• 제목/요약/키워드: Exercise Intervention

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수공예 작업치료 프로그램 활동이 급성기 뇌졸중 환자의 손 기능에 미치는 효과 (Effects of Occupational Therapeutic Craft Activity on improvement cognitive function and hand function in acute patients with stroke)

  • 장태용;박보라;양영애
    • 한국산학기술학회논문지
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    • 제18권5호
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    • pp.355-365
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    • 2017
  • 본 연구의 목적은 급성기 뇌졸중 환자를 대상으로 수공예 작업치료 프로그램 활동을 시행하였을 때 인지기능과 손 기능에 미치는 효과를 알아보고, 추후 급성기 뇌졸중 환자의 중재방법에 대한 유용한 자료를 제공하는 것이다. 본 연구의 진행은 서울 경기도에 위치한 A종합병원, B재활병원에 입원 중인 뇌졸중 환자 30명을 대상으로 2016년 3월부터 2016년 11월까지 두 그룹을 무작위 할당한 후 실험군에는 수공예 프로그램 활동을 4주 동안 주 2회, 30분간 적용하고 그룹 간 비교를 실시하였다. 치료 전 후에 뇌졸중 환자의 인지기능과 손 기능을 평가하기 위해서 사용한 평가도구는 Box & Block Test, Jebsen-Taylor Hand Function Test, Neurobehavioral Cognitive Status Examination(NCSE), Trail-Making Test이다. 결론적으로 중재 전 후 비교에서 수공예 프로그램 활동군의 손 기능 평가가 유의하게 향상되었고(p<.05), 인지기능도 유의하게 향상되었다(p<.05). 본 연구의 결과를 통해서 수공예 프로그램 활동이 급성기 뇌졸중 환자의 인지기능과 손 기능 향상에 더 효과적임을 파악한 점에서 연구의 의의를 지니며, 향후 급성기 뇌졸중 환자의 작업치료 중재 프로그램의 개발 및 적용 시 기초자료로 의미있게 활용될 수 있을 것이다.

중년여성의 건강증진 프로그램 개발에 관한 연구 (The Development of Health Promotion Programs for Middle Aged Women)

  • 차영남;김금자;임혜경;장효순;한혜실
    • 지역사회간호학회지
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    • 제9권1호
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    • pp.5-20
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    • 1998
  • The purpose of this study was to develop health promotion programs for middle aged women and to identify the adaptability and the effectiveness of the program in order to provide a model for health promotion programs as a basis for nursing intervention. The research design was a quasi-experimental, nonequivalent control-group pretest -posttest design. The data were collected from October 30 to December 11, 1996. The study subjects were middle aged women residing in Chonju city, with ages from 40 to 59. The experimental group consisted of 42 subjects who were recruited through announcements of the local newspaper. The control group consisted of 49 subjects who were mothers of nursing college students. The health promotion program for middle aged women was based on the Bandura's self efficacy theory and Pender's heath promotion behavior theory consisting of exercise and heath diaries as performance accomplishments as well as education and group sessions as verbal persuasion and vicarious experiences. The study program was provided for 6 weeks, 3 hours a day per week. There was a pretest before the program and a posttest after the 6 week program. The instruments used for the study were a Self Efficacy Scale and a Health Promotion Behavior Scale developed by Park(1995). The data analysis was done by the use of a SPSS/PC. The study results were as follows: 1. In the analysis of the homogeneity between the experimental and control groups, there were significant differences in the socio-demographic characteristics, self efficacy and health promotion behavior. There were significant differences between the experimental and control groups in occupation, the number of children, and the status of involvement in social activities. 2. The first hypothesis, 'The level of self efficacy of the experimental group will be higher than that of the control group.' was supported(F=10.154, p=.002). The second hypothesis, 'The degree of health promotive behaviors in the experimental group will be higher than that of the control group.' was supported(F=17.349, p=.000). 3. There was a significant positive correlation between the self efficacy and the health promotion behaviors in pretest and posttests (pretest: r=.732, p=.000 ; posttest : r=.754, p=.000). 4. The significant variables for health promotion behaviors were religion(t= -1.97, p=.05), family income(F=4.85, p=.00), education level (F=6.38, p=.00) and involvement in social activities(t= -3.06, p=.00) in socio-demographic characteristics. In summary, a heath promotion program based on self efficacy theory has made an improvement on health promotion behaviors. Also, the results show that the higher the level of self efficacy, the better the health promotion is in middle aged women. The study has proved that nurses can provide nursing intervention for the improvement of health promotion in middle aged women through the adaptation of a program increasing the subject's self efficacy level.

