Stretching Exercise And The Prevention Of Osteoarthritis For Effective Joint Integrity Among The Ageing Based On Gender in Calabar Municipality Of Cross River State
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Abstract
This study examined the effect of the stretching exercise (SE) therapy in the prevention of Osteoarthritis (OA) {range of motion (ROM), muscle torques (MT), and knee flexibility (KF)} for effective joint integrity among the ageing based on gender in Calabar Municipality of Cross River State. Quasi-experimental of pretest posttest research design was employed. Sample of 22 was used. The data were collated using standardized instrument and SEMS. Three types of stretching exercise adopted were Knee lift, Hamstring curl, and Shallow slide lunges. Data were analyzed using percentage, and mean. Results revealed that majority of the participants were males (63.6%), with severe knee pain (40.9%), and majority of those participants had mild pain (63.6%) closely followed by those with no knee pain after the intervention (18.2%). Results showed increased in mean ROMflexion and ROMExtention after the SE (ROMflexion x̄ posttest=116.19>101.21; ROMExtention, x̄ posttest=2.68>1.09). The pretest mean score for KF was less than mean posttest score (x̄ =4.214<5.637), implying that three weeks SE has the propensity of improving the KF of the elderly. Results also revealed a significant difference in peak torque in each group (Ex/Con, Ex/Ecc, Flex/Con, and Flex/Ecc) after SE. Male participants' mean ROM, KF, and MT were more improved than that of the females. Lack of awareness of the benefits of SE, fear and poor interest were suspected as the cause. It is recommended that government and health centers should established programmes and exercise centres for the elderly to improve advocacy and enhance their commitment to stretching exercise.
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Akosile, C.O., Igwemmadu, C.K., Okoye, E.C., Odole, A.C., Mgbeojedo, U.G., Fabunmi, A.A., & Onwuakagba, I.U. (2021). Physical activity level, fear of falling and quality of life: a comparison between community-dwelling and assisted-living older adults. BMC Geriatrics, 21(1), 12. https://doi.org/10.1186/s12877-020-01982-1
Akosile, C., Agu, C., Adegoke, B., & Okoye, E. (2014). Physical activity, fear of falling, and falls in Nigerian older adults. The International Journal of Aging and Society, 3(2), 25–35. https://doi.org/10.18848/2160-1909/CGP/v03i02/35240
Amedari, M., & Ejidike, I. (2021). Improving access, quality and efficiency in health care delivery in Nigeria: a perspective. PAMJ - One Health, 5(3). https://doi.org/10.11604/pamjoh.2021.5.3.28204
American Academy of Orthopaedic Surgeons. (2016). Joint health and stability: Anatomy and function. AAOS Clinical Guidelines
Antony, B., Venn, A., Cicuttini, F., March, L., Blizzard, L., Dwyer, T., Cross, M., Jones, G., & Ding, C. (2015). Association of physical activity and physical performance with tibial cartilage volume and bone area in young adults. Arthritis Research & Therapy, 17, 298. https://doi.org/10.1186/s13075-015-0813-0
Bloom, D., & Luca, D. (2016). The global demography of ageing: Facts, explanations, future. Retrieved from https://www.globaldemographyofaging.org
Chalise, H. (2019). Ageing: Basic concept. American Journal of Biomedical Science & Research, 1(1). https://doi.org/10.34297/AJBSR.2019.01.000503
Dewi, R., Perdana, S., & Hamidah, N. (2023). Effect of stretching exercise to increase joint range of motion and functional ability in post-burn shoulder contracture patients: A case report. Ahmar Metastasis Health Journal, 3(2), 65–70. http://journal.ahmareduc.or.id/index.php/AMHJ
Ekediegwu, E.C., Akpaenyi, C.E., Nwosu, I.B., & Onyeso, O.K. (2022). Demographic and disease characteristics associated with pain intensity, kinesiophobia, balance, and fall self-efficacy among people with osteoarthritis: a cross-sectional study. BMC Musculoskeletal Disorders, 23(1), 544. https://doi.org/10.1186/s12891-022-05486-4
Ezeaka, N.B., Ochuba, C.C., & Bartholomew, C.E. (2025). Addressing healthcare inequalities in Nigeria: A communication perspective on advocacy and policy implications. Journal of Advanced Research and Multidisciplinary Studies, 4(4), 1–11. https://doi.org/10.52589/JARMSAAQQDLCJ
Juneja, P., Munjal, A., & Hubbard, J.B. (2025). Anatomy, joints. In StatPearls. Treasure Island, FL: StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK507893/
Lauderdale, M., Piipari, S., Irwin, C., & Layne, T. (2015). Gender differences regarding motivation for physical activity among college students: A self-determination approach. The Physical Educator. https://doi.org/10.18666/TPE-2015-V72-I5-4682
Li, Z., Kim, S., & Kim, Y. (2024). Effect of stretching exercises on patients with knee osteoarthritis: A systematic review and meta-analysis. Korean Journal of Geriatrics & Gerontology, 25(2), 105–121. https://doi.org/10.15656/kjgg.2024.25.2.105
Lin, W., Alizai, H., Joseph, G.B., Srikhum, W., Nevitt, M.C., Lynch, J.A., McCulloch, C.E., & Link, T.M. (2023). Physical activity in relation to knee cartilage T2 progression measured with 3 T MRI over a period of 4 years: Data from the Osteoarthritis Initiative. Osteoarthritis and Cartilage, 21, 1558–1566.
