The Effects of Tai Chi Exercise on Physical Function, Stress and Depression in Middle Aged Women with Osteoarthritis

태극권 운동이 골관절염 중년여성의 신체기능, 스트레스 및 우울에 미치는 효과

  • Received : 2010.02.08
  • Accepted : 2010.04.29
  • Published : 2010.05.31

Abstract

Purpose: The purpose of this study was to identify the effects of 12 weeks of Tai Chi exercise on physical function, stress and depression in middle aged women with osteoarthritis. Method: The research design was a nonequivalent control group pretest-posttest design. Forty two participants were assigned to either the experimental group (21) or control group (21). Frequency, percentages, mean, standard deviations, $X^2$-test, Wilcoxon rank sum test and repeated measured ANOVA with SPSS 12.0/PC program were used to analyzed the collected data. Results: For physical function the physical fitness of the experimental group improved significantly more than the control group: Leg strength, balance, flexibility and grip strength. Difficulty of performing activity had a tendency of decrease. Stress showed a tendency of as time passed but the decrease was not significant. Depression decreased and the change was significant. Conclusion: The Tai Chi exercise was effective in improving physical function and reducing the stress and depression of middle aged women with osteoarthritis. Therefore the Tai Chi exercise could be used as a nursing intervention for osteoarthritis in middle aged women.

