CAJ | 학술논문

目的：研究神经肌肉关节促进技术（ NJF）直接应用在膝关节功能障碍康复中的临床效果。方法：非运动员单侧膝关节功能障碍患者45例，随机分为实验组、对照组1和对照组2三组，每组各15人，均进行常规治疗。实验组增加NJF治疗，对照组1增加关节松动术和本体感觉神经肌肉促进法（ PNF），对照组2增加关节松动术。并分别在4周、8周、12周进行膝关节主/被动角度、疼痛目测类比评分法（ VAS）、Lysholm膝关节功能评分对比研究。结果：组内对比，实验组相邻时间点的VAS评定对比有统计学意义（P＜0．01），除8周和12周时间点对比无统计学意义（P＞0．05）外，主/被活动度、Lysholm评定其他相邻时间点对比有统计学意义（P＜0．05，AROM/PROM，P＜0．01，Lysholm）。组间对比：（1）主/被动活动度，实验组与对照组1对比4、8周主动活动度和4周被动活动度有统计学意义（P＜0．05），12周主动活动和8、12周被动活动度无统计学意义（P＞0．05），实验组、对照组1分别与对照组2对比4、8周有统计学意义（P＜0．05）。（2）VAS评分，4周时实验组分别与对照组1、对照组2对比无统计学意义（P＞0．05），8、12周时有统计学意义（P＜0．01，8周，P＜0．05，12周）。（3）Lysholm评定，4、8周时，实验组与对照组1对比有统计学意义（P＜0．05），12周时无统计学意义（P＞0．05）；与对照组2对比各时间点都有统计学意义（P＜0．01）。与对照组2对比各周期都有统计学意义（P＜0．01）。结论：NJF在膝关节功能障碍康复的短、中、长周期中，对关节活动度的改善、疼痛的缓解和功能活动能力的提高起到了促进作用。
목적：연구신경기육관절촉진기술（ NJF）직접응용재슬관절공능장애강복중적림상효과。방법：비운동원단측슬관절공능장애환자45례，수궤분위실험조、대조조1화대조조2삼조，매조각15인，균진행상규치료。실험조증가NJF치료，대조조1증가관절송동술화본체감각신경기육촉진법（ PNF），대조조2증가관절송동술。병분별재4주、8주、12주진행슬관절주/피동각도、동통목측류비평분법（ VAS）、Lysholm슬관절공능평분대비연구。결과：조내대비，실험조상린시간점적VAS평정대비유통계학의의（P＜0．01），제8주화12주시간점대비무통계학의의（P＞0．05）외，주/피활동도、Lysholm평정기타상린시간점대비유통계학의의（P＜0．05，AROM/PROM，P＜0．01，Lysholm）。조간대비：（1）주/피동활동도，실험조여대조조1대비4、8주주동활동도화4주피동활동도유통계학의의（P＜0．05），12주주동활동화8、12주피동활동도무통계학의의（P＞0．05），실험조、대조조1분별여대조조2대비4、8주유통계학의의（P＜0．05）。（2）VAS평분，4주시실험조분별여대조조1、대조조2대비무통계학의의（P＞0．05），8、12주시유통계학의의（P＜0．01，8주，P＜0．05，12주）。（3）Lysholm평정，4、8주시，실험조여대조조1대비유통계학의의（P＜0．05），12주시무통계학의의（P＞0．05）；여대조조2대비각시간점도유통계학의의（P＜0．01）。여대조조2대비각주기도유통계학의의（P＜0．01）。결론：NJF재슬관절공능장애강복적단、중、장주기중，대관절활동도적개선、동통적완해화공능활동능력적제고기도료촉진작용。
Objective:To Study the effects of neuromuscular joint facilitation ( NJF) on the knee joint dysfunction .Methods:45 non-athletes patients with knee joint dysfunction in single knee were divided randomly into experimental group , the control group1 and group2 (15 cases in each group ) , all were performed routine therapy .The experimental group was performed NJF .The control group1 was performed the mobilization and the proprioceptive neuromuscular facilitation (PNF).The control group2 was performed the mobiliza-tion.All were assessed with AROM/PROM, visual analogue scale (VAS) and Lysholm knee score in the 4th, 8th and 12th week respec-tively.Results:In experimental group , comparison among adjacent time points assessment on VAS had statistical significance ( P<0. 01).Except comparison between 8th and 12th week, AROM/PROM and Lysholm in other adjacent time points had statistical significance (P<0.05 on AROM/PROM, P <0.01 on Lysholm).Component comparison: ①Between experimental group and control group 1, AROM in 4th and 8th week and PROM in 4th week had statistical significance (P<0.05).AROM/PROM of experimental group and control group1 in 4th and 8th week had significantly different compared with group 2 (P<0.05).②VAS of experimental group in 8th and 12th week compared with other groups had significantly different (P<0.05 in 8th week,P<0.01 in 12th week).③Lysholm of experi-mental group had significantly difference , in the 4th and 8th week compared with the control group 1 and in all time point compared with the control group2 (P<0.05 in group1, P<0.01in group2).Implication:In each treatment cycle, the NJF promoted ROM, pain relief and functional motion .