The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Exercise on Balance and Gait in Elderly Women with Osteoarthritis

운동이 골관절염 여성 노인의 균형 및 보행에 미치는영향

  • Received : 2024.08.27
  • Accepted : 2024.11.05
  • Published : 2024.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study was designed as a single-group pre-post experimental study to examine the effects of exercise on balance and gait in elderly women with knee osteoarthritis. Over a 4-week period, a total of 12 exercise sessions were conducted, with each session lasting 30 minutes, three times per week. As a result, significant improvements were observed in both balance(t=6.60, p<.001) and gait(t=-4.74, p<.001). It is suggested that the exercise in this study be used as an intervention for the elderly in the community with knee osteoarthritis. In addition, we propose a study to verify the exercise effect in the early, middle, and late elderly.

본 연구는 운동이 골관절염을 가지고 있는 여성 노인의 균형과 보행에 미치는 영향을 알아보기 위하여 단일군 전·후 실험연구로 설계되었다. 무릎에 골관절염이 있는 여성노인에게 4주 동안 1회 30분씩 1주에 3회, 총 12회 운동을 실시한 결과 균형(t=6.60, p<.001)과 보행(t=-4.74, p<.001) 능력이 상승하였다. 4주간 12회의 운동에도 균형과 보행 능력 향상 효과가 있는 것으로 확인되었으므로, 본 연구에서의 운동을 무릎 골관절염이 있는 지역사회 노인의 중재로 활용할 것을 제언한다. 그리고 관절염 중증도 및 초기, 중기, 후기 노인을 대상으로 운동 효과를 검증하는 연구를 제언한다.

