• Title/Summary/Keyword: Elderly osteoarthritis

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Study on the Gait Characteristics in Knee Osteoarthritis Patients with GAITRite System Analysis (GAITRite 시스템 분석을 통한 퇴행성 슬관절염 환자의 보행특성 연구)

  • Hwang-Bo Gak;Kim Byung-jo;Bae Sung-soo
    • The Journal of Korean Physical Therapy
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    • v.16 no.1
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    • pp.183-207
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    • 2004
  • The purpose of this study was to describe and compare the temporo-spatial gait characteristics of healthy elderly people with those osteoarthritis patients. 100 patients reported knee osteoarthritis, diagnosed at the hospital or clinic located in Daegu and Kyungbuk province and 100 normal elderly subjects were participated in this study. Temporal and spatial parameters of gait were analysed for using the computerized GAITRite system. The system integrates specific components of locomotions to provide a single, numerical representation of gait, the Functional Ambulation Performance score. Differences in gait characteristics between the two groups were examined using a correlated t-test and Pearson Correlation(p<.05). Significant differences were observed between the groups for temporal parameters(step time, double support time, stance phase, mean velocity) and spatial parameters(step length, step/extremity ratio)(p<.05). Also there was difference in the functional ambulation performance score between normal elderly subjects and knee osteoarthritis patients(p<.05). Consequently, it may help detect the abnormal gait pattern indicated the main problem in degenerative knee osteoarthritis patients as well as provide data analysing the pathokinesiologic components by comparing normal elderly.

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Effect of Dynamic Balance Exercise in Elderly Patients with Unilateral Knee Osteoarthritis (편측성 슬관절 골관절염이 있는 노인환자에서 동적균형운동의 효과)

  • Lee, Bong-Yeon;Shin, Woo-Yong;An, Min-Ji;Yoon, Seo-Ra;Choe, Yuri
    • Clinical Pain
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    • v.18 no.1
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    • pp.16-23
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    • 2019
  • Objective: To evaluate the effectiveness of dynamic balance exercise after intra-articular injection of hyaluronic acid (HA) therapy in elderly patients with unilateral knee osteoarthritis. Method: 30 patients with unilateral knee osteoarthritis were enrolled in this study. The patients were randomly divided into two groups: dynamic balance exercise after HA injection group (group A) and only HA injection group (group B). Both groups administered intra-articular HA injection and group A patients continued 20-session exercises for 4 weeks. The assessments were measured before injection and 4 weeks after treatment using the visual analog scale (VAS) for pain, the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) for physical function, Berg balance scale (BBS), and computerized dynamic posturography using SMART Balance Master system for balance function. Results: In both groups, significant improvements in VAS, WOMAC and balance function were observed. Compared between groups, group A showed significant improvements compared to group B in WOMAC and balance function. Conclusion: It is suggested that dynamic balance exercise may result in improved balance function and physical function in elderly patients with unilateral knee osteoarthritis.

The Effect of Aquatic Exercise Program on Pain, Body Weight, Fatigue, Flexibility in Elderly Women with Osteoarthritis (수중운동 프로그램이 골관절염을 가진 여성노인의 통증, 피로, 체중, 유연성에 미치는 효과)

  • Kim, Jong-Im;Kim, Tae-Sook
    • Journal of muscle and joint health
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    • v.12 no.2
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    • pp.109-118
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    • 2005
  • Purpose: The purpose of this study was to identify the effects of aquatic exercise program on pain, body weight, fatigue, flexibility in elderly women with osteoarthritis. Methods: The subjects of the study were sixty nine elderly women(age over 65years)who have an osteoarthritis. Aquatic exercise program consist of approximately one hour of exercise in water, two days per week, for six weeks. Data were gathered from September 2002 to August 2004 using a questionnaire and measuring body weight, flexibility of shoulder.. Data were analyzed with the SPSS Win 10.0 using frequency and paired t-test for differences between pre-exercise and post-exercise. Results: The results of this study are as follows: pain score, fatigue, body weight of post test were lower than those of pre test(t=5.587, p=0.000 ; t=3.394, p=0.001 ; t=4.664, p=0.000). Right and left flexibility scores of post test were better than those of pretest(Left: t=4.736, p=0.000 ; righrt: t=4.733, p=0.000). Conclusion: From these results, it is concluded that the aquatic exercise program can be effective in increasing physical and psychological function in elderly women.

