Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Community-based Comprehensive Fall Prevention Program on Muscle Strength, Postural Balance and Fall Efficacy in Elderly People

지역사회 기반의 통합적 낙상예방 프로그램이 노인의 근력, 균형능력 및 낙상효능감에 미치는 영향

  • Bae, Jeongyee (Department of Nursing, Inje University.International Safe Community Research Center of Busan Metropolitan.Institute for Health Science Research) ;
  • Cho, Seong-Il (Department of Rehabilitation Science, Graduate School, Inje University.International Safe Community Research Center of Busan Metropolitan)
  • 배정이 (인제대학교 간호학과.부산광역시 국제안전도시연구센터.건강과학연구소) ;
  • 조성일 (인제대학교 대학원 재활과학과.부산광역시 국제안전도시연구센터)
  • Received : 2014.08.07
  • Accepted : 2014.10.30
  • Published : 2014.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purposes of this study was to develop a comprehensive community-based fall prevention program and to test the effects of the program on the muscle strength, postural balance and fall efficacy for elderly people. Methods: The design of this study was a nonequivalent control group pretest-posttest design. There were 28 participants in the experimental group and 29 in the control group. The program consisted of balance exercises, elastic resistance exercises and prevention education. The program was provided five times a week for 8 weeks and each session lasted 90 minutes. Data were analyzed using ${\chi}^2$-test, independent t-test and paired t-test using the SPSS program. Results: Muscle strength of the lower extremities, postural balance and fall efficacy scores significantly improved in the experimental group compared to the control group. Conclusion: These results suggest that this program can improve lower extremity muscle strength, postural balance and fall efficacy in elders. Therefore, this program is recommended for use in fall prevention programs for elders living in the community.

Keywords

References

  1. World Health Organization. WHO global report on falls prevention in older age. Geneva, CH: World Health Organization; 2007.
  2. Haber D. Health promotion and aging: Practical applications for health professionals. 3rd ed. New York, NY: Springer Publishing Company; 2003.
  3. Akyol AD. Falls in the elderly: What can be done? International Nursing Review. 2007;54(2):191-196. http://dx.doi.org/10.1111/j.1466-7657.2007.00505.x
  4. Jeong KH, Oh YH, Lee YK, Son CG, Park BM, Lee SY, et al. A survey of the elderly, 2011. Seoul: Ministry of Health and Welfare, The Korea Institute for Health and Social Affairs; 2012.
  5. Rubenstein LZ, Josephson KR. Falls and their prevention in elderly people: What does the evidence show? The Medical Clinics of North America. 2006;90(5):807-824. http://dx.doi.org/10.1016/j.mcna.2006.05.013
  6. Jung YM, Lee SE, Chung KS. Prevalence and associated factors of falls according to health status in elderly living in the community. Journal of the Korean Gerontological Society. 2006;26(2):291-303.
  7. Jeoung BJ. A review of exercise program for fall prevention in the elderly. The Journal of Korean Society of Aerobic Exercise. 2008;12(1):1-9.
  8. Choe MA, Jeon MY, Choi JA. Effect of walk training on physical fitness for prevention in a home bound elderly. Journal of Korean Academy of Nursing. 2000;30(5):1318-1332.
  9. Liu MR, So H. Effects of Tai Chi exercise program on physical fitness, fall related perception and health status in institutionalized elders. Journal of Korean Academy of Nursing. 2008;38(4):620-628. http://dx.doi.org/10.4040/jkan.2008.38.4.620
  10. Jeon MY, Bark ES, Lee EG, Im JS, Jeong BS, Choe ES. The effects of a Korean traditional dance movement program in elderly women. Journal of Korean Academy of Nursing. 2005;35(7):1268-1276.
  11. Gu MO, Jeon MY, Eun Y. The development and effect of a tailored falls prevention exercise for older adults. Journal of Korean Academy of Nursing. 2006;36(2):341-352.
  12. Kwon MS. Effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders. Journal of Korean Academy of Nursing. 2011;41(2):165-174. http://dx.doi.org/10.4040/jkan.2011.41.2.165
  13. Yoo JS, Jeon MY, Kim CG. Effects of a fall prevention program on falls in frail elders living at home in rural communities. Journal of Korean Academy of Nursing. 2013;43(5):613-625. http://dx.doi.org/10.4040/jkan.2013.43.5.613
  14. Shin KR, Shin SJ, Kim JS, Kim JY. The effects of fall prevention program on knowledge, self-efficacy, and preventive activity related to fall, and depression of low-income elderly women. Journal of Korean Academy of Nursing. 2005;35(1):104-112.
  15. Moreland JD, Richardson JA, Goldsmith CH, Clase CM. Muscle weakness and falls in older adults: A systematic review and meta-analysis. Journal of the American Geriatrics Society. 2004;52(7):1121-1129. http://dx.doi.org/10.1111/j.1532-5415.2004.52310.x
  16. Zion AS, De Meersman R, Diamond BE, Bloomfield DM. A home-based resistance-training program using elastic bands for elderly patients with orthostatic hypotension. Clinical Autonomic Research. 2003;13(4):286-292. http://dx.doi.org/10.1007/s10286-003-0117-3
  17. Barnett A, Smith B, Lord SR, Williams M, Baumand A. Community-based group exercise improves balance and reduces falls in at-risk older people: A randomised controlled trial. Age and Ageing. 2003;32(4):407-414. https://doi.org/10.1093/ageing/32.4.407
  18. Miller KL, Magel JR, Hayes JG. The effects of a home-based exercise program on balance confidence, balance performance, and gait in debilitated, ambulatory community-dwelling older adults: A pilot study. Journal of Geriatric Physical Therapy. 2010;33(2):85-91.
  19. Jones GR, Frederick JAB. The Canadian centre for activity and aging's home support exercise program. Geriatrics & Aging. 2003;6(7):48-49.
  20. Yoo IY. Effects of fall prevention program applying HSEP on physical balance and gait, leg strength, fear of falling and falls efficacy of community-dwelling elderly. Journal of the Korean Gerontological Society. 2009;29(1):259-273.
  21. Gu MO, Jeon MY, Kim HJ, Eun Y. A review of exercise interventions for fall prevention in the elderly. Journal of Korean Academy of Nursing. 2005;35(6):1101-1112.
  22. Brilla LR, Stephens AB, Knutzen KM, Caine D. Effect of strength training on orthostatic hypotension in older adults. Journal of Cardiopulmonary Rehabilitation. 1998;18(4):295-300. https://doi.org/10.1097/00008483-199807000-00007
  23. Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. Journal of Gerontology. 1990;45(6):P239-P243. https://doi.org/10.1093/geronj/45.6.P239
  24. Jang SN, Cho SI, Ou SW, Lee ES, Baik HW. The validity and reliability of Korean fall efficacy scale (FES) and activities-specific balance confidence scale (ABC). Journal of the Korean Geriatrics Society. 2003;7(4):255-268.
  25. Kwon YC, Park JH. Korean version of mini-mental state examination (MMSE-K) Part I: Development of the test for the elderly. Journal of Korean Neuropsychiatric Association. 1998;28(1):125-135.
  26. Page P, Ellenbecker TS. The scientific and clinical application of elastic resistance. Champaign, IL: Human Kinetics; 2003.
  27. Choi JH. The effects of Tai Chi exercise on physiologic, psychological functions and fall in fall prone elderly [dissertation]. Seoul: The Catholic University of Korea; 2002.
  28. Mikesky AE, Topp R, Wigglesworth JK, Harsha DM, Edwards JE. Efficacy of a home-based training program for older adults using elastic tubing. European Journal of Applied Physiology and Occupational Physiology. 1994;69(4):316-320. https://doi.org/10.1007/BF00392037
  29. Park HS, Chang R, Park KY. Comparative study on fall related characteristics between single and recurrent falls in community-dwelling older women. Journal of Korean Academy of Adult Nursing. 2008;20(6):905-916.
  30. Hill-Westmoreland EE, Soeken K, Spellbring AM. A meta-analysis of fall prevention programs for the elderly: How effective are they? Nursing Research. 2002;51(1):1-8. https://doi.org/10.1097/00006199-200201000-00002