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가정형 인공호흡기 사용 중인 재가 근위축성 측삭증후군 환자의 가정간호기반 호흡관리 프로그램이 미충족의료와 의료자원이용에 미치는 효과 (Effects of a Home Respiratory Management Program on Unmet Healthcare need and Healthcare resource utilizations for Patients applying Home Mechanical Ventilator with Amyotrophic Lateral Sclerosis)

  • 황문숙;박진희
    • 산업융합연구
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    • 제17권4호
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    • pp.77-86
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    • 2019
  • 본 연구는 가정간호기반 호흡관리프로그램이 근위축성 측상경화증으로 가정에서 인공호흡기를 적용하고 있는 환자에게 미충족의료와 의료자원이용에 효과가 있는지를 확인하는 연구이다. 연구대상자는 실험군 19명, 대조군 21명으로 40명이다. Cox의 상호작용모델에 기반을 둔 가정간호기반 호흡관리프로그램은 인지적 동기로 교육, 전문간호, 사례관리, 내적 동기로 기도청결, 흉곽운동, 공기누적운동, 심리적 반응으로 명상과 적극적 경청이다. 이를 실험군은 12주 동안 제공하였고, 대조군은 통상적인 가정간호를 제공하였다. 중재관련변수는 사전, 사후 12주, 24주에 측정하였고, 의료자원이용은 24주에 측정하였다. 연구결과 호흡관리프로그램은 미충족의료정도에는 차이가 없었으나, 의료자원이용정도 중 입원횟수 감소에는 효과가 있었다. 이에 근위축성 측상경화증 환자 호흡관리프로그램은 호흡문제로 인한 의료기관 이용횟수를 감소시켜 환자의 호흡기능 향상에 기여할 수 있을 것이다.

일 지역 대학생의 피로와 건강증진 생활양식과의 관계분석 (The correlation analysis between fatigue and health promoting life style among a rural college students)

