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고유수용성 저항운동이 사회복지시설 이용 여성 노인의 근지구력, 동적 평형성 및 보행능력에 미치는 영향

Effects of proprioceptive exercise on muscle endurance strength, dynamic balance and gait ability of elderly women in social welfare facility

  • 투고 : 2020.11.29
  • 심사 : 2020.12.26
  • 발행 : 2020.12.31

초록

이 연구의 목적은 14주 고유수용성 저항운동이 사회복지시설 이용 여성 노인의 근지구력, 동적 평형성 및 보행능력에 미치는 영향이었다. 이 연구에 참여한 대상자는 평균연령이 70세 전후의 30의 여성 노인을 운동집단 15명과 통제집단 15명으로 구성하였다. 대상자들은 운동프로그램 전과 후에 근지구력(30초 의자 앉았다 일어서기), 동적 평형성(3m 왕복 걷기)과 보행능력(10m 걷기, 400m 걷기)을 검사하였다. 운동집단은 주 3회 60분간 스위스 볼을 이용한 고유수용성 저항운동을 하였다. 연구 결과 하체 근지구력에서는 유의한 개선이 있었고, 동적 평형성을 평가하는 3m 왕복 걷기에서도 유의한 개선이 있었다. 보행능력인 10m 걷기와 400m 걷기에서도 유의한 개선이 있었다. 결론적으로 고유수용성 저항운동에 의한 동적평형성과 보행능력의 개선은 여성 노인의 낙상 관련 가능성을 감소시킬 것이다.

The purpose of this study was to evaluate the effects of a 14-week proprioceptive resistance exercise on muscle endurance strength, dynamic balance and gait ability of elderly women in a social welfare facility. Thirty community dwelling elderly subjects (mean age 70.84±3.33) divided into experimental (n=15) and control (n=15) groups. The participants performed the muscle endurance strength(30sec hair stand), dynamic balance (3m up and go) and low extremity performance (10m walking, 400m walking) pre and after the training program. The exercise groups were submitted to 14 weeks proprioceptive training with a Swiss ball three times a week. As a results were as follow. Significantly improvements were observed in low extremity strength and dynamic balance. And there have significantly improvements in 10m walking, 400m walking. Conclusionly, the improvement of dynamic balance and gait ability by proprioceptive resistance training will reduce the possibility in female elderly people.

