Influence of the physical activity in the elderly people diagnosed with knee osteoarthritis during the pandemic period caused by COVID-19

Introduction. Knee osteoarthritis is considered to be a chronic disease that affects the joints by causing pain, joint stiffness and decreased functional capacity. Regular physical activity can keep and increase functional capacity, it can reduce pain by improving movement behavior. The disruption of the sedentary behavior of the elderly patients with knee osteoarthritis can lead to improved physical function and general health. The purpose of this paper is to point out the role of physical activity in the elderly people diagnosed with knee osteoarthritis during the COVID-19 pandemic. Material and method. A total of 155 patients diagnosed (clinical and imaging) with knee ostoarthritis, who were treated on an outpatient basis, from May to September 2020, were studied. The parameters assessed in the study were pain, joint stiffness, the ability to carry out daily activities, anxiety and quality of life. Results and discussion.The studied group of patients was homogeneous in terms of the weight by age group and gender. Higher values were recorded in the study group in the evaluation of patients based on scales, the results being statistically significant, with value for p<0.05, which means that the hypothesis was validated. Conclusions. Patients of the study group recorded improvementin of functional capacity, joint stability and static and dynamic balance, which allowed a faster reintegration into the family and society. Keywords: physical activity, pain, elderly people, knee osteoarthritis,

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Forms of physical activity of the elderly

European Journal of Clinical and Experimental Medicine ◽

10.15584/ejcem.2020.3.10 ◽

2020 ◽

Vol 18 (3) ◽

pp. 221-228

Author(s):

Piotr Czarnecki ◽

◽

Justyna Podgórska-Bednarz ◽

Lidia Perenc ◽

◽

...

Keyword(s):

Physical Activity ◽

Elderly People ◽

Population Aging ◽

Human Life ◽

Good Health ◽

The Elderly ◽

Polish Society ◽

Central Statistical ◽

Key Phrases ◽

The Impact

Introduction. Physical activity is known to be an important factor influencing health throughout human life. This issue has become crucial for public health due to the aging of the population in both developed and developing countries. Aim. is to present a literature review on the forms of physical activity undertaken by the elderly, as well as on issues related to physical activity and the population aging. Material and methods. The study was prepared on the basis of a review of Polish and foreign literature. The following databases and data sources were used: EBSCO, ScienceDirect and Google Scholar. An additional source of data were the websites of the Central Statistical Office. Strictly defined key phrases were used during the collection of literature. The work has been divided into thematic subsections on the aging of the society, the impact of physical activity on health and the main topic, i.e. forms of physical activity selected by the elderly. Analysis of the literature. The number of elderly people in Polish society has increased by almost 3.7 million over three decades. Therefore, an important topic is prophylaxis aimed at increasing the number of days in good health, largely covering the broadly understood activation of the elderly. The available data indicate that only 12% of elderly people undertake physical activity once a week. The most common form of spending free time actively is walking (as many as 73% of people in this population declare this form of physical activity in one of the presented studies). Conclusion. Organized forms of physical activity are undertaken much less frequently by the analyzed age group mainly due to financial limitations and limited availability of sports infrastructure.

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Mindsets Predict Physical Activity and Relate to Chosen Management Strategies in Individuals with Knee Osteoarthritis

10.1101/2021.03.31.21254737 ◽

2021 ◽

Author(s):

Melissa A. Boswell ◽

Kris M. Evans ◽

Sean R. Zion ◽

Danielle Z. Boles ◽

Jennifer L. Hicks ◽

...

Keyword(s):

Physical Activity ◽

Knee Osteoarthritis ◽

Online Survey ◽

Management Strategies ◽

The Elderly ◽

Activity Level ◽

Activity Levels ◽

Group A ◽

Test Retest Reliability ◽

The Relationship

Objectives. We compared mindsets about physical activity among those with and without knee osteoarthritis and investigated if these mindsets relate to physical activity level and symptom management. Methods. Participants with (n=150) and without (n=152) knee osteoarthritis completed an online survey at study enrollment (T1). Participants with knee osteoarthritis repeated the survey three weeks later (T2; n=62). The mindset questionnaire, scored from 1-4, assessed the extent to which individuals associate the process of exercising with less appeal-focused qualities (e.g., boring, painful, isolating, and depriving) vs. appeal-focused (e.g., fun, pleasurable, social, and indulgent) versus. Using linear regression, we examined the relationship between mindset and having knee osteoarthritis, and, in the subgroup of participants with knee osteoarthritis, the relationship between mindset at T1 and physical activity (via the Physical Activity Scale for the Elderly) at T2. We also compared mindsets between those who use medication for management and those who use exercise. Results. A less appeal-focused mindset regarding physical activity was marginally associated with having knee osteoarthritis (β=-0.125, P=0.096). Within the knee osteoarthritis group, a more appeal-focused mindset predicted higher future physical activity (β=20.68, P=0.039), controlling for current physical activity, demographics, and health. Individuals that used exercise with or without pain medication or injections had more appeal-focused process mindsets than those who used medication or injections without exercise (P<0.001). Further, the process mindset inventory demonstrated strong internal consistency (α=0.92 at T1 for n=150 and α=0.92 at T2 for n=62) and test-retest reliability (ICC>0.841, P<0.001) within the knee osteoarthritis population. Conclusion. In individuals with knee osteoarthritis, mindsets predict future physical activity levels and relate to an individual's management strategy. Mindsets are a reliable and malleable construct and may be a valuable target for increasing physical activity and improving adherence to rehabilitation strategies involving exercise among individuals with knee osteoarthritis.

