• Title/Summary/Keyword: Fall risk

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On the Physical Function Evaluation, Prevention Training, and Cognitive Ability Improvement through the Design of a Healthcare Independence Support System based on Emotional Satisfaction of Senior Users

  • Lee, Sang Min;Kim, Joo Uk;Kim, Young Min
    • International Journal of Internet, Broadcasting and Communication
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    • v.13 no.1
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    • pp.37-46
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    • 2021
  • Recently, social technologies have been created to solve problems from businesses for the establishment of generational solidarity ecosystem in terms of employment, residential space, network and social capital, age, cognitive and environmental aspects. This is senior-friendly healthcare business system aimed at meeting the senior needs for health life to enjoy active consumption culture life even after retirement, becoming a catalyst for minimizing generational conflicts, preventing the cognitive and physical deterioration of seniority in the areas of life healthcare, fitness and well-aging, and expanding into systems necessary for seniority self-reliance. We would like to draw up the development and requirements of the concept of the service platform for the study of collective characteristics for generation solidarity with senior class and the establishment of a customized senior health life system for generation solidarity. This system is characterized by a platform that can prevent the decline of seniors' cognitive and physical functions and enhance emotional stability. It is significant in providing feedback on the risk perception index, fall index, and prevention training index information to the child through the analysis and extraction of the senior health index for risk perception, fall probability, and fall prevention.

Rock fall on tunnel portals

  • OGGERI, Claudio;PEILA, Daniele;PELIZZA, Sebastiano;KIM, Sanghwan
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.6 no.4
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    • pp.357-365
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    • 2004
  • Tunnel portals are often located in areas where the risk of rock fall and/or detachement of rock fragments from rocky slopes is high. In this case it is necessary to design the portals so as to protect the road (i.e. using an artificial tunnel) or to instal structures that are able to intercept falling blocks on the slope. This paper deals with the design problems of these structures and includes a special analysis of net fences which have undergone a remarkable technological improvement over recent years.

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MULTI-ORDER FRACTIONAL OPERATOR IN A TIME-DIFFERENTIAL FORMAL WITH BALANCE FUNCTION

  • Harikrishnan, S.;Ibrahim, Rabha W.;Kanagarajan, K.
    • Korean Journal of Mathematics
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    • v.27 no.1
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    • pp.119-129
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    • 2019
  • Balance function is one of the joint factors to determine fall in risk theory. It helps to moderate the progression and riskiness of falls for detecting balance and fall risk factors. Nevertheless, the objective measures for balance function require expensive equipment with the assessment of any expertise. We establish the existence and uniqueness of a multi-order fractional differential equations based on ${\psi}$-Hilfer operator on time scales with balance function. This class describes the dynamic of time scales derivative. Our tool is based on the Schauder fixed point theorem. Here, sufficient conditions for Ulam-stability are given.

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.

Factors Influencing Falls in Inpatients (입원환자의 낙상 경험에 영향을 미치는 요인)

  • Sung, Young-Hee;Kwon, In-Gak;Kim, Kyung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.2
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    • pp.200-207
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    • 2006
  • Purpose: This study was done to identify factors influencing falls in inpatients. A comprehensive analysis of individual, disease, and environment related factors and an assessment of being in a risk factor group were included in the data. Method: The medical records of 325 inpatients were reviewed. Data were collected from January to July 2003. Frequencies, 1-test and $X^2-test$ were used to analyze the data and the SPSS program was used. Results: Individual-related factors for inpatients falls were age, drinking and weakness. Disease-related factors for inpatients falls were diagnostic department, admission from ER or OPD, admission by wheelchair or orther method and activity status. Environment-related factors for inpatient falls were re-education and side-rails. Assessment of the risk factor group related factors were age, history of falls, body balance, depression, communication, medication, chronic disease, urinary condition and total score for risk factors. Conclusion: Experienceing a fall among Korean inpatients was associated not only with individual factors, but also with disease and environmental factors. The findings of this study suggest that broad intervention programs should be provided to prevent inpatient falls.

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Fall Risk Analysis of Elderly Living in the City (도시 거주 노인의 낙상 위험요인 분석)

  • Kim, Sang-hee;Kim, Seok-kyu;Kang, Chae-young;Kim, Su-jeong;Lee, Hyun-ju
    • Journal of Digital Convergence
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    • v.14 no.5
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    • pp.485-491
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    • 2016
  • The purpose of this study was to compare of the fall risk factors for elderly in the city. 62 people aged 65 years or older were classified as fallers and nonfallers based on experience of their falls in the previous year. By comparing the difference between the groups via evaluations of general characteristics, health related behavior and chronic disease, balance-related psychological (K-ABC) and physical measurement (BBS), depression (SGDS), and the correlations between the significant differences in variables were identified. According to the results, K-ABC, BBS, and SGDS are statistically significant differences between fallers and nonfallers (P<0.05). Also it has positive correlations between BBS and K-ABC (r=0.499) whereas negative correlation between K-ABC and SGDS(r=-0.472).

