• Title/Summary/Keyword: fall prevention

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A Study on Protective Purposes and Intents of Use of Safety Helmets as for Reduction of Falls (추락사고 감소를 위한 안전모의 보호목적과 사용의도에 대한 고찰)

  • Kim, Jin Hyun
    • Journal of the Korean Society of Safety
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    • v.28 no.5
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    • pp.83-89
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    • 2013
  • Occupational Safety and Health Act provides that industrial safety helmets are personal protective equipment(PPE) to protect heads against falls from a height. Relevant domestic regulations are distinguished and different from other countries' cases. This study investigated industrial safety helmet's protective purposes and characteristics related to falls and the notion of fall prevention. A comparative analysis of regulations on safety helmets and fall prevention as well as standards on safety helmet's impact test requirements is followed by a literature review. It is also suggested that the term "fall" related to safety helmets should be changed to "impact on the upper part of head" in domestic regulations and standards.

A Study on Free-fall Lifeboat for Prevention the Human's Life On Board Ship (선박에서의 인명사고 방지를 위한 자유낙하식 구명정에 대한 연구)

  • Chong, Dae-Yul;Lee, Young-Chan
    • Proceedings of the Korean Society of Marine Engineers Conference
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    • 2006.06a
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    • pp.185-186
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    • 2006
  • The lifeboats of ship is necessary for protection of seafarer's safety. However, it have happened many accident on the Free-fall lifeboat. Hence, This study describes IMO's efforts and some solutions against constructional problem of Free-fall lifeboat regulated by SOLAS CONVENTION for prevention accident with lifeboats.

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A Convergence Study on the Effects of Knowledge and Attitude Related to Falls on Fall Preventive Behaviors in the Elderly - Based on Case Study of Seniors Welfare Center (노인의 낙상지식 및 태도가 낙상예방행위에 미치는 영향에 대한 융합연구 -복지관 이용 사례중심으로)

  • Hyeon, Il-Seon;Park, Kyong Min
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.389-397
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    • 2018
  • This study identified the knowledge, attitude and degree of prevention behaviors on falls of the elderly and analyzed the relationship among them as well as their effects on fall prevention behaviors. This study was targeted at 167 elderly attending senior welfare centers and data collected by interview was analyzed using SPSS 18.0 program. As a result of correlation analysis, positive relations were identified between knowledge and attitude on falls, as well as attitude and prevention behaviors on falls. Factors that had significant effect on fall prevention behaviors were gender and attitude and showed 21.1% of explanatory power (F=8.41, p<.001). The study further suggests intervention programs on fall prevention focusing on the improvement of attitude on falls for enhancing fall prevention behaviors of the elderly to be developed and applied based on the results of this study.

Muscle Strengthening Effects of Exercise Programs for Preventing Falls Among the Elderly in Korea: A Meta-Analysis (국내 노인을 대상으로 한 낙상예방 운동프로그램이 근력증가에 미치는 효과: 메타분석)

  • Park, So-Yeon;Shin, In-Soo
    • Physical Therapy Korea
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    • v.18 no.3
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    • pp.38-48
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    • 2011
  • The aim of the study was to identify which fall-prevention program offered in community settings in Korea is the most effective in strengthening muscles. Muscle weakness is one of the major risk factors causing falls among the elderly. Randomized controlled trials and clinical controlled trials published between 1996 and February 2011 were included in this study. Seventeen of the 69 identified studies met the study's criteria and were included in this meta-analysis. The overall effect size of the program was .822 (95% confidence interval= .717~.927). The general strengthening exercise (1.608), dance sports training (1.538), Thera-band exercise for lower extremities (1.517), Seniorobic exercise (1.146), gait training (.959), balance training (.909), gradual resistive exercise (.888), and multifactorial fall prevention (.842) programs all show positive effects on muscle strengthening. Subgroup analyses found that more relative effects are seen in programs offered to the more elderly. In this study, the effect of increasing muscle strength on the prevention of falls can only be indirectly suggested; there are few available studies that report the frequency or history of falls in Korea. Further studies are needed to examine the direct effect of fall prevention exercise programs among the elderly.

Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities (농촌 지역의 재가 취약계층 허약노인을 위한 낙상예방 프로그램의 효과)

  • Yoo, Jae-Soon;Jeon, Mi Yang;Kim, Chul-Gyu
    • Journal of Korean Academy of Nursing
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    • v.43 no.5
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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.

A Review of Exercise Interventions for Fall Prevention in the Elderly (노인 낙상예방 운동중재 문헌분석 연구)

  • Gu, Mee Ock;Jeon, Mi Yang;Kim, Hee-Ja;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.1101-1112
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    • 2005
  • Purpose: This study was done to suggest directions for developing exercise interventions for fall prevention in the elderly in Korea in the future, Method: Twenty five articles for fall prevention exercises were reviewed and analyzed. Result: $84.0\%$ of subjects were older adults age 65 and older living in the community. The most frequently performed interventions were lower limb strength and balance exercises together $43.3\%$, group exercise $70.0\%$, exercise 3 times/week $60.0\%$, 60 min per session $36.7\%$, duration of 12 weeks and 1 year $23.3\%$ each. The most frequently used outcome variables were static balance $84.0\%$, lower limb muscle strength $72.0\%$, dynamic balance $56.0\%$, and falls $56.0\%$. The effect of exercise interventions on fall prevention was inconclusive. Lower limb strength exercises with resistance were effective for increasing muscle strength. Balance exercises with various movements for balance were effective for increasing balance. Conclusion: Exercise interventions for fall prevention is recommended for older adults with risk factors of falling. The desirable type of exercise intervention is lower limb strength and balance exercise together.

