낙상예방 중재로서의 태극권: 무작위 대조군 실험 연구들을 대상으로 한 심층 문헌고찰과 태권도와의 연계성 탐구
Tai Chi as a Fall Prevention Intervention: An In-depth Literature Review of Randomized Controlled Trials and Suggestion to Taekwondo
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[서론] 본연구의 주목적은 낙상예방효과로서의 태극권에 대해 심층 문헌고찰연구법을 통해 그 효과를 보다 심층적으로 확인하고자 하는데 있다. 많은 수의 태극권연구들이 이루어져 왔지만 다양한 연구방법 및 태극권 방식으로 인해 연구결과에 대한 신뢰도에 의문이 있어왔다. 따라서 본 연구는 무작위 대조군 실험을 사용한 논문을 대상으로 본 연구에서 정한 기준을 적용하여 논문을 심층적으로 고찰하여 태극권의 낙상에 대한 효과를 살펴보았다. [방법] 심층 문헌고찰연구법을 사용하여 총 7개의 논문이 본 연구 기준을 충족시켜 본 연구에 포함되었고 각 논문은 본 연구가 정한 기준에 따라 심층적으로 고찰이 되었다. [결과] 앞선 선행 논문들이 밝혔듯이 본 연구에서도 태극권이 낙상 예방으로서 효능이 있는 것으로 확인 되어졌으나 중강도 이상의 태극권은 신체기능이 많이 떨어지는 노인들에게는 효능이 없거나 미미한 것으로 확인되어졌다. [결론] 태극권은 대상에 따라 강도를 조절하면 낙상예방에 큰 효능이 있는 것으로 확인 되어졌다. 그리고, 기본동작이나 움직임의 역학이 유사한 태권도 또한 낙상예방운동을서의 충분히 가능성이 있고 노인들에 맞게 개발이 되어진다면 우리나라사람에게 익숙한 태권도가 낙상예방운동으로서 큰 역할을 할 수 있을것이라 기대된다.
Abstract
[INTRODUCTION] Tai Chi as non-pharmaceutical approach has frequently appeared in fall prevention literature in last two decades and has been reported to have positive effects on fall prevention. While there is abundant amount of evidence as to effects of Tai Chi on falls, there are also so many variations in research design, implementation of various types of Tai Chi and outcomes of the studies in Tai Chi studies. Hence, the current study attempted to thoroughly review to examine if Tai Chi still appears to have positive effects when applying exclusive research criteria. [METHOD] In-depth literature review was employed for the current study. Total of 7 studies were selected and reviewed for the final inclusion of the study. [RESULT] The current study confirmed existing current literature that Tai Chi indeed appears to have positive impacts on fall prevention among older adults. [CONCLUSION] Thanks to similarity of Tai Chi to Taekwnodo, the current study also suggested that Taekwonodo could also be another option alternative to Tai Chi for fall prevention since Tai Chi is not commonly practiced in Korea.
