• Title/Summary/Keyword: Elderly rehabilitation

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Gait analysis of the healthy elderly over 65years of age (65세 이상 건강한 노인의 보행분석)

  • Hong Wan-Sung;Kim Gi-Won
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.45-54
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    • 2002
  • The purpose of this study was to describe the gait pattern and parameters of the healthy elderly over 65years of age by the GATERite system. The subjects were sorted into two groups, depending on their sex: male and female. And female subjects were sorted into three groups, depending on their age. From time parameters and space parameters of gait cycle, between groups, the following results were made. The time parameters such as cadence, velocity, step time, single support and double support were the less the male than the female. And the higher age, the lower value except 80 age group, while no statistically significant. The space parameters(step length and stride length) were the longer the male than the female, and the higher age, the lower value while no statistically signigicant. The functional ambulation profile was high correlation with time and space parameters statistically significant.

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Responsiveness of Gait Speed to Physical Exercise Interventions in At-risk Older Adults: A Systematic Review and Meta-Analysis

  • Lim, Jaehyun;Lim, Jae Young
    • Annals of Geriatric Medicine and Research
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    • v.21 no.1
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    • pp.17-23
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    • 2017
  • Background: In at-risk older adults, gait speed is an important factor associated with quality of life and falling risk. In this study, we assessed whether therapeutic exercise could improve gait speed. Methods: We conducted a meta-analysis to evaluate the 'best' therapeutic exercise method by analyzing each exercise in terms of intensity, type, and several gait speed indices. For the analysis, we gathered 122 papers through a database search and selected 9 (n=627) that were appropriate for the meta-analysis. Results: In 8 of the 9 included papers, gait speed improved with therapeutic exercise. Usual gait speed (n=246) improved more than maximal gait speed (n=574). A resistance program was more effective than a nonresistance program for improving maximal, but not usual, gait speed. We also found that the effects of therapeutic exercise were greater in noncommunity than in community-dwelling elderly people. Conclusion: In conclusion, therapeutic exercise was effective in improving gait speed.

Changes in Physiological Characteristics of Trapezius, Multifidus and Hamstring Muscles According to Tilt Angle of Exercise Bed in Elderly (운동침대 틸트 각도 변화에 따른 노인의 승모근, 다열근 및 슬괵근 근육의 생리학적 특성 변화 연속 증례 연구)

  • Kim, Jungjin
    • Archives of Orthopedic and Sports Physical Therapy
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    • v.14 no.2
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    • pp.127-133
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    • 2018
  • Purpose: This study investigated the effects of changing the tilt angle of the exercise bed on physiological characteristics of trapezius, multifidus, and hamstring muscle function. Methods: Twenty elderly who complains of back and lumbar pain or discomfort participated in this study (average age: $64.70{\pm}4.55$ years). The physiological characteristics, including muscle tone (F), dynamic stiffness (S), and elasticity (D) of trapezius, multifidus, and hamstring muscles were measured by a Myoton device at three tilt angles (0, 15, and 30 degrees) during exercise. Results: The muscle tone, dynamic stiffness, and elasticity of the right trapezius and left hamstring muscle showed significant differences (p<0.05) according to exercise bed tilt angle, while the other muscles showed no significant differences. Conclusions: Our results demonstrate that physiological characteristics of the upper and lower extremity muscles are affected ipsilaterally, according to the tilt angles of the exercise bed.

Prevention of Falls in the Elderly: A review of exercise interventions (노인 낙상예방을 위한 운동중재에 관한 고찰)

  • Cho Mi-sook;Park Rae-joon
    • The Journal of Korean Physical Therapy
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    • v.15 no.2
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    • pp.157-167
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    • 2003
  • Falls are a leading cause of injury, disability and death among people older than 65. Even without injury, falls cause a loss of confidence that results in reduced physical activity, increased dependency and social withdrawal. Fall prevention in the eldery people is a multifaced task that includes both the identification of risk factors and their modification strategies. Fall risk factors have been identified as both intrinsic and extrinsic. Intrinsic factors are those related to the physical and cognitive function of the person. Extrinsic factors are those which are included in the environmental hazards of everyday life. Combinations of interventions aimed at modifying both intrinsic and extrinsic risk factors can result in significant fall prevention in the geriatric population. This article selectively reviews the literature reporting exercise intervention to improve strength, balance and mobility.

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The influnce of Self rehabilition exercise for Activities of DailyLiving of disability elder (자가 재활운동이 장애노인의 일상활동 수행능력에 미치는 영향)

  • Kim, Soo-Min
    • Journal of Korean Physical Therapy Science
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    • v.17 no.1_2
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    • pp.53-66
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    • 2010
  • Background: It's very important method of treatment to improve physical activity for Activities of Daily Living(ADL) disability elder. So, We educated them Self rehabilition exercise and they did it by themselves, Then studied the influence in ADL disability elder. Methods: The participants of this study consited of 185 ADL disability elder in 18 located in Pusan & Kyungnam of elderly care hospital. We provided them 4 weeks of rehabilitation exercise training, and 4 weeks later we collected The state of ADL. Results: The ADL disability elder Who was educated and practiced Self rehabilition exercise, showed improvement on the several items of ADL, especially in Bathing. Conclusion: Self rehabilition exercise proved that it can improve ADL for disability elder I thank the system of Self exercise program has to be progressed.

