• 한국노년학
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• v.37 no.1
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• pp.237-250
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• 2017

The purpose of this study is to analyze the effects of exercise program for prevention of falling on physical fitness, posture and fall prevention self-efficacy for elderly women. 30 females above the age of 65 were subjects for this study. Over an twelve week period, 14women in the experimental group performed exercise 2 times a week for 60 minutes per session. 16women in the control group didn't participate in the exercise program. The independent variable was a exercise program for prevention of falling. Dependent variables were physical fitness, posture and fall prevention self-efficacy. Prevention of falling exercise program is consisted of an elastic band using exercise and Korean dance movement exercise. Physical fitness consisted of grip strength, upper and lower body endurance, cardiovascular endurance, flexibility, balance, coordination. The posture was measured the static posture when standing, using a high-resolution camera, body style to automatically measure the distance and angle(M-zen, Korea). Posture was measured in both the coronal and sagittal plane via reference board. Fall prevention self-efficacy was measured via questionnaire using the Korea Falls Self-Efficacy Scale (FES-K). The physical fitness, posture and fall prevention self-efficacy were measured twice with pre and post exercise, and the difference between groups with Wilcox signed rank test, and the group-specific post verification was carried out with U-validated methods (Mann Whitney U test). Statistical significance level was verified by setting the p<.05. Lower body endurance, cardiovascular endurance, flexibility, balance and coordination significantly increased in the experimental group. The control group was no significant increase in physical fitness variables. shoulder slope angle, pelvic slope angle(coronal/sagittal), leg length difference, scapular inferior angle and left/right calcaneus angle significantly decreased in the experimental group. Both the experimental group and control group were no significant increase in fall prevention self efficacy. The prevention of falling exercise program for elderly women indicated the positive changes in physical fitness(except grip strength) and posture(except upper body slope). However, there are no significant differences of falling prevention self-efficacy between the both group. Thus, the prevention of falling exercise program for the elderly has been proved that it is highly efficient on improving physical fitness and posture proofreading. However, we still need to consider supplement exercise for grip strength and upper body slope.

• Journal of Oriental Neuropsychiatry
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• v.27 no.4
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• pp.207-214
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• 2016

Objectives: This study was conducted to identify the effects of the Qi-gong Exercise program on the physical health status, the fear of falling, balance efficacy, and Hwa-Byung in the elderly. Methods: A non-equivalent control group pretest-posttest design was used in 52 elderly subjects who were assigned to the experimental group and the control group (26 subjects in each group). Study out-comes were measured by structured questionnaires from July 2015 to October 2015. For data analysis, the Chi-square test, the Fisher's exact probability test, the Mann-Whitney U test, the paired t-test, and the Wilcoxon signed rank test were performed using SPSS version 20.0. Results: There were significant differences in the physical health status (Z=12.000, p<.001), balance efficacy (Z=60.500, p=<.001), and Hwa-Byung (Z=20.500, p=<.001) between the two groups in pretest and posttest. Conclusions: The findings confirmed that the Qi-gong Exercise program is effective in improving the physical health status, balance efficacy, and Hwa-Byung in the elderly subjects in the community. It can be recommended as a public health program for the elderly population in the community.

• Journal of the Korean Society of Physical Medicine
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• v.15 no.1
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• pp.33-42
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• 2020

PURPOSE: This study examined the effects of a whole body vibration-exercise program on the muscle strength, balance, and falling efficacy of super-aged women. METHODS: Thirty participants, who are over 75 years of age, were recruited. They were assigned randomly to an experimental group (n=15), which received whole body vibration exercise, and a control group (n=15), which received an exercise program that did not include vibration. The interventions lasted for four weeks, three times a day, and 25 minutes per session. To compare the effects of the intervention, a 30-second chair stand test (CST), Korean version of Berg balance scale (K-BBS), functional reach test (FRT), timed up and go test (TUG), and Korean version of the falls efficacy scale (K-FES) was used. RESULTS: The experimental group showed a significant increase (p.<05) before and after the intervention in the chair stand test (CST), Korean version of the Berg balance scale (K-BBS), functional reach test (FRT), timed up-and-go (TUG), and Korean version of the fall efficacy scale (K-FES). Compared to the control group, the experiment group showed a more significant increase (p.<05) in the CST, K-BBS, and FRT. CONCLUSION: A whole body vibration exercise program could be suggested as an effective intervention method for muscle and balance strengthening for super-aged women.

