Journal of the Korean Applied Science and Technology (한국응용과학기술학회지)

The Korean Society of Applied Science and Technology (한국응용과학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of somatosensory input on the gait ability and equilibrium sensory of elderly women

체성감각계 지원이 여성노인의 보행 및 평형감각 유지에 미치는 효과

  • Jung, Chul (Department of Physical education, Department of Sport Medicine) ;
  • Park, Woo-Yung (Department of Physical education, Department of Sport Medicine)
  • 정철 (공주대학교 체육교육과, 단국대학교 스포츠과학대학원) ;
  • 박우영 (공주대학교 체육교육과, 단국대학교 스포츠과학대학원)
  • Received : 2018.02.19
  • Accepted : 2018.03.19
  • Published : 2018.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the effect of somatosensory input on the gait ability and equilibrium sensory of elderly women. The subjects who participated in this study were 31 elderly women with a mean age of 75 years or older who no using a walking stick and had no abnormality in otolaryngology. The control group consisted of 30 elderly women who did not exercise regularly more than twice a week. Dependent variables consisted of 2.44m timed up and go test, 10m usual gait, 10m fast gait and 6minute gait. The equilibrium sensory test was performed using EquiTest (NeuroCom, USA). The results of the study on gait ability were not statistically significant for 2.44m timed up and go test, and 10m usual gait. However, 10m fast gait (P<.001) and 6min gait (P<.05) showed significant differences. According to the results of the study on equilibrium sensory ability, there was no significant difference between Condition 1 and Condition 5 however Condition 2 (P<.01), Condition 3 (P<.01), Condition 4(P<.01) and Condition 6 (P<.05) showed statistically significant differences. In conclusion, walking stick have beneficial effects on walking and equilibrium sensation, and elderly women need to actively use walking stick when going out and walking.

평형능력은 보행에 영향을 미치고, 보행속도는 노인의 건강한 척도를 말해주는 기준이 된다. 이 연구의 목적은 체성감각계 지원이 여성 노인의 보행 및 평형감각에 미치는 영향을 보고자 하였다. 평소 지팡이를 사용하지 않고, 규칙적으로 운동을 하지 않으며, 이비인후과적으로 이상이 없는 노인으로 평균 연령이 75세 여성 노인 61명을 실험군 31명과 통제군 30명으로 분류하였다. 종속변인으로는 2.44m왕복걷기, 10m 일반걷기 및 빠르게 걷기, 6분 걷기를 실시하였다. 평형감각 검사로는 뉴로컴사의 EquiTest를 이용하여 분석하였다. 연구 결과 2.44m 왕복걷기와 10m 일반걷기에서는 유의한 차이가 없었으나 10m 빠르게 걷기, 6분걷기에서는 유의한 효과를 보이는 것으로 나타났다. 평형감각에서는 조건 2, 3, 4, 6에서 유의한 효과를 보이는 것으로 나타났다. 결론적으로 체성감각계 지원이 노인 여성들의 보행 및 평형유지 능력에 유의한 효과를 보이는 것으로 나타나 지팡이의 적극적 사용이 권장된다 할 수 있겠다.

