• Journal of muscle and joint health
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• v.9 no.2
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• pp.177-186
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• 2002

The purpose of this study was examine the effect of self-exercise on patients with chronic arthritis. This study was performed from 1999 to 2001 with 107 subjects. Pain, Fatigue, Flexibility and Health status were measured. Data were analysed by SPSSWIN 10. 0 Package program, frequency, independent t-test and One Way ANOVA. The results were as follows : Of the 107 patients who were sutdied, mean age was 62 years and most of common disease were osteoarthritis. 67.4%was doing self-exercise and self-exercise consisted of 17 types of exercise. Fatigue was statistically different by disease type, duration of disease, education respectively. And fatigue, left shoulder flexibility were significantly different by duration of disease. There weren't significant differences between patient with self-exercise and patient without self-exercise on pain fatigue, flexibility and halth status. These findings confirms that self-exercise do not effective in increasing health improvement for the patients with osteoarthritis. From results of this study indicate that patients with arthritis should have taken systematic exercise such as the self-help education program aquatic exercise program for arthritis patient.

• Journal of muscle and joint health
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• v.1 no.1
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• pp.1-30
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• 1994

Rheumatoid arthritis is a chronic systematic disease with unpredictable course of exacerbation and remission, characterized by pain, joint deformity and reduced activity by joint limitation. The growing public awareness of the need for health management of chronic illnesses, provides impetus for nursing to demonstrate social effectiveness by active nursing intervention in this vast area in general, and with rheumatoid condition in particular. However, nursing interventions to date have not demonstrated its active participation in the management of chronic conditions. Nursing intervention for the patients having rheumatoid arthritis is one such area that needs to be studied intensively and to demonstrate their effectiveness empirically. The purposes of this study were two fold : first, to develop a comprehensive program that was intensified with therapeutic joint exercises in water, self-help group activities and utilization of self-efficacy promoting strategies : and secondly, to determine the effect of aquatic exercise program on pain, physiological changes and quality of life in the rheumatoid arthritis patients. Thirty five female subjects participating in this study were selected from outpatients in the Rheumatism Center, Hanyang University hospital. The period of data collection was from December, 1992 to March, 1993 in seoul and Taejeon. Subjects in Taejeon were assigned to the experimental group. The comprehensive aquatic exercise program for the experimental group was carried out three times a week for 6 weeks in regular swimming pool. Subjects in Seoul did not participated in the program, and treated as the control group. Data were analyzed with repeated measure MANCOVA, t-test, ANCOVA, percentage of change, Kruskal-Wallis 1-Way ANOVA using SPSS $PC^+$ program. Results were obtained as follows : 1) Scores on Korean pain scale, Numeric pain score, and RAI score of the experimental group were significantly lower than those of the control group (t=2.11, p=0.022 ; F=4.40, p=0.044 : t=3.10, p=0.002). 2) There was significant improvement in the physiological parameters (higher joint movement parameters, F=15.64, p=0.024 ; higher lean body mass, percentage of change=+12.2, lower body weight, t=1.01, p=0.026 : lower ESR, t=1.69, p=0.001) in the experimental group compaired with subjects In the control group. 3) There was significant improvement in the specific self-efficacy score through the comprehensive aquatic exercise program(t=2.73, p=0.011), but not in the general self- efficacy score(t=0.62, p=0.113). 4) The quality of life failed to show significant improvement in the experimental group as compaired with the control group (F=3.69, p=0.064). 5) In the experimental group, findings from additional analysis showed no significant difference in the specific self-efficacy between those who continued to aquatic exercise after completing 6 week program and those who stopped (X2=0.086, p=0.690). Therefore, adherence to aquatic exercise program for 6 weeks seem to be affected mainly by self-help group activities. An indepth study to delve into articulation of mechanisms affecting the effect of aquatic exercise program be recommended. A further study is necessary to determine the difference in the effect of group and individual aquatic exercise program, to assess factors affecting adherence to exercise for an extended length of time.

• Journal of Korean Public Health Nursing
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• v.18 no.1
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• pp.167-177
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• 2004

This study was performed to explore the effects of aqua-exercise program on back pain, flexibility. time of exercise and self-efficacy in the women with chronic back pain. The design of this study was a equivalent pre-post test experiment. The subjects consisted of 31 women living in seoul. They underwent tests of back pain. flexibility. time of exercise and self-efficacy as baseline data before aqua-exercise program. The aquatic exercise was based on the Back hab and was consists of 60minutes session, 2 times a week for 5 weeks. Data were analyzed with percentage, mean, standard deviation, t-test and pearson correlation coefficient using SAS program. The results were as follows. 1. The back pain has significantly decreased after aqua-exercise program. 2. The dorsal flexibility has significantly increased after aqua-exercise program. 3. The time of exercise has significantly increased after aqua-exercise program. 3. The Self-efficacy has significantly increased after aqua-exercise program. The findings showed the aqua-exercise program could be effective in decreasing the back pain and effective in increasing the flexibility, time of exercise and self-efficacy. It can be suggested the aqua-exercise is effective in the health promotion of the women with chronic back pain.

