Correlation of the Korean Version of Falls Efficacy Scale-International With Quantitative Balance and Gait Parameters Through Exercise Program in Elderly Men
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective To determine correlation of the Korean version of Falls Efficacy Scale-International (KFES-I) with other gait and balance parameters through exercise program in older men. Methods Between July 2015 and April 2018, 50 men of 103 participants in an exercise program for preventing falls who aged over 60 years, completed the evaluation before and after the program, had fear of falling (FOF), and could walk independently as an outpatient were enrolled retrospectively. The program comprised lower extremities and core muscle strengthening exercises following stretching exercises twice a week for 8 weeks. FOF using the KFES-I, Berg Balance Scale (BBS), Modified Barthel Index (MBI), stair up and gait categories in MBI (MBI-gait), and Timed Up and Go test (TUG) were evaluated. Quantitative gait and balance parameters were measured by gait analysis, posturography, and isokinetic dynamometer. They were compared before and after the program. Moreover, correlations of KFES-I with other parameters were examined. Results Fifty participants were enrolled. After the program, significant improvements were noted in right stride length (p=0.013) in gait analysis, MBI (p=0.012), BBS (p<0.000), TUG test (p<0.000), and KFES-I (p<0.000) scores. KFES-I was significantly correlated with MBI (r=-0.35, p=0.013), and MBI-gait (r=-0.341, p=0.015). Conclusion Risk of falls could be significantly improved through exercise. KFES-I had significant correlations with MBI-gait parameters. Participants showed increases in gait and balancing ability on quantitative measurements through exercises. Therefore, regular stretching, strengthening, and balancing exercises may help prevent falls in older people.
Abstract
Objective To determine correlation of the Korean version of Falls Efficacy Scale-International (KFES-I) with other gait and balance parameters through exercise program in older men. Methods Between July 2015 and April 2018, 50 men of 103 participants in an exercise program for preventing falls who aged over 60 years, completed the evaluation before and after the program, had fear of falling (FOF), and could walk independently as an outpatient were enrolled retrospectively. The program comprised lower extremities and core muscle strengthening exercises following stretching exercises twice a week for 8 weeks. FOF using the KFES-I, Berg Balance Scale (BBS), Modified Barthel Index (MBI), stair up and gait categories in MBI (MBI-gait), and Timed Up and Go test (TUG) were evaluated. Quantitative gait and balance parameters were measured by gait analysis, posturography, and isokinetic dynamometer. They were compared before and after the program. Moreover, correlations of KFES-I with other parameters were examined. Results Fifty participants were enrolled. After the program, significant improvements were noted in right stride length (p=0.013) in gait analysis, MBI (p=0.012), BBS (p<0.000), TUG test (p<0.000), and KFES-I (p<0.000) scores. KFES-I was significantly correlated with MBI (r=-0.35, p=0.013), and MBI-gait (r=-0.341, p=0.015). Conclusion Risk of falls could be significantly improved through exercise. KFES-I had significant correlations with MBI-gait parameters. Participants showed increases in gait and balancing ability on quantitative measurements through exercises. Therefore, regular stretching, strengthening, and balancing exercises may help prevent falls in older people.