A Comparison of Assessment Tools for Prediction of Falls in Patients With Stroke (뇌졸중 환자의 낙상 예측을 위한 평가도구 비교)

  • Won, Jong-Im
    • Physical Therapy Korea
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    • v.21 no.2
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    • pp.37-47
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    • 2014
  • Falls are common after stroke and most frequently related to loss of balance while walking. Consequently, preventing falls is one of the goals of acute, rehabilitative, and chronic stroke care. The purpose of this study was to investigate the incidence and risk factors of falls and to determine how well the Falls Efficacy Scale (FES), Timed Up and Go test (TUG), and Berg Balance Scale (BBS) could distinguish between fallers and non-fallers among stroke patients during inpatient rehabilitation. One hundred and fifteen participants with at least 3 months post-stroke and able to walk at least 3 m with or without a mono cane participated in this study. Fifty-four (47%) participants reported falling, and 15 (27.8%) had a recurrent fall. Logistic regression analysis for predicting falls showed that left hemiplegia [odds ratio (OR)=4.68] and fear of falling (OR=5.99) were strong risk factors for falls. Fallers performed worse than non-fallers on the FES, TUG, and BBS (p<.05, p<.01, respectively). In the receiver operator characteristic curve analysis, the TUG demonstrated the best discriminating ability among the three assessment tools. The cut-off score was 22 seconds on the TUG for discriminating fallers from non-fallers (sensitivity=88.9%, specificity=45.9%) and 27 seconds for discriminating recurrent fallers from single fallers and non-fallers (sensitivity=71.4%, specificity=40.2%). Results suggest that there is a need for providing fall prevention and injury minimization programs for stroke patients who record over 22 seconds on the TUG.

Correlation Between BBS, FRT, STI, TUG, MBI, and Falling in Stroke Patients (뇌졸중 환자에서 BBS, STI, MBI, TUG, FRT, 낙상과의 상관관계)

  • Lee, Han-Suk;Choi, Jin-Ho
    • The Journal of Korean Physical Therapy
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    • v.20 no.4
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    • pp.1-6
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    • 2008
  • Purpose: We studied the correlation between BBS (Berg Balance Scale), Functional Reach Test (FRT), Timed-Up & Go test (TUG), Stability Index (STI), MBI (Modified Barthel Index), and Fall History. Methods: We recruited 20 stroke patients from the Gang Dong Gu Health Care Center in Seoul, Korea. All subjects could walk with or without an assisting device. Subjects first completed a questionnaire pertaining to their fall history and Activity of Daily Living (MBI), and then were evaluated with BBS, TUG, FRT, and STI. We used the Tetrax posturography system that calculates a STI based on fluctuations in vertical ground reaction forces. The data were analyzed using a Pearson Correlation Coefficient. Results: The BBS and FRT (p<0.05) and MBI (p<0.01) showed a significant positive correlation. BBS negatively correlated with STI and TUG (p<0.01). Fall history and BBS, TUG, MBI, FR, STI did not correlate. Conclusion: The BBS helps predict weight shifting, walking, and ADL, but is not good for predicting fall risk. So, we need to study about factors that affect falling.

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Implementation of Falling Accident Monitoring and Prediction System using Real-time Integrated Sensing Data

  • Bonghyun Kim
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.17 no.11
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    • pp.2987-3002
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    • 2023
  • In 2015, the number of senior citizens aged 65 and over in Korea was 6,662,400, accounting for 13.1% of the total population. Along with these social phenomena, risk information related to the elderly is increasing every year. In particular, a fall accident caused by a fall can cause serious injury to an elderly person, so special attention is required. Therefore, in this paper, we implemented a system that monitors fall accidents and informs them in real time to minimize damage caused by falls. To this end, beacon-based indoor location positioning was performed and biometric information based on an integrated module was collected using various sensors. In other words, a multi-functional sensor integration module was designed based on Arduino to collect and monitor user's temperature, heart rate, and motion data in real time. Finally, through the analysis and prediction of measurement signals from the integrated module, damage from fall accidents can be reduced and rapid emergency treatment is possible. Through this, it is possible to reduce the damage caused by a fall accident, and rapid emergency treatment will be possible. In addition, it is expected to lead a new paradigm of safety systems through expansion and application to socially vulnerable groups.

Risk Factors of Falls among Korean Elderly (한국노인의 낙상 요인 연구)

  • Yeom, Jihye;Na, Hang-Jin
    • 한국노년학
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    • v.32 no.2
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    • pp.577-592
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    • 2012
  • The purpose of this study is to examine which factors determine fall experience among Korean elderly. To achieve this purpose, it uses the Korean Longitudinal Study of Aging(KLoSA), wave 1 and 2. Participants aged 65 from wave 1 were selected. From wave 2, a dependent variable was selected and it was fall experiences since the first interview in 2006. Other than this variable, all independent variables were selected from wave 1. In analyses, x2 or t-test were conducted to examine whether independent variables significantly differ between falls and no falls. Then, since a dependent variable consisted of two categories-falls or no falls, multiple logistic regressions were run. Female, using hearing aid, having two diseases, having three or more diseases, depression, and exercise 5 times/a week or more elevated the odds ratios of fall experience. compared to their reference categories. Particularly, if Korean elderly had three or more diseases or depression, their likelihood of fall experience would have about 2 times higher than their reference categories. In conclusion, health practitioners should make the elderly be recognized how much these risk factors are important to falls. Also, Korean government should support Korean elderly having these risk factors to prevent them from falling.