지역 사회 노인의 노화 예방에 따른 통합돌봄 선도사업 기반 맞춤형 방문운동의 효과: 증례 보고

Effect of Customized Visiting Exercise through Integrated Care Leading Project for the Elderly in the Community: Case Report

  • 김진영 (전주비전대학교 물리치료과) ;
  • 박성두 (허리편한병원 물리치료실) ;
  • 배정현 (청아람병원 물리치료실) ;
  • 유달영 (OPT운동센터) ;
  • 양영식 (우주통증의학과 물리치료실)
  • 투고 : 2021.11.29
  • 심사 : 2021.12.08
  • 발행 : 2021.12.31

초록

Purpose: This study aims to report on the effect of providing customized visiting exercise, a musculoskeletal intervention method, to the elderly in the community. Methods: In this study, subjective pain was measured to evaluate pain and physical ability of the elderly, and timed up & go (TUG) test and psychological level test were performed for myofascial pain perception symptoms and gait function. Measurements were performed twice before and 4 weeks after treatment. Participants in the exercise group (n=108) performed the spine exercise, whereas those in the spine exercise group (n=108) performed the spine exercise using complex exercise program (3 times/week for 4 weeks). Results: The significant test of visual analogu scale (VAS), pain pressure threshold (PPT), TUG, psychosocial factor according to applying the exercise within groups used T-test. In the result following analysis, there was significance on VAS (p=.000), PPT (p=.000), TUG (p=.000), Psychosocial factor (Depresion; p=.000, Anxiety; p=.000) within group. Conclusion: Then, exercise has benefit on the VAS, PPT, TUG, psychosocial factor in patients with myofacial pain syndrome. So, it may suggest that exercise will be helpful of the pain, gait and psychosocial factor improvement the patients with spine pain.

키워드

참고문헌

  1. Bressler HB, Keyes WJ, Rochon PA, et al. The prevalence of low back pain in the elderly: A systematic review of the literature. Spine. 1999;24(17):1813-1820. https://doi.org/10.1097/00007632-199909010-00011
  2. Hughes G, Shaw S, Greenhalgh T. Rethinking integrated care: A systematic hermeneutic review of the literature on integrated care strategies and concepts. J Popul Health Health Policy. 2020;98(2):446-492. https://doi.org/10.1111/1468-0009.12459
  3. Jeong GH, O MA, O YH, et al. Preliminary Research for the Survey on the Status of the Elderly in 2017. Ministry of Health & Welfare. 2016.
  4. Jeon YH. Study on the delivery system of elderly care services: Focusing on the perspectives of public sector personnel and providers. Health and Social Research. 2015;35(2):347-379.
  5. Kim KY, Kim JH, Won HT. Symptom Check List-90-Revision(SCL-90-R). Jungang Jeok seong publisher. Korea. 1984.
  6. Kim NH, Ha IH. Rural Community Care Policy Tasks. Korea Rural Economic Research Institute Policy Research Report. 2020;1-103.
  7. Kim SY, O DY. Effect of a weekly circuit-group exercise program on community-living individuals with chronic stroke. Kor Res Soc Phys Ther. 2008;15(3):17-25.
  8. Leichsenring K. Developing integrated health and social care services for older persons in europe. International Journal of Integrated Care. 2004;4(3):1-15. https://doi.org/10.5334/ijic.107
  9. Looman WM, Huijsman R, Fabbricotti IN. The (Cost-)effectiveness of preventive, integrated care for community-dwelling frail older people: A systematic review. Health and Social Care in the Community. 2018;27:1-30. https://doi.org/10.1111/hsc.12571
  10. Pike B, Mongan D. The Integration of Health and Social Care Services, Ireland. Health Research Board. 2014.
  11. Podsiadlo D, Richardson S. The timed "Up & Go": A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  12. Reeves JL, Jaeger B, Graff-Radford SB. Reliability of the pressure algometer as a measure of myofascial trigger point sensitivity. Pain. 1986;24(3):313-321. https://doi.org/10.1016/0304-3959(86)90117-X
  13. Shumway-Cook A, Patla AE, Stewart A, et al. Environmental demands associated with community mobility in older adults with and without mobility disabilities. Phys Ther. 2002;82(7):670-681. https://doi.org/10.1093/ptj/82.7.670
  14. Statistics Korea. 2018 Population and Housing Census Results. 2019a.
  15. Statistics Korea. 2018 life table. 2019b.
  16. Statistics Korea. Senior Statistics. 2020.
  17. Wagner DR, Tatsugawa K, Parker D, et al. Reliability and utility of a visual analog scale for the assessment of acute mountain sickness. High Alt Med Biol. 2007;8(1):27-31. https://doi.org/10.1089/ham.2006.0814
  18. Whittle MW. Clinical gait analysis: A review. Human movement science. 1996;15(3):369-387. https://doi.org/10.1016/0167-9457(96)00006-1