Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of Resistance Exercise with Elasticity of Tubes on the Gait, Balance and Strength in the Elderly of the Daycare center

고무로프의 탄성을 이용한 저항성운동이 노인의 보행능력, 균형능력 및 근력 향상에 미치는 영향 -주간보호센터 노인을 대상으로

  • 엄혜미 (부천대학교 비서사무행정과) ;
  • 시주운 ((주)더드림) ;
  • 이현주 (실버스드림랩 (주)더드림 기업부설연구소)
  • Received : 2019.04.24
  • Accepted : 2019.07.05
  • Published : 2019.07.31
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Abstract

This study is for the elderly with mental and physical dysfunction, developing resistance exercise program using tube elasticity, and analysing the effects of this movement on the improvement of gait ability, balance ability and muscle strength of the elderly. After a 12-week program for 58 participants of the daycare center, dependent t-test was performed. As a result, the total participants showed average improvement in gait, balancing and hand grip strength. This means a lot in terms of improving one's ability of ADL(Activities of daily living) and reducing the risk of falling. Therefore, if the program expands and activates the target as an entire elderly, it is expected to be a preventative way to prevent healthy elderly people from moving to the frailty who need treatment and to delay the deterioration of the frailty with disabilities.

본 연구는 건강보험공단의 기준에 의해 부분도움 또는 완전도움이 필요한 등급을 받은 정신적, 신체적 기능장애를 가진 노인을 대상으로, 고무의 탄성을 이용하여 관절과 근육이 무리를 덜 주는 저항성 운동프로그램들 개발하고, 이 운동이 노인의 보행능력, 균형능력 및 근력 향상에 미치는 효과를 분석한 연구이다. 경기, 충청권의 주간보호센터 세 곳을 대상으로 노인들 58명에게 12주간의 운동 프로그램을 진행한 후, 운동 참여 전과 후의 수치에 대해 종속 t-검증을 실시하였다. 그 결과 전체 참여자들이 보행능력, 균형능력, 근력에서 평균적인 향상을 보였다. 특히 모든 등급에서 검증된 균형능력의 유의한 향상(p<.01)은 균형능력이 일상생활 능력을 향상시키고 낙상 위험을 감소시킨다는 측면에서 노인 삶의 질 향상의 의미가 크다고 할 수 있다. 따라서 본 운동프로그램을 전체 노인으로 대상을 확대하고 활성화시킨다면, 건강한 노인이 치료가 필요한 취약계층으로 이동하는 것을 방지하고 허약노인이 장애노인으로 진행되는 것을 지연시킬 수 있어 개인적, 국가적 손실을 최소화할 수 있는 예방적 방법 중 하나가 될 것으로 기대된다.

Keywords

Table 1. Demographic Characteristics of Participants

SHGSCZ_2019_v20n7_102_t0001.png 이미지

Table 2. Physical characteristics of Participants

SHGSCZ_2019_v20n7_102_t0002.png 이미지

Table 3. Intervention Program – Example

SHGSCZ_2019_v20n7_102_t0003.png 이미지

Table 4. Measurement

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Table 5. 12 Week exercise - Changes in physical ability - total participant

