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무릎 관절염 환자에게 적용된 수중운동 프로그램이 통증과 신체적 기능에 미치는 효과: 체계적 문헌고찰 및 메타분석

The Effect of Aquatic Exercise Program on Pain and Physical Function for Patients with Knee Arthritis: A Systematic Review and Meta-Analysis

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The Effect of Aquatic Exercise Program on Pain and Physical Function for Patients with Knee Arthritis: A Systematic Review and Meta-Analysis Park, Heeok1 · Kim, Eun Kyung2 1 Associate Professor, College of Nursing, Research Institute of Nursing Science, Keimyung University, Daegu 2 Researcher, Research Institute of Nursing Science, Keimyung University, Daegu, Korea Purpose: We aimed to identify the effect of an aquatic exercise program in patients with knee arthritis through a systemic literature review and meta-analysis. Methods: Searched were conducted on EMBASE, CINAHL, PubMed, Ovid-MEDLINE, and Korean DB up to February 2020, using the keywords “arthritis”, “hydrotherapy”, “pain”, “function”, etc. The methodological quality was assessed using the Cochrane's Risk of Bias for randomized studies and the Risk of Bias Assessment tool for non-randomized studies. Data were analyzed using R.3.5.1. Results: The results showed an overall medium effect size (ES) -0.53 (p<.001) of the aquatic exercise program on pain reduction in patients with knee arthritis. We identified a small effect size of the aquatic exercise program on muscle strength (ES=0.32, p=.003). however, the effect size of physical function was not significant. Conclusion: Based on our results, the aquatic exercise program has moderate beneficial effects on pain in patients with knee arthritis, and this should be considered in developing this program.

Abstract

The Effect of Aquatic Exercise Program on Pain and Physical Function for Patients with Knee Arthritis: A Systematic Review and Meta-Analysis Park, Heeok1 · Kim, Eun Kyung2 1 Associate Professor, College of Nursing, Research Institute of Nursing Science, Keimyung University, Daegu 2 Researcher, Research Institute of Nursing Science, Keimyung University, Daegu, Korea Purpose: We aimed to identify the effect of an aquatic exercise program in patients with knee arthritis through a systemic literature review and meta-analysis. Methods: Searched were conducted on EMBASE, CINAHL, PubMed, Ovid-MEDLINE, and Korean DB up to February 2020, using the keywords “arthritis”, “hydrotherapy”, “pain”, “function”, etc. The methodological quality was assessed using the Cochrane's Risk of Bias for randomized studies and the Risk of Bias Assessment tool for non-randomized studies. Data were analyzed using R.3.5.1. Results: The results showed an overall medium effect size (ES) -0.53 (p<.001) of the aquatic exercise program on pain reduction in patients with knee arthritis. We identified a small effect size of the aquatic exercise program on muscle strength (ES=0.32, p=.003). however, the effect size of physical function was not significant. Conclusion: Based on our results, the aquatic exercise program has moderate beneficial effects on pain in patients with knee arthritis, and this should be considered in developing this program.

참고문헌 (49)