Impact of a Fall-Prevention Exercise Program on Balance, Gait, Lower Limb Strength, and Psychosocial Characteristics in Older Adults with Dementia (낙상예방 운동 프로그램이 치매 노인의 균형, 보행과 하지 근력, 심리사회적 특성에 미치는 영향)

  • Choi, Gi-young;Kim, Suhn-yeop
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.1
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    • pp.75-89
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    • 2019
  • PURPOSE: This study measured the impact of a 12-week fall-prevention exercise program on balance, ambulatory ability, lower limb strength, and psychosocial characteristics in older adults diagnosed with dementia. METHODS: The participants comprised 31 older adults (9 men, 22 women) diagnosed with Alzheimer's or vascular dementia at a long-term care hospital located in Gunsan City. A fall-prevention exercise program was provided to the experimental group, while the control group was only provided with instruction and materials related to the fall-prevention exercise program. The participants were evaluated before the intervention, 6 weeks after the intervention, and 12 weeks after the intervention on static and dynamic balance abilities (using Timed Up and Go test: TUG, Tinetti-balance scale, one-leg standing test: OLS), gait (Tinetti-balance scale, 6-minute walk test: 6MWT), lower limb strength (sit to stand test; STS), and psychosocial characteristics (Short Form 36 Health Survey-Korean version, Korean Mini-Mental State Exam). RESULTS: An independent samples t-test and repeated measures analysis of variance were used for the statistical analysis. There were statistically significant improvements after the intervention (p<.05) in dynamic balance abilities (TUG and OLS using the left foot), gait (6MWT), and lower limb strength (STS) for the experimental group, but not for the control group. No difference was seen in psychosocial characteristics. CONCLUSION: Older adults with dementia who participated in the fall-prevention exercise program showed significant improvements in their static and dynamic balance abilities, lower limb strength, and ambulatory ability after the intervention.

Development and Effects of a Person-Centered Fall Prevention Program for Older Adults with Dementia in Long-Term Care Hospitals: For Older Adults with Dementia and Caregivers in Long-Term Care Hospitals (요양병원 치매노인을 위한 대상자 중심 낙상 예방 프로그램의 개발 및 효과: 치매노인과 요양보호사 대상)

  • Lim, Jeong Ok;Gu, Mee Ock
    • Journal of Korean Academy of Nursing
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    • v.52 no.3
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    • pp.341-358
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    • 2022
  • Purpose: This study examined the effects of a person-centered fall prevention program for older adults with dementia in long-term care hospitals. Methods: A nonequivalent control group pretest-posttest design was used. The study sample included 42 older adults with dementia (experimental group: 21, control group: 21) and 42 caregivers (experimental group: 21, control group: 21). The program comprised 48 sessions held over 12 weeks and included exercise intervention with resistance and balance, dance walking (45~60 min, three times/week), cognitive and emotional intervention (35~50 min, once per week), and person-centered fall prevention education (10 min, once per week). The program for caregivers consisted of six educational sessions (i.e., fall prevention competency enhancement and person-centered care strategy education, 80 min, once per week) for six weeks. Data were collected before participation and 12 weeks after program completion from February 18 to May 12, 2019. Data analysis was conducted using the chi-square test, t-test, and Mann-Whitney U test with SPSS/WIN 21.0. Results: The experimental group of older adults with dementia showed significant improvement in physical and cognitive functions, and a decrease in depression, and behavioral and psychological symptoms, when compared with the control group. caregivers in the experimental group exhibited significant improvement in fall-related knowledge and person-centered care of older adults with dementia compared to the control group. Conclusion: The study findings indicate that this program was effective as a nursing intervention for fall prevention among older adults with dementia in long-term care hospitals.

Effect of Falls Prevention on Lumbar Stabilization Exercise in Elderly People (허리안정화운동이 노인의 낙상예방에 미치는 효과)

  • Kang, Kwon-Young;Kwon, Hye-Min;Kwon, Oh-Sung
    • Journal of Korean Physical Therapy Science
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    • v.18 no.3
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    • pp.25-32
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    • 2011
  • Background : The aim of this study is to effect of lumbar stabilization exercise on double limb support, balance ability and risk of fall index in elderly people. Methods : A six-week lumbar stabilization program training for improvement of balance ability and prevention of fall down were applied by dividing into ten people of experimental group and ten people of control group for elderly aged below sixty-five more than eighty years who were capable of independent activity of daily living. for double limb support, balance ability and fall index assessment, the TETRAX were used. Results : The double limb support, balance ability and fall index in experimental group indicating changes in statistical significance(p<0.05), But changes in significance were not found of all parts in control group(p>0.05). Conclusion : The above results mean that the lumbar stabilization exercise was effective for promotion of elderly people's double limb support, balance ability and fall index and further study considered need to be more the study relative to effect of fall prevention exercise program.

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Effects of an exercise program for fall prevention of the elderly in rural communities (농촌지역 노인을 위한 낙상예방운동의 효과)

  • Kang, Ki-Seon;Kim, Hyo-Sil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.8
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    • pp.5186-5194
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    • 2014
  • Falls are one of the most serious problem that threatens the health of the elderly. This study was conducted twice a week for six weeks from May to June 2014 to evaluate the effectiveness of fall prevention exercises for rural seniors. This study analyzed the effects by comparing before and after exercise on the TUG, FRT, BBS, ADL, fear of falls, fall efficacy, and depression. The results of this study was as follows: Hypothesis1, "a TUG of post-test will improve more than the pre-test", was supported. Hypothesis3, "BBS of the post-test would improve more than the pre-test" was supported. In addition, the FRT, ADL, fear of fall, fall efficacy, and depression of post-test would improve more than the pre-test. Accordingly this study showed that fall prevention exercises are effective in improving the physical function (TUG, FRT, BBS, and ADL) and emotional function (fear of fall, fall efficacy, and depression) in rural seniors.