SHGSCZ_2019_v20n7_102_t0005.png 이미지

Table 6. 12 Week exercise - Changes in physical ability - 5Grade & Mild Dementia

SHGSCZ_2019_v20n7_102_t0006.png 이미지

Table 7. 12 Week exercise - Changes in physical ability - 3Grade & 4Grade

SHGSCZ_2019_v20n7_102_t0007.png 이미지

References

  1. Ministry of Health and Welfare, White Book 2017
  2. M. E. Tinetti, "Clinical practice. Preventing falls in elderly persons", New England Journal of Medicine, Vol. 348, No.1, pp.42-49, 2003 https://doi.org/10.1056/NEJMcp020719
  3. J. Fleming, C. Brayne, "Inability to get up after falling, subsequent time on floor, and summoning help: prospective cohort study in people over 90", British Medical Journal, Vol.337, pp.a2227, 2008 DOI: https://doi.org/10.1136/bmj.a2227
  4. T. Yokoya, S. Demura, S. Sato, "Three-year follow-up of the fall risk and physical function characteristics of the elderly participating in a community exercise class", Journal of Physiology Anthropolpgy, Vol.28, No.2, pp.55-62, 2008
  5. J. G. Lee, J. H. Kwon, "The Effects of Cardiovascular Risk Factor, Insulin resistance and Insulin Secretion Defect By Neuromuscular Activation Training in the Elderly Woman for 8 weeks", The Korea journal of Sports Science, Vol.19, No.2, pp.1317-1324, 2010
  6. F. W. Booth, D. S. Criswell., "Molecular event under lying skeletal muscle atrophy and the devel opment of effective countermeasures", International Journal of Sports Medicine, Vol.18, No.4, pp.265-269, 1997 DOI: https://doi.org/10.1055/s-2007-972723
  7. W. Priker, R. Katzenschlager, "Gait diorders in adults and the elderly", The Wiener klinische Wochenschrift, Vol.129, No.3, pp.81-95, 2017 DOI: https://doi.org/10.1007/s00508-016-1096-4
  8. S. C. Sung, "Effects of Resistance and Balance Exercise on Temporal.Spatial Gait Ability, and Functional Ambulatory Profiles in Elderly Women", Korean Journal of Sport Studies, Vol.57, No.4, pp.363-373, 2018 https://doi.org/10.23949/kjpe.2018.07.57.4.25
  9. K. M. Means, D. E. Rodell, P. S. O'Sullivan, "Rehabilitation of elderly fallers: Pilot study of a low to moderate intensity exercise program", Archives of Physical Medicine and Rehabilitation, Vol.77, No.10, pp.1030-1036, 1996 DOI: https://doi.org/10.1016/S0003-9993(96)90064-7
  10. M. A. Fiatarone, E. C. Marks, N. D. Ryan, C. N. Meredith, L. A. Lipstz, W. J. Evans, "High-intensity strength training in nonaenarians" Effects on skeletal muscle, Vol.63, No.22, pp.3029-3034, Jun 13, 1990
  11. S. M. Kwon, J. Park, "The Effect of Health Promotion Program for Frail Elderly Residents on Health Promoting Behavior and Health Status", Korean J Adult Nurs, Vol.25, No.1, pp.194-206, 2013 DOI: https://dx.doi.org/10.7475/kjan.2013.25.1.194
  12. Z. Zheng, S. Guan, H. Ding, Z. Wang, J. Zhag, "Prevalence and incidence of frailty in community-dwelling older people: Beijing longitudinal steudy of aging II," Journal of the American Geratrics Society, Vol.64, No.6, pp.1281-1286, 2016 DOI: https://doi.org/10.1111/jgs.14135
  13. D. Sunwoo, H. J. Song, Y. H. Lee, D. J. Kim, Study on development of health care service and coordinated system for frail elderly people, Seoul: Korea Institute for Health and Social Affairs, 2004
  14. H. G. Kim, "The Effects of Home Visit Healthcare Using a Complex Program on Community-dwelling Frail Elders' Strength, Frailty, and Depression", Journal of Korean Academy Community Health Nursing, Vol.26, No.4, pp.405-414, 2015. DOI: http://dx.doi.org/10.12799/jkachn.2015.26.4.405
  15. C. O. Kim, M. J. Kim, "Conceptual Definition and Operationalization of Frailty," Korean J Fam Pract, Vol.1, No.2, pp.85-93, 2011
  16. J. M. Guralink, G. A. Kaplan, "Predictor of healthy aging: Prospective evidence from the Alameda country study", The American Journal of Public Health, Vol.79, No.6, pp.703-708, 1989 https://doi.org/10.2105/AJPH.79.6.703
