고령자의 건강한 삶을 위한 낙상 예방 운동유형 확인 = Identify the Type of Exercise to Prevent Falls for Healthy Elderly Life

다국어 초록 (Multilingual Abstract)

Falls are a threat to the physical health of the elderly as well as to their overall quality of life. The purpose of this study was to identify which type of exercise is effective for improving the balance of the elderly, and to obtain the basic data for developing the falls prevention exercise intervention program for the elderly. We compared to the differential effects between rhythmic step exercise and core muscle strengthening exercise in terms of functional balance test and self-reported balance test. Women older than 65 years and under 80 years of age were assigned to one of the step exercise group(21), core muscle exercise group(20), and control group(21), and for 8 weeks, twice per week, 20-30 minutes of exercise were treated. All participants performed one foot static balance test with open and closed eyes. And they responded to self-reported balance test, such as Fall Efficacy Scale(FES) and Activities-specific Balance Confidence(ABC) Scale. The results of statistical analysis are summarized as follows. First, rhythmic stepping exercise was more effective in improving functional balance than core muscle strengthening exercise. In particular, the effect of step exercise was obvious in the one-foot static balance test with open eyes. Second, the self-reported balance test showed better step exercise than core muscle exercise. Specifically, rhythmic step exercise was more effective in enhancing fall efficacy than core muscle exercise. In conclusion, the rhythmic step exercise was more effective in improving the balance ability of the elderly than the core muscle exercise. The rhythmic step exercise is more related to the lower extremity muscles, and especially since the rhythmic step exercise is performed in various ground changes, it seems to have a high similarity to the fall occurrence situation. For future research, we recommended the development of task-oriented ankle proprioceptive exercise intervention program and exercise equipment based on the specific motion situation in which the fall accident occurs in the elderly.

참고문헌 (Reference)

1 박상기, "한국어판 가정안전 자가 평가도구(K-HSSAT)의 타당도 및 신뢰도 연구" 대한작업치료학회 25 (25): 117-130, 2017

2 이옥진, "한국 무용 동작을 응용한 스텝 운동이노인 건강생활에 미치는 영향: 낙상 효능감과 균형 자신감을 중심으로" 한국엔터테인먼트산업학회 10 (10): 87-94, 2016

3 오유성, "중심부강화 운동이 농촌 노인들의 농부증, 보행능력 및 낙상관련체력 변인에 미치는 효과" 한국생활환경학회 25 (25): 221-228, 2018

4 이상호, "중심 안정화 운동이 노인의 균형에 미치는 영향" 한국엔터테인먼트산업학회 7 (7): 265-274, 2013

5 유인영, "중소도시 지역사회 재가노인의 낙상특성과 낙상영향요인" 한국생활환경학회 16 (16): 428-435, 2009

6 정영미, "재가노인의 건강상태에 따른 낙상실태 및 낙상관련요인" 한국노년학회 26 (26): 291-303, 2006

7 박은옥, "재가노인 낙상환경위험 평가도구 개발" 한국콘텐츠학회 13 (13): 354-365, 2013

8 이옥진, "장비를 활용한 한국무용 기반 스텝 운동이 노인의 활동 특이적 균형 자신감과 건강 관련 삶의 질에 미치는 영향" 한국체육과학회 23 (23): 557-568, 2014

9 허병훈, "불안정한 지지면에서의 균형운동이 시각장애인의 균형능력에 미치는 효과" 한국시각장애교육&재활학회 24 (24): 67-88, 2008

10 박재영, "리듬운동 프로그램이 여성 고령자들의 Cobb's 각과 골반기울기 및 활동체력에 미치는 영향" 한국엔터테인먼트산업학회 9 (9): 133-143, 2015

11 박보라, "노인의 낙상예방을 위한 중재의 효과 : 체계적 고찰" 대한고령친화산업학회 10 (10): 19-29, 2018

12 박인성, "노인의 건강관리를 위한낙상 예방에 있어 운동의 효과" 한국엔터테인먼트산업학회 10 (10): 343-350, 2016

13 박양선, "노인용 균형운동 시스템 및 그 제어방법"

14 구미옥, "노인 낙상예방 운동중재 문헌분석 연구" 한국간호과학회 35 (35): 1101-1112, 2005

15 안송이, "노인 낙상 예방을 위한 운동 유형과 중재에 관한 연구" 한국코칭능력개발원 8 (8): 25-37, 2006

16 이선희, "노인 낙상 예방을 위한 운동 가이드라인의 적절성과 적용가능성" 대한근관절건강학회 24 (24): 227-237, 2017

17 박양선, "노약자용 운동기구"

