• Title/Summary/Keyword: 노인 낙상

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Fall Risk Analysis of Elderly Living in the City (도시 거주 노인의 낙상 위험요인 분석)

  • Kim, Sang-hee;Kim, Seok-kyu;Kang, Chae-young;Kim, Su-jeong;Lee, Hyun-ju
    • Journal of Digital Convergence
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    • v.14 no.5
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    • pp.485-491
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    • 2016
  • The purpose of this study was to compare of the fall risk factors for elderly in the city. 62 people aged 65 years or older were classified as fallers and nonfallers based on experience of their falls in the previous year. By comparing the difference between the groups via evaluations of general characteristics, health related behavior and chronic disease, balance-related psychological (K-ABC) and physical measurement (BBS), depression (SGDS), and the correlations between the significant differences in variables were identified. According to the results, K-ABC, BBS, and SGDS are statistically significant differences between fallers and nonfallers (P<0.05). Also it has positive correlations between BBS and K-ABC (r=0.499) whereas negative correlation between K-ABC and SGDS(r=-0.472).

Relation of the Physical Performance and Fear of Falls of the Elderly (노인의 신체기능과 낙상두려움과의 관계)

  • Yun, Eun-Suk;An, Jisook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.10
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    • pp.6242-6249
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    • 2014
  • The aim of this study was to determine the physical performance and fear of falls in the community dwelling elderly and to investigate how the factors were connected to one another. The data was collected between January 3rd and March 30th, 2014 from 460 elderly people, aged 65 or older, who agreed to participate in this study. The data was sampled among the elders' assistants as a way of responding to the questionnaire after being read. The study scales were composed of the demographic characteristics, physical function and fear of falls. A total of 139 (30.2%) subjects had experienced a fall. The results showed a positive correlation with the chair rise, standing on the leg, pick up a penny from floor, timed up and go test, and fear of falls. Multiple linear regression analysis showed that a predictor of the fear of falls were chair rise and timed up and go test. A combination of physical performance accounted for 16.9% of the fear of fall. Based on the findings of this study, it is useful to more effectively develop fall prevention and intervention programs in a future study.

The Effect of a Virtual Reality Program on Static Balance Control and Fall Efficacy of Elderly People (가상현실 프로그램이 노인의 정적균형 조절과 낙상효능감에 미치는 효과)

  • Kim, Eun Ja;Hwang, Byong Yong;Kim, Mi Sun
    • 한국노년학
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    • v.30 no.4
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    • pp.1107-1116
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    • 2010
  • The elderly people with advancing years have many problems such as the decline of the proprioceptive, visual & vestibular function and muscle weakness. Furthermore the decrease of the reflex which influences the balance ability in sudden change of the movement could cause the falls. The difficulty of the balance caused by the fear releated to the fall aggravates the Falls Efficacy and causes a lot of the disability of the independent activities of daily living. The purpose of this study was the effect of a Virtual Reality Program on Static Balance control and Fall efficacy of Elderly people. 14 elderly people(subjects) who were ≥65years of age partiripated in this study and they were divided into VR(Virtual Reality) group(n=7) and Control group (n=7). VR group took the general physical therapy & IREX and only the general physical therapy was carried out in the control group. VR group of intervention was carried out for 30min. total 8times. They were evaluated by BIO-Rescue, Fall Efficacy Scale before and after treatment. The Static Balance control and Fall efficacy were assessed by Bio-Rescue & Falls Efficacy Scale. The analysis of the resulf was assessed by Wilcoxon signed test & Mann-Whitney U test. The result showed that the static balance of VR group with the open eyes was improved in a static balance test and range of the movement was increased in limited of stability. And Falls Efficacy was also efficacious. IREX was effective to static balance control and Falls Efficacy of the elderly When we think about these effects, various treatments and objective assessments using VR program will be needed for the elderly

The Effect of the General Characteristics and Fall Efficacy of the Elderly on the Needs of Health Care Programs (노인의 일반적 특성과 낙상효능감이 건강관리프로그램 요구에 미치는 영향)