Keywords

References

  1. J. K. Lee, "Dizziness," Dankook publish. Seoul.(2007)., pp. 191-193.
  2. J. Stevenson, “When the trauma patient is elderly,” Journal of PeriAnethesia Nursing, Vol. 19, No. 6, pp. 392-400, (2004). https://doi.org/10.1016/j.jopan.2004.08.010
  3. A. M. White, L. R. Tooth, G.M.E.E.G. Peeters, “Fall Risk Factors in Mid-Age Women: The Australian Longitudinal Study on Women's Health,” American Journal of Prevention Medicine., Vol. 54, No. 1, pp. 51-63, (2018). https://doi.org/10.1016/j.amepre.2017.10.009
  4. K. Pothier, C. Gagnon, S. A. Fraser, M. Lussier, L. Desjardins-Crepeau, N. Berryman, M. G. Kergoat, T. T. M. Vu, K. Z.H. Li, L. Bosquet, L. Bherer, L, "A comparison of the impact of physical exercise, cognitive training and combined intervention on spontaneous walking speed in older adults," Aging Clinical Experimental Research., Vol. 12, pp. 10-17, (2017).
  5. M. Cesari, S. B. Kritchevsky, B. W. S .H. Penninx, B. J. Nicklas, E. M. Simonsick, A.B. Newman, M. Pahor, "Prognostic value of usual gait speed in well-functioning older people results from the Health," Aging and Body Composition Study. Journal of American Geriatric Society, Vol. 53, No. 10, pp. 1675-1680, (2005). https://doi.org/10.1111/j.1532-5415.2005.53501.x
  6. A. Kalron, S. Menascu, S. M. Dolev, U. Givon, "The walking speed reserve in low disabled people with multiple sclerosis: Does it provide greater insight in detecting mobility deficits and risk of falling than preferred and fast walking speeds?," Multi Sclerosis Relate Disorder., Vol. 17, pp. 202-206, (2017). https://doi.org/10.1016/j.msard.2017.08.010
  7. R. Morris, R. H. Harwood, R. Baker, O. Sahota, S. Armstrong, T. Masud, "A comparison of different balance tests in the prediction of falls in older women with vertebral fracture: a cohort study," Age Ageing, Vol. 36, pp. 78-83, (2007).
  8. A. Shumway-Cook, S. Brauer, M. Woollacott, "Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test," Physical Therapy, Vol. 80, pp. 896-903, (2000).
  9. F. Noe, T. Paillard, “Is postural control affected by expertise in alpine skiing?,” British Journal of Sports Medicine., Vol. 39, No. 11, pp. 835-837, (2005). https://doi.org/10.1136/bjsm.2005.018127
  10. B. Pleger, A. Villringer, "The human somatosensory system: from perception to decision making," Prog Neurobiology. Vol. 103, pp. 76-97, (2013). https://doi.org/10.1016/j.pneurobio.2012.10.002
  11. Y. S. Oh, W. Y. Park, “The analysis of difference in equilibrium sensory organization and sensory ratio on level of figure skating,” The Korea Journal of sports Science, Vol. 22, No. 1, pp. 797-808, (2013).
  12. A. M. Baldan, S. R. Alouche, L.M. Araujo, S. M. Freitas, “Effect of light touch on postural sway in individuals with balance problems: a systematic review,” Gait Posture., Vol. 40, No. 1, pp. 1-10, (2014). https://doi.org/10.1016/j.gaitpost.2013.12.028
  13. S. P. Messier, T. D. Royer, T. E. Craven, M. L. O'Toole, R. Burms, W. H. Ettinger, "Long-term exercise and its effect on balance in older, osteoarthritic adults: results from the Fitness, Arthritis, and Seniors Trial (FAST)," Journal of the American Geriatrics Society., Vol. 48, No. 2 pp. 131-138, (2000). https://doi.org/10.1111/j.1532-5415.2000.tb03903.x
  14. T. Yokoya, S. Demura, S. Sato, "Fall risk characteristics of the elderly in an exercise class," Journal of Physiology Anthropology. Vol. 27, No. 1, pp. 25-32, (2008). https://doi.org/10.2114/jpa2.27.25
  15. T. Yokoya, S. Demura, S. Sato, “Three-year follow-up of the fall risk and physical function characteristics of the elderly participating in a community exercise class,” Journal of Physiology Anthropology, Vol. 28, No. 2, pp. 55-62, (2009). https://doi.org/10.2114/jpa2.28.55
  16. P. J. Ortiz, T. Tello, E. G. Aliaga, P M. Casas, J. E. Peinado, J. J. Miranda, L. F. Varela, “Effect of multimorbidity on gait speed in well-functioning older people,” Geriatric Gerontology., Vol. 27, No. 2, pp. 293-300, (2017).
  17. S. Lee, C. Lee, M. G. Ory, J. Won, S. D. Towne, S. Wang, S. N. Forjuoh, "Fear of Outdoor Falling Among Community-Dwelling Middle-Aged and Older Adults: The Role of Neighborhood Environments," Gerontologist., Vol. 9, No. 10 pp. 109-124, (2017).
  18. J. A. Hess, M. Woollacott, "Effect of high intensity strength training on functional measures of balance ability in balance impaired older adults," Journal of Manipulative Physiology Therapy, Vol. 28, pp. 582-590, (2005). https://doi.org/10.1016/j.jmpt.2005.08.013
  19. D. van Kooten, F. Hettinga, K. Duffy, J. Jackson, M. J. D. Taylor, “Are there associations with age and sex in walking stability in healthy older adults?,” Gait Posture., Vol. 13, No. 60, pp. 65-70, (2017).
  20. R. Creath, T. Kiemel, F. Horak, J. J. Jeka, "The role of vestibular and somatosensory systems in intersegmental control of upright stance," Journal of Vestibular Research, Vol. 18(1), pp. 39-49, (2008).
  21. A. Smalley, S. C. White, R. Burkard, “The effect of augmented somatosensory feedback on standing postural sway,” Gait Posture., Vol. 14, No. 60, pp. 76-80, (2017).