| Summary: | 碩士 === 國立成功大學 === 老年學研究所 === 105 === Knee osteoarthritis (OA) is one of the most common cause physical and psychological disabilities, and it impairs patients’ quality of life in middle and aged group. Previous research showed the positive effects of exercise on pain, physical function, and quality of life in patients with knee OA. Nevertheless, there is no easy access and low cost integrated exercise which was used for this group. The purpose of this study was to investigate the effects of integrated exercise program on pain, functional performance, and quality of life in middle aged and older community residents with knee OA. The participants in intervention group (n = 37) received a knee OA health education course and 6 weeks integrated exercise, 50 minutes per time, 2 times a week. The integrated exercise included flexibility exercise, strengthening exercise, endurance and balance training. The waitlist control group (n = 19) only received a health educational course at first 6 weeks, and then receive the same intervention of integrated exercise in the next 6 weeks. Measured outcomes were the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and 12-item short form general health survey measures (SF-12). After 6 weeks integrated exercise intervention, there were significant interactions in pain (VAS) (F = 8.17, p = .006, Partial Eta square = 0.140), WOMAC-pain (F = 5.39, p = .024, Partial Eta square = 0.091), and SF-12 physical component summary (PCS) (F = 6.36, p = .015, Partial Eta square = 0.113) between the two groups. Intervention group and the waitlist control group were merged into a combine group (n=56), there were significant differences in VAS (t = 3.09, p = .003), WOMAC-pain (t = 3.41, p = .0001), WOMAC-stiffness (t = 2.63, p = .011), WOMAC- physical function (t = 2.85, p = .006), SF12-physical component summary (t = -4.15, p 〈 .001), and SF12-mental component summary (t = -2.90, p = .005) between pre-intervention and post-intervention. In future, integrated exercise could be a recommended intervention for the patients in the community to reduce pain and improve quality of life.
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