Effects of the Thai Hermit Traditional Exercise and Heat Compress Program on Knee Pain Relief among Knee Osteoarthritis Patients

Main Article Content

ยุทธนา นุ่นละออง สุวัฒนา เกิดม่วง วิสุทธิ์ โนจิตต์ ดวงใจ เกริกชัยวัน มยุรี สิงห์เปีย


The quasi- experimental research with one-group pretest and posttest design was to study the effects of the Thai hermit traditional exercise and heat compress program on knee pain relief among knee osteoarthritis patients in Nongmamong district, Chainat province. The sample of the research included 30 knee osteoarthritis patients from Bansapanhin community, Moo 1, Nongmamong, Chainat province, selected according to the criteria of the American College of Rheumatology. They were provided with knowledge and awareness of the preventive practice under the concept of the PRECEDE model. Meanwhile they also practiced 3 poses of the Thai Hermit traditional exercise and were treated with the mung bean bag heat compress.  The data was collected through the Thai Modified WOMAC pain subscales (Western Ontario and McMaster Universities Osteoarthritic Index) questionnaire and survey which were collected one week before and after the 8 weeks of the experimental period. The time duration of the research was 10 weeks. Afterwards, the data was analyzed using  descriptive statistic and paired t-test. The results showed that after the experiment, the sample group had higher average scores on the severity of knee osteoarthritis with statistical significance (p<.05). The predisposing factors included knowledge, awareness about pain and benefits of pain relief, while the enabling factors included access to the healthcare services, access to health resources while the reinforcing factors including promotion of the pain relief among the family and the community were higher than those prior to the experiment with the statistical significance (p<.05). The score on predisposing factors of perceived barriers of knee osteoarthritis were reduced with statistical significance (p<.05).


Article Details

How to Cite
นุ่นละอองย, เกิดม่วงส, โนจิตต์ว, เกริกชัยวันด, สิงห์เปียม. Effects of the Thai Hermit Traditional Exercise and Heat Compress Program on Knee Pain Relief among Knee Osteoarthritis Patients. Nursing Journal of The Ministry of Public Health [Internet]. 30Apr.2019 [cited 25Jun.2019];29(1):71-6. Available from: https://www.tci-thaijo.org/index.php/tnaph/article/view/187181


1. Knoop J, et al. Knee Joint Stabilization Therapy in Patients with Osteoarthritis of the Knee: A Randomized, Controlled Trial. Osteoarthritis and Cartilage 2013; 21(8): 1025-34.

2. Ngamsutikul W. Risk Factors Associated with Osteoarthritis of the Knee and Quality of Life. Master Thesis of Epidemiology. Bangkok: Mahidol University; 2000. (in Thai)

3. Nilganuwong S. Osteoarthritis. In: Asavatanabodee P, Kittiamnuaypong T, Kunwisut A, Chieochanwitsawakit P, Narongroeknawin P, Chiamnuay S, editors. Essentials in Clinical Rheumatology. Bangkok: Printcity; 2012. 407-38. (in Thai)

4. Narin R, Taunrat W, Booncheang W. Development of a Community Participation Program for Caring Older Adults with Knee Osteoarthritis. Nursing Journal 2015; 42(3): 170-9. (in Thai)

5. American Academy of Orthopedic Surgeons [AAOS]. Treatment of Osteoarthritis of the Knee: Evidence-Based Guideline. (2nd ed.). Illinois: American Academy of Orthopedic Surgeons. 2013.

6. Manfak P, Supromma R, Kerdmuang S, Kongbua A, Nunlaong O. Effects of the Elastic-band Exercise Program to Reduce the Severity of Osteoarthritis Knees among Elderly People in Nongmamong, Chainat Province. Community Health Development Quarterly Khon Kaen University 2018; 6(1): 93-109. (in Thai)

7. O’Connor SR, et al. Walking Exercise for Chronic Musculoskeletal Pain: Systematic Review and Meta-Analysis. Archives of Physical Medicine and Rehabilitation 2015; 96(4): 724-34.

8. Comparison of Supervised Clinical Exercise and Manual Therapy Procedures Versus a Home Exercise Program. Physical Therapy 2005; 85(12): 1301-17.

9. Fernandopulle S, Perry M, Manlapaz D, Jayakaran P. Effect of Land-Based Generic Physical Activity Interventions on Pain, Physical Function, and Physical Performance in Hip and Knee Osteoarthritis: A Systematic Review and Meta-Analysis. American Journal of Physical Medicine & Rehabilitation 2017; 96(11):773–92.

10. Chumklang T, Duangsong R. The Effects of Exercise Promotion Programs by the Applying of Self-Efficacy and Social Support for Decreasing among Elderly with Osteoarthritis Knees in Wangnamkheaw District, Nakornratchasama Province. KKU Res J 2012; 12(1): 46-56. (in Thai)

11. Prajankett O. Elastic Coconut Shell: Health Innovation for Home Bound and Bed Bound Elder. Journal of the Royal Thai Army Nurses 2014; 15(2): 33-8. (in Thai)

12. Srirattanapum N. Effects of a Home-Based Knee Exercise Program in Patients with Osteoarthritis. Buddhachinaraj Medical Journal 2008; 25 (suppl 2): 347-61. (in Thai)

13. Chaiwong C, Sumethanurakkhakul W, Raknatee D, Warawitsaranggoon R, Prayoonsirisak. The Effect of Self-Management Program on Physical Fitness and Pain among People with Knee Osteoarthritis. Journal of Nursing and Health Care 2016; 34(4): 133-41. (in Thai)

14. Poonsuk P, Kengganpanich M, Kengganpanich T, Benjakul S. The Effects of Knee Exercise Promotion Program with “Rue Si Dat Ton” for Knee Pain Reief among Osteoarthritis Patients. Journal of Public Health 2016; 46(2): 191-202. (in Thai)

15. Weerasirirat P, Hongto K, Muanjai P, Nansawanf J. Effect of Physical Therapy Management in Mong with OA Knee. Chonburi: The Faculty of Allied Health Sciences, Burapa University; 2015. (in Thai)

16. Khuntayod C, Panyadee K. The Effects of Thai Herbal Bag Pressed Against the Patients’ Knee on Patients with Osteoarthritis Knee. Primary Health Care Division Journal 2014; 12(4): 43-9. (in Thai)

17. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Recommendations for the medical management of osteoarthritis of the hip and knee. Arthritis & Rheumatism 2000; 43(9): 1905-15.

18. Green LW, Kreuter MW. Health Program Planning: An Educational and Ecological Approach. (4th ed). Boston: McGraw-Hill, 2005.

19. Pitsamai B, Therawiwat M, Imamee N, Aree-ue S. Factors Related to Self-Management Behaviors for Persons with Osteoarthritis. Journal of Public Health 2012; 42(4): 54-67. (in Thai)

20. Polit DF, Hungler BP. Nursing Research: Principles and Methods. (4th ed). JB, Philadelphia: Lippincott. 2004.

21. Yip YB, Sit JW, Wong DY, Chong SY, Chung LH. A 1-year Follow-up an Experimental Study of a Self-management Arthritis Programme with an Added Exercise Component of Clients with Osteoarthritis of the Knee. Psychology, Health & Medicine 2008; 13(4): 402-14.

22. Funk D, Swank AM, Adams KJ, Treolo D. Efficacy of Moist Heat Pack Application Over Static Stretching on Hamstring Flexibility. J Strength Cond Res 2001; 15: 123-6.