Effects of Aquatic Exercise on Joint Angle, Pain, Stiffness, and Physical Function in Elderly Women with Osteoarthritis

Min Sun Song, Yong Kwon Yoo, Nam Cho Kim
2015 Journal of Korean Gerontological Nursing  
Purpose: The purpose of this study was to examine the effects of aquatic exercise on joint angle, pain, stiffness and physical fitness in elderly women with osteoarthritis. Methods: Elderly women with osteoarthritis were offered aquatic exercise between October 2014 and December 2014. In experimental groups, patients were included in pre-determined exercise programs 3 times per week for 12 weeks. Eighteen participants were in the experimental group and 18 participants were in the control group.
more » ... the control group. Joint angle and the Korean Western Ontario and McMaster Universities' Osteoarthritis Index (pain, stiffness, physical function) were measured pre and post aquatic exercise. The study variables were analyzed using x 2 test, Fisher's exact test, Wilcoxon signed rank test, and Wilcoxon rank sum test with the SPSS statistical package. Results: The experimental groups showed statistically significant decreases in left and right joint angle. However there were no differences in pain, stiffness and physical function. Conclusion: After aquatic exercise program, there was no improvement in subjective symptoms for pain however, the objective index of joint angle index showed improvements which supported the positive effects. 서 론 1. 연구의 필요성 한국보건사회연구원 자료에 의하면 의사 진단을 받은 만성 질환 비율은 89.2%였으며 평균 2.6개의 질환을 가지고 있었 다. 특히 노인이 3개월 이상 앓고 있는 만성질환 중 고혈압의 유병률이 가장 높았으며, 이어서 골관절염 및 류마티스 관절 염, 당뇨병 순이었다. 이 중 골관절염은 여성이 남성보다 두 배 이상 높은 비율을 보였으며[1], 이러한 질환들로 인한 고령 자 의료비 또한 전체 의료비의 34.5%로 1인당 진료비는 305 만원을 차지하고 있다[2]. 골관절염의 유병률은 연령대별로 60~69세는 남성노인 6.4 %, 여성노인 22.3%, 70세 이상에서는 남성노인 9.9%, 여성 노인 36.7%로 연령이 증가함에 따라 유병률이 증가하고 있으 며, 성별로는 전체 65세 이상 남성노인 7.0%, 여성노인 30.0% ⓒ 2015 Korean Gerontological Nursing Society
doi:10.17079/jkgn.2015.17.2.89 fatcat:ldv5p32qkvdepbg7ivvw5fq4ku