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Capacidade Funcional e Nível de Dor em Idosos com Osteoartrose em Joelho: Revisão de Literatura / Functional Capacity and Pain Level in Elderly People with Knee Osteoarthritis: Literature Review

ID on line REVISTA DE PSICOLOGIA ◽

10.14295/idonline.v14i51.2571 ◽

2020 ◽

Vol 14 (51) ◽

pp. 294-302

Author(s):

Adriana De Jesus Alves ◽

Mariza Rocha de Sousa Nogueira

Keyword(s):

Literature Review ◽

Knee Osteoarthritis ◽

Elderly People ◽

Functional Capacity ◽

Pain Level

Este trabalho tem como objetivo analisar a capacidade funcional e o nível de dor entre idosos portadores de osteoartrose em joelho. Este estudo baseia-se em uma revisão de literatura integrativa. A busca dos artigos ocorreu no período de Março à Abril de 2020, por meio dos seguintes descritores: osteoartrite; osteoartrite de joelho; fisioterapia; capacidade funcional; dor, utilizando as base de dados: Scielo e Google Academics. Definiu-se como critérios de inclusão, os artigos que apresentavam idioma português e inglês, artigos de livre acesso na íntegra em base de dados, que abordasse sobre indivíduos acometidos pela osteoartrose. Como resultados, foram selecionados 05 artigos onde estes respondiam ao objetivo proposto. Conclui-se que, a osteoartrite provoca inúmeros problemas como a perda da qualidade de vida e a funcionalidade. Infelizmente essa doença não possui cura, mas se o diagnóstico for realizado precocemente o tratamento pode atrasar o surgimento da doença bem como o seu progresso.

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Physical activity and cognitive impairment among the elderly in some districts of Ha Nam province in 2018

Tạp chí Y học Dự phòng ◽

10.51403/0868-2836/2020/248 ◽

2021 ◽

Vol 30 (4) ◽

pp. 35-41

Author(s):

Hoang Thi Hai Van ◽

Dao Anh Son ◽

Pham Quang Thai

Keyword(s):

Physical Activity ◽

Cognitive Impairment ◽

Elderly People ◽

The Elderly ◽

Physical Activities ◽

International Standards ◽

Cognitive Screening ◽

Group Exercise ◽

Research Subjects ◽

Significant Difference

The study was conducted on 1,210 elderly people (aged 60 and older) with the purpose of understanding physical activity and cognitive impairment among elderly people in some districts of Ha Nam province in 2018. The results showed that the percentage of elderly people with symptoms of cognitive impairment was high, accounting for 46.36%. There was a significant difference between the rate of cognitive impairment of the group who exercised frequently (41.92%) and that of the group who did not exercise (51.62%) (p<0.05). Compared to the Non-exercise group, the risks of cognitive impairment of group exercise 15 - 45 minutes/week (OR = 0.69; 95% CI: 0.51 - 0.93); group exercise 45 - 90 minute/week group (OR = 0.61; 95% CI: 0.44 - 0.84) and group exercise Over 90 minutes/week (OR = 0.43; 95% CI: 0.27 - 0.67) were all significantly lower. The more time the research subjects exercise, the lower their risk of developing cognitive impairment became. Our finding suggests that physical activities may delay or prevent the onset of cognitive impairment in elderly people. It is necessary to expand research, continue to apply the cognitive screening test based on international standards, while guiding and encouraging elderly people to carry out physical activities according to their capabilities and international recommendations.

