고출력 레이저 치료(HILT) 단독 적용이 반월상 연골판 파열 환자의 통증과 기능에 미치는 영향 : 단일사례 파일럿 연구
Effects of High-Intensity Laser Therapy (HILT) as a Single Intervention on Pain and Function in Patient with Meniscus Tear : A Single-Case Pilot Study
Purpose: This study examined the effects of high-intensity laser therapy (HILT) as a monotherapy on pain, knee function, and Borg Rating of Perceived Exertion (RPE) scores in a patient diagnosed with a meniscus tear Methods: A 64-year-old male patient was diagnosed with a meniscus tear, and a single-case A-B-A’ study design was applied. The study was conducted for six weeks and consisted of three phases: a one-week baseline phase (Phase A), a two-week intervention phase (Phase B), and a three-week follow-up phase (Phase A’). In the follow-up phase, after two weeks of observation, the final assessments were conducted during the last week. In the intervention phase, HILT was applied around the joint line of the affected knee three times per week (six times in total). The outcome measures included the Visual Analogue Scale (VAS), pressure pain threshold (PPT), Knee Injury and Osteoarthritis Outcome Score (KOOS), and Borg Rating of Perceived Exertion (Borg RPE) scale. Results: Positive improvements were noted in all the outcome measures after HILT application. The VAS score was decreased by 5.5 points during movement and by 6.0 points in the standing position compared with the baseline, indicating significant pain relief. The PPT values increased at all measurement sites, with the most significant improvement observed in the quadriceps femoris muscle. The knee function was improved across all KOOS subdomains. In particular, the Quality of Life (QoL) showed the most significant change with a score of 18.7 points. The Borg RPE level decreased significantly from Borg 6 (‘Very hard’) at the baseline to Borg 1 (‘Very light’) post-intervention. In the follow-up phase (A’), although a regression pattern was observed in some outcome measures, significant improvements compared to the baseline were maintained, indicating the sustained effects of the intervention. Conclusion: HILT applied to a patient with a meniscus tear was effective in reducing pain and improving knee function. The therapeutic effects were maintained even after the intervention ended. Therefore, HILT can be used in clinical practice as a non-invasive conservative treatment for patients with meniscus tears.
목차
ABSTRACT Ⅰ. 서론 Ⅱ. 연구방법 1. 연구 대상자 2. 연구 절차 3 중재방법 4. 평가 도구 5. 분석 방법 Ⅲ. 연구결과 1. 연구 대상자의 일반적인 특성 2. 연구 결과 Ⅳ. 고찰 Ⅴ. 결론 참고문헌
대한정형도수물리치료학회 [Korean Academy of Orthopedic Manual Therapy]
설립연도
1992
분야
의약학>물리치료학
소개
대한정형물리치료학회는 대한물리치료사학회 정형물리치료 분과학회로서 정형물리치료학 분야의 연구및 학문발전에 목적을 가지고 있습니다.
본 학회에서는 다음과 같은 사업을 주관하고 있습니다.
첫째. 정형물리치료 분야 및 관련분야의 연구가 이루어지고 있으며,
둘째. 정형물리치료 연수위원회 운영 및 교육프로그램을 개발하고,
셋째. 학술대회 및 세미나를 개최하며,
넷째. 학회지 및 관련 도서를 발간 하고 있으며,
다섯째. 국제 및 국내 유관단체와 학술교류를 담당하고 있습니다.
간행물
간행물명
대한정형도수물리치료학회지 [The Journal of Korean Academy of Orthopedic Manual Physical Therapy]