• 한국노년학
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• v.29 no.1
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• pp.243-258
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• 2009

Background: Falls are among the most common and serious health problems of older people. The psychological symptoms of falling have received relatively little attention compared to physical problems. Objective: The purpose of this study is to test a model to explain the factors that influence fear of falling among older adults living in a continuing care retirement community (CCRC) in Baltimore city, United States. Methods: A secondary analysis was conducted using data obtained from a Health Promotion Survey done on 149 older adults living in a CCRC. Data was originally obtained during face to face interviews with each participant. Descriptive statistics and bivariate correlations were used to describe the sample and evaluate simple correlations. A path analysis was done using the AMOS 4.0 statistical program. Results: Of the 49 hypothesized paths, 13 were statistically significant, and the model accounted for 22% of the variance in fear of falling among the elderly. There was support for the fit of the model to the data with a nonsignificant chi square at 0.478 (df=2, p=0.79), and the ratio of chi-square to degrees of freedom was 0.24, a CFI of 0.99 and RMSEA of 0.00. In particular, gender, a history of falling, and exercise were significant predictors of fear of falling. Conclusions/Implications: As anticipated, exercise is an important factor to prevent fear of falling. As a modifiable variable, self-efficacy and outcome expectation indirectly influence fear of falling through exercise.

• Korean Journal of Adult Nursing
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• v.20 no.1
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• pp.91-101
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• 2008

Purpose: The purpose of this study was to investigate the relationships between a experience of falling, fear of falling, depression, and perceived health status in urban areas. Methods: After obtaining Institutional Review Board (IRB) approval, a one-time, face-to-face, and private interview was conducted with each participant who was eligible and agreed to participate in this study from May 2007 to August 2007 by trained graduate-level nursing students. The questionnaires consisted of Fall Efficacy Scale, K-GDS, and SF-36. The collected data were analyzed with SPSS/PC 12.0 program, which was used for frequency, percentage, mean, standard deviation, t-test, and hierarchical regression. Results: The major findings of this study were as follows; 1) approximately 9% of participants had fallen within one year. Study participants reported moderate fear of falling(M=43.80); moderate physical health (M=42.31) and mental health(M=46.05); and low depression status(M=10.38). 2) there were significant differences in fear of falling according to gender, experience of falling, exercise, and depression. 3) significant factors influencing on fear of falling were experience of falling and physical health status. Conclusion: The results of this study indicate that nurses working closely with older adults should be taught the impact of previous falls and physical health status on fear of falling and need to reinforce exercise behavior for older adults who are vulnerable to fear of falling.

• Journal of Korean Academy of Nursing
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• v.38 no.1
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• pp.11-18
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• 2008

Purpose: This study was to determine whether the Sun-style 24 forms of Tai Chi exercise improve pain, stiffness, disability, knee joint motion, mobility, balance or falling. Method: Forty-six community-dwelling elderly subjects (mean age, $75.46{\pm}6.28$) voluntarily participated in an intervention group of either 24 forms of Sun-style T ai Chi for 60 min, 2 times per week for 12 weeks or a control group. A non-equivalent pretest-posttest design was used. Independent t-test and ANCOVA were used to examine group differences by using SPSS12.0. Result: The experimental group had significantly less pain (F=7.60, p=.008) and stiffness (t=-3.19, p=.003) than the control group. Also there were significant improvements in knee joint motion on the right knee (t=2.44, p=.019), left knee (t=2.30, p=.026), rising time (F=8.03, p=.07), balance on the left single leg test (t=2.20, p=.033), and fear of falling (t=-2.33, p=.024) in the Tai Chi exercise group. No significant group differences were found in disability and falls efficacy. Conclusion: The Sun-style 24 forms Tai Chi exercise is effective in decreasing pain, stiffness, fear of falling and it improves balance, rising time, and knee joint motion. We suggest a continuing long term intervention to decrease disability and increase efficacy concerning falls.

