Analysis of Gait Velocity, Stance time on Obstacle and Dual Task Gait in Elderly Women with LBP

요통 여성 노인의 장애물과 이중 과제 보행 시 속도 및 입각기 시간 분석

  • Cho, Yong-Ho (Department of Physical Therapy, Kyungbuk College) ;
  • Jeong, Hyeon-Seong (Department of Physical Therapy, Masan College) ;
  • Park, Rae-Joon (Department of Physical Therapy, Daegu University) ;
  • Bae, Sung-Soo (Department of Physical Therapy, Daegu University) ;
  • Kim, Kyung (Department of Physical Therapy, Daegu University) ;
  • Kwon, Yong-Hyun (Department of Physical Therapy, Yeungnam College) ;
  • Cho, Hyuk-Tae (Department of Naturopathic Medicine, Dongbang Graduate University) ;
  • Hawng, Yoon-Tae (Department of Physical Therapy, Gangneung Yeongdong College)
  • 조용호 (경북전문대학 물리치료과) ;
  • 정현성 (마산대학 물리치료과) ;
  • 박래준 (대구대학교 물리치료학과) ;
  • 배성수 (대구대학교 물리치료학과) ;
  • 김경 (대구대학교 물리치료학과) ;
  • 권용현 (영남이공대학 물리치료과) ;
  • 조혁태 (동방대학원대학교 자연치유학과) ;
  • 황윤태 (강릉영동대학 물리치료과)
  • Received : 2010.10.01
  • Accepted : 2010.11.11
  • Published : 2010.11.30

Abstract

Purpose : This study was to evaluate gait velocity and stance time on 5 conditions in elderly women and elderly women with LBP. The subjects were 70's generation. Methods : The subjects are 20 divided into 2 groups. They measured gait velocity, stance-time. The 5 conditions were normal gait, 10cm obstacle gait, 25cm obstacle gait, dual 10cm obstacle gait, dual 25cm obstacle gait. The experimental period was between 2008/12 and 2009/2. Statistical analysis was used Repeated measurement for difference between conditions, independent t-test for difference in two groups. Subjects were countdown from 50 during dual task gait. Results : The results were as follow: there were significantly difference 10cm obstacle velocity, dual 10cm obstacle velocity in two group. The others were not significantly differences. Velocity and stance-time were significantly difference in control group. In dual 25cm obstacle gait, velocity was difference of normal gait. Stance-time was difference in 25cm obstacle gait, and dual 25cm obstacle gait. In Experimental group, velocity and stance-time were not significantly difference. But measured value of velocity was gradually decreased and stance time was increased. Conclusion : These results indicate that elderly people with LBP women are reduced gait ability in dual task, and obstacle condition. So they need to prevent falling in dual task, and obstacle gait and to train obstacle/dual tak gait.

