scholarly journals The Affectivity of Knee and Hip Muscle Strengthening Exercise to Improve Muscle Strength, Balance, Pain, and Functional Activity of People with Osteoarthritis

2020 ◽  
2021 ◽  
Vol 9 ◽  
Author(s):  
Raja Nurzatul Efah Raja Adnan ◽  
Hazwan Mat Din ◽  
Asmidawati Ashari ◽  
Halimatus Sakdiah Minhat

Deterioration in muscle mass and muscle strength is common among the frail older persons, cause functional dependence and decrease in the quality of life. Therefore, the identification of cost-effective interventions to prevent or ameliorate frailty is crucially needed. The aim of this study is to determine the effectiveness of a Community-based Muscle Strengthening Exercise (COME) program to increase muscle strength among pre-frail older persons. This study was a quasi-experimental study. A total of 32 older persons aged 60 years and older with pre-frail symptoms were recruited from the community center. The COME was developed based on the Growing Stronger program and the Otago Home Exercise Program. COME was designed to strengthen all of the major muscle groups in the upper and lower extremities. The exercise program was conducted for 12 weeks and divided into 3 parts; (1) to strengthen the body slowly and gently, using only body weight, (2) to introduce dumbbells and ankle weights to increase strength and (3) to add various new ways to boost strength even more. Functional tests were measured before and after the intervention. The results revealed non-significant p-value for pre- and post-intervention comparison for all study outcomes. Observing the values of mean difference, the study intervention was shown to have slightly improved the time up and go (Mean difference = −0.25), and sit-to-stand duration (Mean difference = −0.41) as well as the handgrip strength (Mean difference = 0.68) among the participants. On the assessment of Cohen ES, all three improvements exhibited small effect sizes. Sit-to-stand duration was shown to have most benefited from the intervention with highest ES among the outcome variables (ES = 0.20). COME intervention program among pre-frail older persons showed favorable trend toward improvement of upper and lower extremities muscle strength. This study should be further tested in randomized control trial to confirm its effectiveness.


2019 ◽  
Vol 1 (2) ◽  
pp. 38
Author(s):  
Hasni Hasni ◽  
Hening Laswati Putra ◽  
Nuniek Nugraheni

Background: Musculoskeletal injuries both in sport and recreational activities, at each age level, can lead to immobilization. Injury and immobilization can lead to muscle strength decrease and deconditioning. These conditions can be addressed by provision of strength training therapy especially for people with low exercise tolerance such as the elderly and patients with chronic disease. Existing studies stated eccentric exercise can increase muscle strength with less energy expenditure compared to concentric exercise. However eccentric exercise can lead to muscle damage indicated with an acute CK level increase, and eccentric exercise has not been carried out regularly for post muscle injuries and deconditioned patients. The American College of Sport Medicine (ACSM) stated strength increase and muscle hypertrophy require high intensity load strengthening exercise with a minimum load of 70% 1 Maximum Repetition. The recommended load was given to the subjects in this research. Our pleriminary study intervention was well tolerated by healthy subjects.Aim: Comparing acute CK level alteration in high intensity eccentric and concentric muscle strengthening exercise on untrained healthy subjects.Methods: Randomized pre test and post test group design. Subjects of the study (n = 16) were untrained healthy males. CK level was evaluated by laboratory test.Results: Our study showed decline of acute CK level in both groups with p value 0.65 and 0.76, respectively. No significant differences found on both groups.Conclusion: The increase of acute CK level after five weeks of eccentric strengthening exercise is not higher than that in concentric strengthening exercise.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Ryo Kitagawa ◽  
Satoshi Kato ◽  
Satoru Demura ◽  
Yuki Kurokawa ◽  
Kazuya Shinmura ◽  
...  

