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

Bae, Jeong Yee; Cho, Seong Il

doi:10.4040/jkan.2014.44.6.697

Cited by 11 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…병원이나 요양시설에 입원하고 있는 노인 환자들은 낙상을 자주 경험하게 되는데 [3], 노인 병원에 입원한 뇌졸중 환자의 낙상률은 14.2% 수준에 이르며 [4], 1년 이내 낙상을 경험한 입원환자의 재낙 상률은 29.1%로 보고된 바 있다 [5]. 낙상을 경험한 노인 입원환자들 은 재낙상의 두려움으로 일상생활 활동이 위축되며, 근력 약화로 인 해 낙상 가능성이 가중될 뿐만 아니라 [6], 사망률과 이환율 증가는 물론 일상생활 활동 등의 기능 저하로 재입원하게 되는 위험 부담을 안게 된다 [7]. 입원환자들이 경험하는 낙상은 복합적 요인들이 함께 작용하여 발생 되므로 [8], 낙상으로 인한 사고를 최소화함과 동시에 낙상으로 인한 건강문제를 해결하고 나아가 사전 예방을 위한 인식 제고가 필요하다 [9].…”

Section: 요양병원 입원환자 수도 2009년에 12만4천 명에서 2011년에는 15만unclassified

Development and Effect of a Fall Prevention Program Based on the King's Goal Attainment Theory for Fall High-Risk Elderly Patients in Long-Term Care Hospital

Park¹,

Ryu

Kwon³

et al. 2019

J Korean Acad Nurs

View full text Add to dashboard Cite

The purpose of this study to develop a fringed fall prevention program based on King's goal attainment theory and education. This study is applied to the personal, interpersonal, and social systems of fall high-risk patients to test its effects. Methods: This study was a nonequivalent control group pre-and post-test design. There were 52 fall high-risk patients in the experimental group and 45 in the control group. The experimental group received six sessions, with the group sessions lasting 60 minutes and the individual sessions lasting 20~30 minutes. Data were analyzed using descriptive statistics, an χ 2-test, a paired sample t-test, and a Wilcoxon signed-ranks test utilizing IBM SPSS software. Results: For the 3-month intervention period, the fall prevention program was found to be particularly effective for patients in the experimental group (from 3.38 to 1.69 per 1000 patient days; p=.044), as opposed to the control group (from 1.94 to 1.49 per 1000 patient days; p=.300). For the 6-month follow up period, the fall prevention program was again found to be effective for patients in the experimental group (from 3.26 to 0.76 per 1000 patient days; p=.049) compared to the control group (from 1.98 to 1.01 per 1000 patient days; p=.368). Conclusion: These results indicate that the fringed fall prevention program is very effective in reducing falls, not only during the intervention period, but also after the intervention period has ended. We can therefore recommend this program for use concerning fall high-risk patients in long-term care hospitals.

show abstract

Section: 요양병원 입원환자 수도 2009년에 12만4천 명에서 2011년에는 15만unclassified

Development and Effect of a Fall Prevention Program Based on the King's Goal Attainment Theory for Fall High-Risk Elderly Patients in Long-Term Care Hospital

Park¹,

Ryu

Kwon³

et al. 2019

J Korean Acad Nurs

View full text Add to dashboard Cite

show abstract

“…Exercise methods include strengthening exercise using elastic bands [10][11][12], aerobic exercise [13], and programs that combine fall prevention education and exercise [14]. A group with regular functional exercise was effective in improving balance ability to prevent falls in the long term [15], and actually lowered the incidence of falls [16,17].…”

Section: Introductionmentioning

confidence: 99%

Comparison of rhythmic and non-rhythmic aerobic exercises on depression and balance in the elderly

Kwon

Song

Kim

et al. 2017

PTRS

View full text Add to dashboard Cite

Objective: The purpose of this study was to investigate the effects rhythmic and non-rhythmic aerobic exercises on depression and balance of healthy elderly people. Design: Randomized controled trial. Methods: Nineteen older subjects were randomly divided into 2 groups for rhythmic and non-rhythmic aerobic exercises. Both aerobic exercises consisted of functional movements such as turning in opposite directions, and running in place, the exercise consisted of movements that could activate balance. The rhythmic training group initially used music with 8 beats, and then later progressed to 16 beats. Additionally, we adjusted the pace of the music using songs from 125 beats per minute (bpm) to 160 bpm. Both groups were exercised for 50 minutes a day, twice a week, for a total of 8 weeks. We measured the condition of the patients before the intervention, and after 8 weeks of intervention. The Beck depression inventory (BDI) was used to measure the degree of depression. The Berg balance scale (BBS) was used to measure static and dynamic balance ability. We measured the subject's subjective balance confidence using the fall efficacy scale (FES). Results: Both groups showed significant improvement in BDI, BBS, and FES (p<0.05). The rhythmic aerobic exercise group showed a significant improvement only in the BBS change values compared to the non-rhythmic group (p<0.05). Conclusions: According to this study, both rhythmic and non-rhythmic aerobic exercises resulted in significant improvement in the degree of depression and balance ability of the elderly. The rhythmic aerobic exercise was more effective for dynamic balance ability.

show abstract

Characteristics and Effects of Fall Prevention Interventions among the Korean Older Adults: A Systematic Review

Park¹,

Kim²

2022

J Korean Gerontol Nurs

View full text Add to dashboard Cite

Purpose: This systematic review aimed (a) to review the characteristics (types, elements, materials, who provided, where, modes of delivery, and intensity) of the fall prevention interventions adopted in studies of the Korean older adults (b) to review their effects by intervention characteristics and measures.Methods: The data were searched from RISS, Pubmed, CHINAL, EMBASE with key words of ‘aged’, ‘Korean’, ‘accidental falls’. The Joanna Briggs Institute was used to assess methodological quality. Data were extracted for sample nature, the type, element, material, delivery, and intensity of the intervention, measures, and findings.Results: A total of fifty nine studies were selected for this review. Most studies were conducted with only female older adults (66.1%) and small sample (less than 30 subjects) ( 93.2%). Exercise was the most frequently evaluated intervention type, with a small number of studies including education. Face-to-face (group) was the most frequently evaluated intervention delivery mode; only a small number of studies evaluated non face-to-face intervention. 12 weeks, 3 times a week, and 60 minutes per session were the most frequently evaluated intervention intensity. An exercise intervention was effective in balance and muscle strength. Fall prevention interventions face-to-face (group), delivered at least for 8 weeks, 3 times a week, and 40 minutes per day may be more effective.Conclusion: This review showed the current status of fall prevention intervention for the Korean older adults. As the literature indicated the exercise can be useful intervention but there need additional evidence from rigorously designed study to determine the effective form of intervention.

show abstract

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

Cited by 11 publications

References 19 publications

Development and Effect of a Fall Prevention Program Based on the King's Goal Attainment Theory for Fall High-Risk Elderly Patients in Long-Term Care Hospital

Development and Effect of a Fall Prevention Program Based on the King's Goal Attainment Theory for Fall High-Risk Elderly Patients in Long-Term Care Hospital

Comparison of rhythmic and non-rhythmic aerobic exercises on depression and balance in the elderly

Characteristics and Effects of Fall Prevention Interventions among the Korean Older Adults: A Systematic Review

Contact Info

Product

Resources

About