Effect of an 8-week hot spring water exercise program on body composition, knee isokinetic muscle function, range of motion, and the Korean Western Ontario and Mcmaster Universities index in middle-age females with osteoarthritis in Republic of Korea: experiment study
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Background: This study aimed to investigate the effects of applying the hot spring water exercise for 8 weeks to middle-aged females with knee osteoarthritis. Methods: To investigate this, body composition, isokinetic muscle function, and the knee flexion angle K-WOMAC were evaluated before and after the 8-week hot spring water exercise program and analyzed using a mixed-design two-way ANOVA. After analysis, if a significant difference was observed, the Bonferroni method was used as a post hoc method, and the following results were obtained. Results: First, among the body composition parameters, the body fat percentage showed a statistically significant reduction after the 8-week hot spring water exercise program in the exercise group (EG) (p = .031). However, there was no significant difference in body weight, muscle mass, body fat mass, and body mass index. Among the isokinetic muscle functions, the peak torque (p = .003, p = .001) and total work (p = .003, p = .003) of the flexion and extension movements, and the average power (p = .007) of the flexion movement significantly increased in the EG, while the average power of the extension movement did not change. The range of joint motion significantly increased after the exercise. The K-WOMAC index significantly decreased after the exercise. Conclusion: Thus, the 8-week aquatic exercise program utilizing hot springs improved knee extension and flexion muscle strength. Hence, it is believed that it can be used as an interventional therapy for low back pain in the elderly and for obese people who have difficulty with land-based exercises.
Abstract
Background: This study aimed to investigate the effects of applying the hot spring water exercise for 8 weeks to middle-aged females with knee osteoarthritis. Methods: To investigate this, body composition, isokinetic muscle function, and the knee flexion angle K-WOMAC were evaluated before and after the 8-week hot spring water exercise program and analyzed using a mixed-design two-way ANOVA. After analysis, if a significant difference was observed, the Bonferroni method was used as a post hoc method, and the following results were obtained. Results: First, among the body composition parameters, the body fat percentage showed a statistically significant reduction after the 8-week hot spring water exercise program in the exercise group (EG) (p = .031). However, there was no significant difference in body weight, muscle mass, body fat mass, and body mass index. Among the isokinetic muscle functions, the peak torque (p = .003, p = .001) and total work (p = .003, p = .003) of the flexion and extension movements, and the average power (p = .007) of the flexion movement significantly increased in the EG, while the average power of the extension movement did not change. The range of joint motion significantly increased after the exercise. The K-WOMAC index significantly decreased after the exercise. Conclusion: Thus, the 8-week aquatic exercise program utilizing hot springs improved knee extension and flexion muscle strength. Hence, it is believed that it can be used as an interventional therapy for low back pain in the elderly and for obese people who have difficulty with land-based exercises.
참고문헌 (30)
- Kim HJ, "The effects of different training type on the cross-sectional area of the paravertebral muscles in premenopausal women", Korean J Phy Educ, 42, pp.741~748 (2003)
- Segal NA, "Effect of thigh strength on incident radiographic and symptomatic knee osteoarthritis in a longitudinal cohort", Arthritis Rheum, 61, pp.1210~1217 (2009)
- Yang SJ, "A Study on nutrition and health evaluation of osteoarthritis elderly in community", J Korean Acad Commun Health Nurs, 17, pp.189~194 (2006)
- Kim H, "Pharmacological treatment of osteoarthritis", J Korean Med Assoc, 61, pp.623~629 (2018)
- Bennell KL, "Exercise in osteoarthritis : moving from prescription to adherence", Best Pract Res Clin Rheumatol, 28, pp.93~117 (2014)
