슬관절 전치환술 환자에서 대한 오타고 운동프로그램이 균형, 보행능력, 낙상 효능감에 미치는 영향
The Effect of Otago Exercise Program on Balance, Walking and Falls Efficacy in Patients with Total Knee Replacement
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Background: The aim of this study was to conduct an Otago exercise program with total knee replacement patient (TKR) in a clinical setting and ascertain its effects on balance, walking ability and falls efficacy. Methods: The participating subjects were 30 people who had been diagnosed with TKR. They were assigned to two groups (Exp; Otago exercise and general physical therapy, n=15; Con; balance exercise and general physical therapy, n=15), and the exercises were conducted for three sessions per week for four weeks. The main balance outcomes were evaluated using the timed up and go test (TUG), while walking ability was evaluated using the 10m walk test (10MWT), direction change ability was measured using the figure 8 of walk test (F8WT), and the decrease of fear was evaluated using the modified falls efficacy scale (MFES). Results: In the analysis results, the Exp group showed significant increases in TUG, 10MWT, and F8WT within the both groups. There were significant differences in all variables between the Exp group and the Con group at the post-intervention evaluation, but there was no significant difference between the groups with respect to the TUG. Conclusion: The results of this study demonstrated that Otago exercise would be useful to improve balance and walking for TKR patients who want to improve their abilities and activities of daily living.
Abstract
Background: The aim of this study was to conduct an Otago exercise program with total knee replacement patient (TKR) in a clinical setting and ascertain its effects on balance, walking ability and falls efficacy. Methods: The participating subjects were 30 people who had been diagnosed with TKR. They were assigned to two groups (Exp; Otago exercise and general physical therapy, n=15; Con; balance exercise and general physical therapy, n=15), and the exercises were conducted for three sessions per week for four weeks. The main balance outcomes were evaluated using the timed up and go test (TUG), while walking ability was evaluated using the 10m walk test (10MWT), direction change ability was measured using the figure 8 of walk test (F8WT), and the decrease of fear was evaluated using the modified falls efficacy scale (MFES). Results: In the analysis results, the Exp group showed significant increases in TUG, 10MWT, and F8WT within the both groups. There were significant differences in all variables between the Exp group and the Con group at the post-intervention evaluation, but there was no significant difference between the groups with respect to the TUG. Conclusion: The results of this study demonstrated that Otago exercise would be useful to improve balance and walking for TKR patients who want to improve their abilities and activities of daily living.
참고문헌 (27)
- Berman AT, "Evaluation of total knee arthroplasty using isokinetic testi ng", Clin Orthop Relat Res, 271, pp.106~113 (1991)[DOI]
- Binns, Elizabeth, "The otago exercise programme:do strength and balance improve?", pp.2006
- Bruun-Olsen V, "The immediate and long-term effects of a walking-skill program compared to usual physiotherapy care in patients who have undergone total knee arthroplasty(TKA) : A randomized controlled trial", Disability and rehabilitation, 35(23), pp.2008~2015 (2013)[DOI]
- Campbell AJ, "Randomised controlled trial of a general practice program of home based exercise to prevent falls in elderly women", BMJ, 315(7115), pp.1065~1069 (1997)[DOI]
- Cram P, "Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010", JAMA, 308(12), pp.1227~1236 (2012)[DOI]
- Franklin PD, "The chitranjan ranawat award", Clin Orthop Relat Res, 466(11), pp.2597~2604 (2008)
- Australian Orthopaedic Association National Joint Replacement Registry, "Graves S", ~ (2011)
- Huh JY, "The effects of fear of falling and sensory integration on balance and postural control in health elderly", Korean Journal of Sport Psychology, 12(2), pp.57~68 (2001)
- Hess RJ, "Walking skill ca n be assessed in older adults: validity of the Figure-of-8 Walk Test", Phys Ther, 90(1), pp.89~99 (2010)[DOI]
- Kerse N, "Home-based activity program for older people with depressive symptoms: DeLLITE–a randomized controlled trial", Ann Fam Med, 8(3), pp.214~223 (2010)[DOI]
- Kiriyama K, "Medial–lateral balance during stance phase of straight and circular walking of human subjects", Neurosci Lett, 388(2), pp.91~95 (2005)[DOI]
- Liston MB, "Feasibility and effect of supplementing a modified OTAGO intervention with multisensory balance exercises in older people who fall: A pilot randomized controlled trial", Clin Rehabil, 28(8), pp.784~793 (2014)[DOI]
- Lin KC, "Effects of object use on reaching and postural balance", Am J Phys Med Rehabil, 86(10), pp.791~799 (2007)[DOI]
- Lyons K, "Timing and re lative intensity of hip extensor and abductor muscle action during level and stair ambulat ion", Physical Therapy, 63(10), pp.1597~1605 (1983)[DOI]
- Mizner RL, "Quadriceps strength and the time course of functional recovery after total knee arthroplasty", Journal of Orthopaedic &Sports Physical Therapy, 35(7), pp.424~436 (2005)[DOI]
- National Statistical Office, "Surgery Disease of Multi Frequency", Major Surgery Statistics, ~ (2013)
- Noble PC, "Does total knee replacement restore normal knee function?", Clin Orthop Relat Res, 431, pp.157~165 (2005)[DOI]
- Piva SR, "A balance exercise program appears to improve function for patients with total knee arthroplasty: A randomized clinical trial", Physical therapy, 90(6), pp.880~894 (2010)[DOI]
- Podsiadlo D, "The timed up and go : A test of basic functional mobility for frail eldery person", J Am Geriatr Soc, 39, pp.142~148 (1991)[DOI]
- Sarwark JF, "Essentials of musculoskeletal care", pp.692~695 (2010), American Academy Of Orthopaedic Surgeons
- School OM, "Otago exercise programme to prevent falls in older adults" (2003), University of Otago
- 송귀빈, "밸런스 패드와 모래에서의 균형운동이 뇌졸중 환자의 균형과 보행에 미치는 영향", 대한물리의학회지, 11(1), pp.45~52 (2016), 대한물리의학회[DOI]
- Sled EA, "Effect of a home program of hip abductor exercises on k nee joint loading, strength, function, and pai n in people with knee osteoarthritis : A clinic al trial", Phys Ther, 90(6), pp.895~904 (2010)[DOI]
- Stevens-Lapsley JE, "Quadriceps and hamstrings muscle dysfunction after total knee arthroplasty", Clin Orthop Relat Res, 468(9), pp.2460~2468 (2010)[DOI]
- Steffen TM, "Age-and gen der-related test performance in communitydwelling elderly people: six-minute walk test, berg balance scale, timed up & go test, and gait speeds", Phys Ther, 82(2), pp.128~137 (2002)[DOI]
- Stitik TP, "Rehabilitati on of orthopedic and rheumatologic disoder. Osteoarthritis Assessment, treatment, and re habilitation", Archives of Physical Medicine Rehabilitation, 86(1), pp.48~55 (2005)[DOI]
- Thomas S, "Does the ‘Otago exercise programme’reduce mortality and falls in older adults?: A systematic review and meta-analysis", Age Ageing, 102 (2010)[DOI]