• 대한물리의학회지
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• 제19권1호
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• pp.119-129
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• 2024

PURPOSE: The purpose of this study was to examine the effectiveness of a low-intensity combined exercise program on daily physical fitness parameters such as balance, flexibility, muscle strength, and fear of falling of elderly women in the community. METHODS: This study assigned 30 elderly women randomly into two groups: The control and experimental groups. The control group (n = 15) underwent routine gait. The experimental group (n = 15) underwent the low-intensity combined exercise. The exercise program in this study comprising combined exercise, including balance, flexibility, muscle strength training, and the exercise program using props was conducted twice a week for 8 weeks. RESULTS: The average age of the control and experimental groups was 77.27 years and 78.33 years, respectively. There were significant differences in static balance (t = -4.167, p < .001), dynamic balance (t = 2.463, p < .001), (t = -3.870, p < .001), (t = -2.262, p < .001), (t = -5.732, p < .001), (t = -6.573, p < .001), and fear of falling (t = -5.129, p < .001). CONCLUSION: The results show that low-intensity combined exercise is an effective intervention that improves physical health fear of falling in older women. The combined exercise program was found to be more effective in terms of physical function and fall-related psychological function compared to the control group that only walked.

• 한국전문물리치료학회지
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• 제23권4호
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• pp.63-70
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• 2016

Background: The Pediatric Balance Scale (PBS) and the Fullerton Advanced Balance (FAB) scale were used to assess balance function in patients with balance problem. These multidimensional clinical balance scales provide information about potential risk factors for falls. Objects: The purpose of this study was to investigate and compare the predictive properties of the PBS and FAB scales relative to fall risk in children with cerebral palsy (CP) using a receiver operating characteristic analysis. Methods: In total, 49 children with CP (boy=21, girl=28) who were diagnosed with level 1 or 2 according to the Gross Motor Function Classification System participated in this study. The PBS and FAB were performed, and verified cut-off score, sensitivity, specificity, and the area of under the curve (AUC). Results: In this study, the PBS scale was as a predictive measure of fall risk, but the FAB was not significant in children with CP. A cut-off score of 45.5 points provided optimal sensitivity of .90 and specificity of .69 on the PBS, and a cut-off score of 21.5 points provided optimal sensitivity of .90 and specificity of .62 on the FAB. Both scales showed moderately accurate of AUC with .79 and .76, respectively. Conclusion: The PBS is a useful screening tool for predicting fall risk in children with cerebral palsy, and those who score 45.5 or lower indicate a high risk for falls and are in need of balance intervention.

• 국제물리치료학회지
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• 제9권1호
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• pp.1387-1392
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• 2018

The purpose of this study was to investigate the effect of fall injuries on the balancing abilities and ankle flexibility. Fifteen of the voluntary participants had no experience of falling in the last two years (none falling group, NFG) and 15 others experienced at least one (falling group, FG). Static balance (sway length, sway area), dynamic balance (timed up and go (TUG), and functional to reach test (FRT) were measured in each group. In comparison of static balance, sway length was not significantly different between NFG and FG in both eyes open and eyes close, however the sway area of the FG was significantly wider than that of the NFG (p<.05). In dynamic balance comparisons, TUG of FG was significantly longer than that of NFG (p <.05), however FRT and STS were no significant difference between groups. Ankle flexibility was significantly higher in NFG than in FG. This study suggests that the fall prevention program should include methods for improving ankle stability and lower extremity function.

• 한국융합학회논문지
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• 제9권6호
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• pp.271-277
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• 2018

이 연구의 목적은 우리나라 지역거주 노인의 낙상 리스크를 평가하는 문항을 선정하고 유효성을 검토하는데 있다. 낙상위험 평가는 선행연구를 참고로 '낙상잠재성', '신체기능', '질병과 신체증상', '환경', '행동과 성격'의 5가지 요인으로 구분하였으며 내용타당성 검증, 교차분석 및 요인분석 결과에 따라 총 44개 문항으로 구성하였다. 한국형 낙상위험 평가척도는 심각한 사회문제로 인식되고 있는 노인의 낙상문제를 개선하고 개인의 낙상예방에 중요한 정보를 제공하는데 유용한 도구로 사용될 수 있을 것이다.

• 대한물리치료과학회지
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• 제16권2호
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• pp.19-26
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• 2009

Background: The purpose of this study was to investigate effects of six-week biofeedback training for prevention of falling in elderly persons. Biofeedback training for using the TETRAX system. Methods: Thirty healthy elderly persons(men=17, women=13) who were 79 years of mean age participated in sensory regulation training. They were trained for thirty minutes a day, three times per week. We measured subjects sensory regulated function by TETRAX system, and analyzed mean difference of observed variables by paired t-test between the pre and post test. Results: The first experimental group were significantly difference between pre and post test. The second control group were not significantly between the pre and post test. The third there are significant between group. Conclusion: The results of this study reveal that biofeedback training exercise will improve sensory balance function, and further studies needs to identify which specific factors are related to fall in the elderly population, and it is expected this study may contribute in reducing fall and therapeutic exercise in falling.

• 대한간호학회지
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• 제43권5호
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• pp.613-625
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• 2013

Purpose: This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities. Methods: The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes. Results: The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group. Conclusion: These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.