  1. 윤청구, "무릎 골관절염 환자에게 적용된 운동 프로그램이 통증 및 삶의 질에 미치는 영향: 체계적 문헌고찰과 메타분석", 근관절건강학회지, 21(3), pp.173~183 (2014), 대한근관절건강학회[DOI]
  2. Elderly survey 2017. Policy Report, "Jung KH", Korea Institute for Health and Social Affairs, ~, pp.Report No.: 11-1352000-000672-12 (2017)
  3. Sohng KY, "A study of activities of daily living and its influencing factors in patients with chronic arthritis", Journal of Korean Public Health Nursing, 14(2), pp.342~354 (2000)
  4. Richard F. Loeser, "Osteoarthritis: A disease of the joint as an organ", Arthritis & Rheumatism, 64(6), pp.1697~1707 (2012), Wiley[DOI]
  5. 이춘희, "인지행동중재가 관절염 환자의 불안, 우울, 자기효능감에 미치는 효과: 메타분석", 노인간호학회지, 21(1), pp.10~21 (2019), 한국노인간호학회[DOI]
  6. F.V. Wilder, "History of acute knee injury and osteoarthritis of the knee: a prospective epidemiological assessment", Osteoarthritis and Cartilage, 10(8), pp.611~616 (2002), Elsevier BV[DOI]
  7. Lee C, "The effects of exercise therapy on arthrosis of knee", pp.2003
  8. Clare Jinks, "Measuring the population impact of knee pain and disability with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)", Pain, 100(1), pp.55~64 (2002), Ovid Technologies (Wolters Kluwer Health)[DOI]
  9. International Association for the Study of Pain, "Pain terms: a list with definitions and notes on usage", Pain, 6(3), pp.249~ (1979)
  10. Burks K, "Health concerns of men osteoarthritis of the knee", Orthopaedic Nursing, 21(4), pp.28~34 (2002)
  11. Zautra AJ, "Psychosocial influences on arthritis-related disease activity", International Congress Series, 1241, pp.47~50 (2002)
  12. Vicky Rivard, "Perceived Control and Coping in Women Faced with Activity Restriction due to Osteoarthritis: Relations to Anxious and Depressive Symptoms", Canadian Journal on Aging, 2007, pp.26(3), 241~253[DOI]
  13. Sung M, "Intervention review for women with knee pain", Korean Academic Society of Women Health Nursing, 10(2), pp.37~57 (2009)
  14. W. Zhang, "OARSI recommendations for the management of hip and knee osteoarthritis", Osteoarthritis and Cartilage, 18(4), pp.476~499 (2010), Elsevier BV[DOI]
  15. 김형영, "골관절염의 약물치료", 대한의사협회지, 61(10), pp.623~629 (2018), 대한의사협회[DOI]
  16. Emmert Roberts, "Paracetamol: not as safe as we thought? A systematic literature review of observational studies", Annals of the Rheumatic Diseases, 75(3), pp.552~559 (2016), BMJ[DOI]
  17. A Pendleton, "EULAR recommendations for the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT)", Annals of the Rheumatic Diseases, 59(12), pp.936~944 (2000), BMJ[DOI]
  18. E Roddy, "Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review", Annals of the Rheumatic Diseases, 64(4), pp.544~548 (2005), BMJ[DOI]
  19. A Foley, "Does hydrotherapy improve strength and physical function in patients with osteoarthritis--a randomised controlled trial comparing a gym based and a hydrotherapy based strengthening programme", Annals of the Rheumatic Diseases, 62(12), pp.1162~1167 (2003), BMJ[DOI]
  20. João Marcos Dias, "Hydrotherapy improves pain and function in older women with knee osteoarthritis: a randomized controlled trial", Brazilian Journal of Physical Therapy, 21(6), pp.449~456 (2017), Elsevier BV[DOI]
  21. Zuhal Kunduracilar, "The effects of two different water exercise trainings on pain, functional status and balance in patients with knee osteoarthritis", Complementary Therapies in Clinical Practice, 31, pp.374~378 (2018), Elsevier BV[DOI]
  22. Tsae-Jyy Wang, "Comparing the efficacy of aquatic exercises and land-based exercises for patients with knee osteoarthritis", Journal of Clinical Nursing, 20(17-18), pp.2609~2622 (2011), Wiley[DOI]
  23. H Lund, "A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis", Journal of Rehabilitation Medicine, 40(2), pp.137~144 (2008), Medical Journals Sweden AB[DOI]
