Effects of combined rusie dutton exercise and locomotion training at home with family involvement on leg muscle strength in older adults with chronic diseases dwelling in Bangkok, Thailand 10.55131/jphd/2025/230113
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Abstract
Older adults with chronic diseases often experience reduced leg muscle strength, an increased fall risk, and a fragile quality of life. Exercise has been shown to improve leg muscle strength. The study aims to analyze the effects of combined Rusie Dutton exercise and locomotion training at home with family involvement on leg muscle strength in older adults with chronic diseases dwelling in Bangkok, Thailand. The study employed an experimental design involving older adults aged 60-79 years with chronic diseases from communities in Bangkok. The sample was randomly assigned to either the experimental or control group, with 34 subjects in each group. The experimental group received instructions on increasing leg muscle strength and exercise skill training. They were also trained to use the LINE application for accessing and recording exercise data, setting goals, and planning exercises. The participants performed Rusie Dutton exercises combined with home-based locomotion training three times a week for 50 minutes over a period of ten weeks, supervised by family members. Data collection included demographic interviews, pre-exercise readiness assessments, and the 30-Second Chair Stand Test. Statistical analysis comprised the chi-square test, independent t-test, and paired t-test. Following the intervention, the experimental group exhibited a statistically significant increase in mean leg muscle strength compared to the control group (p < .05). Moreover, the experimental group's mean post-test leg muscle strength significantly improved compared to pre-test scores (p < .05). Studies suggest that the exercise program significantly increases leg muscle strength in older adults with chronic diseases. The program can be implemented at home with family involvement, demonstrating its potential for improving physical health in this population.
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References
World Health Organization. Step safely: strategies for preventing and managing falls across the life-course. Geneva: WHO. 2021 [Internet]. [Cited 2023 Jan 15]. Available from: https://iris.who.int/bitstream/handle/10665/340962/9789240021914eng.pdf?sequence=
Foundation of Thai Gerontology Research and Development Institute. Situation of the Thai older persons 2021. 1st ed. Nakhon Pathom: Institute for Population and Social Research. 2022.
Department of Disease Control. Fall prevention, Nonthaburi: Division of Injury Prevention. 2022 [Internet]. [Cited 2023 Jan 15]. Available from: https://ddc.moph.go.th/dip/news. php?news=23843
Department of Disease Control. Fall prevention. Nonthaburi: Division of Injury Prevention. 2022 [Internet]. [Cited 2024 Feb 15]. Available from: https://ddc.moph.go.th/dncd/publishinfodetail.php?publish=15282&deptcode=dncd
Yu Y, Hu X, Zhang Q, Zou R. Diabetes mellitus and risk of falls in older adults: a systematic review and meta-analysis. Age Ageing. 2016; 45(6):761-767. doi: 10.1093/ageing/ afw140
Abu Bakar AA, Abdul Kadir A, Idris NS, Mohd Nawi SN. Older adults with hypertension: prevalence of falls and their associated factors. Int J Environ Res Public Health. 2021;18(16):8257. doi: 10.3390/ijerph18168257
Immonen M, Haapea M, Similä H, Enwald H, Keränen N, Kangas M, et al. Association between chronic diseases and falls among a sample of older people in Finland. BMC Geriatr. 2020;20:225. doi: 10.1186/s12877-020-01621-9
Toth MJ, Knols R, et al. Chronic inflammation and anabolic resistance in aging and disease. J Cachexia Sarcopenia Muscle. 2008;9(3):249-259.
Schakman O, Kalista S, Barbé C, Loumaye A, Thissen JP. Glucocorticoid-induced skeletal muscle atrophy. Int J Biochem Cell Biol. 2013;45(10):2163-2172. doi: 10.1016/j.biocel.2013.05.036
Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012;2(2):1143-1211. doi: 10.1002/ cphy.c110025
Sayer AA, Robinson SM, Patel HP, Shavlakadze T, Cooper C, Grounds MD. New horizons in the pathogenesis, diagnosis, and management of sarcopenia. Age Ageing. 2013;42(2):145-150. doi: 10.1093/ageing/afs191
Kim TN, Choi KM. Sarcopenia: definition, epidemiology, and pathophysiology. J Bone Metab. 2013;20(1):1-10. doi: 10.11005/ jbm.2013.20.1.1
Ministry of Public Health. Government action plan Ministry of Public Health 2023. Nonthaburi: Strategy and Planning Division. 2022 [Internet]. [Cited 2023 Jan 15]. Available from: https://spd.moph. go.th/wp-content/uploads/2023/05/ edit.MOPH_plan-66-for-web.pdf
Institute of Geriatric Medicine. Medical practice guidelines for prevention and evaluation of falls in the elderly. 1st ed. Nonthaburi: Sinthavee Printing. 2019.
Moonong R, Lagampan S, Rawiworrakul T. Effects of a self-efficacy program using Tai Chi to prevent elderly falls in flat communities. J Royal Thai Army Nurses 2022;23(1):255-264
Nick N, Petramfar P, Ghodsbin F, Keshavarzi S, Jahanbin I. The effect of yoga on balance and fear of falling in older adults. PM R. 2016;8(2):145-151. doi: 10.1016/j.pmrj.2015.06.442
Ngowsiri K, Napapongsa K. The effects of applied Rusie Dutton exercise on fall prevention in older adults. J Royal Thai Army Nurses. 2021;22(1):176-185.
