• 한국전문물리치료학회지
• /
• 제18권3호
• /
• pp.38-48
• /
• 2011

The aim of the study was to identify which fall-prevention program offered in community settings in Korea is the most effective in strengthening muscles. Muscle weakness is one of the major risk factors causing falls among the elderly. Randomized controlled trials and clinical controlled trials published between 1996 and February 2011 were included in this study. Seventeen of the 69 identified studies met the study's criteria and were included in this meta-analysis. The overall effect size of the program was .822 (95% confidence interval= .717~.927). The general strengthening exercise (1.608), dance sports training (1.538), Thera-band exercise for lower extremities (1.517), Seniorobic exercise (1.146), gait training (.959), balance training (.909), gradual resistive exercise (.888), and multifactorial fall prevention (.842) programs all show positive effects on muscle strengthening. Subgroup analyses found that more relative effects are seen in programs offered to the more elderly. In this study, the effect of increasing muscle strength on the prevention of falls can only be indirectly suggested; there are few available studies that report the frequency or history of falls in Korea. Further studies are needed to examine the direct effect of fall prevention exercise programs among the elderly.

• 대한간호학회지
• /
• 제35권7호
• /
• pp.1268-1276
• /
• 2005

Purpose: This study was amied to identify the effects of a 12 week Korean traditional dance movement program on balance, depression, medical cost, medical institution's utilization and fall among elderly women. Methods: Using a quasi-experimental design, the experimental group was composed of 130 subjects and the control group was composed of 123 subjects. The experimental group participated in a 12 week Korean traditional dance movement program 3 times a week from December 2002 to February 2003. Data was analyzed with descriptive statistics, the chi-square test, paired t-test and t-test. Results: There was siginificant improvement in balance(right leg p=.000, left leg p=.004), depression(p=.000), and the medical institution's utilization(p=.001) and fall(p=.002) in the experimental group compared to the control group. Conclusion: A Korean traditional dance movement program improved balance, depression, and decreased fall and medical cost in elderly women. Therefore, we recommend this program be utilized as a health promoting program and falls preventing program for the elderly in the community.

• 한국산학기술학회논문지
• /
• 제14권7호
• /
• pp.3383-3389
• /
• 2013

본 연구의 목적은 65세 이상의 허약노인을 대상으로 낙상효능감, 낙상위험지각 및 낙상예방행위와의 관계를 규명하기 위함이다. 자료 수집은 재가 허약노인 300명을 대상으로 설문조사로 이루어졌다. 본 연구 결과는 다음과 같다. 1)낙상효능감은 $65.4{\pm}23.62$점이었으며, 낙상위험지각은 $34.3{\pm}11.5$점이었고, 낙상예방행위는 $17.7{\pm}2.75$점이었다. 2)낙상효능감(t=2.905, p<.05), 낙상위험지각(t=2.704, p<.05), 낙상예방행위(t=2.706, p<.05) 모두 낙상경험에 따라 유의한 차이가 있었다. 3)낙상효능감과 낙상위험지각정도와는 역상관관계(r=-.440, p<.001), 낙상효능감과 낙상예방행위(r=.326, p<.001) 및 낙상위험지각과 낙상예방행위(r=.436, p<.001)와는 순상관관계에 있었다. 본 연구를 통하여 볼 때 노인의 낙상예방을 위한 프로그램 개발은 노인의 낙상효능감 증진 및 지각을 증진할 수 있도록 개발되어야 할 것이다.

