scholarly journals Evaluation of gait cycle time variability in patients with knee osteoarthritis using a triaxial accelerometer

Author(s):  
Takeshi Akimoto ◽  
Kenji Kawamura ◽  
Takaaki Wada ◽  
Naomichi Ishihara ◽  
Akane Yokota ◽  
...  

Knee osteoarthritis can alter gait variability. However, few studies have compared the temporal factors of the gait cycle between patients with knee osteoarthritis and healthy subjects. Furthermore, no studies have investigated the relationship between gait variability and potential contributing factors (knee joint functions such as muscle strength) in knee osteoarthritis. The first objective of this study was to compare gait cycle variability between female patients with knee osteoarthritis and healthy elderly women to determine gait characteristics in patients with knee osteoarthritis. The second objective was to examine whether gait cycle variability in knee osteoarthritis is associated with potential contributing factors. Twenty-four female patients diagnosed with knee osteoarthritis and 12 healthy elderly women participated. Gait cycle variability (coefficient of variation of gait cycle time), knee extension range of motion, knee extension strength, 5-meter walk test, Timed Up & Go Test, and Western Ontario and McMaster Universities Osteoarthritis Index were measured. All assessment results were compared between the knee osteoarthritis and healthy groups. Gait cycle variability was significantly higher in the knee osteoarthritis group (3.2%) compared to the healthy group (2.1%). A significant positive correlation was found between the gait cycle variability and 5-meter walk test (r=0.46) and Western Ontario and McMaster Universities Osteoarthritis Index (r=0.43). The gait of patients with knee osteoarthritis may be more unstable than that of healthy individuals. In addition, unstable gait may be associated with gait speed and quality of life. Therefore, we believe that rehabilitation to improve unstable gait can enhance the quality of life of patients with knee osteoarthritis.

2019 ◽  
Vol 15 (2) ◽  
pp. 95-104
Author(s):  
L. Bassôa ◽  
L. Trevizol ◽  
I. Fraga ◽  
N.C. Martins ◽  
F. Variani ◽  
...  

This study aimed to examine the effects of grape juice consumption during 4 weeks alone or combined with a therapeutic exercise protocol on quality of life (SF-36), handgrip strength (dynamometry) and physical function performance evaluated through Berg Balance Scale (BBS), Timed Up and Go, Six-Minute Walk Test (6MWT) in elderly women. Nineteen healthy elderly women were distributed in Grape Juice Group (GJG, n=9) and Grape Juice + Exercise Group (GJEG, n=10). A significant improvement in handgrip strength and BBS were observed in GJG. Both groups showed increased values in 6MWT and the quality of life was significantly improved after intervention in GJEG. Daily grape juice consumption is able to improve some physical functional parameters in elderly women; however, when in combination with therapeutic exercise intervention may provide a more effective strategy to positively affect the quality of life.


