scholarly journals Effects of Joint Therapy Mobility Exercises on The Level of Osteoarthritis Knee Joint Pain in The Elderly Padang

Author(s):  
Rachmawaty M Noer ◽  
Ika Sheilla

Osteoarthritis (OA) is a degenerative joint disease, where the overall structure of the joint undergoes pathological changes. One of the changes that occur in the musculoskeletal system can cause mobility disorders. The impact that will occur in the elderly with osteoarthritis is likely to experience a decrease in musculoskeletal function. This study aims to determine the effect of osteoarthritis knee joint pain levels before and after exercise therapy for joint mobility. The design of this study uses a quasi-experimental method with a Pre and Post Test without Control research design. The sample in this study consisted of 30 respondents. The sampling method in this study is accidental sampling. Research data were analyzed using the Wilcoxon test. It is known that more than half of respondents who have osteoarthritis are in the age range of 45-59 years, which is 46.7% (14 respondents). The results showed that in general osteoarthritis pain before ROM was in the range of 80% moderate pain, and the results showed that in general osteoarthritis pain after ROM was in the range of 76.7%. Data analysis found that the p-value was 0,000 (p = <0.05) indicating that there was an effect of exercise joint mobility on the level of osteoarthritis knee joint pain in the elderly in the Posyandu of the Belakang Padang elderly. This research is expected to be able to contribute and develop nursing, as a material for making policies on psychological approaches in the form of exercise therapy for joint mobility in overcoming joint pain in patients with osteoarthritis. osteoarthritis by involving variables that affect the level of pain.

MEDISAINS ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 53
Author(s):  
Esri Rusminingsih ◽  
Nur Wulan Agustina ◽  
Dyah Ayu Nawang Wulan

Background: The aging process results in changes in the musculoskeletal system causing a decrease in function of joints, loss of elasticity and limited mobility. This condition also causes joint pain, especially in the joints supporting the body weight, namely the knee. The previous studies discussed the method of reducing pain using a contras bath which was implemented by soaking parts of the body that experience pain alternately with hot and cold water, this was difficult to apply if the pain occurs in the upper body. Modifications in contrast baths using compresses to the knee joint have never been implemented before.Objective: This study aimed to figure out the effect of the contras bath method using compresses to reduce knee joint pain in the elderly.Method: The design of this study was pre-experimental with one group of pretest-posttest. The sample used was 16 elderly who were selected by random sampling at Posyandu (a center for pre- and postnatal health care and information for elderly) in village of Sawit Gantiwarno, Klaten. Contrast bath is applied by giving compresses of warm and cold water alternately with a ratio of three minutes: one minute per-day during 20 minutes, for a week. Pain measurement is performed using the Visual Analog Scale (VAS) instrument.Result: The mean of knee pain before giving a contrast bath was 5.44, whereas after a contrast bath was 3.50. Bivariate analysis used Wilcoxon, it showed p value <0.05 which means there was a significant difference in knee joint pain before and after contrast baths were applied.Conclusion: Administration of contrast bath can reduce knee joint pain in the elderly.


2021 ◽  
Vol 1 (1) ◽  
pp. 27-37
Author(s):  
Indry Yani Saphira ◽  
Ricky Riyanto Iksan ◽  
Sri Atun Wahyuningsih

