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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effect of Otago Exercise Program on Physical Function and Fall Prevention in Disabled Elderly

오타고 운동 프로그램이 장애 노인의 신체적 기능과 낙상 예방에 미치는 효과

  • Received : 2018.11.20
  • Accepted : 2020.02.07
  • Published : 2020.02.29
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Abstract

This study compared how falls can be reduced in disabled elderly people by using the Otago exercise program and ascertained the program's effects on physical function and psychological recovery. The subjects were 30 people, and were assigned to two groups. The experimental group had 17 people, and the other was the control group that had 13 people. The experimental group attended the 50-minute program twice a week for 12 weeks. The outcome measures for lower extremity muscle strength, postural balance, flexibility, and self-efficacy were tested at the pre-test and post-test phases. In the analysis, general characteristics were analyzed by descriptive statistics. Physical function and self-efficacy were analyzed by independent T-test between the two groups, and correspondence T-tests were used within the two groups. The result of this study demonstrated that the experimental group showed significant increases in lower extremity muscle strength, static balance, flexibility and dynamic balance, and self-efficacy showed a small increase in the experimental group. But the control group showed significant decreases in static balance, flexibility and fall efficacy. The control group also showed decreases in lower extremity strength and dynamic balance. So the results of this study proved that the Otago exercise program brought about positive changes to improve physical function and psychological function to help prevent disabled elderly people from falling.

본 논문은 장애 노인에게 오타고 운동 프로그램이 낙상감소에 미치는 영향과 신체기능과 자신감 회복의 효과를 확인하기 위해 시도되었다. 연구대상은 총 30명으로, 두 그룹으로 할당하여, 실험군 17명, 대조군 13명이었다. 오타고 운동군에게 오타고 운동 프로그램을 12주간 주 2회 각 50분씩 시행하였다. 측정도구는 하지근력, 균형, 유연성과 낙상효능감 변수는 오타고 운동 전과 12주간 오타고 운동 중재 후에 낙상효능감, 낙상횟수와 신체적 기능 변화를 측정하였다. 자료 분석은 일반적 특징은 기술통계로 분석하였고, 두 그룹간의 분석은 독립 T 검정을 하였고, 두 그룹내 분석은 대응 T 검정를 하였다. 연구결과 신체적 기능 변화에서 하지근력의 변화는 통계적으로 유의하였고(p< .01), 대조군은 하지근력이 감소하였으나, 통계적으로 유의하지는 않았다. 정적균형의 변화는 실험군이 유의하게 증가하였고, 대조군은 유의한 감소를 나타내었다. 유연성의 변화는 실험군에서 유의한 증가를 보였고, 대조군은 유의하게 감소하였다. 동적 균형의 변화는 실험군에서 유의한 증진을 나타내었고, 대조군의 동적 균형은 유의한 저하를 나타내었다. 낙상효능감의 변화에서 실험군은 약간의 향상을 나타내었고, 대조군은 유의한 저하를 나타내었다. 본 연구 결과 오타고 운동 프로그램이 장애노인 낙상예방에 대한 신체적기능과 낙상효능감을 증진시켜 긍정적 변화를 가져왔다는 것이 입증되었다.

Keywords

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