scholarly journals AGE PECULIARITIES OF KNEE FUNCTIONALITY AND PHYSICAL PERFORMANCE IN ELDERLY WOMEN

2020 ◽  
Vol 19 (4) ◽  
pp. 133-141
Author(s):  
R Solodilov

Aim. The aim of this study is to learn the effect of the age on degenerative knee joint disease and physical capability of elderly women. Materials and methods. Three groups of relatively healthy elderly women (G1 – 60–64 years (n = 34), G2 – 65–69 years (n = 31) and G3 – 70–74 years (n = 18)) participated in the study. The functional status of the knee joint (pain, limitation of motion, physical functionality) was estimated with the help of WOMAC index. Physical performance in women was studied with the help of three functional tests. Pain in the knee joint before and after the tests was assessed with the help of the Numeric Pain Rating Scale (NPRS). Statistical data were processed with the help of Statistica 10 and IBM SPSS22. Results. Pain and stiffness in the knee joint in elderly women increased significantly with age while physical functionality decreased (p < 0.01). Correlations were established between “age/pain” – (r = 0.581), “age/stiffness” – (r = 0.565) and “age/physical functionality” – (r = 0.666) indices, p < 0.01. Authentic changes of the pain index were revealed in the knee joint during physical activity. Correlation analysis showed a clearly defined dependence between the level of physical capability in women and their age. Conclusion. The data obtained prove that the age of elderly women is one of the main factors influencing their functional capability. The age also is one of the factors influencing the progression of functional and degenerative disorders in the knee joint.

2014 ◽  
Vol 6 (3) ◽  
Author(s):  
Inge Jiemesha ◽  
Engeline Angliadi

Abstract: Osteoarthritis (OA) of the knee is a chronic degenerative joint disease which causes disability affecting the quality of life. Its management may include pharmacological and non-pharmacological treatment. In the non-pharmacological treatment there are a variety of treatment options. This study aimed to prove the effect of Transcutaneous Electrical Nerves Stimulation (TENS) with and without exercise on pain and physical performance in patients with knee OA. There were thirty five patients with knee OA who met the inclusion criteria that visited the Medical Rehabilitation Department of Prof. Dr. R.D. Kandou Hospital. The samples were divided into 2 groups: TENS with exercise therapy and TENS without exercise therapy. Each group undergone their therapy for 6 weeks with a frequency of 2 times per week. Pain was measured by using the Numeric Rating Scale (NRS) and physical performance was measured by using the Timed-Up and Go test (TUG) and the Stair Climb Test (SCT). There were 91.4% females meanwhile overweight and obese patients were 34.3%. The results showed that there were significant differences in pain and physical performance between before and after TENS with exercise (P <0.001) as well as before and after TENS without exercise (P < 0.001). There was no difference in pain and physical performance between the two groups. Conclusion: TENS with and without exercise can reduce pain and improve physical performance in patients with knee osteoarthritis.Keywords: knee osteoarhtritis, TENS, pain, physical performanceAbstrak: Osteoartritis (OA) lutut adalah penyakit degeneratif sendi yang bersifat kronis dan menyebabkan disabilitas yang memengaruhi kualitas hidup penderita. Tatalaksana OA lutut terdiri dari farmakologi dan non-farmakologi dengan bermacam-macam pilihan terapi. Penelitian ini bertujuan untuk membuktikan pengaruh Transcutaneous Electrical Nerves Stimulation (TENS) dengan dan tanpa terapi latihan terhadap nyeri dan kinerja fisik pada penderita OA lutut. Sebanyak 35 penderita OA lutut lama maupun baru yang memenuhi kriteria inklusi, yang berkunjung ke Poliklinik Rehabilitasi Medik RSUP Prof Dr. R.D. Kandou dan bersedia mengikuti penelitian. Sampel dibagi menjadi 2 kelompok: diberikan TENS dengan terapi latihan dan yang tanpa terapi latihan selama 6 minggu dengan frekuensi 2 kali per minggu. Nyeri diukur dengan Numeric Rating Scale (NRS) dan kinerja fisik diukur dengan Timed-Up and Go test (TUG) dan Stair Climb Test (SCT). Dari hasil analisis 35 subyek penelitian didapatkan 32 orang (91,4%) subyek wanita, serta indeks massa tubuh yang overweight dan obese sebanyak 34,3 %. Hasil uji perbedaan nyeri dan kinerja fisik sebelum dan sesudah TENS dengan terapi latihan memperlihatkan perbedaan bermakna (P <0,001). Hasil perbedaan nyeri dan kinerja fisik sebelum dan sesudah TENS juga memperlihatkan perbedaan bermakna (P <0,001). Pada hasil uji perbedaan nyeri dan kinerja fisik pada kedua kelompok didapatkan tidak terdapat perbedaan antara keduanya. Simpulan: TENS dengan dan tanpa terapi latihan dapat mengurangi nyeri dan meningkatkan kinerja fisik pada penderita osteoartritis lutut.Kata kunci: osteoartritis lutut, TENS, nyeri, kinerja fisik


