Correlation of the Korean Version of Falls Efficacy Scale-International With Quantitative Balance and Gait Parameters Through Exercise Program in Elderly Men

다국어 초록 (Multilingual Abstract)

Objective To determine correlation of the Korean version of Falls Efficacy Scale-International (KFES-I) with other gait and balance parameters through exercise program in older men. Methods Between July 2015 and April 2018, 50 men of 103 participants in an exercise program for preventing falls who aged over 60 years, completed the evaluation before and after the program, had fear of falling (FOF), and could walk independently as an outpatient were enrolled retrospectively. The program comprised lower extremities and core muscle strengthening exercises following stretching exercises twice a week for 8 weeks. FOF using the KFES-I, Berg Balance Scale (BBS), Modified Barthel Index (MBI), stair up and gait categories in MBI (MBI-gait), and Timed Up and Go test (TUG) were evaluated. Quantitative gait and balance parameters were measured by gait analysis, posturography, and isokinetic dynamometer. They were compared before and after the program. Moreover, correlations of KFES-I with other parameters were examined. Results Fifty participants were enrolled. After the program, significant improvements were noted in right stride length (p=0.013) in gait analysis, MBI (p=0.012), BBS (p<0.000), TUG test (p<0.000), and KFES-I (p<0.000) scores. KFES-I was significantly correlated with MBI (r=-0.35, p=0.013), and MBI-gait (r=-0.341, p=0.015). Conclusion Risk of falls could be significantly improved through exercise. KFES-I had significant correlations with MBI-gait parameters. Participants showed increases in gait and balancing ability on quantitative measurements through exercises. Therefore, regular stretching, strengthening, and balancing exercises may help prevent falls in older people.

참고문헌 (Reference)

1 박기범, "한국어판 낙상효능척도-국제형의 신뢰도 및 타당도(KFES-I)" 대한재활의학회 34 (34): 554-559, 2010

2 임종엽, "통합적 노인 낙상 예방 프로그램의 장단기 효과" 대한재활의학회 34 (34): 451-457, 2010

3 Paul SS, "Two-year trajectory of fall risk in people with Parkinson disease : a latent class analysis" 97 : 372-379, 2016

4 Arfken CL, "The prevalence and correlates of fear of falling in elderly persons living in the community" 84 : 565-570, 1994

5 Powell LE, "The Activities-specific Balance Confidence (ABC) scale" 50A : M28-M34, 1995

6 Ambrose AF, "Risk factors for falls among older adults : a review of the literature" 75 : 51-61, 2013

7 송경애, "Risk Factors for Falls among the Community-Dwelling Elderly in Korea" 한국간호과학회 34 (34): 1483-1490, 2004

8 Gazibara T, "Recurrent falls in Parkinson’s disease after one year of follow-up : a nested case-control study" 65 : 17-24, 2016

9 Cumming RG, "Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission" 55 : M299-M305, 2000

10 Zijlstra GA, "Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people" 36 : 304-309, 2007

11 Liu Y, "Neuropsychological mechanisms of falls in older adults" 6 : 64-, 2014

12 Freiberger E, "Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults : a randomized controlled trial" 60 : 437-446, 2012

13 Clemson L, "LiFE pilot study : a randomised trial of balance and strength training embedded in daily life activity to reduce falls in older adults" 57 : 42-50, 2010

14 Casey CM, "Lessons learned from implementing CDC’s STEADI falls prevention algorithm in primary care" 57 : 787-796, 2017

15 Cameron ID, "Interventions for preventing falls in older people in care facilities and hospitals" 9 : CD005465-, 2018

16 Young WR, "How fear of falling can increase fall-risk in older adults : applying psychological theory to practical observations" 41 : 7-12, 2015

17 Auais M, "Fear of falling and its association with life-space mobility of older adults : a cross-sectional analysis using data from five international sites" 46 : 459-465, 2017

18 Scheffer AC, "Fear of falling : measurement strategy, prevalence, risk factors and consequences among older persons" 37 : 19-24, 2008

19 Tinetti ME, "Falls efficacy as a measure of fear of falling" 45 : P239-43, 1990

20 Friedman SM, "Falls and fear of falling : which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention" 50 : 1329-1335, 2002

21 Dewan N, "Fall Efficacy Scale-International(FES-I)" 60 : 60-, 2014

22 김광일, "Evidence-based guidelines for fall prevention in Korea" 대한내과학회 32 (32): 199-212, 2017

23 Park Y, "Effects of the Otago exercise program on fall efficacy, activities of daily living and quality of life in elderly stroke patients" 28 : 190-193, 2016

24 Donoghue OA, "Effects of fear of falling and activity restriction on normal and dual task walking in community dwelling older adults" 38 : 120-124, 2013

25 Cadore EL, "Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults : a systematic review" 16 : 105-114, 2013

26 Jung Y, "Effects of a multifactorial fall prevention program on balance, gait, and fear of falling in post-stroke inpatients" 27 : 1865-1868, 2015

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

28 Schache AG, "Differences in lower limb transverse plane joint moments during gait when expressed in two alternative reference frames" 40 : 9-19, 2007

29 Yardley L, "Development and initial validation of the Falls Efficacy Scale-International(FES-I)" 34 : 614-619, 2005

30 Barnett A, "Community-based group exercise improves balance and reduces falls in at-risk older people : a randomized controlled trial" 32 : 407-414, 2003

31 Azad A, "Clinical assessment of fear of falling after stroke : validity, reliability and responsiveness of the Persian version of the Fall Efficacy Scale-International" 28 : 131-, 2014