노인 낙상 예방을 위한 춤 기반 균형 프로그램 개발 및 적용 = DEVELOPMENT AND IMPLEMENTATION OF A DANCE-BASED BALANCE PROGRAM TO PREVENT FALLS IN THE ELDERLY

다국어 초록 (Multilingual Abstract)

This study aimed to investigate the effects of a dance-integrated Otago exercise program on balance, mobility, quality of life (QoL), and exercise enjoyment (PACES) among community-dwelling older adults. As aging populations face increased risks of falls and reduced physical independence, it is crucial to develop enjoyable, functionally effective interventions that enhance both physical and psychosocial well-being. Thirty participants aged 65 years and older were randomly assigned to either a control group performing the traditional Otago exercise program (n=15) or an experimental group participating in a dance-integrated version that incorporated music, rhythm, and expressive movement. The study employed a randomized controlled pretest–posttest experimental design, implemented twice a week for four weeks (eight sessions in total). Participants were randomly allocated using a simple lottery draw to ensure equal group sizes. Outcome measures included the berg balance scale (BBS), functional reach test (FRT), timed up and go (TUG), quality of life (QoL), and physical activity enjoyment scale (PACES). Two-way repeated-measures ANOVA revealed significant time×group interactions for TUG and QoL, indicating greater improvements in the experimental group. BBS and PACES showed significant time effects in both groups, whereas FRT did not reach statistical significance. These results suggest that integrating rhythmic and expressive dance elements into the Otago program enhances mobility, balance control, and overall enjoyment of physical activity, ultimately improving older adults’ functional capacity and perceived quality of life. Despite its short intervention period and limited follow-up, this study highlights the potential of dance-based balance training as an engaging and effective fall-prevention strategy for older adults.

목차 (Table of Contents)

• (Abstract)
• Ⅰ. 서 론 1
• 1. 연구 배경 1
• 1) 균형과 노인 낙상 1
• 2) 근력 중심 균형 훈련의 특성 6
• 3) 춤의 재활적 기능 11
• 4) 춤 활동과 노년기 삶의 질 21
• 2. 연구의 필요성 및 목적 25
• 1) 연구의 필요성 25
• 2) 연구의 목적 29
• 3. 연구 가설 30
• Ⅱ. 실험 방법 31
• 1. 실험 대상 31
• 2. 실험 과정 32
• 3. 중재 프로그램 35
• 1) 오타고 운동 프로그램 35
• 2) 프로그램 구성요인 및 설계 38
• 3) 내용 타당도 검증 40
• 4) 프로그램 개발 44
• 4. 평가 도구 80
• 1) 신체균형 변인 80
• 2) 심리적 변인 83
• 5. 자료 처리 85
• Ⅲ. 연구 결과 86
• 1. 연구 대상자의 일반적 특성 86
• 2. 동질성 검정 결과 87
• 3. 신체균형 변인의 변화 88
• 1) Berg Balance Scale(BBS) 88
• 2) Timed Up and Go(TUG) 90
• 3) Functional Reach Test(FRT) 93
• 4. 심리적 변인의 변화 95
• 1) 신체활동 즐거음(PACES)의 변화 95
• 2) 삶의 질(QoL)의 변화 97
• Ⅳ. 고 찰 100
• 1. 동적 균형의 훈련 효과 100
• 2. 동적 균형의 그룹 간 차이 103
• 3. 심리적 요인 108
• 4. 춤기반 균형 재활의 의의와 실제 112
• 5. 연구의 제한점 및 제안 114
• Ⅴ. 결 론 115
• 참고문헌 116