• Title/Summary/Keyword: FallPhysical function

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A Study on Improvement of Postwalk Locomotion in Child with Severe Mental Retardation : Single Subject (중도 정신지체아동의 보행 후 이동동작 개선에 관한 연구 - 단일 사례 연구 -)

  • Song Ju-Young;Lee Hyo-Jeong;Kim Jin-Sang;Choi Jin-Ho
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.119-127
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    • 2000
  • In this case report we demonstrated the improvemen of gait pattern and the facilitation of postwalk locomotion on the child who has severe mental retardation with Incomplete gait pattern. Treatments included to stimulate vestibular using balance board and vestibular stimulator, to train weight hearing and shifting, to facilitate visual perception motor coordination, and to train walk ann postwalk locomotion in environment similar to actual daily life. It was performed 130 sessions for 10 months. With this treatment, she could accomplished dynamic stability so that she didn't fall at walk after $1\~2$ months of treatment, and could have done climbing up and down without hand support after 10 months. In gross motor function measure(GMFM), total motor function was improved to $89.98\%$ from $73.53\%$.

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Effects of a Multifactorial Fall Prevention Program on Physical·Psychological Function and Home Environmental Hazards in Community Dwelling Low-income Elderly (다면적 낙상예방프로그램이 지역사회 거주 저소득층 노인의 신체·심리기능과 가정환경 위험요인에 미치는 효과)

  • Kim, So Nam
    • 한국노년학
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    • v.32 no.2
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    • pp.377-395
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    • 2012
  • This study was conducted to develop and evaluate the effectiveness of Multifactorial Fall Prevention Program (MFPP) for local low-income elderly people on physical·psychological, and home environmental hazards, and falling frequency. The selected elderly people was provided the MFPP during an eight-week period of time, once a week, 70 to 90 minutes per each section. The design of this study was non-equivalent control-group with repeated measuring by quasi-experimental study. Data were collected before treatment, 8 week after treatment and 4 week after retention from July to October, 2010. Data were analyzed with numbers, percentage, Fisher's exact test, x2-test, repeated measures ANOVA, ANCOVA and Logistic regression. There were significant differences in fall frequency, balance, fear of falling, fall efficacy, home environmental hazards between the experimental group (EG) and control group (CG). This study showed that the multifactorial fall prevention program(MFPP) was useful nursing intervention for strengthening physical·psychological and environmental functions of the low-income elderly people, as well as preventing fall.

The Effect of Otago Exercise Program on Physical Function and Fall Prevention in Disabled Elderly (오타고 운동 프로그램이 장애 노인의 신체적 기능과 낙상 예방에 미치는 효과)

  • Byun, YoungHee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.345-352
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    • 2020
  • This study compared how falls can be reduced in disabled elderly people by using the Otago exercise program and ascertained the program's effects on physical function and psychological recovery. The subjects were 30 people, and were assigned to two groups. The experimental group had 17 people, and the other was the control group that had 13 people. The experimental group attended the 50-minute program twice a week for 12 weeks. The outcome measures for lower extremity muscle strength, postural balance, flexibility, and self-efficacy were tested at the pre-test and post-test phases. In the analysis, general characteristics were analyzed by descriptive statistics. Physical function and self-efficacy were analyzed by independent T-test between the two groups, and correspondence T-tests were used within the two groups. The result of this study demonstrated that the experimental group showed significant increases in lower extremity muscle strength, static balance, flexibility and dynamic balance, and self-efficacy showed a small increase in the experimental group. But the control group showed significant decreases in static balance, flexibility and fall efficacy. The control group also showed decreases in lower extremity strength and dynamic balance. So the results of this study proved that the Otago exercise program brought about positive changes to improve physical function and psychological function to help prevent disabled elderly people from falling.

Fall Risk Assessment (FRA) of Korean community-dwelling elderly (지역 재가 노인의 낙상위험평가)

  • Shin, Sohee;Sato, Susumu
    • 한국노년학
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    • v.39 no.4
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    • pp.895-902
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    • 2019
  • This study reviewed the diagnosis accuracy and evaluation criteria of the fall risk assessment questionnaire that proved validity through factor analysis in previous studies. The purpose of this study was to diagnose high-risk groups and propose personal fall risk profiles for the Korean community-dwelling elderly. The participants of this study were 439 elderly people living in S, U, B, and Y cities Korea (mean age 75.0 ± 5.7 years). Receiver operating characteristic analysis was conducted to review the accuracy of the fall risk assessment and evaluation criteria of the FRA. The results showed that the four sub-factors of the FRA: 'Potential for fall', 'Disease and physical symptoms', 'Environment' and 'Physical function', can effectively diagnose the fall risk of the community-dwelling elderly. The evaluation criteria was presented based on the sensitivity and specificity results. In addition, as a result of analyzing the patterns by the sub factors of the fall risk, the high-risk group accounted for 80% of the elderly who had problems with two or more factors. Therefore, the four sub-factors of FRA can effectively diagnose the fall risk level, and could be present individual fall risk profiles based on the evaluation criteria.

