J Korean Phys Ther.  2021 Jun;33(3):168-177. 10.18857/jkpt.2021.33.3.168.

Intervention Strategy Applied ICF Checklists for Sitting Cross-Legged in Patient with Multiple Ligament Knee Injury: Single Subject Study

• Kim CY
• Kwon JW

• KMID: 2519964
• DOI: http://doi.org/10.18857/jkpt.2021.33.3.168

Abstract

Purpose
This study applies the ICF to identify the patient’s body function, structure, and participation, evaluates the patient’s environmental factors and individual factors, and is a high level of movement to return to the society of patients with multiple ligament injury of the knee joint.
Methods
Progressive strength training and ROM exercise were performed 30 minutes a day, 5 times a week for 6 weeks. The evaluation was performed by examining the ROM, length, MMT, instability, dynamic balance, pain and depression.
Results
The ROM of the knee joint was improved from 110° to 135° after intervention, and the knee flexion length decreased from 69 cm to 45 cm. Knee flexor is Good after intervention from Poor-, and knee extensor is Good+ after intervention from Poor, and the plantar flexor of the ankle joint improved from Poor- before intervention to Good after intervention and dorsi-flexor of the ankle joint improve to Good from Poor. Pain index was moderate before and after the intervention, with a score of 3, 2 after the intervention, and when maintaining the sitting cross-legged, the before intervention score was 7 to 4 after the intervention.
Conclusion
The patient’s posture of sitting cross-legged was maintained from 30 seconds before intervention to 14 minutes after intervention. These results were able to set the hypothesis design, intervention method and goal that the multifaceted approach of environment and individual factors as well as body function and structure area, activity and participation area using ICF checklists, it is helped the patient to return to daily life.

Keyword

ICF; Sitting cross-legged; Multiple ligament injury