Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review

한국 노인의 넘어짐과 연계된 인체손상에 대한 이해와 예방: 체계적 문헌 고찰

  • Lim, Ki-taek (Injury Prevention and Biomechanics Laboratory, Dept. of Physical Therapy, Yonsei University) ;
  • Lee, Ji-eun (Injury Prevention and Biomechanics Laboratory, Dept. of Physical Therapy, Yonsei University) ;
  • Park, Ha-eun (Injury Prevention and Biomechanics Laboratory, Dept. of Physical Therapy, Yonsei University) ;
  • Park, Su-young (Injury Prevention and Biomechanics Laboratory, Dept. of Physical Therapy, Yonsei University) ;
  • Choi, Woochol Joseph (Injury Prevention and Biomechanics Laboratory, Dept. of Physical Therapy, Yonsei University)
  • 임기택 (인체손상예방 생체역학 연구실, 연세대학교 물리치료학과) ;
  • 이지은 (인체손상예방 생체역학 연구실, 연세대학교 물리치료학과) ;
  • 박하은 (인체손상예방 생체역학 연구실, 연세대학교 물리치료학과) ;
  • 박수영 (인체손상예방 생체역학 연구실, 연세대학교 물리치료학과) ;
  • 최우철 (인체손상예방 생체역학 연구실, 연세대학교 물리치료학과)
  • Received : 2019.03.25
  • Accepted : 2019.04.25
  • Published : 2019.05.21
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Abstract

Background: Fall-related injuries in older adults are a major health problem, and the risks and mechanisms of these injuries should be affected by race, culture, living environment, and/or economic status. Objects: Research articles have been systematically reviewed to understand fall-related injuries in older adults in South Korea. Methods: 128 published research papers have been found through the Korea Citation Index and the Korean Studies Information Service System, and reviewed in various perspectives, including incidents, fall death rates, medical costs, causes, injury sites and types, locations where falls occurred, prevention strategies, scholarly fields interested in fall injuries, and the role of physical therapy. Results: Fall-related injuries were found to be more common in women than in men, and the number of incidents increased with age, with the highest rate found in individuals over 85 years old. Risk of fall injury was associated with education level, comorbidities, and fear of falling. Common places where falls occurred included the bathroom, living room, stairs, and hallway. Common types of injury included bruises, fractures, and sprains in the lower extremities. Intervention strategies included exercise programs, education, and protective clothing. Scholarly fields interested in fall-related injuries in older adults included medicine, nursing, physical therapy, occupational therapy, physical education, pharmacology, oriental medicine, biomedical engineering, design, clothing, and textiles. Physical therapy intervention using proprioceptive neuromuscular facilitation has been used to improve one's balance. Conclusion: Any movement during the activities of daily living can lead to a fall. Physical therapists are highly educated to analyze human movements and should be involved in more research and practices to solve fall-related injuries in older adults.

Keywords

References

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  1. 손상으로 입원한 전·후기 노인의 융복합 비교분석 vol.11, pp.2, 2019, https://doi.org/10.15207/jkcs.2020.11.2.075