Concept Definition and Multi-Dimensional Classification of Apparel Quality (의복품질의 개념정의와 차원분류)

  • 오현정;이은영
    • Journal of the Korean Society of Clothing and Textiles
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    • v.22 no.3
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    • pp.374-383
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    • 1998
  • Apparel Quality was one of the most important elements to evaluate the reputations of companies and products which affect the consumer's purchasing behavior. From researches on apparel quality, there was no common concept of quality as well as no common dimensions. The purposes of this study were to identify apparel quality concept and to classify the multi-dimensional concept of apparel quality. The research was carried out in theoretical as well as empirical studies. The theoretical study was conducted to find out apparel quality concept and divide apparel quality concept into four dimensions groups. The empirical study followed the theoretical study to confirm the multi-dimensional concept of apparel quality. The empirical study was investigated that the questionnaire was administered to 634 housewives in Seoul, Kwangju, and Busan during the fall of 1996. The data were analysed by LISREL analysis. This study identified that apparel quality was characteristics of consumer's desires for apparel. The results of the theoretical study verified that apparel quality concept was organized into four different dimensions: physical attribute, physical function, instrumental performance, and expressive performance.

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Effect of a 4-week Theraband Exercise with PNF Pattern on Improving Mobility, Balance and Fear of Fall in Community-Dwelling Elderly

  • Candace, Wong YH;Kennis, Cheung KW;Evelyn, Ko YC;Jeffrey, Tse HC;Margaret, Law YL;Hwang, Seong-Soo;Shirley, Ngai PC
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.4
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    • pp.73-82
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    • 2017
  • PURPOSE: Proprioceptive Neuromuscular Facilitation (PNF) has been shown to improve body function and activity/participation in people with functional dysfunctions. This study evaluates if active exercise using theraband in PNF pattern may induce similar benefits as exercise using manual PNF pattern performed by physiotherapists on promoting mobility, balance and fear of fall in community-dwelling elderly. METHODS: Twenty-three community-dwelling elderly with independent activities of daily living were recruited and randomly allocated into either PNF group - exercise in PNF pattern by trained physiotherapists or Theraband-PNF (T-PNF) group - exercise using theraband in PNF pattern, for an hour, twice weekly for 4 weeks. Functional outcomes such as Timed Up and Go test, Elderly Mobility Scale, Berg balance scale, functional reach and subjective measures including fear of fall (FOF) scale, bodily pain in visual analogue scale were measured pre and post-program. RESULTS: Twenty-one participants completed the program. PNF group demonstrated significant within-group improvements in all subjective measures and objective measures. Similar within-group improvements were demonstrated in all outcome measures except FOFS in T-PNF group. However, no between-group differences were found in any of the outcome measures. CONCLUSION: Comparable improvements in functional outcomes in community dwelling elderly were demonstrated in both groups. As manual PNF exercise traditionally need clinicians' contact and feedback on patient which limit the training to be carried out extensively in community setting. The current findings suggest that exercise using theraband in PNF pattern is feasible to be adopted as self-practice exercise for community-dwelling elderly to induce beneficial effects on functional outcomes.

Study on the Preference Survey for Developing the Fall Impact Protective Clothing - Targeting Women ages of 50s to 70s - (낙상충격보호복 개발을 위한 선호도 조사에 관한 연구 - 50~70대 여성을 대상으로 -)

