Korean J Adult Nurs.  2018 Aug;30(4):417-425. 10.7475/kjan.2018.30.4.417.

Effects of Leg Strength Exercise on Muscle Strength, Flexibility and Symptoms of Urinary Incontinence of Elderly Women

Affiliations
  • 1Professor, Department of Nursing, Kongju National University, Gongju, Korea.
  • 2Director, YK Fitness Center, Gwangju, Korea.
  • 3Associate Professor, Department of Nursing, Konyang University, Daejeon, Korea. mssong@konyang.ac.kr

Abstract

PURPOSE
The study aimed to investigate the effects of leg strength exercise for elderly women on their muscle strength, flexibility, and frequency of urinary incontinence.
METHODS
The participants were 117 elderly women. The data were collected between June and November 2017. The leg strength exercise was performed for 60 minutes, twice a week, for 24 weeks. Exercise classes were for 60 minutes including 10 minutes of warm-up exercises, 40 minutes of strength exercise, and 10 minutes of cool-down exercises. The muscle strength, flexibility, and frequency of urinary incontinence were measured before and after the leg strength exercise. The results were analyzed with χ2 test and, repeated measures ANOVA using the SPSS/WIN 22.0 program.
RESULTS
After the leg strength exercise, the leg strength significantly increased after 3 and 6 months each, and the flexibility of the leg significantly increased after 3 months. Additionally, frequency of urination before sleep significantly decreased after 6 months, and frequency of urination during bedtime also decreased. Moreover, frequency of urinary urgency and urge urinary incontinence significantly decreased.
CONCLUSION
The leg strength exercise had a positive effect on elderly women in terms of muscle strength, flexibility, and urinary incontinence. A follow-up study is needed to determine the long-term effects of the leg strength exercise.


MeSH Terms

Aged*
Cool-Down Exercise
Female
Follow-Up Studies
Humans
Leg*
Muscle Strength*
Pliability*
Urinary Incontinence*
Urination
Warm-Up Exercise

Figure

  • Figure 1 Flowchart of the study.