Cited by

  1. 낙상예방프로그램이 노인의 근력, 균형 및 낙상두려움에 미치는 효과 vol.22, pp.1, 2014, https://doi.org/10.22650/jkcnr.2016.22.1.10
  2. Risk of Falls in Dizzy Patients vol.16, pp.1, 2014, https://doi.org/10.21790/rvs.2017.16.1.10
  3. Analysis of Fall Accidents of Dizzy Patients in a Tertiary Hospital in South Korea (2011-2015) vol.60, pp.6, 2014, https://doi.org/10.3342/kjorl-hns.2016.17531
  4. Comparison of rhythmic and non-rhythmic aerobic exercises on depression and balance in the elderly vol.6, pp.3, 2017, https://doi.org/10.14474/ptrs.2017.6.3.146
  5. Classification of Chronic Dizziness in Elderly People and Relation with Falls vol.17, pp.1, 2014, https://doi.org/10.21790/rvs.2018.17.1.13
  6. The Effect of Different Exercise-based Interventions on Senior Fitness Test of Elderly vol.57, pp.2, 2014, https://doi.org/10.23949/kjpe.2018.03.57.2.45
  7. 요양병원 낙상 고위험 노인 환자를 위한 King의 목표달성이론 기반 낙상 예방 프로그램 개발 및 효과 vol.49, pp.2, 2014, https://doi.org/10.4040/jkan.2019.49.2.203
  8. The Effect of Vibration Foam Roll and Flossing Band Exercise on Muscle Strengthing and Balance in Olders vol.15, pp.1, 2014, https://doi.org/10.24332/aospt.2019.15.1.01
  9. Effect of Action Observation Training Using Y-Balance on Balance Capability in Young Adults vol.32, pp.2, 2014, https://doi.org/10.18857/jkpt.2020.32.2.65
  10. Development and Effect of a Fall Prevention Program Based on King’s Theory of Goal Attainment in Long-Term Care Hospitals: An Experimental Study vol.9, pp.6, 2021, https://doi.org/10.3390/healthcare9060715