual therapy in treatment of chronic neck pain : A randomized, controlled cross-over trial" 39 (39): 126-132, 2007

17 Celnik P, "Somatosensory stimulation enhances the effects of training functional hand tasks in patients with chronic stroke" 88 (88): 1369-1376, 2007

18 Yule W, "Screening child survivors for post-traumatic stress disorders : Experiences from the ‘Jupiter’ sinking" 30 (30): 131-138, 1991

19 Angela Lucariello, "Role of vibration in sport activity" 35 : 1099-1102, 2019

20 Sun Y, "Reliability and validity of clinical outcome measurements of osteoarthritis of the hip and knee-a review of the literature" 16 (16): 185-198, 1997

21 Paula Henry, "Rehabilitation of a post-surgical patella fracture" 86 (86): 139-142, 2000

22 Joseph S, "Psychosomatic evaluation of Horowitzʼs impact of event scale : A review" 13 (13): 101-113, 2000

23 Andersen HS, "Post-traumatic stress reactions amongst rescue workers after a major rail accident" 4 (4): 245-251, 1991

24 Melvin JS, "Patellar fractures in adults" 19 (19): 198-207, 2011

25 Scolaro J, "Patellar fractures" 469 (469): 1213-1215, 2011

26 Kaufer H, "Patellar biomechanics" 144 : 51-54, 1979

27 Clancy CM, "Outcomes research : Measuring the end results of health care" 282 (282): 245-246, 1998

28 Amadio PC, "Outcomes measurements" 75 (75): 1583-1584, 1993

29 Rockborn P, "Outcome of arthroscopic meniscectomy. A 13-year physical and radiographic follow-up of 43 patients under 23 years of age" 66 (66): 113-117, 1995

30 Torchia ME, "Open fractures of the patella" 10 (10): 403-409, 1996

31 Pongkitwitoon S, "Low intensity vibrations accelerate proliferation and alter macrophage phenotype in vitro" 49 (49): 793-796, 2016

32 Roos EM, "Knee injury and osteoarthritis outcome score(KOOS)-development of a self-administered outcome measure" 28 (28): 88-96, 1983

33 Collins NJ, "Knee injury and osteoarthritis outcome score(KOOS) : Systematic review and meta-analysis of measurement properties" 24 (24): 1317-1329, 2016

34 유은영 ; 박지혁 ; 권재성 ; 조상윤 ; 이보미 ; 김영조 ; 김재남 ; 김선호, "Kinematic Analysis in Reaching Depending on the Localized Vibration Duration in Persons With Hemiparetic Stroke" 대한신경계작업치료학회 7 (7): 79-88, 2018

35 El-Hafez HM, "Instrument-assisted soft tissue mobilisation versus stripping massage for upper trapezius myofascial trigger points" 15 (15): 87-93, 2020

36 Horowitz M, "Impact of event scale : A measure of subjective stress" 41 : 209-218, 1979

37 Steyvers M, "Frequency-dependent effects of muscle tendon vibration on corticospinal excitability : A TMS study" 151 (151): 9-14, 2003

38 Koval KJ, "Evaluation and treatment" 10 (10): 101-108, 1997

39 Pantaleo T, "Effects of vi bratory stimulation on muscular pain threshold and blink response in human subjects" 24 (24): 239-250, 1986

40 Lee JH, "Effect of the instrument assisted soft tissue mobilization and static stretching on the range of motion and plantar foot pressure of an ankle joint" 23 (23): 27-32, 2017

41 American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders, 4th ed"

42 Gwinner C, "Current concepts review : Fractures of the patella" 8 (8): Doc01-, 2016

43 Nosaka K, "Concentric or eccentric training effect on eccentric exercise-induced muscle damage" 34 (34): 63-69, 2002

44 Maddalozzo GF, "Comparison of 2 multimodal interventions with and without whole body vibration therapy plus traction on pain and disability in patients with nonspecific chronic low back pain" 15 (15): 243-251, 2016

45 Farrar JT, "Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale" 94 (94): 149-158, 2001

46 Brukner P, "Clinical Sports Medicine" McGraw-Hill 626-683, 2011

47 Melham TJ, "Chronic ankle pain and fibrosis successfully treated with a new noninvasive augmented soft tissue mobilization technique(ASTM) : A case report" 30 (30): 801-804, 1998

48 Scapinelli R., "Blood supply of the human patella. Its relation to ischaemic necrosis after fracture" 49 (49): 563-570, 1967

49 Gupta Vinay, "Bilateral traumatic patellar fracture : A case report and review of literature" 15 (15): 188-191, 2012

50 Wilson JP, "Assessing psychological trauma and PTSD" The Guilford Press 399-411, 1997

51 Noma T, "Anti-spastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients : A proof-of-principle study" 44 (44): 325-330, 2012

52 Hill GN, "Anterior cruciate ligament reconstruction : The short-term recovery using the knee injury and osteoarthritis outcome score(KOOS)" 21 (21): 1889-1894, 2013

53 Yi SM, "A study of reliability and validity on the Korean version of impact of event scale" 38 (38): 501-513, 1999

54 Frank JB, "A randomized clinical trial of phenelzine and imipramine for post-traumatic stress disorder" 145 (145): 1289-1291, 1998

55 Lohman EB, "A comparison of whole body vibration and moist heat on lower extremity skin temperature and skin blood flow in healthy older individuals" 18 (18): 415-424, 2012

56 Christopher G, "2017 Blackroll Summit Workbook" Blackroll 2017