• 융합정보논문지
• /
• 제12권3호
• /
• pp.55-65
• /
• 2022

파킨슨병 노인은 낙상의 신체적, 정신적 위험요인을 가진 비율이 비 파킨슨병 노인에 비해 높아, 파킨슨병 노인의 낙상 경험 유무에 따라 낙상에 영향을 주는 신체적, 정신적 위험요인을 한국 노인 전체를 모집단으로 하는 국가 데이터를 이용하여 규명하였다. 2017년 보건복지부의 노인실태 자료조사를 이용한 2차 분석연구로, 파킨슨병 노인은 총 103명이었으며 결측값을 제외하고 총 96명의 대상자를 분석하였다. 파킨슨병 노인에게서 낙상에 가장 큰 영향을 미치는 요인은 IADL로 나타났으며, IADL은 운동 조절기능과 관련이 있다. 운동 조절기능의 저하는 일상생활에 필수적으로 요구되는 신체 움직임에 제약을 가하며 위급상황에서의 자기 보호적 행동까지도 영향을 미쳐 낙상에 영향을 미친다. IADL이 낙상에 영향을 줄 수 있다는 본 연구결과를 바탕으로 파킨슨병 노인의 낙상 예방 중재를 위한 다양한 운동요법을 제안할 수 있을 것이다.

• 한국콘텐츠학회논문지
• /
• 제10권3호
• /
• pp.232-240
• /
• 2010

지역사회 여성노인에게 적용한 작업치료가 균형 능력에 미치는 영향을 규명하여 노인들의 낙상 예방을 위한 작업치료의 효용성을 알아보고자 하였다. 자립보행이 가능하고 균형에 영향을 주는 약물 복용을 하지 않는 65세 이상 여성 노인들을 대상으로 실험군 13명, 대조군 13명으로 분류하여 낙상 예방을 위한 교육과 운동을 병행한 6주 간의 작업치료프로그램을 적용하였다. 균형 능력 평가는 Berg 균형척도와 Tetrax 낙상지수가 사용되었다. 실험 결과, 실험군의 Berg 균형척도는 6주간의 프로그램 적용을 통하여 48.38에서 50.69로 유의한 수준의 변화를 나타내었으며(p=.017). 실험군의 Tetrax 낙상지수 또한 6주간의 프로그램 적용을 통하여 46.77에서 35.54으로 유의한 수준의 변화를 나타내었다(p=.000).대조군의 Berg 균형척도와 Tetrax 낙상지수는 모두에서 유의한 수준의 변화를 보이지 않았다. 본 연구의 결과로 볼 때 낙상예방 교육과 운동을 병행한 낙상예방 작업치료 프로그램의 6주 간의 적용이 노인의 균형 능력증진에 효과적이라는 것을 알았으며, 추후 낙상 예방 교육의 효과만을 다룬 연구들이 시행되어야 할 것이다.

• Journal of Preventive Medicine and Public Health
• /
• 제34권1호
• /
• pp.47-54
• /
• 2001

Objectives : To analyze factors associated with elderly falls in a community dwelling, a comparatively important, but somewhat neglected, health mailer. Methods : Data came from personal interview surveys using a questionnaire of 552 people aged 65 or older living in a community. Socioeconomic, and health related characteristics were investigated as independent variables and experiences of falling in the previous year as the dependent variable. Results : 118(21.4%) of the elderly subjects experienced a fall in the previous year. 24 subjects experienced more than two falls, accounting for 20.3% of the elderly fall victims studied. Factors affecting the falls were families living together, level of daily activity, heart disease, and aconuresis;, therefore an elderly person who lives alone, lives independently, has heart disease, or suffers urinary incontinence had a demonstrated increased chance of failing. Conclusion : Groups at risk for luting included elderly persons living alone, living independently, suffering heart disease, or experiencing urinary incontinence. When an elderly fall prevention program is developed and implemented, these results should be considered.