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FACTORS LINKED TO THE PRACTICE OF PHYSICAL ACTIVITY AMONG THE ELDERLY IN SOUTHERN BRAZIL

Revista Brasileira de Medicina do Esporte ◽

10.1590/1517-869220192503174929 ◽

2019 ◽

Vol 25 (3) ◽

pp. 216-219

Author(s):

Alisson Padilha de Lima ◽

Ezequiel Vitório Lini ◽

Marilene Rodrigues Portella ◽

Marlene Doring ◽

Fabrício Bruno Cardoso

Keyword(s):

Physical Activity ◽

Urban Environment ◽

Elderly People ◽

The Elderly ◽

Population Based ◽

Level Of Evidence ◽

Population Based Study ◽

Multivariable Analyses ◽

The Mean ◽

The City

ABSTRACT Introduction The increase in chronic diseases and physical inactivity are major public health problems among elderly populations worldwide. Objective This article aimed to determine the prevalence and factors associated with the practice of physical activity (PA) among elderly people living in urban environment. Methods A cross-population-based study was conducted in 2014, with 196 elderly people aged ≥ 60 years of age living in urban environment in the city of Passo Fundo, in the State of Rio Grande do Sul. Gross and multivariable analyses were conducted using Poisson regression, estimating the ratios of gross and adjusted prevalence and calculating their respective 95% confidence intervals. Results The mean age was 71.3 (± 8.4). The gross prevalence for the practice of PA was 56.1%. After adjusted analysis, only the variable independent in activities of daily living (ADLs) remained significant (95% CI 1.05 to 4.83) (p = 0.037). Conclusions This research showed an association between the practice of PA and independence in ADLs. Level of Evidence II, Economic and decision analysis - Development of economic model or decision.

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Comparative study of functional capacity and quality of life among obese and non-obese elderly people with knee osteoarthritis

Revista Brasileira de Reumatologia (English Edition) ◽

10.1016/j.rbre.2015.08.014 ◽

2016 ◽

Vol 56 (2) ◽

pp. 126-130

Author(s):

Mansueto Gomes-Neto ◽

Anderson Delano Araujo ◽

Isabel Dayanne Almeida Junqueira ◽

Diego Oliveira ◽

Alécio Brasileiro ◽

...

Keyword(s):

Quality Of Life ◽

Comparative Study ◽

Knee Osteoarthritis ◽

Elderly People ◽

Functional Capacity

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Evaluating Meridian-Sinew Release Therapy for the Treatment of Knee Osteoarthritis

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2013/182528 ◽

2013 ◽

Vol 2013 ◽

pp. 1-9 ◽

Cited By ~ 2

Author(s):

Song Wei ◽

Zhi-Huang Chen ◽

Wei-Feng Sun ◽

Geng-Peng Zhang ◽

Xiao-Hao Li ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Symptom Score ◽

Joint Stiffness ◽

The Elderly ◽

Outcome Evaluation ◽

Total Symptom Score ◽

Control Group ◽

Osteoarthritis Of The Knee ◽

Functional Movement ◽

The Impact

Objective. In recent years, public health experts have concluded that the impact of osteoarthritis is equal in magnitude to that of cardiovascular disease. Osteoarthritis of the knee is prevalent in the elderly population; however, there are currently no effective treatments for this condition. In this study, we investigated the efficacy of “meridian-sinew release,” a newly developed technique which entails using a meridian-sinew scope and a meridian-sinew knife to treat osteoarthritis of the knee.Methods. Patients (N=90) with knee osteoarthritis were prospectively randomized to meridian-sinew release therapy, acupuncture therapy, or drug therapy groups, respectively. Outcome evaluation included pain, stiffness, physiological function, total symptom score, and overall changes in the condition.Results. After 12 weeks, patients' general assessment (GA) and doctors' general assessment (GA) of the condition were not significantly different among the three groups. However, significant differences in primary endpoint pain, joint stiffness, and total symptom score were found between the meridian-sinew group and the acupuncture group and between the meridian-sinew group and the control group (P<0.05). No adverse events occurred during the trial.Conclusion. Our study suggests that meridian-sinew release therapy can improve knee osteoarthritis, alleviate joint pain, and improve functional movement disorder. It is a safe and effective treatment for knee osteoarthritis.

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OVERVIEW OF SELECTED TESTS USED TO ASSESS THE FUNCTIONAL STATUS OF ELDERLY

Wiadomości Lekarskie ◽

10.36740/wlek201909117 ◽

2019 ◽

Vol 72 (9) ◽

pp. 1697-1702 ◽

Cited By ~ 1

Author(s):

Magdalena Sobiech ◽

Maciej Kochman ◽

Małgorzata Drelich ◽

Tomasz Blicharski ◽

Mirosław Jabłoński

Keyword(s):

