PURPOSE This study aimed to investigate the effects of accelerated rehabilitation exercise on physical fitness, lower extremity isometric strength, and blood variables in older adult women diagnosed with degenerative osteoarthritis. METHODS A total of 29 older adult women diagnosed with degenerative osteoarthritis residing in G city participated in the study, and 19 participants, excluding dropouts, took part in the experiment. They underwent exercise twice a week for 60 minutes per session over a period of 12 weeks. Pre- and post-experiment, the older adult fitness assessment (SFT), lower extremity isometric strength, and blood variables were measured. Data analysis was performed using SPSS 25.0, and paired sample t-tests were conducted to examine the effects before and after exercise. RESULTS The study results showed significant differences in body mass index (BMI) before and after exercise (p<0.05), and the older adult fitness assessment (SFT) showed significant differences in all items (p<0.01). Lower extremity isometric strength showed significant differences in absolute (Nm) and relative (%BW) values of 20° right flexion muscle (p<0.01). In terms of blood variables, significant differences were observed in creatine and ESR before and after exercise (p<0.01). CONCLUSIONS This study’s results suggest that regular physical activity and rehabilitation exercise programs can positively impact the muscular strength, cardiovascular endurance, exercise function, and blood composition of older adult women diagnosed with degenerative osteoarthritis. It is indicated that conducting future research, including periodic exercise programs, could be beneficial in promoting sustained exercise participation.
PURPOSE This study aims to investigate the problems posed by the new “Health Exercise Managers” qualification system implemented in 2015 and suggest a reformation plan for the qualification definition, written test, and practical–oral test. METHODS Eleven experts working in the academia and the exercise prescription field were selected as research participants using purposive sampling method (professors=5, director of sport science division in national research and development institute=1, head of national/private organization that issue Health Exercise Managers certificates=2, and health exercise managers working at university hospitals =3). The results were collected, examined and classified following numerous discussions among the authors. RESULTS First, the qualification definition should be based on “course completion” in the short term and “department certification” in the long term. Second, the written test can be reformed by identifying the core courses related to health exercise management and merging similar or overlapped courses. Also, the grades should be calculated for each question based on the knowledge gained in related courses. Third, the practical–oral test questions should be publicly available in advance to help candidates better prepare and learn practical skills, rather than set the standards for elimination. CONCLUSIONS An overall reformation of the qualification definition, written test, and practical–oral test will solve the problems posed on the quality of the “health exercise managers” qualification system.
