scholarly journals The Influence of Lower-Body Training, Upper-Body Training and a Combination of Both on Pain, Functionality and Quality of Life in Knee Osteoarthritis Patients

2020 ◽  
pp. 38-51
Author(s):  
K. Baum ◽  
U. Hofmann ◽  
F. Bock
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Pain Perception ◽  
Physical Activities ◽  
Upper Body ◽  
Training Intervention ◽  
Training Interventions ◽  
Positive Effects ◽  
Underlying Mechanisms

Purpose: Regular physical activities are a keystone in the nonmedical and nonsurgical treatment of knee-osteoarthritis. However, the underlying mechanisms are still regarded as a black-box and a matter of debate. As potential candidates, two groups can be distinguished: First, joint-specific influences such as better biomechanical functioning and improvements in the quality of cartilage. Secondly, more unspecific effectors like anti-inflammatory cytokines and a central modulation of pain perception. In order to distinguish between these two groups the present study compared the training effects of knee-joint surrounding muscles (LBT), upper body muscles (UBT), and the combination of both (WBT).   Methods: 372 physically inactive, adult knee-osteoarthritic patients of both sexes were enrolled in the multi-centered, controlled, and randomized training intervention. All three exercise groups fulfilled an 8-week circle-training intervention two times per week with a subjective intensity of 4 - 5 for the first five sessions (on a 0 = no effort to 10 = extreme effort scale). From the 6th to the 10th session, intensity was adjusted to 6 – 7 and thereafter to 7 – 8. The single training sessions were as follows. LBT: 4 devices, exercise net time (ENT) 20 min., UBT: 4 devices, ENT12 min., WBT 8 devices, ENT 28 min. Anthropometric data, comorbidities, regular physical activities, actual and former medical treatments, knee specific functionality, pain, stiffness, and health related physical and mental quality of life was evaluated at the beginning, after 4 weeks, and finally after 8 weeks by means of online-questionnaires. Main Results: Initially, pain and physical function correlated well with the Kellgren-Lawrence grades (p < 0,01). All three training interventions led to significantly increased functionalities (p < 0,0001) and physical qualities of life (p < 0,02). The pain-subscore of the Western Ontario and McMaster Universities Osteoarthritis Index was significantly reduced (p < 0,004). None of these improvements showed significant differences between groups, although there was a tendency of WBT to be superior to UBT and LBT. Conclusion: The positive effects of physical training regimens cannot be exclusively attributed to a knee-specific training effect since significant improvements also occurred in the UBT group.

scholarly journals Mejora de la calidad de vida en cuidadores informales de personas dependientes mediante talleres educacionales

2022 ◽  
Vol 21 (1) ◽  
pp. 43-73
Author(s):  
María Dolores Guijarro-Requena ◽  
María Nieves Marín-Campaña ◽  
María Isabel Pulido-Lozano ◽  
Rocío Melka Romero-Carmona ◽  
Luis Gabriel Luque-Romero
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Pain Perception ◽  
Negative Impact ◽  
Informal Caregivers ◽  
Health States ◽  
Training Interventions ◽  
Calidad De Vida ◽  
Back Problems

