DOI QR코드

DOI QR Code

Exercise Using Isokinetic Strength Training Equipment and Physical Function Improvement

  • 투고 : 2023.10.31
  • 심사 : 2024.02.23
  • 발행 : 2024.03.31

초록

Objective: This study aims to explore the relationship between isokinetic strength training and the enhancement of physical function in older adults. It also evaluates the effectiveness of isokinetic strength training equipment. Method: This study randomly divided twenty healthy adults into two groups.The experimental group engaged in isokinetic strength training for 30 minutes, three times a week, over a four-week period. In contrast, the control group did not participate in any exercise regimen. We assessed several outcome measures including physical functions (sit-to-stand test, flexibility, Timed Up and Go test), grip strength, balance, thigh circumference, the Korean version of the Patient Health Questionnaire-9 (PHQ-9), and the Korean version of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Additionally, the experimental group's self-perceived improvement in lower limb condition was evaluated using the Global Rating of Change (GROC) scale. Results: The experimental group showed significant improvements compared to the control group in various aspects: reduced sit-to-stand test duration (7.00±2.05 seconds), increased flexibility (4.69±3.90 cm), improved grip strength (1.54±1.74 kg), increased thigh circumference (left: 1.29±1.19 cm, right: 1.19±1.27 cm), enhanced Timed Up and Go test performance (-1.47±0.86 seconds), better balance (eyes open stance: -8.08±4.03 cm, eyes closed stance: -0.27±0.13 cm/s), and a decrease in depression severity (-0.15±1.51 points). Furthermore, significant increases were observed in the experimental group's maximal isokinetic strength at 90°/s for both flexion (19.62±7.03 Nm) and extension (19.60±14.65 Nm) over the study period. Conclusion: The findings suggest that isokinetic strength training equipment can significantly enhance physical functions in seniors when incorporated into an exercise regimen.

