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The Korea Entertainment Industry Association (한국엔터테인먼트산업학회)
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Changes in the Health Life of the Elderly Through the Handle Height of Walking Assistant Vehicle Article : Emphasizing on State Anxiety, Heart Rate and Fall Efficacy

보행보조차 손잡이 높이에 따른 노인들의 건강생활의 변화 : 상태불안과 심박수, 낙상효능감을 중심으로

  • Son, Sung-Min (Department of Occupational Therapy, Jeonju Kijeon Collage) ;
  • Kwag, Sung-Won (Department of Emergency Medical Service Rehabilitation, Graduate School of Kangwon National University)
  • 손성민 (전주기전대학 작업치료과) ;
  • 곽성원 (강원대학교 일반대학원 응급의료재활학과 물리작업치료전공)
  • Received : 2020.09.17
  • Accepted : 2020.10.27
  • Published : 2020.10.31
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Abstract

Purpose of this study is to analyze the changes in state anxiety, heart rate, and fall efficacy of the elderly through the handle height of walking assistant vehicle (WAV). The subjects were 32 elderlies. WAV was in the form of strollers, and it's handle height was set as 48% of a subject's total height. Also, it's height was divided into 48, 43, 38%. To measure the state anxiety, Korean State-Trait Anxiety Inventory was used and to measure the heart rate, Fitbit Charge 2 wrist heart rate monitor was used. To measure the fall efficacy, Fall Efficacy Scale-Korea was used. As the results of state anxiety and heart rate, the statistically significant increase showed continuously through the decrease of the handle height of WAV. As the results of fall efficacy, the statistically significant decrease showed continuously through the decrease of the handle height of WAV. In all of the post hoc test, the results of the state anxiety and fall efficacy showed significant difference among the each handle height of WAV and the results of the heart rate showed significant difference between the 48, 43% and 38% handle height of WAV. Thus, to decrease the state anxiety and heart rate and increase the fall efficacy of the elderly, the handle height of WAV should be properly positioned and considered to adjust to 48% of the user's total height.

본 연구의 목적은 보행보조차 손잡이 높이에 따른 노인들의 상태불안과 심박수, 낙상효능감의 변화를 분석하는 데 있다. 연구대상은 정상노인 32명이다. 보행보조차는 유모차 형태로 손잡이 높이를 대상자들의 신장의 48%를 기준으로 설정하였으며, 손잡이 높이를 5%씩 감소시켜, 48, 43, 38 %로 구성하였다. 상태불안 평가는 한국판 상태불안 척도를 활용하였으며, 심박수 평가는 Fitbit Charge 2 손목형 심박수 측정기를 활용하였다. 낙삭효능감 평가는 한국판 낙상효능감 척도를 활용하였다. 그 결과, 보행보조차 손잡이 높이에 따라 상태불안과 심박수는 통계적으로 유의미한 증가가 나타났으며, 낙상효능감은 통계적으로 유의미한 감소가 나타났다. 사후검정 결과에서도 상태불안과 낙상효능감의 분석결과 각각의 보행보조차 손잡이 높이에 따라 통계적으로 유의미한 차이가 나타났으며, 심박수의 분석결과 48, 43%의 손잡이 높이와 38%의 손잡이 높이 간의 통계적으로 유의미한 차이가 나타났다. 따라서, 노인들의 보행보조차 사용시 상태불안과 심박수를 감소시키고 낙상효능감을 향상시키기 위해서, 보행손잡이 높이를 적절하게 위치하여야 할 것이며, 보행보조차 사용자 전체 신장의 48%의 위치로 조정하여야 할 것이다.