Loeser, R. (2010). Age-related changes in the musculoskeletal system and the development of osteoarthritis. Clinical Geriatrics Medicine, 26(3), 371–386. https://doi.org/10.1016/j.cger.2010.03.002
McCarthy, C., & Warne, J. (2022). Gender differences in physical activity status and knowledge of Irish university staff and students. Sport Sciences for Health, 18(2). https://doi.org/10.1007/s11332-022-00898-0
National Bureau of Statistics. (2024). 2023 Demographic Statistics Bulletin. https://www.nationalbureauofstatistics.org
Ogunyemi, A.O., Balogun, M.R., Ojo, A.E., Welch, S.B., Akeju, D.O., Onasanya, O.O., Omotayo, A.T., ShuTing, L., & Hirschhorn, L.R. (2025). Factors influencing primary health care service provision to older adults in Lagos, Nigeria: Understanding the experiences of the demand population. BMC Public Health, 25(1), 3016. https://doi.org/10.1186/s12889-025-23965-w
Okoye, E., Onwuakagba, I., Akile, C., & Okonkwo, U. (2022). Social support, general self-efficacy, fear of falling, and physical activity among older adults in a middle-income country. Sage Open Aging, 8(4), 1–13. https://doi.org/10.1177/23337214221097750
Osteoarthritis Research Society International. (2022). Osteoarthritis: A serious disease. https://oarsi.org/education/oarsi-resources/oarsi-white-paper-oa-serious-disease
Petrigna, L., Roggio, F., Trovato, B., Zanghì, M., Guglielmino, C., & Musumeci, G. (2022). How physical activity affects knee cartilage and a standard intervention procedure for an exercise program: A systematic review. Healthcare (Basel), 10(10), 1821. https://doi.org/10.3390/healthcare10101821
Potekhina, Y., Kuruikova, A., Dautov, D., Postnikova, A., & Novgorodskij, K. (2019). Factors affecting joint mobility. Russian Osteopathic Journal. https://doi.org/10.32885/2220-0975-2018-34-107-118
Raji, S. (2023). Problems and prospects of the Nigerian health care system. The Nigerian Journal of Sociology and Anthropology, 21(1), 159–172. https://doi.org/10.36108/NJSA/3202.12.0190
Sembiring, E., Anggriani, F., & Sutandra, L. (2025). The effect of stretching exercise on reducing the intensity of osteoarthritis knee joint pain in the elderly in Kutambaru Village, Munthe District, Karo Regency. Contemporary Journal of Applied Sciences (CJAS), 3(8), 495–506. https://doi.org/10.55927/cjas.v3i8.65
Sen, M. (2024). Managing osteoarthritis in older adults: Insights, strategies, and empowerment. International Journal of Editorial Clinical Rheumatology. https://doi.org/10.37532/17584272.2024.19(9).257-260
Sukadiono, E. (2024). The effect of knee stretching exercise with knee strengthening exercise on pain, ROM, and motion function post knee injury in climbing athletes. Pakistan Journal of Life and Social Sciences, 22(1), 251–266. https://doi.org/10.57239/PJLSS-2024-22.1.0020
Usenbo, A., Kramer, V., Young, T., & Musekiwa, A. (2015). Prevalence of arthritis in Africa: A systematic review and meta-analysis. https://www.plosone.com
Warneke, K., Thomas, E., Blazevich, A., Afonso, J., Behm, D., Marchetti, H., Trajano, G., Nakamura, M., Ayala, F., Longo, S., Babault, N., Freitas, S., Costa, P., Konrad, A., Nordez, A., Nelson, A., Zech, A., & Kay, A. (2025). Practical recommendations on stretching exercise: A Delphi consensus statement of international research experts. Journal of Sport Health Science, 14, 101067.
Weng, M., Lee, C., Chen, C., Hsu, J., Lee, W., Huang, M., & Chen, T. (2009). Effects of different stretching techniques on the outcomes of isokinetic exercise in patients with knee osteoarthritis. Kaohsiung Journal of Medical Sciences, 25(6).
World Health Organization. (2025). Ageing and health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
World Health Organization. (2018). Musculoskeletal health system: Foundations for rehabilitation (3rd ed.). Elsevier: U.S.A.
Yahaya, T., Wright, O.O., Babatunde, N., Corp, T., Helliwell, L., & Dikomitis, L. (2021). Prevalence of osteoarthritis in lower middle- and low-income countries: A systematic review and meta-analysis. Rheumatology International, 41(7), 1221–1231. https://doi.org/10.1007/s00296-021-04838-y