근관절건강학회지 (Journal of muscle and joint health)

  • 제16권2호
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  • Pages.165-173
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  • 2009
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  • 1975-9398(pISSN)
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  • 2288-789X(eISSN)
대한근관절건강학회 (Korean Society of Muscle and Joint Health)
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슬링운동이 여성노인의 낙상위험도, 족관절배측굴곡력 및 균형에 미치는 효과

The Effects of Sling Exercise on Fall Risk Score, Ankle Dorsiflexion and Balance in Community-Dwelling Elderly Women

  • 함경림 (소망정형외과 물리치료실) ;
  • 이완희 (삼육대학교 물리치료학과)
  • Hahm, Kyoung-Lim (Department of Physical Therapy, Somang Orthopedic Surgery) ;
  • Lee, Wan-Hee (Department of Physical Therapy, Sahmyook University)
  • 발행 : 2009.11.30
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초록

Purpose: The aim of this study was to examine the effects of sling exercise on fall risk score, ankle dorsiflexion and balance in community-dwelling elderly women. Method: A 6-week prospective study was conducted to examine the effects of sling exercise. Participants were required to attend their assigned exercise classes three times a week for 6 weeks. Result: After the 6 week study period, PPA fall-risk scores were reduced by 0.90 for the exercise group, which was a significant change (p<.001). Dorsiflexion strength increased significantly (p<.01) by 1.56 kg after the sling exercise. There was a 2.0 cm-increase (p<.05) in FRT and 0.38 second-improvement (p<.01) in TUGT. A 7.88 second-increase in One-leg standing with Eyes Open and a 3.12 second-increase in One-leg standing with Eyes Closed were reported during the 6-week intervention period. Conclusion: The 6-week sling exercise reduced falls risk score significantly (p<=.001) in community-dwelling elderly women by improving fall risk related factors such as reaction time, balance and strength.