Keywords

References

  1. 권오윤, 최흥식, 민경진. 지역사회 노인의 전도발생 특성과 운동훈련이 전도노인의 근력과 균형에 미치는 영향. 대한보건협회학술지. 1998;24(2):27-40.
  2. 김재현. 노인의 보행에 대한 평가 도구의 신뢰도와 타당도 조사 연구. 대한물리치료학회. 2009;21(1): 41-8.
  3. 문상식, 남정자. 우리나라 65세 이상 노인의 건강수준-여성 노인의 질병상태, 와병수준, 활동제한을 중심으로. 한국노년학회. 2001;21(1):15-29.
  4. 박상동, 이아람, 황종순 등. 요통과 비만과의 상관성에 관한 연구. 대한침구학회. 2003;20(4):102-13.
  5. 박은영, 이종하. 복합운동프로그램이 노인의 낙상관련 체력에 미치는 효과. 한국운동생리학회지. 2005; 14(2):181-93.
  6. 안재성, 이준규, 황득수 등. 요추 추간판 변성의 자기공명 촬영소견, 전자현미경 소견, 광학 현미경 소견과 임상증상과의 상관관계. 대한척추외과학회지. 2001;8(2):121-9.
  7. 양영순. 고령화사회에서 노인의 시간사용과 역할에 관한 연구. 한국사회복지조사연구. 2007;16(1):1-26.
  8. 유은정, 전태원, 박현. 낙상골절 경험이 노인여성의 낙상관련 체력요인, 심리적 요인, 골밀도에 미치는 영향. 한국여성체육학회. 2008;22(4):101-15.
  9. 최재원. 체간 회전운동이 부정렬증후군의 자세 변화와 보행에 미치는 영향. 대구대학교 박사학위논문. 2009.
  10. 한상완, 이병훈, 이한주. 8주간 Exercise Station을 이용한 운동프로그램이 노인의 균형능력 수행에 미치는 영향. 대한물리치료학회. 2009;21(1):27-34.
  11. 한진태, 공원태, 이윤섭. 근전도를 이용한 노인의 계단과 경사로 오르기 시 하지 근활성도 비교. 대한물리치료학회. 2009;21(1):35-40.
  12. Abbud GA, Li KZ, Demont RG. Attentional require- ments of walking according to the gait phase and onset of auditory stimuli. Gait Posture. 2009;30 (2):227-32. https://doi.org/10.1016/j.gaitpost.2009.05.013
  13. Aizen E, Shungeav L, Lenger R. Risk factors and characteristics of falls during inpatient rehabilitation of elderly patients. Arch Gerontol Geriatr. 2007; 44(1):1-12. https://doi.org/10.1016/j.archger.2006.01.005
  14. American Geriatrics Society. Guideline for the prevention of falls in older persons. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention. J Am Geriatr Soc. 2001;49 (5):664-672. https://doi.org/10.1046/j.1532-5415.2001.49115.x
  15. Barnes D, Smith D, Gatchel RJ et al. Psychosocioe- conomic predictors of treatment success/failure in chronic low-back pain patients. Spine. 1989;14(4): 427-30. https://doi.org/10.1097/00007632-198904000-00017
  16. Bendall MJ, Masse EJ, Pearson MB. Factors affecting walking speed of elderly people. Age Ageing. 1989;18(5):327-32. https://doi.org/10.1093/ageing/18.5.327
  17. Blake AJ, Morgan MJ, Dallosso H et al. Falls by elderly people at home: prevalence and associated factors. Age & Ageing. 1998;17(6):365-72.
  18. Bock O. Dual-task costs while walking increase in old age for some, but for other tasks: an experimental study of healthy young and elderly persons. J Neuroeng Rehabil. 2008;5:27. https://doi.org/10.1186/1743-0003-5-27
  19. Donald A. Neumann. Kinesiology of the musculo- skeletal System. Elsevier. 2002.
  20. Frymoyer JW. Back pain and sciatica. New England J Med. 1998;319(5):291-300.
  21. Huang JC, Gau ML, Lin WC, et al. Assessing risk of falling in old peoples. Public Health Nursing. 2003;20(5):399-411. https://doi.org/10.1046/j.1525-1446.2003.20508.x
  22. Jacobs JM, Mammerman RR, Stessman J. Longgevity and chronic back pain in older people. Journal of the American Geriatrics Society. 2005;53:1636-7. https://doi.org/10.1111/j.1532-5415.2005.53487_5.x
  23. Kim YS, Bogert LW, Immink RV et al. Effects of aging on the cerebrovascular orthostatic response. Neurobiol Aging. 2009:Epub ahead of print.
  24. Lawlor DA, Patel R, Ebrahim S. Association between falls in elderly women and chronic diseases and drug use: cross sectional study. BMJ. 2003;327 (7417):712-7. https://doi.org/10.1136/bmj.327.7417.712
  25. Lewis C, Bottomlet J. Ageing: the health-care challenge. 2nd ed. Philadelphia, FA Davis Co. 1990:153-65.
  26. Lord SR, Clark RD. Simple physiological and clinical tests for the accurate prediction of falling in older people. Gerontology. 1996;42(4):199-203. https://doi.org/10.1159/000213793
  27. National Center for Injury Prevention and Control (NCIPC). The costs of fall injuries among old adults. Centers for Disease Control and Prevention. 2008.
  28. Nevitt MC. Falls in the elderly: risk factors and prevention. In: Masdeu JC, Sudarsky L, Wolfson L. Gait disorder sofaging: falls and therapeutic strategies, Philadelphia, Lippincott-Raven. 1997
  29. Pederson JS, Kirkesola G, Magnussen R et al. Sling exercise training improves balance kicking velocity and torso stabilization in elite players. Medicine & Science in Sports & Exercise. 2006;38(5):S243.
  30. Runge JW. The cost of injury. Emerg Med Clin North Am. 1993;11(1):241-53.
  31. Simon RJ, Slaviero DP. Diiferential effects of a foreperiod countdown procedure on simple and choice reaction time. Journal of Motor Behavior. 1975;7(1):9-14.
  32. Stel VS, Smith JH, Pluijm SM et al. Balance and mobility performance as treatable risk factors for recurrent falling in older persons. J Clin Epidemiol. 2003;56(7):659-68. https://doi.org/10.1016/S0895-4356(03)00082-9
  33. Swift CG. Care of older people: Falls in late life and their consequences-implementing effective services. BMJ. 2001;322(7290):855-7. https://doi.org/10.1136/bmj.322.7290.855