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노인의 성별에 따른 체중분포 차이

The Difference of Weight Distribution Index in Elderly People According to Gender

  • 윤세원 (광주여자대학교 물리치료학과) ;
  • 권혜민 (서남대학교 물리치료학과) ;
  • 강양훈 (서남대학교 물리치료학과)
  • Yoon, Se-Won (Department of Physical Therapy, Kwangju Women's University) ;
  • Kwon, Hye-Min (Department of Physical Therapy, Seonam University) ;
  • Kang, Yang-Hoon (Department of Physical Therapy, Seonam University)
  • 투고 : 2011.10.31
  • 심사 : 2012.02.24
  • 발행 : 2012.02.29

초록

연구목적 : 본 연구는 노인의 성별이 낙상에 영향을 줄 수 있는 체중분포지수에 미치는 차이를 알아보고자 한다. 연구방법:광주광역시 소재 빛고을 노인건강타운 물리치료실을 이용하는 65세 이상 66명(남성 33명, 여성 33명) 노인을 대상으로 남성노인 평균연령은 70.97세, 여성노인 평균연령은 71.39세로 모든 대상자는 TETRAX의 체중분포지수(weight distribution index; WDI)를 이용하여 성별에 따라 그 차이를 비교 분석하였다. 측정 방법 은 안정된 발판에서 눈을 뜨고 정면을 향한 자세, 안정된 발판에서 눈을 감고 정면을 향한 자세, 불안정한 발판에서 눈을 뜨고 정면을 향한 자세, 불안정한 발판에서 눈을 감고 정면을 향한 자세, 안정된 발판에서 눈을 감고 고개를 오른쪽으로 돌린 자세, 안정된 발판에서 눈을 감고 고개를 왼쪽으로 돌린 자세, 안정된 발판에서 눈을 감고 고개를 뒤로 젖힌 자세, 안정된 발판에서 눈을 감고 고개를 숙인 자세로 측정하였고, 분석방법은 SPSS version 12.0을 이용하여 통계처리 하였고, 남녀 간의 안정성지수와 체중분포지수의 평균차이 검정은 독립표본 t-검정을 실시하였다. 통계학적 유의성을 검증하기 위해 ${\alpha}$는 유의수준 0.05로 하였다. 연구결과 : 성별에 따른 WDI비교에서 불안정한 발판과 안정된 발판에서 눈을 뜬 상태와 감은 상태에 정면을 향한 자세, 안정된 발판에서 눈을 감고 고개를 왼쪽과 오른쪽으로 돌린 자세에서 유의한 차이가 있었으나 안정된 발판에서 고개를 뒤로 젖힌 자세와 고개를 숙인자세에서는 유의한 차이는 없었다. 결론 : 본 연구의 결과를 바탕으로 성별에 따른 노인의 WDI에 영향을 미칠 수 있는 요인을 파악하여 낙상예방프로그램 기초자료로 활용 될 것으로 생각된다.