• 대한물리의학회지
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• 제8권4호
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• pp.549-558
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• 2013

PURPOSE: This study is designed as a retrospective study, and identified the clinical usability of Sit to Stand (STS) test for predicting of fall incidence in stroke patients who experienced a fall within 1 year. METHODS: Between July 2011 and November 2012, 69 inpatients with stroke in K rehabilitation hospital were participated under voluntarily signing the informed consent form. STS test and 10m walk test (10MWT) were used to assess the muscle strength of lower-extremity and walking velocity, respectively. Also, we tested dynamic balance and motor function of lower-extremity in affected-side using with the Berg balance scale (BBS) and the Fugl-Meyer assessment of lower extremity (FM-L/E). METHODS: There were significant differences between subjects with fall-experienced group and without subjects without fall-experienced group in STS test, 10MWT, BBS scores and FM-L/E. STS test significantly showed a negative correlation between 10MWT (r=-.657), BBS (r=-.512), and FM-L/E (r=-.563). And, 10MWT have a influence on the performance of STS test (the capacity of explanation = 20%). The cut-off value of STS performance predicting falls experience is ${\geq}14.36$ seconds (sensitivity=76%; specificity=79%, area under curve=.785). According to logistic regression analysis of falls experience, subjects ${\geq}14.36$ s showed that 4.164 times (odd ratio) increased in falls than subjects < 14.36 s in STS test. CONCLUSION: This study demonstrated that STS test may be a useful tool predicting and measuring falls in patients with stroke. Further study will be needed to elucidate the kinematic analysis of STS test and the relationship between physical activity level and falls in stroke patients.

• Physical Therapy Rehabilitation Science
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• 제7권3호
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• pp.139-145
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• 2018

Objective: Older persons with diabetes mellitus (DM) are particularly more likely to have fallen in the previous year than those without DM. The purpose of this study was to investigate the relationship between the risk of falls and type 2 DM in older adults who are 65 years of age or above. Design: A systematic review. Methods: PubMed and other two databases were searched up to August 2, 2018. Observational and cohort studies evaluating fall risk in people who are 65 years of age or above with DM were included. This review extracted the following information from each study selected: first author's surname, year of publication, country, average follow-up period, sex, age at enrollment, study population, measurement variables, relative risk, 95% confidence intervals and controlled variables. Results: This review involved nine cohort studies with 3,765 older adults with DM and 12,989 older adults without DM. Six studies compared with or without DM and two studies compared fallers with non-fallers with DM. Risk factors for falls included impaired cognitive function, diabetes-related complications (peripheral nerve dysfunction, visual impairment), and physical function (balance, gait velocity, muscle strength, and severity of physical activities). Conclusions: People who are 65 years of age or above with DM have increased risk of falling caused by impaired cognitive function, peripheral nerve dysfunction, visual impairment, and physical function in community-dwellers. For adults who are 65 years of age or older with DM, research fields and clinical settings should consider therapeutic approaches to improve these risk factors for falls.

• 한국산학기술학회논문지
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• 제15권10호
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• pp.6242-6249
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• 2014

본 연구는 지역사회 거주 노인의 신체기능과 낙상두려움간에 상호 어떻게 영향을 미치는가의 관계을 살펴보고자 시도하였다. 65세 이상 노인 460명을 대상으로, 연구기간은 2014년 1월 3일부터 3월 30일까지이며, 본 연구에 자발적으로 참여할 것을 동의한 노인에게 직접 설문지를 읽어주고 대상자가 대답하는 방식으로 조사하였다. 인구사회학적 특성과 낙상에 관한 정보, 신체기능과 낙상두려움에 대하여 조사하였고 지난 1년동안 낙상을 경험한 노인은 139명(30.2%)으로 조사되었다. 신체기능에서 한 발 들고 균형 잡고 서 있기, 협응성 유연성 검사, 보행능력 검사가 낙상두려움간에 유의한 상관관계가 있는 것으로 나타났다. 본 연구 변수의 회귀모형을 분석한 결과 유의한 것으로 나타났으며, 모형의 설명력은 16.9%이고 낙상 두려움에 가장 큰 영향을 미치는 요인은 앉았다 일어서기 검사, 보행능력 검사로 조사되었다. 본 연구는 낙상 예방을 위한 보다 효과적인 중재 프로그램 개발에 기여할 것으로 사료된다.

• 한국산학기술학회논문지
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• 제15권8호
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• pp.5186-5194
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• 2014

본 논문은 노인의 건강을 위협하는 가장 심각한 문제 중의 하나인 낙상을 예방하기 위하여 2014년 5월부터 6월 까지 1주에 2번씩 6주 동안 낙상을 예방하기 위한 운동을 시행하였고, 시행 전 후 TUG, FRT, BBS, ADL, 낙상공포감, 낙상효능감, 우울의 정도를 비교하여 운동의 효과를 분석하였다. 그 결과 본 연구의 가설 검정에서 제1가설 "낙상예방운동에 참여한 노인은 참여하기 전보다 FRT가 향상될 것이다"의 T-test 검정 결과는 사전 사후(F=3.14, p<.05)로 TUG 점수는 통계적으로 유의한 차이를 보였고, 제3가설 "낙상예방운동에 참여한 노인은 참여하기전보다 BBS(균형정도)가 향상될 것이다"의 T-test 검정 결과는 사전 사후(F=-5.74, p<.001)로 BBS의 점수도 통계적으로 유의한 차이를 보였다. 그 외 FRT, ADL, 낙상공포감, 낙상효능감, 우울의 점수는 통계적으로 유의하진 않으나 개선된 결과를 보여 본 연구에서 적용했던 운동이 농촌 노인의 낙상예방에 효과가 있었음을 확인하였다.