Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지

Effects of Balance Training Program for the Elderly Affected by Hansen's Disease

한센 노인의 균형운동프로그램이 균형능력에 미치는 영향

  • Jung, Soon-Mi (Dept. of Physical Therapy, College of Rehabilitation Science, Daegu University) ;
  • Park, Rae-Joon (Dept. of Physical Therapy, Daegu University)
  • 정순미 (대구대학교 대학원 재활과학과) ;
  • 박래준 (대구대학교 물리치료학과)
  • Received : 2010.01.07
  • Accepted : 2010.02.03
  • Published : 2010.02.19
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to investigate the effects of improvement in the balance control ability of the elderly affected by Hansen's disease. We tried to compare the effects for the elderly affected by Hansen's disease with and without foot deformity. The subjects consisted of 19 patients 65 years old and older. They participated in a balance training program twice per week for 8 weeks. The following results were obtained from the training program: 1. There were significant improvements in static balance ability in one leg standing (OLS), dynamic balance ability in tandem walk (TW) and four square step (FSS) (p<.05). 2. There was a significant difference between patients with and without single-foot deformity in TW before the program (p<.05). After training, however, the difference became less significant. Also, there was not much difference between recipients with and without single-foot deformity in terms of OLS and FSS. The results of this study suggest that we need to provide training programs and rehabilitation services for the elderly affected by Hansen's disease suffering from nerve injury and disability. Furthermore, further research efforts should be made concerning rehabilitation to overcome various forms of disability.

