Study of Correlation between Lower Limb Strength, Handrail Height, Time Spent for Sit-to-Stand and Stand-to-Sit on Toilet Using Handrail for Elderly in a Province in Northeast Thailand

Authors

  • Ratih Dianingtyas Kurnia School of Industrial Engineering, Institute of Engineering, Suranaree University of Technology
  • Pornsiri Jongkol School of Industrial Engineering, Institute of Engineering, Suranaree University of Technology

Keywords:

elderly, toilet, sit-to-stand movement, stand-so-sit movement, lower limb strength

Abstract

The aim of this study was to study the correlation between time spent sit-to-stand and stand-to-sit on the toilet and lower limb strength in the elderly. The samples used in this research were twenty-three males and eighty-eight females. They participated in this study after being informed by community leaders and posters. Methods used were measuring time in performing sit-to-stand and stand-to-sit movements. Five different handrail heights were used as one of the conditions in the experimental setup. The lower limb strength was measured by performing flexion and extension movements in the sitting position with maximum strength using torque measuring equipment. Pearson’s correlation between time and muscle strength was evaluated with the significance level (p-value) set at .05. Results showed that a range of Pearson correlation (r2) between the time consumed in stand-to-sit and sit-to-stand movement and the elderly’s lower limb extension and flexion strength was -0.360 to -0.614. The negative relationship indicates that the time needed for the acts of stand-to-sit and sit-to-stand movement increases as the lower limb strength decreases. Recommendations for further use of this research were drawn. To install handrails in bath rooms to reduce the elderly risk of falling, the handrail height should not be higher than 90 cm.

References

American with Disability Act (ADA). (2010). Standards for accessible design. Retrieved from https://www.ada.gov/regs2010/2010ADAStandards/2010ADAstandards.htm

Assantachai, P., Praditsuwan, R., Chatthanawaree, W., Pisalsarakij, D. & Thamlikitkul, V. (2003). Risk factors for falls in the Thai elderly in an urban community. Journal of the Medical Association of Thailand, 86(2), 124–130. (in Thai)

Benichou, O., & Lord, S. R. (2016). Rationale for strengthening muscle to prevent falls and fractures: A review of the evidence. Calcified Tissue International, 98(6), 531–545. https://doi.org/10.1007/s00223-016-0107-9

Bohannon, R. W., Bubela, D. J., Magasi, S. R., Wang, Y. C., & Gershon, R. C. (2010). Sit-to-stand test: Performance and determinants across the age-span. Isokinetic and Exercise Science, 18(4), 235-240. https://doi.10.3233/IES-2010-0389.

Brech, G. C., Alonso, A. C., Luna, N. M., & Greve, J. M. (2013). Correlation of postural balance and knee muscle strength in the sit-to-stand test among women with and without postmenopausal osteoporosis. Osteoporosis International, 24(7), 2007–2013. https://doi.org/10.1007/s00198-013-2285-x

Corrigan, D., & Bohannon, R.W. (2001). Relationship between knee extension force and stand-up performance in community-dwelling elderly women. American Journal of Physical Medicine & Rehabilitation, 82, 1666–1672. https://doi.0.1053/apmr.2001.26811.

Das, B., & Black, N. L. (2000). Isometric pull and push strengths of paraplegics in the workspace: 1. Strength measurement profiles. International Journal of Occupational Safety and Ergonomics: JOSE, 6(1), 47–65. https://doi.org/10.1080/10803548.2000.11076443

Eksakulkla, S., Siriphorn, A., & Chamonchant, D. (2017). Five-Times-Sit-to-Stand test time in adults with normal weight, overweight and obesity. Thai Journal of Physical Therapy, 40(3), 95-103. (in Thai)

Ito, Y., Sato, T., Oishi, K., & Ishii, K. (2020). Comparison of quadriceps setting strength and knee extension strength tests to evaluate lower limb muscle strength based on health-related physical fitness values in elderly people. BMJ Open Sport & Exercise Medicine, 6(1), 1-5. http://doi.10.1136/bmjsem-2020-000753

Janssen, W. G., Bussmann, H. B., & Stam, H. J. (2002). Determinants of the Sit-to-Stand movement: A review. Physical Therapy, 82(9), 866–879. https://doi.org/10.1093/ptj/82.9.866