Keywords

References

  1. Bae, S. C., Lee, H. S., Yun, H. R., Kim, T. H., Yoo, D. H., & Kim, S. Y. (2001). Cross-cultural adaptation and validation of Korean western ontario and McMaster Universities (WOMAC) and Lequesne osteoarthritis indices for clinical research. Osteoarthritis and Cartilage, 9, 746-750. https://doi.org/10.1053/joca.2001.0471
  2. Baek, M. W. (2003). Effects of Tai Chi exercise program on physical function, pain, depression and immunologic response In the osteoarthritis patient. Journal of Rheumatology Health, 10(1), 97.
  3. Baek, M. W. (2005). A study on effects of Tai-Chi exercise program on pain, flexibility, perceived health status and instrumental activities of daily living for osteoarthritis patients. Journal of Rheumatology Health, 12(2), 119-131.
  4. Bellamy, N., Buchanan, W. W., Goldsmith, C. H., Campbell, J., & Stitt, L. W. (1988). Validation study of WOMAC: a health status instrument for measuring clinically important patients relevant outcomes to antirheumatic drug therapy in patient with osteoarthritis of the hip or knee. Journal of Rheumatology, 15(12), 1833-1840.
  5. Bookman, A. A. M., Williams, K. S. A., & Shainhouse, J. Z. (2004). Effect of a topical diclofenac solution for relieving symptoms of primary osteoarthritis of the knee: A randomized controlled trial, Canadian Medical Association Journal, 171(4), 333-338. https://doi.org/10.1503/cmaj.1031793
  6. Bromberger, J. T., & Matthews, K. A. (1996). A longitudinal study of the effects of pessimism, trait anxiety and life stress on depressive symptoms in middle-aged women. Psychology and Aging, 11(2), 207-13.
  7. Choi, J. H., Moon, J. S., & Sohng, K. Y. (2003). The effects of Tai Chi exercise on physiologic, psychological functions, and falls among fall-prone elderly. Journal of Rheumatology Health, 10(1), 62-76.
  8. Choi, M. K., Won, D. R., Kim, Y. J, Choi, M. O., Lim, N. Y., & Song, J. H. (2007). The evaluation of Tai-Chi self-help program for osteoarthritis patients. Journal of Muscle and Joint Health, 14(1), 42-51.
  9. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New Jersey:Lawrence Erlbaum Associates. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396.
  10. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396. https://doi.org/10.2307/2136404
  11. Dekker, J., Boot, B., Van der Woude, L. R. V., & Bijlsma, J. W. J. (1992). Pain and disability in osteoarthritis: A review of biobehavioral mechanisms. Journal of Behavioral Medicine, 15(2), 189-214. https://doi.org/10.1007/BF00848325
  12. Jeon, Y. S. (2006). The effects of Taegeuk health gigong on physiological and psychological states for women with abdominal obesity. Unpublished doctoral dissertation, Pusan National University, Pusan.
  13. Jones, C., J., Rikli, R. E., & Beam, W. C. (1999). A 30-S chair-stand test as a measure of lower body strength in community-residing older adults, Research Quarterly for Exercise and Sport, 70, 113-119. https://doi.org/10.1080/02701367.1999.10608028
  14. Kim, M. J., Nam, E. S., & Paik, S. I. (2005). The effects of aromatherapy on pain, depression, and life satisfaction of arthritis patients. Journal of Korean Academy of Nursing, 35(1), 186-194.
  15. Lam, P. (2000). How does Tai Chi improve health and rthritis? ( www.tachiproductions.com ).
  16. Lam, P. (2006). Teaching Tai Chi Effectively. Australia: Tai Chi Productions.
  17. Lan, C., Lai, J. S., Chen, S. Y., & Wong, M. K. (2000). Tai Chi Chuan to improve muscular strength and endurance in elderly individuals: A pilot study. Archives of Physical Medicine and Rehabilitation, 81(5), 604-607. https://doi.org/10.1016/S0003-9993(00)90042-X
  18. Lee, E. H., Lee, K. S., So, A. Y., Choi, J. S., Lee, I. O., & Lee, J. D. (2007). Effect of self-help Tai Chi for arthritis on the quality of life, health perception, joint flexibility, grasping power, and balance. Journal of Muscle and Joint Health, 14(2), 127-136.
  19. Lee, E. N. (2005). Effects of a Tai-Chi program on pain, sleep disturbance, mood and fatigue in rheumatoid arthritis patients. Journal of Rheumatology Health, 12(1), 57-68.
  20. Lee, H, Y. (2005). Comparison of effects among Tai-Chi exercise, aquatic exercise, and self-help management program for patients with knee osteoarthritis. Unpublished doctoral dissertation, Seoul National University, Seoul.
  21. Lee, H. Y., & Suh, M. J. (2003). The effect of Tai-Chi for arthritis (TCA) program in osteoarthritis and rheumatoid arthritis patients. Journal of Rheumatology Health, 10(2), 188-202
  22. Lee, K. Y., & Jeong, O. Y. (2006). The effect of Tai Chi movement in patients with rheumatoid arthritis. Journal of Korean Academy of Nursing, 36(2), 278-285.
  23. Paik, S. I., & Sohng, K, Y. (2003). The effect of selfmanagement course on pain, flexibility of lumbar spine, uncertainty and self-efficacy in patients with ankylosing spondylitis. Journal of Rheumatology Health, 10(2), 156-166.
  24. Park, Y. J., & Park, I. H. (2006). Effect of Tai Chi exercise on fatigue, stress, and quality of life in middle aged women. Journal of Rheumatology Health, 13(1), 20-30.
  25. Radloff, L. S. (1977). The CES-D scale; A self-report depression scale for research in the general popUlation. Applied Psychological Measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306
  26. Shin, K. R. (2001). Depression among Korean women. Journal of Korean Academy of Nursing, 31(3), 391-400.
  27. Sok, S. R., & Kim, K. B. (2007). Effects of muscle electric stimulation on chronic knee pain, activities of daily living, and living satisfaction for Korean elderly women. Journal of Korean Academy of Nursing, 37(3), 305-312.
  28. Song, R. Y., Lee, E. O., Lam, P., & Bae, S. C. (2003). Effects of Tai Chi exercise on pain, balance, muscle strength, and perceived difficulties in physical functioning in older women with osteoarthritis; A randomized clinical trial. Journal of Rheumatology Health, 30(9), 2039-2044.
  29. Song, R. Y., Lee, E. O., Lam, P., & Bae, S. C. (2007). Effects of sun-style Tai Chi exercise on arthritic symptoms, motivation and the performance of health behaviors in women with osteoarthritis. Journal of Korean Academy of Nursing, 37(2), 249-256.
  30. Song, R. Y., Lee, E. O., & Lee, I. O. (2002). Pre-test comparisons on physical symptoms, balance, muscle strength, physical functioning, and depression in women with osteoarthritis after 12-week Tai Chi exercise. Journal of Rheumatology Health, 9(1), 28-39.