Keywords

References

  1. Ministry of the Interior and Safety, Press Release, "The population over the age of 65 exceeds 10 million", 2024. https://www.mois.go.kr/frt/bbs/type010/commonSelectBoardArticle.do?bbsId=BBSMSTR_000000000008&nttId=110835
  2. Korean Statistical Information Serviec. Daejeon: Korean Statistical Information Service; 2023. https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&vw_cd=MT_ZTITLE&list_id=&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=E1&docId=03842&markType=S&itmNm=%EC%A0%84%EA%B5%AD
  3. National Health Insurance Service, and Health Insurance Review & Assessment Service, 2022 National Health Insurance Statistical Yearbook, p.22, 2023.
  4. H.Y. Choi, "Factors Influencing Health-Related Quality of Life among Korean Seniors with Osteoarthritis: Focusing on 10-Year Duration with Osteoarthritis Disease." Korean Journal of Adult Nursing, Vol. 32, No. 5, pp. 526-538. 2020.
  5. S.G. Yeoum, J.H. Lee, and S. Park, "The Impact of Arthritis Self-management Education on Changes in Arthritis-related Knowledge Levels and Arthritis-specific Self-efficacy of the Aged at a Senior Center," The Journal of the Convergence on Culture Technology (JCCT), Vol. 10, No. 3, pp.1-5, 2024. https://dx.doi.org/10.17703/JCCT.2024.10.3.
  6. E.M. Jun, "Factors Related to the Prevalence of Osteoarthritis According to Gender of the Elderly", Journal of The Korean Data Analysis Society (JKDAS) Vol. 26, No. 4, pp. 1205-1216, 2024. https://doi.org/10.37727/jkdas.2024.26.4. https://doi.org/10.37727/jkdas.2024.26.4.1205
  7. L. Sharma, J. Song, K, Hayes, Y.C. Pai, and D. Dunlop, "Physical functioning over three years in knee osteoarthritis: role of psychosocial, local mechanical, and neuromuscular factors," Arthritis & Rheumatism Vol.48, No.12, pp. 3359-3370, 2003.
  8. H. Cohen, C. A. Blatchly, L. L. Gombash, "A study of the clinical test of sensor interaction and balance.," Physical Therapy, Vol. 73, Issue 6, pp. 346-351, 1993. http://dx.doi.org/10.1093/ptj/73.6.346
  9. M. G. Wade, G. Jones, "The role of vision and spatial orientation in the maintenance of posture," Physical Therapy, Vol. 77, No. 6, pp. 619-628, 1997. doi: 10.1093/ptj/77.6.619.
  10. J. Verghese, R. Holtzer, R.B. Lipton, and C. Wang, "Quantitative gait markers and fall risk in older adults," The Journal of Gerontology: Series A, Vol. 64, No. 8, pp. 896-901, 2009. DOI: 10.1093/gerona/glp033
  11. S.E. Hardy, S. Perera, Y.F. Roumani, J.M. Chandler, and S.A. Studenski, "Improvement in usual gait speed predicts better survival in older adults," Journal American Geriatrics Society, Vol. 55, No. 11, pp. 1727-1734, 2007. DOI: 10.1111/j.1532-5415.2007.01413.x
  12. J. Unsworth, and A. Mode, "Preventing falls in older people: risk factors and primary prevention through physical activity," British Journal of Community Nursing, Vol. 8, No. 5, pp. 214-220, 2003.
  13. E. Jeon, "Health behaviors of the elderly with osteoarthritis across gender groups," Journal of the Korean Data & Information Science Society, Vol. 26, No. 6, pp. 453-1463, 2015. http://dx.doi.org/10.7465/jkdi.2015.26.6.1453
  14. S.G. Yeoum, and J.H. Lee, "Effects of Lower Extremity Muscle Strengthening Exercise on Balance and Fall Efficacy in Middle Older Adults Women," The Journal of the Convergence on Culture Technology (JCCT), Vol. 8, No. 6, pp.421-427, 2022. http://dx.doi.org/10.17703/JCCT.2022.8.6.421
  15. Y.H. Mun, and J.H. Lee, "Effects of Exercise Program on Grip Strength and Postural Balance in Middle Older Adults," The Journal of the Convergence on Culture Technology (JCCT), Vol. 8, No. 1, pp.31-38, 2022. https://doi.org/10.17703/JCCT.2022.8.1.31
  16. K.S. Ham, and H.K. Lee, "Effects of Balance Pad Exercise on Fullerton Advanced Balance, Fear of Falling, and Ambulation among Elderly Women," The Korean Journal of Physical Education, Vol. 63, No. 4, pp. 1-14, 2024, https://doi.org/10.23949/kjpe.2024.7.63.4.1
  17. H. J. Lee and S. W. Han, "Effects of lower extremity muscle strengthening exercise using elastic resistance on balance on elderly." Journal of Korean Academy of Community Health Nursing, Vol. 20, No. 1, pp. 59-66, 2009.
  18. J.S. Park, E.Y. Choi, and T.Y. Hwang, "The Effects of Strengthening Leg Muscular Strength on the Elderly's Walking and Balance Ability," The Journal of Korean Society of Physical Therapy, Vol. 14, No. 2 pp. 133-144, 2002.
  19. H. Park, "Usability of Timed Up and Go and Short Physical Perfomance Battery in elderly," Korean Journal of Convergence Science, Vol. 13, No.3, pp.203-215, 2024. https://doi.org/10.24826/KSCS.13.3.11
  20. K. K. Steinweg, "The changing approach to falls in theelderly", American Family Physician. Vol.56, No.7, pp.1815-1823, 1997.
  21. J. Iwamoto, Y. Otaka, K. Kudo, T. Takeda, M. Uzawa, and K. Hirabayashi, "Efficacy of traing program for ambulatory competence in elderly", The Keio Journal of Medicine, Vol.53, No.2, pp.85-89, 2004. https://doi.org/10.2302/kjm.53.85
  22. H.Um, J.W. Si, and H, J. Lee, "Effects of Resistance Exercise with Elasticity of Tubes on the Gait, Balance and Strength in the Elderly of the Daycare center," Journal of the Korea Academia-Industrial cooperation Society, Vol. 20, No. 7 pp. 102-110, 2019. https://doi.org/10.5762/KAIS.2019.20.7.102
  23. J.M. Park, S. K. Lee, "Effects of Functional Gait Exercise on Balance Ability and Gait Ability in Female Elderly with Chronic Arthritis," Exercise Science, Vol. 26, No. 4, pp.281-287, 2017. https://doi.org/10.15857/ksep.2017.26.4.281
  24. K R Kaufman, C Hughes, B F Morrey, M Morrey, K. N. An, "Gait characteristics of patients with knee osteoarthritis," Journal of Biomechanics, Vol. 34, No. 7, pp.907-915, 2001. https://doi.org/10.1016/s0021-9290(01)00036-7