Jitapunkul, S., Songkhla, M. N., Chayovan, N., Chirawatkul, A., Choprapawon, C., Kachondham, Y., & Buasai S. (1998). Falls and their associated factors: A national survey of the Thai elderly. Journal of the Medical Association of Thailand, 81(4), 233–242. (in Thai)

Kaewanun, C. (2018). Nutrition of the elderly. EAU Heritage Journal Science and Technology, 12(2), 114-119. (in Thai)

Komisar, V., & Novak, A. C. (2023). Effect of handrail height and age on trunk and shoulder kinematics following perturbation-evoked grasping reactions during gait. Human Factors, 65(2), 200–211. https://doi.org/10.1177/00187208211013631

Kuhirunyaratn, P., Prasomrak, P., & Jindawong, B. (2013) Factors related to falls among community dwelling elderly. Southeast Asian Journal of Tropical Medicine and Public Health, 44(5), 906–15. (in Thai)

McCarthy, E. K., Horvat, M. A., Holtsberg, P. A., & Wisenbaker, J. M. (2004). Repeated chair stands as a measure of lower limb strength in sexagenarian women. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 59(11), 1207–1212. https://doi.org/10.1093/gerona/59.11.1207

Orr, R., de Vos, N. J., Singh, N. A., Ross, D. A., Stavrinos, T. M., & Fiatarone-Singh, M. A. (2006). Power training improves balance in healthy older adults. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 61(1), 78–85. https://doi.org/10.1093/gerona/61.1.78

Phetcharoen, A., Nakseedee, P., & Ngamsa-ard, W. (2022). The study of factors affecting to container consumption in the situation of Covid-19 and comparison forecasting models with appropriate techniques. EAU Heritage Journal Science and Technology, 16(3), 174-185. (in Thai)

Pongboriboon, U. (2020). The elderly situation in Thailand: Health’s problems and needs. EAU Heritage Journal Science and Technology, 14(2), 46-58. (in Thai)

Roebroeck, M. E., Doorenbosch, C. A., Harlaar, J., Jacobs, R., & Lankhorst, G. J. (1994). Biomechanics and muscular activity during sit-to-stand transfer. Clinical Biomechanics (Bristol, Avon), 9(4), 235–244. https://doi.org/10.1016/0268-0033(94)90004-3

Roh, C., & Park, B. (2017). Analysis of correlation between the height of stairway handrail, body size, and walking pattern of the aged. International Journal of Advanced Engineering and Management Research, 2(6), 1980-1987. https://www.ijaemr.com/uploads/pdf/archivepdf/2020/ijaemr_01_215.pdf

Saengngoen, S., & Maton, T. (2018). Comparisons of Quality of Life among the Elderly in Urban, Semi-urban and Rural Communities in Sukhothai Province, Thailand. Journal of Public Health. 48(2), 174-184. (in Thai)

Srisim, K., & Amatachaya, S. (2014). Validity of the Five Times Sit-to-Stand Test as compared with the Timed “Up & Go” Test in independent ambulatory patients with spinal cord injury. Journal of Medical Technology and Physical Therapy, 26(2), 150-157. (in Thai)

Srithamrongsawat, S., Bundhamcharoen, K., Sasat, S., Odton, P., & Ratkjaroenkhajorn, S. (2009). Projection of demand and expenditure for Institutional longterm care in Thailand. Bangkok: Health Insur. Syst. Res. Off. (in Thai)

Tuengta, W., & Jongkol, P. (2022). Factors affecting wrist torque exertion capability on door knob of elderly. The Journal of KMUTNB, 32(1). 65-76. (in Thai)

United Nations Population Division. (2017). World population prospects: The 2017 revision-key findings and advance tables. New York: United Nations.

United Nations Department of Economic and Social Affairs Population Division. (2017). World population prospects: The 2017 revision. Retrieved from https://population.un.org/wpp/publications/files/wpp2017_keyfindings.pdf

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Published

2024-04-26

How to Cite

Dianingtyas Kurnia, R. ., & Jongkol, P. . (2024). Study of Correlation between Lower Limb Strength, Handrail Height, Time Spent for Sit-to-Stand and Stand-to-Sit on Toilet Using Handrail for Elderly in a Province in Northeast Thailand. EAU Heritage Journal Science and Technology (Online), 18(1), 107–120. retrieved from https://he01.tci-thaijo.org/index.php/EAUHJSci/article/view/262408

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Research Articles