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노인 낙상군과 노인 비낙상군의 비교: 균형능력과 우울감 및 삶의 질

Comparison of Elderly Fallers and Elderly Non-Fallers: Balancing Ability, Depression, and Quality of Life

이충휘|전혜선|신헌석|전민재
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2014.09|한국전문물리치료학회지 (Physical Therapy Korea)|제21권 제3호|pp. 45-54|DOI http://dx.doi.org/10.12674/ptk.2014.21.3.045

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참고문헌

키워드

DepressionQuality of lifeElderlyBalanceFalls
주제분류물리치료학

초록

Fall is one of the most intimidating health conditions in elders. Comprehensive assessment is necessary to understand the individual and environmental aspects of the falls such as balancing abilities, depression, and quality of life. The purpose of this study was to compare the balancing ability, depression, and quality of life between elderly fallers and elderly non-fallers. Thirty-two community-dwelling elders (fifteen males and seventeen females between 65 and 83 years old), who have experienced fall on walking during last twelve months, were involved in the elderly fallers group. And twenty-four males and twenty-two females between 65 and 83 years old of community-dwelling elders, who have no experienced fall on walking during last twelve months, were involved in the elderly non-fallers group. Berg balance scale (BBS), timed up and go test (TUG), and functional reach test (FRT), were used to evaluate the ability of the physical balance. ‘Beck depression scale in Korean’ questionnaire was used to assess the depression. ‘Korean version of World Health Organization Quality of Life Assessment Instrument-Bref’ questionnaire was used to assess the quality of life. The results were as follows: 1) Balancing abilities measured by the BBS, TUG in the elderly fallers group were meaningfully lower than that of the elderly non-fallers group (p<.05), whereas no significant difference in the FRT was found (p>.05). 2) Depression level in the elderly fallers group was significantly higher than that of the elderly non-fallers group (p<.05). 3) Quality of life in the elderly fallers group was significantly lower than that of the elderly non-fallers group, excluding environment domain (p<.05). Therefore, in order for clinical evaluation of the community-dwelling elders those with reduced balancing ability, it is necessary to evaluate and understand the fall experience, depression, and quality of life.

Abstract

Fall is one of the most intimidating health conditions in elders. Comprehensive assessment is necessary to understand the individual and environmental aspects of the falls such as balancing abilities, depression, and quality of life. The purpose of this study was to compare the balancing ability, depression, and quality of life between elderly fallers and elderly non-fallers. Thirty-two community-dwelling elders (fifteen males and seventeen females between 65 and 83 years old), who have experienced fall on walking during last twelve months, were involved in the elderly fallers group. And twenty-four males and twenty-two females between 65 and 83 years old of community-dwelling elders, who have no experienced fall on walking during last twelve months, were involved in the elderly non-fallers group. Berg balance scale (BBS), timed up and go test (TUG), and functional reach test (FRT), were used to evaluate the ability of the physical balance. ‘Beck depression scale in Korean’ questionnaire was used to assess the depression. ‘Korean version of World Health Organization Quality of Life Assessment Instrument-Bref’ questionnaire was used to assess the quality of life. The results were as follows: 1) Balancing abilities measured by the BBS, TUG in the elderly fallers group were meaningfully lower than that of the elderly non-fallers group (p<.05), whereas no significant difference in the FRT was found (p>.05). 2) Depression level in the elderly fallers group was significantly higher than that of the elderly non-fallers group (p<.05). 3) Quality of life in the elderly fallers group was significantly lower than that of the elderly non-fallers group, excluding environment domain (p<.05). Therefore, in order for clinical evaluation of the community-dwelling elders those with reduced balancing ability, it is necessary to evaluate and understand the fall experience, depression, and quality of life.

참고문헌 (44)