  • Kim, Hee-Jung
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.3
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    • pp.27-35
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    • 2020
  • Objective : This study was to examine the effects of general characteristics and fall efficacy on health care program needs through a comparative analysis of general characteristics and health care program needs for the elderly. Methods : In this study, we analyzed data from 118 elderly people with t-test and ANOVA for comparison of fall effectiveness and health care program requirements and with regression for general characteristics and effects of fall effectiveness on health care program needs. Results : The results were as followed: First, there was a significant difference in gender(p=.00), age (p=.00),educational background(p=.00), and existence of spouse(p=.00), and no significant difference in income(p=.17) based on fall efficiency according to the general characteristics. There was a significant difference in gender(p=.00), age(p=.00), educational background(p=.00), and income(p=.00) and no significant difference in existence of spouse (p=.46) based on health care program needs according to the general characteristics. Second, it was shown that the higher age, the higher the income, the higher the effectiveness of the fall, and in case of woman, the more significant the effect of the exercise program had.. The explanation was 56 percent. Third, the higher the age, the higher the income, and the higher the fall efficiency, the more meaningful the cognitive program demand. The explanation was 48 percent. Conclusion : The data from this study showed the importance of fall efficacy in older people with significantly higher risk of falls than in other age groups, and the need for exercise and cognitive management programs to prevent falls.

Comparative Study on Physical Fitness and Fall Efficacy of Rural and Urban Female Elderly Participants in Continuous Rhythmic Exercise (지속적인 리듬운동에 참여하는 농촌과 도시 거주 노인 여성들의 체력 및 낙상효능감의 비교 연구)

  • Somi, Yun;Eunjin, Hwang
    • Advanced Industrial SCIence
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    • v.1 no.2
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    • pp.17-23
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    • 2022
  • The purpose of this study is to analyze the health factors of the elderly according to the region by analyzing the physical fitness and fall efficacy of the female elderly living in rural and urban areas. The subjects of this study consisted of 98 female elderly people living in rural and urban areas who exercise health and cheerleading at least twice a week at the regional center(REG; n=46, 77.53±6.37 yrs, 151.81±5.26 cm, 60.00±9.42 kg, UEG; n=53, 73.57±2.70 yrs, 154.07±3.52 cm, 57.37±2.06 kg). Physical strength was measured for muscular endurance, cardiopulmonary endurance, and flexibility. Falling efficacy was measured using 10 items of Fall Efficacy Scale developed by Tinetti et al. Significant differences in flexibility and fall efficacy were found in urban older adults (p<.01, p<.05). There was no significant difference in muscular endurance and cardiac endurance (p>.05). In the future, studies to improve the imbalance of health factors of the elderly in the region should be continuously conducted.

Effects of Lower Extremity Muscle Strengthening Exercise on Balance and Fall Efficacy in Middle Older Adults Women (하지 근력 강화 운동이 중기 여성 노인의 균형과 낙상 효능감에 미치는 효과)

  • Yeoum, Soon Gyo;Lee, Jong Hwa
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.421-427
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    • 2022
  • This study was to examine the effect of lower extremity muscle strengthening exercise on balance and fall efficacy in middle older adults women. This study was conducted with one group pre-test and post-test design. A total of 34 older adults women participated in 7 weeks of intervention. Data were analyzed as SPSS ver. 21.0 using descriptive statistics and paired t-test. Right leg balance(t=6.09, p<.001), left leg balance(t=6.76, p<.001), and fall efficacy(t=6.81, p<.001) were significantly increased. Dynamic balance(t= -4.68, p=.001) was significantly decreased. This study found that lower extremity muscle strengthening exercise program could be a useful health promotion method.

The Effects of the Fall Prevention Exercise Program Focussed on Activity of daily living, Fear of fall and Quality of life for the Senior Citizen Center Elderly (낙상예방운동 프로그램이 지역 경로당 센터 노인의 일상생활수행능력, 낙상두려움 및 삶의 질에 미치는 효과)

  • Kang, Ki-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.267-272
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    • 2016
  • Falling is one of the problems that threatens the health of elderly patients. This study was conducted once a week for 12 weeks, from 15th of April to 13th of June in 2016, and included 118 subjects above the age of 65 in 6 centers of J city. We evaluated the effectiveness of the fall prevention exercise program (FPEP) and analyzed its effects by making a comparison between before and after the exercise that pertains to activities of daily living, fear of falling, and quality of life. Moreover, this study confirms that there is a relationship between these three factors. The results of this study are as follows: There were statistically significant differences of activities of daily living (F=-4.75, p<..001), fear of falling (F=10.22, p<..001) and quality of life (F=-11.58, p<..001) between post-test improvements and pre-test conditions. In addition, this study confirms that there is a relationship between activities of daily living, fear of falling, and quality of life (r=.551, p<..001, r=-.477, p<..001, r=-.584, p<..001). Accordingly, we have identified that FPEP is very effective for improving activities of daily living, fear of falling, and quality of life for senior citizens.

