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Arora, Pooja
- Effect of Core Muscle Strengthening on Balance and Quality of Life in Geriatric Patient
Authors
1 Dept of Physiotherapy, Pad. Dr. D. Y. Patil University, Nerul, Navi, Mumbai, IN
2 Pad. Dr. D. Y. Patil University, Nerul, Navi, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 2 (2013), Pagination: 120-125Abstract
Introduction & Rationale: The core stability is capability of the muscles of the trunk to stabilize the lower spine during movement it maintains the human body in stable and erect posture. Aging leads to loss of balance and stability hence Core strengthening program help elderly to independence in life activity & also improve the balance and quality of life. Effect of core muscle strengthening was evaluated in present study.METHODOLOGYAims and Objectives: To determine the effect of core muscle strengthening on balance with the help of performance oriented mobility assessment (POMA) scale and assess quality of life with SF-12 questionnaire in geriatrics.
Study Design: It is a community based longitudinal study
Subjects: Inclusion criteria: Both sex and age > 60 year who are clinically stable and functionally independent.
Exclusion criteria: Subjects with conditions leading to incapacitation and functional impairment, with neurological conditions having altered balance, peripheral neuropathies, under psychiatric treatment, or impaired cognitive status.
Sample Size: Thirty subjects were enrolled in the study
Study factors: A routine history and clinical examination was carried out for selecting the subjects and basic demographic data was recorded. Pressure biofeedback was used to teach the subjects, an abdominal 'drawing-in' maneuver and a visual feedback was provided to understand the core muscle activation. Intervention: The subjects underwent a graded core muscle strengthening exercise protocol for 8 weeks period.
Outcome Factors: The outcome factors were the effectiveness of core strengthening on balance and quality of life were recorded with the help of POMA scale and SF-12 questionnaire respectively after the interventional exercises for 8 weeks.
Results: The mean age of the subjects was 75.3 years, with SD. 6.456. Statistically significant improvements in total score on POMA scale improved from 22.5 to 24.83, p value
Conclusion:Core muscle strengthening program is effective in improving balance and quality of life in geriatrics subjects.
Keywords
Core Muscle Strengthening, Quality Of Life, Geriatric, POMA ScaleReferences
- Petrofsky J, Cuneo M, Dail R, Pawley AK, Hill J. Core strengthening and balance in geriatric population. The Journal of Applied Research.2005;5,:3,:423-335.
- Stevens JA, Olson S. Reducing falls and resulting hip fractures among older women. MMWR Recomm Rep. 2000; 49(BR-2):3-12.
- Jensen J, Nyberg L, Rosendahl E, et a Effects of a fall prevention program including exercise on mobility and falls in frail older people living in residential care facilities. Aging Clin Exp Res. 2004;16:283-292
- Seelen HA, Potten YJ, Drukker J, et al Development of new muscle synergies in postural control in spinal cord injured subjects. J Electromyogr Kinesiol. 1998;8:23-34
- Chen CL,Yeung KT, Bih LI, et al. The relationship between sitting stability and functional performance in patients with paraplegia. Arch Phys Med Rehabil 2003;84:1276-1281
- Raîche M, Hébert R, Prince F, Corriveau H. Screening older adults at risk of falling with the Tinetti balance scale. Lancet. 2000; 16; 356(9234):1001-2.
- Kontodimopoulos N, Pappa E, Niakas D and Tountas Y. Validity of SF-12 summary scores in a Greek general population Health and Quality of Life Outcomes 2007, 5:55doi:10.1186/1477-7525- 5-55
- Resnick HE,Vinik AI, Schwartz AV, et al. Independent effects of peripheral nerve dysfunctionon lower-extremity physical function in old age: the Women’s Health and Aging Study. Diabetes Care. 2000; 23:1642-1647.
- Resnick HE, Stansberry KB, Harris TB, et al, Diabetes, peripheral neuropathy, and old agebdisability. Muscle Nerve. 2002; 25:43-50.
- Hof PR, Morrison JH. The aging brain: morphomolecular senescence of cortical circuits Trends Neurosci. 2004; 27:607-613.
- West CG, Gildengorin G, Haegerstrom- Portnoy G, et al. Is vision function related to physical functional ability in older adults? J Am Geriatr Soc. 2002; 50:136-145.
- Petrofsky JS, Lind AR.Aging, isometric strength and endurance and the cardiovascular responses to static effort. J Appl Physiol. 1975. 38:91-95.
