• PNF and Movement
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• 제14권3호
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• pp.203-208
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• 2016

Purpose: This study seeks to examine the effect of a program with functional taping and CLT on the program on fall efficacy and balance of stroke patients with knee pain on the non-affected side, as well as to develop effective programs and training methods to improve the functions of such patients. Methods: The subjects included 31 patients with hemiplegia caused by stroke. The subjects were randomly divided into an experimental group (n = 15), which participated in a program for functional taping and CLT, and a control group (n = 16), which participated in general exercise therapy. The control group underwent general exercise therapy for 30 minutes, three days per week for a six-week period. VAS, FES and TUG were conducted to evaluate changes in pain degree, fall efficacy, and balance. Results: After the intervention, significant differences (p < 0.05) were seen in the VAS, FES and TUG in both groups. The experimental group showed more significant improvement than the control group (p < 0.05). Conclusion: The results from this study indicate that the CLT program is extremely effective for improving fall efficacy and balance.

• 동서간호학연구지
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• 제27권1호
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• pp.61-69
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• 2021

Purpose: This study aims to determine the association between fear of falling, falls efficacy, and fall prevention behaviors in older adults in outpatient and identify the factors affecting fall prevention behaviors. Methods: This was a descriptive study. A total of 137 older adults aged 60 or older with more than one disease in an outpatients setting were recruited from a university hospital in Seoul. Data were collected from March 11 through April 8, 2016. Results: The experience of a fall was significantly associated with age (t=-2.71, p=.008), gender (𝛘²=14.32, p<.001), education (𝛘²=6.05, p=.049), income (𝛘²=9.93, p=.019), physical activity status (𝛘²=16.84, p<.001), and the number of diseases (t=-2.89, p=.004). Fall experience was not significantly associated with marital status (𝛘²=3.79, p=.285). Multiple regression analysis revealed that the most influential factor of fall prevention behaviors was the fear of falls (β=-.37, p<.001), followed by the number of diseases (β=-.20, p=.013). Conclusion: It is necessary to provide preventive fall education with older adults in outpatients settings considering the fear level of falling and the numbers of accompanying diseases.

• 대한간호학회지
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• 제35권1호
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• pp.104-112
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• 2005

Purpose: This research was conducted to determine the effects of a fall prevention program on knowledge, self-efficacy, prevention activity, and depression in the low-income elderly women. Method: The design of this study was a nonequivalent control group pretest-posttest design. There were 22 subjects in the experimental group and 22 in the control group. A fall prevention program was performed for approximately 40 minutes, once a week for 6 weeks. Results: The results of this study were as follows: There were statistically significant differences of knowledge, self-efficacy, and prevention activity related to falls and depression between the experimental group and control group. Conclusion: In conclusion, the fall prevention program used in this study is appropriate for the elderly, therefore this program is strongly recommended for community-based health and welfare centers.

• 대한지역사회작업치료학회지
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• 제2권2호
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• pp.37-49
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• 2012

목적 : 본 연구의 목적은 상상연습이 뇌졸중 환자의 균형능력과 낙상 위험도 및 낙상 효능감에 미치는 영향을 알아보기 위한 것이다. 연구방법 : 뇌졸중 진단을 받은 4명의 성인을 대상으로 개별대상자 실험연구 방법 중 대상자간 다중기초선(multiple baseline across individuals)으로 설계되었다. 기초선 과정과 중재 과정을 포함해 총 20회를 4주 동안 진행하며, 기능적 손 뻗기 검사를 이용해 균형능력의 변화를 측정했다. 그리고 낙상 위험도(Tetrax) 프로그램과 낙상 효능감으로 중재 전 후를 비교했다. 시각적 분석과 2 표준편차 밴드 분석방법을 통해 나타냈다. 결과 : 상상연습 중재기간 동안, 기능적 손 뻗기 검사를 사용한 결과 대상자들의 균형능력의 향상이 나타났다. 이러한 변화로 낙상 위험도가 감소하였고, 낙상 효능감이 증가했다. 결론 : 본 연구 결과, 상상연습이 뇌졸중 환자의 균형능력 향상에 효과적임을 알 수 있었다. 향후 연구에서 더 많은 연구 대상을 통해 다양한 방법으로 균형능력을 측정하여 확인이 이루어졌으면 한다.

