The Effect of Chair Yoga on Biopsychosocial Changes in English- and Spanish-Speaking Community-Dwelling Older Adults with Lower-Extremity Osteoarthritis

Chair yoga (CY), a mind-body therapy, is a safe nonpharmacological approach for managing osteoarthritis (OA) in older adults who cannot participate in standing exercise. However, there is no linguistically tailored CY program for those with limited English proficiency (LEP). This 2-arm randomized controlled trial compared the effects of a linguistically tailored yoga program (English and Spanish versions) on the outcomes of pain, physical function, and psychosocial factors compared to the effects of a linguistically tailored Health Education Program (HEP; English and Spanish versions). Participants with lower-extremity OA, recruited from 2 community sites, completed the Spanish (n = 40) or English (n = 60) version of twice-weekly 45-min CY or HEP sessions for 8 weeks. Data were collected at baseline, 4 weeks, 8 weeks, and 1- and 3-month follow-ups. English and Spanish CY groups (but neither HEP language group) showed significant decreases in pain interference. Measures of OA symptoms, balance, depression, and social activities were not significantly different between English and Spanish versions of CY and English and Spanish versions of HEP. It was concluded that the Spanish and English versions of CY and HEP were equivalent. Linguistically tailored CY could be implemented in aging-serving communities for persons with LEP.     

The effect of physiotherapy training programme on postural stability in men with hip osteoarthritis

This study presents the influence of a physiotherapy training programme over the standing balance in elderly hip osteoarthritis (OA) patients. The aim of this study was to analyse the standing balance in elderly male hip OA patients, and to investigate how the physiotherapy training programme could significantly improve the balance. The tests were performed on a group of selected OA patients as well as on a group of age- and sex-matched healthy control subjects before and after the physiotherapy training programme. The significant differences were observed between the results of tests performed before and after the physiotherapy training programme, and also between the hip OA patients and the control subjects in all CPF parameters, in both sagittal and frontal planes. In conclusion, the hip OA has an effect on the process of maintaining the standing balance. Moreover the physiotherapy training programme significantly improves the postural stability in male hip OA patients.     

Sex Differences in Biomechanics Associated with Knee Osteoarthritis

Osteoarthritis of the knee is seen more frequently in females than males. However, few studies have examined the interplay of gender, gait mechanics, pain, and disability in persons with osteoarthritis. This study examines the influence of anthropometrics, radiographic disease severity, pain, and disability on gender differences in gait mechanics in patients with knee osteoarthritis. Gait mechanics for 26 men and 30 women were collected using 3-D kinematics and kinetics. Women had a significantly lower knee adduction moment than men and a significantly higher stride frequency. Within female subjects, variations in gait mechanics were primarily explained by weight, BMI, pain, and disability. In males, variations in gait mechanics were primarily explained by age and disability.     

关节镜清理术结合功能锻炼治疗老年骨性膝关节炎

目的观察关节镜清理术加透明质酸钠关节内注射结合功能锻炼治疗膝关节骨关节炎的疗效。方法对61例膝关节骨关节炎患者分为两组,A组采用关节镜清理术加透明质酸钠关节内注射结合功能锻炼治疗,B组采用关节镜清理术加透明质酸钠关节内注射治疗。结果本组61例患者均得到随访,根据Shahariarrer标准予以评定,A组明显高于B组,差异有统计学意义。结论采用关节镜清理术加透明质酸钠关节内注射结合功能锻炼治疗,可明显提高老年骨性膝关节炎治疗的远期效果。     

Self-regulation in older Thai women with self-reported knee osteoarthritis: A path analysis

Abstract

This study aimed at testing factors influencing coping behavior and health status among older women with knee osteoarthritis. A total of 274 participants completed questionnaires. Model testing revealed that self-efficacy was the most powerful predictor of coping behavior. Illness representation had a significant direct and indirect effect on health status and was a better predictor of health status than were the other variables. Understanding the complex relationships among study variables should help to tailor future interventions to better address the symptoms of osteoarthritis and to promote optimal health in older Thai women who report knee osteoarthritis.