Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Effect of Coordinative Locomotor Training on Physical Factors for Falls in the Elderly with Mild Cognitive Impairment

협응이동훈련이 경도인지장애노인의 낙상물리요인에 미치는 영향

  • Received : 2019.10.31
  • Accepted : 2020.01.31
  • Published : 2020.05.31
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Abstract

PURPOSE: This study examined the effects of coordinative locomotor training on the physical factors for falls in the elderly with mild cognitive impairment. METHODS: This study examined thirty subjects diagnosed with mild cognitive impairment by the radiologic findings, history, and physical examination. The subjects were assigned to a control group (n = 15) or experimental group (n = 15, coordinative locomotor training). The experimental group underwent coordinative locomotor training for four weeks, with training sessions two times per week. The control group was given a fall-prevention education for 60 minutes without coordinative locomotor training. To evaluate the physical factors for falls, the lower extremity strength and the Korean version of the Fullerton advanced balance scale and biorescue were measured for balance. These tests were conducted before and after training. RESULTS: Significant differences were observed between the two groups after the four weeks of coordinative locomotor training for the elderly with mild cognitive impairment the experimental group had a greater degree of improvement in the physical factors for falls. CONCLUSION: These findings suggest that coordinative locomotor training may have a functional effect on fall-prevention and the mobility of the elderly with mild cognitive impairment. In addition, it is expected to provide systematic and effective data that can be used as a fall prevention program for the elderly with mild cognitive impairment in each institution.