- Petrofsky JS, Laymon M. The effect of aging in spinal cord injured individuals on the blood pressure and heart rate responses during fatiguing isometric exercise. Eur J Appl Physiol. 2002. 86:479-486.
- Petrofsky JS, Besonis C, Rivera D, et al. Heat tolerance in patients with diabetes. J Appl Res. 2003; 3:28-34.
- Dawn A Skelton. Effects of Physical activity on postural stability. Age and Aging 2001;30.54; 33-39
- Jahagirdar, SS,Kenkre IR:Training elderly for mobility and strength using EMG Biofeedback and Swiss Bal/Peanut Ball Exercises. The Ind Jour of Occupational Therapy 2010.XLII;1;17-25
- Behn B D; Kenneth, R.S. CCurnew: Muscle force and activation under stable and unstable conditiond. J. Strength Cond. Res. 3:416-422. 2002
- Nancy g. Kutner, Marcia G. Ory. Measuring the quality of life in elderly in health promotion intervention clinical trials.[Online] Emory University, School of medicine, Atlanta.1992; 107(5):530-539
- A Study of Immediate Effects of Taping in Patients with Knee Osteo-arthritis
Authors
1 Pad. Dr. D.Y. Patil College of Physiotherapy Nerul, Navi Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 3 (2012), Pagination: 196-201Abstract
Introduction:
Osteoarthritis - or degenerative joint disease (DJD) - is a common rheumatological disorder. In view of limited cure of the disease, management of symptoms is the mainstay of treatment which aims at reducing pain and limiting functional impairments. Knee taping is believed to relieve pain by improving alignment of the patello-femoral joint and/or unloading inflamed soft tissues.
Material&Method:
• Aims&Objectives: To study the immediate effects of taping on pain in patients with osteoarthritis of the knees by assessing the VAS score on four activities of daily living: walking, squatting, ascending and descending stairs and on functional disability tests like walking speed, Time Get Up and Go test and step test.
• Study Design: Hospital based Longitudinal Study
Subjects:
Inclusion criteria: Patients with unilateral or bilateral knee pain, clinically and radiologically diagnosed grade 1 and grade 2 osteoarthritis, (according to Kellgren and Lawrence classification) as patello-femoral and/or tibio-femoral osteoarthritis of knees were included. Exclusion criteria: Knee instability, acute stage osteoarthritis, Rheumatoid and other knee arthritis.
• Study Factors:
Intervention: Patellar Taping by McConnell technique and Tibio-femoral taping by Mulligan Technique.
Outcome factors: Post taping Pain measurement by VAS Scale, Observed Disability Measures like TUG (Timed Get Up and Go test), Walking speed, and Step test.
Results: Sixty subjects enrolled with mean age of 57.17 years. Pain relief using VAS scores on the 4 activities i.e. walking, squatting, ascending stairs and descending stairs, TUG scores, Step test scores and Walking Speed showed statistically significant improvements after taping in both unilateral and bilateral OA knee subjects.
Conclusion: Knee taping significantly improve pain and disability in individuals with osteoarthritis of the knees as an immediate effect.
Keywords
Knee Osteoarthritis, Taping, Mcconnell Technique, Mulligan TechniqueReferences
- Carol & Richard Eustice. About.com Guide to arthritis [Online]. 2010 April 09. Available from: URL:http://osteoarthritis.about.com/od/osteoarthritis101/a/what_is_OA.htm
- Hinman RS, Bennell KL, Crossley KM, McConnell J. Immediate effects of adhesive tape on pain and disability in individuals with knee osteoarthritis. Rheumatology 2003; 42: 865-869.
- J Cushnaghan, C McCarthy, P Dieppe. Taping the patella medially: a new treatment for osteoarthritis of the knee joint. BMJ 1994; 308: 753-755.
- Rana S Hinman, Kay M Crossley, Jenny McConnell, Kim L Bennell. Efficacy of knee tape in the management of osteoarthritis of the knee: blinded randomized controlled trial. BMJ 2003 Jul 19; 327: 135.
- Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF. The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis Rheum 1987;30: 914-918.
- Bagge E, Bjelle A, Eden S, Svanborg A. Osteoarthritis in the elderly: clinical and radiological findings in 79 and 85 year olds. Annals of the Rheumatic Diseases 1991; 50: 535-539.
- Odding E, Valkenburg HA, Algra D, Vandenouweland FA, Grobbee DE, Hofman A. Associations of radiological osteoarthritis of the hip and knee with locomotor disability in the Rotterdam Study. Annals of the Rheumatic Diseases 1998; 57: 203-238.
