The Effects of Eye Movement Training on the Static Balance and Fall Efficacy in the Elderly

안구운동이 노인의 정적균형과 낙상효능감에 미치는 영향

  • Lee, Kwang-Jae (Department of Physical Therapy, Ansan University) ;
  • Roh, Jung-Suk (Department of Physical Therapy, Hanseo University) ;
  • Choi, Houng-Sik (Department of Physical Therapy, Hanseo University) ;
  • Kim, Jang-Hwan (Department of Prosthetics & Orthotics, Hanseo University) ;
  • Choi, Gyu-Hwan (Department of Physical Therapy, Ansan University) ;
  • Cynn, Heon-Seock (Department of Physical Therapy, College of Health Science, Yonsei University)
  • 이광재 (안산대학교 물리치료과) ;
  • 노정석 (한서대학교 보건학부 물리치료학과) ;
  • 최흥식 (한서대학교 보건학부 물리치료학과) ;
  • 김장환 (한서대학교 보건학부 의료보장구학과) ;
  • 최규환 (안산대학교 물리치료과) ;
  • 신헌석 (연세대학교 보건과학대학 물리치료학과)
  • Received : 2012.05.30
  • Accepted : 2012.08.09
  • Published : 2012.08.25

Abstract

Purpose: This study is to identify how eye movement influences the static balance and fall efficacy of the elderly who have experienced fall-related injuries. Methods: Thirty nine elderly who scored 24 points in the Korean mini mental state examination, were able to walk, and had no specific disease, were selected as the research subjects among elderly who have experienced fall-related injury more than once in the past year. Thus, 20 for the experimental group, and 19 for the control group were selected as subjects. The experiment was conducted for 6 weeks, including periods of evaluation before and after intervention. Results: The results with respect to the dependent variables are as follows: Substitute sample t-testing showed significant differences between each group in eye movement to check difference in balance performance and fall efficacy. When independent sample t-tests were conducted to compare static balancing performance and fall efficacy between the two groups after intervention, they showed significant differences in statistical terms (p<0.05). Conclusion: From the above results of the study, it was found that the application of eye movement combined with diverse fall prevention programs is effective, when enhancing static balance performance power and improving fall efficacy.

Keywords

References

  1. Gehlsen GM, Whaley MH. Falls in the elderly: Part II, Balance, strength, and flexibility. Arch Phys Med Rehabil. 1990;71(10):739-41.
  2. Miller CA. The connection between drugs and falls in elders. Geriatr Nurs. 2002;23(2):109-10. https://doi.org/10.1067/mgn.2002.123794
  3. Elderly Statistics. Ministry of Health & Welfare. 2005.
  4. Park JW, Jung MS. The relationship between balance test and fear of falling in community dwelling elderly. J Korean Soc Phys Ther. 2012;24(1):23-8. https://doi.org/10.1589/jpts.24.23
  5. Pinsault N, Vuillerme N. The effects of scale display of visual feedback on postural control during quiet standing in healthy elderly subjects. Arch Phys Med Rehabil. 2008;89(9):1772-4. https://doi.org/10.1016/j.apmr.2008.02.024
  6. Jeong TG, Park JS, Choi JD et al. The effects of sensorimotor training on balance and muscle activation during gait in older adults. J Korean Soc Phys Ther. 2011;23(4):29-36.
  7. Moylan KC, Binder EF. Falls in older adults: risk assessment, management and prevention. Am J Med. 2007;120(6):493.
  8. Lord SR, Clark RD, Webster IW. Postural stability and associated physiological factors in a population of aged persons. J Gerontol. 1991;46(3):M69-76. https://doi.org/10.1093/geronj/46.3.M69
  9. Kim EJ, Kim MS, Hwang BY. The effect of a virtual reality program on static balance control and fall efficacy of elderly people. Korean Gerontol Soc. 2010;30(4):1107-16.
  10. Youn SW. The effect of audiovisual biofeedback exercises on the balance and gait of chronic hemiplegia patients. Eulji University. Dissertation of Master's Degree. 2009.
  11. Cunningham D, Krishack M. Virtual reality promotes visual and cognitive function in rehabilitation. Cyberpsychol Behav. 1999;2(1):19-23. https://doi.org/10.1089/cpb.1999.2.19
  12. Kim H, Lee KJ. Abnormal eye movements in patients with dementia. Psychosomatic Medicine. 2007;15(2):73-80.
  13. Morimoto H, Asai Y, Johnson EG et al. Effect of oculo-motor and gaze stability exercises on postural stability and dynamic visual acuity in healthy young adults. Gait Posture. 2011;33:600-3. https://doi.org/10.1016/j.gaitpost.2011.01.016
  14. Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. J Gerontol. 1990;45(6):P239-43. https://doi.org/10.1093/geronj/45.6.P239
  15. Jeon BJ, Lee JS, Lee OJ et al. A study on the factors affecting falls of the elderly in rural areas. J Korean Soc Occup Ther. 2009;17(4):99-112.
  16. Leigh RJ, Zee DS. The neurology of eye movements. 2nd. Philadelphia, FA Davis, 1991.
  17. Kwon BY, Jung YM, An JH et al. Functional fitness for older adults. Seoul, Daehan Media, 2006:57-150.
  18. Teasdale N, Stelmach GE, Breunig A. Postural sway characteristics of the elderly under normal and altered visual and support surface conditions. J Gerontol. 1991;46(6):B238-44. https://doi.org/10.1093/geronj/46.6.B238
  19. Koo BO. The effect of eye movement on balance restoration of adult hemiplegic patient. Daegu University. Dissertation of Doctorate Degree. 2002.
  20. Kwon HM. The effect of balance control and vestibular function by an aquatic rotation control and the obstacle avoidance underwater with hemiplegia patients. Dongshin University. Dissertation of Master's Degree. 2010.
  21. Guyton AC, Hall JE. Text book of medical physiology. 10th. Philadelphia, WB Saunders, 2002.
  22. Lee SW. The effects of a virtual reality exercise program on physical function and falls efficacy in elderly persons with type 2 diabetes. Ewha Womans University. Dissertation of Doctorate Degree. 2011.