• 지역사회간호학회지
• /
• 제18권1호
• /
• pp.14-22
• /
• 2007

Purpose: The purpose of this study was to investigate the experience of falls, the fear of falling and fall efficacy and identify the predictors of falls in the elderly at senior citizens' centers. Method: The subjects of this study were 106 elders who used senior citizens' centers in Chungcheongbuk-do, Korea. Data were collected from May to June, 2006 through a survey using a structured questionnaire. Result: Of the elderly sampled, 35.8% experienced falls during the last 1 year. Of falls experienced by the elderly, 53% occurred indoors, 47% outdoors, 15.8% in the bathroom or toilet. In addition, 57.8% of the elderly had injuries on the hip and waist related with falls. The fear of falling was higher in those with experience in falls than in those without. Factors affecting the elders' falls were age (OR=1.113, 95% CI=1.012-1.224), the number of chronic disease (OR=2.342, 95% CI=1.365-4.019) and the fear of falling (OR=4.279, 95% CI=1.901-9.634). The predictor of the frequency of falls was fall efficacy ($R^2=24.9$). Conclusion: As a result, it is essential to develop fall prevention programs based on the fear of falling, fall efficacy, chronic diseases and medication state. And in senior citizens' centers, fall prevention safety education should be activated as a health promotion program.

• 전기학회논문지
• /
• 제57권11호
• /
• pp.2131-2137
• /
• 2008

In this paper, COP (center of pressure) during quiet standing and squat-and-stand movement was analyzed to compare the postural control of young and elderly subjects with special interest in the elderly females who were reported to have higher fall rate than the elderly males. Subjects include the young subjects (10 males: $21.8{\pm}2.6yrs$, 10 females: $20.4{\pm}0.3yrs$) and the elderly subjects (8 males: $75.5{\pm}4yrs$, 8 females: $72.3{\pm}3.5yrs$). Analysis parameters were the mean of the distance between the instantaneous COP and the average COP (COP distance) and the mean of the COP movement velocity (COP velocity) in both AP (anterio-posterior) and ML (media-lateral) directions. During quiet standing, the COP distance in ML direction of elderly females was significantly greater than that of elderly males and the COP velocity of elderly females in both ML and AP direction were significantly greater than those of all the other groups. During squat and stand movement, the COP distance of elderly females was not significantly different with that of the elderly males. However, the COP velocity of elderly females was significantly greater than that of all the other groups. The large lateral weight shift (COP distance) of elderly females during quiet standing may explain their greater fall rate. However, this does not apply to squat-and stand movement. In contrast, COP velocity results show that the elderly females' COP is rapidly trembling compared to that of elderly males during both quiet standing and squat and-stand movement. This results suggest that rapid trembling or postural sway may reflect the reduced postural control ability and the risk of falling.

• 한국보건간호학회지
• /
• 제27권1호
• /
• pp.89-101
• /
• 2013

Purpose: The purpose of this study was to investigate the prevalence, characteristics, and factors related to falls occurring among the community-dwelling elderly. Methods: The subjects were 299 community-dwelling-elderly in Jeju Province. Data were collected via in-person interviews by five visiting nurses in October, 2012. Fall risk assessment tools developed by the CDC, K-ADL, HDS-K, and GDS were used for data collection. Results: A significant number of subjects (34.1%) had experienced a fall at least once within the last six months. Living arrangements, strokes, urinary incontinence, main daily activities, and depression were significant factors related to these falls. Other risk factors included heavy use of medications, difficulties in walking and standing, needing arms to stand up from a chair, and hearing loss. Conclusion: The results reveal critical factors related to falls among the community-dwelling elderly. These information should be used to develop and implement fall prevention programs in communities.

• 한국산업정보학회논문지
• /
• 제18권4호
• /
• pp.19-24
• /
• 2013

고령화 사회에서는 노인의 신체적 취약성으로 인한 안전문제가 사회문제로 대두되고 있다. 판단, 상황대처 능력이 떨어진 노인은 체력과 균형감각 저하로 인하여 잦은 낙상을 경험한다. 낙상은 자칫 인명피해 및 골절, 유조직 손상 등을 유발 할 수 있으므로 빠른 응급대처가 필요하다. 따라서 본 논문에서는 사용자의 허리에 부착하여 일상적인 움직임에 대한 가속도의 변화 및 낙상이 발생하였을 때의 가속도의 변화를 측정하였다. 측정한 값을 이용하여 낙상 감지 시스템을 구현하였으며, 여러 가지 낙상 상황을 가정하여 낙상 검출 여부를 판별 하였다.