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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of muscle and joint health
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Korean Society of Muscle and Joint Health
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Volume & Issues
Volume 18, Issue 2 - Nov 2011
Volume 18, Issue 1 - May 2011
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Comparing Effects of Tai Chi Exercise on Pain, Activities of Daily Living, and Fear of Falling in Women with Osteoarthritis and Rheumatoid Arthritis
Oh, Hyun-Kyoung ; Ahn, Suk-Hee ; Song, Rha-Yun ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 137~146
DOI : 10.5953/JMJH.2011.18.2.137
Purpose: The purpose of the study was to compare the effects of Tai Chi exercise program on arthritic pain, difficulties in performing activities of daily living, and fear of falling in women with osteoarthritis (OA) and rheumatoid arthritis (RA). Method: A quasi-experimental design with two intervention groups was used. According to the inclusion criteria, 35 women with OA and 22 with RA were recruited and participated in the Tai Chi for arthritis program for 12 weeks. In 12 weeks, 21 in the OA group and 15 in the RA group completed both pretest and posttest measures. Outcome variables consisted of pain, difficulties in performing activities of daily living, and fear of falling for both groups. Results: The women with OA (64 years) were significantly older and perceived better health than those with RA (49 years) with more than 6 years of diagnosis. The pain scores and the performance of activities of daily living were significantly improved in the OA group at the completion of 12 week Tai Chi exercise, but RA group decreased pain only. The improvements in pain and activities of daily living were significantly more in women with OA than those with RA. No significant changes were found in fear of falling for both groups. Conclusion: The 12 week Tai Chi exercise was more effective on pain and activities of daily living for women with OA than those with RA. Considering that the women with RA perceived more pain and had limited activities of daily living, Tai Chi exercise should be applied slowly and gradually for longer period of time than those with OA.
Effect of Tai Chi Exercise Program on Anxiety, Powerlessness, and Self-esteem in Elderly Women
Park, Young-Ju ; Kim, Mi-Sun ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 147~157
DOI : 10.5953/JMJH.2011.18.2.147
Purpose: The purpose of this study was to determine the effect of Tai Chi exercise program (Sun style 12 forms) on anxiety, powerlessness, self-esteem in community-dwelling elderly women. Methods: With a quasi-experimental design, a nonequivalent control group pretest-post test was used. Elderly women who agreed to participate in the study were assigned into an experimental group (n=23), or a control group (n=23). The experimental group participated in Tai Chi exercise program for 50 minutes per session, 2 times a week for 11 weeks. Tai Chi exercise program consisted of 10 minutes for warm-up, 35 minutes for main session, and 5 minutes for cooling down exercises. Anxiety, powerlessness, and self-esteem were measured with questionnaires to evaluate the effect of Tai Chi exercise program. The data were analyzed by using Chi-square test, Fisher's exact test, and Mann-Whitney test by a SPSS WIN 12.0 program. Results: The experimental group showed significant improvement for self-esteem (z=-3.130, p=.002), powerlessness(z=-3.267, p=.001), and anxiety (z=-2.932, p=.003) when compared to control group, Conclusions: Tai chi exercise program may be an effective nursing intervention to improve self-esteem and to reduce powerlessness and anxiety in community-dwelling elderly women.
Musculoskeletal Pains, Menopausal Symptoms and Depression by Women's Menopausal Stage
Jang, Hyun-Jung ; Ahn, Suk-Hee ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 158~168
DOI : 10.5953/JMJH.2011.18.2.158
Purpose: The purpose of this study was to compare musculoskeletal pain, menopausal symptoms and depression by women's menopausal stage. Method: With a survey design, a convenience sample of 203 women between age of 40 to 64 was recruited through a community. Data were collected via a structured study questionnaire from May to July, 2008. Measures included with symptom severity list for menopausal symptoms, Aches and Pains scale, and Beck's Depression Inventory. Results: Thirty-seven percent of women belong to early peri-menopausal stage, 31% to late peri-menopausal stage, and 32% to postmenopausal stage. By group comparison, late peri-menopausal and post menopausal women reported higher scores of depression than early peri-menopausal women. Postmenopausal women had greater scores in two pain subscales (bodily pain and pain that interferes with normal work) and two menopausal symptoms subscales (sleep pattern and sexual behaviors) than early peri-menopausal women. There were moderate levels of positive relationships among study variables at each menopausal stage. Conclusion: Postmenopausal women seem to have greater musculoskeletal pain and menopausal symptoms, and have depression more than did early peri-menopausal women. Tailored nursing strategies are required to reduce these kinds of common symptoms for women with menopausal transition to improve their physical and psychological wellbeing.