ABSTRACT : DECREASE IN JOINT PAIN SCALE AFTER BEING GIVEN YOGA EXERCISE TO THE ELDERLY Background: The problem of joint pain in the elderly (elderly) is quite high with increasing age, including those who experience joint pain problems due to physical changes.Purpose: This study aims to identify the effect of yoga on joint pain in the elderly. Research Methods: This type of research is a case study design research, which is a form of research (inquiry) or case studies and interventions about a problem that has a specificity (particularity).Results: The results of this study were that there was a change in the pain scale in the elderly with joint pain after being given yoga exercise therapy, before being given therapy the pain scale value was 4 currently, after yoga exercise therapy the scale value became 3 light based on these results indicating that there was a significant decrease.Conclusion: The conclusion of this study is that the application of yoga exercise therapy intervention has an effect on changes in pain scale, as evidenced by data on the characteristics of joint pain sufferers, namely age, gender and activities such as factors that rarely exercise and do not repeat therapy. pain scale in patients with joint pain. Keywords : Ederly; joint pain; yoga exercise INTISARI: PENURUNAN SKALA NYERI SENDI SETELAH DIBERIKAN SENAM YOGA PADA LANSIA Latar Belakang : Masalah nyeri sendi pada lanjut usia (lansia) cukup tinggi dengan bertambahnya usia lansia termasuk golongan yang mengalami masalah nyeri sendi akibat perubahan fisik.Tujuan : Penelitian ini bertujuan untuk teridentifikasi adanya pengaruh yoga dengan nyeri sendi pada lansia.Metode Penelitian : Jenis penelitian ini adalah penelitian case study design yaitu suatu bentuk penelitian (inquiry) atau studi kasus dan intervensi tentang suatu masalah yang memiliki sifat kekhususan (particularity).Hasil: Hasil penelitian pada 4 responden yang dilakukan mengalami perubahan skala nyeri pada lansia nyeri sendi setelah diberikan therapy senam yoga, sebelum diberikan terapi nilai skala nyeri 4 sedang, setelah dilakukan terapi senam yoga nilai skala menjadi 3 ringan berdasarkan hasil tersebut menunjukkan bahwa terjadi penurunan yang signifikan.Kesimpulan : Kesimpulan dari penelitian ini penerapan intervensi therapy senam yoga berpengaruh terhadap perubahan skala nyeri, dibuktikan dengan data karakteristik penderita nyeri sendi yaitu usia, jenis kelamin dan aktivitas seperti faktor jarang berolahraga dan tidak terapi berulang, hal ini menunjukkan semakin sering melakukan terapi senam yoga dapat mempengaruhi penilaian skala nyeri pada penderita nyeri sendi. Kata Kunci : Lansia; Nyeri Sendi; Senam Yoga


2017 ◽  
Vol 42 (6) ◽  
pp. 588-595 ◽  
Author(s):  
Denise Zdzieblik ◽  
Steffen Oesser ◽  
Albert Gollhofer ◽  
Daniel König

The aim of the study was to evaluate the use of specific collagen peptides in reducing pain in athletes with functional knee problems during sport. Athletic subjects (n = 139) with functional knee pain ingested 5 g of bioactive collagen peptides (BCP) or a placebo per day for 12 weeks. The primary outcome of the study was a change in pain intensity during activity, which was evaluated by the participants and the attending physicians using a visual analogue scale (VAS). As secondary endpoints, pain intensity under resting conditions, the range of motion of the knee joint, and the use of additional therapeutic options were assessed. The results revealed a statistically significant improvement in activity-related pain intensity in the verum group compared with placebo. (ΔVASBCP = 19.5 ± 2.4; ΔVASPlacebo = 13.9 ± 2.1; p = 0.046). The results were confirmed by the physician’s assessment. (ΔVASBCP = 16.7 ± 1.8; ΔVASPlacebo = 12.2 ± 1.8; p = 0.021). Pain under resting conditions was also improved, but no significance compared with placebo was detected (ΔVASBCP = 10.2 ± 18.4; ΔVASPlacebo = 7.4 ± 15.2; p = 0.209). Due to the high joint mobility at baseline, no significant changes of this parameter could be detected. The use of additional treatment options was significantly reduced after BCP intake. The study demonstrated that the supplementation of specific collagen peptides in young adults with functional knee problems led to a statistically significant improvement of activity-related joint pain.


1970 ◽  
Vol 6 (02) ◽  
pp. 13-16
Author(s):  
Tri Siwi KN

Gout and rheumatoid arthritis is a disease that is often encountered in the community, one of them on the elderly (the elderly) are characterized by pain that occurs repeatedly in the joints. Ginger compress can be used as a nonpharmacological measures to deal with the pain. This study aims to determine the effectiveness of ginger compress in reducing joint pain in the elderly in UPT PSTW Khusnul Khotimah Pekanbaru. This design of research is a quasi experiment with sampling total sampling with 16 respondents. Data collection tool using pain scale test pre and post administration of ginger compress. The research result shows that the average intensity of joint pain before and after the ginger compress is 2.500. The test results obtained statistical p value = 0.000 where p <α 0:05. this means that there are differences in average significant difference between the intensity of joint pain in the elderly before and after the ginger compress. Is expected to more elderly for routine use as a ginger compress nonpharmacological measures pain in the joints.


2020 ◽  
pp. 24-28
Author(s):  
Syna Daudfar ◽  
Natalia Nakajima ◽  
Khristopher Faiss ◽  
Luke Tegeler ◽  
Jessica Kuo ◽  
...  

