• Title/Summary/Keyword: Fall index

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Effects of Visual Cue Deprivation Balance Training with Head Control on Balance Function and Fall Index in Older People

  • Kim, Seung-Kyu;Lee, Do-Youn;Nam, Seung-Min
    • The Journal of Korean Physical Therapy
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    • v.34 no.5
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    • pp.212-217
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    • 2022
  • Purpose: This study sought to investigate the effects of visual cue deprivation balance training by applying head control feedback to the balance function and the fall index in older people. Methods: The study was conducted on 26 older people at the S Hospital in Gyeongsansi. The patients were randomly divided into the experimental groupI (EGI, n=9), the experimental groupII (EGII, n=9), and the control group (CG, n=8). The three groups were trained for 30 minutes three times a week for four weeks. To assess the patients' static balance function, their limits of stability (LOS) was measured using the BioRescue system, (RM Ingenierie, France), composed of a pressure platform that can measure force in diverse ways, a computer, and a monitor. The dynamic balance function was measured using the Berg Balance Scale (BBS). Also, the fall index was measured to evaluate the risk of falling. A paired t-test was performed to compare pre- and post-training performance within the groups. One-way ANOVA was performed for comparing the three groups. A post hoc least significant difference (LSD) test was also performed. Results: The results of the LOS showed a significant difference after training in the EGI and EGII groups (p<0.05). As a result of the difference between the three groups, there was a significant difference after training (p<0.05). The results of the BBS showed a significant difference after training in the EGI group (p<0.05). As a result of the difference between the three groups, there was a significant difference after training (p<0.05). Conclusion: Visual cue deprivation balance training applying head control feedback is effective in improving the dynamic balance function in older people. It is also necessary to constantly maintain the head orientation by feedback and to properly control the head movement.

The Effect of Abdominal-Compression Belt on Balance Ability with One Leg Standing

  • Chang, Ki-Yeon;Chon, Seung-Chul
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.2
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    • pp.337-343
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    • 2012
  • Objective: The aim of this study was to determine the effect of abdominal-compression belt in one leg standing on balance in normal adult. Background: With the effects of increased intra-abdominal pressure, the abdominal-compression belt is contributing to a static balance control. However, specific study is still insufficient. Method: Forty subjects were randomly allocated to two groups: control(n=20) and experimental group(n=20), respectively. The experimental group used an abdominal-compression belt, whereas the control group did not that. All subjects were educated using pressure biofeedback unit and ultrasound imaging for exact application by abdominal-compression belt. Main outcome measurement was used a general stability index, fourier harmony index, weight distribution index, and fall index in tetrax balance system. Results: Experimental group improved significantly on general stability, only 2 factors(eyes closed with head turned forward and eyes closed with head turned backward) among fourier harmony index, and fall index, However, weight distribution index did not revealed significant difference. Conclusion: The findings suggest that application of abdominal-compression belt could be effective on improving balance ability in one leg standing of normal adults. Application: The results of the abdominal-compression belt might help to control balance in workers.

Estimation of Eutrophication during Summer and Fall in Danghang Bay (당항만의 여름과 가을의 부영양화 평가)

  • Kim, Sung Jae;Yoo, Young Jin
    • Journal of Wetlands Research
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    • v.19 no.4
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    • pp.383-392
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    • 2017
  • In 2013, August and September(early) as summer and October and November as Fall the probe of eutrophication has been done at 22 sampling points from the entrance of Danghang Bay (Jinhae Bay) to Geosan reservoir. In Danghang Bay, total chlorophyll(TChl) concentration of summer was 3.7 times higher than that of fall, and sampling points closer to the center showed 1.8 times higher concentrations than sampling points near the fringe where fresh water encountered. Eutrophication Index(EI) exceeded 1 at all sampling points in Danghang Bay during summer and fall, and if other conditions for algae growth met there was a possibility red tide to bloom at any place. There was a tendency of EI to gradually increase moving up from the entrance of bay to the inner side during summer and fall. Especially there was a sudden increase by 2.3 times higher at sampling points of 13~22 (planned region as Madong reservoir) than at other points during fall. Nitrogen was a limiting nutrient for growth of algae during summer and fall in Danghang Bay, but phosphorus was a limiting nutrient during summer rainy season. During summer and fall, multiple linear regression analysis between EI and COD, DIN, and DIP showed a significant positive relationship and that DIP was the most effective variable. Whereas multiple linear regression analysis between TChl and COD, DIN, DIP, and DSi showed a significant positive relationship and that DIP was also the most effective variable during summer. There was no significant correlation between TChl and the other parameters during fall.

