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Effects of Exercise Program on Grip Strength and Postural Balance in Middle Older Adults

운동프로그램이 중기 노인의 악력과 균형능력에 미치는 효과

  • Received : 2021.11.22
  • Accepted : 2021.12.20
  • Published : 2022.01.31

Abstract

This study was to examine the effect of exercise program on grip strength and postural balance for older adult. This study was conducted with a nonequivalent control group pre-test and post-test design. A total of 67 older adult in senior center were recruited and were assigned to the experimental group (33) or control group (34). The experimental group participated exercise program during 16 weeks from 1 Aug to 26 Nov 2019, twice a week 60 minutes per session. Data were collected before and after the exercise program. Data were analyzed using frequency, percentage, Chi-square test, and t-test with SPSS Statistics 21.0 program. Left grip strength(t=4.37, p<.001), right grip strength(t=5.47, p<.001), and postural balance(t=6.89, p<.001) were significantly increased in the experimental group. This study found that exercise program could be a useful health promotion method.

본 연구는 운동프로그램이 중기 노인(75~84세)의 악력과 균형능력에 미치는 효과를 확인하기 위하여 시도된 비동등성 대조군 전후설계를 이용한 유사 실험연구이다. 연구대상은 본 연구에 참여를 동의한 중기 노인(75~84세) 67명(실험군 33명, 대조군 34명)이다. 본 연구에서 수집된 자료는 SPSS 21.0 프로그램을 이용하여 빈도, 백분율, 카이제곱검정과 t-test로 분석하였다. 67명의 중기 노인들에게 주 2회, 60분씩 16주 운동프로그램을 제공한 결과 실험군의 악력과 균형능력이 대조군에 비해 유의하게 높게 나타났다. 본 연구를 통해 운동프로그램이 악력과 균형능력을 향상시켜 노인의 건강증진에 효과가 있음이 확인되었으므로, 지역사회 많은 노인들에게 운동프로그램을 적용하기 위해 노력해야 할 것이다. 본 연구 대상은 75세에서 84세까지의 중기 노인이었으므로 다양한 연령층의 노인들을 대상으로 하여 반복 연구를 실시 후 연령별 효과를 확인하고, 적어도 6개월 이상의 장기적인 프로그램을 실시하고 기간에 따른 운동의 효과를 평가하는 연구를 제언한다.

