The Journal of Korean society of community based occupational therapy (대한지역사회작업치료학회지)

Korean Society of Community Based Occupational Therapy Association (대한지역사회작업치료학회)
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Review of Balance in Elderly by Vestivulo-ocular Reflex

안뜰눈반사를 통한 노인 균형 연구

  • Received : 2018.11.30
  • Accepted : 2018.12.24
  • Published : 2018.12.31
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Abstract

The purpose of this paper is to review vestibulo-ocular reflex and vestibular rehabilitation for balace problem in elderly. Falling is a common problem associated with aging. Falling and the resulting consequences constitutes one of the most common and serious problems. Balance deficits are one of the top risk factors for falling. Three systems(visual, vestibular and somatosensory) need to be integrated and used to coordinate and control balance. During normal ambulation and head movement, the vestibulo-ocular reflex(VOR) stabilizes gaze, and helps to keep the image of the retina. There is a direct association between deficits in VOR and falls. Older adults have a decreased ability to enhance and suppress the VOR. Vestibular rehabilitation(VR) is an exercise-based group of approaches that began with the aim of central nervous system compensation. VR restores VOR gain and reduces error using repetitive movements of the head and eyes. Many researches showd balance and gait tests were superior in the VR group. It is considered this article helps to prevent elderly falling with vestibular rehabilitation.

이 논문은 노인의 균형문제를 해결하기 위해 안뜰눈반사와 안뜰재활운동에 대해 고찰하고자 한다. 낙상은 노화와 관련된 주요한 문제이다. 낙상과 결과적으로 일어나는 일은 가장 흔하면서 심각한 문제이다. 균형의 결함은 낙상의 가장 높은 위험 요소 중 하나이다. 균형을 조절하고 협응하는데 사용되고 통합되는데 세 가지 신경계가 필요하다. 정상적인 이동과 머리운동을 하는 동안, 안뜰눈반사는 주시를 안정화시키고 망막의 상을 유지하도록 돕는다. 안뜰눈반사의 결함과 낙상간에 직접적인 관계가 있다. 노인들은 안뜰눈반사를 억제하고 강화시키는 능력이 감소된다. 안뜰재활운동은 중추신경계 보상을 목적으로 시작한 운동에 근거한 단체 치료법이다. 안뜰재활운동은 머리와 눈의 반복적인 운동을 사용해서 안뜰눈반사의 이득을 회복시키고 오류를 줄인다. 많은 연구들이 안뜰재활운동을 한 단체가 균형과 보행 검사에서 월등함을 보였다. 이 논문은 노인의 낙상을 방지하기 위한 운동법으로 안뜰재활운동을이 도움이 될 것으로 사료된다.

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References

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