  1. Andersson AG, "How to identify potential fallers in a stroke unit : Validity indexes of four test methods", J Rehabil Med, 38(3), pp.186~191 (2006)
  2. Baker SP, "The Injury Fact Book", pp.134~148 (1991), Lexington Books
  3. Beck AT., "Depression: Clinical, experimental and theoretical aspects", pp.1~344 (1967), Harper & Row
  4. Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4(6), pp.561~571 (1961)
  5. Berg KO, "Measuring balance in elderly : Preliminary development of an instrument", Physiother Can, 41(6), pp.304~311 (1989)
  6. Boulgarides LK, "Use of clinical and impairment−based tests to predict falls by community−dwelling older adults", Phys Ther, 83(4), pp.328~339 (2003)
  7. Nien-Tzu Chang, "The Impact of Falls and Fear of Falling on Health-Related Quality of Life in Taiwanese Elderly", Journal of Community Health Nursing, 27(2), pp.84~95 (2010), Informa UK Limited[DOI]
  8. Chang CM, "재가 노인의 낙상 경험 유무에 따른 신체적 기능과 정서 상태", 재활간호학회지, 7(1), pp.48~57 (2004), 한국재활간호학회
  9. 추진아, "지역사회거주 노인에서 낙상유경험자와 무경험자간의 삶의 질 비교", 근관절건강학회지, 19(3), pp.373~382 (2012), 대한근관절건강학회[DOI]
  10. Daubney ME, "Lower-extremity muscle force and balance performance in adults aged 65years and older", Phys Ther, 79(12), pp.1177~1185 (1999)
  11. Duncan PW, "Functional reach: A new clinical measure of balance", J Gerontol, 45(6), pp.M192~M197 (1990)
  12. Fang CT, "Validation of the world health organization quality of life instrument in patients with HIV infection", Qual Life Res, 11(8), pp.753~762 (2002)
  13. Harris JE, "Relationship of balance and mobility to fall incidence in people with chronic stroke", Phys Ther, 85(2), pp.150~158 (2005)
  14. Hausdorff JM, "Increased gait unsteadiness in community-dwelling elderly fallers", Arch Phys Med Rehabil, 78(3), pp.278~283 (1997)
  15. Izutsu T, "Validity and reliability of the Bangla version of WHOQOLBREF on an adolescent population in Bangladesh", Qual Life Res, 14(7), pp.1783~1789 (2005)
  16. 장인순, "재가 노인의 낙상 경험률과 관련 요인", 한국보건간호학회지, 27(1), pp.89~101 (2013), 한국보건간호학회[DOI]
  17. Jang Y, "A validity study of the WHOQOL-BREF assessment in persons with traumatic spinal cord injury", Arch Phys Med Rehabil, 85(11), pp.1890~1895 (2004)
  18. Kai S, "Heart rate variability during two-leg to one-leg standing shift in the elderly", J Phys Ther Sci, 20(1), pp.67~70 (2008)[DOI]
  19. 김선진, "노화와 운동수행", 한국체육학회지, 52(5), pp.279~289 (2013), 한국체육학회
  20. 김선경, "지역사회 노인의 낙상경험에 따른 일상생활수행능력과 건강관련 삶의 질", 근관절건강학회지, 18(2), pp.227~237 (2011), 대한근관절건강학회[DOI]
  21. Kim YW, "Comparison of toe plantar flexors strength and balancing ability between elderly fallers and non-fallers", J Phys Ther Sci, 23, pp.127~132 (2011)[DOI]
  22. "Population projections" (2013)[URL]
  23. Kwon IS., "Understanding of Aging", J Korean Med Assoc, 50(3), pp.208~215 (2007)[DOI]
  24. Kwon YC, "Standardization of korean version of the mini-mental state examination(MMSE-K)for use in the elderly", J Korean Neuropsychiatric Assoc, 28, pp.125~135 (1989)
  25. 이현주, "노인에서 Berg 균형 척도, 보행 변수, 그리고 넘어짐과의 관계", 한국전문물리치료학회지, 9(3), pp.47~65 (2002), 한국전문물리치료학회
  26. 이희숙, "짐볼 운동프로그램이 여성 노인의 건강 체력과 삶의 질 향상에 미치는 영향", 한국체육과학회지, 17(2), pp.915~927 (2008), 한국체육과학회
  27. Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean J Clin Psychol, 10(1), pp.98~113 (1991)
  28. Leung KF, "Development and validation of the interview version of the Hong Kong Chinese WHOQOL-BREF", Qual Life Res, 14(5), pp.1413~1419 (2005)
  29. Lundin-Olsson L, "Attention, frailty, and falls : The effect of a manual task on basic mobilty", J Am Geriatr Soc, 46(6), pp.758~761 (1998)
  30. Min SK, "Korean version of WHOQOL", pp.11~65 (2002), Hana Medical Publishers
  31. Min SK, "Development of Korean version of WHO quality of life scale abbreviated version(WHOQOL-BREF)", J Korean Neuropsychiatr Assoc, 39(3), pp.571~579 (2000)
  32. Muir SW, "Use of the Berg balance scale for predicting multiple falls in community-dwelling elderly people: A prospective study", Phys Ther, 88(4), pp.449~459 (2008)[DOI]
  33. Nichols DS, "Sitting balance : Its relation to function in individuals with hemiparesis", Arch Phys Med Rehabil, 77(9), pp.865~869 (1996)
  34. O’Brien K, "Balance and skeletal alignment in a group of elderly female fallers and nonfallers", J Gerontol A Biol Sci Med Sci, 52(4), pp.B221~B226 (1997)
  35. Podsiadlo D, "The timed"up & go" : A test of basic functional mobility for frail elderly persons", J Am Geriatr Soc, 39(2), pp.142~148 (1991)
  36. Powell LE, "The activities-specific balance confidence (ABC) scale", J Gerontol A Biol Sci Med Sci, 50A(1), pp.M28~M34 (1995)
  37. Rubenstein LZ, "Falls andtheir prevention in elderly people: What does the evidence show?", Med Clin North Am, 90(5), pp.807~824 (2006)
  38. Shumway-Cook A, "Predicting the probability for falls in community-dwelling older adults", Phys Ther, 77(8), pp.812~819 (1997)
  39. Shumway-Cook A, "Predicting the probability for falls in community-dwelling older adults using the timed up &go test", Phys Ther, 80(9), pp.896~903 (2000)
  40. Skevington SM, "Developing methods for assessing quality of life in different cultural settings. The history of the WHOQOL instruments", Soc Psych Psych Epid, 39(1), pp.1~8 (2004)
  41. Spirduso WW, "Physical Dimensions of Aging", pp.131~155 (1995), Human Kinetics
  42. Stelmach GE, "Sensorimotor deficits related to postural stability", Clin Geriatr Med, (3), pp.679~694 (1985)
  43. Tinetti ME, "A multifactorial intervention to reduce the risk of falling among elderly people living in the community", N Engl J Med, 331(13), pp.821~827 (1994)
  44. WHOQOL Group, "Development of the world health organization WHOQOL-BREF quality of life assessment", Psychol Med, 28(3), pp.551~558 (1998)

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