18 대한노인병학회, "낙상예방 위험평가와 관리계획" 영문출판사 2012

19 양정희, "낙상 예방" 대한노인병학회 16 (16): 101-107, 2012

20 정재홍, "과제지향 균형운동이퇴행성 슬관절염 환자의 보행 및 균형에 미치는 영향" 160-164, 2016

21 천성용, "고유수용성 강화운동이 축구선수의 관절위치감각, 거골하 관절각 및 자세조절능력에 미치는 영향" 한국체육과학회 19 (19): 1221-1231, 2010

22 이향범, "건강한 노후생활을 위한 노인여성들의 밸런스 트레이닝 효과에 관한 연구" 한국엔터테인먼트산업학회 11 (11): 109-116, 2017

23 World Health Organization(WHO), "WHO Global Report on Falls Prevention in Older Age: Ageing and life course, family and community health" World Health Organization 2008

24 G. E. Hicks, "Trunk muscle composition as a predictor of reduced functional capacity in the health, aging and body composition study: The moderating role of back pain" 60 (60): 1420-1424, 2005

25 P. Srui, "Trunk muscle attributes are associated with balance and mobility in older adults : A pilot study" 1 (1): 916-924, 2009

26 C. R. Won, "Training effects using balance exercise equipment for the elderly on physical performance, balance, and reaction time" Hanyang University 2016

27 S-N. Jang, "The validity and reliability of Korea Fall Efficacy Scale(FES)and Activitiesspecific Balance Conference Scale(ABC)" 7 (7): 255-267, 2003

28 C. Kisner, "The rapeutic exercise:Foundation and techniques" F. A. Dwis 2002

29 L. E. Powell, "The Activities-specific Balance Confidence (ABC)Scale" 50A (50A): M28-M34, 1995

30 American Geriatrics Society, "Summary of the updated American Geriatrics Society / British Geriatrics Society clinical practice guideline for prevention of falls in older persons" 59 : 148-157, 2011

31 S. J. Kim, "Risk factors of falling in the elderly in urban cities" Ewha Womans University 2004

32 A. Berland, "Risk factors for serious fall related injury in elderly women living at home" 10 (10): 308-313, 2004

33 A. Shumway-cook, "Predicting the probability for falls in community-dwelling older adults" 77 (77): 812-819, 1997

34 E. W. Gregg, "Physical activity, falls, and fractures among older adults: A review of the epidemiologic evidence" 48 (48): 883-893, 2000

35 S. Gates, "Multi-factorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care setting : Systematic review and meta-analysis" 336 : 130-133, 2008

36 A. Shumway-Cook, "Motor control" Lippincott Williams & Wilkins 2006

37 J. T. Chang, "Interventions for the prevention of falls in older adults : Systematic review and meta-analysis of randomized clinical trials" 328 : 328-680, 2004

38 I. S. Jang, "Home safety assessment for fall prevention in elderly people in a rural community" 4 (4): 176-186, 2002

39 American Geriatrics Society, "Guideline for the prevention of falls in older persons" 49 (49): 664-672, 2001

40 M. E. Tinnetti, "Fall efficacy as a measure of fear of falling" 45 (45): 239-243, 1990

41 K. R. Shin, "Environmental hazards assessment of fall in community-dwelling elderly women" 12 (12): 39-58, 2011

42 F. N. Romero, "Effects of proprioceptive training program on core stability abd center of gravity control in sprinters" 26 (26): 2071-2077, 2012

43 C. Sherrington, "Effective exercise for the prevention of falls : A systematic review and meta-analysis" 56 : 2234-2243, 2008

44 S. H. Min, "Effect of fall experience and prevention exercise on fitness factors for fall prediction" Kookmin University 2018

45 M. G. Karakaya, "Effect of ankle proprioceptive training on static body balance" 10 : 3299-3302, 2015

46 고경, "Development of Core Strength Training Equipment and Its Effect on the Performance and Stability of the Elderly in Activities of Daily Living" 한국운동역학회 26 (26): 229-236, 2016

47 R. Ruchinskas, "Clinical prediction of falls in the elderly" 51 : 841-846, 2003

48 D. C. Kerrigan, "Biomechanics gait alterations independent of speed in the healthy elderly : Evidence for specific limiting impairments" 79 (79): 317-322, 2001

49 J. H. van Dieen, "Age-related intrinsic limitations in preventing a trip and regaining balance after a trip" 43 (43): 437-453, 2005

50 W. B. Katzman, "Age-related hyper-kyphosis, independent of spinal osteoporosis is associated with impaired mobility in older community-dwelling women" 22 (22): 85-90, 2011