  • Park, Jung Hyun;Lee, Jeong Ran
    • Fashion & Textile Research Journal
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    • v.16 no.1
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    • pp.101-110
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    • 2014
  • In this study, we investigate characteristics of fall, requirements toward the impact protective clothing, design preferences, etc. to develop the fall impact protective clothing for the silver-aged women. Among the 242 women respondents aging 50s to 70s, 43% experienced the fall in recent 2 years. It is found that the fall mostly occurred in winter season and happened during the regular activities such as walking outside, going up and down stairs. Most of the respondents have no experience buying the impact protective clothing, but they expressed the fall impact protective clothing would help reducing the injury from falls. Moreover, the intention to purchase the impact protective clothing is increasing with an increasing target age. However, the respondents concerned with increasing volume and weight of clothing by the protecting pad inserted into the clothing. The respondents also claimed that the impact protecting clothing should not interfere with their regular physical activities. The survey showed that respondents preferred to embed the impact protective function in pants as a form of the protective clothing. For the design preferences on the pants, casual style and straight silhouette was preferred and stretch fabric was selected. The respondents preferred underwear made of cotton spandex blend with relaxed fit.

The Effect of Postural Balance and Fall Efficacy on Bilateral Visual Feedback Training with Visual Targets in Stroke Patients

  • No, Seung-Min;Hwang, Yoon-Tae;Son, Sung-Min
    • The Journal of Korean Physical Therapy
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    • v.34 no.2
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    • pp.57-62
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    • 2022
  • Purpose: The purpose of this study was to determine the effects of bilateral visual feedback training with visual targets on the postural balance and fall efficacy of stroke patients with hemiparesis. Methods: A total of 24 stroke patients with hemiparesis were randomly assigned to either a bilateral visual feedback training (BVFT, n=8) group, unilateral visual feedback training (UVFT, n=8) group, or a control group (n=8). The BVFT and UVFT groups performed weight-bearing training on the bilateral (less-affected and affected side) or unilateral side (affected side) with visual feedback using visual targets. The control group performed squat training without visual feedback using visual targets. The training program was conducted in the form of 3 sets a day, 3 times a week, for 4 weeks. The participants were evaluated using the Berg balance scale (BBS), lateral reaching test (LRT), timed up and go test (TUG), and the activities-specific balance confidence scale (ABC). Results: In the intra-group comparison after the intervention, the BVFT group showed a significant difference in the BBS, TUG, affected and less-affected side LRT, and ABC (p<0.05). The UVFT group showed a significant difference in the BBS and ABC (p<0.05). In the inter-group comparison after the intervention, the BVFT group showed significant improvements in their BBS, affected side LRT, and TUG, when compared to the control group (p<0.05). Conclusion: These findings show that bilateral visual feedback training with visual targets during bilateral weight-bearing exercises can improve the postural balance function in stroke patients.

Instrumental Activities of Daily Living, Leg Muscle Strength, Cognitive and Visual Function According to Demographic Variables and the Experience of Falling in Community Resident Elderly Koreans (지역사회 재가 노인의 인구학적 특성과 낙상경험에 따른 일상생활 수행능력, 하지근력, 인지기능 및 시각기능)

  • Sohng, Kyeong-Yae;Choi, Dong-Won
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.2
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    • pp.221-229
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    • 2007
  • Purpose: To investigate the instrumental activities of daily living (IADL), leg muscle strength, cognitive and visual functions according to the participants' demographic characters and experiences of falling in Korean elder who are residents in the community. Method: Data were collected from 351 participants aged 65 or more, who were ambulatory, A structured questionnaire and several physical function measurements were used to collect the data which were analyzed using the SAS program. Results: The participants' IADL scores were significantly different according to their age, educational level and living situation. The leg muscle strength of the elders were significantly different according to gender and age, and were also related the risk of falling. Cognitive scores were significantly different according to gender, age, education level and marital status. Visual acuity and depth perception were significantly different according to age, education level, and marital status. Conclusion: Demographic variables and experience of falling were identified as variables related to IADL, leg muscle strength, cognitive and visual function of elders. Further study with a larger and nation-wide sample is needed to identify the variables related to the physical and cognitive functions of elders.

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A Study on the Prevention of Fall Accidents for Elderly Workers (고령 근로자의 추락 재해 예방에 관한 연구)

  • Kim, Gun-Hee;Jung, Myung-Jin;Kim, Tae-hee
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.4
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    • pp.349-354
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    • 2019
  • Workers who die from falls at construction sites account for about 40 percent of the total number of deaths and are the main forms of accidents. In addition, as the nation's population structure is gradually aging, the rate of aging is increasing at construction sites, and the number of crashes due to decreased physical function and cognitive ability is increasing. Accordingly, we conducted a survey on the factors affecting the fall of older workers and would like to present more fundamental measures to prevent falls, focusing on older workers who are the victims of the disaster.