- Hurley M, "Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis : a mixed methods review", Cochrane Database Syst Rev, 4, pp.CD010842~ (2018)
- Park HS, "Factors affecting exercise adherence of the elderly with degenerative arthritis : focusing on self-efficacy and social support variables", J Korea Acad Ind Coop Soc, 19, pp.250~259 (2018)
- Nicolson PJA, "Trajectories of adherence to home-based exercise programs among people with knee osteoarthritis", Osteoarthritis Cartilage, 26, pp.513~521 (2018)
- Rewald S, "Effect of aqua-cycling on pain and physical functioning compared with usual care in patients with knee osteoarthritis : study protocol of a randomised controlled trial", BMC Musculoskelet Disord, 17, pp.88~ (2016)
- Park JS, "A study on an effect of the aquatic exercise in a pain drop, flexibility, a joint angle, sleeping for a patients with osteoarthritis", J Phy Educ, 30, pp.145~157 (2012)
- Kang SS, "Effects of aquatic exercise on gait fitness in obese elderly women", Korean J Growth Dev, 20, pp.111~116 (2012)
- Lee HD, "The effects of swimming and aquarobics exercise programs for female elderly suffering from degenerative arthritis on leg muscular function and knee joint ROM", Korean J Sport Sci, 19, pp.1129~1139 (2010)
- Yang SM, "Influence of Nordic Walkig upon degenerative knee osteoarthritis patients' muscular activities and pain change", Korean J Sport Sci, 20, pp.1085~1095 (2011)
- Reeuwijk KG, "Osteoarthritis of the hip or knee : which coexisting disorders are disabling?", Clin Rheumatol, 29, pp.739~747 (2010)
- Shi Z, "Aquatic exercises in the treatment of low back pain : a systematic review of the literature and meta-analysis of eight studies", Am J Phys Med Rehabil, 97, pp.116~122 (2018)
- Lee SJ, "Effect of aquatic exercise on obese women's body composition and blood lipids in Korea : metaananlysis", Korean J Sport Sci, 29, pp.1021~1032 (2020)
- di Prampero PE, "The energy cost of human locomotion on land and in water", Int J Sports Med, 7, pp.55~72 (1986)
- Lee ML, "The physiological variation in part of 20s citizen by bath methods", J Korean Soc Urban Environ, 13, pp.33~41 (2013)
- Lee HS, "Effects of the lower body bathing on women's body shape management and in-blood lipid concentration", Asian J Beauty Cosmetol, 5, pp.9~18 (2007)
- Kuk DH, "Effects of aquatic exercise program on body composition and cardiovascular factors in elderly females", Korean Soc Stud Phy Educ, 24, pp.197~204 (2020)
- Dvir Z, "Relevant, less relevant and irrelevant isokinetic strength test parameters : some critical comments", Mov Sport Sci-Sci Mot, 85, pp.15~21 (2014)
- Amaral GM, "Muscular performance characterization in athletes : a new perspective on isokinetic variables", Braz J Phys Ther, 18, pp.521~529 (2014)
- Croce RV, "Peak torque, average power, and hamstrings", quadriceps ratios in nondisabled adults and adults with mental retardation, 1996, pp.77, 369~372
- Reyes-Ferrada W, "Muscle quality and functional and conventional ratios of trunk strength in young healthy subjects : a pilot study", Int J Environ Res Public Health, 19, pp.12673~ (2022)
- Kim KH, "Effects of knee joint aquatic exercise on isokinetic strength and body composition in middle aged women", Korean J Sport, 15, pp.633~643 (2017)
- Lee YO, "Effect of aquatic exercise program on lower limbs, muscle strength, knee joint flexion and pain changes of arthritis patients", Korean Soc Muscle Joint Health, 5, pp.222~237 (1998)
- Bae SC, "Crosscultural adaptation and validation of Korean Western Ontario and McMaster Universities(WOMAC)and Lequesne osteoarthritis indices for clinical research", Osteoarthritis Cartilage, 9, pp.746~750 (2001)
- Park SY, "Effects of functional ability and isokinetic strength on strength resistance exercise program of knee joint", Korean J Growth Dev, 23, pp.15~20 (2015)
- Bourne RB, "Comparing patient outcomes after THA and TKA : is there a difference?", Clin Orthop Relat Res, 468, pp.542~546 (2010)
- Mao S, "The impact of hot spring hydrotherapy on pain perception and dysfunction severity in patients with chronic low back pain : a systematic review and meta-analysis", J Pain Res, 16, pp.3925~3944 (2023)