2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Shayesteh Hassani ◽  
Sedigheh Hosseinpour Delavare ◽  
Hassan Safikhani

Background: Osteoarthritis is the most common joint disease (arthropathy) and a cause of disability in aging ages. The prevalence rate of the osteoarthritis is different and is related to different indicators. Objectives: The purpose of the present study was to investigate the effect of eight weeks of hand-selected exercises and cinnamon supplementation on inflammatory biomarkers in elderly women with osteoarthritis. Methods: The participants of this study were 48 women with hand-osteoarthritis. They divided into four groups (strength exercises, cinnamon-honey supplementation, combinatory and control) randomly. The first group underwent the hand-selected strength exercises. The second group used the supplementations for 8 weeks. The third group also applied hand-selected exercises and supplements simultaneously. The fourth group also participated as a control group without any exercise or supplementation. Patients’ TNfα and IL6 levels were measured before and after applying the independent variables and were compared. The dependent t-test was used to compare between pre and posttest and the ANOVA test to compare TNfα and IL6 levels between the four groups. The significance level P ≤ 0.05 was considered. Results: The results showed that by applying variables, the strength exercises and cinnamon-honey supplementary as well as the combination of exercises and supplementary have had a positive effect on inflammatory biomarkers and in fact, 8 weeks of resistance exercises and using cinnamon-honey supplements in women with hand osteoarthritis have led to a decrease in IL 6 and TNfα levels. Conclusions: Therefore, it is recommended to use wrist resistance exercises with supplements (cinnamon and honey) to accelerate the recovery of the disease and improve the wrist inflammatory.


2018 ◽  
Vol 31 (0) ◽  
Author(s):  
Mariel Dias Rodrigues ◽  
Renatha Almeida Marquez ◽  
Aldair Montagnini Neto ◽  
Nathany Souza Schafauser ◽  
Eliane Gouveia de Moraes Sanchez ◽  
...  

Abstract Introduction: Aging is often associated with reduced functional capacity (FC) and respiratory muscle strength (RMS). Objective: To verify the short-term aquatic and land-based respiratory exercise effects on RMS, pulmonary function, FC and palmar grip strength (PGS) in healthy elderly women. Methods: A blinded, randomized, controlled clinical trial was conducted. The sample was composed by 32 elderly women, randomized in two groups: Land-Based Group (LG), and Hydrotherapy Group (HG). Exercise program was performed in two weekly sessions (40 minutes each), during four weeks. Evaluations (anthropometry, manovacuometry and spirometry) were performed; FC by the 6-minute Walk Test (6MWT), and PGS test. All evaluations were performed before and after four-week intervention. Results: About RMS evaluation, there was an improvement in the Maximum Expiratory Pressure (MEP) values from 63.8 ± 19 to 74 ± 20 (p = 0.007) of HG. LG had an increase in forced expiratory flow (FEF) between 25-75% of forced vital capacity (FEF 25-75%) from 82 ± 29 to 101 ± 26 (p = 0.04). There was no statistically significant PGS improvement and walking 6MWT distance in both groups. HG presented lower values of Initial Heart Rate and Diastolic Blood Pressure, both pre (p = 0.006) and post 6MWT (p = 0.041). Conclusion: It may be suggested that, in the short-term, the respiratory exercise aquatic protocol has positive effects on the MEP and cardiovascular parameters in elderly.


2019 ◽  
Vol 19 (07) ◽  
pp. 1940036
Author(s):  
JUNGHYUK KO ◽  
YU-RI KWON ◽  
YOON-HYEOK CHOI ◽  
GWANG-MOON EOM ◽  
JI-WON KIM

Reduced muscle strength is an important fall risk factor. The fall occurs more in elderly women than in elderly men. The aim of this study is to investigate muscle strength and the ability to generate rapid torque for knee joint in elderly men and women. Twenty healthy elderly participants (10 men and 10 women) performed maximal voluntary knee extension and flexion during concentric, isometric and eccentric conditions. The peak torque and rate of torque development (RTD) was normalized by each subject’s body mass. Independent [Formula: see text]-tests were employed in the comparison of elderly women with elderly men. Elderly women exhibited weaker isometric flexion and eccentric extension strength compared to elderly men ([Formula: see text]). Although there was no significant gender difference in isometric extension peak torque, RTD of elderly women was slower than it of elderly men ([Formula: see text]). In contrast, no significant gender differences were observed in concentric contraction condition ([Formula: see text]). These results indicate that the deteriorated RTD as well as muscle strength per body mass may be associated with a higher frequency of falls in elderly women than in elderly men. This study suggests that training of specific-contraction type should be considered for fall prevention in elderly women.


Author(s):  
Iransé Oliveira-Silva ◽  
Helton Ramos Gonçalves ◽  
Patrícia Espíndola Mota Venâncio ◽  
Grassyara Pinho Tolentino ◽  
William Alves Lima ◽  
...  

