DOI QR코드

DOI QR Code

Influence of the Silver Line Dance Effects on the Elderly Balance During Static Standing

여성노인들의 라인댄스 활동이 정적 직립 균형성에 미치는 영향

  • 최윤선 (서울기독대학교 무용학과)
  • Received : 2014.05.26
  • Accepted : 2014.06.25
  • Published : 2014.09.28

Abstract

The purpose of this study was to evaluate the effects of line dance activity on the balance factors during static standing to reveal the exercise intervention for fall prevention. A 15-week line dance programme was applied to 16 elderly females who aged more than 65 years in the community. Balance ability during static standing was evaluated by the range of center of pressure(cop), the velocity of cop, and sway area that calculated on the basis of ground reaction force data, forces, and moments. The range and velocity of cop in the anterio-posterior were significantly reduced after line dance(p<.01, p<.05, respectively), but change in those of cop in the medio-lateral was not found. It was demonstrated that 16-week line dance activities allow more effective in anterio-posterior stability and sway area of static standing. It was suggested that the effect of fall prevention exercise should be studied more associate with fall from vestibular and sensory system as future study.

이 연구는 여성 노인들에게 15주간 라인 댄스 운동 프로그램을 실시하게 한 후 자세 제어와 반응 메커니즘을 관찰할 목적으로 균형성 요인을 분석해 낙상 예방을 위한 운동 중재 효과를 규명하고자 했다. 이를 위해 65세 이상 16명이 선정되었다. 균형성 판단 요인은 정적 직립 상태에서 압력 판에서 25초 서있는 동안 압력 판의 6가지(3방향 힘, 3방향 모멘트) 자료를 수집해 이를 바탕으로 좌우 및 전후 압력중심 변동폭, 이들의 압력 중심 속도, 흔들림 면적을 분석했다. 분석한 결과 라인 댄스 활동 후 전후 압력 중심의 변화 범위(p<.01)와 압력 중심의 평균 속도(p<.05)는 크게 감소를 보였다. 또한 흔들림 면적은 라인댄스 후 유의한 감소를 보였다(p<.001). 좌우 방향의 압력중심 범위와 속도는 큰 감소를 보이지 않았다. 앞으로 이와 유사한 연구를 수행하고자 할 때는 운동 중재 효과를 실제 낙상과 관련해 연구할 필요가 있으며, 또한 균형성 판단 요인을 신체계뿐만 아니라 전정계, 감각계 등을 관찰하는 연구가 필요하리라 본다.

