Holistic/Integrative Interventions Relieve Knee Osteoarthritis Pain in Older Adults

Brown, Angela L.

doi:10.1016/j.nurpra.2019.10.018

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…As there is no way to cure KOA [ 1 ], treatment of KOA mainly focuses on pain reduction and improving physical function and quality-of-life [ 6 , 7 ]. Exercise therapy is perhaps the most efficient non-pharmacologic treatment for KOA due to its low-cost, high safety, and facile operation [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

The effects on pain, physical function, and quality of life of quadriceps strengthening exercises combined with Baduanjin qigong in older adults with knee osteoarthritis: a quasi-experimental study

Wang

Zhang

Tong

et al. 2021

BMC Musculoskelet Disord

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Background Exercise is recommended as a principal treatment for individuals with knee osteoarthritis (KOA). However, the best choice for an optimal exercise program able to promote long-term compliance in KOA patients is not clear. This study aims to compare the effect of combined exercise (CE: quadriceps strengthening exercises (QSE) and Baduanjin qigong training (BDJ)) versus QSE alone and BDJ alone on older adults with KOA. Methods A three-arm, quasi-experimental trial with repeated measurements was used. As a cluster randomized trial, participants from three community centers were assigned respectively to QSE group, BDJ group and CE group. We assessed pain intensity, physical function, self-efficacy, and health-related quality-of-life (HRQoL) using standardized instruments at baseline, 3 months and 6 months follow-up. Results One hundred and twenty-eight participants with KOA aged over 60 completed the study. Over the 6 months, there were significant group interaction effects on pain intensity (F = 28.888, P < 0.001), physical function (F = 26.646, P < 0.001), and self-efficacy (F = 22.359, P < 0.001), and, based on a short form-12 item health survey questionnaire (SF-12), physical component summary (F = 7.470, P < 0.001), and mental component summary (F = 10.207, P < 0.001). Overall, the CE group exhibited significantly greater improvement in all outcomes when compared to the QSE group and the BDJ group. Conclusions CE treatment is more effective than QSE and BDJ in pain relief, increasing physical function, improving self-efficacy, and raising quality-of-life in community-dwelling KOA older adults. Moreover, it promotes long-term compliance in KOA community patients. Trial registration Chinese Clinical Trails Registry number ChiCTR2000033387 (retrospectively registered). Registered 30 May 2020.

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Section: Introductionmentioning

confidence: 99%

The effects on pain, physical function, and quality of life of quadriceps strengthening exercises combined with Baduanjin qigong in older adults with knee osteoarthritis: a quasi-experimental study

Wang

Zhang

Tong

et al. 2021

BMC Musculoskelet Disord

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“…Intervenções mente-corpo influem sobre o cérebro, mente, corpo e comportamento 21 . A exemplo disso, a prática de tai chi pode atuar comumente na fase do envelhecimento, pesquisas mostram resultados positivos na melhora do equilíbrio, ajuda a evitar quedas 22 , e ainda, a yoga, a acupuntura, a meditação, entre outras 23 .…”

Section: Discussão|unclassified

Saúde mental e capacidade funcional: comparação entre pessoas idosas dependentes e independentes

Jacinto

Nobre

Torres

et al. 2023

RBPS

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Introdução: O processo de envelhecer é um fenômeno natural em que ocorre a diminuição das capacidades cognitivas e físicas, podendo associar-se a alterações fisiopatológicas e psicossociais. Objetivo: Comparar a saúde mental e a capacidade funcional entre as pessoas idosas dependentes e independentes vinculados à Estratégia Saúde da Família (ESF) de Natal e Santa Cruz, no RN/Brasil. Métodos: Estudo descritivo, comparativo, longitudinal com abordagem quantitativa. Como critérios de inclusão foram estabelecidos: pessoa com idade igual ou superior a 60 anos que estão cadastradas nas ESF com condições cognitivas para responder ao questionário sociodemográfico, Questionário SF36 para avaliar qualidade de vida e a Escala de Lawton para avaliar a funcionalidade. Para análise inferencial e comparação entre as etapas do estudo foi utilizado o Teste da Soma de Postos Sinalizados de Wilcoxon com a correção de Bonferroni e o Teste Qui-quadrado de Pearson. Resultados: Foram avaliados 58 idosos, 29 cadastrados na ESF de Natal e 29 em Santa Cruz (RN), dos quais 88,3% dos idosos apresentavam demanda de saúde funcional. Houve aumento da dependência na maioria das Atividades Instrumentais de Vida Diária (AIVD) e piora da Qualidade de Vida (QV). Na Dimensão saúde mental do SF 36 observou-se um resultado negativo e não significativo, tanto entre os idosos dependentes (p-valor=0,885), quanto entre os idosos independentes (p-valor=0,885), após comparados os resultados da primeira e segunda avaliações na escala de Lawton. Conclusão: Os idosos apresentaram melhorias nos aspectos de dor no corpo e dimensão física da QV entre as duas avaliações.

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“…Until now, since there is no way to cure KOA [1], the treatment goal of KOA mainly focuses on pain reduction and improvement of physical function and quality of life (QoL) [6,7]. Exercise therapy is one of the most effective non-pharmacologic treatments for KOA due to its high safety, low-cost, and easy operation [7,8].…”

Section: Introductionmentioning

confidence: 99%

Effect of quadriceps strengthening exercises alone and in combination with Baduanjin qigong on older adults with knee osteoarthritis: a quasi-experimental study

wang

Zhang

Tong

et al. 2020

Preprint

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BackgroundExercise is recommended as a core treatment for individuals with KOA. However, the optimal exercise program to promote long-term compliance for KOA patients is not clear. The aim of this study is to compare the effects of the combination exercise program (quadriceps strengthening exercises (QSE) plus Baduanjin qigong) versus QSE alone on older adults with knee osteoarthritis (KOA). MethodsA two-arm, quasi-experimental trial with repeated measurements was used. As a cluster randomized trial, participants from one community center were assigned to combination exercise group while participants from the other center were assigned to QSE group. We assessed pain intensity, physical function, self-efficacy, and HRQoL with standardized instruments at baseline, 3 and 6 months. Results87 participants with KOA who aged above 60 completed the study. Over the 6 months, There were significant time by group interaction effects on pain intensity (F = 44.419, p < 0.001), physical function (F = 46.904, p < 0.001) and self-efficacy (F = 49.754, p < 0.001), as well as in the physical component summary (F = 15.205, p < 0.001) and mental component summary of SF-12 (F = 19.205, p < 0.001), with the combination exercise group exhibiting significantly greater improvements in all outcomes than QSE group. ConclusionsCombination exercise treatment is more effective than QSE for relieving pain, increasing physical functioning, and improving self-efficacy, and quality of life in community-dwelling KOA older adults. Also, it could promote long-term compliance for KOA community patients.Trial registrationChinese Clinical Trails Registry number ChiCTR2000033387 (retrospectively registered). Registered 30 May 2020

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Holistic/Integrative Interventions Relieve Knee Osteoarthritis Pain in Older Adults

Cited by 3 publications

References 12 publications

The effects on pain, physical function, and quality of life of quadriceps strengthening exercises combined with Baduanjin qigong in older adults with knee osteoarthritis: a quasi-experimental study

The effects on pain, physical function, and quality of life of quadriceps strengthening exercises combined with Baduanjin qigong in older adults with knee osteoarthritis: a quasi-experimental study

Saúde mental e capacidade funcional: comparação entre pessoas idosas dependentes e independentes

Effect of quadriceps strengthening exercises alone and in combination with Baduanjin qigong on older adults with knee osteoarthritis: a quasi-experimental study

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