Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effect of Physiotherapeutic Intervention Using TECAR Therapy on Pain Self-Awareness and Hip Joint Function in Hip Impingement Syndrome: A Case Study

  • Received : 2021.06.13
  • Accepted : 2021.08.03
  • Published : 2021.08.31
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Abstract

PURPOSE: The current case study focuses on identifying the effects of the independent application of TECAR therapy and physiotherapeutic intervention using TECAR therapy on pain self-awareness and hip joint function in patients with hip impingement syndrome caused by nonstructural changes. Subjects: The research subject was a 34-year-old woman struggling with acute pain in her left hip, difficulty in actively moving the hip, and a problem in its overall function. METHODS: The subject's pain awareness and hip joint function were measured using a Visual Analog Scale (VAS) and passive range of motion (PROM), respectively. The experimental intervention was carried out in 24 sessions of 16 minutes each, three times a week, for eight weeks. RESULTS: The VAS score decreased to 0 cm on the post-test from 4.3 cm, 6.5 cm, and 7.2 cm in the pre-test at the rest, standing, and gait positions, respectively. The index of PROM measured hip joint flexion, extension, abduction, adduction, internal rotation, external rotation, and passive straight leg raise. The values increased to 122.5°, 24.5°, 78°, 33°, 65°, 42°, and 96.5° in the post-test compared to 88.5°, 15°, 39°, 21.5°, 23°, 22°, and 46.5° in the pre-test, respectively. CONCLUSION: TECAR therapy and physiotherapeutic intervention using TECAR can help reduce pain and enhance the hip joint function in patients with hip impingement syndrome.

