• 제목/요약/키워드: 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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    • 제34권5호
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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
    • 대한인간공학회지
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    • 제31권2호
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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.

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

  • 김성재;유영진
    • 한국습지학회지
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    • 제19권4호
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    • pp.383-392
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    • 2017
  • 당항만의 입구(진해만)부터 거산소류지 바로 아래까지 22개의 조사정점을 설정하고 여름은 2013년 8월, 9월(초순), 가을은 10월, 11월에 해역의 부영양화를 조사하였다. 여름철 총클로로필(TChl) 농도는 가을보다 평균 약 3.7배 높은 농도를 나타내었다. 여름에 당항만 중심에 가까운 조사정점들이 담수가 유입하는 바깥쪽 조사정점들보다 평균 약 1.8배 높은 농도를 나타내었다. 여름과 가을에 당항만은 모든 조사정점에서 부영양화 지수(eutrophication index, EI)가 1을 초과함으로서 다른 조건이 갖추어지면 항시 적조가 발생할 수 있는 해역으로 나타났다. 여름과 가을에 EI는 만 입구에서 만의 내측(마동호 예정해역)으로 이동함에 따라 증가하는 추세를 나타내었고, 특히 가을은 조사정점 13~22(마동호 예정해역)에서 급격히 증가하여 나머지 조사정점보다 평균 약 2.3배 높은 값을 나타내었다. 여름과 가을에 당항만은 질소가 조류 성장의 제한영양염류(limiting nutrient)로 나타났으나 여름 장마기간 중에는 인이 제한영양염류로 나타났다. 여름과 가을에 당항만의 EI와 COD, DIN, DIP 사이의 다중선형회귀분석은 유의한 양의 상관관계를 나타내었고, DIP가 EI에 가장 큰 영향을 미치는 변수임을 나타내 주었다. 한편 여름에 TChl과 COD, DIN, DIP, DSi 사이의 다중선형회귀분석은 유의한 양의 상관관계를 나타내었고, DIP가 TChl 농도에 가장 큰 영향을 미치는 변수임을 나타내 주었다. 가을은 TChl과 모든 지표들 사이에 유의한 상관관계가 나타나지 않았다.

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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    • 제3권3호
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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.

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

  • 손영환;김성필;장병욱
    • 한국농공학회논문집
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    • 제50권1호
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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.

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

  • 정은숙
    • 가정간호학회지
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    • 제24권1호
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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.

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

  • 빈유민;안소윤;안성자
    • 대한물리치료과학회지
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    • 제25권3호
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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.

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

  • 손영환;장병욱;원정윤;김성필
    • 한국농공학회:학술대회논문집
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    • 한국농공학회 2003년도 학술발표논문집
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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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재가노인의 낙상위험요인 지식 측정도구 개발 (Development of a Knowledge Scale of Fall Risk Factors for Community-dwelling Older Adults)

  • 홍정민
    • 성인간호학회지
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    • 제24권3호
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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.

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

  • 김태형;이재훈;오성근
    • 한국산학기술학회논문지
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    • 제12권12호
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    • pp.5518-5524
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    • 2011
  • 사람이 서있는 동안의 안정성 감소는 낙상에 영향을 끼치는 요인 중 하나이다. 따라서 본 논문은 낙상 발생률이 높은 65세 이상의 노인여성을 대상으로 균형기능 검사를 실시하고, 성인여성의 연령대별 비교를 통해 균형능력이 노화에 따라 변화해가는 정형외과 및 신경학적 요인들을 밝혀 낙상을 예방하고자 한다. 연구 대상자는 보조기나 약물복용 없이 독립보행이 가능한 65세 이상의 신체 건강한 노인여성 10명(평균연령: 71.9세)과 성인여성 10명(평균연령: 23.2세)으로 하였다. 균형능력 평가장치(Tetrax)를 이용하여 8가지 자세에 대한 안정성 지수(Stability Index, ST), 푸리에 지수(Fourier index, F), 체중분표(Weight Distribution (%), WD), 체중분포율 지수(Weight Distribution Index, WDI), 동기화 지수(Synchronization Index, SI), 낙상율지수(fall index, FI)를 측정하였다. 그 결과, 안정성 지수(ST)는 노인여성과 성인여성간 PO를 제외한 모든 자세에서 통계적으로 유의한 차이를 나타냈다(p<.01) 푸리에지수는 낮은주파수(low, F1)에서 PO를 제외한 모든 자세에서 노인여성과 성인여성은 유의한 차이를 나타냈다(p<.01). 또한 중간낮은 주파수(middle-low, F2-F4), 중간높은주파수(middle-high, F5-F6), 높은주파수(high, F7-F8) 모두에서 노인여성이 성인여성보다 통계적으로 유의하게 높은 수치를 나타냈다. 모든 자세에서 노인여성의 체중분포율지수가 더 높게 나타났으나, PO와 PC에서만 통계적으로 유의했다. 이는 노화에 따른 생리학적 변화로 체성감각기관, 전정기관, 중추신경계등 전반적인 부분에서 능력이 저하됨에 따라 나타난 것으로 사료된다.