  24. 장경오, "수중운동이 여성 관절염환자의 통증과 피로 체력, 일상활동장애 및 심리적 변수에 미치는 효과", 지역사회간호학회지, 20(1), pp.87~95 (2009), 한국지역사회간호학회
  25. 임비오, "무릎 관절염 환자들의 수중운동 프로그램 효과 고찰", 한국체육과학회지, 25(3), pp.1507~1519 (2016), 한국체육과학회
  26. 이수정, "수중운동이 골관절염 환자에게 미치는 효과에 관한 문헌적 고찰", 한국체육과학회지, 28(3), pp.753~762 (2019), 한국체육과학회[DOI]
  27. Khamis Y. Al-Qubaeissy, "The Effectiveness of Hydrotherapy in the Management of Rheumatoid Arthritis: A Systematic Review", Musculoskeletal Care, 11(1), pp.3~18 (2013), Wiley[DOI]
  28. 김영일, "무릎 골관절염 환자를 대상으로 한 수중 운동과 지상운동 비교: 체계적 문헌고찰 및 메타분석", 한국산학기술학회논문지, 16(9), pp.6099~6111 (2015), 한국산학기술학회[DOI]
  29. Batterham SI, "Systematic review and meta-analysis comparing land and aquatic exercise for people with hip or knee arthritis on function, mobility and other health outcomes", BMC Musculoskeletal Disorders, 12(1), pp.123~ (2011)
  30. Lu M, "Effectiveness of aquatic exercise for treatment of knee osteoarthritis", Zeitschrift für Rheumatologie, 74(6), pp.543~552 (2015)
  31. Lee SJ, "Effects of aquatic therapy exercise program on muscle strength and pain of osteoarthritis patients: systematic review and meta analysis", master, pp.2019
  32. "Cochrane handbook for systematic reviews of interventions: Version 5.1.0" (2011)[URL]
  33. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention, "Kim SY", National Evidence-Based Healthcare Collaborating Agency, ~, pp.Report No.: 978-89-94581-59-0 (2011)
  34. Borenstein M, "Introduction to meta-analysis", pp.421~ (2009), John Wiley and Sons
  35. Cohen J, "Statistical power analysis for the behavioral sciences", pp.567~ (1998), Lawrence Erlbaum Associates
  36. David T Felson, "The sources of pain in knee osteoarthritis", Current Opinion in Rheumatology, 17(5), pp.624~628 (2005), Ovid Technologies (Wolters Kluwer Health)[DOI]
  37. Jacqueline R. Hochman, "The nerve of osteoarthritis pain", Arthritis Care & Research, 62(7), pp.1019~1023 (2010), Wiley[DOI]
  38. Rana S Hinman, "Aquatic Physical Therapy for Hip and Knee Osteoarthritis: Results of a Single-Blind Randomized Controlled Trial", Physical Therapy, 87(1), pp.32~43 (2007), Oxford University Press (OUP)[DOI]
  39. 이춘희, "골관절염 환자의 통증 감소를 위한 심리적 중재의 효과 : 메타분석", 한국산학기술학회논문지, 20(5), pp.109~117 (2019), 한국산학기술학회[DOI]
  40. J. W. BURNS, "The influence of patient characteristics on the requirements for postoperative analgesia.", Anaesthesia, 44(1), pp.2~6 (1989), Wiley[DOI]
  41. Karen O. Anderson, "Racial and Ethnic Disparities in Pain: Causes and Consequences of Unequal Care", The Journal of Pain, 10(12), pp.1187~1204 (2009), Elsevier BV[DOI]
  42. Ene-choo Tan, "Ethnicity and OPRM Variant Independently Predict Pain Perception and Patient-Controlled Analgesia Usage for Post-Operative Pain", Molecular Pain, 5, pp.1744~8069 (2009), SAGE Publications[DOI]
  43. Hinman RS, "Aquatic physical therapy for hip and knee osteoarthritis: results of a single-blind randomized controlled trial", Physical Therapy, 87(1), pp.32~43 (2007)
  44. Jae-Young Lim, "Effectiveness of Aquatic Exercise for Obese Patients with Knee Osteoarthritis: A Randomized Controlled Trial", PM&R, 2(8), pp.723~731 (2010), Wiley[DOI]
  45. 김정규, "노르딕 걷기와 수중 운동이 퇴행성 슬관절염 환자의 산화적 스트레스와 통증 반응에 미치는 영향", 운동과학, 18(4), pp.549~558 (2009), 한국운동생리학회[DOI]
  46. Lee HD, "The effect exercises by types for female elderly suffering from degenerative arthritis on gait function and leg muscular function", pp.2008
  47. 이성수, "수중재활운동이 무릎 골관절염 환자의 통증, 신체 기능, 보행기능 및 낙상효능감에 미치는 영향", 한국체육과학회지, 24(5), pp.1241~1251 (2015), 한국체육과학회
  48. 박희석, "수중재활운동이 비만을 동반한 노인여성 퇴행성 관절염 환자의 통증과 신체조성 및 슬관절의 신전각도에 미치는 영향", 한국체육과학회지, 27(5), pp.1345~1354 (2018), 한국체육과학회[DOI]
  49. 박일봉, "테이핑 처치에 따른 수중운동이 퇴행성 슬관절염 여성노인들의 하지근력, 통증척도 및 골밀도에 미치는 영향", 한국체육과학회지, 18(4), pp.1169~1179 (2009), 한국체육과학회

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