2016 ◽  
Vol 2 (1) ◽  
pp. 10
Author(s):  
Lilis Komariyah

ABSTRAKPeningkatan derajat kesehatan menyebabkan bertambahnya usia harapan hidup yang memberikan dampak terhadap meningkatnya jumlah penduduk lanjut usia. Dengan meningkatnya usia harapan hidup maka sangat penting untuk memperbaiki kualitas hidup lansia. Musik angklung merupakan kearifan budaya lokal yang sedang berkembang saat  ini. Adapun tujuan penelitian ini untuk menganalisis pengaruh musik angklung terhadap peningkatan kualitas hidup lansia yang tinggal di panti jompo. Metode penelitian yang digunakan adalah penelitian eksperimen dengan pre dan post test design without control. Subjek penelitian menggunakan purposive sampling sebanyak 15 orang wanita lansia berusia 60-90 tahun yang berasal dari Panti Sosial Tresna Werdha Budi Pertiwi. Penelitian ini menggunakan instrumen WHOQOL-BREFF. Data hasil penelitian dianalisis menggunakan uji normalitas Shapiro-Wilk, uji Kolmogorov Smirnov, dan uji ANOVA. Hasil penelitian menunjukkan bahwa wanita lansia yang mengikuti musik angklung memiliki peningkatan kualitas hidup secara bermakna pada domain fisik (55,27 ± 7,86 vs 52,80 ± 6,91) (p<0,05), domain psikologis (65,53 ± 9,50 vs 54,33 ± 5,53) (p<0,05), domain hubungan sosial (71,07 ± 8,76 vs 57,67 ±5,17) (p<0,05), dan domain lingkungan (61,40 ± 5,15 vs 56,33 ± 4,67) (p<0,05). Simpulan dari hasil penelitian ini didapatkan bahwa musik angklung dapat meningkatkan kualitas hidup wanita lansia pada domain fisik, psikologis, hubungan sosial, dan lingkungan. Adapun saran dari penelitian ini diharapkan bahwa musik angklung dapat diterapkan di seluruh unit lansia maupun panti jompo yang ada di Indonesia. Kata kunci: wanita lansia, kualitas hidup, musik angklung  ABSTRACTThe enhancement of current health level and life expectancy provide implications to the number of elderly people in Indonesia. Health professionals, especially geriatric nurses, play an important role in increasing elderly life quality. One of the efforts is by practicing Brain Movement Exercise and Angklung music therapy. The aim of this study was to analysis the effect of brain movement exercise and angklung music on quality of life of elderly. The study design was an experimental pre and post design without control. The subjects  were 15 healthy elderly woman age 60-90 years old whom came from a nursing home. The instrument research used was WHOQOL-BREF. Shapiro-Wilk test, Kolmogorov Smirnov, and ANOVA were used to analyze the data. The results showed that women elderly people who participated angklung music experienced a significant life quality improvement in physical domain (55,27 ± 7,86 vs 52,80 ± 6,91) (p<0,05), psychological domain (65,53 ± 9,50 vs 54,33 ± 5,53) (p<0,05) , social relationship domain (71,07 ± 8,76 vs 57,67 ±5,17) (p<0,05), and environment domain (61,40 ± 5,15 vs 56,33 ± 4,67) (p<0,05). In conclusion, angklung music can improve elderly womens life quality in physical, psychological, social relationship and environmental domains. Therefore, it is suggested that angklung music are implemented in all nursing house units in Indonesia. Key words: elderly women, quality of life, angklung music


2010 ◽  
Vol 18 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Hiroyuki Watanabe ◽  
Ken Urabe ◽  
Naonobu Takahira ◽  
Noriaki Ikeda ◽  
Mamoru Fujita ◽  
...  

2017 ◽  
Vol 4 (1) ◽  
pp. 028-034
Author(s):  
Suci Tuty Putri

The increasing of life expectancy should be balanced with the improvement of health service to preserve the quality of life among elderly. That is including various therapy activity program which is believed can increase the quality of life for instance with brain movement exercise and Angklung music therapy. Brain movement exercise is the activity to increase cognitive function, while Angklung music therapy is to developing local wisdom. The aim of this study was to analyze the differences of quality of life among women elderly whose undergo brain movement exercise and angklung music therapy. The study design was an experimental pre and post design without con- trol. The study was taken place at Tresna Werdha Nursing Home. The subject was 30 healthy elderly women, consist of 15 elderly who undergo brain movement exercise and 15 elderly angklung music therapy, whose age were 60-90 years.  The instrument used was WHOQOL-BREF. Shapiro-Wilk test, Kolmogorov-Smirnov, Wilcoxon test, and Mann-Whitney U test were used to analyze the data. The results showed there were difference in the quality of life eldery woman who follow brain movement exercise and angklung music therapy in physical domain (0.009) and enviroment domain (0.000), and there was no significant difference in sosial relationship (0.092) and psychological (0.915). The result showed brain movement exercise and Angklung music therapy could affect the quality of life in certain domains, this was possible because there was various benefit in each therapy program. Therefore it was suggested that brain movement exercise and angklung music therapy were imple- mented in all nursing house units in Indonesia.