The Development Process and the Contents of the Self-management Education Program Integrated with Exercise Training (HAHA program) for Older Adults with Chronic Diseases
Kim, Seon-Ho ; Song, Mi-Soon ; Park, Yeon-Hwan ; Song, Wook ; Cho, Be-Long ; Lim, Jae-Young ; So, Wi-Young ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 169~181
DOI : 10.5953/JMJH.2011.18.2.169
Purpose: This paper presents the development process and the final contents of the sellf- management education program integrated with exercise training (Healthy Aging Happy Aging, HAHA program) for community residing older adults with chronic diseases. Methods: The program evaluation methodology was applied which is an interactive program development process based on needs assessment, formative evaluation, process evaluation and outcome evaluation. The program was developed and revised while the program was implementing to 22 hypertension (HT) and 32 diabetic (DM) participants. Results: The final program has two sub-programs for HT and DM participants utilizing self-efficacy resources. They share four common components; 1) health screening of exercise risks, 2) weekly 1-hour group self-management education classes, 3) biweekly 1-hour group exercise training and 4) a mid-term individual counseling. Both sub-programs were 12-weeks long but have different education and exercise contents. Participants-rated mean satisfaction scores were 3.47/4 and 3.61/4 for HT and DM program respectively. Attendance rate were 83.1% ~ 92.3% for the classes. Conclusion: The HAHA program developed by multidisciplinary team which reflected participants needs was accepted well by participants evidenced by high attendance rate and perceived satisfaction level.
The Effects of Board Training and Complex Training on Ankle Stability in Taekwondo Students with a History of Ankle Sprain
Kim, Woo-Won ; Cho, Kyung-Sook ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 182~191
DOI : 10.5953/JMJH.2011.18.2.182
Purpose: The purpose of this study is to compare the effects of board training and complex training on ankle stability in taekwondo college students with a history of ankle sprain. Methods: Twenty-seven taekwondo college students were randomly assigned into a board training (BTG, n=9), complex training (CTG, n=9), or control groups (CG, n=9). BTG carried out disk and trampoline training 3 times a week for 8 weeks. CTG carried out resistive and plyometric training 3 times a week for 8 weeks. All subjects completed ankle stability test for static and dynamic balance in anterior/posterior and medial/lateral stability with New Balance System (BIODEX Medical System, USA). Results: There were no significant differences between three groups in ankle stability. Those who participated in BTG significantly improved static balance of left foot in anterior/posterior stability, and dynamic balance of both feet in mediolateral stability, but there were no change in CTG. Conclusion: Board training is more improved ankle stability in taekwondo college students with a history of ankle sprain than complex training.
Effects of Thermotherapy Combined with Aromatherapy on Pain, Flexibility, Sleep, and Depression in Elderly Women with Osteoarthritis
Hwang, Jin-Hee ; Lee, Sun-Ok ; Kim, Yeong-Kyeong ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 192~202
DOI : 10.5953/JMJH.2011.18.2.192
Purpose: This study examined the effects of heat therapy combined with aromatherapy on pain, flexibility, sleep, and depression in elderly women with osteoarthritis. Methods: This study was designed as a nonequivalent control group quasi-experimental study based upon data acquired through a pre-post test. The experimental group (n=21) was treated using an aroma-permeated hot compress applied to the knee. The cotton towel was heated in a microwave to
, and 2~3 drops of lavender were applied on it. The towel was wrapped with plastic bag to prevent aroma leakage and retain heat. The treatment was applied the towel for 20 minutes, three times a day for 3 weeks. The control group (n=24) was not given any treatment. Data were collected using a VAS(100mm) for pain, questionnaire for sleep and depression, and a goniometer for knee flexibility. The data were analyzed with
-test and t-test using SPSS/Win18.0. Results: There were significant differences in knee pain (p=.001) and flexibility (p<.001), subjective quality of sleep (p=.020) and depression (p=.003) between the groups. Conclusion: Heat therapy combined with aromatherapy may be an effective nursing intervention and self-care technique to ameliorate pain and depression and to improve flexibility and sleep in elderly suffering from osteoarthritis.