  • 장희정
    • 기본간호학회지
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    • 제6권3호
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    • pp.477-492
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    • 1999
  • The disease patterns among the Korean was shifted from acute and infectious diseases to chronic diseases. According to the these disease patterns trends, people have concerned about the health promotion and health behaviors. Pender's(1996) revised health promotion model(HPM) is consist of three categories; Individual characteristics and experiences, Behavior-specific cognitions and affect, behavioral outcome. Of these categories, individual characteristics and experiences, this category of variables is considered to be of biological, psychological and socio-cultural personal factors, especially, individual fatigue. Futhermore. these variables constitute a critical core for nursing intervention, as they are subject to modification through nursing actions. But there is no few the research of the relationship between the fatigue and health promotion. Therefore, the purpose of this study is to investigate the correlation between the fatigue and health promoting life style among a rural college students. Additionally, this descriptive correlational study identified the relation of demographic factors and fatigue, health promoting life style. From June 20 to 26, 1998, a convenience sample of 270 college students completed the questionnaire of the fatigue and health promoting life style profile which were developed by the Yoshitake(1978) and Walker, et al.(1987), respectively. The descriptive correlational statistics, mean, t-test, ANONA, Pearson correlation coefficient were used to analyze the data gathered with SAS pc+ program. The results were as it follows: 1. The average fatigue score of the subjects was $64.93{\pm}12.89$. Fatigue scores by subcategory were physical symptoms($23.5{\pm}4.87$). psychological symptoms($22.11{\pm}4.66$) and neuro-sensory symptoms($19.32{\pm}5.14$). With the respect to the demographic characteristics of the subjects, there were statistically significant differences between the demographic factors and fatigue, especially, sex(t==3.69 p<0.01), major(t=-2.89 p<0.01). the experience of family illness(t=2.76 p<0.01). 2. The average health promoting life style item score of the subjects was $2.33{\pm}0.33$. In the subcategories, the highest degree of performance was self-actualization(2.94), following interpersonal support(2.81). stress management(2.33), exercise(2.20), nutrition(2.10), and the lowest degree was health responsibility(1.73). There were the significant differences on the learning of health education(t=2.00 p<0.01). religion(F=3.01, p<0.05), circle activity(t=2.07, p<0.05), nutrition control(t=5.25, p<0.01) of demographical factors with the health promoting life style. 3. The correlation between the fatigue and health promoting life style made statistically no significance(r=-0.09731, p>0.05). But there was negative significant relationship between health promoting life style and psychological symptom as a fatigue subcategory(r=-0.15721, p<0.05). The self-actualization showed negative significant correlation with all fatigue subcategory. The health responsibility showed significant relationship with total fatigue(r=0.13050. p<0.05). For further research, it suggests to replicate the correlational and causal study between the fatigue and the health promoting life style using the another fatigue scale which is able to measure the subjective and objective fatigue degree. And it needs to develop the nursing intervention program for maintaining and promoting the health behavior as well as for decreasing the college students's fatigue.

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PNF의 Sprinter Pattern을 통한 하지의 근 활성도가 균형능력에 미치는 영향 (Effect of Lower Limb Muscle Activity on Balancing through Sprinter Patterns of PNF)

  • 정우식;정재영;김찬규;정대인;김경윤
    • 한국콘텐츠학회논문지
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    • 제11권3호
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    • pp.281-292
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    • 2011
  • 본 연구는 PNF 중 스프린터 패턴 적용 시 하지의 근 활성도가 균형 능력에 미치는 영향을 알아보고자 다음과 같이 실시하였다. 편마비 환자 24명을 대조군과 실험군으로 나누어 실험군에 주 3회, 6주 동안 PNF의 상 하지 패턴의 결합인 스프린터 패턴(Sprinter pattern)을 실시하였다. 하지 근활성도는 내 외측광근, 내 외측슬괵근, 외측비복근의 활동전위의 실효치 값을 분석하였다. 균형 능력 검사는 FICSIT-4, FSST, MTD-Balance system 이용하여 측정하였다. 운동 적용 방법에 따른 측정 시점에 대한 대조군과 실험군의 유의성 검정은 Two-way repeated measure ANOVA를 실시하였고, 각 측정 항목들 간의 상관관계를 알아보기 위하여 Pearson correlation으로 분석하였다. 그 결과, 스프린터 패턴의 적용은 마비측 하지의 근 활성도를 증가시켜 정적 및 동적 균형능력을 향상시키는데 효과가 있었음을 확인할 수 있었다. 따라서 마비측 하지의 효율적 근동원을 위한 치료적 중재프로그램으로 적극적인 활용과 함께 다양한 운동 패턴들과 결합시켜 새로운 중재를 개발할 필요가 있을 것으로 생각된다.

