DOI QR코드

DOI QR Code

고령자 보행 시 탄성저항운동이 지면반력 신호의 주파수 크기와 variability에 미치는 영향

Elastic Resistance Exercise for the Elderly on the Magnitude of Frequency and Variability of Ground Reaction Force Signals during Walking

  • 발행 : 2008.12.30

초록

이 연구는 고령자를 대상으로 탄성저항운동을 수행하였을 경우 운동 전 후로 보행 시 지면반력 신호 크기와 이들의 variability에 어떠한 영향을 미치는 가를 구명하고자 하였다. 이를 위하여 여성 고령자 12명을 대상으로 12주간 탄성저항운동을 실시하였으며, 운동 전 후로 보행 시 3방향 지면반력 신호의 주파수 크기와 variability 값을 산출하였다. FFT(fast Fourier transform)를 이용하여 주파수 분석을 하였으며, PSD(power spectral density)를 계산하였다. 총 대상자들의 변이 계수(SD/Mean*100)을 이용하여 집단 간 variability를 계산하였다. 그 결과 다음과 같은 결론을 얻었다. 지면반력 신호의 주파수 크기는 좌우 방향에서 운동 전보다 운동 후에 작은 값을 보였으며, 통계적으로도 유의한 차이(p<.05)가 나타났다. 지면반력 신호의 variability에서는 좌우 방향에서 운동 전보다 운동 후에 큰 값이 나타났으며, 통계적으로도 유의한 차이(p<.05)가 나타났다.

The purpose of this study was to determine the effects of 12-week elastic resistance exercise for the elderly on the magnitude of frequency and variability of ground reaction force signals. To this aim, total 12 elderly women aged in their 70 were participated in this study and asked to do a 12-week elastic resistance exercise program. FFT(fast Fourier Transform) was used to analyze the frequency domain analysis of the ground reaction forces's signals and an accumulative PSD (power spectrum density) normalized by support phase of walking was calculated to reconstruct the certain signals. To estimate the gait stability between the before and after exercise, values of variability were determined in a coefficient of variance. The magnitude of frequency and variability analysis for media-lateral signal revealed significantly less after exercise (p<.05). In contrast, variability of this signal's frequency that have used to evaluate the local stability during walking exhibited significantly greater after exercise(p<.05). In summary, magnitude frequency and variability of media-lateral ground reaction force's signal were significantly changed after a 12-week elastic resistance exercise.