Effects of Muscle Strengthening Exercise Program on Pain, Fatigue, Physical Function in Elderly Women with Total Knee Arthroplasty
Min, Hye-Sook ; Jung, Yun-Hwa ; Kim, Eun-Sook ; Kim, Seon-Hwa ; Choi, Young-Ji ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 203~214
DOI : 10.5953/JMJH.2011.18.2.203
Purpose: The purpose of the study was to identify the effects for 4-weeks muscle strengthening exercise program on pain, fatigue, and physical function(muscle strength of leg, walking competence, balance, flexibility of patella) in elderly women with total knee arthroplasty(TKA). Method: Utilizing a quasi-experimental design, 30 TKA patients consisted of the experimental group (n=15) and control group (n=15). The experimental group participated in the muscle strengthening exercise program, twice a day for 4 weeks. Data were analyzed with SPSS WIN 18.0 program, using repeated measure ANOVA. Result: As time goes by, There were significant differences in muscle strength of leg (F=6.60, p<.001), walking competence(F=7.15, p<.001), and balance(F=17.55, p<.001) between the experimental and the control groups. Conclusion: The findings of this study revealed the positive effects of muscle strengthening exercise program in elderly women with TKA.
Factors Affecting Fear of Falling in Stroke Patients
Jeong, Hee-Sook ; Lee, Eun-Nam ; Kim, Sam-Sook ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 215~226
DOI : 10.5953/JMJH.2011.18.2.215
Purpose: This study aims to investigate the fear of falling of stroke patients and identify factors affecting the fear of falling. Method: For basic data, structured questionnaires were used for 137 stroke patients in hospitals in B city sampled for this study from June to August, 2010. Results: A multiple regression analysis used to identify variables affecting the fear of falling of stroke patients indicates that the most affecting variable was activities of daily living (
=-.558), followed by self-efficacy of falling (
=-.223), primary caregiver (
=-.118), perception of health (
=-.128) and drunken status (
=-.108). Total variance explained by activities of daily living, self-efficacy of falling, the primary caregiver, perception of health and drunken status was 81.2% (F=70.845,
=.812). Conclusion: As discussed above, the factors significantly affecting the fear of falling in stroke patients were activities of daily living and self-efficacy of falling. Therefore, in order to reduce fear of falling of stroke patients and prevent falling, it is suggested that programs should be developed that will improve self-efficacy of falling and daily living activities.
Activities of Daily Living, Health Related Quality of Life According to the Experience of Falls among the Aged in Community
Kim, Seon-Kyung ; Kim, Jong-Im ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 227~237
DOI : 10.5953/JMJH.2011.18.2.227
Purpose: This study was to identify the experience of falls and activities of daily living, health-related quality of life among the aged in community. Method: Subjects of this study were used by the raw data is based on the Community Health Survey in 2008. The subjects consisted of 73 persons who have experienced falls and of randomized 73 persons who inexperienced falls among 3755 the aged over the age of 65, living in Chungnam Province. The data were collected by using a structured questionnaire. Data were analyzed using SPSS 14.0 for windows. Result: Most of accidents and poisonings were caused by slide/falls, and took place at home. Especially women experienced falls at home. Lower extremities were the most injured area. There was a statistical difference in activities of daily living, health-related quality of life in two groups: inexperienced group and experienced group. Conclusion: The results of this study indicate that the falls were related to activities of daily living and health-related quality of life. So it is necessary to give information about falls in the aged and further study.
The Effects of Muscle Strengthening Exercise for Postoperative Lumbar Spinal Surgery on Pain, Exercise Self-Efficacy, Activities of Daily Living
Kim, Hwa-Young ; Eun, Young ; Song, Myoung-Eun ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 238~248
DOI : 10.5953/JMJH.2011.18.2.238
Purpose: The purpose of this study was to examine the effects of exercise on pain, exercise self-efficacy, activities of daily living for postoperative lumbar spinal surgery. Method: The study used a nonequivalent control group pre- and post-test design in quasi-experimental research. The data were collected from April, 2010 to July, 2011. The subjects were 40 lumbar spine surgery patients who had been hospitalized in neurosurgery of G university hospital, 20 assigned for the experimental and 20 for the control group. Exercise of this study reformed to be adapted to lumbar spine surgery patients on the basis of William's flexion exercise and exercise for HIVD surgery patients developed by Kim(1995) and was practiced three times a day for 3 weeks. The data were analysed with
-test, t- test, Repeated measures ANOVA using the SPSS program. Result: There was a significant decrease in pain in the experimental group, but there was no significant increase in exercise self-efficacy and activities of daily living between the groups. Conclusion: Muscle strengthening exercise after surgery was effective in improvement of pain. Postoperative muscle strengthening exercise in lumbar spinal patients may be a useful intervention to reduce pain.