  17. M. A. Provine, E. C. Hadley, M. C. Hornbrook, L. A. Lipsitz, J. P. Miller, C. D. Mulrow, M. G. Ory, R. W. Sattin, M. E. Tinetti, S. L. Wolf, "The effect of exercise on falls in elderly patients", JAMA, Vol.273, No.17, pp.1341-1347, 1995 https://doi.org/10.1001/jama.1995.03520410035023
  18. S. R. Lord, S. Castell, S, "Physical Activity Program for Older Persons: Effect on Balance, Strength", Neuromuscular Control, and Reaction Time, Arch, Phys, Med, Rehabil., Vol.75, No.6, pp.648-652, 1994 DOI: https://doi.org/10.1016/0003-9993(94)90187-2
  19. E. J. Hong, K. O. Hwang, "The effects of proprioceptive exercise in strength of lower extremity, balance and walking ability in the elderly women", Korean Journal of Exercise rehabilitation, Vol.8, No.4, pp.69-82, 2012
  20. Y. H. Seo, S. H. Na, "Effects of elastic band exercise on gait and muscular functions in elderly women", The Korean Journal of Growth and Development, Vol.21, No.2, pp.151-155, 2013
  21. J. Iwamoto, Y. Otaka, K. Kudo, T. Takeda, M. Uzawa, K. Hirabayashi, "Efficacy of traing program for ambulatory competence in elderly", The Keio Journal of Medicine, Vol.53, No.2, pp.85-89, 2004 DOI: https://doi.org/10.2302/kjm.53.85
  22. S. M. Shin, N. Ahn, K. Kim, "Effect of Resistance Training with Elastic Band on The Improvement of Balance and Gait in The Elderly Women", Journal of Physical Growth and Motor Development, Vol.14, No.3, pp.45-56, 2006
  23. R. Topp, A. Mikesky, J. Wigglesworth, W. Holt, J. E. Edwards, "The Effect of a 12-week dynamic resrstance strength training program in gait velocity and balance of older adults", The Gerontologist, Vol.33, No.4, pp.501-506, 1993 https://doi.org/10.1093/geront/33.4.501
  24. C. D. Skeleton, P. Altman, "Fall of intradiscal pressure with laser ablation", Journal of Clinical Laser Medicine & Surgery, Vol.13, No.3, pp.149-151, 1995 https://doi.org/10.1089/clm.1995.13.149
  25. National Health Insurance Service, 2017 Long Term Care Insurance Statistical Yearbook, 2018
  26. M. Drey, A. Zech, E. Freiberger, T. Bertsch, W. Uter, C. Sieber, K. Pfeifer, J. Bauer, "Effects of Strength Training versus Power Training on Physical performance in Prefrail Community-Dwelling Older Adults", Gerontology, Vol.58, pp.197-204, 2012 DOI: https://doi.org/10.1159/000332207
  27. O. S. Kwon, "A Study on the Appraisal of Forest Fire Damage and Arrangement", Korea Association of Property Appraisers, Vol.38, 2000
  28. J. S. Hong, O. H. Park, C. H., Choi, Survey Methods and Statistical Analysis, Pakyoungsa, 1996
  29. A. Aniansson, P. A. W. Ljungberg, H. Errerqvist, "Effect of a traing pogramme for pensioners on condition and muscular strength. Arch", Gerontol., Vol.3, No.3, pp.229-241, 1984
  30. K. K. Steinweg, "The changing approach to falls in the elderly", Am. Fam. Physician., Vol.56, No.7, pp.1815-1823, 1997
  31. C. Toulotte, A. Thevenon, C. Fabre, "Effects if training and detraining on the static and dynamic balance in elderly fallers and non-fallers: A pilot study", Disability and Rehabilitation, Vol.8, No.2, pp.125-133, 2006 DOI: https://doi.org/10.1080/09638280500163653
  32. L. P. Fried, L. Ferrucci, J. D. Williamson, G. Anderson, "Untangling the concepts of disability frailty and comorbidity: implications for improved targeting and care", J Gerontol A Biol Sci Med Sci, Vol.59, pp.255-263, 2004 DOI: https://doi.org/10.1093/gerona/59.3.M255
  33. J. S. Park, Y. J. Oh, "Health Promotion Behavior, Perceived Health Status, Social Participation and Empowerment in Frail Elderly Receiving Home Visiting Services", Journal of Korean Public Health Nursing, Vol.31, No.2, pp.244-256, 2017 https://doi.org/10.5932/JKPHN.2017.31.2.244