• Journal of The Korean Society of Integrative Medicine
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• v.6 no.2
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• pp.1-16
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• 2018

Purpose : This meta-analysis was aimed at guiding future research in stroke treatment and to provide real-world data relating to the effects of aquatic exercise therapy on balance in patients with chronic stroke. Methods : We performed a meta-analysis comprising 22 studies involving aquatic exercise therapy performed between 2006 and 2017. A meta-analysis software program was used to calculate the mean effect size, effect size by intervention, and effect size by outcome. We also performed a meta-regression analysis and an analysis of publishing bias. Results : The mean effect size was 0.563. The effect size by outcome was observed to be the largest for the functional reach test, followed by the Berg balance scale, balance equipment, the Timed Up and Go test and one leg standing. Meta-regression analysis showed that effect size increased with an increase in the duration, number, length of exercise session. Conclusion : Aquatic exercise therapy appears to show a moderate effect on balance in patients with chronic stroke. A meta-analysis is warranted for further research to determine the effects of aquatic exercise on walking, muscle strength, and range of motion.

• Journal of muscle and joint health
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• v.12 no.2
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• pp.155-165
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• 2005

Arthritis is one of the most common chronic degenerative joint disease in elderly. Osteoarthritis is a widespread, slowly developing disease, with a high prevalence increasing with age in women. The large joints mostly involved by the disease are the knees. But there are no treatments available that cure the underlying process of osteoarthritis diseases. Physical exercise helps in increasing cartilage nutrition and remodeling, increases the synovial blood flow, decrease swelling, and improves muscle strength. Thus, exercise has been suggested as an important nursing strategy in osteoarthritis. Purpose: The purpose of this study were to compare muscle strength between Tai-Chi exercise and aquatic exercise for women with knee osteoarthritis. Methods: A quasi-experimental study with pretest and posttest measures was used. The study subjects were those who had been enrolled in a community health center, and agreed to participate in the study for eight weeks, signed the consent form, and obtained the physicians approval. The study dropout rates were 13.2% with the final study subjects of 17 on Tai-Chi exercise, 16 on aquatic exercise program. The collected data were analyzed using SPSS for Window (version 12.0). Independent sample t-test and paired t-test was performed to compare of muscle strength for women with osteoarthritis after 8-week Tai-Chi exercise and aquatic Exercise. Results: The homogeneity tests of demographic characteristics and study variables at the pretest data revealed no significant differences between two groups. After 8-week Tai-Chi and aquatic exercise, there was significant result in pre-post test comparison on muscle strength on Tai-Chi group, but no significant in aquatic group. There were no significant differences of knee extensor (p=.078), and hand grip(p=.118) in group comparisons on muscle strengths. But there were significant differences of knee flexor(p=.024). Conclusion: Tai-chi exercise was effective in improving knee flexor. So, it seems that Tai-chi exercise may be more suitable for aquatic exercise in osteoarthritis exercise programs. Further studies with other comparisons in physical and psycho social outcomes are necessary to confirm the more effects of exercise.

• Research in Community and Public Health Nursing
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• v.20 no.1
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• pp.87-95
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• 2009

Purpose: The purpose of this study was to examine the effects of aquatic exercise on pain, fatigue, physical fitness, disability in ADL, and psychological variables in women with arthritis. Methods: With a quasi-experimental design, 46 women who has arthritis were assigned into an experimental group (n=23), or a control group (n=23). Data were analyzed with SPSS/WIN using descriptive statistics, t-test and ANCOVA. Results: The mean age of the subjects was 60.9 years in the experimental group and 59.8 years in the control group. The pretest scores of the outcome variables were similar between the two groups except fatigue and waist flexibility. After controlling fatigue and waist flexibility, the experimental group showed more improvement than the control group in Rt shoulder flexibility score (F=4.36, p=.04), sit-up score (F=32.34, p=.00), and muscle strength score (F=30.78, p=.00). The score of disability in ADL decreased in the experimental group (F=5.49, p=.02). The depression score decreased in the experimental group (F=12.01, p=.00), and self-efficacy was improved more than the other variables(F=8.88, p=.00). Conclusion: Aquatic exercise is likely to be an effective nursing intervention to improve physical fitness, to reduce pain, fatigue, and disability in ADL, and to enhance psychological functions in women with arthritis.