참고문헌 (28)
- 배영상, "고령자의 태권도 앞굽이서기 운동과 보행의 지면반력 특성비교", 한국운동역학회지, 21(3), pp.289~296 (2011), 한국운동역학회
- Carter, N. D., "Community-based exercise program reduces risk factors for falls in 65-to 75-year-old women with osteoporosis: randomized controlled trial", Canadian Medical Association Journal, 167, pp.997~1004 (2002)
- Carter, N. D., "Results of a 10 week community based strength and balance training programme to reduce fall risk factors: a randomised controlled trial in 65-75 year old women with osteoporosis", British Journal of Sports Medicine, 35, pp.348~351 (2001)
- Choi, J., "Effects of Sun-style Tai Chi exercise on physical fitness and fall prevention in fall-prone older adults", Journal of Advanced Nursing, 51(1), pp.150~157 (2005)
- Cook, D. J., "Systematic reviews: synthesis of best evidence for clinical decisions", Annals of Internal Medicine, 126, pp.376~387 (1997)
- Counsell, C., "Formulating questions and locating primary studies for inclusion in systematic reviews", Annals of Internal Medicine, 127, pp.380~387 (1997)
- Desharis, R., "Self-efficacy and outcome expectations as determinants of exercise adherence", Psychological Reports, 59, pp.1155~1159 (1986)
- Dishman, R., "Motivating older adults to exercise", Southern Medical Journal, 87, pp.S79~S82 (1994)
- Ettinger, W., "A randomized trail comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis", Journal of the American Medical Association, 277, pp.25~31 (1997)
- Fitzgerald, J., "Activity levels, fitness status, exercise knowledge, and exercise beliefs among healthy, older African American and White women", Journal of Aging and Health, 6, pp.296~313 (1994)
- Kannus, P., "Fall-induced injuries and deaths among older adults", JAMA, 281, pp.1895~1899 (1999)
- 김기만, "태권도 앞굽이 몸통반대지르기를 통한 고령자의 건각도의 유효성 분석", 한국발육발달학회지, 17(4), pp.309~314 (2009), 한국발육발달학회
- Lee, Y., "Effects of exercise as a therapeutic intervention on falls: Implications for therapeutic recreation practitioners", Therapeutic Recreation Ontario Research Annual, 6, pp.17~27 (2008)
- Li, F., "Tai chi and fall reductions in older adults: A randomized controlled trial", The Journal of Gerontology, 60A(2), pp.187~194 (2005)
- Li, F., "Tai chi: Improving functional balance and predicting subsequent falls in older adults", Medicine and Science in Sports and Exercise, 36(12), pp.2046~2052 (2004)
- Logghe I. H. J., "Explaining the ineffectiveness of a tai chi fall prevention training for community- living older people: A process evaluation alongside a randomized clinical trial (RCT)", Archives of Gerontology and Geriatrics, 52, pp.357~362 (2010)
- Logghe, I. H. J., "Lack of effect of tai chi chuan in preventing falls in elderly people living at home: A randomized clinical trial", Journal of American Geriatric Society, 57, pp.70~75 (2009)
- Lord, S. R., "The effects of an individualized fall prevention program on fall risk and falls in older people: A randomized, controlled trial", Journal of American Geriatric Society, 53, pp.1296~1304 (2005)
- Mann, M., "Counseling seniors about physical activity", Advances for Nurse Practitioners, 7, pp.37~40 (1997)
- Meade, M. O., "Selecting and appraising studies for a systematic review", Annals of Internal Medicine, 127, pp.531~537 (1997)
- Resnick, B., "Efficacy beliefs in geriatric rehabilitation", Journal of Gerontological Nursing, 24(7), pp.34~43 (1998)
- Sattin, R. W., "Reduction in fear of falling through intense tai chi exercise training in older, transitionally frail adults", Journal of American Geriatric Society, 53(1), pp.1168~1178 (2005)
- Shigematsu, R., "Dance-based aerobic exercise may improve indices of falling in older women", Age and Ageing, 31, pp.261~266 (2002)
- Sohng, K., "Fall prevention program for fall risk factor reduction of the community-dwelling elderly in Korea", Yeonsei Medical Journal, 44, pp.883~891 (2003)
- Tinetti, M. E., "A multifactorial intervention to reduce the risk of falling among elderly people living in the community", The New England Journal of Medicine, 331, pp.821~827 (1994)
- Voukelatos, A., "A randomized, controlled trial of tai chi for the prevention of falls: The central Sydney tai chi trial", Journal of American Geriatric Society, 55, pp.1185~1191 (2007)
- Wolf, S. L., "Intense tai chi exercise training and fall occurrence n older transitionally frail adults : A randomized, controlled trial", Journal of American Geriatric Society, 51, pp.1693~1701 (2003)
- Zijlstra, G. A., "Interventions to reduce fear of falling in community-living older people: A systematic review", Journal of American Geriatric Society, 55, pp.603~615 (2007)