Effects of arthritis exercise programs on functional fitness and perceived activities of daily living measures in older adults with arthritis

Arch Phys Med Rehabil. 2003 Nov;84(11):1589-94. doi: 10.1053/s0003-9993(03)00278-8.

Abstract

Objective: To ascertain the effectiveness of the National Arthritis Foundation (NAF) aquatic and on-land exercise programs on functional fitness and perceived ability to perform activities of daily living (ADL) measures in older adults with arthritis.

Design: The effects of aquatic and on-land exercise intervention programs were analyzed by repeated-measures analysis of variance by using a planned comparison approach with an independent 3 x 2 (group by test) design. omega(2) analyses were used to ascertain the relative treatment magnitude of each dependent variable.

Setting: Testing in an indoor track facility; exercise programs conducted in community settings.

Participants: A volunteer sample of 30 men and women with arthritis (osteoarthritis, n=22; rheumatoid arthritis, n=8), randomly assigned into either an aquatic exercise (n=10), on-land exercise (n=10), or control group (n=10).

Intervention: Eight-week on-land and aquatic exercise program.

Main outcome measures: Functional fitness, ADLs, and hand-held dynamometry measures assessed on a 1-day pretest and posttest session, before and after an 8-week exercise program.

Results: Aquatic and on-land exercise subjects showed significant improvements on 9 of 12 functional fitness, 3 of 4 ADLs, and 7 of 8 hand-held isometric strength tests after their respective exercise programs. No significant changes were found in any of these measures for the control group.

Conclusion: Both NAF exercise programs appear to be effective in improving functional physical fitness and perceived ability to perform ADL measures in older adults with arthritis.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Arthritis, Rheumatoid / rehabilitation*
  • Exercise Therapy / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis / rehabilitation*
  • Physical Fitness
  • Treatment Outcome