The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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Effects of Lower Extremity Muscle Strengthening Exercise on Balance and Fall Efficacy in Middle Older Adults Women

하지 근력 강화 운동이 중기 여성 노인의 균형과 낙상 효능감에 미치는 효과

  • Received : 2022.10.12
  • Accepted : 2022.11.01
  • Published : 2022.11.30
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Abstract

This study was to examine the effect of lower extremity muscle strengthening exercise on balance and fall efficacy in middle older adults women. This study was conducted with one group pre-test and post-test design. A total of 34 older adults women participated in 7 weeks of intervention. Data were analyzed as SPSS ver. 21.0 using descriptive statistics and paired t-test. Right leg balance(t=6.09, p<.001), left leg balance(t=6.76, p<.001), and fall efficacy(t=6.81, p<.001) were significantly increased. Dynamic balance(t= -4.68, p=.001) was significantly decreased. This study found that lower extremity muscle strengthening exercise program could be a useful health promotion method.

본 연구는 하지 근력 강화 운동이 중기 여성 노인(75~84세)의 균형과 낙상 효능감에 미치는 효과를 알아보기 위한 단일군 전·후 실험연구이다. 본 연구에 참여한 여성 중기 노인 34명의 자료는 SPSS 21.0 프로그램을 이용하여 분석하였으며, 일반적 특성은 기술통계를 산출하였고, 프로그램 전·후의 차이는 paired t-test를 하였다. 연구대상자들에게 주 2회, 1회 30분씩, 7주 동안 하지 근력 강화 운동을 제공한 결과 대상자의 정적 균형과 동적 균형, 그리고 낙상 효능감이 유의한 긍정적 변화가 있었다. 본 연구를 통해 하지 근력 강화 운동이 중기 여성 노인의 균형 능력과 낙상 효능감 향상에 효과가 있음이 확인되었으므로, 우리는 본 연구에서의 운동 프로그램이 지역사회 노인의 건강증진을 위한 중재 프로그램으로 활용될 것을 기대한다. 추후 연구에서는 초기 및 후기 노인들은 대상으로 연령에 따른 하지 근력 강화 운동의 효과를 비교하는 것과 남성 노인들을 대상으로 적용하여 성별 효과를 확인하는 연구를 제언한다.

Keywords

Acknowledgement

본 논문은 2022년도 서일대학교 학술연구비에 의해 연구되었음.