참고문헌 (31)
- Liu Y, "Neuropsychological mechanisms of falls in older adults", Front Aging Neurosci, 6, pp.64~ (2014)
- Ambrose AF, "Risk factors for falls among older adults : a review of the literature", Maturitas, 75, pp.51~61 (2013)
- Casey CM, "Lessons learned from implementing CDC’s STEADI falls prevention algorithm in primary care", Gerontologist, 57, pp.787~796 (2017)
- 송경애, "Risk Factors for Falls among the Community-Dwelling Elderly in Korea", Journal of Korean Academy of Nursing, 34(7), pp.1483~1490 (2004), 한국간호과학회
- Auais M, "Fear of falling and its association with life-space mobility of older adults : a cross-sectional analysis using data from five international sites", Age Ageing, 46, pp.459~465 (2017)
- Zijlstra GA, "Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people", Age Ageing, 36, pp.304~309 (2007)
- Scheffer AC, "Fear of falling : measurement strategy, prevalence, risk factors and consequences among older persons", Age Ageing, 37, pp.19~24 (2008)
- Friedman SM, "Falls and fear of falling : which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention", J Am Geriatr Soc, 50, pp.1329~1335 (2002)
- Young WR, "How fear of falling can increase fall-risk in older adults : applying psychological theory to practical observations", Gait Posture, 41, pp.7~12 (2015)
- Tinetti ME, "Falls efficacy as a measure of fear of falling", J Gerontol, 45, pp.P239~43 (1990)
- Powell LE, "The Activities-specific Balance Confidence (ABC) scale", J Gerontol A Biol Sci Med Sci, 50A, pp.M28~M34 (1995)
- Yardley L, "Development and initial validation of the Falls Efficacy Scale-International(FES-I)", Age Ageing, 34, pp.614~619 (2005)
- Dewan N, "Fall Efficacy Scale-International(FES-I)", J Physiother, 60, pp.60~ (2014)
- 박기범, "한국어판 낙상효능척도-국제형의 신뢰도 및 타당도(KFES-I)", Annals of Rehabilitation Medicine, 34(5), pp.554~559 (2010), 대한재활의학회
- 김광일, "Evidence-based guidelines for fall prevention in Korea", The Korean Journal of Internal Medicine, 32(1), pp.199~212 (2017), 대한내과학회[DOI]
- Clemson L, "LiFE pilot study : a randomised trial of balance and strength training embedded in daily life activity to reduce falls in older adults", Aust Occup Ther J, 57, pp.42~50 (2010)
- Cadore EL, "Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults : a systematic review", Rejuvenation Res, 16, pp.105~114 (2013)
- Park Y, "Effects of the Otago exercise program on fall efficacy, activities of daily living and quality of life in elderly stroke patients", J Phys Ther Sci, 28, pp.190~193 (2016)
- Schache AG, "Differences in lower limb transverse plane joint moments during gait when expressed in two alternative reference frames", J Biomech, 40, pp.9~19 (2007)
- Arfken CL, "The prevalence and correlates of fear of falling in elderly persons living in the community", Am J Public Health, 84, pp.565~570 (1994)
- Cumming RG, "Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission", J Gerontol A Biol Sci Med Sci, 55, pp.M299~M305 (2000)
- 임종엽, "통합적 노인 낙상 예방 프로그램의 장단기 효과", Annals of Rehabilitation Medicine, 34(4), pp.451~457 (2010), 대한재활의학회
- Azad A, "Clinical assessment of fear of falling after stroke : validity, reliability and responsiveness of the Persian version of the Fall Efficacy Scale-International", Med J Islam Repub Iran, 28, pp.131~ (2014)
- Gazibara T, "Recurrent falls in Parkinson’s disease after one year of follow-up : a nested case-control study", Arch Gerontol Geriatr, 65, pp.17~24 (2016)
- Jung Y, "Effects of a multifactorial fall prevention program on balance, gait, and fear of falling in post-stroke inpatients", J Phys Ther Sci, 27, pp.1865~1868 (2015)
- Barnett A, "Community-based group exercise improves balance and reduces falls in at-risk older people : a randomized controlled trial", Age Ageing, 32, pp.407~414 (2003)
- Sherrington C, "Effective exercise for the prevention of falls : a systematic review and meta-analysis", J Am Geriatr Soc, 56, pp.2234~2243 (2008)
- Cameron ID, "Interventions for preventing falls in older people in care facilities and hospitals", Cochrane Database Syst Rev, 9, pp.CD005465~ (2018)
- Freiberger E, "Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults : a randomized controlled trial", J Am Geriatr Soc, 60, pp.437~446 (2012)
- Paul SS, "Two-year trajectory of fall risk in people with Parkinson disease : a latent class analysis", Arch Phys Med Rehabil, 97, pp.372~379 (2016)[DOI]
- Donoghue OA, "Effects of fear of falling and activity restriction on normal and dual task walking in community dwelling older adults", Gait Posture, 38, pp.120~124 (2013)