Background Aging is an irreversible process by which all living humans will pass, and the percentage of older population growth significantly in the last decades. There are an increasing evidence showing that independently older people, with autonomy and physical capacity, has better quality of life in comparison with others without self-sufficiency. Objective: Verify the changes on Quality-of-Life (QoL), body composition and physical performance (PF) of elderly women submitted to resistance training (RT). Methods: 16 elderly women participated in the study, that consisted in 12 weeks of Resistance training. The QoL with SF-36, the blood pressure (BP), hand-grip strength, anthropometry and physical performance to senior, was measured before and after of resistance training. Results: The main findings of this study were that the RT for 12 weeks are able to changes the self-perception of QoL of elderly women, simultaneously with decrease in percent of fat and increase in strength and PF. In addition, a maintenance of BP levels, flexibility and self-perception of pain and global health (QoL domains), were observed after this period. Conclusion: The study suggest that the 12 weeks of RT, twice a week, is able to ameliorate several physical fitness components and QoL domains, in community-dwelling elderly women.


2019 ◽  
Vol 8 (7) ◽  
pp. 1009 ◽  
Author(s):  
Ho Young Gil ◽  
Sungchul Park ◽  
Na Eun Kim ◽  
Yi Hwa Choi ◽  
Jae Hyung Kim ◽  
...  

Osteoarthritis (OA) is considered to be one of the most disabling diseases. The intra-articular opioid injection has been widely studied for its simplicity, safety, and efficacy in OA. In this study, however, we suggest a novel method of buprenorphine transdermal patch (BTDP) to painful knee joints of OA patients, instead of intra-articular opioid injection, and subsequently compared the knee application with conventional chest application. We retrospectively enrolled 213 patients with knee OA who did not respond to conventional therapy. The Numeric Rating Scale (NRS), adverse effects, and compliance were recorded before and after the application of the BTDP. All parameters were compared between the knee applied group and the chest applied group. After the BTDP application, the NRS score in the knee applied group was lower than that of the chest applied group (p = 0.007). NRS scores after buprenorphine patch decreased to 2.21 ± 0.77, and 2.55 ± 0.71 in the chest applied group and the knee applied group, respectively. The adverse effects were 19.32% in the knee applied group, and 64.00% in the chest applied group. The compliances were 82.95% and 37.60% in the knee applied group and chest applied group, respectively. This novel application of BTDP directly to the painful knee joint of knee OA patients led to a decrease in the NRS score, adverse effects, and an increase in compliance compared with the chest application method.


Author(s):  
Dr Anushri Gokul Endait

            Osteoarthritis is one of the most common disorders in joint disease. It is characterized by pain, shiftiness, decreased range of motion which is very close to Sandhigatavat. Sandhigatavat is amongst 80 Nanatmaj Vat Vyadhi. Here is a case of 57 years old male patient who was having complaints        of pain, tenderness, crepitus, swelling and restricted movement of both knee joints. Based on these symptoms and clinical sign he was diagnosed as a case of Sandhigatvat. Treatment given to this patient was Snehan, Swedan, Janubasti, Yog, Basti and oral medication . Assessment of patient before and after treatment was done on the basis of pain, tenderness and physical activity to exclude the efficacy of the treatment. Based on assessment parameter, moderate improvement was seen in subjective sign & symptoms after the completion of Schedule of IPD treatment & 1 month follow up. The pain & physical activity were improved significantly.


2021 ◽  
Vol 5 (11) ◽  
pp. 997-1004
Author(s):  
Yona Riapesi ◽  
Rizki Rahmadian ◽  
Hendra Maska

Background: Osteoarthritis (OA) is a degenerative joint disease frequently affecting the elderly and the middle class due to injury or overuse of the joints. An individual with pain due to OA will experience dysfunction of joints and muscles, thus causing movement limitation, decrease of muscle strength and balance. The objective of this study is to know the association of OA radiological degree with pain intensity and limitation of physical capability in patients with knee joint OA. Methods: This study is a retrospective study on patients with knee joint OA treated at RSUP Dr. M. Djamil Padang in year 2021 from January 2021 to May 2021. Data collection was conducted in the Medical Records Department of RSUP Dr. M. Djamil Padang and questionnaire which fulfills the inclusion and exclusion criteria. Results: A total of 58 patients fulfilled the inclusion criteria of this study. Results of the study showed the mean age of the respondents was 60 years with variance of 7 years. More than a half (77.6%) of the respondents were female and most common ethnicity was Minang (82.8%). 50% of the patients were housewives. BMI of the respondents were mostly overweight - obese (65.5%). Most commonly affected side of the knee joint OA was the right side (55.2%). Most common degree of OA was the fourth degree (39.7%). More than a half of the respondents (84.5%) had moderate intensity of pain and 34.5% respondents had mild physical limitation. Results of the study showed that there was an association between OA radiological degree and pain intensity in patients with knee joint OA (p value = 0.0001). Results of the study showed that there was an association between OA radiological degree and level of physical capability limitations in patients with knee joint OA (p value = 0.0001). Results of the study showed that there was an association between pain intensity and level of physical capability limitations in patients with knee joint OA (p value = 0.0001). Conclusion: There was an association between OA radiological degree and pain intensity, physical limitations in patients with knee joint OA, and there was an association between pain intensity and level of physical capability limitation in patients with knee joint OA.


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