키워드

참고문헌

  1. N. D. Nguyen, H. G. Ahlborg, J. R. Center, J. A. Eisman, T. V. Nguyen, "Residual lifetime risk of actures in women and men", Journal of Bone, Vol 2, pp. 781-788, (2007).
  2. N. M. Martinho, V. R. Silva, J. Marques, L. C. Carvalho, D. H. Iunes, S. Botelho, "The effects of training by virtual reality or gym ball on pelvic floor muscle strength in postmenopausal women: a randomized controlled trial", Brazil Journal of Physical Therapy, Vol 20, No.3 pp. 248-257, (2013).
  3. T. A. Soriano, L. V. DeCherrie, D. C. Thomas, "Falls in the community-dewelling older adults". Clinical Intervention Aging, Vol 2, No.4 pp. 545-554, (2007).
  4. R. M. Henderson, X. Leng, E. A. Chmelo, T. E. Brinkley, M. F. Lyles, A. P. Marsh, B. J. Nicklas, "Gait speed response to aerobic versus resistance exercise training in older adults", Aging Clinical Expression Research, Vol 29, No.5 pp. 969-976, (2017). https://doi.org/10.1007/s40520-016-0632-4
  5. R. E. Rikli, C. J. Jones, "Senior fitness test manual", Human Kinetics, (2013).
  6. M. Y. Osoba, A. K. Rao, S. K. Agrawal, A. K. Lalwani. M. Y. Osoba, MY, "Balance and gait in the elderly", Laryngoscope Investing Otolaryngology, Vol 4, No.1 pp. 143-153, (2019). https://doi.org/10.1002/lio2.252
  7. J. Vermeulen, J, C. Neyens, E. van Rossum, M. D. Spreeuwenberg, L. P. de Witte, J. Vermeulen, "Predicting ADL disability in community-dwelling elderly people using physical frailty indicators", Bio Med Central Geriatric, Vol 11, No.1 pp.33-39, (2011).
  8. V. A. Maria del Consuelo, M. E. I. Camacho, J. D. Velazquez, "The relationship between sarcopenia, undernutrition, physical mobility and basic activities of daily living in a group of elderly women of Mexico City", Nutrition Hospital, Vol 28, No.2 pp. 514-521, (2013).
  9. A. Viswanathan, L. Sudarsky, "Balance and gait problems in the elderly", Handbook Clinical Neurology, Vol 103, pp. 623-34, (2012). https://doi.org/10.1016/B978-0-444-51892-7.00045-0
  10. F. Taithe, F. Durif, "Gait and balance disorders. Fall in the elderly", Review of Part, Vol 55, No.20 pp. 2297-2301, (2005).
  11. A. Martinez-Amat, F. Hita-Contreras, R. Lomas-Vega, I. Caballero-Martinez, P. J. Alvarez, E. Martinez-Lopez, "Effects of 12-week proprioception training program on postural stability, gait, and balance in older adults", Journal of Strength Conditioning Research, Vol 27, No.8 pp. 2180-2188. (2013). https://doi.org/10.1519/JSC.0b013e31827da35f
  12. R. M. de Guia, M. Agerholm M, T. S. Nielsen, L. A. Consitt, D. Sogaard, J. W. Helge, S. Larsen, J. Brandauer, J. A. Houmard, J. T. Treebak, R. M. de Guia, "Aerobic and resistance exercise training reverses age-dependent decline in NAD(+) salvage capacity in human skeletal muscle", Physiology Representative, Vol 7, No.12 pp. e14139, (2019).
  13. Y. B. Bae, K. M, Um, N.S, Kim, "The Effect of Proprioceptive Exercise of Ankle Joint on Postural Alignment in Woman Elderly Person", Journal of Korea Physical Therapy, Vol 21, No.3 pp 53-79, (2009).
  14. E. Thomas, G. Battaglia, A. Patti, J. Brusa, V. Leonardi, A. Palma, M. Bellafiore, "Physical activity programs for balance and fall prevention in elderly", Medicine (Baltimore), Vol 98, No.27 pp. 1-9, (2019).
  15. E. Zemkova, "Instability resistance training for health and performance", Journal of Traditional Complement Med. Vol 30, No.7 pp. 245-250, (2017). https://doi.org/10.1016/j.jtcme.2016.05.007
  16. R. F. Escamilla, C. Lewis, A. Pecson, R. Imamura, J. R. Andrews, "Muscle Activation Among Supine, Prone, and Side Position Exercises With and Without a Swiss Ball. Sports", Health. Vol 8, No.4 pp. 372-379, (2016). https://doi.org/10.1093/inthealth/ihw048
  17. M. C. Souza, F. Jennings, H. Morimoto, J. Natour, "Swiss ball exercises improve muscle strength and walking performance in ankylosing spondylitis", Review Bras Reumatology England. Vol 57, No.1 pp. 45-55, (2017). https://doi.org/10.1016/j.rbr.2016.04.008
  18. M. K. Kim, "The effects of trunk stabilization exercise using a Swiss-ball in the absence of visual stimulus on balance in the elderly", Journal of Physical Therapy Science, Vol 28, No.7 pp. 2144-2147, (2016). https://doi.org/10.1589/jpts.28.2144
