DOI QR코드

DOI QR Code

Effect of Tai-Chi on Grip Power, Pain and Fear of Falling in Elderly Person

태극권이 노인의 악력, 통증과 낙상공포에 미치는 효과

  • Oh, Chung-uk (Korea National University of Transportation)
  • Received : 2016.03.31
  • Accepted : 2016.05.12
  • Published : 2016.05.31

Abstract

The purpose of this study was to test the effects of Tai Chi exercises on the grip power, pain and fear of falling in elderly persons. A quasi-experimental design was used. This study included 37 subjects who were living in C city. The subjects were divided into the experiment group (n=18) trained in the Tai Chi technique for 6 weeks and the control group (n=19). The experimental group practiced the 24 posture simplified form of Tai Chi for 6 weeks (5 times per day for 60 minutes each time). The effect of the treatment was measured by determining the grip power, pain and fear of falling before and after the 6 weeks of intervention. The experimental group showed a significant increase in grip power (P<0.001) and decrease in pain (P<0.001) compared to the control group. The fear of falling in the experimental group decreased significantly (P<0.002). Tai Chi exercises may be an effective intervention to prevent falling. The Tai Chi technique would therefore be a good method of improving the pain and body health index in elderly persons.

본 연구의 목적은 태극권이 악력, 통증과 낙상공포 관련하여 노인에게 미치는 효과를 검증하는 데 있다. 연구의 디자인은 비동등 대조군 전후 실험설계연구이다. 대상은 C시에 거주하는 68명의 노인이었으며, 실험 대상은 65세 이상의 노인으로, 총 37명이다. 대상은 6주간 태극권수련을 한 실험군 18명과 태극권 수련을 하지 않은 대조군 19명으로 나누었다. 실험중재는 양식 간화 태극권 24식이며, 1회 60분, 주 5회, 총 6주로 구성하였다. 중재구성은 준비운동 10분, 태극권 45분, 정리운동 5분으로 진행하였다. 중재효과는 6주간의 태극권 수련 전과 후에 악력, 통증과 낙상공포를 측정하였다. 실험군은 악력이 대조군에 비해 유의하게 증가하였다(P<0.001). 그리고 통증은 대조군에 비해 유의하게 감소하였다(P<0.001). 낙상공포는 대조군에 비하여 실험군에서 유의하게 감소하였다(P<0.002). 결론적으로 태극권은 신체건강지수인 악력을 개선시키며, 통증과 낙상공포에 긍정적 영향을 미쳤다. 이상의 연구결과를 통해 태극권이 낙상을 예방할 수 있는 효과적인 중재가 될 수 있고, 노인의 신체건강지수와 통증을 개선 할 수 있는 주요한 중재로서 고려할 수 있음을 알 수 있다.

