جستجوی مقالات مرتبط با کلیدواژه « exercise program » در نشریات گروه « پزشکی »

Knee osteoarthritis is a common joint disease that is more common among Older adults and leads to decreased performance and increased fear of falling in affected people. Based on this, the present study was conducted with the aim of determining the effect of fall-proof exercises on function and fear of falling in elderly women with knee osteoarthritis.

In the year 2023, a semi-experimental intervention with a pre-test and post-test design was conducted on 25 elderly women aged 60 to 75, all diagnosed with knee osteoarthritis and divided into an experimental group and a control group. All subjects entered the study with complete satisfaction and after filling the consent form.Participants in the experimental group engaged in targeted fall-proof exercises for 8 weeks, three days a week. The control group did not participate in any exercise activities. The WOMAC questionnaire was used to evaluate function and the Fall Efficacy scale-International questionnaire was used to evaluate the subjects' fear of falling.Data analysis was performed using repeated measures analysis in SPSS version 26, with the significance level set at 0.05.

The results showed that the total scores of the WOMAC questionnaire and its three subscales (pain, dryness and function) decreased significantly after the exercise in the experimental group (F1.23 = 7.35, p = 0.01, η = 0.24).While the total scores of the WOMAC questionnaire and its three subscales (pain, stiffness and function) did not differ significantly between the control and experimental groups (F1.23=2.42, p=0.13,). Also, the results showed that the fear of falling scores decreased significantly after performing the exercises in the experimental group (F1.23= 9.52, p = 0.005, η = 0.29). While there was no significant difference between the fear of falling scores between the control and experimental groups (F1.23= 2.37, p=0.13).

The fall-proof exercise program is recommended for coaches aiming to enhance the function and fear of falling in Older adults with knee osteoarthritis. This recommendation is based on its effectiveness. Please cite this article as: Sheikh Shoaei H, Bahiraei S. The effect of 8 weeks of fall-proof exercises on function and fear of falling in Older adults women with knee osteoarthritis. Irtiqa Imini Pishgiri Masdumiyat. 2023;11(3):164-183.https://doi.org/10.22037/iipm.v11i3.44602 

 The most essential and common sports injury in the lower limb in many sports fields is the injury of the anterior cruciate ligament (ACL). Knowledge in this field and appropriate exercise programs can help prevent this injury for all athletes and coaches. The present research aims to investigate the prevalence of this injury in different sports fields and the results of various training programs in reducing the risk of injury to ACL.

 The current review was conducted using international information resources, Scopus, Taylor and Francis, ProQuest, Emerald Insight, ScienceDirect, Springer, Web of knowledge, and internal information resources including Magiran, Civilica, SID, and Iran Medex were applied. The research date range was defined between 2000 to 2020. In international articles, keywords such as Single-leg Landing, Landing, Injury, Knee injury, Drop-landing, Training, Exercise, ACL, and in domestic papers, keywords such as ACL, Knee Injury, Single-leg Landing, Jump, Land, and Training program were considered. According to the exclusion criteria, only 42 articles were selected and examined out of 220.

Women with this injury are more affected at all skill levels, so at the professional skill level, women were affected up to 5 times more than men, and at the amateur level, the infection rate is about 3 to 4 times higher. The highest incidence is related to women professional basketball players with a speed of 5.5 per 1000 athletes training, and the lowest is among amateur male athletes with a rate of 0.02 with the same criteria. Of the articles reviewed in the appropriate injury prevention training program, 32% examined the effect of neuromuscular training, 18% combined training, 26% strength training, and 24% central core stability training. With 80% effectiveness, core stability training seems to be the most effective injury prevention program.

 Considering the rate of this injury and the impact of this injury on treatment costs, the duration of returning to exercise, and creating the ground for other injuries, a comprehensive review of exercises effective in preventing this injury for athletes and coaches it’s important. This is especially important for professional female basketball players due to the incidence rate. The central core stability training program had the most practical effect among the training programs. The combined training program had the least impact according to different criteria for assessing and preventing injury.

Knee osteoarthritis is associated with problems such as poor sleep quality. Finding effective, low-complication, and cost-effective measures to improve the sleep quality of these patients seems necessary. The aim of this study was to determine a regular exercise program at home to improve the sleep quality of the elderly with osteoarthritis of the knee.

In this clinical trial study, 72 elderly patients referred to the orthopedic clinic of Allameh Bohlool Gonabadi Hospital in Gonabad were selected by convenience sampling and assigned into the intervention and control groups by block randomization method. The intervention group underwent an exercise program at home for one month after a face-to-face training course. The Pittsburgh Sleep Quality Index was completed by both groups before and 4 weeks after the intervention. In order to observe the ethical points for the control group, at the end of the study, the necessary trainings were given along with the pamphlet. Data were analyzed using SPSS software version 18 and descriptive and analytical statistical methods.

Before the intervention, all demographic variables were not statistically significant in the experimental and control groups. After the intervention, there was a significant difference between the two groups (total sleep quality score and other sleep quality subscales), except for two subscales of mental sleep quality and sleep disturbances (p <0.05).

The present study showed that doing exercise at home improves the sleep quality of the elderly with osteoarthritis of the knee.