Introduction: The ageing of the population is associated with an increase in the number of dependent people, with an estimate of 15% living with a disability. The provision of care to family members entails an added responsibility associated with care-related problems, which can have a negative impact on caregivers. Therefore, we propose to design and evaluate a caregiving programme based on caregiver education, measuring knowledge, pain perception, emotional burden and health-related quality of life. Objective: The main objective is to improve the quality of life of informal caregivers through training interventions, in order to decrease the disability caused by caregiving tasks.Method: 99 caregivers belonging to the Aljarafe-Northern Seville Primary Care Health District participated, divided into control and intervention groups. We designed two educational workshops on care programmes for informal caregivers. They completed a knowledge questionnaire, and different validated scales related to pain, health states and quality of life.Results: Most of the caregivers presented back problems, for which they received pharmaceutical treatment. The implemented intervention was associated with a decrease in pain during basic activities of daily living, care and rest, as well as a reduction in strain index in both groups.Conclusions: Intervention programmes for informal carers of dependent patients are effective in improving the state of health and quality of life of this group, and their implementation should therefore be encouraged in primary care. Introducción: El envejecimiento de la población está asociado a un incremento de personas dependientes, estimándose que el 15% vive con alguna discapacidad. La prestación de cuidados a familiares supone una responsabilidad añadida asociada a problemas relacionados con el cuidado, que pueden repercutir negativamente en los cuidadores. Por ello, planteamos diseñar y evaluar un programa de cuidados, basado en la educación de los cuidadores, midiendo los conocimientos, la percepción del dolor, la carga emocional y la calidad de vida relacionada con la salud. Objetivo: El objetivo principal es mejorar la calidad de vida de los cuidadores informales mediante intervenciones formativas, con el fin de disminuir la incapacidad causada por las tareas del cuidado.Método: Participaron 99 cuidadores pertenecientes al Distrito Sanitario Aljarafe-Sevilla Norte de Atención Primaria, divididos en grupo control e intervención. Diseñamos dos talleres educacionales sobre programas de atención a cuidadores informales. Cumplimentaron un cuestionario de conocimientos, y diferentes escalas validadas relacionadas con el dolor, los estados de salud y la calidad de vida.Resultados: La mayor parte de los cuidadores presentaban problemas de espalda tomando medicación para ello. La intervención implementada se asoció a un descenso del dolor durante actividades básicas de la vida diaria, los cuidados y el descanso, y disminución del índice de esfuerzo en ambos grupos.Conclusiones: Los programas de intervención en cuidadores informales de pacientes dependientes resultan eficaces para mejorar el estado de salud y la calidad de vida de este colectivo por lo que se debe fomentar su realización desde la Atención Primaria.

scholarly journals The Effects of Yoga on Pain, Mobility, and Quality of Life in Patients with Knee Osteoarthritis: A Systematic Review

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Laidi Kan ◽  
Jiaqi Zhang ◽  
Yonghong Yang ◽  
Pu Wang
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Knee Osteoarthritis ◽  
Cochrane Central Register ◽  
Inclusion Criteria ◽  
Positive Effects ◽  
Central Register ◽  
Evidence Database ◽  
And Function

Objective.To systematically assess the effects of yoga on pain, mobility, and quality of life in patients with knee osteoarthritis.Methods.Pubmed, Medline, EMBASE, the Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database (PEDro), and other sources were searched systematically in this study. Two reviewers identified eligible studies and extracted data independently. Downs and Black’s Quality Index were used to evaluate the methodological quality of the included studies.Results.A total of 9 articles (6 studies) involving 372 patients with knee osteoarthritis met the inclusion criteria. The most common yoga protocol is 40~90 minutes/session, lasting for at least 8 weeks. The effect of yoga on pain relief and function improvement could be seen after two-week intervention.Conclusion.This systematic review showed that yoga might have positive effects in relieving pain and mobility on patients with KOA, but the effects on quality of life (QOL) are unclear. Besides, more outcome measure related to mental health of yoga effects on people with KOA should be conducted.

scholarly journals INFLUENCE OF GENDER ON PAIN, QUALITY OF LIFE, AND PHYSICAL ACTIVITY IN PATIENTS WITH KNEE OSTEOARTHRITIS

2021 ◽  
Vol 9 (Spl-1- GCSGD_2020) ◽  
pp. S139-S147
Author(s):  
Tan Xue Min ◽  
◽  
Vinosh Kumar Purushothaman ◽  
Yughdtheswari Muniandy ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Pain Perception ◽  
Short Form ◽  
Pearson Correlation ◽  
Intensity Level ◽  
Increased Risk

Osteoarthritis is the most common cause of knee pain which contributes to adults’ disability. Females have an increased risk of knee osteoarthritis. However, little is known about the gender influence in pain perception, quality of life (QOL), and physical activity. Hence, this study aimed to investigate the influence of gender on pain perception, QOL, and physical activity in patients with knee osteoarthritis. A cross-sectional study design with a total of 186 patients(mean age of 56.64 ± 6.49) with knee osteoarthritis were recruited. Pain intensity, level of physical activity, and QOL of patients were assessed using a visual analog scale (VAS), global physical activity questionnaire (GPAQ), and Short Form-36 (SF-36) questionnaire. Among the studied patients, 52% of patients with knee osteoarthritis had a relatively low level of physical activity with females representing the majority of them. Lower mean was observed in QOL and physical activity whereas pain intensity was higher in females compared to males (p < 0.05). Pearson correlation demonstrated a strong negative correlation between physical activity and pain (r = -0.77, n = 186, p <0.01), and a weak correlation exist between physical activity and all domains of QOL except for the functional capacity and body pain. Majority of female participants with knee osteoarthritis exhibit poor QOL, physical activity, and increased pain intensity as compared to males. Clinicians need to be aware of the influence of gender in treating patients with knee osteoarthritis.