Keywords

References

  1. Korean Statistical Information Serviec. Elderly population ratio [Internet]. Daejeon: Korean Statistical Information Service; 2021 [updated 2021 Feb 3; cited 2020 Feb 15]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1YL20631.
  2. J.H. Lee, "Effects of self taping therapy on knee pain and physical functions in older adult," The Journal of the Convergence on Culture Technology, Vol. 4, No. 1, pp. 33-39, 2018. http://dx.doi.org/10.17703/JCCT.2018.4.1.33
  3. K.K. Mangione, A.H. Miller, I.V. Naughton, "Cochran review: improving physical function and performance with progressive resistance strength training in older adults," Physical Therapy, Vol. 90, No. 12, pp. 1711-1715, 2010. https://doi.org/10.2522/ptj.20100270
  4. Y.Y. You, B.H. Lee, "Effect of Balance Ability in the Eldery Women of Motion-based Game Exercise Program and Stretching Exercise Program," Journal of the Korean Society of Physical Medicine, Vol. 5, No. 4, pp. 667-674, 2010. DOI: 10.13066/kspm.2017.12.1.103
  5. S.H. Baek, E.J. Kim, J.E. Shin, "Analysis of the relationship between chronic diseases and grip strength of the korean senior citizens: focusing on hypertension and diabetes," Journal of the Korean Data Analysis Society, Vol. 21, No. 5, pp. 2645-2656, 2019. https://doi.org/10.37727/jkdas.2019.21.5.2645
  6. T. Rantanen, J.M. Guralnik, D. Foley, K. Masaki, S. Leveille, J.D. Curb, et al. "Midlife hand grip strength as a predictor of old age disability," Journal of the American Medical Association, Vol. 281, pp. 558-560, 1999. https://doi.org/10.1001/jama.281.6.558
  7. H.N. Lee, K.W. Shim, S.H. Lee, H.S. Lee, Y.K. Cho, and A.R. Byun, "Association between sleep duration and hand grip strength in korean elderly," Korean Journal of Family Practice, Vol. 11, No. 3, pp. 170-176, 2021. https://doi.org/10.21215/kjfp.2021.11.3.170
  8. L.P. Fried, C.M. Tangen, J. Walston, A.B. Newman, C. Hirsch, J. Gottdiener, et al., "Frailty in older adults: evidence for a phenotype". Journal of Gerontology: Biological Science, Vol. 56(M), pp. 146-156, 2001.
  9. R.J. Shephare, "Exercise and aging: extending independence in older adults," Geriatrics, Vol. 48, No. 5, pp. 61-64, 1993.
  10. America College of sports Medicine. ACSM's guidelines for exercise testing and prescription( 7th ed.). Chapter 10. pp. 246-251. Philadelphia. PA; Lippincott-Williams & Wilkins. 2006.
  11. S.E. Lee, "The relationship between hand grip strength and cognitive function in older adults: the moderating effect of regular exercise," The Korean Journal of Community Living Science, Vol. 25, No. 1, pp. 29-37, 2014. http://dx.doi.org/10.7856/kjcls.2014.25.1.29
  12. J.S. Won, H.J. Jeon, H.R. Yi, "Self-rated health and its associated factors in the elderly." The Journal of the Convergence on Culture Technology (JCCT), Vol. 5, No. 4, pp. 217-225, 2019. http://dx.doi.org/10.17703/JCCT.2019.5.4.217
  13. H.Y. Kang, N.S. Seo, Y.H. Kim, "Health pattern of elderly according to age group who living alone in an urban area," Journal of Korean Academy of Nursing, Vol. 34, No. 6, pp. 1057-1068, 2004. https://doi.org/10.4040/jkan.2004.34.6.1057
  14. O.J. Kim, "The effects of integrated movement program on the health and quality of life for the elderly in rural areas." The Korea Journal of Sports Science, Vol. 29, No. 1, pp. 279-288, 2020. https://doi.org/10.35159/kjss.2020.02.29.1.279
  15. S.H. Jang, B.D. Hwang, H.J. Yoon, S.K. Lee, "Effect of exercise program on grip strength, balance and bone mineral density of the elderly women in rural community." International Journal of Contents, Vol. 9, No. 5, pp. 214-222, 2009.
  16. S.G. Lee, S.K. Park, "The effects of a video strength exercise on grip strength, balance, TUG in the frail elderly women." Journal of The Korean Society of Physical Medicine, Vol. 8, No. 1, pp. 91-98, 2013. https://doi.org/10.13066/kspm.2013.8.1.091
  17. J.H. Jang, J.C. Kim, S.H. Kang, J.U. Ko, "Changes of physical fitness variables after 12-week health promotion exercise program in elderly women: one-year follow-up." Journal of Korean Association of Physical Education and Sport for Girls and Women, Vol. 30, No. 2, pp. 221-236, 2016.
  18. J.Y. Bae, S.I. Cho, "Effects of community - based comprehensive fall prevention program on muscle strength, postural balance and fall efficacy in elderly people." Journal of Korean Academy of Nursing, Vol. 44, No. 6, pp. 697-707, 2014. http://dx.doi.org/10.4040/jkan.2014.44.6.697
  19. H.S. Lee, C.H. Lee, "The effects of progressive resistance training with elastic band on grip strength and balance in middle elderly women." The Journal of Korean Society of Physical Therapy, Vol. 25, No. 2, pp. 110-116, 2013.
  20. B.A. Springer, R. Marin, T. Cyhan, H. Roberts, N.W. Gill, "Normative values for the unipedal stance test with eyes open and closed." Journal of Geriatric Physical Therapy, Vol. 30, No. 1, pp. 8-15, 2007. https://doi.org/10.1519/00139143-200704000-00003
  21. K. Norman, N. Stobaus, M.C. Gonzalez, J.D. Schulzke, M. Pirlich, "Hand grip strength: outcome predictor and marker of nutritional status." Clinical Nutrition, Vol. 30, pp. 135-142, 2011. https://doi.org/10.1016/j.clnu.2010.09.010
  22. B.J. Sung, W.Y. Lee, "Difference in a physical fitness level according to grip strength and age group in korean older adults." Journal of Korea Society for Wellness, Vol. 14, No. 4, pp. 361-370, 2019. http://dx.doi.org/10.21097/KSW.2019.11.14.4.361
  23. Carrasco Poyators, M., Navarro Sanchez, M. D. Martinez Gonzalez-Moro I., Reche Orenes D. "Daily physical activity impact in old women bone density and grip strength." Nutrition Hospitalaria, Vol. 33, No. 6, pp. 1305-1311, 2016.
  24. T.W. Oh, "Effects of 12-week exercise program on muscle strength, balance and bone mineral density in elderly women." Korean Journal of Gerontological Social Welfare, Vol. 73, No. 1, pp. 505-515, 2018. https://doi.org/10.21194/kjgsw.73.1.201803.505
  25. J.H. Choi, "The effects of Tai Chi exercise on physiologic, psychological functions and fall in fall prone elderly," Master Thesis. The Catholic University of Korea, Seoul, 2002.
  26. P. Page. T.S. Ellenbecker, The scientific and clinical application of elastic resistance, Human Kinetics Publisher, 2003.
  27. K.L. Miller, J.R. Hayes, "The effects of a home -based exercise program on balance confidence, balance performance, and gait in debilitated, ambulatory community-dwelling older adults: A pilot study." Journal of Geriatric Physical Therapy, Vol. 33, No. 2, pp. 85-91, 2010.