Keywords

References

  1. Http://www.nso.go.kr/-Korea National Statistical Office 2009 statistics in elderl, Retrieved September 3, 2009.
  2. B. L. Cho, "Physical Performance Measures in the Elderly," J. Korean Acad. Fam. Med, Vol.24, No.8, pp.689-695, 2003.
  3. 송경애, 최동원, "지역 사회 재가 노인의 인구학적 특성과 낙상 경험에 따른 일상생활 수행 능력, 하지 근력, 인지 기능 및 시각 기능", 기본간호학회지, 제14권, 제2호, pp.221-229, 2007.
  4. S. D. Berry and R. R. Miller, "Falls: Epidemiology, Pathophysiology, and Relationship to Fracture," Current Osteoporosis Reports, Vol.6, No.4, pp.149-154, 2008. https://doi.org/10.1007/s11914-008-0026-4
  5. S. R. Lord, G. A. Caplan, and J. A. Ward, "Balance, Reaction Time, and Muscle Strength in Exercising and Non-exercising Older Woman: A Pilot Study. Archives of Physical Medicine and Rehabilitations," Vol.74, No.8, pp.837-839, 1993. https://doi.org/10.1016/0003-9993(93)90010-8
  6. T. Masud and R. O. Morris, "Epidemiology of Falls," Age Aging, Vol.30(Suppl.4), pp.3-7, 2001.
  7. R. Boyd and J. A. Stevens, "Falls and Fear of Falling: Burden, Beliefs and Behaviors," Age and Aging, Vol.38, No.4, pp.423-428, 2009. https://doi.org/10.1093/ageing/afp053
  8. K. R. Shin, Y. Kang, and D. Jung, "The Prevalence, Characteristics and Correlates of Falls in Korean Community-dwelling Older Adults," International Nursing Review, Vol.56, pp.387-392, 2009. https://doi.org/10.1111/j.1466-7657.2009.00723.x
  9. M. E. Tinetti, M. Speechley, and S. F. Ginter, "Risk Factors for Falls among Elderly Persons Living in the Community," N. Engl. J. of Med, Vol.319, pp.1701-1707, 1988. https://doi.org/10.1056/NEJM198812293192604
  10. S. S. Roskin, Introductory gerontological nursing. Philadelphia: Lippincott, 2001.
  11. M. E. Tinetti, W. L. Liu, and E. BClaus, "Predictors and Prognosis of Inability to Get up after Falls among Elderly Persons," Vol.269, No1, pp.65-70, 1993. https://doi.org/10.1001/jama.1993.03500010075035
  12. L. N. Persch, C. Ugrinowitsch, G. Pereira, and A. L. Rodaki, "Strength Training Improves Fall-related Gait Kinematics in the Elderly: A Randomized Controlled Trial," J. of Clin. Biomechnics, Vol.24, pp.819-825, 2009. https://doi.org/10.1016/j.clinbiomech.2009.07.012
  13. H. J .Choi, K. I. Lim, and T. W Jun, "The Study of Isokinetic Muscle Power, Flexibility, Static Balance and Dynamic Reaction Time according to the Frequence of Fall down in Elderly Woman," J. of Korean Phys EDuc Assoc Girls Women, Vol.21, No.3, pp.55-64, 2007.
  14. S. R Lord, H. B. Menz, and A. Tiedemann, "A Physiological Profile Approach to Falls Risk Assessment and Prevention," Phys. Ther., Vol.83, pp.237-252, 2003.
  15. F. B. Horak, "Postural Orientation and Equilibrium: What do We Need to Know about Neural Contral of Balance to Prevent Falls?," Age Aging, Vol.35(Suppl.2), pp.ii7-ii11, 2006. https://doi.org/10.1093/ageing/afj124
  16. M. L. Mille, M. E. Johnson, K. M. Martinez, and M. W. Rogers, "Age-dependent Differences in Lateral Balance Recovery through Protective Stepping," J. of Clinical Biomechanics, Vol.20, pp.607-616, 2005. https://doi.org/10.1016/j.clinbiomech.2005.03.004
  17. A. Shumway-cook and M. H. Woollacott, Motor Control: Theory and Practical Applications, Baltimore: Williams & Willkins, 1995.
  18. H. K. Edeberg, "Falls Function. How to Prevent Falls and Injuries in Patients with Impaired Mobility," J. of Geriatrics, Vol.56, No.3, pp.41-45, 2001.