Keywords

References

  1. Simsek, T.T., Yumin, E.T., Sertel, M., Ozturk, A., & Yumin, M.(2012). Assistive Device Usage in Elderly People and Evaluation of Mobility Level. Topics in Geriatric Rehabilitation, 28(3): 190-194. https://doi.org/10.1097/tgr.0b013e3182581d72
  2. Rasquin, S.M., Willems, C., De Vlieger, S., Geers, R.P., & Soede, M.(2007). The Use of Technical Devices to Support Outdoor Mobility of Dementia Patients. Technology and Disability, 19(2-3): 113-120. https://doi.org/10.3233/tad-2007-192-308
  3. Plos, O., Buisine, S., Aoussat, A., Mantelet, F., & Dumas, C.(2012). A Universalist Strategy for the Design of Assistive Technology. International Journal of Industrial Ergonomics, 42(6): 533-541. https://doi.org/10.1016/j.ergon.2012.09.003
  4. Shin, E.J., Jeon, B.J., Song, B.K., Baek, M.H., & Roh, H.R.(2015). Analysis of Walker-Aided Walking by the Healthy Elderly with a Walker Pocket Different Weights Attached at Different Location. Journal of Physical Therapy Science, 27: 3369-3371. https://doi.org/10.1589/jpts.27.3369
  5. Unsworth, J., Mode, A.(2003). Preventing Falls in Older People: Risk Factors and Primary Prevention through Physical Activity. British Journal of Community Nursing, 8: 214-220. https://doi.org/10.12968/bjcn.2003.8.5.11200
  6. Allet, L., Leemann, B., Guyen, E., Murphy, L., Monnin, D., Herrmann, F. R., Schnider, A.(2009). Effect of Different Walking Aids on Walking Capacity of Patients with Post Stroke Hemiparesis. Archives of Physical Medicine Rehabilitation, 90(8): 1408-1413. https://doi.org/10.1016/j.apmr.2009.02.010
  7. Stevens, J.A., Thomas, K., The, L., Greenspan, A.I.(2009). Unintentional Fall Injuries Associated with Walkers and Canes in Older Adults Treated in US Emergency Departments. Journal of the American Geriattrics Society, 57(8): 1464-1469. https://doi.org/10.1111/j.1532-5415.2009.02365.x
  8. Kim, E.J., Hwang, B.G., Lee, S.Y., & Lee, M.H.(2010). The Effects of Gait Component and Muscular Activity on Unstable Surface Balance Training in Stroke Patients. Journal of Rehabilitation Research, 14(4): 329-346.
  9. Vellas, B.J., Wayne, S.J., Romero, L.J., Baumgartner, R.N., & Garry, P.J.(1997). Fear of Falling and Restriction of Mobility in Elderly Fallers. Age and Ageing, 26(3): 189-193. https://doi.org/10.1093/ageing/26.3.189
  10. Edelstein, J.E.(2013). Assistive Devices for Ambulation. Physical Medicine and Rehabilitation Clinic, 24(2): 291-303.
  11. Choi, H.J., Ko, C.Y., Kang, S., Ryu, J., Mun, M., & Jeon, H.S.(2015). Effects of Balance Ability and handle Height on Kinematics of the Gait, Torso, and Pelvis in Elderly Women Using a Four-Wheeled Walker. Geriatrics & Gerontology International, 15(2): 182-188. https://doi.org/10.1111/ggi.12246
  12. Takanokura, M.(2010). Optimal handle Height of Four-Wheeled Walker on Various Road Conditions to Reduce Muscular Load for Elderly Users with Steady Walking. Journal of Biomechanics, 43(5): 843-848. https://doi.org/10.1016/j.jbiomech.2009.11.020
  13. Choi, H.J., Ko, C.Y., Kang, S.J., Ryu, J.C., Mun, M.S., & Kim, H.C.(2013). Gait Characteristics of Four Wheeled Walker Changing Height of handle for the Elderly. Korean Society of Precision Engineering, 1427-1428.
