The Journal of Korean Physical Therapy

  • 제24권1호
  • /
  • Pages.23-28
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  • 2012
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  • 1229-0475(pISSN)
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  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지

지역 거주 노인의 균형 능력과 낙상 공포감의 관계

The Relationship between Balance Test and Fear of Falling in Community Dwelling Elderly

  • 정미숙 (대구가톨릭대학교 대학원 물리치료학과) ;
  • 박지원 (대구가톨릭대학교 의료과학대학 물리치료학과)
  • Jung, Mi-Suk (Department of Physical Therapy, Graduate School, Catholic University of Daegu) ;
  • Park, Ji-Won (Department of Physical Therapy, College of Medical Science, Catholic University of Daegu)
  • 투고 : 2012.01.08
  • 심사 : 2012.02.15
  • 발행 : 2012.02.25
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초록

Purpose: The purpose of this study was to examine the difference between the faller and the non-faller in the test for balance and fear of falling. This was also done to determine whether the balance and the fear of falling are correlated in the elderly. Method: Forty eight subjects participated in this study, who attended the senior center in Daegu. Prior to the test, demographic data was collected. As for the balance test, Berg Balance Scale (BBS), Timed Up & Go (TUG), Short Physical Performance Battery (SPPB), Functional Reach Test (FRT), and One Leg Stance (OLS) were used. For measuring the fear of falling, Falls Efficacy Scale (FES) and Activities-specific Balance Confidence Scale (ABC) were used. Independent t-test and Pearson's correlation was performed using PASW 18.0 for windows. Result: All balance tests, except OLS, and fear of falling could discriminate between the faller and the non-faller. There existed a significant correlation between some balance test and fear of falling (r=0.64~0.86). Conclusion: The findings indicate that assessing the falling in the elderly, there needs to be a consideration of multiple aspects including the fear of falling and not only the balance test.