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References

  1. Statistics Korea. Social Indicators in 2017. Seoul: Statistics Korea.
  2. Sanford AM. Mild cognitive impairment. Clin Geriatr Med. 2017;33(3):325-37. https://doi.org/10.1016/j.cger.2017.02.005
  3. Petersen RC. Mild cognitive impairment. Continuum (Minneap Minn). 2016;22(2):404-18. https://doi.org/10.1212/CON.0000000000000313
  4. Knopman DS, Petersen RC. Mild cognitive impairment and mild dementia: a clinical perspective. Mayo Clin Proc. 2014;89(10):1452-59. https://doi.org/10.1016/j.mayocp.2014.06.019
  5. Muir SW, Gopaul K, Montero Odasso MM. The role of cognitive impairment in fall risk among older adults: a systematic review and meta-analysis. Age Ageing. 2012;41(3):299-308. https://doi.org/10.1093/ageing/afs012
  6. Kearney FC, Harwood RH, Gladman JR, et al. The relationship between executive function and falls and gait abnormalities in older adults: a systematic review. Dement Geriatr Cogn Disord. 2013;36(1-2):20-35. https://doi.org/10.1159/000350031
  7. Taylor ME, Lord SR, Delbaere K, et al. Physiological fall risk factors in cognitively impaired older people: a one-year prospective study. Dement Geriatr Cogn Disord. 2012;34(3-4):181-9. https://doi.org/10.1159/000343077
  8. Verghese J, Holtzer R, Lipton RB, et al. Quantitative gait markers and incident fall risk in older adults. J Gerontol A Biol Sci Med Sci. 2009;64(8):896-901. https://doi.org/10.1093/gerona/glp033
  9. Anstey KJ, von Sanden C, Luszcz MA. An 8-year prospective study of the relationship between cognitive performance and falling in very old adults. J Am Geriatr Soc. 2006;54(8):1169-76. https://doi.org/10.1111/j.1532-5415.2006.00813.x
  10. Gleason CE, Gangnon RE, Fischer BL, et al. Increased risk for falling associated with subtle cognitive impairment: secondary analysis of a randomized clinical trial. Dement Geriatr Cogn Disord. 2009;27(6):557-63. https://doi.org/10.1159/000228257
  11. Shaw FE. Falls in cognitive impairment and dementia. Clin Geriatr Med. 2002;18(2):159-73. https://doi.org/10.1016/S0749-0690(02)00003-4
  12. Avila-Funes JA, Amieva H, Barberger-Gateau P, et al. Cognitive impairment improves the predictive validity of the phenotype of frailty for adverse health outcomes: the three-city study. J Am Geriatr Soc. 2009;57(3):453-61. https://doi.org/10.1111/j.1532-5415.2008.02136.x
  13. Dietz B. Let's sprint, let's skate. Berlin: Splinger. innovationen im pnf-konzept. 2009.
  14. Ko HE, Jeon BS, Song HS. Effects of coordinative locomotor training program on balance and gait of stroke Patients. PNF and Movement. 2017;15(3):247-52.
  15. Ann YD, Park JH. The effects of PNF combined patterns training on balance ability and functional ability of hockey players. Journal of Digital Convergence. 2013;11(11):521-28. https://doi.org/10.14400/JDPM.2013.11.11.521
  16. Choi WJ, Kim CK, Jung DI, et al. Change of the combined patterns of proprioceptive neuromuscular facilitation on static balance. Jour of KoCon a. 2008;8(10):251-8.
  17. Hwang SS, Maeng GC, Kim JI. The effects of coordinative locomotion training using the PNF pattern on walking in patients with spinal cord injury. PNF and Movement. 2016;14(2):67-74.
  18. Bang SS, Kim GG, Han GS. The Effect of Lumber Strengthening Training on the Extension Strength of Hernia - operated Patients. The Korean Journal of Physical Education. 1999;38(2):489-510.
  19. Dietz B, Kim TY, Lang E, et al. Let's sprint, let's skate. Berlin: Splinger. Science & Business Media. 2009
  20. Li RC, Jasiewicz JM, Middleton J, et al. The development, validity, and reliability of a manual muscle testing device with integrated limb position sensors. Arch Phys Med Rehabil. 2006;87(3):411-7. https://doi.org/10.1016/j.apmr.2005.11.011
  21. Fenter PC, Bellew JW, Pitts TA, et al. Reliability of stabilised commercial dynamometers for measuring hip abduction strength: a pilot study. Br J Sports Med. 2003;37(4):331-4. https://doi.org/10.1136/bjsm.37.4.331
  22. Dunn JC, Iversen MD. Interrater reliability of knee muscle forces obtained by hand-held dynamometer from elderly subjects with degenerative back pain. J Geriatr Phys Ther. 2003;26(3):23-9. https://doi.org/10.1519/00139143-200312000-00004
  23. Kim GM. Content validity of a korean-translated version of a fullerton advanced balance scale: A pilot study. Phys Ther Korea. 2015;22(4):51-61. https://doi.org/10.12674/ptk.2015.22.4.051
  24. Rose DJ, Lucchese N, Wiersma LD. Development of a multidimensional balance scale for use with functionally independent older adults. Arch Phys Med Rehabil. 2006;87(11):1478-85. https://doi.org/10.1016/j.apmr.2006.07.263
  25. Hernandez D, Rose DJ. Predicting which older adults will or will not fall using the Fullerton Advanced Balance scale. Arch Phys Med Rehabil. 2008;89(12):2309-15. https://doi.org/10.1016/j.apmr.2008.05.020
  26. Kim GM. Reliability and validity study on the korean version of the fullerton advanced balance scale. Phys Ther Korea. 2016;23(1):31-7. https://doi.org/10.12674/ptk.2016.23.1.031
  27. Song GB, Park EC. The effects of balance training on balance pad and sand on balance and gait ability in stroke patients. J Korean Soc Phys Med. 2016;11(1):45-52. https://doi.org/10.13066/kspm.2016.11.1.45
  28. Pettersson AF, Olsson E, Wahlud LO. Motor function in subjects with mild cognitive impairment and early Alzheimer's disease. Dement Geriatr Cogn Disord. 2005;19(5-6):299-304. https://doi.org/10.1159/000084555
  29. Allai G, Launay CP, Blumen HM, et al. Falls, Cognitive Impairment, and Gait Performance: Results From the GOOD Initiative. J Am Med Dir Assoc. 2017;18(4):335-40. https://doi.org/10.1016/j.jamda.2016.10.008
  30. Doi T, Shimada H, Park H, et al. Cognitive function and falling among older adults with mild cognitive impairment and slow gait. Geriatr Gerontol Int. 2015;15(8):1073-8. https://doi.org/10.1111/ggi.12407
  31. Arnold P, Vantieghem S, Gorus E, et al. Age-related differences in muscle recruitment and reaction-time performance. Exp Gerontol. 2015;70:125-30. https://doi.org/10.1016/j.exger.2015.08.005
  32. Yamao A, Nagata T, Shinagawa S, et al. Differentiation between amnestic-mild cognitive impairment and earlystage Alzheimer's disease using the Frontal Assessment Battery test. Psychogeriatrics. 2011;11(4):235-41. https://doi.org/10.1111/j.1479-8301.2011.00377.x
  33. Rubenstein LZ, Josephson KR. The epidemiology of falls and syncope. Clin Geriatr Med. 2002;18(2):141-58. https://doi.org/10.1016/S0749-0690(02)00002-2
  34. Chu LW, Chi I, Chiu AY. Incidence and predictors of falls in the chinese elderly. Ann Acad Med Singapore. 2005;34(1):60-72.
  35. Kim SH, Kim DH. The effect of PNF exercise on body functions and fall efficacy of elderly women. The Korean Journal of Physical Education. 2013;52(2):495-512.
  36. Shumway-Cook A, Anson D, Haller S. Postural sway biofeedback: its effect on reestablishing stance stability in hemiplegic patients. Arch Phys Med Rehabil. 1988;69(6):395-400.
  37. Brauer SG, Burns YR, Galley P. A prospective study of laboratory and clinical measures of postural stability to predict community-dwelling fallers. J Gerontol A Biol Sci Med Sci. 2000;55(8):M469-76. https://doi.org/10.1093/gerona/55.8.M469
  38. Jeong WS, Jeong JY, Kim CK, et al. Effect of lower limb muscle activity on balancing through sprinter patterns of PNF. Jour of KoCon a. 2011;11(3):281-92.

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