• Advanced Industrial SCIence
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• v.1 no.2
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• pp.17-23
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• 2022

The purpose of this study is to analyze the health factors of the elderly according to the region by analyzing the physical fitness and fall efficacy of the female elderly living in rural and urban areas. The subjects of this study consisted of 98 female elderly people living in rural and urban areas who exercise health and cheerleading at least twice a week at the regional center(REG; n=46, 77.53±6.37 yrs, 151.81±5.26 cm, 60.00±9.42 kg, UEG; n=53, 73.57±2.70 yrs, 154.07±3.52 cm, 57.37±2.06 kg). Physical strength was measured for muscular endurance, cardiopulmonary endurance, and flexibility. Falling efficacy was measured using 10 items of Fall Efficacy Scale developed by Tinetti et al. Significant differences in flexibility and fall efficacy were found in urban older adults (p<.01, p<.05). There was no significant difference in muscular endurance and cardiac endurance (p>.05). In the future, studies to improve the imbalance of health factors of the elderly in the region should be continuously conducted.

• Journal of Korean Academy of Nursing
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• v.45 no.6
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• pp.823-833
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• 2015

Purpose: The purpose of the study was to investigate the effects of the Thera-Band exercise program following total knee arthroplasty. Methods: The research design for this study was a nonequivalent control group non-synchronized design. Participants were 30 patients for the experimental group and 30 patients for the control group. The experimental group participated in the Thera-Band exercise program in addition to conventional CPM (continuous passive motion) exercise. The control group received conventional CPM exercise only. Outcome measures were pain, knee flexion range of motion, CRP, and psychological parameters (self-efficacy and fear of falling). Data were analyzed using ${\chi}^2$-test, Fisher's exact test, t-test, and repeated measure ANOVA with SPSS/PC version 21.0. Results: There were significant improvement in self-efficacy, and decreases in pain, and fear of falling in the experimental group compared to the control group. However, no significant differences were found between the two groups for CRP and knee flexion ROM. Conclusion: The Thera-Band exercise program gave an additional benefit over the conventional CPM exercise for patients following total knee arthroplasty, and is recommended for use as an effective nursing intervention for patients after total knee arthroplasty.

• Journal of the Korean Society of Physical Medicine
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• v.12 no.4
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• pp.61-71
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• 2017

PURPOSE: The purpose of the present study was to investigate the effects of whole body vibration exercise on balance, muscle strength and falls efficacy in the elderly. METHODS: In this blinded randomized allocation study, 27 elderly were assigned to a whole-body vibration exercise group (n=14), consisting of 25 min structured exercises for 2 days per week for 6 weeks and a control group (n=13) performing the same program without vibration. At baseline and after the 6-week intervention, balance was measured using the Korean version of the Berg balance scale (K-BBS), timed up and go (TUG) test and functional reach test (FRT). Muscle strength was determined using the 30-s chair stand test (CST). Fear of falling was assessed using the Korean version of falls efficacy scale (K-FES). Paired t-test and independent t-test were used for within and between group comparisons, respectively. RESULTS: After the intervention, the experimental group showed significantly higher changes in all the parameters (K-BBS score, TUG test, CST, K-FES score) (p<.05) compared with the control group. However, there was no significant change in all parameters in the control group (p>.05). CONCLUSION: The whole-body vibration exercise program may be helpful to improve balance, mobility, muscle performance and fear of falling in the elderly.

• Korean Journal of Child Studies
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• v.28 no.2
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• pp.1-17
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• 2007

The subjects, 114 mothers with infants from 6- to 24- months of age, were administered the Infant Behavior Questionnaire-Revised(Gartstein & Rothbart, 2003), Adult Temperament Questionnaire(Derryberry & Rothbart, 1988) and Parenting Efficacy(Park & Rha, 2003; Lederman, Weigarten & Lederman, 1981) Boys were more distressed than girls in limitation and in falling reactivity/rate of recovery. Parenting efficacy was greater for mothers with daughters than mothers with sons. Infants' fear and distress to limitation correlated positively with mothers' sadness. Infants' attention span correlated positively with mothers' attentional control, inhibition control and positive control. Parenting efficacy was higher in mothers whose children fall asleep easily and have longer attention spans. Mothers' positive affect and activation control increased and frustration decreased parenting efficacy.