  19. H. Shimada, S. Obuchi, N. Kamide, Y. Shiba, M. Okamoto, and S. Kakurai, "Relationship with Dynamic Balance Function during Standing and Walking," Am J. of Phys. Med. Rehabil., Vol.83, No.7, pp.511-516, 2003.
  20. 최승욱, 이소은, "노인 여성을 위한 낙상 예방 운동 프로그램 개발 연구", 한국체육과학회지, 제17권, 제2호, pp.69-678, 2008.
  21. 장기연, 우희순, "여성 노인에게 적용한 낙상예상 작업치료가 균형 능력에 미치는 영향", 한국콘텐츠학회논문집, 제10권, 제3호, pp.232-240, 2010.
  22. 정순미, 안덕현, "노인의 단기 집중 균형 훈련이 하지 수행 능력에 미치는 영향. 한국전문물리치료학회지", 제14권, 제1호, pp.11-20, 2007.
  23. J. O. Judge, C. Linsay, M. Underwood, and D. Winseminus, "Balance Improvements in Older Woman: Effects of Exercise Training," Physical Therapy, Vol.73, No.4, pp.254-265, 1993. https://doi.org/10.1093/ptj/73.4.254
  24. J. H. Choi, J. S. Moon, and R. Song, "Effects of Sun-style Tai Chi Exercise on Physical Fitness and Fall Prevention in Fall-prone Older Adults," J. of Adv Nurs, Vol.51, No.2, pp.150-157, 2003.
  25. L. Wolfson, J. Judge, and R. Whipple, "Strengthening is a Major Factor in Balance, Gait and the Occurrence of Falls," J. of Gerontol, Vol.50, pp.64-67, 1995.
  26. M. O. Gu, M.Y. Jeon, H. J. Kim, and Y. Eun, "A Review of Exercise Interventions for Fall Prevention in the Elderly," J. of Korean Acad. Nurs., Vol.35, No.6, pp.1101-1112, 2005. https://doi.org/10.4040/jkan.2005.35.6.1101
  27. 김희자, 시설노인의 근력강화운동이 근력, 근지구력, 일상생활 기능 및 삶의 질에 미치는 효과, 서울대학교 박사학위 논문, 1994.
  28. S. R. Lord, J. A. Ward, and P. Williams, "The Effects of a 12-month Exercise Trial on Balance, Strength, and Falls in Order Woman: A Randomized Controlled Trial," J. of Am Geriatr Soc., Vol.42, No.6, pp.1198-1206, 1995.
  29. D. P. Schonfelder, "A Fall Prevention Program for Elderly Individual: Exercise in Long Term Case Setting," J. of Gerontol Nurs., Vol.126, No.3, pp.43-51, 2000.
  30. C. Casteel, C. Peek-Asa, C. Lacsamana, L. Vazquez, and J. F. Kraus, "Evaluation of a Falls Prevention Program for Independent Elderly," Am J. of Health Behav, Vol.28, No.1, pp.51-60, 2004.
  31. L. Rubenstein, K. Josephson, and P. Trueblood, "Effects of a Group Exercise Program on Strength, Mobility, and Falls among Fall-prone Elderly Men," J. of Gerontol: Medical Science, Vol.55, No.6, pp.M317-M321, 2000. https://doi.org/10.1093/gerona/55.6.M317
  32. N. D. Carter, K .M. Khan, M. A. Petit, A. Heinonen, C. Waterman, M. G. Donaldson, P. A. Janssen, A . Mallinson, L. Riddell, K. Kruse, J. C. Prior, and H. A. Kay, "Results of a 10 week Community Based Strength and Balance Training Programme to Reduce Fall Risk Factors: a Randomized Controlled Trial in 65-75 Year Old Women with Osteoporosis," Br. J. of Sports Med., Vol.35, pp.1-3, 2001.
  33. D. P. Schoenfelder and L. M. Rubenstein, "An Exercise Program to Improve Fall-related Outcomes in Elderly Nursing Home Residents," Appl. Nurs. Res., Vol.17, No.1, pp.21-31, 2004. https://doi.org/10.1016/j.apnr.2003.10.008
  34. S. Lehtola, L. Hannine, and M. Paatalo, "The Incidence of Falls during a Six-month Exercise Trial and Four-month Follow up among Home Dwelling Persons Aged 70-75 years," Liikunta Tied, Vol.6, pp.41-47, 2000.
  35. F. Li, P. Harmer, K. Fisher, and E. Macauley, "Tai Chi: Improving Functional Balance and Predicting Subsequent Falls in Older Persons," Med. Sci. in Sports & Exercise, pp.2046-2052, 2004.