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Effect of Motion Taping in a Rehabilitation Exercise Program on Quadricep Muscle Activity and WOMAC (Pain, Stiffness, Physical Function) in Elderly People with Knee Osteoarthritis

  • Lee, Young-Hun
    • PNF and Movement
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    • v.18 no.3
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    • pp.323-331
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    • 2020
  • Purpose: This study was conducted to determine the effects of motion taping on muscle activity and the WOMAC in a rehabilitation exercise program for elderly women with knee joint osteoarthritis. Methods: The subjects were 28 elderly women aged over 65 years with knee joint osteoarthritis. The subjects were divided into two groups: one experimental and one control group. During the study period, a total of 26 patients completed the experiment, with one drop each from the experimental group and control group. The experimental group applied motion taping and conducted a rehabilitation exercise program. The control group experienced a rehabilitation exercise program without motion taping. The rehabilitation exercise program consisted of warm-up exercises, maximum isometric exercises, the range of motion of the joints, and leg stretching exercises. The intervention was conducted three times a week for six weeks. To investigate the effects of the intervention, muscle activity and the WOMAC were measured. The WOMAC is a tool that can be used to evaluate the pain, stiffness, and physical function of osteoarthritis patients; it has 29 items in three areas. Results: The change in muscle activity according to the intervention showed a statistically significant increase in both the experimental group and control group. The WOMAC also showed statistically significant changes in terms of pain, stiffness, and physical function in both the experimental and control groups. The experimental group showed a greater functional improvement than the control group. Conclusion: For older women with osteoarthritis of the knee, a rehabilitation exercise program is a good intervention. When motion-taping is applied, it is considered to be an intervention program that can be expected to have a better effect on knee joint osteoarthritis.

Effect of kinesio taping on gait function in elderly individuals with knee osteoarthritis: A pilot study

  • Park, Jaeyoung;Paik, Youngrim;Oh, Donghwan
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.3
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    • pp.1830-1833
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    • 2019
  • Background: Knee osteoarthritis (OA) causes not only pain during walking but also walking disorders. Therefore, intervention for older patients with OA is important. Objective: To study investigated the effects of kinesio taping (KT) on pain and walking ability in elderly persons with knee OA. Design: One group, pre-post design Methods: This study enrolled 12 community-dwelling elderly people with knee OA. KT was applied on the surrounding structures, including the patellar and bilateral lateral ligaments. Assessment was made using the visual analog scale and GAITRite system to measure pain and walking ability during KT and non-KT conditions. Results: In this study, compared to the non-KT condition, the KT condition showed a significant improvement in walking ability and pain reduction during walking (velocity, cadence, step length, and stride length) (p < 0.05). Conclusion: This study demonstrated that knee KT has a positive effect on pain reduction and walking ability of the elderly with OA.

Effects of BeHaS Exercise Program on Pain, Balance and Fall Efficacy in Elderly with Osteoarthritis (베하스 운동프로그램이 골관절염 노인의 통증, 균형감, 낙상효능감에 미치는 효과)

  • Kim, Jong-Im;Lee, Kyeong-Ja;Kim, Soon-Im;Min, Shin-Hong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.2
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    • pp.181-188
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    • 2007
  • Purpose: The purpose of this study was to evaluate the effects of BeHaS exercise program on pain, balance, and falling efficacy in elderly with osteoarthritis. Method: A convenience sample of 52 elderly people with osteoarthritis who lived in C city were recruited through the public health center. For this quasi-experimental study design, 31 of the elders were assigned to the experimental group which received the BeHaS exercise program twice week for eight weeks, and 24 were assigned for the control group (no intervention). Outcome measures were numeric pain scale, standing on one leg for balance, fall efficacy scale. Analysis was performed with SPSS version 12.0 program. Results: Pain was decreased significantly in the experimental group as compared to the control group, Balance and fall efficacy were improved significantly in the experimental group as compared to the control group. Conclusion: The BeHaS exercise program can be effective in improving pain, balance, and fall efficacy in elders with osteoarthritis.

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A Structural Equation Model of Fall Prevention Behavior among Community-dwelling Older Adults with Osteoarthritis (재가 관절염 노인의 낙상 예방행위 예측모형 구축)

  • Jang, Keong Sook;Song, Rhayun
    • Korean Journal of Adult Nursing
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    • v.27 no.6
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    • pp.684-694
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    • 2015
  • Purpose: The purpose of this study was to explain fall prevention behaviors of community-dwelling elderly with osteoarthritis based on the Health Belief Model. Methods: A total of 200 older adults with osteoarthritis residing in community was recruited from July 10 to August 30, 2013. The direct and indirect effects of perceived fall risk, perceived benefits and barriers, and self efficacy of fall prevention were examined on fall prevention behaviors. Data were collected with structured questionnaires and analyzed using SPSS/WIN 20.0 and AMOS 20.0 program. Results: The hypothetical model was a good fit for the data based on the model fit indices. Among socio-demographic variables, age and fall knowledge showed significant direct effects on fall prevention behaviors. The constructed model explained 34.2% of the variance of fall prevention behaviors, including perceived fall risk and efficacy of fall prevention behaviors as significant predictors. Conclusion: The findings revealed the need to develop an effective nursing intervention to promote fall prevention behaviors of community-dwelling elderly with osteoarthritis by focusing on perceived fall risk and efficacy of fall prevention behaviors. Knowledge about fall can also be increased by an age-based education program.