자조집단 프로그램이 유방절제술 환자의 적응과 삶의 질에 미치는 효과 (The Effect of Self-help Group Program on Adaptation and Quality of Life of Mastectomy Patients)

  • 박영신;임난영
    • 재활간호학회지
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    • 제2권1호
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    • pp.61-71
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    • 1999
  • This quasi-experimental study was intended to test the effect of self-help group program, which is one of the way to enhance adaptation and quality of life to mastectomy patients. Data was collected from July 14, 1998 to Oct. 31, 1998 at two Medical Center in Seoul. The subjects for this study were the patients who had undergone mastectomy and were follow-up ; 14 in experimental group and 14 in control group matched with age and treatment. The instruments for this study were adaptation in Lee(1994)'s physical symptom questionnaire, Zung's Self-rating Depression Scale(SDS, 1965), and Self-rating Anxiety Scale(SAS, 1970), quality of life in Spranger(1996)'s and No(1988)'s Quality of Life Questionnaire. The self-help group program for mastectomy patients was developed based on literature review and pilot study by the investigator. The subjects of experimental group were participated in 6 weeks self-help group program and were received arm and shoulder exercise, informational support, and interpersonal support by group members. The control group were received no intervention, Both group answered questionnaires prior to intervention and 6 weeks later. The data analyzed by frequency, $X^2$-test, Mann-Whitney U test. Wilcoxon Signed Rank test, Pearson's Correlation Coefficient and Stepwise Multiple Regression using SPSS WIN. The results are as follows ; Hypothesis 1. "The experimental group with the self-help group program will have a higher score on adaptation state than control group." was not supported. But the post test score of anxiety and depression in experimental group were declined and the depression score was reduced relatively. Hypothesis 2. "The experimental group with the self-help group program will have a higher score on quality of life than control group." was not supported. But the posttest score of quality of life in experimental group was reduced relatively. Hypothesis 3. "The higher adaptation state of mastectomy patients, the higher quality, of life." was supported(r=,80, p<.001). Additionally, the lower physical symptom, depression and anxiety, the higher quality of life And depression, which was the main predictor of quality of life, accounted for 59.5%, depression and anxiety accounted for 65.5% of the variance in quality of life. In conclusion, when the self-help group program was intervened to mastectomy patients, it was tended to increase quality of life and to reduce depression and anxiety. So self-help group program can be considered useful nursing inter vention effect on adaptation and quality of life of mastectomy patients. With discussion, I suggest repeated further re search on self-help group with appropriate sample size and longitudinal study. Also during adjuvant therapy, it is needed to develop convenient method to be supported from peer group and family, such as computer mediated support group.

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울산지역 중학교 여학생의 비만실태에 관한 연구 (Obesity among Secondary School Girls in Ulsan Area)

