DOI QR코드

DOI QR Code

수직 진동 운동이 노인의 균형, 보행속도, 근력 및 낙상효능감에 미치는 효과

Effect of Exercise with Vertical Vibration on the Balance, Walking Speed, Muscle Strength and Falls Efficacy in the Elderly

  • 박진환 (한국보훈복지의료공단 원주보훈요양원) ;
  • 김영민 (한국교통대학교 물리치료학과)
  • Park, Jin-Hwan (Department of Physical Therapy, Korea Veterans Health Service Wonju Nursing Home) ;
  • Kim, Young-Min (Department of Physical Therapy, Korea National University of Transportation)
  • 투고 : 2020.08.13
  • 심사 : 2020.11.04
  • 발행 : 2020.11.30

초록

PURPOSE: The purpose of this study was to determine if an exercise program with vertical vibration can improve balance, walking speed, muscle strength and falls efficacy in the healthy elderly. METHODS: A total of 28 elderly were randomly divided into two groups: vertical vibration exercise group (exercise with vertical vibration) (N = 14) and control group (exercise without vibration) (N = 14). The exercise program, comprising calf raise, deep-squat, semi-squat, front lunge, and leg abduction was conducted with or without vibration, respectively. Subjects in each group participated in the 30 minutes training program, 2 times per week for 6 weeks. In both groups, the balance evaluation system (BT4) was used to evaluate standing balance, and walking speed was measured using the 10MWT. The manual muscle test system was applied to evaluate the knee extensor and ankle planter flexor muscle strength of the subjects, whereas the Korean falls efficacy scale (K-FES) evaluated the falls efficacy. RESULTS: After intervention, the vertical vibration group showed significantly higher changes compared to the control group, in the parameters of standing balance (P < .05), 10MWT (P < .05), left knee extensor (P < .05), right knee extensor (P < .01), both ankle plantar flexors (P < .05), and K-FES (P < .05). CONCLUSION: The exercise program with vertical vibration has the potential to improve balance, walking speed, muscle power and falls efficacy in the elderly.