scholarly journals The effect of a water jogging exercise course on older men with knee osteoarthritis

2020 ◽  
Vol 12 (2) ◽  
pp. 31-35
Author(s):  
Yaser Khanjari ◽  
◽  
Razie Garooei ◽  
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Motor Function ◽  
Low Cost ◽  
Knee Injuries ◽  
Osteoarthritis Of The Knee ◽  
Elderly Men ◽  
Significance Level ◽  
Positive Effects

Knee osteoarthritis is one of the most common joint disorders and a major cause of disability and disability in old age. Although previous research has shown the positive effects of exercise on land to some extent, but due to high pressure on land, the elderly does not want to participate in these exercises. Water exercise has recently been considered to reduce pain in patients with osteoarthritis of the knee, although its effects have not yet been fully elucidated. So, the objective of this study was to investigate the effect of a water jogging training program on the symptoms of knee osteoarthritis in elderly men. 15 elderly men with knee osteoarthritis were purposefully selected as subjects. We used global questionnaire of the consequences of knee injuries and osteoarthritis (KOOS) to collect data. The subjects performed a jogging in water program for 10 weeks under the supervision of a hydrotherapy instructor level. Correlated t-test was used to analyze the data at the significance level (P<0.05). Between pre-test and post-test, the mean symptoms (P=0.033), knee pain (P=0.024), motor function in daily activities (P=0.014), motor function in recreational sports activities (P=0.006) and Quality of life (P=0.005) was significantly different after the program. The results of this study show that regular practice of jogging in water can be a new, safe, effective and low-cost way to improve pain and quality of life in people with knee osteoarthritis. These exercises may reduce the need for surgery and knee replacement in patients with knee arthritis.

Role of Ethnicity on Pain Perception, Fatigue, and Quality of Life in a Pediatric Chronic Pain Population

2007 ◽  
Author(s):  
Jeffrey I. Gold ◽  
Trina Haselrig ◽  
D. Colette Nicolaou ◽  
Katharine A. Belmont
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Perception ◽  
Pediatric Chronic Pain

PHYSICAL, SOCIAL ACTIVITIES AND QUALITY OF LIFE OF THE ELDERLY LIVING IN TRUONG AN WARD, HUE CITY IN 2016

2019 ◽  
pp. 55-62
Author(s):  
Vuong Diem Khanh Doan ◽  
Ngoc Minh Chau Ho ◽  
Thi Van Ngo ◽  
Thi Bao Nga Phan ◽  
Thi Hong Phan Nguyen
Keyword(s):  
Quality Of Life ◽  
The Elderly ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Physical Activities ◽  
Social Activities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Elderly Living

Background: Vietnam is entering the stage of aging population; as a result, the quality of life (QOL) of the elderly is really a matter of concern. There is a great deal of research on the quality of life of the elderly while Vietnam witnesses a lack of research on this topic, especially on how physical and social activities have impact on QOL of the elderly. Objectives: (1) To describe the situation of participation in physical, social activities and QOL of the elderly residing in Truong An Ward, Hue city. (2) To examine the association between physical, social activities and QOL among participants. Methodology: This study used cross-sectional study design. A total sample of 420 people aged 60 and above in Truong An Ward, Hue city were interviewd. The SF36 was used to measure the QOL of participants. Results: Percentage of the elderly taking part in physical activity were 66%. 49% reported having the habit of taking part in social activities. The majority of the elderly get their QOL level in three health fields, namely physical, mental and general health at above average. (56.0, 60.7 and 60.8 respectively). There were significant associations between physical activities, social activities and QOL among participants. Conclusion: The percentage of the elderly taking part in physical and social activities were still low. Besides, QOL of the elderly at the research location was not really high. It’s important to encourage the elderly taking part in physical and social activities to improve their quality of life. Key words: Physical activities, social activities, QOL, the elderly

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