  36. M. Y. Jeon, Effect of the Fall Prevention Program on Gait, Balance and Muscle Strength in Elderly Woman at Nursing Home, Doctoral dissertation, Seoul National University, 2001.
  37. J. S. Park, E. Y. Choi, and T. Y. Hwang, "The Effects of Strengthening Leg Muscular Strength on the Elderly's Walking and Balance Ability," J. of Korean Soc. Phys. Ther, Vol.14, No.2, pp.71-79, 2002.
  38. C. W. Won, B. S. Kim, and H. R. Choi, "The Effects of Tai Chi(9 basic forms) on the Equilibrium in the Aged: a Controlled Trial," J. of Korean Acad Fam Med., Vol.22, No.5, pp.664-673, 2001.
  39. E. N. Lee and Y. W. Yoo, "Effects of a 8 Week Tai Chi Exercise Program on the Risk Factors for Falls in the Elderly with Osteoarthritis," J. of Rheumatol Health, Vol.11, No.1, pp.61-73, 2004.
  40. R. J. Park, S. S. Kim, Y. G. Kim, D. M. Park, and D. W. Han, "The Effects of Aqua-exercise on the Balance of One Leg Stance in the Elderly Women," J. of Korean Soc. Phys. Ther, Vol.14, No.1, pp.89-97, 2002.
  41. 최윤선, "라인댄스 운동이 여성노인들의 보행균형성 요인에 미치는 영향", 한국콘텐츠학회s논문지, 제13권, 제3호, pp.109-118, 2013. https://doi.org/10.5392/JKCA.2013.13.03.109
  42. C. N. Jennifer and L. C. Nancy, "The Efficacy of a Specific Balance-strategy Training Programme for Preventing Falls among Older People: A Pilot Randomized Controlled Trial," Age and Aging, Vol.33, No.1, pp.52-58, 2012
  43. 마정순, 이은정, 실버 라인댄스 I, 한국인댄스협회, 2008.
  44. M. Piirtola and P. Era, "Force Platform Measurements as Predictors of Falls among Older People- A Review," Gerontology, Vol.52, No.1, pp.1-16, 2006. https://doi.org/10.1159/000089820
  45. G. C. Gauchard, P. Gangloff, C. Jeanel, and P. P. Perrin, "Physical Activity Improve Gaze and Posture Control in the Elderly," Neurosci. Res., Vol.45, No.4, pp.409-417, 2003. https://doi.org/10.1016/S0168-0102(03)00008-7
  46. S. S. Rao, "Prevention of Falls in Older Patients," Am. Family Physician, Vol.72, pp.81-88, 2005.
  47. H. Cohen, C. A. Blatchly, and L. I. Gomblash, "A Study of the Clinical Test of the Sensory Interaction and Balanc," Phys. Thera., Vol.73, pp.345-346, 1993. https://doi.org/10.1093/ptj/73.6.345
  48. O. Johnell and J. A. Kanis, "An Estimate of the Worldwide Prevalence and Disability Associated with Osteoporotic Fractures," Osteoporos. Int. Vol.17, pp.1726-1733, 2006. https://doi.org/10.1007/s00198-006-0172-4
  49. M. J. Hillard, K. M., I. Martinez,Janssen, B. Edwards, M. L. Mille, Y. Zhang, and M. R. Rogers, "Lateral Balance Factors Predict Future Falls in Community-living Older Adults," Arch Phys. Med. Rehabil. Vol.89, pp.1708-1713, 2008. https://doi.org/10.1016/j.apmr.2008.01.023
  50. C. Verkindt, G. Dalleau, P. Leroyer, and P. Allard, "Quiet Standing Balance in Pre-adolescent Grils and Woman," International Socity of Biomechanics XXIInd Congress Proceedings, 2009.
  51. B. L. Johnson and J. K. Nelson, Practical Measurements for Evaluation in Physical Education, ERIC, p.236, 1986.
  52. R. M. Palmieri, C. D. Ingersoll, M .B. Stone, and M. A. Krause, "Center of Pressure Parameters Used in the Assessment of Postural Control," J. of Sport Rehabilitation, Vol.11, pp.51-66, 2002. https://doi.org/10.1123/jsr.11.1.51
  53. N. Teasdale and M. Simoneau, "Attentional Demands for Postural Control: the Effects of Aging and Sensory Reintegration," Gait Posture, Vol.14, pp.203-210, 2001. https://doi.org/10.1016/S0966-6362(01)00134-5