• 대한물리치료과학회지
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• 제27권1호
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• pp.1-8
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• 2020

Background: This study analysed the effect of the fall prevention education activities on balance, fall efficacy, activities of daily living (ADL) of sub-acute stroke patients. Design: Randomized controlled trial. Methods: The subjects of the study were 24 subacute patients, who have onset period of less than 6 months. They are randomly allocated in the conventional therapy group (n=12) and fall prevention education group (n=12) and observed with frequency for 5 times a week for four weeks. Measuring took place before and after the experiment leading to following results of the Fall efficacy scale (FES), Berg balance scale (BBS) and Functional Independence Measure (FIM). Results: FES, BBS and FIM score was significantly greater in the post-test than in the pre-test in both groups (p<0.01). Independent t-test confirmed that the fall prevention education group showed much greater improvement change in the FES, BBS and FIM score than conventional therapy group (p<0.05). Conclusion: The present study demonstrated the importance of clinical contribution of the fall prevention education in the individuals with subacute stroke patients to the balance, fall efficacy and ADL following the stroke rehabilitation.

• The Journal of Korean Physical Therapy
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• 제26권6호
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• pp.430-435
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• 2014

Purpose: The objective of this study was a virtual reality-based balance training program effective for improvement in physical function, examined the balance ability and fall efficacy of elderly women with experienced falls, intending to examine the program's usefulness as an exercise program to prevent the recurrence of a fall. Methods: The participants were 30 elderly women aged 65 or older who met the conditions. The participants were randomly assigned to either a balance training group (BT) or a virtual reality-based balance training group (VT) and received the training three times per week, 30 minutes per day, for six weeks. To measure static balance, the Tetrax Portable Multiple System (Tetrax Ltd, Israel) were used. To measure dynamic balance, the Berg Balance Scale (BBS) and functional reach test (FRT) was used, and regarding fall efficacy, the Korean Fall Efficacy Scale (K-FES) was used. Results: Tetrax significantly improved after the intervention in both the BT group and the VT group (p<0.05). The comparison between the two groups was not significantly. BBS and FRT result significantly improved after the intervention in both the BT and VT groups (p<0.001), while K-FES was significantly ameliorated in the VT group only (p<.05). Comparing the groups, there were more significant changes in the BBS (p<0.05) and FRT (p<0.01) result of the VT group than the BT group. Conclusion: A virtual reality-based balance training program is considered to be usable as an exercise program to prevent recurrence of falls in elderly women.

• 한국산학기술학회논문지
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• 제15권8호
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• pp.5186-5194
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• 2014

본 논문은 노인의 건강을 위협하는 가장 심각한 문제 중의 하나인 낙상을 예방하기 위하여 2014년 5월부터 6월 까지 1주에 2번씩 6주 동안 낙상을 예방하기 위한 운동을 시행하였고, 시행 전 후 TUG, FRT, BBS, ADL, 낙상공포감, 낙상효능감, 우울의 정도를 비교하여 운동의 효과를 분석하였다. 그 결과 본 연구의 가설 검정에서 제1가설 "낙상예방운동에 참여한 노인은 참여하기 전보다 FRT가 향상될 것이다"의 T-test 검정 결과는 사전 사후(F=3.14, p<.05)로 TUG 점수는 통계적으로 유의한 차이를 보였고, 제3가설 "낙상예방운동에 참여한 노인은 참여하기전보다 BBS(균형정도)가 향상될 것이다"의 T-test 검정 결과는 사전 사후(F=-5.74, p<.001)로 BBS의 점수도 통계적으로 유의한 차이를 보였다. 그 외 FRT, ADL, 낙상공포감, 낙상효능감, 우울의 점수는 통계적으로 유의하진 않으나 개선된 결과를 보여 본 연구에서 적용했던 운동이 농촌 노인의 낙상예방에 효과가 있었음을 확인하였다.