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참고문헌

  1. Statics Korea. 2004.
  2. Ministry of Health & Welfare. 2005.
  3. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. New England Journal of Medicine. 1988;319(26):1701-7. https://doi.org/10.1056/NEJM198812293192604
  4. Nikolaus T, Bach M. Preventing falls in community-dwelling frail older people using a home intervention team (hit): Results from the randomized falls-hit trial. Journal of the American Geriatrics Society. 2003;51(3):300-5. https://doi.org/10.1046/j.1532-5415.2003.51102.x
  5. Clemson L, Cumming RG, Heard R. The development of an assessment to evaluate behavioral factors associated with falling. The American Journal of Occupational Therapy. 2003;57(4):380-8. https://doi.org/10.5014/ajot.57.4.380
  6. Harada N, Chiu V, Damron-Rodriguez J et al. Screening for balance and mobility impairment in elderly individuals living in residential care facilities. Phys Ther. 1995;75(6):462-9. https://doi.org/10.1093/ptj/75.6.462
  7. Park S, Kim K, Park JW. Time difference of the COP displacement according to obstacle height during obstacle crossing in older adults. J Kor Soc Phys Ther. 2011;23(2):1-5. https://doi.org/10.1589/jpts.23.1
  8. Berg K. Measuring balance in the elderly: Preliminary development of an instrument. Physiotherapy Canada. 1989;41(6):304-11. https://doi.org/10.3138/ptc.41.6.304
  9. Berg K, Wood-Dauphinee S, Williams JI. The balance scale: Reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27(1):27-36.
  10. Lee SH, Hwang BY. The correlations among the Dynamic Gait index the Berg Balance Scale and Timed Up & Go Test in people with stroke. KPTSA. 2008;15(3):1-8.
  11. Lee DJ, Kim SR, Song CH. The correlations between the balance test, functional movement, visual perception test and functional independent measure in stroke patients. 2009;21(1):39-45.
  12. Qutubuddin AA, Pegg PO, Cifu DX et al. Validating the berg balance scale for patients with parkinson's disease: A key to rehabilitation evaluation. Archives of Physical Medicine and Rehabilitation. 2005;86(4):789-92. https://doi.org/10.1016/j.apmr.2004.11.005
  13. Mathias S, Nayak US, Isaacs B. Balance in elderly patients: The "Get-up and go" Test. Arch Phys Med Rehabil. 1986;67(6):387-9.
  14. Podsiadlo D, Richardson S. The timed "Up & go": A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  15. Latham NK, Mehta V, Nguyen AM et al. Performance-based or self-report measures of physical function: Which should be used in clinical trials of hip fracture patients? Archives of Physical Medicine and Rehabilitation. 2008;89(11):2146-55. https://doi.org/10.1016/j.apmr.2008.04.016
  16. Park RJ, Son HH, Cho JS et al.. Correlations between SPPB, FRT, and TUG in hospitalized frail people- The Timed Up and Go test, the Functional Reaching test, and the Short Physical Performance Battery-. J Kor Soc Phys Ther. 2011;23(2):17-21. https://doi.org/10.1589/jpts.23.17
  17. Guralnik JM, Simonsick EM, Ferrucci L et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology. 1994;49(2):M85-M94. https://doi.org/10.1093/geronj/49.2.M85
  18. Tinetti ME, Speechley M. Prevention of falls among the elderly. New England Journal of Medicine. 1989;320(16):1055-9. https://doi.org/10.1056/NEJM198904203201606
  19. Jang SN, Cho SI, Ou SW et al.. The validity and reliability of Korean Fall Efficacy Scale (FES) and Activities-specific Balance Confidence Scale (ABC). J Korean Geriatr Soc. 2003;7(4):255-68.
  20. Hwang SJ, Lee CH, Park SY. Application of Rash analysis to the Activities-specific balance confidence (ABC) scale. KAUPT. 2007;14(1):37-45.
  21. Park WB, Lim JY. The association of balance confidence with physical performance and strength in community-community dwelling elderly persons. J Korean Geriatr Soc. 2009;13(4):220-30.
  22. Huh JH, Lim SK, Lee DH. Development of the Korean Falls Efficacy Scale (FES-K) ofr the elderly. The Korean Journal of Physical Education. 2010;49(3):193-201.
  23. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191-215. https://doi.org/10.1037/0033-295X.84.2.191
  24. Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. Journal of Gerontology. 1990;45(6):P239-P43. https://doi.org/10.1093/geronj/45.6.P239
  25. Powell LE,Myers AM. The activities-specific balance confidence (abc) scale. J Gerontol A Biol Sci Med Sci. 1995;50A(1):M28-34. https://doi.org/10.1093/gerona/50A.1.M28
  26. Han-Suk Lee J-HC. Correlation between bbs, frt, sti, tug, mbi, and falling in stroke patients. J Kor Soc Phys Ther. 2008;20(4):1-8. https://doi.org/10.1589/jpts.20.1
  27. Desai A, Goodman V, Kapadia N et al. Relationship between dynamic balance measures and functional performance in community-dwelling elderly people. Physical Therapy. 2010;90(5):748-60. https://doi.org/10.2522/ptj.20090100
  28. Jung DY, Shin KR, Kang YH et al. A study on the falls, fear of falling, depression, and perceived health status among the older adults. Journal of Korean Academy of Adult Nursing. 2008;20(1):91-101.
  29. Lee HY, Bak WS, Yang HI. Fear of falling and falls efficacy with bone mineral density in the middle and old aged women. Journal of Muscle and Joint Health. 2009; 16(1):5-12.
  30. Jeong TG, Park JS, Choi JD et al.. The effect of sensorimotor training on balance and muscle activation during gait in older adults. J Kor Soc Phys Ther. 2011;23(4):29-36. https://doi.org/10.1589/jpts.23.29
  31. Steffen TM, Hacker TA, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: Six-minute walk test, berg balance scale, timed up & go test, and gait speeds. Physical Therapy. 2002;82(2):128-37. https://doi.org/10.1093/ptj/82.2.128
  32. Duncan PW, Weiner DK, Chandler J et al. Functional reach: A new clinical measure of balance. J Gerontol. 1990;45(6):192-7. https://doi.org/10.1093/geronj/45.6.M192
  33. Springer BA, Marin R, Cyhan T et al. Normative values for the unipedal stance test with eyes open and closed. J Geriatr Phys Ther. 2007;30(1):8-15. https://doi.org/10.1519/00139143-200704000-00003
  34. An, Shung H, Leeet al. The relationships among fall down, self-efficacy and the functional performance ability in stroke patients. Journal of special education & rehabilitation science. 2011;50(3):269-88.
  35. Lajoie Y, Gallagher SP. Predicting falls within the elderly community: Comparison of postural sway, reaction time, the berg balance scale and the activities-specific balance confidence (abc) scale for comparing fallers and non-fallers. Archives of Gerontology and Geriatrics. 2004;38(1):11-26. https://doi.org/10.1016/S0167-4943(03)00082-7
  36. Jonsson E, Seiger A, Hirschfeld H. One-leg stance in healthy young and elderly adults: A measure of postural steadiness? Clinical Biomechanics. 2004;19(7):688-94. https://doi.org/10.1016/j.clinbiomech.2004.04.002