Physical Activity ◽

Functional Status ◽

Elderly People ◽

Healthy Lifestyle ◽

The Elderly ◽

The Body ◽

Basic Knowledge ◽

Physical And Mental Health ◽

Premature Deaths ◽

The World

Physical activity is one of the most important element of a healthy lifestyle and determinant of the physical and mental health. According to the WHO, limited physical activity is the fourth most common premature deaths risk factor in the world. Regular sport and active recreation is very important for our health. Physical exercise is the most effective method used by physiotherapists to prevent and slow down the aging process of the body, and consequently, diseases of elderly, such as: osteoporosis, injuries caused by falls, diabetes or hypertension. Physical activity has a positive effect on the quality of life and cognitive functions of elderly. People over 65 years constitute about 40-50% of people who require specialist medical care in the world. Therefore, health and medical professionals dealing with preventive healthcare and treatment of elderly people should have basic knowledge in geriatric rehabilitation, as well as to be able to plan suitable physiotherapy program adequate to the needs of older people. To assess the functional status of the patient, as well as the effectiveness of the training, various types of functional tests are used, specially designed for the elderly. These tests are based on the Comprehensive Geriatric Assessment (COG) considering the state of health, physical and mental fitness as well as socio-environmental conditions. The physiotherapeutic program should be based on functional training involving the entire human body, i.e. nervous, muscular, skeletal, sensory and balance systems.

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Comparative efficacy of kneading massage and pulsed mode ultrasound in the management of chronic knee osteoarthritis

European Journal of Clinical and Experimental Medicine ◽

10.15584/ejcem.2020.4.3 ◽

2021 ◽

Vol 18 (4) ◽

pp. 275-280

Author(s):

Adesola O. Ojoawo ◽

◽

Wasiu Abiodun Fatai ◽

Keyword(s):

Knee Osteoarthritis ◽

Joint Stiffness ◽

The Elderly ◽

Treatment Session ◽

Osteoarthritis Of The Knee ◽

Pulsed Ultrasound ◽

Pulsed Mode ◽

Significant Difference ◽

Massage Group ◽

Ultrasound Group

Introduction. Osteoarthritis of the knee is the most common presentation of osteoarthritis with prevalence between 12% and 35% of general population and is considered the leading cause of musculoskeletal disability in the elderly population worldwide. Aim. The study compared efficacy of kneading massage and pulsed ultrasound on pain, joint stiffness and difficulty in knee osteoarthritis (KOA). Material and methods. Fifty subjects with radiological evidence of KOA participated in the study. They were randomly allocated into kneading massage group (KMG) (25) and Ultrasound group (USG) (25). KMG received kneading massage for 7 minutes while USG received pulsed mode ultrasound for 15 minutes. Treatment was twice in a week for six weeks. Pain intensity (PI), joint stiffness and difficulty were assessed pre, 3rd and 6th weeks of treatment session with semantic differential scale and WOMAC. The data were analyzed using descriptive and inferential statistics, alpha level was set at 0.05 Results. There was a significant difference in present PI (F=11.45,P=0.001) and stiffness (F= 11.32, P=0.003) in USG. There was a significant reduction in PI (F=7.95, P=0.001) and joint stiffness (F=8.86, P=0.003) in KMG. At the 6th week, there was a significant differences in PI (t=12.23,P=0.000) and stiffness (t=8.08, P=0.000) when USG (3.00+0.4, vs 7.14+ 1.49) was compared with KMG (3.16+0.5 vs 7.50+1.5). Conclusion. Ultrasound (US) and kneading massage (KM) reduced PI and joint stiffness of KOA effectively; however US reduced PI than KM while KM reduces joint stiffness than US.

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The effect of age on distribution and symptomatology of craniomandibular dysfunction

Stomatoloski glasnik Srbije ◽

10.2298/sgs1003149m ◽

2010 ◽

Vol 57 (3) ◽

pp. 149-153

Author(s):

Dubravka Markovic ◽

Milica Jeremic-Knezevic ◽

Bojana Milekic ◽

Daniela Djurovic-Koprivica

Keyword(s):

Physical Activity ◽

Elderly People ◽

Elderly Population ◽

The Elderly ◽

Congenital Disorders ◽

Dental Practice ◽

Craniomandibular Dysfunction ◽

Developmental Abnormalities ◽

Effect Of Age ◽

Frequent Presence

Craniomandibular dysfunction is very common disorder of the oral and facial system and therefore a significant problem in dental practice. The etiology of this disorder is very complex and variable including congenital disorders and developmental abnormalities, traumas in the area of face and jaw, unbalanced occlusion, systemic and local diseases or psychogenic factors. The symptoms can be very different and vary in intensity and duration from person to person, often are in correlation with other oral para-functions. The intensity of symptoms is usually associated with gender or age of the patients. Elderly population is particularly interesting because these changes occur in addition to atrophic and degenerative changes in temporomandibular joint (TMJ), multiple teeth loss, present dentures, limitation of physical activity and others. Research conducted in many European countries have shown that the pain in TMJ is one of the most dominate symptoms of craniomandibular dysfunction and it often occurs in males. However, it is not easy to prove more frequent presence of dysfunction in the elderly people.

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