  • 김혜경
    • 동아시아식생활학회지
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    • 제6권1호
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    • pp.33-39
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    • 1996
  • 울산시의 여중생을 대상으로 비만 실태와 이에 영향을 미친다고 생각되는 일반환경요인, 식 습관과 식품섭취빈도, 영양지식 등을 조사한 결과는 다음과 같다. 1. 조사대상자의 평균 연령은 13.7세(12-15세)이고, 평균 신장과 체중은 각각 155.0cm, 46.6kg을 나타냈으며, BMI에 의한 비만율은 4.5%이었고 평균 BMI는 19.3을 나타냈다. 가족 수는 4-5명이 가장 많았고, 아버지와 어머니의 연령은 40-49세가 대부분을 차지하였고 거주형태는 아파트(52.8%)가 가장 많았다. 부모의 학력은 모두 고졸이 많았으며 월수입은 81-120만원(43.6%)이 가장 많았다. 2. 식 습관 조사에서는 부모의 편식율은 15.2%로 낮으나 조사대상자의 편식율은 48.1%로 높게 나타났다. 부모의 가려서 먹지 않는 편식식품은 돼지고기, 나물류, 복숭아로 나타났고, 조사대상자 자신의 편식식품은 양파, 육류, 생선, 계란, 버섯, 김치, 콩 등 종류가 다양하였다. 운동을 규칙적으로 하는 경우는 42.0%이었으며, 종류로는 가볍게 할 수 있는 줄넘기(32.5%), 배드민턴(16.7%), 달리기(11.5%) 등이 있었으며, 구기종목인 농구, 배구, 피구는 학교 체육수업 중에 하는 것으로 보인다. 그밖에 훌라후프, 수영, 테니스, 자전거, 걷기 등을 하는 것으로 나타났다. 3. 식품섭취 빈도점수는 평균 36.6점(10-61점)이 나왔고 상대적으로 BMI 21이상군에서 유의적으로 더 높게 나왔다(p<0.05). 간식으로 섭취하는 음식의 종류에서는 우유가 82.2%로 가장 높게 나타났고, 다음은 과자류, 아이스크림, 빵, 라면, 떡볶이, 요플레 순으로 나타났다. 4. 비만과 관련된 일반적인 영양지식은 10문항의 조사결과 10점 만점에 평균 6.5점(2-9점)으로 대체로 높게 나타났는데 이는 대중매체와 신문, 잡지류를 통한 지식의 정보가 많기 때문으로 생각된다 비만 정도에 따라서는 유의적인 차이를 보이지 않았다. 5. 비만 정도와 상호간의 관계를 보면 BMI 수치가 높을수록 비만인 형제수가 많았으며, 자신의 비만 자각도도 높았다. 편식율은 비만 정도가 낮을수록 높았으며, 식품섭취 빈도 점수는 비만군에서 높았으나, 저녁식사 후 간식섭취는 BMI가 높은 군에서 하지 않는 비율이 더 높았는데 이것은 감수성이 예민한 여학생들이 자신의 외모에 대한 의식적인 노력으로 보인다. 이상과 같은 결과를 종합해 볼 때 중학교 여학생들은 학교수업을 중심으로 비교적 규칙적인 생활을 하고 따로 운동을 할 시간이 많지 않은 것으로 나타났다. 비만과 관련하여서는 유전적인 요인도 중요하지만 식습관 개선과 식품이 적절한 선택 등을 강조하여 연령과 생활환경에 맞는 영양교육이 필요하다고 본다.

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Effect of a Combined Functional Electrical Stimulation with Action Observation Training on the Upper Limb Global Synkinesis and Function of Patients with Stroke

  • Kang, Jeongil;Kim, Huikyeong;Jeong, Daekeun;Park, Seungkyu;Yang, Daejung;Kim, Jeho;Moon, Youngjun
    • 국제물리치료학회지
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    • 제11권1호
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    • pp.2012-2020
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    • 2020
  • Background: Multifaceted approaches will be needed, such as global synkinesis (GS) achieve functional improvements in the arms of stroke patients from involuntary movements during exercise. Objective: To identify changes in arm GS and muscle activity, functional evaluation and the correlation with variables through action observation training, combined with functional electrical stimulation (FES), thereby verifying the effect on stroke patients. Design: A quasi-experimental study. Methods: The subjects of this study were 20 stroke patients who were divided into two groups: Control group (n=10) and experimental group (n=10). Before the intervention, arm GS and muscle activity were measured using surface electromyography (EMG), and arm function was evaluated using the Fugl-Meyer Assessment (FMA) scale. At the end of the intervention, which lasted 4-wk, arm GS and muscle activity were measured again using the same scale. Results: There was a decrease statistically significant difference in GS during the bending action in experimental group (P<.01). Both groups showed a significant difference increased only in the activity of the anterior deltoid (AD) and biceps brachii (BB) (P<.05). The results of the arm functional assessment revealed a significant difference increase in both groups (P<.05). In the between-group comparison, there was a significant difference decrease in GS during the bending action (P<.05). Only the muscle activity of the AD and BB were significantly increase different (P<.05). There was a significant between-group difference increase in the arm functional assessment (P<.05). There was a positive correlation between GS and muscle activity on the FMA in the control group (r=.678, P<.05). In experimental group, GS during the bending arm action exhibited a negative correlation (r=-.749, P<.05), and the muscle activity of the AD and BB showed a positive correlation (r=.701, P<.05). Furthermore, in experimental group, the activity of the extensor carpi radialis increased, and the activity of the flexor carpi radialis decreased, which exhibited a negative correlation (r=-.708, P<.05). Conclusion: These results suggest that brain plasticity could be more efficiently stimulated by combining surface stimulation in the affected arm of stroke patients.