키워드

참고문헌

  1. Kannus P, Parkkari J, Niemi S, et al. Fall-induced deaths among elderly people. American journal of public health. 2005;95(3):422-4. https://doi.org/10.2105/AJPH.2004.047779
  2. Miller CA. The connection between drugs and falls in elders. Geriatric Nursing. 2002;2(23):109-10. https://doi.org/10.1067/mgn.2002.123794
  3. Moylan KC, Binder EF. Falls in older adults: risk assessment, management and prevention. The American journal of medicine. 2007;120(6):493. e1-. e6. https://doi.org/10.1016/j.amjmed.2006.07.022
  4. Yoo I. Effects of fall prevention program applying HSEP on physical balance and gait, leg strength, fear of falling and falls efficacy of community-dwelling elderly. J Korean Gerontological Soc. 2009;29:259-73.
  5. Kannus P, Sievanen H, Palvanen M, et al. Prevention of falls and consequent injuries in elderly people. The Lancet. 2005;366(9500):1885-93. https://doi.org/10.1016/S0140-6736(05)67604-0
  6. Unsworth J, Mode A. Preventing falls in older people: risk factors and primary prevention through physical activity. British journal of community nursing. 2003;8(5):214-20. https://doi.org/10.12968/bjcn.2003.8.5.11200
  7. Kim S. The Effects of Risk Factors for Falls Based on the Framework of ICF on the Lifestyles of the Elderly. Doctor's Degree. Daegu University. 2014.
  8. Fukagawa NK, Wolfson L, Judge J, et al. Strength is a major factor in balance, gait, and the occurrence of falls. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 1995;50(Special_Issue): 64-7. https://doi.org/10.1093/gerona/50A.Special_Issue.64
  9. Jette AM, Pinsky JL, Branch LG, et al. The Framingham Disability Study: physical disability among community-dwelling survivors of stroke. Journal of clinical epidemiology. 1988;41(8):719-26. https://doi.org/10.1016/0895-4356(88)90157-6
  10. Jeoung B. A review of exercise program for fall prevention in the elderly. The journal of korean society of aerobic exercise. 2008;12:1-9.
  11. Deshpande N, Metter EJ, Lauretani F, et al. Activity restriction induced by fear of falling and objective and subjective measures of physical function: a prospective cohort study. Journal of the American Geriatrics Society. 2008;56(4):615-20. https://doi.org/10.1111/j.1532-5415.2007.01639.x
  12. Andersson AG, Kamwendo K, Appelros P. Fear of falling in stroke patients: relationship with previous falls and functional characteristics. International Journal of Rehabilitation Research. 2008;31(3):261-4. https://doi.org/10.1097/MRR.0b013e3282fba390
  13. Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. Journal of gerontology. 1990; 45(6):P239-P43. https://doi.org/10.1093/geronj/45.6.P239
  14. Kawanabe K, Kawashima A, Sashimoto I, et al. Effect of whole-body vibration exercise and muscle strengthening, balance, and walking exercises on walking ability in the elderly. The Keio journal of medicine. 2007;56(1):28-33. https://doi.org/10.2302/kjm.56.28
  15. Pollock RD, Martin FC, Newham DJ. Whole-body vibration in addition to strength and balance exercise for falls-related functional mobility of frail older adults: a single-blind randomized controlled trial. Clinical rehabilitation. 2012;26(10):915-23. https://doi.org/10.1177/0269215511435688
  16. Shim C, Lee Y, Lee D, et al. Effect of whole body vibration exercise in the horizontal direction on balance and fear of falling in elderly people: a pilot study. Journal of physical therapy science. 2014;26(7):1083-6. https://doi.org/10.1589/jpts.26.1083
  17. Bruyere O, Wuidart MA, Di Palma E, et al. Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents. Archives of physical medicine and rehabilitation. 2005;86(2):303-7. https://doi.org/10.1016/j.apmr.2004.05.019
  18. Bosco C, Colli R, Introini E, et al. Adaptive respsonses of human skeletal muscle to vibration exposure. Clinical physiology. 1999;19(2):183. https://doi.org/10.1046/j.1365-2281.1999.00155.x
  19. Cheung W-H, Mok H-W, Qin L, et al. High-frequency whole-body vibration improves balancing ability in elderly women. Archives of physical medicine and rehabilitation. 2007;88(7):852-7. https://doi.org/10.1016/j.apmr.2007.03.028
  20. Turbanski S, Haas CT, Schmidtbleicher D, et al. Effects of random whole-body vibration on postural control in Parkinson's disease. Research in sports medicine. 2005;13(3):243-56. https://doi.org/10.1080/15438620500222588
  21. van Nes IJ, Latour H, Schils F, et al. Long-term effects of 6-week whole-body vibration on balance recovery and activities of daily living in the postacute phase of stroke: a randomized, controlled trial. Stroke. 2006;37(9):2331-5. https://doi.org/10.1161/01.str.0000236494.62957.f3
  22. In T-s, Song C-h. The effects of whole body vibration on knee extensor strength, and balance and walking ability with chronic stroke. Journal of Korean Society of Physical Medicine. 2010;5(4):675-83.
  23. Ahn M-C, Song C-H. Immediate effects of local vibration on ankle plantarflexion spasticity and clonus of both the gastrocnemius and soleus in patients with spinal cord injury. Korean Society of Physical Medicine. 2016;11(2):1-11.
  24. Jung Y, Chung E-J, Chun H-L, et al. Effects of whole-body vibration combined with action observation on gross motor function, balance, and gait in children with spastic cerebral palsy: a preliminary study. Journal of Exercise Rehabilitation. 2020;16(3):249. https://doi.org/10.12965/jer.2040136.068