- Handfield T, Kramer J. Effect of McConnell taping on perceived pain and knee extensor torques during isokinetic exercise performed by patients with patellofemoral pain syndrome. Physiotherapy Canada 2000; 52: 39-44.
- Powers CM, Landel R, Sosnick T et al. The effects of patellar taping on stride characteristics and joint motion in subjects with patellofemoral pain. Journal of Orthopaedic & Sports Physical Therapy 1997; 26: 286-291.
- Ernst GP, Kawaguchi J, Saliba E. Effect of patellar taping on knee kinetics of patients with patellofemoral pain syndrome. Journal of Orthopaedic & Sports Physical Therapy 1999; 29: 661-667.
- Gilleard W, McConnell J, Parsons D. The effect of patellar taping on the onset of vastus medialis obliquus and vastus lateralis muscle activity in persons with patellofemoral pain. Physical Therapy 1998; 78: 25-32.
- Werner S, Knutsson E, Eriksson E. Effect of taping the patella on concentric and eccentric torque and EMG of knee extensor and flexor muscles in patients with patellofemoral pain syndrome. Knee Surgery, Sports Traumatology, Arthroscopy 1993; 1: 169-177.
- McAlindon TE, Snow S, Cooper C, Dieppe PA. Radiographic patterns of osteoarthritis of the knee joint in the community: The importance of the patellofemoral joint. Annals of the Rheumatic Diseases 1992; 51: 844-849.
- Ledingham J, Regan M, Jones A, Doherty M. Radiographic patterns and associations of osteoarthritis of the knee in patients referred to hospital. Annals of the Rheumatic Diseases 1993; 52: 520-526.
- Iwano T, Kurosawa H, Tokuyama H, Hoshikawa Y. Roentographic and clinical findings of patellofemoral arthritis. Clinical Orthopaedics and Related Research 1990; 252: 190-197.
- Elahi S, Cahue S, Felson DT, Engelman L, Sharma L. The association between varus—valgus alignment and patellofemoral osteoarthritis. Arthritis & Rheumatism 2000; 43: 1874-1880.
- Harrison MM, Cooke TDV, Fisher SB, Griffin MP. Patterns of knee arthrosis and patellar subluxation. Clinical Orthopaedics and Related Research 1994; 309: 56-63.
- Grabiner M, Koh T, Draganich L. Neuromechanics of the patellofemoral joint.Medicine and Science in Sports and Exercise 1994; 26: 10-21.
- Bockrath K., C. Wooden, T. Worrell, C.D. Ingersoll, J. Farr. Effects of patella taping on patella position and perceived pain. Med. Sci. Sports Exerc. 1993; 25(9): 989-992.
- Lee Herrington. The effect of patella taping on quadriceps strength and functional performance in normal subjects. Physical Therapy in Sport 2004; 5(1): 33-36.
- Herrington L. The effect of patellar taping on quadriceps peak torque and perceived pain: a preliminary study. Physical Therapy in Sport 2001; 2: 23-28.
- Ng GYF, Cheng JMF. The effects of patellar taping on pain and neuromuscular performance in subjects with patellofemoral pain syndrome. Clinical Rehabilitation 2002; 16: 821-827.
- Callaghan MJ, Selfe J, Bagley PJ, Oldham JA. The Effects of Patellar Taping on Knee Joint Proprioception. Journal of Athletic Training 2002 Jan-Mar; 37(1): 19-24.
- Christou EA. Patellar taping increases vastus medialis oblique activity in the presence of patellofemoral pain. Journal of Electromyography and Kinesiology 2004; 14: 495-504.
- Salsich Gretchen B, Brechter Jacklyn H, Farwell Daniel, Powers Christopher M. The Effects of Patellar Taping on Knee Kinetics, Kinematics, and Vastus Lateralis Muscle Activity During Stair Ambulation in Individuals With Patellofemoral Pain. Journal of Orthopaedic & Sports Physical Therapy 2002 Jan; 32(1): 3-10.
- P.L. Chen, Wei Hsien Hong, C.H. Lin, W.C. Chen. Biomechanics Effects of Kinesio Taping for Persons with Patellofemoral Pain Syndrome during Stair Climbing. Proceedings of the 4th Kuala Lumpur International Conference on Biomedical Engineering 2008, BIOMED 2008 Jun 25-28; Kuala Lumpur, Malaysia; Vol 21; 395-397.