키워드

참고문헌

  1. Amirids IG, Hatzitaki V, Arabatzi F. Age-induced modifications of static postural control in humans. Neurosci Lett. 2003;350(3):137-40. https://doi.org/10.1016/S0304-3940(03)00878-4
  2. Asakawa Y, Ikezoe T, Hazaki K et al. Relationship between falls and knee extention strength in the elderly. J Phys Ther Sci. 1996;8(2):45-8. https://doi.org/10.1589/jpts.8.45
  3. Bard C, LaRue J, Teasdale N et al. On the cognitive penetrability of posture control. Exp Aging Res.1993;19(1):1-13. https://doi.org/10.1080/03610739308253919
  4. Buccello-Stout RR, Bloomberg JJ, Cohen HS et al. Effects of sensorimotor adaptation training on functional mobility in older adults. J gerontol. 2008;63B(5):295-300.
  5. Cawley PW, Heidt RS, Scranton PE. Physiologic axial load, frictional resistance, and the football shoe-surface interface. Foot ankle int. 2003;24(7): 551-6. https://doi.org/10.1177/107110070302400705
  6. Cho MS, Park RJ. Prevention of falls in the elderly: A review of exercise interventions. J Kor Phys Ther. 2003;15(2):157-67.
  7. Choi SJ, Yoon SW. The effect of aquatic rotation exercise on balance maintenance. J Kor Soc Phys Ther. 2010;22(1):27-32.
  8. Cromwell RL, Newton RA, Forrest G. Influence of vision on head stabilization strategies in older adults during walking. J Gerontol A Biol Sci Med Sci. 2002;57(7):M442-8. https://doi.org/10.1093/gerona/57.7.M442
  9. Era P, Avlund K, Jokela J et al. Postural balance and self-reported functional ability in 75-year old men and women: a cross-national comparative study. J AM Geriatr Soc. 1997;45(1):21-9. https://doi.org/10.1111/j.1532-5415.1997.tb00973.x
  10. Gehlsen GM, Whaley MH. Falls in the elderly: Part I, Gait. Arch Phys Med Rehabil. 1990;71(10): 735-8.
  11. Ginter SF, Speechley M, Tinetti ME., Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988:319(26):1701-7. https://doi.org/10.1056/NEJM198812293192604
  12. Horak FB, Shupert CL. Role of the vestibular system in postural control. In Herdman SJ, ed. Vestibular Rehabilitation. 2nd ed. Philadelphia: FA Davis; 2000:22-46.
  13. Horak FB. Clinical measurement of postural control in adults. Phys Ther. 1987;67(12):1881-5. https://doi.org/10.1093/ptj/67.12.1881
  14. Hornbrook MC, Stevens VJ, Wingfield DJ, et al. Preventing falls among community-dwelling older persons: results from a randomized trial. Gerontologist. 1994;34(1):16-23. https://doi.org/10.1093/geront/34.1.16
  15. Hwang TY. The effect of galvanic vestibular stimulation, visual cue open and closed and the support surface density to postural sway. Dongshin University Dissertation of Doctorate Degree 2005.
  16. Kennedy PM, Inglis JT. Interaction effects of galvanic vestibular stimulation and head position on the soleus H reflex in humans. Clin Neurophysiol. 2002;113(11):1709-14. https://doi.org/10.1016/S1388-2457(02)00238-9
  17. Kim CR, Chun MH, Lee GA. Assessment of balance control using tetra-ataxiametric posturography. J Korean Acad Rehab Med. 2009;33(4):429-35.
  18. Kim JW, Kim DH, Moon KW et al. Comparison of postural sway in the elderly males and females during quiet standing and squat-and-stand movement. Trans KIEE. 2008;57(11):2131-7.
  19. Kim YH, Shin JE, Kim DH et al. Effect of dynamic balance training using visual biofeedback of center of pressure in patients with stroke. J Korean Acad Rehab Med. 2004;8(6):515-22.
  20. Kohen-Raz R. Application of tetra-ataxiametric posturography in clinical and developmental diagnosis. Percept Mot Skills, 1991;73(2):635-56. https://doi.org/10.2466/pms.1991.73.2.635
  21. Kohen-Ratz R, Kohen-Ratz A, Erel J. et al. Postural control in pilots and candidates for flight training. Aviat Space Environ Med. 1994;65(4):323-6.
  22. Korea National Statistical Office. 2009.
  23. Laufer Y. The effect of walking aids on balance and weight-bearing patterns of patients with hemiparesis in various stance positions. Phys Ther. 2003;83(2):112-22.
  24. Lee SH. The effects of dual task training on balance &gait for persons with chronic stroke. Yongin University Dissertation of Doctorate Degree 2010.
  25. Lee SJ, Chun MH, Han EY et al. The correlation between postural control and attention during performance of dual task patients. J Korean Acad Rehab Med. 2010;34(1):20-6.
  26. Lee WH. The influence of ankle strategy exercise on equilibrium ability in women of octogenarians. Korean Acad Phys Ther Sci. 2010;17(1,2);67-76.
  27. Lord SR, Rogers MW, Howland A, Fizpatrick R. Lateral stability, sensorimotor function and falls in older people. J Am Geriatr Soc. 1999; 47: 1077-81. https://doi.org/10.1111/j.1532-5415.1999.tb05230.x
  28. Marigold DS, Eng JJ. The relationship of asymmetric weight-bearing with postural sway and visual reliance in stroke. Gait & Posture. 2006;23:249-55. https://doi.org/10.1016/j.gaitpost.2005.03.001
  29. Masui T, Hasegawa Y, Matsuyama Y et al. Gender differences in platform measures of balance in rural community-dwelling elders. Archives of Gerontology and Geriatrics. 2005;41(2):201-9. https://doi.org/10.1016/j.archger.2005.02.003
  30. Nelson RC, Amin MA. Falls in the elderly. Emerg Med Clin North Am. 1990;8(2):309-24.
  31. Nichols DS, Glenn TM, Hutchinson KJ. Changes in the mean center of balance during balance testing in young adults. Phys Ther. 1995;75(8):699-706. https://doi.org/10.1093/ptj/75.8.699
  32. Oppenheim U, Kohen-Raz R, Alex D et al. Postural characteristics of diabetic neuropathy. Diabetes Care. 1999;22(2):328-32. https://doi.org/10.2337/diacare.22.2.328
  33. Overstall PW, Exton-Smith AN, Imms FJ et al. Falls in the elderly related to postural imbalance. Br Med J. 1977;1(6056):261-4. https://doi.org/10.1136/bmj.1.6056.261
  34. Ring C, Nayak US, Isaacs B. The effect of visual deprivation and proprioceptive change on postural sway in healthy adults. J Am Geriatr Soc. 1989; 37(8):745-9. https://doi.org/10.1111/j.1532-5415.1989.tb02237.x
  35. Schenkman M, Butler R. A model for multisystem evaluation treatment of individuals with Parkinson's disease. phys Ther. 1989;69(11):932-43. https://doi.org/10.1093/ptj/69.11.932
  36. Shin HS, Lee KS. Effects of line dance on walking patterns and fall index elderly women. The Korea Journal of sports science. 2010;19(2):1049-56.
  37. Tinetti ME, Baker DI, McAvay G et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med. 1994;331:821-7. https://doi.org/10.1056/NEJM199409293311301
  38. Wolfson L, Whipple R, Derby CA et al. Gender differences in the balance of healthy elderly as demonstrated by dynamic posturography. J Gerontol. 1994;49(4):M160-7. https://doi.org/10.1093/geronj/49.4.M160