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A literature study about utilization of oriental medical services (한방의료 이용에 대한 문헌적 고찰)

  • Lim, Jung-Hun;Lim, Sung-Min
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.16 no.2
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    • pp.11-22
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    • 2012
  • Objectives : This study aimed to analyze and summarize the utilization of oriental medical services in korea. Methods : From 3 Korean databases (National Assembly Library, Korea Education Research Information Sharing Service, and National Discovery for Science Leaders), published between 2001 and 2011, we were obtained 17 studies that involved the utilization of oriental medical services. Results : We found that women, elderly patients, and patients with low education levels and those with musculoskeletal and cerebrovascular diseases preferred to use oriental medical services. Other variables such as trust and kindness of staff and positive perceptions of the treatment effect were found to be significant determinants for utilizing oriental medical services. Conclusions : The utilization of oriental medical services would be related with gender, age, education levels and diseases. Also to confirm the reasons for patients to choose oriental medical services, further studies should be conducted using the highest methodological standards.

Survey on Community Oriental Health Promotion Program (지역사회 한방건강증진사업을 위한 조사연구)

  • Park, Song-Ja
    • The Korean Journal of Rehabilitation Nursing
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    • v.9 no.2
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    • pp.153-160
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    • 2006
  • Purpose: This study was performed to examine present health condition on community clients and the degree of cognition on community oriental health promotion program. Method: Research design is cross-sectional descriptive study, 300 residents who live in S city were selected. The period of data collection was from October 2005 to April 2006. The research instruments used were the VAS of fatigue, headache, pain, Depression, anxiety to examine present physical and psychological health condition and questionnaire on the degree of cognition on Oriental Health Promotion Program. SPSS 10.0 was used for statistics. Results: The range of fatigue, headache, pain, depression, anxiety was 2.09-3.75. The degree of cognition on program was 2.67. As for the degree of cognition on oriental health promotion program according to general characteristics of subject, there was significant difference(F=3.79, p=.038) between below 65 years(2.88) and above 65 years(3.12). Conclusion: We are trying to develop oriental health promotion program fit to property of community, especially elderly.

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A Development of Exercise Program on Obese patients with Osteoarthritis (퇴행성 관절질환을 동반한 비만환자의 운동프로그램 개발에 대한 연구)

  • Lim, Hyung-Ho;Song, Yun-Kyung
    • Journal of Korean Medicine for Obesity Research
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    • v.3 no.1
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    • pp.17-24
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    • 2003
  • Obesity increases the risk of knee and to a lesser extent hip OA, which combined affect a large percentage of middle-aged and elderly adults and which are major source of disability, and factor of drop a lowering in the physical exercise ability. Energy expenditure from physical activity accounts for up to 30% of total energy expenditure, it can have a significant impact on energy balance. We studied a exercise therapy that improved long-term weight management and produced additional benefits - loss of joint pain, improved joint mobility, and this exercise program will enhance the weight loss and health benefits from physical activity in the treatment of obese patients with osteoarthritis.

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Balance Training Program for Community-Dwelling Elders with Risk of Falls: A Multi-center Randomized Controlled Trial

  • Yang Rae Kim
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.192-200
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    • 2023
  • Objective: This study aimed to assess the effectiveness of a balance training program in improving balance and functional independence to reduce fall risks among community-dwelling elders. Design: A multi-center randomized controlled trial Methods: A total of 66participants were randomly assigned to a balance training group or a control group. The balance training program, conducted three times a week for 32 weeks, included warm-up exercises, main balance training exercises, and cooldown stretch exercises. Outcome measures included the Berg Balance Scale (BBS), Timed Up and Go Test (TUGT), and Modified Barthel Index (MBI). Results: The balance training group demonstrated significant improvements in all outcome measures, indicating enhanced balance, improved functional mobility, and increased independence in activities of daily living. In contrast, the control group showed only slight improvements in BBS, TUGT and MBI scores. Conclusions: These findings provide evidence supporting the effectiveness of balance training programs in reducing fall risk and promoting health and wellbeing among community-dwelling elders. Future research should aim to refine the design of these programs and assess the sustainability of the observed improvements.

Geriatric Foot Problems and Related Factors in Two Provinces of Korea (일부 지역 노인 족부 건강 문제와 영향 요인)

  • Kim, Shin-Mi;Ahn, Jae-Hong;Choi, Sook-Hee;Lee, Yun-Jung
    • Journal of Korean Academy of Nursing
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    • v.40 no.2
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    • pp.161-171
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    • 2010
  • Purpose: The purpose of the study was to identify the prevalence, risk factors and clinical meanings of geriatric foot problems and to suggest implications for the future. Methods: One hundred eighty nine elderly aged 60 and over from institution as well as community were investigated for their foot conditions by means of a questionnaire including general characteristics, self care capacity, risk factors, foot problem checklist, X-ray, podoscopy and foot scan. Descriptive statistics and $\chi^2$-test was performed as appropriate utilizing SPSS version 14. Less than .05 of p-value was adopted as statistical significance level. Results: All subjects had at least one kind of foot problem and the most prevalent ones were nail problems, foot deformities in order. Prevalence of foot pain and edema was relatively low. Conclusion: Foot problem in elderly is prevalent and geriatric foot is expected to emerge as one of the most important problems in the geriatric field. Therefore strategies to deal with geriatric foot should be developed and practiced for better quality of life in later life.