Joint pain in the elderly is becoming ever more ubiquitous in the primary care setting. Primary care providers, especially in rural communities, may be required to manage patients with rheumatologic conditions because consultation is unavailable. Literature supporting the approach to the diagnosis of joint pain in the elderly population is limited. The purpose of this manuscript is to present a case-based learning opportunity for osteopathic primary care providers, residents, and medical students regarding an elderly male with joint pain. In this manuscript, the authors have presented an advanced organizer to be used in the medical education setting which differentiates patients suffering from joint pain based on timing, the number of joints involved, and the size of the joint affected. We conclude with osteopathic considerations in evaluating an elderly patient with joint pain and the tools available to appropriately evaluate and treat the patient.


2018 ◽  
Vol 20 (2) ◽  
pp. 139-148 ◽  
Author(s):  
Anna Hadamus ◽  
Marta Grabowicz ◽  
Patryk Wąsowski ◽  
Anna Mosiołek ◽  
Dariusz Boguszewski ◽  
...  

Background. Kinesiology Taping is a very popular physiotherapy method. It is used in both healthy people and orthopaedic patients in order to relieve pain, increase range of motion and for other purposes. Many researchers claim that these applications will also improve proprioception and sensorimotor efficiency, which are important for recovery after injuries and orthopaedic surgeries, especially on the knee joint. The aim of this study was to determine the effect of the muscle application of Kinesiology Taping on knee joint position sense in active motion. Material and methods. The study involved 50 healthy people (30 men and 20 women). Mean age was 23.2 years (range 18-30 years). The exclusion criteria were past knee injuries and knee surgery that could affect the test results. The participants were divided randomly into two equal groups. The first group (KT group) had a Kinesiology Taping muscle application placed, whereas a placebo application of an adhesive tape was used in the remaining participants (placebo group). Both applications were supposed to support quadriceps muscle activity. Joint position sense (JPS) was evaluated by measuring the error of active reproduction of the joint position (EARJP) of the knee in 45° flexion. The test was performed prior to applying the patch, after the patch was applied, then after 24 hours of wearing it and after removing the tape. The interval between trials before and after application of the patch was not less than 30 minutes. Statistical analysis was performed using Statistica 12.0. Distribution characteristics were calculated and the Wilcoxon test, Friedman‘s ANOVA and Mann-Whitney U test were performed. Results. The average test scores of JPS in the KT group and the placebo group before applying the KT patch were 3.48° and 5.16° respectively, compared to 4.84° and 4.88°, respectively, with the patch on, 5.12° and 4.96°, respectively, after 24 hours of wearing the tape, and 3.84° and 5.12°, respectively, after removing the patch. Within-group differences at any two time points were not statistically significant. There were also no significant differences between the groups. Conclusions. 1. Kinesiology Taping application to the quadriceps muscle had no significant effect on knee joint proprioception. Its use in order to improve sensorimotor skills therefore seems unreasonable. 2. The results are the basis for future prospective, randomised trials of larger experimental groups and involving the use of other Kinesiology Taping applications as well as including individuals with lesions of knee joint structures.


2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Hiroki Sugiura ◽  
Shinichi Demura

This study aimed to examine the differences in the ability to perform various activities of daily living (ADLs) among groups with various knee problems. The participants consisted of 328 elderly females (age 60–94; mean age 76.1 years; standard deviation 6.2). The subjects were classified into three groups: those without knee pain, those with mild knee pain, and those with severe knee pain. ADLs with markedly higher (>97%) and lower (<38%) achievement rates in the group without knee pain were not significantly different among the three groups. Achievement rates of 40%–97% for ADLs were significantly lower in the group with severe knee pain than in the group without knee pain. In addition, the groups with mild and severe knee pain demonstrated significantly lower achievement rates of ascending and descending stairs and sitting up than the group without knee pain. In conclusion, regardless of the presence of absence of mild or severe knee pain, some ADLs are difficult to achieve, while others are easy. The elderly with severe knee pain find it difficult to achieve many ADLs. In addition, it is difficult for the elderly with mild and severe knee pain to ascend and descend stairs and to sit up.


Salmand ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 160-175
Author(s):  
Gholamreza Ansari ◽  
◽  
Ahmad Delbari ◽  
Mehrdad Karimi ◽  
Ahmad Ali Akbari Kamrani ◽  
...  