  25. Sitja-Rabert M, Rigau D, Fort Vanmeerghaeghe A, et al. Efficacy of whole body vibration exercise in older people: a systematic review. Disability and rehabilitation. 2012;34(11):883-93. https://doi.org/10.3109/09638288.2011.626486
  26. Tsuji T, Yoon J, Aiba T, et al. Effects of whole-body vibration exercise on muscular strength and power, functional mobility and self-reported knee function in middle-aged and older Japanese women with knee pain. The Knee. 2014;21(6):1088-95. https://doi.org/10.1016/j.knee.2014.07.015
  27. Ritzmann R, Gollhofer A, Kramer A. The influence of vibration type, frequency, body position and additional load on the neuromuscular activity during whole body vibration. European journal of applied physiology. 2013;113(1):1-11. https://doi.org/10.1007/s00421-012-2402-0
  28. Mormile M. Reliability and Validity of the GWalk for Use in Postural Control. 2017.
  29. Borg FG, Laxaback G. Entropy of balance-some recent results. Journal of neuroengineering and rehabilitation. 2010;7(1):38. https://doi.org/10.1186/1743-0003-7-38
  30. Dean CM, Richards CL, Malouin F. Walking speed over 10 metres overestimates locomotor capacity after stroke. Clinical rehabilitation. 2001;15(4):415-21. https://doi.org/10.1191/026921501678310216
  31. Bohannon RW. Comfortable and maximum walking speed of adults aged 20-79 years: reference values and determinants. Age and ageing. 1997;26(1):15-9. https://doi.org/10.1093/ageing/26.1.15
  32. Reese NB. Muscle and Sensory Testing-E-Book. Elsevier Health Sciences. 2013.
  33. Choi J-H, Moon J-S, Sohng K-Y. The effects of Tai Chi exercise on physiologic, psychological functions, and falls among fall-prone elderly. Journal of muscle and joint health. 2003;10(1):62-76.
  34. Cardinale M, Wakeling J. Whole body vibration exercise: are vibrations good for you? British journal of sports medicine. 2005;39(9):585-9. https://doi.org/10.1136/bjsm.2005.016857
  35. Cochrane DJ, Legg SJ, Hooker MJ. The short-term effect of whole-body vibration training on vertical jump, sprint, and agility performance. The Journal of Strength & Conditioning Research. 2004;18(4):828-32. https://doi.org/10.1519/14213.1
  36. Rittweger J, Just K, Kautzsch K, et al. Treatment of chronic lower back pain with lumbar extension and whole-body vibration exercise: a randomized controlled trial. Spine. 2002;27(17):1829-34. https://doi.org/10.1097/00007632-200209010-00003
  37. Rubin C, Turner AS, Bain S, et al. Low mechanical signals strengthen long bones. Nature. 2001;412(6847): 603-4. https://doi.org/10.1038/35088122
  38. Rittweger J. Vibration as an exercise modality: how it may work, and what its potential might be. European journal of applied physiology. 2010;108(5):877-904. https://doi.org/10.1007/s00421-009-1303-3
  39. Cardinale M, Pope MH. The effects of whole body vibration on humans: dangerous or advantageous? Acta Physiologica Hungarica. 2003;90(3):195-206. https://doi.org/10.1556/APhysiol.90.2003.3.2
  40. Shin S. The Effect of whole body vibration with weighted vest on body composition, knee extensor strength, static standing balance and bone mineral density for postmenopausal wowen. Unpublished doctoral dissertation, Sahmyook University. 2012.
  41. Rees SS, Murphy AJ, Watsford ML. Effects of whole body vibration on postural steadiness in an older population. Journal of Science and Medicine in Sport. 2009;12(4):440-4. https://doi.org/10.1016/j.jsams.2008.02.002
  42. van Nes IJ, Geurts AC, Hendricks HT, et al. Short-term effects of whole-body vibration on postural control in unilateral chronic stroke patients: preliminary evidence. American journal of physical medicine & rehabilitation. 2004;83(11):867-73. https://doi.org/10.1097/01.PHM.0000140801.23135.09
  43. Avelar NCP, Simao AP, Tossige-Gomes R, et al. The effect of adding whole-body vibration to squat training on the functional performance and self-report of disease status in elderly patients with knee osteoarthritis: a randomized, controlled clinical study. The Journal of alternative and complementary medicine. 2011;17(12):1149-55. https://doi.org/10.1089/acm.2010.0782
  44. Roelants M, Delecluse C, Verschueren SM. Whole-body-vibration training increases knee-extension strength and speed of movement in older women. Journal of the American Geriatrics Society. 2004;52(6):901-8. https://doi.org/10.1111/j.1532-5415.2004.52256.x
  45. Tihanyi TK, Horvath M, Fazekas G, et al. One session of whole body vibration increases voluntary muscle strength transiently in patients with stroke. Clinical rehabilitation. 2007;21(9):782-93. https://doi.org/10.1177/0269215507077814
  46. Delecluse C, Roelants M, Diels R, et al. Effects of whole body vibration training on muscle strength and sprint performance in sprint-trained athletes. International journal of sports medicine. 2005;26(8):662-8. https://doi.org/10.1055/s-2004-830381
  47. Bogaerts A, Verschueren S, Delecluse C, et al. Effects of whole body vibration training on postural control in older individuals: a 1 year randomized controlled trial. Gait & posture. 2007;26(2):309-16. https://doi.org/10.1016/j.gaitpost.2006.09.078