DOI QR코드

DOI QR Code

Effects of Elastic Band Exercise Combined with Swiss Ball Exercise on Lower Extremity Muscle Strength, Balance, and Pain in Middle-Aged Women with Osteoarthritis

  • Yohan Yoo (Department of Physical Therapy, The Graduate School of Sahmyook University) ;
  • Jongeun Yim (Department of Physical Therapy, The Graduate School of Sahmyook University)
  • 투고 : 2023.09.18
  • 심사 : 2023.09.26
  • 발행 : 2023.09.30

초록

Objective: The aim of this study is to test the effects of elastic band exercise accompanied by Swiss ball exercise on lower limb muscle strength, balance and pain in middle-aged women with osteoarthritis. Design: A randomized controlled trial. Methods: Thirty-five participants were randomly assigned to the experimental group (n=18), which performed elastic band exercise combined with Swiss ball exercise, and the control group (n=17), which performed elastic band exercise only. Both groups did a 30-minute session of exercise three times a week for eight weeks and were assessed for lower extremity muscle strength, static and dynamic balance, and pain levels before the first therapy session. All participating patients underwent outcome assessment after eight weeks of therapy without any additional treatment. Results: The experimental group made a significant increase in muscle strength of the lower extremities, static and dynamic balance ability, and pain level (p<0.05). The control group made a significant improvement in lower limb muscle strength, dynamic balance ability and pain level (p<0.05) with no such improvement in static balance ability. The exercise group made a significant increase in static and dynamic balance ability and pain level compared to the control group (p<0.05). Conclusions: These results demonstrated that both Swiss ball exercise and elastic band exercise were effective for middle-aged women with osteoarthritis and found that elastic band exercise combined with Swiss ball exercise produced more significant effects on their balance and pain.

키워드

과제정보

This study was supported by Sahmyook University Research Funds.