2014 ◽  
Vol 54 (3) ◽  
pp. 208-212
Author(s):  
Júlia Guimarães Reis ◽  
Matheus Machado Gomes ◽  
Thamires Máximo Neves ◽  
Marina Petrella ◽  
Renê Donizeti Ribeiro de Oliveira ◽  
...  

2013 ◽  
Vol 11 (2) ◽  
pp. 209-215 ◽  
Author(s):  
Janice Chaim Alves ◽  
Debora Pastore Bassitt

OBJECTIVE: To correlate functional ability and quality of life of elderly women with knee osteoarthritis. METHODS: Cross-sectional study composed of 40 elderly women with knee osteoarthritis. We used the following instruments: identification questionnaire, Western Ontario and McMaster Universities Arthritis Index (WOMAC), and World Health Organization Quality of Life Questionnaire-OLD (WHOQOL-OLD). The significance level was 0.05 (5%), and confidence intervals were 95%. For statistical analysis we used parametric statistical tests, descriptive analysis, test for equality of two proportions, Pearson's correlation, correlation test, and analysis of variance. RESULTS: The mean age (± standard deviation) was 74.1 (±6.7) years, and 47.5% of patients had osteoarthritis in both knees. Moderate pain was reported by 45% of patients when they walked on a flat plane and 40% when they were seated or lying down; 55% had severe or very severe pain when climbing or descending stairs; 50% reported moderate joint stiffness after sitting, lying, or resting; and 65% reported moderate or little stiffness after waking. In physical function, 60% of patients had moderate or severe difficulty in descending stairs and 67.5%, when climbing stairs; 60% reported severe or very severe difficulty in getting in and out of the car, and 70%, when performing strenuous housework. The correlation with WHOQOL-OLD and WOMAC was negative and not significant except for autonomy, which was significant. Sedentary and elderly women who used walking aid devices had worse WOMAC functional capacity, but this finding was not statistically significant. In WHOQOL-OLD, volunteers scored higher on social participation and engagement in physical activity on autonomy, which was statistically significant compared with the nonvoluntary and sedentary domains, respectively. CONCLUSION: It is possible to have a good quality of life even with functional impairment from knee osteoarthritis.


2020 ◽  
Vol 21 (1) ◽  
pp. 49
Author(s):  
Augusto Baumhardt Guidoti ◽  
Ângelo Pereira Cattani ◽  
Cintia Laura De Araujo ◽  
Fernanda Beatriz Costa Delacoste ◽  
Guilherme Scotta Hentschke ◽  
...  

The Glittre ADL-test (TGlittre) has been designed and validated to measure functional capacity during daily living activities in patients with chronic obstructive pulmonary disease (COPD) but is now used in several other situations. The aim of this study was to evaluate the applicability of TGlittre in a sample of overweight and obese eutrophic elderly. This was an experimental and cross-sectional study, which included 21 elderly women, allocated by BMI, in eutrophic (n = 8), overweight (n = 6) and obese (n = 7) groups. They were assessed for functional capacity (TGlittre and 6MWT), quality of life (QOL) with the questionnaire World Health Organization Quality of Life for Older People (WHOQOL-OLD) and handgrip strength (HGS). TGlittre correlated with age (p = 0.0040) and with 6MWT (p = 0.0086), but no statistical difference was found in TGlittre's performance time and the distance covered in 6MWT between groups. TGlittre did not correlate with HGS (p = 0.1493) and WHOQOL-Old (p = 0.0905). The data obtained in the present study corroborate that TGlittre is used as a functional measurement variable in the elderly population.Keywords: aged, obesity, exercise intolerance.­­­


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