Risk Factors and Methods in Balance Assessment Associated with Fall in Older Adults

노인의 낙상과 연관된 위험요소와 균형 측정 방법

  • Lee, Yun-Kyung (Department of Physical Therapy, Graduate School, Daegu University) ;
  • Bae, Sung-Soo (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 이윤경 (대구대학교 대학원 물리치료) ;
  • 배성수 (대구대학교 재활과학대학 물리치료학과)
  • Published : 2007.02.28

Abstract

Purpose : The purpose of this study was to determine risk factors and methods in balance assessment associated with fall in older adults. Methods : This article describes many of the tools that can be used to evaluate the physical parameters associated with fall risk in older adults. Results : Composite ratings of performance(Tinetti balance assessment, Guralnik test battery, Berg balance scale, modified-physical performance test) measures the score compounding the balance measure to determine fall risk. Static balance instruments are composed of FICSIT-4 that measures the ability of maintaining foot positions and CTSIB that measures postural stability. Dynamic balance instrument is composed of functional reach test. To measure walking velocity and mobility, 8-foot up-and-go test and walking around two cones are used. We can use 1-RM and to measure muscular strength, isokinetic dynamometery, and 30-second chair stand to measure lower extremity muscle strength. Conclusion : The described instruments are easy to use and widespread. To select and use these tool kits carefully is considered to be helpful in identifying those who are most likely to fall. The final part of the article includes a brief discussion of the potential role of exercise training interventions to improve these physical parameters and prevent falls.

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