슬골관절염노인환자의타이치운동효과 = Effects of Tai Chi Exercise in Elderly with Knee Osteoarthritis

다국어 초록 (Multilingual Abstract)

Purpose: This study was to determine whether the Sun-style 24 forms of Tai Chi exercise improve pain, stiffness, disability,
knee joint motion, mobility, balance or falling. Method: Forty-six community-dwelling elderly subjects (mean age,
75.46±6.28) voluntarily participated in an intervention group of either 24 forms of Sun-style Tai Chi for 60 min, 2 times per
week for 12 weeks or a control group. A non-equivalent pretest-posttest design was used. Independent t-test and ANCOVA
were used to examine group differences by using SPSS12.0. Result: The experimental group had significantly less pain
(F=7.60, p=.008) and stiffness (t=-3.19, p=.003) than the control group. Also there were significant improvements in knee
joint motion on the right knee (t=2.44, p=.019), left knee (t=2.30, p=.026), rising time (F=8.03, p=.07), balance on the left
single leg test (t=2.20, p=.033), and fear of falling (t=-2.33, p=.024) in the Tai Chi exercise group. No significant group differences
were found in disability and falls efficacy. Conclusion: The Sun-style 24 forms Tai Chi exercise is effective in decreasing
pain, stiffness, fear of falling and it improves balance, rising time, and knee joint motion. We suggest a continuing long
term intervention to decrease disability and increase efficacy concerning falls.

참고문헌 (Reference)

1 이혜영, "타이치 운동 중재 후 균형 증진에 관한 논문분석" 성인간호학회 16 (16): 409-420, 2004

2 Bellamy, N., "Validation study of WOMAC: a health status instrument for measure clinically important patient relevant outcomes to antirheumatic drug therapy in patient with osteoarthritis of the hip or knee" 15 : 1833-1840, 1988

3 Arnold C. M., "The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis" 7 : 17-, 2007

4 Ross, M.C., "The effects of a short-term exercise program on movement, pain, and mood in the elderly. Results of a pilot study" 17 : 139-147, 1999

5 Tinetti, M. E., "The effect of falls and fall injuries on functioning in community-dwelling older persons" 53 : 112-119, 1998

6 Li, F., "Tai Chi and fall reductions in older adults: a randomized controlled trial" 60 : 187-194, 2005

7 Wolf, S. L., "Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training" 44 : 489-497, 1996

8 van Baar, M. E., "Pain and disability in patients with osteoarthritis of hip or knee: The relationship with articular, kinesiological, and psychological characteristics" 25 : 125-133, 1998

9 McCarberg, B. H., "Osteoarthritis. How to manage pain and improve patient function" 56 : 14-24, 2001

10 Pandya, N. K., "Osteoarthritis of the knees increases the propensity to trip on an obstacle" 431 : 150-156, 2005

11 Lam, P, "New horizons. Developing tai chi for health care" 27 : 100-101, 1998

12 Bellamy, N, "Musculoskeletal clinical metrology" Kluwer Academic Publishers 1993

13 McAlindon, T. E., "Level of physical activity and the risk of radiographic and symptomatic knee osteoarthritis in the elderly: the Framinghamstudy" 106 : 151-157, 1999

14 Lam, P., "How does Tai-Chi improve health and arthritis?"

15 Campbell, A. J., "Falls prevention over 2 years: A randomized controlled trial in women 80 years and older" 28 : 513-518, 1999

16 Fuller, G. F., "Falls in the elderly" 61 : 2159-2168, 2000

17 Tinetti, M. E., "Falls efficacy as a measure of fear of falling" 45 : 239-243, 1990

18 Tideiksaar, R., "Falling in old age. Prevention and management (2nd ed.)" Springer publishing Co 1997

19 Lee, H. Y., "Effects of sun style tai chi program on muscle strength and physical function in osteoarthritis patients" 1 : 43-52, 2004

20 Wang, T. J., "Effects of aquatic exercise on flexibility, strength and aerobic fitness in adults with osteoarthritis of the hip or knee" 57 : 141-152, 2006

21 Song, R. Y., "Effects of Tai Chi exercise on pain, balance, muscle strength, and perceived difficulties in physical functioning in older women with osteoarthritis: A randomized clinical trial" 30 : 2039-2044, 2003

22 Taggart, H. M, "Effects of Tai Chi exercise on balance, functional mobility, and fear of falling among older women" 15 : 235-242, 2002

23 Jordan, K. M., "EULAR recommendations 2003: an evidence based approach to the management of kneeosteoarthritis: Report of a task force of the standing committee for international clinical studies including therapeutic trials (ESCISIT)" 62 : 1145-1155, 2003

24 Bae, S. C., "Cross-cultural adaptation and validation of Korean Western Ontario and McMaster Universities (WOMAC) and Lequesne osteoarthritis indices for clinical research" 9 : 746-750, 2001

25 Mathias, S., "Balance in the elderly patient: The “Get-up and Go” test" 67 : 587-591, 1986

26 Hoffman, D. F., "Arthritis and exercise" 20 : 895-910, 1993

27 Allegrante, J. O., "A walking education program for patients with osteoarthritis of the knee: theory and intervention strategies" 20 : 63-81, 1993

28 Tinetti, M. E, "A multifactorial intervention to reduce the risk of falling among elderly people living in the community" 331 : 821-827, 1994

29 Schoenfelder, D. P, "A fall prevention program for elderly individuals. Exercise in long-term care settings" 26 : 43-51, 2000

30 Korea Institute for Health and Social Affairs, "2005 national health and nutrition survey"