ผลของโปรแกรมส่งเสริมการบริหารข้อเข่าเพื่อบรรเทาปวดด้วยการแพทย์แผนไทย ในผู้สูงอายุที่มีอาการข้อเข่าเสื่อม จังหวัดพิจิตร

Thitiporn  Songsang; Sarunya  Benjakul; Mondha  Kengganpanich

Authors

Thitiporn Songsang Mahidol university, Nakhon Pathom, Thailand
Sarunya Benjakul Mahidol university, Nakhon Pathom, Thailand
Mondha Kengganpanich Mahidol university, Nakhon Pathom, Thailand

Keywords:

elderly with osteoarthritis symptoms, promoting knee exercise program, Thai traditional medicine

Abstract

The quasi-experimental study aimed to examine the effects of promoting knee exercise program for pain relief using Thai traditional medicine. Participants consisted of elderly aged 60-79 years with knee osteoarthritis symptoms at Phichit province. The participants were screened using the Oxford Knee Score with 20-39 score, and pain scale with a cut-off score of 3 or above. Sixty-eight participants were recruited into the study. Then, 34 participants were assigned to the experimental group and 34 to the comparison group. The study was conducted over a period of 12 weeks. Data were collected using interview questionnaire at pre- and post- intervention. Data were analyzed using descriptive statistics (frequency, percentage, arithmetic, mean, and standard deviation), and inferential statistics (Chi-square test, Fisher’s exact test, Paired t-test and Independent t-test).

Results showed that after the intervention, the experimental group reported significantly higher in knowledge of knee osteoarthritis, perception on self-efficacy, and outcome expectancy of knee exercise than baseline, and the comparison group (p<.001). Knee pain score of the experimental group was also significantly lower than baseline, and the comparison group (p<.001). After considering knee exercise according to a specific criterion, results showed there was a significantly different between groups (47.1% vs 0.0%; p<.001). Hence, the program could potentially be used to promote knee exercise regularly among the elderly with knee osteoarthritis symptoms aiming to strengthen muscles around knee and alleviate pain.

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References

1. Department of Economic and Social Affairs, Population division. World Population Ageing; 2017- Highlights. New York: United Nations; 2017. p. 30-1.

2. Siripanich B. Situation of older people in Thailand. In: Prasartkul P, editors Situation of the Thai elderly 2016. Bangkok: Printery Company Limited; 2017.p. 22-6. (in Thai)

3. Aekplakorn W. Health of the elderly. In: Aekplakorn W, editors. Thai National Health Examination Survey, NHES V. Nonthaburi: Aksorn Graphic and Design Publishing; 2017.p. 219-74. (in Thai)

4. Aekplakorn W. Health of the elderly.In: Aekplakorn W, editors. Thai National Health Examination Survey, NHES VI. Nonthaburi: The Graphico System Company Limited; 2010. p. 272-75. (in Thai)

5. Woratanarat P. Lifestyles and Knee Osteoarthritis In: Woratanarat P, editors. Lifestyles and Musculoskeletal Disorders. Bangkok: Charansanitwong Printing Company Limited; 2014.p.183-216. (in Thai)

6. Thai Rheumatism Association. Guidelines for the treatment of Osteoarthritis of Knee. Bangkok: Thai Rheumatism Association; 2013. (in Thai)

7. The Royal College of Orthopaedic Surgeons of Thailand. Public health practice guideline of Osteoarthritis. Bangkok: Thai Rheumatism Association; 2014 May. 76 p. (in Thai)

8. Department of Medical Services. Handbook of screening and assessment in older people Nonthaburi: Ministry of Public Health; 2014. (in Thai)9. Healthcare data centers (HDC) [Internet]. 2018 [cited 2018 Nov 22]. Available. from: https:// hdcservice.moph.go.th/hdc/reports/report.php source=pformated/format1.php&cat_id= 6966b06 64b89805a484d7ac96c6edc48&id=df0700e8e3c79802b208b8780ab64d61. Thai.