  14. Julian, L.J.(2011). Measures of Anxiety: State-Trait Anxiety Inventory(STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety(HADS-A). Arthritis Care & Research, 63(S11): S467-S472. https://doi.org/10.1002/acr.20561
  15. Benedetto, S., Caldato, C., Bazzan, E., Greenwood, D.C., Pensabene, V., Actis, P.(2018). Assessment of the Fitbit Charge 2 for Monitoring Heart Rate. PloS One, 13(2): e0192691. https://doi.org/10.1371/journal.pone.0192691
  16. Bai, Y., Hibbing, P., Mantis, C., & Welk, G.J.(2018). Comparative Evaluation of Heart Rate Based Monitors: Apple Watch vs Fitbit Charge HR. Journal Sports Science, 36: 1734-1741. https://doi.org/10.1080/02640414.2017.1412235
  17. Son, S.M., Kang, J.H., & Bak, A.R.(2020). The Changes of the Heart Rate, Hand Function, and Health related Quality of Life of the People with Intelectual Disability through the Increase of the Auditory Stimulation. Journal of the Korean Entertainment Industry Association, 14(5): 217-227.
  18. Hwang, M.J., Bang, Y.S., & Son, B.Y.(2018). A Study of the Convenience of Elderly Facilities, Satisfaction of Convenient Facilities, Falls Efficacy and Activities of Daily Living of Sensor Users of Walking Living in Permanent Rental Apartments. Journal of the Korea Entertainment Industry Association, 12(3): 267-276. https://doi.org/10.21184/jkeia.2018.4.12.3.267
  19. Bloch, F., Blandin, M., Ranerison, R., Claessens, Y.E., Rigaud, A.S, Kemoun, G.(2014). Anxiety after a Fall in Elderly Subjects and Subsequent Risk of Developing Post Traumatic Stress Disorder at Two Months: A Pilot Study. The Journal of Nutrition, Health & Aging, 18(3): 303-306. https://doi.org/10.1007/s12603-013-0415-y
  20. Rochat, S., Bula, C.J., Martin, E., Seematter-Bagnoud, L., Karmaniola, A., Aminian, K., Piot-Ziegler, C., & Santos-Eggimann, B.(2010). What is the Relationship between Fear of Falling and Gait in Well-Functioning Older Persons Aged 65 to 70 Years?. Archives of Physical Medicine and Rehabilitation, 91(6): 879-884. https://doi.org/10.1016/j.apmr.2010.03.005
  21. Reelick, M.F., van Iersel, M.B., Kessels, R.P., & Rikkert, M.G.(2009). The Influence of Fear of Falling on Gait and Balance in Older People. Age and Ageing, 38(4): 435-440. https://doi.org/10.1093/ageing/afp066
  22. Malliani, A., Pagani, M., Lombardi, F.(1994). Physiology and Clinical Implications of Variability of Cardiovascular Parameters with Focus on Heart Rate and Blood Pressure. The American Journal of Cardiology, 73(10): C3-C9. https://doi.org/10.1016/0002-9149(94)90617-3
  23. Sleight, P., La Rovere, M. T., Mortara, A., Pinna, G., Maestri, R., Leuzzi, S., Bianchini, B., Tavazzi, L., & Bernardi, L.(1995). Physiology and Pathophysiology of Heart Rate and Blood Pressure Variability in Humans: Is Power Spectral Analysis Largely an Index of Baroreflex Gain?. Clinical science, 88(1): 103-109. https://doi.org/10.1042/cs0880103
  24. Shin, I.S., Shin, Y.S., Kim, W.S., Chae, S.A., Kim, K.H., & Jung, D.Y.(2017). Change of gait pattern with fear of falling using walking aids. The Journal of Korean Society for Precision Engineering, Proceeding of Rehabilitation Enginnering and Assistive Technology Society of Korea 2017, 11: 200.
  25. Kim, T.H., Ro, C.W., & Yoon, J.W.(2016). Development of smart stick using motion sensing and for elderly users' saftey. Journal of the Korea Convergence Society, 7(4): 45-50. https://doi.org/10.15207/JKCS.2016.7.4.045