Effect of Bridging Exercise Interventions on Pain Reduction In the Elderly with Knee Osteoarthritis


  • Dwi Agustina Health Polytechnic of Jakarta III
  • Ratu Karel Lina




Bridging Exercise, Knee Osteoarthritis, Elderly


Introduction: Elderly people will experience physical and psychological declines, there will also be several kinds of degenerative diseases, one of which is osteoarthritis (OA) in the knee. Elderly people who suffer from knee OA generally experience muscle weakness, pain, and limited knee motion. This study aimed to analyze the effect of bridging exercise on reducing pain in elderly with knee OA. Methode: The study design was quasi experiment which consisted of the treatment and the control group. The research respondents were 34 elderlies at Eastern Jakarta Village and selected by purposive sampling. The bridging exercise intervention was given for 4 weeks, 2 times a week with a duration of 30 minutes. Data analysis included univariate and bivariate analysis using independent sample t-test and paired sample t-test. Results: The knee pain in treatment group before intervention was 8,29 and became 6,29 after intervention, whereas in control group was 7,58 and 7,53 respectively. The average difference in knee pain changed between groups was -1,76 with a p-value of 0.009. Conclusion: Bridging exercise could reduce pain in knee OA of elderly.  The integrated development post could apply this exercise as additional exercise in their routine activity.

Author Biography

Dwi Agustina, Health Polytechnic of Jakarta III

Dwi Agustina is assistant professor at the Health Polytechnic Jakarta III – Physiotherapy Department. She received a bachelor’s degree in public health from University of Indonesia and a master’s degree in community health and health management in developing country from University of Heidelberg. She is interested in health related with physical activity including exercise to improve health, nutrition and health behavior. Dwi Agustina can be contacted via email as follows dwiagustinarosadi@gmail.com


Pusat Data dan Informasi Kementerian Kesehatan RI, “Gambaran kesehatan lanjut usia di Indonesia,†Buletin Jendela Data & Informasi Kesehatan, vol. Semester I, Jakarta, pp. 1–18, Jul-2013.

World Health Organization, World Report on Ageing and Health. Geneva: WHO, 2015.

World Health Organization, “Ageing and health,†2018. [Online]. Available: http://www.who.int/news-room/fact-sheets/detail/ageing-and-health. [Accessed: 11-Nov-2018].

United Nation Department of Economic and Social Affairs Population Division, World Population Ageing 2017 - Highlights (ST/ESA/SER.A/397). New York: United Nation, 2017.

Badan Pusat Statistik, Proyeksi Penduduk Indonesia 2015-2045 - Hasil SUPAS 2015; Indonesia Population Projection 2015-2045 - Result of SUPAS 2015. Jakarta: Badan Pusat Statistik, 2018.

G. R. Boss and J. E. Seegmiller, “Age-related physiological changes and their clinical significance.,†West. J. Med., vol. 135, no. 6, pp. 434–40, 1981.

C. Palazzo, C. Nguyen, M. M. Lefevre-Colau, F. Rannou, and S. Poiraudeau, “Risk factors and burden of osteoarthritis,†Ann. Phys. Rehabil. Med., vol. 59, no. 3, pp. 134–138, 2016.

S. Amarya, K. Singh, and M. Sabharwal, “Ageing process and physiological changes,†in Gerontology, G. D’Onofrio, Ed. London: IntechOpen, 2018.

M. A. Greene and Richard F. Loeser, “Aging-related inflammation in osteoarthritis,†Osteoarthr. Cartil., vol. 23, no. 11, pp. 1966–1971, 2015.

E. R. Vina and C. K. Kwoh, “Epidemiology of osteoarthritis: Literature update,†Curr. Opin. Rheumatol., vol. 30, no. 2, pp. 160–167, 2018.

A. M. Valdes and J. Stocks, “Osteoarthritis and ageing,†Eur. Med. J., vol. 3, no. 1, pp. 116–123, 2018.

M. Cross et al., “The global burden of hip and knee osteoarthritis: Estimates from the global burden of disease 2010 study,†Ann. Rheum. Dis., vol. 73, no. 7, pp. 1323–1330, 2014.

C. Liu, Q. Wan, W. Zhou, X. Feng, and S. Shang, “Factors associated with balance function in patients with knee osteoarthritis: An integrative review,†Int. J. Nurs. Sci., vol. 4, no. 4, pp. 402–409, 2017.

D. A. Sella, Sahruddin, and K. Ibrahim, “Hubungan intensitas sholat, aktivitas olahraga dan riwayat kebiasaan mandi malam dengan penyakit osteoartritis pada lansia di Panti Sosial Tresna Werdha Minaula Kota Kendari tahun 2017,†J. Mhs. Kesehat. Masy., vol. 2, no. 6, pp. 1–9, 2017.

