시지각 자극을 동반한 균형 운동 프로그램이 노인의 균형 능력 향상에 미치는 영향

다국어 초록 (Multilingual Abstract)

This study aimed to investigate the effects of a balance exercise program combined with visual-perceptual training on balance ability in older adults.
Methods: A total of 42 community-dwelling older adults aged 65 years or older participated in the study. Participants were randomly assigned to an experimental group (n=20) and a control group (n=22). All participants were able to walk independently, scored 24 or higher on the Korean version of the Mini-Mental State Examination (MMSE-K), had no visual or oculomotor impairments, and voluntarily consented to participate. The intervention was conducted three times per week for four weeks, totaling 12 sessions. The visual-perceptual training consisted of saccadic eye movements (week 1), smooth pursuit eye movements (week 2), vestibulo-ocular movements (week 3), and vergence eye movements (week 4). The balance exercise program was progressively organized by week: static balance training in week 1, dynamic balance training in week 2, reactive balance training in week 3, and complex balance tasks in week 4.
Outcome measures included the Motor-Free Visual Perception Test-3 (MVPT-3), Fullerton Advanced Balance (FAB) Scale, Korean Falls Efficacy Scale–International (KFES-I), Five Times Sit to Stand Test (FTSST), and Functional Reach Test (FRT). All assessments were conducted by the same examiner before and after the intervention, with pre-test results blinded to minimize bias.
Results: After the intervention, the experimental group that performed the balance exercise program combined with visual-perceptual training showed significant improvements in visual-perceptual ability(p<.05), static and dynamic balance(p<.05), and physical function(p<.05) compared with the control group. These findings suggest that incorporating visual-perceptual training into balance exercises is an effective intervention strategy for improving balance ability and reducing the risk of falls in older adults.

목차 (Table of Contents)

• 목 차 ⅰ
• 표 목 차 ⅲ
• 그림목차 ⅳ
• Ⅰ. 서 론 1
• Ⅱ. 연구 방법 5
• 1. 연구 대상자 5
• 2. 연구 설계 및 절차 6
• 3. 중재 방법 8
• 1) 균형 운동프로그램(balance exercise program) 9
• (1) 오타고 운동프로그램(otago exercise program) 9
• ① 1주차 균형 운동프로그램 11
• ② 2주차 균형 운동프로그램 12
• ③ 3주차 균형 운동프로그램 13
• ④ 4주차 균형 운동프로그램 14
• 2) 안구 운동프로그램(eyes movements program) 15
• (1) 단속 안구운동(saccadic eyes movement) 16
• (2) 원활추종 안구운동(smooth pursuit eyes movement) 18
• (3) 전정 안구운동(vestibulo-oculo eyes Movement) 20
• (4) 이접 안구운동(vergence eyes Movement) 22
• 4. 평가 도구 및 방법 24
• 1) 시지각 기능 평가 도구 24
• (1) 비운동성 시지각 검사 24
• 2) 낙상 관련 기능적 및 심리적 요인 평가 도구 25
• (1) 플러턴 어드밴스드 균형 척도 25
• (2) 한국어판 낙상 효능감 척도-국제형 25
• 3) 신체적 기능 평가 도구 26
• (1) 5번 앉았다 일어나기 검사 26
• (2) 기능적 뻗기 검사 28
• Ⅲ. 분석 방법 30
• Ⅳ. 연구 결과 31
• 1. 연구 대상자의 일반적 특성 31
• 2. 시지각 기능 변화 비교 33
• 3. 낙상 관련 기능적 및 심리적 요인 변화 비교 35
• 4. 신체적 기능 변화 비교 37
• Ⅴ. 고 찰 39
• Ⅵ. 결 론 42
• 참 고 문 헌 43
• 영 문 초 록 49
• 감 사 의 글 51