The effect of Patellar Taping on the EMG Activity of the Vastus Medialis Oblique and Vastus Lateralis during Stair Stepping
Kim, Hyun-Hee ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 249~256
DOI : 10.5953/JMJH.2011.18.2.249
Purpose: The purpose of this study was to investigate electromyographic(EMG) activity of vastus medialis oblique(VMO) and vastus lateralis(VL) following the application of patellar taping during stair stepping. Methods: Both VMO-VL onset timing and VMO/VL ratio of 15 participants with patellofemoral pain syndrome (PFPS) were measured using an surface EMG uint(Myosystem 1400A, Noraxon Inc., USA). The measurements were taken under three conditions in random order of patellar taping, placebo taping, and no-taping. Data were analysed using
repeated measures ANOVA. Results: There was a significant difference with patellar taping on VMO/VL amplitude compared with the placebo taping and no-taping conditions during stair stepping, but no significant difference on VMO-VL onset timing. Conclusion: These result indicate that patellar taping on the vastus medialis oblique has effect on the VMO/VL ratio. Increased values of VMO/VL ratio may contribute to patellar realignment and explain the mechanism of pain reduction following patellar taping in participants with PFPS.
Analysis of Studies on the Effect of Aquatic Exercise Program
Kim, Jong-Im ; Cho, Kyung-Sook ; Sim, Hee-Sook ; Lee, Eun-Nam ; Lee, In-Ok ; Eun, Young ; Lee, Dong-Suk ; Kang, Hyun-Sook ; Bak, Won-Sook ; Lee, Ji-Hyun ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 257~269
DOI : 10.5953/JMJH.2011.18.2.257
Purpose: The purpose of this study was to analyze the effect of aquatic exercise and to identify directions for future research. Methods: Twenty one articles from 2 sites of article database (1990-2010) and 6 from Korean nursing journals were reviewed. Results: There were 20 quasi experimental design and 1 randomized controlled design. Major subjects of research were older women with arthritis. The most common type of exercise was Kim (1994)'s form. The most frequent duration of exercise was over 6 weeks. Outcome measurement was classified to physical and psychosocial variables. For physical outcomes, pain release was found in 13 articles among 15 articles, muscle strength improvement in 5 articles among 10 articles, flexibility improvement in 5 articles among 9 articles, and balance improvement in 3 articles among 6 articles. For psychosocial outcomes, improvement of quality of life was found in 3 articles among 7 articles and self-efficacy improvement in 5 articles among 7 articles. Conclusion : The effect of aquatic exercise over 6 weeks improves the physical and psychosocial functions. It is suggested that meta analysis needs to be done to integrate the various results.
Self-Help Education as Outreach Program for Osteoarthritis Patients in Rural Korea
Lee, Kyung-Sook ; So, Ae-Young ; De Gagne, Jennie C. ; Choi, Jung-Sook ; Lee, Eun-Hee ; Suh, Gil-Hee ; Choi, Sun-Ha ; Heitkemper, Margaret M. ;
Journal of muscle and joint health, volume 18, issue 2, 2011, Pages 270~281
DOI : 10.5953/JMJH.2011.18.2.270
Purpose: This study was done to determine if osteoarthritis (OA) patients living in rural Korea would have a benefit from a structured group program focused on self-help strategies. Methods: A hundred and twenty-six patients with OA were recruited from nine Primary Health Care Posts. The experimental group received a 6-week self-help education program while the control group received usual care. T-tests and c2-tests were used to determine the homogeneity between the experimental and control groups. Independent sample t-tests were performed to determine the effect of the treatment program. To guard against such likelihood, the level of significance of t-test was determined by Bonferroni correction within the study constructs. When significant group differences were found in study variables at baseline, analysis of covariances (ANCOVAs) were used for group comparisons of outcome variables. Results: The experimental group reported more significant improvement in fatigue, difficulty with physical activity, depression, quality of life, self-efficacy, and health behaviors than did the control group. The experimental group also showed improvements in range of motion and muscle strength as compared to the control group. Conclusion: A self-help group education program was an effective and powerful strategy to promote physical and psychosocial health in OA patients