Fall Risk Assessments Based on Postural and Dynamic Stability Using Inertial Measurement Unit

  • Liu, Jian;Zhang, Xiaoyue;Lockhart, Thurmon E.
    • Safety and Health at Work
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    • v.3 no.3
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    • pp.192-198
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    • 2012
  • Objectives: Slip and fall accidents in the workplace are one of the top causes of work related fatalities and injuries. Previous studies have indicated that fall risk was related to postural and dynamic stability. However, the usage of this theoretical relationship was limited by laboratory based measuring instruments. The current study proposed a new method for stability assessment by use of inertial measurement units (IMUs). Methods: Accelerations at different body parts were recorded by the IMUs. Postural and local dynamic stability was assessed from these measures and compared with that computed from the traditional method. Results: The results demonstrated: 1) significant differences between fall prone and healthy groups in IMU assessed dynamic stability; and 2) better power of discrimination with multi stability index assessed by IMUs. Conclusion: The findings can be utilized in the design of a portable screening or monitoring tool for fall risk assessment in various industrial settings.

Estimation of Weathered Degree Using Fall cone in Weathered Soil ; Silty Sand (Fall Cone을 이용한 풍화도 측정(실트질 모래에 대하여))

  • Son, Young-Hwan;Kim, Seong-Pil;Chang, Pyoung-Wuck
    • Journal of The Korean Society of Agricultural Engineers
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    • v.50 no.1
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    • pp.61-68
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    • 2008
  • It is essential to analyze and classify the physical characteristics of weathered granite for engineering purposes. This paper is to suggest a physical method to determine the degree of weathering of weathered soils. A new classification method for determining the degree of weathering is suggested, based upon the results from laboratory tests including fall cone test. According to the proposed physical method using fall cone apparatus, the measured values of the samples from the same area show distinctive difference of weathering. The water content tends to increase with increasing the degree of weathering at the same penetration in fall cone test. And relationship between CWI and water content are expressed one equation in Hwaseong area and Ilsan area.

Comparison of risk factors for and experiences with falls according to sex among older adults with dementia in long-term care (노인요양원 치매노인의 성별에 따른 낙상경험 요인 비교)

  • Jung, Eun Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.24 no.1
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    • pp.34-43
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    • 2017
  • Purpose: The purpose of this study was to provide basic data to develop a Fall Prevention Education Program by comparing and analyzing fall experiences and the factors that influence elderly people with dementia suffering falls. Methods: The participants were 302 patients with dementia aged 60 years or older with nursing records of hospitalization in three nursing homes located in a metropolitan area. The SPSS/Win 21.0 package was used to analyze the collected data. A logistic regression analysis was performed to identify the influence factors related to fall experiences. Results: For men, fall experiences were more frequent given the following factors: overweight; high fall risk tendency; aged 90 and above; married; dementia duration period of 5 to 9 years; and taking medication for dementia. For women, the factors included age range of 80 to 89; overweight; obese; both low and high fall risk tendency; separation by death; and having spent less than 1 year in nursing homes. Conclusion: We anticipate positive results in fall prevention education programs for the elderly with dementia if the results of this study are used as basic data, and interventions are customized to consider the sex and the relevant influence factors as to fall experiences.

