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The Effect of the Fall Prevention Exercise Program Focussed on Strengthening of the Lower Extremity Muscles on the Change of Physical Function and Muscle Architecture of the Elderly

하지근력강화중심 낙상예방운동이 노인의 신체기능 및 근구조 변화에 미치는 영향

  • Yang, Ji (Department of Physical Therapy, Sahmyook University) ;
  • Lee, Wan-Hee (Department of Physical Therapy, Sahmyook University) ;
  • Kang, Ki-Seon (Department of Nursing, Cheju Halla University) ;
  • Kim, Hyo-Sil (Department of Health Administration, Cheju Halla University)
  • 양지 (삼육대학교 물리치료학과) ;
  • 이완희 (삼육대학교 물리치료학과) ;
  • 강기선 (제주한라대학교 간호학과) ;
  • 김효실 (제주한라대학교 보건행정과)
  • Received : 2015.01.02
  • Accepted : 2015.03.12
  • Published : 2015.03.31

Abstract

This study was conducted to verify the effect of the fall prevention exercise program (FPEP). From 1st June to 14th July in 2014, 52 subjects above the age of 65 in 2 health clinics of A town, J city were randomly assigned to two groups(exercise 31, control 21). While exercise group performed FPEP twice a week for 6 weeks, control group received education only. The results showed significant difference between the two groups in the TUG of physical function(P=.032). There were no statistically significant difference between the two groups in the fear of falls, falls efficacy of mental functions. The result of ultrasound measurement of lower extremity muscles showed statistically significant differences between groups in the 7 items(RF CSA Contraction RF DIS Resting, TA Thickness Contraction, TA P-angle Contraction, GCM Thickness Resting, GCM Thickness Contraction, GCM P-angle Contraction)(p<.05). In conclusion, the FPEP is very effective in the prevention of falls.

본 연구는 낙상예방운동 프로그램을 적용 후 효과를 검증하고자 수행되었다. J시 A읍 두 보건진료소의 65세 이상 노인 52명 노인을 대상으로 2014년 6월1일부터 7월14일까지 시행되었다. 대상자는 실험군 31명, 대조군 21명으로 무작위로 분류하였다. 실험군은 주 2회, 6주간 낙상예방운동 프로그램을 실시하였고, 대조군 21명은 교육만 실시하였다. 연구결과 신체적 기능의 TUG에서 두 그룹 간에 유의한 차이를 보였다(p=.032). 정신적 기능의 낙상두려움, 낙상효능감에서는 통계적으로 유의하지 않았다. 하지근육의 초음파 측정은 7항목(RF CSA Contraction, RF DIS Resting, TA Thickness Contraction, TA P-angle Contraction, GCM Thickness Resting, GCM Thickness Contraction, GCM P-angle Contraction)에서 그룹 간 통계적으로 유의한 차이가 있었다(P<.05). 결론적으로 본 프로그램은 낙상예방에 매우 효과적이다.

Keywords

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