Date of Completion
2020
Document Type
Thesis
Degree Name
Bachelor of Science in Physical Therapy
Keywords
elderly, hip osteoarthritis, knee osteoarthritis, resistance exercise, balance, fall risk
Abstract
Lower extremity osteoarthritis (LE OA) is a common disease encountered in the elderly that alters joint kinetics and biomechanics, thus increasing fall risk. Resistance exercise (RX) is one of the many interventions given to elderly patients with LE OA, but its effect on reducing fall risk remains unclear. Therefore, this study aims to synthesize up-to-date literature and determine the effects of resistance exercise in decreasing fall risk in elderly patients with LE OA. A systematic electronic search was conducted in PubMed, CENTRAL, and BioMed Central. Randomized controlled trials, assessing the effects of resistance exercise on fall risk outcome measures versus other OA interventions, using elderly patients with LE OA as study population was included. The Cochrane risk of bias tool was used to test methodological quality. A total of 278 studies were gathered, but only 7 were included for synthesis, with five studies being three-armed: four studies compared RX to control groups, three studies compared RX to other exercises, while three other studies compared RX to other therapies. Treatment duration ranges from 8 to 24 weeks, with 2 to 4 sessions per week. RX prescription varied between studies. Repetitions and sets were typically used, however, two studies measured duration in minutes. Different outcome measures for fall risk were used across studies, including BBS, TUG, 30 SCS, 6MWT, and SPBB. A significant improvement from baseline scores was reported in participants who received resistance exercises in 8 to 24 weeks. However, the high clinical heterogeneity between studies made it challenging to perform a meta-analysis. Therefore, more evidence is needed to conclusively determine the effect of resistance exercise in decreasing fall risk in elderly patients with LE OA. Also, this review received no external funding and details were registered online to the International Prospective Register of Systematic Reviews (PROSPERO) with registration ID: CRD42020199031.
First Advisor
Madelyn Gabrieles
APA Citation
Budlong, I. A., Corpuz, L. A., Gelicame, M. T., Masayon, R. P., Sapalaran, R. S., Saquilayan, A. M., & Villaflor, E. V. (2020). The effects of resistance exercises on reducing fall risk of elderly patients with lower extremity osteoarthritis : a systematic review. [Bachelor's thesis, De La Salle Medical and Health Sciences Institute]. GreenPrints. https://greenprints.dlshsi.edu.ph/bspt/818