• Journal of muscle and joint health
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• v.3 no.1
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• pp.23-36
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• 1996

This study was undertaken to evaluate the effect of long-term(6 Month) aquatic exercise through home nursing care demonstration on body weight, body fat, pain, muscle strength, self-efficacy and quality of life. Twenty-one women with rheumatoid arthritis were enrolled in the study. The sample was restricted to women in order to increase homogeneity. All patients were stable medication regimens in rheumatism center. The data was collected from October, 1994 to November, 1995. The data were analyzed Mean, Standard Deviation, $x^2$ Test, Mann-Whitney U-Wilcoxon Rank Sum W Test, Wilcoxon Matched-pairs signed-ranks test using SPSS $pc^+$ program. The results of this study were as follows : 1. There was no significant difference between the control and the experimental group on body weight. 2. There was no significant difference between the control and the experimental group on body fat. 3. There was no significant difference between the control and the experimental group on pain(RAI). 4. There was no significant difference between the control and the experimental group on muscle strength. 5. There was no significant difference between the control and the experimental group on quality of life. But in the experimental group, finding from additional analysis showed significant difference in the score of quality of life between pre and post experiment. 6. There was no significant difference between the control and the experimental group on self-efficacy. The findings in this study were not support the positive effect of long-term aquatic exercise in women with rheumatoid arthritis. A further study is necessary to determine the pure effect of aquatic exercise except the effect of home nursing care.

• Journal of the Korea Convergence Society
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• v.12 no.3
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• pp.389-399
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• 2021

This study is the quasi-experimental research of nonequivalent groups and is designed to investigate the effects of an aquatic exercise program with diabetes self management education on the self care efficacy, self care behaviors in diabetic patients in community. The subjects of this study were 26 patients in the experimental group who participated in the aquatic exercise program and 25 patients in the control group who did not paricipated in. And they were registered at the W Health Clinic in D city. The aquatic exercise program was conducted twice a week for 80 minutes, and consisted of a 30 minutes diabetes self management education and a 50 minutes aquatic exercise. After this program, there were significant differences in FBS(p=.047), HbA1c(p<.001), diabetes self efficacy(p<.001), and self care behaviors(p<.001). In order to reduce the prevalence of diabetes and prevent complications in the community, it is believed that the constant operation of aquatic exercise programs including self management education is necessary.

• Women's Health Nursing
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• v.13 no.3
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• pp.165-173
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• 2007

Purpose: The purpose of this study was to exam me the effects of aquatic exercise on pain, fatigue, body composition, physical fitness and psychological variables in women with arthritis. Method: With a quasi-experimental design, 37 women who had arthritis were assigned into an experimental group (n=19) or a control group (n=18). Aquatic exercise consisted of one hour of exercise in water, two days per week, for six weeks and a self-help process. Measures included physiologic and psychological variables before and after the exercise. Data was analyzed with the SPSS WIN using descriptive statistics, t-test, and ANCOVA. Result: The mean age of the subjects was 59 years in the experimental group and 52 years in the control group. Pretest scores in outcome variables were similar in both groups except BMI and body fat(%). After controlling for age, shoulder flexibility scores in the experimental group improved more than the control group (Rt: F=10.58, p=.003; Lt: F=5.91, p= .02; Waist: F=4.95, p= .03). Depression scores in the experimental group decreased (F=12.96, p= .001), and self efficacy and quality of life improved more than the others (F=5.07, p= .03; F=6.9l, p= .01). Conclusion: Aquatic exercise can improve waist flexibility and shows consistent findings of improved shoulder flexibility and psychological function in women with arthritis.

• Journal of the Korean Society of Physical Medicine
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• v.6 no.1
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• pp.39-49
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• 2011

Purpose : The purpose of this study was to investigate the effectiveness of pain release through the four weeks aquatic exercise among the female subjects aged above 50 and who suffered from arthritis. Methods : The assessment was validated by blood analysis which measured the fluctuations of Erythrocyte sedimentation rate(ESR), C-reactive protein(CRP) and Rheumatoid factor(RF). Among the 50 subjects of this experiment, the control group has only taken a regular treatment from the clinic and the other experimental group has done aquatic exercise. The experimental group has practiced the aquatic exercise 50 minutes a day for one month excluding the weekends. Results : Blood analysis revealed that ESR was decreased in both the control group and the experimental group and the major effect of CRP was diminished only in the experimental group. No significance of RF was found in both the control group and the experimental group. Conclusion : These results indicate that the aquatic exercise is an effective treatment for arthritis that is compatible with the similar results from the previous studies. In line with this, the aquatic exercise program can provide an effective treatment and control of the disease with the arthritis patient. Accordingly, the regular basis aquatic exercise proved to be quite satisfactory treatment in this regard and we contend that it is vital for the arthritis patients.