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참고문헌

  1. American Geriatric Society., British Geriatrics Society., & American Academy of Orthopaedic Surgeons. (2001, May). Guideline for the prevention of falls in older persons. Journal of American Geriatrics Society, 49(5), 664-672. https://doi.org/10.1046/j.1532-5415.2001.49115.x
  2. Arnadottir, S. A., & Mercer, V. S. (2000). Effects of footwear on measurements of balance and gait in women between the ages of 65 and 93 years. Physical Therapy, 80, 17-27.
  3. Bath, P. A., & Morgan, K. (1999). Differential risk factor profiles for indoor and outdoor falls in older people living at home in Nottingham UK. European Journal Epidemiology, 15, 65-73. https://doi.org/10.1023/A:1007531101765
  4. Bezon, J., Echevarria, K. H., & Smith, G. B. (1999). Nursing outcome indicator: Preventing falls for elderly people. Outcomes Management for Nursing Practice, 3, 112-116.
  5. Bueno, C. A., & Padilla, R. F. (2000). Risk factors in falls among the elderly according to extrinsic and intrinsic precipitating causes. European Journal Epidemiology, 16, 849-859. https://doi.org/10.1023/A:1007636531965
  6. Cummings, R. G., & Thomas, M. S. (1999). Home visits by an occupational therapist for assessment and modification of environmental hazards: A randomized trial of falls prevention. Journal of American Geriatric Society, 47, 1397-1402. https://doi.org/10.1111/j.1532-5415.1999.tb01556.x
  7. Curry, L .C., & Hogstel, M. O. (2002). Nursing assessment and intervention: Preventing fall-related injuries in long-term care facilities. Ann LongTerm Care, 10, 29-35.
  8. Evans, J. G. (1990). Fallers, non-fallers and poison. Age and Aging, 19, 268-269. https://doi.org/10.1093/ageing/19.4.268
  9. Fleming, B. E., & Pendergast, D. R. (1993). Physical condition, activity pattern, and environment as factors in falls by adult care facility residents. Archives of Physical Medicine and Rehabilitation, 74, 627-630. https://doi.org/10.1016/0003-9993(93)90161-3
  10. Gillespie, L. D., Gillespie, W. J., Robertson, M. C., Lamb, S. E., Cummings, R. G., & Rowe, B. H. (2002). Interventions for preventing falls in elderly people (Rev. ed.). In The Cochrane Library, Issue 3. Oxford; Update Software.
  11. Glynn, R. J., Seddon, J. M., Krug, J. H., Sahagian, C. R., Chiavelli, M. E., & Campion, E. W. (1991). Falls in elderly patients with glaucoma. Archives Opthalmology, 109, 205-210. https://doi.org/10.1001/archopht.1991.01080020051041
  12. Jack, C. I., Smith, T., Neoh, C. L., & McGalliard, J. N. (1995). Prevalence of low vision in elderly patients admitted to an acute geriatric unit in Liverpool: Elderly people who fall are more likely to have low vision. Gerontology, 41, 280-285. https://doi.org/10.1159/000213695
  13. Jennifer, C. N., & Nancy, L. C. (2004). The efficacy of a specific balance-strategy training programme for preventing falls among older people: A pilot randomized controlled trial. Age and Aging, 33(1), 52-58. https://doi.org/10.1093/ageing/afh029
  14. Johansson, G., & Jarnlo, G. B. (1991). Balance training in 70-year-old women. Physical Therapy, 71, 121-125.
  15. Judge, J. O., Linsay, C., Underwood, M., & Winsemius, D. (1993). Balance improvements in older women: effects of exercise training. Physical Therapy, 73(4), 254-265. https://doi.org/10.1093/ptj/73.4.254
  16. Kim, T. Y. (2005). Effects of sling exercise on spinal stabilization. Korea Sport Research, 16(6), 273-280.
  17. Kirkesola, B. S. (2001, July). A total concept for exercise and active treatment of musculoskeletal disorder. Symposium conducted at the meeting of the sling exercise therapy course. Norway.
  18. Lee, H. Y., Bak, W. S., & Yang, H. I. (2009). Fear of falling and fall efficacy with bone mineral density in the middle and old aged women. Journal of Muscle and Joint Health, 16(1), 5-12
  19. Lord, S. R., Castell, S., Cocoran, J., Dayhew, J., Matters, B., Shan, A., et al. (2003). The effect of group exercises on physical functioning and falls in frail older people living in retirement villages. A randomized controlled trial. Journal of American Geriatric Society, 51, 1685-1692. https://doi.org/10.1046/j.1532-5415.2003.51551.x
  20. Masud, T., & Morris, R. O. (2001). Epidemiology of falls. Age and Aging, 30, 3-7. https://doi.org/10.1093/ageing/30.1.3
  21. Murphy, S. L., Dublin, J. A., & Gill, T. M. (2003). The development of fear of falling among community-living older adults: Predisposing factors and subsequent falls events. The Journal of Gerontology. Series A, Biological sciences and Medical Science, 58(10), M943-947. https://doi.org/10.1093/gerona/58.10.M943
  22. Robbins, S., Waked, E., & Krouglicof, N. (1998). Improving balance. Journal of American Geriatric Society, 46, 1363-1370. https://doi.org/10.1111/j.1532-5415.1998.tb06002.x
  23. Royal College of Physicians. (2007, November 14)). Falls and bone health, from http://www.rcplondon.ac.uk/pages/resuits/osteoporosis.htm.
  24. Stephen, R. L., & Hylton, B. M. (2003). A Physiological profile approach to falls risk assessment and prevention. Physical Therapy, 83, 237-252.
  25. Tinnetti, M. E., Mcava, G., & Claus, E. (1994). Does multifactorial intervention to reduce the risk of falling among elderly people living in the community. The New England Journal of Medicine, 331, 821-827. https://doi.org/10.1056/NEJM199409293311301