Keywords

References

  1. 강경환. 남자노인의 정적.동적 균형능력의 증진. 한국체육교육학회지. 2002;7(3):201-208.
  2. 강종호, 방현수, 김진상. 고유수용성 감각 정보의 변화에 관한 고찰. 대한고유수용성신경근촉진법학회지. 2008;5(1):19-29.
  3. 김용연. 한센병에서 신경손상에 관한 연구. 대한나학회지. 1995;28(1):87-88.
  4. 김원호, 이충휘, 정보인 등. 노인의 균형유지에 영향을 미치는 요인. 한국전문물리치료학회지. 1998;5(3):21-33.
  5. 김이화. 나환자의 MMPI 프로파일 특성 연구. 고려대학교 교육대학원, 석사학위 논문, 1993.
  6. 김종필. 주요 국가의 한센사업 현황 및 제도. 대한나학회지. 2006;39(2):37-50.
  7. 김종필. 한센병가이드. 한국복지협회, 2007a.
  8. 김종필. 한센사업대상자의 기대여명 및 잠재수명상실년수. 대한나학회지. 2007b;40(2):25-50.
  9. 김종필. 최근 5년간의 재발 한센병 환자에 대한 조사. 대한나학회지. 2008;41(1):27-36.
  10. 김철현, 김찬. 운동프로그램이 노인의 신체능력에 미치는 효과: 골다골증성 골절을 유발하는 낙상위험인자를 중심으로. 한국체육측정평가학회지. 2008;10(3):81-90.
  11. 김한수. 가정운동훈련 프로그램이 노인의 근력, 균형, 보행증진에 미치는 영향. 계명 대학교 대학원, 박사학위 논문, 2002.
  12. 대학나학회. 나병학. 한국한센복지협회, 2004.
  13. 류명인, 소희영. 타이치 운동프로그램이 시설노인의 체력, 낙상관련 지각 및 건강상태에 미치는 효과. 대한간호학회지. 2008;38(4):620-628.
  14. 박래준, 김용관. 한국 나장애인시설 나환자들에 대한 물리치료 실태조사. 대한물리치료학회지. 1998;10(1):139-148.
  15. 박래준. 나병환자를 위한 물리치료. 대구대학교 물리치료학회지. 1990;3:6-12.
  16. 송준영, 상영호. MDT 치료종결 환자의 임상적 분석. 대한나관리협회지. 1996;29(1):55-62.
  17. 이래환. 한센병에 의한 장애와 보조기와의 관계에 대한 고찰. 대한나학회지. 2008;41(2):37-54.
  18. 이성근. 소록도 한센인의 골절에 대한 연구. 대한나학회지. 2007;40(2):15-23.
  19. 이지호. 소록도 한센병 환자의 주거환경에 관한 연구. 조선대학교 산업대학원, 석사학위 논문, 2004.
  20. 전미양, 최명애. 낙상예방 프로그램이 양로원 여성노인의 보행, 균형 및 근력에 미치는 영향. 기초간호자연과학회지. 2002;4(1);5-23.
  21. 조율연, 민간나사업 단체의 진로. 대한나학회지. 1994;27(1):73-80.
  22. 질병관리본부. 한센사업지침. 질병관리본부, 2008.
  23. 채규태. 나병의 면역학적 이해. 대한나학회지. 1994;27(2);9-20.
  24. Briggs RC, Gossman MR, Birch R, et al. Balance performance among non institutionalized elderly women. Phys Ther. 1989;69(9):748-756.
  25. Britton WJ, Lockwood DN. Leprosy. Lancet 2004;363(9416):1209-1219. https://doi.org/10.1016/S0140-6736(04)15952-7
  26. Chandler JM, Duncan PW. Balance and falls in the elderly. In: Guccione A, ed. Geriatric Physical Physical Therapy. St. Louis, Mosby co., 1992.
  27. Dite W, Temple VA. A clinical test of stepping and change of direction to identify multiple falling older adults. Arch Phys Med Rehabil. 2002:83(11):1566-1571. https://doi.org/10.1053/apmr.2002.35469
  28. Duncan PW, Weiner Dk, Chandler J, et al. Functional reach: A new clinical measure of balance. J Gerontol. 1990;45(6):M192-197. https://doi.org/10.1093/geronj/45.6.M192
  29. Ellen DK. Physical therapy in leprosy for paramedical. American leprosy mission, 1962.
  30. Faber MJ, Bosscher RJ, Chin A, et al. Effects of exercise programs on falls and mobility in frail and pre-frail older adults: A multicenter randomized controlled trial. Arch of Phys Med and Rehabil. 2006;87(7):885-896. https://doi.org/10.1016/j.apmr.2006.04.005
  31. Gardiner MD. Exercise Therapy. London, Bell and Sons LTD, 1962.
  32. Gardiner MD. The Principles of Exercise Therapy. 1963.
  33. Horak FB. Clinical Measurement of postural control in adults. Phys Ther. 1987;67(12):1881-1885.
  34. Kauffman T. Impact of aging-related muscular skeletal and postural changes on fall. Top Geriatr Rehabil. 1990;5:34-43.
  35. Kent-Braun JA, Ng AV. Specific strength and voluntary muscle activation in young and elderly women and men. J Appl Physiol. 1999;98(1):22-29.
  36. Lord SR, Caplan GA, Ward JA. Balance, reaction time, and muscle strength in exercising and non exercising older women. Arch Phys Med Rehabil. 1993;74(8):837-839. https://doi.org/10.1016/0003-9993(93)90010-8
  37. Lord SR, Clark RD, Webster IW. Postural stability and associated physiological factors in a population of aged persons. J Gerontol. 1991;46(3):M69-76. https://doi.org/10.1093/geronj/46.3.M69
  38. Lord SR, Ward JA, Williams P, et al. The effect of a 12-month exercise trial on balance, strength, and falls in older women: A randomized controlled trial. J Am Geriatr Soc. 1995;43(11):1198-1206.
  39. Marchetti GF, Whitney SL. Construction and validation of the 4-item dynamic gait index. Phys Ther. 2006:86(12):1651-1660. https://doi.org/10.2522/ptj.20050402
  40. Marilyn M. Physical Therapists as Exercise Experts for Ageing Adults: Evidence-based examination and exercise prescription. 2008.
  41. Masdeu JC, Sudarsky L, Wolfson L. Gait Disorders of Aging: Talls and therapeutic strategies. Philadelphia. PA, Lippincott-Raven, 1997.
  42. Ridley DS, Jopling WH. A classification of leprosy for research. Purpose leprosy review. 1962;33:119-128.
  43. Shumway-Cook A, Baldwin M, Polissar NL, et al. Predicting the probability for falls in community-dwelling older adults. Phys Ther. 1997;77(8):812-819.
  44. Shumway-Cook A, Silver IF, LeMier M., et al. Effectiveness of a community-based multi-factorial intervention on falls and fall risk factors in community-living older adults: A randomized, controlled trial. J Gerontol A Biol Sci Med Sci. 2007;62(12):1420-1427. https://doi.org/10.1093/gerona/62.12.1420
  45. Srinivasan. Prevention of Disabilities in Patients with Leprosy: A practical guide. Geneva. WHO. 1993.
  46. Stanley PB, Wayne CM, Jane ME. Exercise Physiology: Basis of human movement in health and disease. Baltimore, Lippincott Williams & Wilkins, 2007.