The Effectiveness of Hip and Knee Strengthening on Reducing Pain Intensity among Elderly with Osteoarthritis


Background: The population of elderly people increases from year to year along with increasing life expectancy. In 2000 the life expectancy in Indonesia was 64.5 years (with the percentage of the elderly population being 7.18%). It is estimated that the number of elderly people in 2020 reaches 9.9% of the total population in Indonesia. Osteoarthritis (OA) is a degenerative disease that occurs in the elderly due to thinning of joint cartilage, more common in the knee joint (89.91%) with pain manifestations. If the pain cannot be overcome, it can cause limitations in movement and disturb the daily activities, then it is suggested to do physical exercise, especially strengthening exercise.

Objectives: the aimed of this study was to examine the effect of hip and knee strengthening to reducing pain in elderly patients with OA.

Methods: A quasiexperimental study with randomized pre-post-test control design conducted in May untilJuly2014inYogyakarta.Seventyrespondentswithgrade1-2OAandnothavingan increasingly severe disease by exercising recruited.OApainassessedusingnumerical pain rating scale. The ordinal regression used to analyse the data.

Results: hip and kneestrengtheninginterventionstatisticallysignificantreducedpainintensity(p=0.00). Conclusions:The result demonstrated the effectiveness of hip and knee strengthening to reduce pain in elderly patients with OA. Hip and knee strengthening intervention throughvideocanbeoneofasuggestedinterventiontoreducepaininpatientswithOA.

Conclusions:The result demonstrated the effectiveness of hip and knee strengthening to reduce pain in elderly patients with OA. Hip and knee strengthening intervention through video can be one of the suggested intervention to reduc pain in patients with OA.

[1] Pusat Data dan Informasi Kementrian Kesehatan RI. (2014). Situasi dan analisis lanjut usia. Retrieved from /infodatin/infodatin-lansia.pdf
[2] Riskesdas. (2013). Badan penelitian dan pengembangan kesehatan kementerian kesehatan RI tahun2013.Retrievedfrom %202013.pdf
[3] Tim Nasional Percepatan Penanggulangan Kemiskinan (TNP2K). (2017). Penduduk lanjut usia (lansia) dan keterjangkauan program perlindungan sosial bagi lansia. Retrieved from{%}20TNP2K{%}20 Profil%20Lansia%20dan%20Keterjangkauan%20SP-Final_290817-1.pdf
[4] Lewis,S.L, Dirksen.,S.R. Heitkemper.,M.M. Bucher.,L., & Camera.,I.M. (2011). Medical surgical nursing assesment and management of clinical problems (eight edition). St. Louis, MO: Mosby Elsevier.
[5] Riskesdas. (2018). Badan penelitian dan pengembangan kesehatan kementerian kesehatan RI tahun 2018. Retrieved from pdf
[6] Nascimento, L. R., Teixeira-Salmela, L. F., Souza, R. B., & Resende, R. A. (2018). Hip and knee strengthening is more effective than knee strengthening alone for reducing pain and improving activity in individuals with patellofemoral pain: A systematic review with meta-analysis. Journal of Orthopaedic & Sports Physical Therapy, 48(1), 19-31. Retrieved from /doi/full/10.2519/jospt.2018.7365
[7] Peterson, N. E., Osterloh, K. D., & Graff, M. N. (2019). Exercises for older adults with knee and hip pain. The Journal for Nurse Practitioners, 15(4), 263-267. Retrieved from S1555-4155(18)30891-2/fulltext
[8] Santos, T. R., Oliveira, B. A., Ocarino, J. M., Holt, K. G., & Fonseca, S. T. (2015). Effectiveness of hip muscle strengthening in patellofemoral pain syndrome patients:asystematicreview.BrazilianJournalof PhysicalTherapy,19(3),167-176.Retrievedfrom S1413-3555201500030016 7
[9] Fransen,M.,McConnell,S.,Harmer,A.R.,VanderEsch,M.,Simic,M.,&Bennell,K.L.(2015).Exercisefor osteoarthritisoftheknee:ACochranesystematicreview.BrJSportsMed,49(24),1554-1557.Retrieved from
[10] Gwilym,S. E., Pollard,T.C.B.,& Carr,A. J.(2008).Understanding pain in osteoarthritis.The Journal of Bone And Joint Surgery. British Volume, 90(3), 280-287. Retrieved from http://www.bjj.boneandjoint.
[11] Marlina,T.T.(2015).EfektivitasLatihanLututTerhadapPenurunanIntensitasNyeriPasienOsteoarthritis Lutut di Yogyakarta. Jurnal Keperawatan Sriwijaya, 2(1), 44-56. Retrieved from id/index.php/jk_sriwijaya/article/view/2331
[12] Setiawan, YE & Marlina, TT. (2018). Upaya pencegahan progresifitas stadium osteoarthritis lutut di rumah. Jurnal Kesehatan ”Caring And Enthusiasm”. Retrieved from id/file/9-8{%}20Osteoarthritis.pdf
[13] Rahmiati, C., & Yelni, S. (2017). Efektivitas stretching terhadap penurunan nyeri sendi lutut pada lansia. In Prosiding SEMDI-UNAYA (Seminar Nasional Multi Disiplin Ilmu UNAYA) (Vol. 1, No. 1, pp. 379-386). Retrieved from /JIK/article/download/5132/5337.
[14] Potter,P.A., Perry,A.G.,Hall,A.,& Stockert,P.A. (2017). Fundamentals of nursing (ninth edition). St.Louis, Mo.: Mosby Elsevier