AbstractExercise is the most common conservative intervention for chronic low back pain (CLBP). We have developed an innovative exercise device for the abdominal trunk muscles that also measures muscle strength in a sitting position. The device, which is easy for patients with CLBP to use, allows for lumbar stabilization exercise under pressure. This study aimed to examine the efficacy of abdominal trunk muscle strengthening using the device in improving CLBP. We conducted a two-group non-randomized controlled clinical trial. CLBP patients were allocated into two groups. The strengthening group underwent a 12-week exercise program that included abdominal trunk muscle strengthening using our device and stretching exercises, while the control group received a 12-week stretching exercise program. The outcome measures included the improvement of the abdominal trunk muscle strength measured by the device, pain intensity of CLBP, physical function, and quality of life (QOL). A total of 40 participants (20 in each group) were analyzed. The strengthening group showed better improvement in the abdominal trunk muscle strength, CLBP, physical function, and QOL than in the control group. In conclusion, the strengthening exercise using the device with easy stretching was effective in improving the strength of the abdominal trunk muscles, pain intensity of CLBP, physical function, and QOL.


Author(s):  
Hasni Hasni ◽  
Hening Laswati Putra ◽  
Nuniek Nugraheni

Background: Musculoskeletal injuries both in sport and recreational activities, at each age level, can lead to immobilization. Injury and immobilization can lead to muscle strength decrease and deconditioning. These conditions can be addressed by provision of strength training therapy especially for people with low exercise tolerance such as the elderly and patients with chronic disease. Existing studies stated eccentric exercise can increase muscle strength with less energy expenditure compared to concentric exercise. However eccentric exercise can lead to muscle damage indicated with an acute CK level increase, and eccentric exercise has not been carried out regularly for post muscle injuries and deconditioned patients. The American College of Sport Medicine (ACSM) stated strength increase and muscle hypertrophy require high intensity load strengthening exercise with a minimum load of 70% 1 Maximum Repetition. The recommended load was given to the subjects in this research. Our pleriminary study intervention was well tolerated by healthy subjects.Aim: Comparing acute CK level alteration in high intensity eccentric and concentric muscle strengthening exercise on untrained healthy subjects.Methods: Randomized pre test and post test group design. Subjects of the study (n = 16) were untrained healthy males. CK level was evaluated by laboratory test.Results: Our study showed decline of acute CK level in both groups with p value 0.65 and 0.76, respectively. No significant differences found on both groups.Conclusion: The increase of acute CK level after five weeks of eccentric strengthening exercise is not higher than that in concentric strengthening exercise.


Author(s):  
Simona Margelytė ◽  
Laimonas Šiupšinskas

Research background. During the rapid development of science and technology in the world, number of people suffering from pain in the neck-shoulder complex is increasing. Musculoskeletal disorders are influenced by non-ergonomic adaptation of the workplace, rapid decline in physical activity and other factors. The research aim was to evaluate the effect of stretching and strengthening exercises on work related neck/shoulder pain, muscle strength, range of motion in female blue-collar workers. Methods. The study involved 16 participants with neck-shoulders complex pain. The women were aged between 35–55 years. Participants rated their worst neck-shoulder pain during the previous week on a numerical rating scale from 0 to 10. Participants’ active range of motion of neck and humerus movements were measured with a goniometer, latent trigger point pain thresholds was measured with an algometer and muscle strength of upper trapezius, scalenus and sternocleidomastoideus muscles was evaluated with a dynamometer. The frst group (stretching exercise group) consisted of 9 participants, the second group (strengthening exercise group) – of 7 participants. Results. After 5 weeks stretching and strengthening exercise programs, the changes were statistically signifcant in both groups. Comparing pain intensity and muscle strength between groups, statistically signifcant changes were found in muscle strengthening group. Statistically signifcant latent trigger point pain threshold and range of motion changes were found in both groups (p < 0.05). Before the study, differences were found between the groups that could have had an effect on the results. Conclusion. Muscle strengthening exercises are more effective for blue – collar workers reducing muscular pain, increasing muscle strength and functional ability. Muscle strengthening exercise had a greater influence of pain intensity and muscle strength then stretching exercises.Keywords: neck-shoulder pain, stretching exercise, strengthening exercise.


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