키워드

참고문헌

  1. YeongHo, Jong. The life expectancy and health-adjusted life expectancy of Koreans. Research@KIHASA, 2012 Nov:193:5-18 
  2. Mirja Hirevensalo, Taru Lintunen. Life-course Perspective for Physical Activity and Sports Participation. Eur Rev Aging Phys Act. 2011 Jan;(8):13-22 
  3. Mi-Ok Kim, Youn-Sik Kim, Sung-Wook Chun, Sang-Keun Shin. Effects of low intensity dance sports exercise for 16 weeks on senior fitness test and fullerton advanced balance in elderly man. Korean J Growth Dev. 2019;27(4): 321-327  https://doi.org/10.34284/KJGD.2019.11.27.4.321
  4. Hyun Kwak, SangBeom Kim. Aging and Sarcopenia. J Korean Geriatr Soc. 2007;11(2):55-59 
  5. Arokoski MH, Arokoski JP, Haara M, Kankaanp狎 M, Vesterinen M, Niemitukia LH, Helminen HJ. Hip muscle strength and muscle cross sectional area in men with and without hip osteoarthritis. J Rheumatol. 2002 Oct;29(10):2185-95. 
  6. Baker KR, Xu L, Zhang Y, Nevitt M, Niu J, Aliabadi P, Yu W, Felson D. Quadriceps weakness and its relationship to tibiofemoral and patellofemoral knee osteoarthritis in Chinese: the Beijing osteoarthritis study. Arthritis Rheum. 2004 Jun;50(6):1815-21.  https://doi.org/10.1002/art.20261
  7. C Slemenda, KD Brandt, DK Heilman, S Mazzuca, EM Braunstein, BP Katz, FD Wolinsky. Quadriceps weakness and osteoarthritis of the knee. Ann Intern Med. 1997 Jul;127(2):97-104  https://doi.org/10.7326/0003-4819-127-2-199707150-00001
  8. HJ Lee, CH Song, YW Lee, GC Lee, SW Lee, WS Shin. The Effects of complex exercise training for lower legs muscle strength, muscle endurance, balance ability and gait ability in the elderly. Journal of Sport and Leisure Studies. 2010 oct;(41):935-94 
  9. Gaines JM, Talbot LA. Isokinetic strength testing in research and practice. Biol Res Nurs. 1999 Jul;1(1):57-64.  https://doi.org/10.1177/109980049900100108
  10. Fisher NM, Pendergast DR, Gresham GE, Calkins E. Muscle rehabilitation: its effect on muscular and functional performance of patients with knee osteoarthritis. Arch Phys Med Rehabil. 1991 May;72(6):367-74. 
  11. Lin YH, Lee SY, Su WR, Kao CC, Tai TW, Chen TB. Effects of nurse-led lower extremity strength training on knee function recovery in patients who underwent total knee replacement. J Clin Nurs. 2018 May;27(9-10):1836-1845.  https://doi.org/10.1111/jocn.14368
  12. Maltais ML, Desroches J, Dionne IJ. Changes in muscle mass and strength after menopause. J Musculoskelet Neuronal Interact. 2009 Oct-Dec;9(4):186-97 
  13. Ozcan Kahraman B, Ozsoy I, Akdeniz B, Ozpelit E, Sevinc C, Acar S, Savci S. Test-retest reliability and validity of the timed up and go test and 30-second sit to stand test in patients with pulmonary hypertension. Int J Cardiol. 2020 Apr 1;304:159-163.  https://doi.org/10.1016/j.ijcard.2020.01.028
  14. Park DS, Lee G. Validity and reliability of balance assessment software using the Nintendo Wii balance board: usability and validation. J Neuroeng Rehabil. 2014 Jun 10;11:99. 
  15. Choi HS, Choi JH, et al. Standardization of the Korean version of patient health questionnaire-9 as a screening instrument for major depression disorder. Korean J Fam Med. 2007;28:114-119 
  16. Kim CB, Park JH, Park HS, Kim HJ, Park JJ. Effects of whey protein supplement on 4-week resistance exercise-induced improvements in muscle mass and isokinetic muscular function under dietary control. Nutrients. 2023 Feb 16;15(4):1003 
  17. Huang MH, Lin YS, Lee CL, Yang RC. Use of ultrasound to increase effectiveness of isokinetic exercise for knee osteoarthritis. Arch Phys Med Rehabil. 2005 Aug;86(8):1545-51.  https://doi.org/10.1016/j.apmr.2005.02.007
  18. Ha GC, Yoon JR, Yoo CG, Kang SJ, Ko KJ. Effects of 12-week aquatic exercise on cardiorespiratory fitness, knee isokinetic function, and Western Ontario and McMaster University osteoarthritis index in patients with knee osteoarthritis women. J Exerc Rehabil. 2018 Oct 31;14(5):870-876  https://doi.org/10.12965/jer.1836308.154
  19. Maurer, Brian T., et al. Osteoarthritis of the knee: isokinetic quadriceps exercise versus an educational intervention. Arch Phys Med Rehabil. 80.10 (1999):1293-1299.  https://doi.org/10.1016/S0003-9993(99)90032-1
  20. Huang MH, Lin YS, Yang RC, Lee CL. A comparison of various therapeutic exercises on the functional status of patients with knee osteoarthritis. Semin Arthritis Rheum. 2003 Jun;32(6):398-406.  https://doi.org/10.1053/sarh.2003.50021
  21. Penichet-Tomas A, Pueo B, Jimenez-Olmedo JM. Physical performance indicators in traditional rowing championships. J Sports Med Phys Fitness. 2019 May;59(5):767-773.  https://doi.org/10.23736/S0022-4707.18.08524-9
  22. Kim K, Cha YJ, Fell DW. The effect of contralateral training: Influence of unilateral isokinetic exercise on one-legged standing balance of the contralateral lower extremity in adults. Gait Posture. 2011 May;34(1):103-6.  https://doi.org/10.1016/j.gaitpost.2011.03.022
  23. Son SM, Kang KW, Lee NK, Nam SH, Kwon JW, Kim K. Influence of isokinetic strength training of unilateral ankle on ipsilateral one-legged standing balance of adults. J Phys Ther Sci. 2013 Oct;25(10):1313-5. https://doi.org/10.1589/jpts.25.1313
  24. Singh NA, Clements KM, Fiatarone MA. A randomized controlled trial of progressive resistance training in depressed elders. J Gerontol A Biol Sci Med Sci. 1997 Jan;52(1):M27-35.  https://doi.org/10.1093/gerona/52A.1.M27
  25. Mather AS, Rodriguez C, Guthrie MF, McHarg AM, Reid IC, McMurdo ME. Effects of exercise on depressive symptoms in older adults with poorly responsive depressive disorder: randomised controlled trial. Br J Psychiatry. 2002 May;180:411-5.  https://doi.org/10.1192/bjp.180.5.411
  26. Rosa UH, Velasquez Tlapanco J, Lara Maya C, Villarreal Rios E, Martinez Gonzalez L, Vargas Daza ER, Galicia Rodriguez L.. Comparison of the effectiveness of isokinetic vs isometric therapeutic exercise in patients with osteoarthritis of knee. Reumatol Clin. 2012 Jan-Feb;8(1):10-4. https://doi.org/10.1016/j.reumae.2011.08.003