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References

  1. Ito K, Leunig M, Ganz R. Histopathologic features of the acetabular labrum in femoroacetabular impingement. Clin Orthop Relat Res. 2004;429:262-71. https://doi.org/10.1097/01.blo.0000144861.11193.17
  2. Beck M, Kalhor M, Leunig M, et al. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005;87:1012-18.
  3. Cobb J, Logishetty K, Davda K, et al. Cams and pincer impingement are distinct, not mixed: the acetabular pathomorphology of femoroacetabular impingement. Clin Orthop Relat Res. 2010;468:2143-51. https://doi.org/10.1007/s11999-010-1347-z
  4. Kim CH, Park JI, Choi YH, et al. Femoroacetabular Impingement Syndrome. J Korean Orthop Assoc. 2017;52:467-75. https://doi.org/10.4055/jkoa.2017.52.6.467
  5. Grant C, Pajaczkowski J. Conservative management of femoral anterior glide syndrome: a case series. J Can Chiropr Assoc. 2018;62:182-92.
  6. Beall DP, Sweet CF, Martin HD, et al. Imaging findings of femoroacetabular impingement syndrome. Skeletal Radiol. 2005;34:691-701. https://doi.org/10.1007/s00256-005-0932-9
  7. Sahin N, Atici T, Ozturk A, et al. Prevalence of femoroacetabular impingement in asymptomatic contralateral hips in patients with unilateral idiopathic osteoarthritis. J Int Med Res.2011;39:790-97. https://doi.org/10.1177/147323001103900311
  8. Clohisy JC, McClure JT. Treatment of anterior femoroacetabular impingement with combined hip arthroscopy and limited anterior decompression. Iowa Orthop J. 2005;25:164-71.
  9. Lavigne M, Parvizi J, Beck M, et al. Anterior femoroacetabular impingement: part I. Techniques of joint preserving surgery. Clin Orthop Relat Res. 2004;418:61-6. https://doi.org/10.1097/00003086-200401000-00011
  10. Crawford JR, Villar RN. Current concepts in the management of femoroacetabular impingement. J Bone Joint Surg Br. 2005;87:1459-62. https://doi.org/10.1302/0301-620X.87B11.16821
  11. Wisniewski SJ, Grogg B. Femoroacetabular impingement: an overlooked cause of hip pain. Am J Phys Med Rehabil. 2006;85:546-9. https://doi.org/10.1097/01.phm.0000219148.00549.e8
  12. Hart ES, Metkar US, Rebello GN, et al. Femoroacetabular impingement in adolescents and young adults. Orthop Nurs. 2009;28:117-24. https://doi.org/10.1097/NOR.0b013e3181a46a1c
  13. Emara K, Samir W, Motasem EH, et al. Conservative treatment for mild femoroacetabular impingement. J Orthop Surg(Hong Kong). 2011;19:41-5. https://doi.org/10.1177/230949901101900109
  14. Guanche CA, Bare AA. Arthroscopic treatment of femoroacetabular impingement. Arthroscopy. 2006;22:95-106. https://doi.org/10.1016/j.arthro.2005.10.018
  15. Kim HS, Lee CH, Jeon JY, et al. A case report on a patient with lumbar HIVD(Herniated Intervertebral Disc) and femoroacetabular impingement, treated by bee venom pharmacopuncture and conservative oriental medical treatment. JKCMSN. 2014;9:81-92.
  16. Jeon CH, Kim SJ, Lee JW, et al. The effectiveness of ultrasound-guided steroid injection for femoroacetabular impingement: A comparison between the extra-articular and intra-articular approaches. J Korean Soc Radiol. 2013;68:237-43. https://doi.org/10.3348/jksr.2013.68.3.237
  17. Kim PS, Hwang DS, Kang C, et al. Arthroscopic Treatment of Femoroacetabular Impingement in Young Taekwondo Players. J Korean Orthop Assoc. 2011;46:303-11. https://doi.org/10.4055/jkoa.2011.46.4.303
  18. Kim EC, Hwang DS, Kang C, et al. Recovery of Limitation of Motion in Secondary Osteoarthritis of the Hip Using Arthroscopy. Hip Pelvis. 2013;25:121-6. https://doi.org/10.5371/hp.2013.25.2.121
  19. Bennell KL, O'Donnell JM, Takla A, et al. Efficacy of a physiotherapy rehabilitation program for individuals undergoing arthroscopic management of femoroacetabular impingement-the FAIR trial: a randomised controlled trial protocol. BMC Musculoskelet Disord. 2014;15:58. https://doi.org/10.1186/1471-2474-15-58
  20. Calibet, J. Tratado de la transferencia electrica capacitiva. Barcellona: Doyma. 1992.
  21. Kim JH, Park JH, Yoon HB, at al. Immediate Effects of High-frequency Diathermy on Muscle Architecture and Flexibility in Subjects With Gastrocnemius Tightness. Phys Ther Korea. 2020;27:133-9. https://doi.org/10.12674/ptk.2020.27.2.133
  22. Park SE, Lee HR, Park SJ. The Effect of Corrective Exercise and TECAR therapy on neck alignments and pain in Forward Head Posture Patients. Journal of Digital Convergence. 2018;16:543-51.
  23. Kwon K, Kim CM, Park SJ. The Effect of Diathermy Treatment through Physiotherapist's Hand on the Pain and Disability Index in Chronic Lumbar Pain Patients. Journal of the Korea Convergence Society. 2018;9:289-94.
  24. Lee WJ, Yoon YS, Kim JH, et al. Clinical study on 1 case of cervical dystonia treated by Korean medicine and transfer energy capacitive and resistive (TECAR) therapy. J Korean Med Rehabi. 2019;29:109-15. https://doi.org/10.18325/jkmr.2019.29.4.109
  25. Kim JS, Oh DW. Effects of high-frequency current therapy on abdominal obesity in young women: a randomized controlled trial. J Phys Ther Sci. 2015; 27:31-3. https://doi.org/10.1589/jpts.27.31
  26. Prouza O, Gonzalez AC. Targeted radiofrequency therapy for training induced muscle fatigue-effective or not. Int J Physiother. 2016;3:707-10.
  27. Klaue K, Durnin CW, Ganz R. The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg Br. 1991;73:423-9. https://doi.org/10.1302/0301-620X.73B3.1670443
  28. Beck M, Kalhor M, Leunig M, et al. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005;87:1012-18.
  29. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001;8:1153-57. https://doi.org/10.1111/j.1553-2712.2001.tb01132.x
  30. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14:409-15.
  31. Norkin CC, White DJ. Measurement of Joint Motion: a Guide to Goniometry. 4th ed., Philadelphia, PA: F. A. David Company, 2009.
  32. Nussbaumer S, Leunig M, Glatthorn JF, et al. Validity and test-retest reliability of manual goniometers for measuring passive hip range of motion in femoroacetabular impingement patients. BMC Musculoskelet Disord. 2010;11:194. https://doi.org/10.1186/1471-2474-11-194
  33. Sahrmann S: Diagnosis and Treatment of Movement Impairments Syndromes. St. Louis: Mosby Inc, 2002.
  34. Ribeiro S, Henriques B, Cardoso R. The effectiveness of tecar therapy in musculoskeletal disorders. International Journal of Public Health and Health Systems. 2018;3:77-83.
  35. Tannast M, Siebenrock KA, Anderson SE. Femoroacetabular impingement: radiographic diagnosis- what the radiologist should know. AJR Am J Roentgenol. 2007;188: 1540-52. https://doi.org/10.2214/AJR.06.0921
  36. Lee JB, Hwang DS, Kang C, et al. Arthroscopic management of femoroacetabular impingement in early osteoarthritis of the hip: 2 to 5 Year Results. J Korean Orthop Assoc. 2010;45:188-97. https://doi.org/10.4055/jkoa.2010.45.3.188
  37. Ganzit GP, Stefanini, L, Stesina G: Tecar® therapy in the treatment of acute and chronic pathologies in sports. FMSI(Italian Sports Medicine Federation) -CONI Institute of Sports Medicine, Torino, 2000.
  38. Takahashi K, Suyama T, Onodera M, et al. Clinical effects of capacitive electric transfer hyperthermia therapy for lumbago. J Phys Ther Sci. 1999;11:45-51. https://doi.org/10.1589/jpts.11.45
  39. Jang JH, Doh EJ, Kim KW. A study on the influence of high-frequency therapy and swedish massage up on the alleviation of trapezius muscle pain and stress. Kor J Aesthet Cosmetol. 2009;7:121-30.