Widjaja W, Wongwattanapong T, Ajjimaporn A. The effect of modified Rusie Dat Ton training on functional physical fitness in obese older women. J Med Health Sci. 2019;26(3):84-101.
Ito S, Hashimoto M, Aduma S, Yasumura S. Effectiveness of locomotion training in a home visit preventive care project: one-group pre-intervention versus post-intervention design study. J Orthop Sci. 2015;20(6):1078-1084. doi: 10.1007/s00776-015-0760-2
Kota M, Moriishi M, Hazama A, Hiramoto K. Assessment of the effects of a group intervention program used in home-dwelling elderly individuals to promote home exercise and prevent locomotive syndrome. J Phys Ther Sci. 2019;31(6):470-474. doi: 10.1589/jpts.31.470
Health Department, Bangkok Metropolitan Administration. Bangkok Metropolitan Administration model of preventive long-term care. Economic Research Institute for ASEAN and East Asia (ERIA) and Japan Center for International Exchange (JCIE). 2021 [Internet]. [Cited 2023 Jan 15]. Available from: https://ahwin.org/ bangkok-metropolitan-administration-model-of-preventive-long-term-care/
Grey M, Schulman-Green D, Knafl K, Reynolds NR. A revised self- and family management framework. Nurs Outlook. 2015;63(2):162-170. doi: 10.1016/j.outlook.2014.10.003.
Faul F, Erdfelder E, Lang A, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):91-175. doi: 10.3758/bf03193146
Anderson C. Presenting and evaluating qualitative research. Am J Pharm Educ. 2010;74(8):141. doi: 10.5688/aj7408141
Sataman S. How to Exercise Safely with Diabetes. Mahidol University, Faculty of Physical Therapy. 2018 [Internet]. [Cited 2023 Jan 15]. Available from: https://pt.mahidol. ac.th/knowledge/?p=955
Mahoney FI, Barthel DW. Functional evaluation: The Barthel Index. Md State Med J. 1965;14:5-61.
Jitapunkul S, Kamolratanakul S, Shah E. The meaning of activities of daily living in a Thai elderly population: development of a new index. Age Ageing. 1994;23(2):101-107. doi: 10.1093/ageing/23.2.97
Borson S, Scanlan JM, Chen P, Ganguli M. The Mini-Cog as a screen for dementia: validation in a population-based sample. J Am Geriatr Soc. 2003;51(10):1451-1454. doi: 10.1046/j.1532-5415.2003. 51465.x
Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of Mini-Cog, a brief cognitive screening test. Geriatr Gerontol Int. 2015;15(5):594-600. doi: 10.1111/ ggi.12318
Thiamwong L, Thamarpirat J, Maneesriwongul W, Jitapunkul S. Thai falls risk assessment test (Thai-FRAT) developed for community-dwelling Thai elderly. J Med Assoc Thai. 2008 Dec;91(12):1823-1831.
Shepherd RJ. Aging, physical activity and health. Champaign, IL: Human Kinetics; 1997.
Jones CJ, Rikli RE. Measuring functional fitness in older adults. J Active Ageing. 2002;25-30.
Sapchareon P, editor. Move Your Body for a Healthy Life with Thai Exercise: Basic 15 Rusie Dutton Poses. 8th ed., Nonthaburi: Institute of Thai Traditional Medicine; 2009.
Nakamura K, Ogata T. Locomotive Syndrome: Definition and Management. Clin Rev Bone Miner Metab. 2016;14(2):56-67. doi: 10.1007/s12018-016-9208-2
Lynch AM, Kilroy S, McKee H, Sheerin F, Epstein M, Girault A, et al. Active older adults goal setting outcomes for engaging in a physical activity app and the motivation characteristics of these goals (MOVEAGE-ACT). Prev Med Rep. 2022;31:145-151. doi: 10.1016/ j.pmedr.2022.102084
Jeeartit K, Wongrostrai Y. Effects of an individual and family self-management exercise program on exercise behaviors and exercise capacity in elderly patients post-percutaneous coronary intervention. JTNMC. 2566;38(3):160-181.
Cheepat S, Suwan-ampai P, Rawiworrakul T. Effects of a nurse-led program on fall prevention behaviors for older adults in a community in Bangkok. J Public Health Nurs. 2017;31:97-112.
Noradechanunt C, Prasomsuk S, Kunalasiri P, Thamhiweth N. Effectiveness of low-intensity Thai yoga exercise for improving functional fitness and quality of life in inactive older adults. Rajabhat J Sci Humanit Soc Sci. 2019;20(1):123-135.
Pukkunnun W, Duangsong R. The effects of a physical activity promotion program using the physical activity literacy model among elderly at Elderly Health Promotion Clinic, Regional Health Promotion Center 7, Khon Kaen, Muang District, Khon Kaen Province. KKU J Public Health Res. 2020;13:81-93.