참고문헌

  1. Chen W, Xue Z, Sun J, Jia Z, Fu F, Zhao Y, et al. Traditional CHINESE patent medicine for knee osteoarthritis pain: systematic review. Osteoarthritis and Cartilage. 2020;28:S150-S1.  https://doi.org/10.1016/j.joca.2020.02.249
  2. Report NHISA. Health Insurance Review and Assessment Service [Internet] 2019 2020. 
  3. 이한경, 김희선, 김창환. 운동이 퇴행성 슬관절염 환자의 통증 무기력에 대한 지각된 유효성에 미치는 영향, 한국 스포츠 산업개발원. 한국 스포츠 산업개발원. 2002. 
  4. Baliunas A, Hurwitz D, Ryals A, Karrar A, Case J, Block J, et al. Increased knee joint loads during walking are present in subjects with knee osteoarthritis. Osteoarthritis and cartilage. 2002;10:573-9.  https://doi.org/10.1053/joca.2002.0797
  5. Chung J. Changes of the physical performance and bone mineral density by aging. Korean J Phys Educ. 2008;47:489-99. 
  6. 김도은. 코어운동이 여성노인의 체력, 척추심부근, 하지근기능 및 보행 변화에 미치는 영향: 조선대학교 대학원; 2016. 
  7. Roddy E, Zhang W, Doherty M. Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review. Annals of the rheumatic diseases. 2005;64:544-8.  https://doi.org/10.1136/ard.2004.028746
  8. Burks K. Osteoarthritis in older adults: current treatments. Journal of Gerontological Nursing. 2005;31:11-9.  https://doi.org/10.3928/0098-9134-20050501-05
  9. Katzmarzyk P. Physical Activity and Chronic Diseases. In, ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription. American College of Sports Medicine. Lippincott, Williams and Wilkins, Philadelphia; 2006. 
  10. Miyazaki T, Wada M, Kawahara H, Sato M, Baba H, Shimada S. Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Annals of the rheumatic diseases. 2002;61:617-22.  https://doi.org/10.1136/ard.61.7.617
  11. 한승완, 박진기. 복합운동이 퇴행성 무릎관절염 여성 노인의 통증, 하지근력, ROM, 보행기능의 변화에 미치는 효과. 한국체육과학회지. 2013;22:1021-32. 
  12. Bartels EM, Juhl CB, Christensen R, Hagen KB, Danneskiold-amsoe B, Dagfinrud H, et al. Aquatic exercise for the treatment of knee and hip osteoarthritis. Cochrane Database of Systematic Reviews. 2016. 
  13. Fertelli TK, Mollaoglu M, Sahin O. Aquatic exercise program for individuals with osteoarthritis: Pain, stiffness, physical function, self-efficacy. Rehabilitation Nursing Journal. 2019;44:290-9.  https://doi.org/10.1097/rnj.0000000000000142
  14. Lu M, Su Y, Zhang Y, Zhang Z, Wang W, He Z, et al. Effectiveness of aquatic exercise for treatment of knee osteoarthritis: Systematic review and meta-analysis. Zeitschrift fur Rheumatologie. 2015;74:543-52.  https://doi.org/10.1007/s00393-014-1559-9
  15. Cameron MH. Physical agents in rehabilitation-E Book: an evidence-based approach to practice: Elsevier Health Sciences; 2021. 
  16. Jessup JV, Horne C, Vishen R, Wheeler D. Effects of exercise on bone density, balance, and self-efficacy in older women. Biological Research for nursing. 2003;4:171-80.  https://doi.org/10.1177/1099800402239628
  17. 한상완, 이정우, 김상호. 스위스볼 운동과 탄력밴드 운동이 노인 여성의 균형에 미치는 영향. 한국사회체육학회지. 2008;34:945-53.  https://doi.org/10.51979/KSSLS.2008.11.34.945
  18. Kim G-D, Heo M. Effects of swiss ball exercise program for improvement of life care on balance and gait in local community elderly. Journal of KOEN. 2018;12:353-9.  https://doi.org/10.21184/jkeia.2018.10.12.7.353
  19. Carmeli E, Bar-Chad S, Lotan M, Merrick J, Coleman R. Five clinical tests to assess balance following ball exercises and treadmill training in adult persons with intellectual disability. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2003;58:M767-M72.  https://doi.org/10.1093/gerona/58.8.M767
  20. Seo B-D, Yun Y-D, Kim H-R, Lee S-H. Effect of 12-week swiss ball exercise program on physical fitness and balance ability of elderly women. Journal of Physical Therapy Science. 2012;24:11-5.  https://doi.org/10.1589/jpts.24.11
  21. 김종우, 한승완, 김재구. 요골반부 (Lumbo-Pelvic region) 와 하지 근육에 대한 탄성저항 운동이 노인들의 보행 및 균형능력에 미치는 영향. 한국발육발달학회지. 2006;14:13-26. 
  22. McCarthy LH, Bigal ME, Katz M, Derby C, Lipton RB. Chronic pain and obesity in elderly people: results from the Einstein aging study. Journal of the American Geriatrics Society. 2009;57:115-9.  https://doi.org/10.1111/j.1532-5415.2008.02089.x
  23. Thomas VS, Hageman PA. Can neuromuscular strength and function in people with dementia be rehabilitated using resistance-exercise training? Results from a preliminary intervention study. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2003;58:M746-M51.  https://doi.org/10.1093/gerona/58.8.M746
  24. Sled EA, Khoja L, Deluzio KJ, Olney SJ, Culham EG. Effect of a home program of hip abductor exercises on knee joint loading, strength, function, and pain in people with knee osteoarthritis: a clinical trial. Physical therapy. 2010;90:895-904.  https://doi.org/10.2522/ptj.20090294
  25. 최진호. 무릎 골관절염이 있는 여성 노인들에게 테이핑을 적용한 엉덩관절 벌리기 운동 홈 프로그램이 통증과 대퇴사두근 근력에 미치는 영향. 대한물리의학회지. 2018;13:61-6. 
  26. Kang J-H, Na J-Y, Jang J-H, Lee K-I, Kim K-Y. Isokinetic Test and the Effect of Exercise Therapy of Ipsilateral Knee Osteoarthritis. Korean Journal of Sport Biomechanics. 2010;20:75-81.  https://doi.org/10.5103/KJSB.2010.20.1.075
  27. 강서정, 박주영. 복합트레이닝이 고령여성 관절염환자의 우울에 미치는 영향. 한국체육과학회지. 2007;16:861-73. 
  28. Jeong H. The Effect of Swiss Ball Exercise on Fall-related Body function in Elderly Women. Graduate school of Changwon University, Republic of Korea, Master's thesis. 2016. 
  29. Rogers ME, Sherwood HS, Rogers NL, Bohlken RM. Effects of dumbbell and elastic band training on physical function in older inner-city African-American women. Women & health. 2002;36:33-41. 
  30. Bohannon RW. Sit-to-stand test for measuring performance of lower extremity muscles. Perceptual and motor skills. 1995;80:163-6.  https://doi.org/10.2466/pms.1995.80.1.163
  31. Rikli RE, Jones CJ. Senior fitness test manual: Human kinetics; 2013. 
  32. Potvin A, Tourtellotte W. The neurological examination: advancements in its quantification. Archives of Physical Medicine and Rehabilitation. 1975;56:425-37. 
  33. Springer BA, Marin R, Cyhan T, Roberts H, Gill NW. Normative values for the unipedal stance test with eyes open and closed. Journal of geriatric physical therapy. 2007;30:8-15.  https://doi.org/10.1519/00139143-200704000-00003
  34. Persad C, Cook S, Giordani B. Assessing falls in the elderly: should we use simple screening tests or a comprehensive fall risk evaluation? European Journal of physical and rehabilitation medicine. 2010;46:249-59. 
  35. Sihvonen SE, Sipila, Era PA. Changes in postural balance in frail elderly women during a 4-week visual feedback training: a randomized controlled trial. Gerontology. 2004;50:87-95.  https://doi.org/10.1159/000075559
  36. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. Journal of the American geriatrics Society. 1991;39:142-8.  https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  37. Bijur PE, Latimer CT, Gallagher EJ. Validation of a verbally administered numerical rating scale of acute pain for use in the emergency department. Academic emergency medicine. 2003;10:390-2.  https://doi.org/10.1197/aemj.10.4.390
  38. 육도현. 스위스볼을 이용한 요부안정화 운동이 만성요통 환자의 균형능력과 장애지수에 미치는 영향. 삼육대학교 대학원, 석사학위논문. 2010. 
  39. 이동걸, 안상현, 오진규, 조남정. 스위스 볼을 이용한 요부안정화 운동이 근력과 유연성 및 균형에 미치는 영향. 대한임상전기생리학회지. 2009;7:35-42.  https://doi.org/10.5627/KACE.2009.7.1.035
  40. Aksen-Cengizhan P, Onay D, Sever O, Dogn AA. A comparison between core exercises with Theraband and Swiss Ball in terms of core stabilization and balance performance. Isokinetics and exercise science. 2018;26:183-91.  https://doi.org/10.3233/IES-173212
  41. Wright A, Vicenzino B. Cervical mobilisation techniques, sympathetic nervous system effects and their relationship to analgesia. Moving in on Pain. 1995:164-73.