  19. J. J. Kim, G. B. Song, E. C. Park, "Effects of Swiss ball exercise and resistance exercise on respiratory function and trunk control ability in patients with scoliosis", Journal of Physical Therapy Science. Vol 26, No.6 pp. 1775-1778, (2015). https://doi.org/10.1589/jpts.26.1775
  20. P. Areeudomwong, V. Buttagat, "Proprioceptive neuromuscular facilitation training improves pain-related and balance outcomes in working-age patients with chronic low back pain", Brazil Journal of Physical Therapy, Vol 23, No.5 pp. 428-436, (2019). https://doi.org/10.1016/j.bjpt.2018.10.005
  21. H. J. Kwon, H. J. Kim, "Relation of Relative Muscle Mass to Depression in Korean Older Women", The Korean Journal of Wellness, Vol 10, No.1 pp. 283-291, (2015).
  22. P. Caserotti, P. Aagaard, J. B. Larsen, L. Puggaard, "Explosive heavy-resistance training in old and very old adults: changes in rapid muscle force, strength and power", Scandinavia Journal of Medicine Science Sports, Vol 18, No.6 pp. 773-782, (2008). https://doi.org/10.1111/j.1600-0838.2007.00732.x
  23. M. Lesinski, T. Hortobagyi, T. Muehlbauer, A. Gollhofer, "Effects of Balance Training on Balance Performance in Healthy Older Adults", Sports Medicine, Vol 45, No.10 pp. 1721-1738, (2015). https://doi.org/10.1007/s40279-015-0375-y
  24. L. Kang, P. Han, J. Wang, Y. Ma, L. Jia, Yu. L. Fu, H. Yu, H. Chen, K. Niu, Q. Guo, "Time up and go test can predict recurrent falls", Clinical Interventions in Aging, Vol 12, No.5 pp. 1009-1016, (2017).
  25. U. Granacher, A. Lacroix, T. Muehlbauer, K. Roettger, A. Gollhofer, "Effects of core instability strength training on trunk muscle strength, spinal mobility, dynamic balance and functional mobility in older adults", Gerontology, Vol 9, No.2 pp. 105-113, (2013).
  26. L. P. Lustosa, J. P. Silva, F. M. Coelho, D. S. Pereira, A. N. Parentoni, L. S. Pereira, "Impact of resistance exercise program on functional capacity and muscular strength of knee extensor in pre-frail community-dwelling older women", Review Bras Fisioter, Vol 15, No.4 pp. 318-324, (2011). https://doi.org/10.1590/S1413-35552011000400010
  27. M. Yamada, H. Arai, K. Uemura, S. Mori, K. Nagai, B. Tanaka, Y. Terasaki, M. Iguchi, T. Aoyama, "Effect of resistance training on physical performance and fear of falling in elderly with different levels of physical well-being", Age Ageing, Vol 40, No.5 pp. 637-641, (2011). https://doi.org/10.1093/ageing/afr068
  28. S. E. Hardy, S. Perera, Y. F. Roumani, J. M. Chandler, S. A. Studenski, "Improvement in usual gait speed predicts better survival in older adults", Journal of American Geriatric, Vol 55, No.11 pp. 1727-1734, (2007). https://doi.org/10.1111/j.1532-5415.2007.01413.x
  29. V. P. Nicholson, M. R. McKean, B. J. Burkett, "Low-load high-repetition resistance training improves strength and gait speed in middle-aged and older adults", Journal of Science and Medicine in Sport, Vol 18, No.5 pp. 596-600, (2015). https://doi.org/10.1016/j.jsams.2014.07.018
  30. J. H. Holviala, J. M. Sallinen, W. J. Kraemer, M. J. Alen, K. K. Hakkinen, "Effects of strength training on muscle strength characteristics, functional capabilities, and balance in middle-aged and older women", Journal of Strength Conditioning Research, Vol 20, No.2 pp. 336-344, (2006). https://doi.org/10.1519/R-17885.1
  31. T. Hortobagyi, M. Lesinski, M. Gabler, J. M. VanSwearingen, D. Malatesta, U. Granacher, "Effects of Three Types of Exercise Interventions on Healthy Old Adults' Gait Speed", Sports Medicine, Vol 45, No.12 pp. 1627-1643, (2015). https://doi.org/10.1007/s40279-015-0371-2
  32. T. Manini, M. Marko, T. VanArnam, S. Cook, B. Fernhall, J. Burke, L. Ploutz-Snyder, "Efficacy of resistance and task-specific exercise in older adults who modify tasks of everyday life", Journal of Gerontology, Vol 62, No.6 pp. 616-623, (2007).
  33. M. A. Espeland, K. Lipska, M. E. Miller, J. Rushing, J. Cohen, R. A., Verghese, J. McDermott, M .M. King, A. C. Strotmeyer, E. S. Blair, S. N. Pahor, M. Reid, K. Demons, J. Kritchevsky, "Effects of Physical Activity Intervention on Physical and Cognitive Function in Sedentary Adults With and Without Diabetes", Journal of Gerontology, Vol 72, No.6 pp. 861-866, (2017).