G. S. Man and G. Mologhianu, “Osteoarthritis pathogenesis - a complex process that involves the entire joint.,†J. Med. Life, vol. 7, no. 1, pp. 37–41, 2014.

J. C. Mora, R. Przkora, and Y. Cruz-Almeida, “Knee osteoarthritis: Pathophysiology and current treatment modalities,†J. Pain Res., vol. 11, pp. 2189–2196, 2018.

M. J. Lespasio, N. S. Piuzzi, M. E. Husni, G. F. Muschler, A. J. Guarino, and M. A. Mont, “Knee osteoarthritis: A primer,†Perm. J., vol. 21, no. 16–183, 2017.

Daniel L. Riddle and P. W. Stratford, “Knee pain during daily tasks, knee osteoarthritis severity, and widespread pain,†Phys. Ther., vol. 94, no. 490–498, pp. 62–63, 2014.

J. F. M. Holla et al., “Determinants of range of joint motion in patients with early symptomatic osteoarthritis of the hip and/or knee: An exploratory study in the CHECK cohort,†Osteoarthr. Cartil., vol. 19, no. 4, pp. 411–419, 2011.

M. Khan, A. Adili, M. Winemaker, and M. Bhandari, “Management of osteoarthritis of the knee in younger patients,†CMAJ, vol. 190, no. 3, pp. E72–E79, 2018.

S. P. Yu and D. J. Hunter, “Managing osteoarthritis,†Aust. Prescr., vol. 38, no. 4, pp. 115–119, 2015.

T. E. McAlindon et al., “OARSI guidelines for the non-surgical management of knee osteoarthritis,†Osteoarthr. Cartil., vol. 22, no. 3, pp. 363–388, 2014.

J. Lim, S. Lee, D. Lee, and J. Park, “The effect of a bridge exercise using the abdominal drawing-in maneuver on the balance of chronic stroke patients,†J. Phys. Ther. Sci., vol. 24, no. 8, pp. 651–653, 2012.

R. Gheno, J. Cepparo, C. Rosca, and A. Cotten, “Musculoskeletal disorders in the elderly,†J. Clin. Imaging Sci., vol. 2, no. 1, p. 39, 2012.

D. Chen et al., “Osteoarthritis: Toward a comprehensive understanding of pathological mechanism,†Bone Res., vol. 5, no. September 2016, 2017.

A. Litwic, M. H. Edwards, E. M. Dennison, and C. Cooper, “Epidemiology and burden of osteoarthritis,†Br. Med. Bull., vol. 105, no. 1, pp. 185–199, 2013.

T. Neogi, “The epidemiology and impact of pain in osteoarthritis,†Osteoarthr. Cartil., vol. 21, no. 9, pp. 1145–1153, 2013.

K. D. Allen, Y. M. Golightly, C. Hill, C. Hill, C. Hill, and C. Hill, “Epidemiology of osteoarthritis: state of the evidence,†Curr. Opin. Rheumatol., vol. 27, no. 3, pp. 276–283, 2015.

S. L. Hame and R. A. Alexander, “Knee osteoarthritis in women,†Curr. Rev. Musculoskelet. Med., vol. 6, no. 2, pp. 182–187, 2013.

W. S. Mahmoud, R. K. Elnaggar, A. S. Ahmed, and W. S. Mahmoud, “Influence of isometric exercise training on quadriceps muscle architecture and strength in obese subjects with knee osteoarthritis,†Int J Med Res Heal. Sci, vol. 6, no. 3, pp. 1–9, 2017.

S. Anwer and A. Alghadir, “Effect of isometric quadriceps exercise on muscle strength , pain , and function in patients with knee osteoarthritis : A randomized controlled ttudy,†J. Phys. Ther. Sci., pp. 2–5, 2014.

A. N, “An intervention study on the effectiveness of isometric quadriceps hamstrings exercise in the treatment of osteoarthritis , knee joint,†Int. J. Orthop. Sci. adults, vol. 4, no. 2, pp. 1010–1014, 2018.

C. M. Walid et al., “Effect of quadriceps strengthening exercise on reduction of pain in knee osteoarthritis,†Bangladeh Med. J., vol. 41, no. 3, pp. 19–22, 2012.

L. Arborelius, M. J. Owens, P. M. Plotsky, and C. B. Nemeroff, “The role of corticotropin-releasing factor in depression and anxiety disorders,†J. Endocrinol., vol. 160, no. 1, pp. 1–12, 1999.

J. Sidabutar, “Menurunkan dismenoreaa primer melalui hipnoterapi pada siswi sekolah menengah pertama,†Padjadjaran Nurs. J., vol. 3, pp. 111–118, 2015.




How to Cite

Agustina, D., & Lina, R. K. (2019). Effect of Bridging Exercise Interventions on Pain Reduction In the Elderly with Knee Osteoarthritis. Asian Journal of Applied Sciences, 7(5). https://doi.org/10.24203/ajas.v7i5.5964