• 한국엔터테인먼트산업학회논문지
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• 제14권7호
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• pp.519-528
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• 2020

본 연구의 목적은 보행보조차 손잡이 높이에 따른 노인들의 상태불안과 심박수, 낙상효능감의 변화를 분석하는 데 있다. 연구대상은 정상노인 32명이다. 보행보조차는 유모차 형태로 손잡이 높이를 대상자들의 신장의 48%를 기준으로 설정하였으며, 손잡이 높이를 5%씩 감소시켜, 48, 43, 38 %로 구성하였다. 상태불안 평가는 한국판 상태불안 척도를 활용하였으며, 심박수 평가는 Fitbit Charge 2 손목형 심박수 측정기를 활용하였다. 낙삭효능감 평가는 한국판 낙상효능감 척도를 활용하였다. 그 결과, 보행보조차 손잡이 높이에 따라 상태불안과 심박수는 통계적으로 유의미한 증가가 나타났으며, 낙상효능감은 통계적으로 유의미한 감소가 나타났다. 사후검정 결과에서도 상태불안과 낙상효능감의 분석결과 각각의 보행보조차 손잡이 높이에 따라 통계적으로 유의미한 차이가 나타났으며, 심박수의 분석결과 48, 43%의 손잡이 높이와 38%의 손잡이 높이 간의 통계적으로 유의미한 차이가 나타났다. 따라서, 노인들의 보행보조차 사용시 상태불안과 심박수를 감소시키고 낙상효능감을 향상시키기 위해서, 보행손잡이 높이를 적절하게 위치하여야 할 것이며, 보행보조차 사용자 전체 신장의 48%의 위치로 조정하여야 할 것이다.

• 산업과 과학
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• 제1권2호
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• pp.17-23
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• 2022

본 연구는 농촌과 도시에 거주하는 노인 여성들의 체력과 낙상효능감에 대해 분석하여 지역에 따른 노인들의 건강요인들을 분석하기 위함이다. 본 연구 대상자는 주 2회 이상 지역 마을회관에서 건강체조와 치어리딩를 하는 농촌 및 도시에 거주하는 노인 여성 98명(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)으로 진행되었다. 체력은 근지구력, 심폐지구력, 유연성을 측정하였으며, 낙상효능감은 Tinetti 등이 개발한 10개 항목의 Fall Efficacy Scale을 사용하였다. 도시 노인들이 유연성과 낙상효능감에서 유의한 차이가 나타났다(p<.01, p<.05). 근지구력과 심페지구력에서는 유의한 차이가 나타나지 않았다(p>.05). 추후 지역의 노인들의 건강요인의 불균형을 개선하기 위한 연구가 지속적으로 이루어져야 할 것이다.

• 재활간호학회지
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• 제7권1호
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• pp.48-57
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• 2004

Introduction : The purposes of this study was to examine physical function and psychological status in the elderly caused by a fall. Method : The study was designed as a descriptive survey. Its subjects consisted of the 299 elderly over 65 years. Collected data were analyzed by the SPSS 10.0 program package. Results : The result of this study are as follows : 1) The score for ADL was significantly lower in the fall group. 2) Grip strength was significantly lower in the fall group. 3) Lapse of the motion sitting and standing was significantly longer in the fall group. 4) One-leg-standing time with the eyes open and closed was significantly shorter in the fall group. 5) Return time of 3m walk was significantly longer in the fall group. 6) The score for dizziness was significantly higher in the fall group. 7) The score for fear for a fall and depression were significantly higher in the fall group. 8) The score for falls efficacy was significantly lower in the fall group. Conclusion: ADL, muscle strength, balance, dizziness, fear for a fall, falls efficacy and depression turned out to be closely related to the fall of the elderly. Therefore, it would be required to develop and applicate the fall prevention program regarding these above risk factors.