Keywords

References

  1. 2015 Social Index of Korea. Statistics Korea, Index Board, 2015. http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&aSeq=3522152015
  2. I. S. Park et al., 2012, "Effect of Tai Chi Fall Prevention Program for Elderly Women Living in the Community", J Muscle and Joint Health, Vol.19, No.3, pp. 282-293, 2012. DOI: http://dx.doi.org/10.5953/jmjh.2012.19.3.282
  3. Y. M. Jung, S. E. Lee, G. S. Jung, "Prevalence and associated factors of falls according to health status in elderly Living in the community", Journal of Korea Gerontological Society, Vol.26, No.2, pp. 291-303. 2006.
  4. M. Jakovljevic, "Predictive validity of modified fall assessment tool in nursing home: Expierience from Slovenia", Nursing and Health Science, Vol.11, No.4, pp. 430-435, 2009. DOI: 10.1111/j.1442-2018.2009.00471.
  5. G. H. Lee, M. O. Lee,"Characteristics of Hospitalized Elders with Repeated Falls and Fractures", J Korean Gerontol Nurs, Vol.9, No.2, pp. 173-183, 2007.
  6. I. Y. Rhyu, J. h. Choi, "Experience of Falls and Predictors of Falls in the Elderly at Senior Citizens' Centers", Journal of Korean Academy of Community Health Nursing, Vol.18, No.1, pp. 14-22, 2007.
  7. S. D. Berry, R. R. Miller, "Falls: Epidemiology, pathophysiology, and relationship to fracture", Current Osteoporosis Reports, Vol.6, No.4, pp. 149-154, 2008. DOI: http://dx.doi.org/10.1007/s11914-008-0026-4
  8. J, M. Kim, M. S. Lee, "Risk Factors for falls in the elderly population in Korea: An Analysis of the Third Korea National Health and Nutrition Examination Survey data", Korean Journal of Health Education and Promotion, vol.24, no.5, pp. 23-39, 2007.
  9. A. Y. Sharaf, H. S. Ibrahim, " Physical and physiosocial correlates of fear of falling: Among older adults in assisted living facillaties. J Gerontological Nursing, Vol.26, No.3, pp. 27-35, 2008.
  10. K. L. Shin et al, "A Study on the Frequency of Falls, Fear of Falling, and Perceived Health Status according to Cognitive Function in Community-dwelling Elderly Women", Journal of Korea Gerontological Society , Vol.31, No.4, pp. 1155-1167,2009. DOI: http://dx.doi.org/10.1111/j.1442-2018.2010.00567.
  11. K. L. Shin et al, "Impact of depression and activities of daily living on the fear of falling in Korean community-dwelling elderly", Nursing & Health Sciences, Vol.12, No.4, pp. 493-498, 2010. DOI: http://dx.doi.org/10.1111/j.1442-2018.2010.00567.
  12. K. W. Choi, & I. S. Lee, "Fall risk in low-income elderly people in one urban area", Journal of Korean Academy of Nursing, Vol.40, No.4, pp. 589-598, 2010. DOI: http://dx.doi.org/10.4040/jkan.2010.40.4.589
  13. J. H. Choi, J. S. Moon, & K. Y. Sohng, "The effects of Tai Chi exercise on physiologic, psychological functions, and falls among fall-prone elderly", Journal of Rheumatology Health, Vol.10, No.1, pp. 62-76, 2003.
  14. M. S. Kwon, "Effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders", Journal of Korean Academy of Nursing, Vol.41, No.2, pp. 165-174, 2011.DOI:http://dx.doi.org/10.4040/jkan.2011.41.2.165
  15. American Geriatric Society. (2010). Prevention of falls in older persons. ACS/BGS clinical practice guideline. Retrieved September 10, 2012 from http://www.medcats.com/FALLS/frameset.htm.
  16. PF. Tsai et al. "The effect of tai chi on knee osteoarthritis pain in cognitively impaired elders: pilot study", Geriatr Nurs, Vol.30, No.2, pp. 132-9. 2009. https://doi.org/10.1016/j.gerinurse.2007.11.002
  17. Y. J. Park, In. Hyae. Park,"The Effect of Tai Chi Exercice in Elderly Women", J Muscle Joint Health, Vol.15, No.2, pp. 119-129, 2008.
  18. HC. Huang, CY. Liu, YT. Huang, WG. Kernohan, "Community-based interventions to reduce falls among older adults in Taiwan - longtime follow-up randomised controlled study", J Clin Nurs, Vol.19, No.7-9, pp. 959-68, 2010. DOI:http://dx.doi.org/10.1111/j.1365-2702.2009.02834
  19. M. Liu, H. So, "Effects of Tai Chi exercise program on physical fitness, fall related perception and health status in institutionalized elders", Journal of Korean Academy of Nursing, Vol.38, No.4, pp. 620-8, 2008. DOI: http://dx.doi.org/10.4040/jkan.2008.38.4.620
  20. J. Y. Chung, J. W. Lee, J. Y. Im, D. C. Lee, "Hand Grip Power Is Independently Associated with Physical Function in Community Dwelling Elderly", Korean J Clin Geri, Vol.11, No.4, pp. 315-323, 2010
  21. Y. J. Kim, "The Effects of Tai Chi Training on Metabolic Syndrome Risk Factors in Middle Aged Obese Women, Graduate School of Education", Ulsan University, Master' Thesis, Ulsan, 2013.
  22. M. E. Cline, J. Herman, E. Shaw, & R. D. Morter, "Standardization of visual analogue scale. Nursing Research", Vol. 41, pp. 378-380, 1992. DOI:http://dx.doi.org/10.1097/00006199-199211000-00013
  23. M. Aadahl, N. Beyer, A. Linneberg, B. H. Thuesen, T. Jorgensen, "Grip strength and lower limb extension power in 19-72-year-old Danish men and women: the Health2006 study", BMJ Open, Vol.1, No.2, pp. e000192, 2011. DOI: http://dx.doi.org/10.1136/bmjopen-2011-000192
  24. D. Kuh, E. J. Bassey, S. Butterworth, et al, "Grip Strength, Postural Control, and Functional Leg Power in a Representative Cohort of British Men and Women: Associations With Physical Activity, Health Status, and Socioeconomic Conditions ", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, Vol.60, No.2, pp. 224-231, 2005. DOI:http://dx.doi.org/10.1093/gerona/60.2.224
  25. J. K. Noh, "Evaluation of Dietary Intake and Exercise in the Elderly According to Hand Grip Strength",Vol.22, No.4, pp. 243-250, 2013. https://doi.org/10.7570/kjo.2013.22.4.243
  26. H. S. Lee, C. H. Lee, "The Effect of Progressive Resistance Training with Elastic Band on Grip Strength and Balance in Middle Elderly Women", J Korean Soc Phys Ther, Vol.25, No.2, pp. 110-116, 2013.
  27. Kuei-Min Chen et al, "A feasible method to enhance and maintain the health of elderly living in long-term care facilities through long-term, simplified tai chi exercises", The journal of nursing research, Vol. 15, No. 2, pp. 156-220, 2007. https://doi.org/10.1097/01.JNR.0000387610.78273.db
  28. CE. Rogers et al, "A review of clinical trials of tai chi and qigong in older adults", West J Nurs Res, Vol.31, No.2, pp. 245-79, 2009. https://doi.org/10.1177/0193945908327529
  29. Hea-Young. Lee, "Effects of Tai Chi exercise in elderly with knee osteoarthritis", Journal of Korean Academy of Nursing, Vol.38, No.1, pp. 11-18, 2008. https://doi.org/10.4040/jkan.2008.38.1.11