Objectives: Osteoarthritis is one of the most common diseases among older people which is one the most important causes of disability and heavy socio-economic burden on the elderly and society. This study aimed to investigate the effect of melilotus officinalis oil on knee joint pain and stiffness among older adults with mild to moderate primary knee osteoarthritis. Methods & Materials: This is a double-blind randomized controlled clinical trial (registration code: IRCT2016082129461N1). Participants were 61 eligible older adults (35 females and 26 males with a mean age of 78±7.79 years) residing in one of the nursing homes in Tehran, Iran who had mild to moderate knee osteoarthritis clinically diagnosed by an orthopedic physician. Then they were assigned randomly into two groups of intervention and control received melilotus officinalis oil and diclofenac gel, respectively, using a randomization table based on balance block randomization. The data were collected using a demographic form and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for evaluating knee joint pain and stiffness at baseline, 2 weeks and 4 weeks after the intervention. Collected data were analyzed in SPSS V. 23 software.  Results: There was no statistically significant different between the intervention and control groups in terms of sociodemographic variables (age, education, marital status, occupation, smoking, physical activity, chronic illness, and medication) at baseline. Knee pain (F1,58=119.07, P<0.001) and joint stiffness (F 1,58=19.9, P<0.001) reduced significantly in both groups, where the effect size was higher in the intervention group. No considerable side effect reported during the study. Conclusion: Compared to diclofenac gel, melilotus officinalis oil can reduce knee joint pain and stiffness in older people with mild to moderate knee osteoarthritis. Therefore, it is suggested for treatment of people with knee osteoarthritis. Further studies are recommended to investigate the mechanism of melilotus oficinalis oil in reducing knee pain and stiffness and determine its effective dosage. 


2019 ◽  
pp. 115-119
Author(s):  
Wahyuningsih Safitri ◽  
Ratih Dwi Lestari Puji Utami

Nyeri yang dialami lansia dengan osteoartritis sering kambuh dan resisten terhadap analgetik sehingga diperlukan terapi alternatif untuk mengurangi nyeri. Jahe merah adalah jahe yang sangat cocok untuk dijadikan herbal dan lebih banyak digunakan sebagai obat, karena kandungan minyak atsiri dan oleoresinnya paling tinggi dan mengandung gingerol diduga dapat memblok produksi prostaglandin sehingga dapat menurunkan nyeri. Penelitian ini berjudul pengaruh kompres jahe merah terhadap penurunan nyeri osteoartritis pada lansia. Metode penelitian adalah pre-eksperiment dengan one group pre-test dan post-test design with control group. Pengumpulan data dilakukan pada saat sebelum dan sesudah pemberian intervensi kompres jahe merah. Pengambilan sampel dengan purposive sampling merupakan teknik penentuan sampel dengan pertimbangan tertentu. Alat penelitian ini terdiri kompres jahe merah dan lembar observasi nyeri pre test dan post test. Analisa data dengan menggunakan Paired-Sample T Test karena data berdistribusi normal. Hasil menunjukkan ada pengaruh pemberian kompres jahe merah terhadap penurunan nyeri osteoartritis pada lansia dengan p value 0,006 dan rata-rata penurunan skala nyeri 3,16. Hasil uji Mann-Whitney didapatkan p value 0,000 rata-rata penurunan nyeri pada kelompok intervensi 2,26 dan kelompok kontrol 1,16, artinya ada perbedaan pemberian kompres jahe merah terhadap penurunan nyeri osteoartritis pada lansia. Kata kunci: osteoartritis, lansia, jahe merah Pain experienced by elderly people with osteoarthritis often relapse and is resistant to analgesics so alternative therapies are needed to reduce pain. Red ginger is a ginger that is very suitable to be used asan herb and is more widely used as medicine, because the content of essential oils and oleoresin is the highest and contains gingerol which is thought to block the production of prostaglandins so that it can reduce pain. This study entitled the effect of red ginger compresses on reducing osteoarthritis pain in the elderly. The research method is pre-experiment with one group pre-test and post-test design with control group. Data collection was carried out before and after the intervention of red ginger compresses. Sampling with purposive sampling is a technique of determining samples with certain considerations. This research tool consisted of red ginger compresses and pain observation sheets pre test and post test. Analyze data using Paired-Sample T Test because data is normally distributed. The results showed there was an effect of giving red ginger compresses to the reduction of osteoarthritis pain in the elderly with p value 0.006 and the average reduction in pain scale 3,16. The Mann-Whitney test results obtained p value 0,000 the average reduction in pain in the intervention group 2,26 and the control group 1,16, meaning that there is a difference in the provision of red ginger compresses to decrease osteoarthritis pain in the elderly. Keywords: osteoarthritis, elderly, red ginger


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