키워드

참고문헌

  1. 류지선(2006a). 노인 보행 시 발과 경골 Coupling 패턴과 variability. 한국체육학회지, 45(1), 747-756.
  2. 류지선(2006b). 노인 보행 시 지면반력 신호의 주파수 크기와 variability 비교, 한국체육학회지, 45(5), 457-464.
  3. 류지선, Hamill, J. (2003). 운동역학 실험, 대한미디어. 99-104.
  4. 박시영(2002). 10주간의 탄생밴드 운동이 고령여성고혈압 환자의 혈압.혈중지절 농도 및 생활 체력에 미치는 영향. 경희대학교 체육대학원 스포츠의학과 석사 학위논문.
  5. 박장성, 최은영, 황태연(2002). 하지근력강화가 노인의 보행 및 균형능력에 미치는 영향. 대한물리치료학회지, 14(2), 71-79.
  6. 서혜욱(2004). 저항성 근력운동이 고혈압 노인의 활동 중 혈압반응에 미치는 영향. 국민대학교 스포츠산업대학원 석사학위논문.
  7. 안선향(2006). 탄생밴드를 이용한 근력훈련이 편마비 환자의 보행, 기능장애에 미치는 효과. 한국체육대학교 사회체육대학원 석사학위논문.
  8. 유연주(2006). 만성 편마비 환자의 재활 유형이 일어서기 동작의 운동학 및 운동역학적 변인에 미치는 영향. 서울대학교 대학원 체육교육과 박사학위논문.
  9. 정덕조, 주기찬(2003). 탄성밴드를 이용한 저항운동프로그램이 고령여성의 활동체력 증진에 미치는 영향. 운동과학, 12(2), 253-313.
  10. Antonsson, E.K., & Mann, R.W. (1985). The frequency content of gait. J. of Biomechanics, 18, 39-47. https://doi.org/10.1016/0021-9290(85)90043-0
  11. Best-Martini E & Bothenhagen-Digenova KA.(2003). Exercise for fail elders. Human Kinetics.
  12. Buchner DM, Beresford SA, Larson BB, LaCroix AZ and Wagner EH.(1992). Physical performance and sensory functions as determinants of independence in activities of daily living in the old and the very old. Ann NY Acad Sci: 26; 673: 350-361.
  13. Buzzi, U.H., Stergiou, N., Kurz, M., Hageman, P.A., & Heidel, J. (2003).
  14. Chao, E., Laughman, R., Schneider, E., & Stuffer R. (1983). Nonnative data of knee joint motion and GRF in adult level walking. J. Biomechanics, 16, 219-33. https://doi.org/10.1016/0021-9290(83)90129-X
  15. Crowe, A., Schiereck, P., deBoer, R., & Keessen, W. (1993). Characterization of gait young adilt ferrules by means of body center of mass oscillations derived from GRF. Gait Posture, 61-8.
  16. Daubney M.E., & Culham, E.G. (1999). Lower-extremity muscle force and balance performance in adults aged 65 years and older. Phys Ther. 19:1177-1185.
  17. Dayhoff, Estes P.K., Holt, Topp R., & Suhrheinrich J. (1997). Postural control and strength mood among older adults. Appl Nurs Res. Feb;10(1):11-18. https://doi.org/10.1016/S0897-1897(97)80034-1
  18. Giakas, G., & Baltzopoulos, V. (1997). Time and frequency domain analysis of GRF during walking: An investigation of variability and symmetry. Gait Post, 5, 189-97. https://doi.org/10.1016/S0966-6362(96)01083-1
  19. Giakas, G., Baltzopoulos, V., Dangerfield, P., & Dorgan J., Dalmira S. (1996). Comparision of gait patterns between healthy and scoliotic patients using time and frequency domain analysis of GRF. Spine 21, 2235-42. https://doi.org/10.1097/00007632-199610010-00011
  20. Guimaraes, R. M., & Isaacs, B. (1980). Characteristics of gait in old people who fall. Int. Rehab. Med,. 2, 177-180.
  21. Hamill J., & Haddad, J. M. (2002). The role of variability in the etiology of running. Proceedings of 2002 KNUPE international symposium, 2(1):107-18.
  22. Hamill, J., & McNiven S. (1990). Reliability of selected ground reaction force parameters during walking. Human Movement Science, 9, 117-31. https://doi.org/10.1016/0167-9457(90)90023-7
  23. Hamill, J., Haddad, J., M., & McDennott, W.J. (2000). Issues in quantifying variability from a dynamical systems perspective. J. of Applied Biomechanics, 16: 407-418.
  24. Hausdorff, J. M., Forman, D. E., ladin, Z. (1994). Increased walking variabilityin elderly person with congestive heart failure. J. Am. Geriatr. Soc, 42, 1056-1061.
  25. Heiderscheit, B.C., Hamill, J., & Van Emmerik, R.E.A. (2002). variability of stride characteristics and joint coordination among individuals with unilateral patellofemoral pain. J. of Applied Biomechanics, 18, 110-121.
  26. Hughes CJ, Hurd K, Jones A and Sprigle S. (1999). Resistance properties of Thera-Band Tubing during shoulder abduction exercise. J Orthop Sports Phys Ther. 29(7): 413-420. https://doi.org/10.2519/jospt.1999.29.7.413
  27. Judge, J.O., Whipple, R.H., & Wolfson, L.I. (1994). Effects of resistive and balance on iso kinetic strength in old persons. Journal of American Geriatric Society, 9:937-946.
  28. Judge. J.O., Lindsey, C., & Underwood, M., et al. (1993). Balance improvements in older women: effects of exercise training. Phys Ther, 73(4): 254-265.
  29. Nevitt, M.C. (1997). Fall in elderly: risk factors and prevention, In:Masden JC, et al., Gait disorders of aging: Falls and therapeutic strategies, New York, Lippincott-Raven.ffering perspectives in motor learning. memory, and control. (pp.295-317). Amsterdam: North- Holland.
  30. Newell, K.M., Corcos, D.M. (1993). Issues in variability and motor control. In K.M. Newll & D.M.Corcos(Eds.). variability and Motor Control.(pp.1-12). Champaign, IL: Human Kinetics.
  31. Perry, J. (1992). Gait Analysis: Normal and pathological function. Thorofare, NJ: SLACK Incorporated.
  32. Petterson, R.M., Stegink Jansen, C.W., Hgan, H.A. & Nassif, M.K. (2001). Material properties of thera-band tubirg. Physical Therapy, 81(8): 1437-1445.
  33. Phillip Page, Todd S. Ellendecker. (2004). The Scientific and Clinical Application of Elastic Resistance. 대한 미디어.
  34. Skeleton, Choy, D.S., Altman, P. (1995). Fall of intradiscal pressure with laser ablation. J Gin Laser med Surg, 13(3): 149-51.
  35. Speechley & Tinetti (1990). Falls efficacy as a measure of fear of falling. J. Biomech, 17:53-60. https://doi.org/10.1016/0021-9290(84)90080-0
  36. Stergiou, N., Giakas. G., Byrne, J. E., & Pomeroy. V. (2002). Frequency domain characteristics of ground reaction forces during walking of young and elderly females, Clinical Biomechanics, 17. 615-617. https://doi.org/10.1016/S0268-0033(02)00072-4
  37. Tinetti ME. (1986). A performance-oriented assessment of mobility problem in elderly patients. J. Am Geriatric Soc, 34: 199-226.
  38. Topp R, Mikesky A, Wigglesworth J, Holt W Jr and Edqards Je. (1993). The effect of a 12-week dynamic resistance strenght trining program on gait velocity and balance of older adults. Gerontologist, 33; 4:501-506. https://doi.org/10.1093/geront/33.4.501
  39. White, R., Agoutis, I., Selbie, R. D., & Kirkpatrick M. (1999). The variability of platform data in normal and cerebral palsy gait. Clinical Biomechanics, 14, 185-92. https://doi.org/10.1016/S0268-0033(99)80003-5