The Effect of Swiss Ball Exercise on Lower Extremity Function of Elderly Women with Mild Cognitive Impairment

스위스볼 운동이 경도인지장애 여성노인의 하지기능에 미치는 효과

  • Received : 2011.01.22
  • Accepted : 2011.04.14
  • Published : 2011.05.31

Abstract

Purpose: The purpose of this study was to confirm whether the Swiss Ball exercise program is effective to improve lower extremity function and activity of daily living of elderly women with mild cognitive impairment (MCI). Methods: This study was a double blind control study. Subjects participated 34 female elderly women who were assigned to exercise group (n=17) and control group (n=17). The Swiss Ball exercise program was performed 2 times a week during the 12 weeks. Pre-and post-exercise various measurements were made: lower extremity function (OLS, TUG, STS). Results: In exercise group, There showed statically significance improve between pre-and post-exercise in OLS (7.29${\pm}$1.10 and 7.64${\pm}$1.32), TUG (10.47${\pm}$2.03 and 10.05${\pm}$2.04), STS (7.71${\pm}$1.04 and 7.94${\pm}$.82)(p<.05). ADL also showed statically significance improve between pre-and post-exercise (13.76${\pm}$3.54 and 12.82${\pm}$3.39, p<.05). There showed statically significance difference between two groups (p<.05). Conclusion: The Swiss Ball exercise program improved lower extremity function and ADL of elderly women with MCI. Further studies are required to examine the significance of the assessment of motor function of lower extremities.

Keywords

References

  1. 보건복지부. 치매노인유병률조사, 2008.
  2. 성혜련, 양점홍, 김미숙. 춤과 스위스 볼이 여성 중고령자의 기능적 체력에 미치는 영향. 발육발달학회지. 2003;11(2):89-96.
  3. 장재훈, 허선, 홍관이. 볼-밴드 복합운동이 중년여성의 신체구성과 체력, 골밀도에 미치는 효과 및 정신사회적 요인과의 상관관계. 한국체육학회지. 2007;46(5):493-501.
  4. 전갑수. 경도인지장애 환자의 뇌백질병소에 관한 자기공명영상 연구. 고신대학교 대학원. 석사학위논문. 2007.
  5. 통계청. 2008 고령자 통계, 2008.
  6. 한은경. 신경심리평가를 통한 인지적 노화의 변별과 경도인지장애의 알츠하이머형 치매 이환 예측. 전남대학교 대학원. 박사학위 논문. 2010.
  7. Aggarwal NT, Wilson RS, Beck TL et al. Motor dysfunction in mild cognitive impairment and the risk of incident Alzheimer disease. Arch neurol. 2006;63(12):1763-9. https://doi.org/10.1001/archneur.63.12.1763
  8. Baker LD, Frank LL, Foster-Schubert K et al. Effects of aerobic exercise on mild cognitive impairment: a controlled trial. Arch Neurol. 2010;67(1):71-9. https://doi.org/10.1001/archneurol.2009.307
  9. Boyle PA, Wilson RS, Buchman AS et al. Lower extremity motor function and disability in mild cognitive impairment. Exp Aging Res. 2007:33(3):355-71. https://doi.org/10.1080/03610730701319210
  10. Buchner DM. Exercise slows functional decline in nursing home residents with Alzheimer's disease. Aust J Physiother. 2007;53(3):204. https://doi.org/10.1016/S0004-9514(07)70031-4
  11. Colcombe S, Kramer AF. Fitness effects on the cognitive function of older adults: a meta-analytic study. Psychol Sci. 2003;14(2):125-30. https://doi.org/10.1111/1467-9280.t01-1-01430
  12. Eggermont LH, Gavett BE, Volkers KM et al. Lower-extremity function in cognitively healthy aging, mild cognitive impairment, and Alzheimer's disease. Arch Phys Med Rehabil. 2010;91(4):584-8. https://doi.org/10.1016/j.apmr.2009.11.020
  13. Flett M. Swiss Ball: for strength, tone and posture. PRC Publishing, 2005
  14. Laurin D, Verreault R, Lindsay J et al. Physical activity and risk of cognitive impairment and dementia in elderly persons. Arch Neurol. 2001;58(3):498-504. https://doi.org/10.1001/archneur.58.3.498
  15. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179-86.
  16. Lautenschlager NT, Cox KL, Flicker L, et al. Effect of physical activity on cognitive function in older adults at risk for Alzheimer disease: a randomized trial. JAMA. 2008;300(9):1027-37. https://doi.org/10.1001/jama.300.9.1027
  17. Pettersson AF, Engardt M, Wahlund LO. Activity level and balance in subjects with mild Alzheimer's disease. Dement Geriatr Cogn Disord. 2002;13(4):213-6. https://doi.org/10.1159/000057699
  18. Podewils LJ, Guallar E, Kuller LH et al. Physical activity, APOE genotype, and dementia risk: findings from the Cardiovascular Health Cognition Study. Am J Epidemiol. 2005;161(7):639-51. https://doi.org/10.1093/aje/kwi092
  19. Sofi F, Valecchi D, Bacci D et al. Physical activity and risk of cognitive decline: a meta-analysis of prospective studies. J Intern Med. 2011;269(1):107-17. https://doi.org/10.1111/j.1365-2796.2010.02281.x
  20. Yaffe K, Barnes D, Nevitt M et al. A prospective study of physical activity and cognitive decline in elderly women: women who walk. Arch Intern Med. 2001;161(14):1703-8. https://doi.org/10.1001/archinte.161.14.1703