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고관절염과 근 긴장을 동반한 강직성 척추염의 빠른 기능 회복

Other Titles
 Rapid Functional Enhancement of Ankylosing Spondylitis with Severe Hip Joint Arthritis and Muscle Strain 
Authors
 황상원  ;  임상희  ;  신지철  ;  박진영 
Citation
 Clinical Pain (대한임상통증학회지), Vol.18(2) : 121-125, 2019-12 
Journal Title
 Clinical Pain (대한임상통증학회지) 
ISSN
 1598-5490 
Issue Date
2019-12
Keywords
Ankylosing spondylitis ; Muscle relaxation ; Multimodal treatment
Abstract
Arthritis of hip joints deteriorates the quality of life in ankylosing spondylitis (AS) patients. Secondary to the articular inflammatory process, the shortened hip-girdle muscles contribute to the decreased joint mobility which may lead to the functional impairment. As the limitation of range of motion (ROM) usually progress slowly, clinicians regard it as a chronic condition and prescribe long-term therapy. However, by short-term intensive multimodal treatment, a 20-year-old man diagnosed as AS with severely limited hip joint ROM who relied on crutches doubled the joint angle and could walk independently only within 2 weeks. The combination included intra-articular steroid injection, electrical twitch obtaining intramuscular stimulation, extracorporeal shock wave therapy, heat, manual therapy, and stretching exercises. The management focused on the relaxation of hip-girdle muscles as well as the direct control of intra-articular inflammation. Hereby, we emphasize the effectiveness of intensive multimodal treatment in improving the function even within a short period.
DOI
10.35827/cp.2019.18.2.121
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Park, Jinyoung(박진영) ORCID logo https://orcid.org/0000-0003-4042-9779
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/178391
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