Comparison of Physical Ability and Fall Efficacy and Depression between Elderly and Hospitalized Elderly (입원 노인과 재가 노인의 신체능력과 낙상효능감 및 우울수준 비교)

  • Been, Yu Min;Ahn, So Youn;An, Seong Ja
    • Journal of Korean Physical Therapy Science
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    • v.25 no.3
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    • pp.1-8
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    • 2018
  • Background: The purpose of this study is to provide basic data on physical therapy intervention by comparing the physical ability and fall efficacy and depression of elderly and hospitalized elderly. Method: This study was carried out with 22 hospitalized elderly who can live in Y-Hospital and 22 elderly people in Busan. We measured body mas index, time up & go test, function reach test, 10m walking test, bracket lifting test, fall efficacy and geriatric depression scale. The data collection period was from November to December 2017. The collected data was analyzed using SPSS Win 18.00 program. Results: There was a significant difference between the elderly and hospitalized elderly form physical ability and depression(p<.05). But Fall efficacy was no significant difference(p>.05). 10m walking with TUG, heel with fall efficacy showed quantitative correlation and 10m walking with fall efficacy, depression with fall efficacy, heel with TUG, 10m walking showed amulet correlation. There was a statistically significant difference. Conclusion: Elderly showed better results in physical ability and depression than hospitalized patients.

Estimation of Liquid Limit by a Single-point Method of Fall Cone Test (Fall Cone Test의 일점법을 이용한 액성한계 추정)

  • Son, Young-Hwan;Chang, Pyoung-Wuck;Won, Jung-Yun;Kim, Seong-Pil
    • Proceedings of the Korean Society of Agricultural Engineers Conference
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    • 2003.10a
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    • pp.203-206
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    • 2003
  • The liquid limit(LL) test is universally used as a standard test for determining one of the index properties of a clay. There are two methods of determining the LL, Casagrande method and cone penetration method that is fall cone test. The interpretation of the Casagrande method of obtaining the LL is not obvious, but it has been suggested that the fall cone test is essentially a strength test and that the LL test simply ascertains the moisture content at which a clay has a certain standard undrained shear strength. This paper presents a determination of the LL by a single-point method. Results obtained from fall cone that is general method and a single-point method are analyzed by comparison.

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Development of a Knowledge Scale of Fall Risk Factors for Community-dwelling Older Adults (재가노인의 낙상위험요인 지식 측정도구 개발)

  • Hong, Chong-Min
    • Korean Journal of Adult Nursing
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    • v.24 no.3
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    • pp.244-252
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    • 2012
  • Purpose: The purpose of the study was to develop a knowledge scale of risk factors for fall among community-dwelling older adults. Further, the validity and reliability of the scale was developed. Methods: A preliminary scale was developed through content validity by five experts and targeted subjects using the CVI (Content Validity Index). Following the establishment of content validity, the scale was used with 359 community-dwelling older adults to further establish both validity and reliability of the scale. Specifically, construct validity using known-group comparison technique, and reliability using Cronbach's ${\alpha}$ were established. Results: After content validity testing, 44 preliminary items were selected. Construct validity was established by known group-comparison, in which scores between the fall and no fall groups were compared. The Cronbach's ${\alpha}$ of the final scale was .83. Conclusion: Reliability and validity of the scale were confirmed. This tool may be used for measuring knowledge of fall risk factor for the community-dwelling older adults.

Staticposture stability evaluation of female elderly using stability evaluation device (균형능력 평가 장치를 이용한 여성노인의 정적자세안정성 평가)

  • Kim, Tae-Hyung;Yi, Jae-Hoon;Oh, Seong-Geun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5518-5524
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    • 2011
  • The purpose of this study is to investigate the change of balance ability on aging by measuring balance ability of elderly females whose age is over 65. The subjects are ten elderly women (the mean age: 71.9) able to walk without assistants, the assistant equipments and drug dependence and ten young healthy women (the mean age: 23.2). We measured stability index (ST), Fourier index (F), weight distribution (WD), weight distribution index (WDI), synchronization index (SI) and fall index (FI) by using Tetrax (Tetra-ataxiometric Posturography). In result, STs and Fs at the low frequency region (F1) represented the significant difference between two groups at all postures with PO (pillow with eye open) exception (p<.01). Fs at the other frequency regions (F2~F8) represented the significant difference between two groups (p<.05). WDI of the elderly women represented the higher values than the young women at all postures but there are the significant difference at PO and PC (pillow with eye closed) only. These results may be due to age-related ability decline of somatesthesia, vestibular organ, central nervous system.