Effect of Taping on a Home Program of Hip Abductor Exercise on Pain and Quadriceps Muscle Strength in Elderly Women with Knee Osteoarthritis (무릎 골관절염이 있는 여성 노인들에게 테이핑을 적용한 엉덩관절 벌리기 운동 홈 프로그램이 통증과 대퇴사두근 근력에 미치는 영향)

  • Choi, Jin-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.3
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    • pp.61-66
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    • 2018
  • PURPOSE: This study was conducted to determine the effects of taping on a home program of hip abductor exercise on pain and quadriceps muscle strength during knee joint osteoarthritis. METHODS: The subjects were 24 elderly women aged over 65 years with knee joint osteoarthritis. Twenty-four subjects were divided into two groups of 12. The intervention was conducted three times a week for six weeks. The control group underwent a home program of hip abductor exercise, while the experimental group underwent taping applied to a home program of hip abductor exercise. The measurement factors were knee joint pain and quadriceps muscle strength. Knee joint pain was measured using the VAS, while quadriceps muscle strength was measured using the 1RM method. RESULTS: Changes in pain following intervention were significantly reduced from $4.83{\pm}.72$ to $3.92{\pm}.67$ in the control group. In the experimental group, changes in pain following intervention were reduced significantly from $4.67{\pm}.78$ to $3.25{\pm}.45$. In the experimental group, the pain decreased significantly, while muscle strength increased significantly as in the control group. However, there were significant differences in pain and muscle strength between groups post intervention (p<.05). CONCLUSION: In the elderly women with knee osteoarthritis, the home program of hip abductor exercise will be a good intervention, and taping will be applied as an intervention program for better osteoarthritis.

The effect on the pain reaction, instrumental A.D.L and R.O.M, quality of life apply to local heat and muscle-joint exercise in elderly with osteoarthritis (퇴행성관절염 노인환자의 온열요법 및 근관절운동이 통증반응, ROM, 일상활동기능장애, QOL에 미치는 효과)

  • Ryu, Jea-Mon;Choi, Ji-Won
    • Journal of Korean Physical Therapy Science
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    • v.11 no.4
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    • pp.11-19
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    • 2004
  • Muscle stiffness, pain discomfort in daily activities are cardinal symtoms on arthritis. To reduce these symtoms, a nonequivalent one-group pre & posttest experiment was carried out at a rural community health post area in kwangju province during eight weeks(from 25th of January to 20th of March, 2002) The subjects were sixteen old (60-80) with osteoarthritis. And to reduce the level of pain, discomfort in daily living and to increase that of life satisfaction, 25-30minutes of muscle-joint exercise followed by 25-30minutes of local heat therapy were done three times a week. The total experimental period extended at 12 weeks and the total 36 times it executed 1. The retrogression characteristic osteoarthritis elderly with local heat and a muscle joint exercise was the telegram which it receives and after receiving, the score of the paindaily activity function appeared to the lead, there was a difference which considers statistically, this constriction was supported.(Z=4.947, p<0.0001) 2. The retrogression characteristic osteoarthritis elderly with local heat and a muscle joint exercise was the telegram which it receives and after receiving, the score of daily activity function appeared lowly, there was a difference which considers statistically, this construction was supported.(Z=2.7226, p<0.0279) 3. The retrogression characteristic osteoarthritis elderly with local heat and a muscle joint exercise was the telegram which it receives and after receiving, there was not a difference where the quality of life considers statistically, this construction was rejected.(Z=-1.2087, p>0.2171)

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Effects of Auricular Acupressure on Joint Pain, Range of Motion, and Sleep in the Elderly with Knee Osteoarthritis (이압요법이 퇴행성 슬관절염 노인의 관절 통증, 관절 가동범위 및 수면에 미치는 효과)

  • Jang, Minjin;Lim, Yun-Mi;Park, Hyojung
    • Research in Community and Public Health Nursing
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    • v.30 no.1
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    • pp.79-89
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    • 2019
  • Purpose: The purpose of this paper is to determine effects of auricular acupressure on knee pain, range of motion, and sleep in the elderly with knee osteoarthritis. Methods: This is an experimental study designed with randomization and single-blind in a placebo-control approach. The subjects included the elderly with knee osteoarthritis who were using an elderly welfare facility. In each of the groups, 28 subjects were assigned. For the experimental group, auricular acupressure was applied to five pressure points related to the pain caused by osteoarthritis and sleep. In the case of the placebo-control group, auricular acupressure was applied to other five points than the former. The intervention lasted eight weeks. In order to examine intervention effects of auricular acupressure, joint pain, Pressure Pain Thresholds (PPTs), and extension and flexion range of motion (ROM) were measured weekly. As for the preand post-examinations, pain, sleep quality, and the time-by-sleep stage of the patients with knee osteoarthritis were measured. Results: The VAS scores in the experimental group with auricular acupressure significantly decreased through time (p<.001) and WOMAC also significantly decreased (p<.01) compared with the placebo-control group. However, there were no significant differences in PPTs. The flexion (p<.01) and extension (p<.001) ROMs measured for eight weeks improved over time. Meanwhile, sleep quality improved significantly after the intervention termination (p<.01), but there was no significant difference found in the time-by-sleep stage. Conclusion: Auricular acupressure applied for eight weeks was found to be effective in reducing joint pain, improving knee ROM, and improving sleep quality in patients with degenerative knee arthritis.