References

  1. Korean Statistical Information Serviec. Elderly population ratio [Internet]. Daejeon: Korean Statistical Information Service; 2022. [updated 2022-08-06]. https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1YL20631.
  2. Korea Institute for Health and Social Affairs. 2017 The survey of the elderly. [Internet]. Sejong: KIHASA; 2017 [cited 2018 May 30]. Availablefrom: http://www.mohw.go.kr/react/jb/sj030301vw.jsp?PAR_MEN_U_ID=03&MENU_ID=032901&CONT_SEQ=337301&page=1
  3. J. H. Lee, "Effects of self taping therapy on knee pain and physical functions in older adult," The Journal of the Convergence on Culture Technology, Vol. 4, No. 1, pp. 33-39, 2018. http://dx.doi.org/10.17703/JCCT.2018.4.1.33
  4. S. H. Park, J. H. Seo, Y. H. Kim, & M. H. Ko, "Long-term effects of transcranial direct current stimulation combined with computer -assisted cognitive training in healthy older adults." Neuroreport, Vol. 25, No. 2, pp.122-126, 2014. https://doi.org/10.1097/WNR.0000000000000080
  5. A. C. Grundstrom, C. E., Guse & P. M. Layde, "Risk factors for falls and fall-related injuries in adults 85 years of age and older." Archives of Gerontology and Geriatrics, Vol. 54, No. 3, pp. 421-428, 2012. https://doi.org/10.1016/j.archger.2011.06.008
  6. Korea Centers for Disease Control and Prevention. Fall [Internet]. Chungcheongbuk-do: Korea Centers for Disease Control and Prevention; 2020 Aug 28 [cited 2021 Jul 23]. Available from: https://health.kdca.go.kr/healthinfo/biz/health//gnrlzHealthInfo/gnrlzHealthInfo/gnrlzHealthInfoView.do2.KoreaConsu
  7. K. H. Jung, Y. H. Oh, E. N. Kang, K. L. . Kim, and Y. K Lee, etc., "A Survey study of aged (Policy Report 2017-53)." Seoul: Korea Institute for Health and Social Affairs, 2018.
  8. E. J. Emilio, F. Hita-Contreas, P. M. JimenezLara, P. Latorre-Roman, & A. Martinez-Amat, "The association of flexibility, balance, and lumbar strength with balance ability: Risk of falls in older adults." Journal of Sports Science & Medicine, Vol. 13, No. 2, pp. 349-367, 2014.
  9. J. Y. Kim, J. H. Cho, K. S. Lee, M. S. Jen, H. S. Kim, S. Y. You, and M. Y. Jang, etc "Gerontological Nursing" Soomoonsa, Gyeonggido. 2022.
  10. H. Y. Kang, N.S. Seo, and Y.H. Kim, "Health pattern of elderly according to age group who living alone in an urban area," Journal of Korean Academy of Nursing, Vol. 34, No. 6, pp. 1057-1068, 2004. https://doi.org/10.4040/jkan.2004.34.6.1057
  11. E. T. Petridou, E. G. Manti, A. G. Ntinapogias, E. Negri, & K. Szczerbinska, "What works better for community-dwelling older people at risk to fall?: A meta-analysis of multifactorial versus physical exercise-alone interventions." Journal of Aging and Health, Vol. 21, No. 5, pp. 713-729, 2009. https://doi.org/10.1177/0898264309338298
  12. M. S. Kang, Y. P. Hong, and Y. T. Kim, "The effects of lower leg strength exercise and wearing elastic compression stockings on the lower extremity edema and pain scale of female office worker," The Korean Journal of Sport, Vol. 13, No. 4, pp. 601-608, 2015.
  13. J. G. Oh and Y. J. Cho, "The effects of lower body muscles strength exercise program on the isokinetic strength and fall prevention fitness of the elderly women," The Korean Journal of Sports Science, Vol. 27, No. 5, pp. 1225-1235, 2018. https://doi.org/10.35159/kjss.2018.10.27.5.1225
  14. H. J. Nam and H. S. Nho, "The effects of 8weeks modified straight leg raise exercise program on isometric muscular strength and electromyography activation of hip joint," Korean J ournal of Sports Science, Vol. 22, No. 4, pp. 2296-2307, 2011. https://doi.org/10.24985/kjss.2011.22.4.2296
  15. M. O. GU, M. Y. Jeon, H. J. Kim, and Y. Eun, "A review of exercise interventions for fall prevention in the elderly." Journal of Korean Academy of Nursing, Vol. 35, No. 6, pp. 1101-1112, 2005. https://doi.org/10.4040/jkan.2005.35.6.1101
  16. L.. Yardley, N. Beyer, K. Hauer, G. Kempen, C., Piot-Ziegler, & C. Todd, "Development and initial validation of the Falls Efficacy ScaleInternational (FES-I)."Age and Ageing, Vol. 34, No. 6, pp. 614-619, 2005. https://doi.org/10.1093/ageing/afi196
  17. J. H. Huh, S. K. Lim, & D. H. Lee, "Development of the Korean Falls Efficacy Scale (FES-K) for the elderly." The Korean Journal of Physical Education, Vol. 49, No. 3, pp.193-201. 2010.
  18. S. G. Lee and S. K. Park, "The effects of a video strength exercise on grip strength, balance, TUG in the frail elderly women." J ournal of The Korean Society of Physical Medicine, Vol. 8, No. 1, pp. 91-98, 2013. https://doi.org/10.13066/kspm.2013.8.1.091
  19. D. C. Lim and M. M. Kim, "Comparison of the functional performance, HRQoL, fall efficacy and pain of elderly women with knee osteoarthritis and healthy," The Journal of Learner-Centered Curriculum and Instruction, Vol. 22, No. 2, pp. 39-51, 2022. https://doi.org/10.22251/jlcci.2022.22.2.39
  20. J. Y. Bae and S. I. Cho, "Effects of community - based comprehensive fall prevention program on muscle strength, postural balance and fall efficacy in elderly people." Journal of Korean Academy of Nursing, Vol. 44, No. 6, pp. 697-707, 2014. http://dx.doi.org/10.4040/jkan.2014.44.6.697
  21. Y. H. Mun and J. H. Lee, "Effects of exercise program on grip strength and postural balance in middle older adults," The Journal of the Convergence on Culture Technology, Vol. 8, No. 1, pp. 31-38, 2022. http://dx.doi.org/10.17703/JCCT.2022.8.1.31
  22. J. H. Choi, J. S. Moon, and K. R. Sohng, "The effects of Tai Chi exercise on physiologic, psychological functions and fall in fall prone elderly." The J ournal of the Rheumatology health, Vol. 10, No. 1, pp. 62-76, 2003.
  23. H. J. Lee and S. W. Han, "Effects of lower extremity muscle strengthening exercise using elastic resistance on balance on elderly." Journal of Korean Academy of Community Health Nursing, Vol. 20, No. 1, pp. 59-66, 2009.
  24. M. O. Gu, M. Y. Jeon, H. J. Kim, and Y. Eun, "A review of exercise interventions for fall prevention in the elderly," J ournal of Korean Academy of Nursing, Vol. 35, No. 6, pp. 1101-1112. 2005. https://doi.org/10.4040/jkan.2005.35.6.1101
  25. M. E. Tinetti, D. Richman, and L.Powell, "Falls efficacy as a measure of fear of falling," J ournal of Gerontology, Vol. 45, No. 6, pp. 239-243, 1990.