Reference

1. Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Sci Med Sci. 2004; 59(3):M255–M263. DOI: 10.1093/gerona/59.3.M255.
Article
2. Park JK. Frailty and its related factors in the vulnerable elderly woman by urinary incontinence. J Korean Gerontol Soc. 2017; 37(4):893–907.
3. Kim CM, Lee HS, Kim EM. A study on urinary incontinence related health problems in women above middle age in rural areas and their coping with the problems. J Korean Acad Community Health Nurs. 2013; 24(3):368–376. DOI: 10.12799/jkachn.2013.24.3.368.
Article
4. Milsom I. The prevalence of urinary incontinence. Acta Obstet Gynecol Scand. 2000; 79(12):1056–1059. DOI: 10.1034/j.1600-0412.2000.0790121056.x.
Article
5. Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. Int J Gynaecol Obstet. 2003; 82(2):327–338.
Article
6. Gallagher B, Corbett E, Freeman L, Riddoch-Kennedy A, Miller S, Smith C, et al. A fall prevention program for the home environment. Home Care Provid. 2001; 6(5):157–163.
Article
7. Vinsnes AG, Helbostad JL, Nyrønning S, Harkless GE, Granbo R, Seim A. Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes. Clin Interv Aging. 2012; 7:45–50. DOI: 10.2147/cia.s25326.
Article
8. Daniel A, William E. Principles of athletic training. MC Grow Hill;2003. p. 629–633.
9. Gammack JK. Urinary incontinence in the frail elder. Clin Geriatr Med. 2004; 20(3):453–466.
Article
10. Choi KW, Park EA. The severity of urinary incontinence and relevant factors in low-income elderly women. J Korean Gerontol Soc. 2013; 33(2):335–347.
11. Regterschot GR, Folkersma M, Zhang W, Baldus H, Stevens M, Zijlstra W. Sensitivity of sensor-based sit-to-stand peak power to the effects of training leg strength, leg power and balance in older adults. Gait Posture. 2014; 39(1):303–307. DOI: 10.1016/j.gaitpost.2013.07.122.
Article
12. Park CG. The effect of lower extremity muscles strengthening exercise on health related fitness in elderly women. J Korea Entertain Ind Assoc. 2016; 10(6):165–173. DOI: 10.21184/jkeia.2016.12.10.6.165.
13. Macaluso A, De Vito G. Muscle strength, power and adaptations to resistance training in older people. Eur J Appl Physiol. 2004; 91(4):450–472. DOI: 10.1007/s00421-003-0991-3.
Article
14. Chung JW, Choi HJ. Functional fitness and asymmetry on lower body muscle strength of elderly women with fall experience. Kinesiol. 2009; 11(2):65–72.
15. Lee HH, Lee SW, Song CH. The influence of pelvic floor muscle training program on lower urinary tract symptom, maximum vaginal contraction pressure, and pelvic floor muscle activity in aged women with stress urinary incontinence. Korean J Sports Sci. 2009; 20(3):466–474.
16. Shamliyan TA, Kane RL, Wyman J, Wilt TJ. Systematic review: randomized, controlled trials of nonsurgical treatments for urinary incontinence in women. Ann Intern Med. 2008; 148(6):459–473. DOI: 10.7326/0003-4819-148-6-200803180-00211.
Article
17. Song MS, Boo SJ. The effect of an exercise program for preventing urinary incontinence among community-dwelling elderly females living alone. J Korean Public Health Nurs. 2016; 30(2):247–258. DOI: 10.5932/JKPHN.2016.30.2.247.
Article
18. Moon HC. Factors associated with elderly women's participation in exercise programs of a rural health center. Daejeon: Konyang University;2013. [master's thesis].
19. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3 a flexible statistical power analysis power analysis program for the social, behavior, and biomedical sciences. Behav Res Methods. 2007; 39(2):175–191. DOI: 10.3758/bf03193146.
20. Choi IH. The effects of pelvic floor muscle exercise on urinary symptoms and quality of life in women with stress urinary incontinence. J Korean Acad Community Health Nurs. 2008; 19(1):46–56.
21. Jesie Jones C, Rose DJ. Physical activity instruction of older adults. Champaign, IL: Human Kinetics;2005.
22. Rikli RE, Jones CJ. Senior fitness test manual. UrbanaChampaign. IL: Human Kinetics;2001. p. 104–105.
23. Jackson S, Donovan J, Brookes S, Eckford S, Swithinbank L, Abrams P. The bristol female lower urinary tract symptoms questionnaire: Development and psychometric testing. Br J Urin. 1996; 77(6):805–812.
Article
24. Lee RYW, Munn J. Passive moment about the hip in straight leg raising. Clin Biomech (Bristol, Avon). 2000; 15(5):330–334. DOI: 10.1016/S0268-0033(99)00091-1.
Article
25. Nam HJ, Nho HS. The effects of 8weeks modified straight leg raise exercise program on isometric muscular strength and electromyography activation of hip joint. Korean J Sports Sci. 2011; 22(4):2296–2307.
26. Kahle NL, Gribble PA. Core stability training in dynamic balance testing among young, healthy adults. Athl Train Sport Health Care. 2009; 1(2):65–73. DOI: 10.3928/19425864-20090301-03.
Article
27. Lee WS, Choi YS, Lee SJ, Lee KW, Kim MO. Effects on physical symptoms, daily life problems, and sexual life programs of a urinary incontinence management program for women with mixed urinary incontinence. J Korean Clin Nurs Res. 2009; 15(2):91–102.
28. Scarpa RM. Lower urinary tract symptoms: what are the implications for the patients. Eur Urol. 2001; 40:Suppl 4. 12–20. DOI: 10.1159/000049890.
Article
29. Bliwise DL, Foley DJ, Vitiello MV, Ansari FP, Ancoli-Israel S, Walsh JK. Nocturia and disturbed sleep in the elderly. Sleep Med. 2009; 10(5):540–548. DOI: 10.1016/j.sleep.2008.04.002.
Article
30. Newman DK. Stress incontinence in women. Am J Nurs. 2003; 103(8):46–55. DOI: 10.1097/00000446-200308000-00017.
31. Kim KH, Park HJ, Jin LH, Kang YH, Shin KR. The correlation among quality of life, depression, and urinary incontinence of elderly women in a urban city. J Korean Gerontol Soc. 2007; 27(4):943–962.
32. Song MS, Song HJ. Development of community-based intensive health care program for the community dwelling elderly. J Korean Gerontol Soc. 2009; 29(1):37–50.
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