오타고운동 기반 낙상예방교육활동이 아급성 뇌졸중 환자의 균형, 낙상 효능감 및 일상생활동작능력에 미치는 영향: 무작위 대조군 임상 연구 = The effect of otago exercise-based fall prevention education activities on balance, fall efficacy and activities of daily living in the subacute stroke patients: A randomized controlled clinical trial

다국어 초록 (Multilingual Abstract)

Background: This study analysed the effect of the fall prevention education activities on balance, fall efficacy, activities of daily living (ADL) of sub-acute stroke patients.
Design: Randomized controlled trial.
Methods: The subjects of the study were 24 subacute patients, who have onset period of less than 6 months. They are randomly allocated in the conventional therapy group (n=12) and fall prevention education group (n=12) and observed with frequency for 5 times a week for four weeks. Measuring took place before and after the experiment leading to following results of the Fall efficacy scale (FES), Berg balance scale (BBS) and Functional Independence Measure (FIM).
Results: FES, BBS and FIM score was significantly greater in the post-test than in the pre-test in both groups (p<0.01). Independent t-test confirmed that the fall prevention education group showed much greater improvement change in the FES, BBS and FIM score than conventional therapy group (p<0.05).
Conclusion: The present study demonstrated the importance of clinical contribution of the fall prevention education in the individuals with subacute stroke patients to the balance, fall efficacy and ADL following the stroke rehabilitation.

참고문헌 (Reference)

1 김성철, "편마비 환자의 트레드밀과 체중지지의 트레드밀 훈련이 균형능력 및 보행능력에 미치는 영향" 25 (25): 31-43, 2018

2 빈유민, "입원 노인과 재가 노인의 신체능력과 낙상효능감 및 우울수준 비교" 25 (25): 1-8, 2018

3 최현석, "버그 균형 척도 평가 빈도수가 뇌졸중 환자의 동적 균형 및 보행 속도에 미치는 영향" 19 (19): 7-15, 2012

4 송현승, "균형과 보행능력 향상을 위한 오타고 운동프로그램의 임상적 유용성: 만성 뇌졸중 환자를 대상으로, 무작위 배정 실험연구" 대한물리의학회 11 (11): 63-70, 2016

5 Jang SN, "The validity and reliability of Korean fall efficacy scale(FES)and activities-specific balance confidence scale(ABC)" 7 (7): 255-268, 2003

6 Teasell R, "The incidence and consequences of falls in stroke patients during inpatient rehabilitation : factors associated with high risk" 83 (83): 329-333, 2002

7 Stineman MG, "The Functional Independence Measure : tests of scaling assumptions, structure, and reliability across 20 diverse impairment categories" 77 (77): 1101-1108, 1996

8 Tutuarima JA, "Risk factors for falls of hospitalized stroke patients" 28 (28): 297-301, 1997

9 Page SJ, "Reconsidering the motor recovery plateau in stroke rehabilitation" 85 (85): 1377-1381, 2004

10 Campbell AJ, "Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women" 315 (315): 1065-1069, 1997

11 Chambers BR, "Prognosis of acute stroke" 37 (37): 221-225, 1987

12 Hayes N, "Prevention of falls among older patients in the hospital environment" 13 (13): 896-901, 2004

13 Robertson MC, "Preventing injuries in older people by preventing falls : a meta-analysis of individual-level data" 50 (50): 905-911, 2002

14 Gardner MM, "Practical implementation of an exercise-based falls prevention programme" 30 (30): 77-83, 2001

15 Liu-Ambrose T, "Otago home-based strength and balance retraining improves executive functioning in older fallers : A randomized controlled trial" 56 (56): 1821-1830, 2008

16 Otago Medical School, "Otago exercise programme to prevent falls in older adults"

17 Min-Jeong Song, "Minimal Clinically Important Difference of Berg Balance Scale scores in people with acute stroke" 물리치료재활과학회 7 (7): 102-108, 2018

18 Winstein CJ, "Methods for a multisite randomized trial to investigate the effect of constraint-induced movement therapy in improving upper extremity function among adults recovering from a cerebrovascular stroke" 17 (17): 137-152, 2003

19 Tinetti ME, "Falls efficacy as a measure of fear of falling" 45 (45): 239-243, 1990

20 Thompson CJ, "Effectiveness of a Fall Prevention Exercise Program on Falls Risk in Community-Dwelling Older Adults" 4 (4): 16-22, 2019

21 Simpson LA, "Effect of stroke on fall rate, location and predictors : a prospective comparison of older adults with and without stroke" 6 (6): e19431-, 2011

22 Thomas S, "Does the 'Otago exercise programme' reduce mortality and falls in older adults? : a systematic review and meta-analysis" 39 (39): 681-687, 2010

23 Beninato M, "Determination of the minimal clinically important difference in the FIM instrument in patients with stroke" 87 (87): 32-39, 2006

24 Berg KO, "Clinical and laboratory measures of postural balance in an elderly population" 73 (73): 1073-1080, 1992

25 Tyson SF, "Balance disability after stroke" 86 (86): 30-38, 2006

26 Gschwind YJ, "A best practice fall prevention exercise program to improve balance, strength/power, and psychosocial health in older adults : study protocol for a randomized controlled trial" 13 (13): 105-, 2013