10. Department of Health. Elderly health record booklet. Nonthaburi: Ministry of Public Health; 2016. (in Thai)

11. Tha Nong Sub-District Health Promoting Hospital. Project report: the effects of health promoting with the elderly with knee osteoarthritis by using Thai Traditional Medicine and Physical therapy. Photaley District, Phichit Province: Local Health Security Fund Operations at Tha Nong Sub-District Municipality. 2018. (in Thai)

12. Chumklang T, Duangsong R. The effects of exercise promotion programs by the applying of self-efficacy and social support for pain decreasing among elderly with osteoarthritis knees in Wangnamkheaw district, Nakornratchasama province. KKU Res J 2012;12(1):46-56. (in Thai)

13. Sermcheep P, Peungsuwan P, Eungpinichpong W, Chatchawan U. Home Self-care Program with Physical Therapy and Thai Traditional Medicine for Older People with Knee Osteoarthritis in Community [MSc thesis]. Khon Kaen: Khon Kaen University; 2012. (in Thai)

14. Chairat N, Ngamprapasom N. Using Hermit’s body twist rusie dotton with court type traditional Thai massage for the elderly with knee osteoarthritis [MEd thesis]. Chiangmai: Chiangmai University; 2014. (in Thai)

15. Jhitanukool N, Suntayakorn C, Prachanban P, Tunsupasawasdeeknul S. Effects of health promotion program on health behavior and disease severity level among knee osteoarthritis patients [MNs thesis]. Phitsanulok: Naresuan University; 2014. (in Thai)

16. Kaewsengsai A, Sucamvang K, Nanasilp P. Effect of Iyengar Yoga Exercise on Severity of Knee Osteoarthritis Among the Older Persons [MNs thesis]. Chiangmai: Chiangmai University; 2014. (in Thai)

17. Poonsuk P, Kengganpanich M, Kengganpanich T, Benjakul S. The effects of knee exercise promotion program with "Rue Si Dat Ton" for knee pain relief among osteoarthritis patients. Journal of Public Health 2016;46(2):191-202. (in Thai)

18. Jansorn S, Kengganpanich M, Kengganpanich T. Effects of Tai Chi exercise promotion program for knee pain relief among elderly with osteoarthritis in Thai traditional and integrated medicine Hospital, Bangkok. Journal of Thai Traditional Alternative Medicine 2018;16(1):44-56. (in Thai)

19. Chaiwong C, Sumethanurakkhakul W, Raknatee D, Warawitsaranggoon R, Prayoonsirisak R. The effect of self-management program on physical fitness and pain among people with knee osteoarthritis. Journal of Nursing and Health Care 2016;34(4):133-41. (in Thai)

20. Tonueng B. Improving Care for Elderly with Knee Pain at Pak Kut Wai Health Promotion Hospital, Mueng District, Ubon Ratchathani Province. UBRU Journal for Public Health Research 2017;6(1): 27-36. (in Thai)

21. Simanta D, Tudpor K, Prasomrak P. Effects of an exercise with elastic chain and health behavior promotion on delaying osteoarthritis of knee in elderly of Kudhae Subdistrict, Loengnoktha District, Yasothon Province. [MSc thesis]. Mahasarakham: Mahasarakham University; 2017. (in Thai)

22. Saengtong J. Aging society (complete aged): the elderly condition of good quality. Rusamilae Journal 2017;38(1):6-28. (in Thai)

23. Bandura A. Self-efficacy: Social foundations of thought and action. New Jersey: Prentice Hall; 1986. P390-453.

24. Ayurved Thamrong School; Center of Applied Thai Traditional Medicine. Ruesi Dudton Exercise volume 1. Bangkok: Supawanich Printing. 2014. (in Thai)

25. Jeenapongsa R, Yoovathaworn K, Sriwatanakul KM, Pongprayoon U, Sriwatanakul K. Anti- inflammatory activity of (E)-1-(3, 4-dimethoxyphenyl) butadiene from Zingiber cassumunar Roxb. Journal of ethnopharmacology 2003;87(2-3):143-48.

26. Vorapongsathorn T. Experimental research format applied for research in health science. Bangkok: funny publishing; 1987. (in Thai)

27. Chirawatkul A. Statistics in research: appropriate selection. Bangkok: Wittayaphat; 2014. Thai.

28. Chidnok W. Ruesi Dudton stretching exercise. Journal of Medical Technology and Physical Therapy 2009;21(3):189-97. (in Thai)

29. Subcharoen P. 127 the hermit's body twist Rusie Dotton. 2th ed . Nonthaburi: Thai Traditional Medical Textbook Center in Thai traditional medicine development Foundation; 2006. (in Thai)