Influence of Fall-preventive Occupational Therapy Applied to Elderly in the Community upon Balance Ability (여성노인에게 적용한 낙상예방 작업치료가 균형 능력에 미치는 영향)

  • Chang, Ki-Yeon;Woo, Hee-Soon
    • The Journal of the Korea Contents Association
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    • v.10 no.3
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    • pp.232-240
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    • 2010
  • This study is to look into the effectiveness of fall-preventive occupational therapy of elderly by clarifying the influence of occupational therapy applied to female elderly in the community upon balance ability. A 6-week occupational therapy program including both training and exercise for prevention of fall down was applied by dividing into 13 persons of experimental group and 13 persons of control group for female elderly aged more than 65 years who were capable of independence gait and have not taken any drug to adversely affect balance. For balance ability assessment, the Berg balance scale and the Tetrax fall index were used. The Berg balance scale in experimental group was shown to be 48.38 to 50.69 through the 6-week program, indicating changes in significance level(p=.017). The Tetrax fall index in experimental group was shown to be 46.77 to 35.54 through the 6-week program(p=.000). Changes in significance level were not found for both the Berg balance scale and the Tetrax fall index in control group. As seen from the results of this study, it is found that 6-week application of the fall-preventive occupational therapy program including fall prevention training and exercise was effective for promotion of elderly's balance ability, and further studies just on the effect of fall prevention training are required to be made.

The Effect of Horticultural Occupational Therapy Using Healing Garden on Fall Efficacy in the Elderly (치료정원을 이용한 원예작업치료가 노인의 낙상효능감에 미치는 효과)

  • Park, Woo Kuon;Kim, Mi Young
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.359-363
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    • 2021
  • The purpose of this study is to investigate the effect of gardening programs using therapeutic gardens on the fall efficacy of the elderly. This study was applied to 31 elderly facility users from April to August 2019 at a nursing home P located in Gyeonggi-do. Among the 31 participants who participated in the program, 16 subjects in the experimental group and 15 subjects in the control group were randomly selected. As for the experimental group program, a fall program consisting of fall education and strength training four times a week and a horticultural occupational program were implemented once a week in a healing garden for a total of 15 weeks. The control group performed fall program for 30 minutes 5 times a week for a total of 15 weeks. The fall efficacy of the tested group increased by 5.50 points from 29points before the program to 34.50points after the program, and statistically significant results were obtained (p=0.000). The control group who only progressed the fall program increased 3.63 points from 28.87points before the trial to 32.50points after the trial, and statistically significant results were obtained (p=0.000). From this result, it can be confirmed that the horticultural program using the treatment garden has the potential as a program related to falls. In the future, various studies are needed so that gardening programs using gardens can be applied to prevent falls of the elderly.

Development of the Home Fall Prevention Checklist for Community-dwelling Older Adults (재가노인 낙상환경위험 평가도구 개발)

  • Park, Eunok;Jang, Insun
    • The Journal of the Korea Contents Association
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    • v.13 no.5
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    • pp.354-365
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    • 2013
  • The purpose of the study was to develop the home fall prevention checklist for community-dwelling older adults. And the validity and reliability of the checklist were tested. The preliminary questions were developed through content validity by twenty experts using the CVI(Content Validity Index). Following the establishment of content validity, 52 items of the checklist were developed. Responses of 299 community-dwelling older adults were analyzed to further establish both reliability and validity of the checklist. Reliability using cohen's kappa coefficient and test-retest reliability(rate of concordance(%)), and construct validity using known-group comparison technique were tested. 51 items were over 0.80 in the cohen's kappa coefficient of the checklist, 45 items were over 80.0% in test-retest reliability. Construct validity was established by known-group comparison(t=3.50, p=.001). Validity and reliability of the checklist were confirmed. This checklist will help further studies to develop more safe environment to prevent falls.