호흡저항이 병행된 전신진동자극 훈련이 뇌졸중환자의 호흡기능 및 균형능력에 미치는 영향 (The Effects of Whole Body Vibration Stimulation Training Combined with Respiratory resistance on Respiratory and Balance Function in Stroke Patients)

  • 김병수;박삼호;박효정;이명모
    • 융합정보논문지
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    • 제9권10호
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    • pp.234-243
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    • 2019
  • 본 연구는 호흡저항이 병행된 전신진동자극 훈련이 뇌졸중환자의 호흡기능 및 균형기능에 미치는 영향을 알아보기 위하여 실시하였다. 만성 뇌졸중환자 17명을 호흡저항이 병행된 전신진동자극 훈련을 적용한 실험군(n=8)과 일반 진동운동프로그램을 적용한 대조군(n=9)으로 무작위 배정하였다. 중재는 30분간 1일 1회 주 3회, 4주간 실시하였다. 중재 전후 폐활량과 호흡근력 그리고 동적/정적 균형능력을 측정하여 비교하였다. 실험군에서 정 동적 균형능력, 폐활량과 호흡근력의 전 후 비교 결과 유의한 향상을 보였다(p<.05). 그리고 실험군과 대조군을 비교하였을 때 동적 균형능력, 폐활량과 호흡근력의 결과값에서 유의한 차이를 보였다(p<.05).실험군의 폐활량과 호흡근력 또한 실험전후 유의한 향상을 보였으며, 대조군에 비해 유의한 변화량의 차이를 나타내었다(p<.05). 본 연구결과를 통하여 호흡저항이 병행된 전신진동자극훈련은 뇌졸중환자의 호흡기능 및 균형능력 향상 프로그램으로 유익할 것으로 사료된다.

한국 노인의 넘어짐과 연계된 인체손상에 대한 이해와 예방: 체계적 문헌 고찰 (Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review)

  • 임기택;이지은;박하은;박수영;최우철
    • 한국전문물리치료학회지
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    • 제26권2호
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    • pp.34-48
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    • 2019
  • Background: Fall-related injuries in older adults are a major health problem, and the risks and mechanisms of these injuries should be affected by race, culture, living environment, and/or economic status. Objects: Research articles have been systematically reviewed to understand fall-related injuries in older adults in South Korea. Methods: 128 published research papers have been found through the Korea Citation Index and the Korean Studies Information Service System, and reviewed in various perspectives, including incidents, fall death rates, medical costs, causes, injury sites and types, locations where falls occurred, prevention strategies, scholarly fields interested in fall injuries, and the role of physical therapy. Results: Fall-related injuries were found to be more common in women than in men, and the number of incidents increased with age, with the highest rate found in individuals over 85 years old. Risk of fall injury was associated with education level, comorbidities, and fear of falling. Common places where falls occurred included the bathroom, living room, stairs, and hallway. Common types of injury included bruises, fractures, and sprains in the lower extremities. Intervention strategies included exercise programs, education, and protective clothing. Scholarly fields interested in fall-related injuries in older adults included medicine, nursing, physical therapy, occupational therapy, physical education, pharmacology, oriental medicine, biomedical engineering, design, clothing, and textiles. Physical therapy intervention using proprioceptive neuromuscular facilitation has been used to improve one's balance. Conclusion: Any movement during the activities of daily living can lead to a fall. Physical therapists are highly educated to analyze human movements and should be involved in more research and practices to solve fall-related injuries in older adults.