요골반부(Lumbo-Pelvic region)와 하지 근육에 대한 탄성저항 운동이 노인들의 보행 및 균형능력에 미치는 영향 = The Effects of Elastic Resistance Exercise of Lumbo-Pelvic Region and Lower Limbs Muscle on Walking Aability and Balance Ability of The Elderly

다국어 초록 (Multilingual Abstract)

The purpose of the study was to investigate walking ability and balance ability of the elderly to examine effects, when the elderly moved lumbo-pelvic region as well as lower limbs muscle and when they moved lower limbs muscle only. The object was sixteen old people to consist of two groups, in other words, the one group was eight of old people who moved lumbo-pelvic region and lower limbs, while the other group was eight who moved lower limbs only: The former group performed not only six kinds of exercises of lumbo-pelvic region muscle but also ten kinds of exercises of lower limbs muscle, while the latter group did ten kinds of exercises of lower limbs muscle: The elderly did two sets of ten elastic resistance exercises two times a week for eight weeks. The study investigated walking ability as well as balance ability before and after the exercise. The findings were as follows: After the exercise, left-hand static balance of the group who moved lumbo-pelvic region as well as lower limbs muscle increased significantly (p<.01). The ability of lower limbs training group also increased significantly (p<.001). After the exercise, right-hand balance ability of the group who moved lumbo-pelvic region as well as lower limbs muscle increased significantly (p<.05), and the ability of the group who moved lower limbs also increased significantly (p<.05). After the exercise, Timed Up & Go test was conducted: The ability of the group who moved lumbo-pelvic region as well as lower limbs muscle decreased significantly (p<.001) and that of lower limbs training group also decreased significantly (p<.01). After the exercise, Tandem gait test was conducted: The ability of the group who moved lumbo-pelvic region as well as lower limbs muscle decreased significantly (p<.01) and that of lower limbs training group also decreased significantly (p<.01). After the exercise, step length in average of the group who moved lumbo-pelvic region as well as lower limbs muscle increased significantly (p<.05), and that of lower limbs training group also increased significantly (p<.05). After the exercise, cadence of the group who moved lumbo-pelvic region as well as lower limbs muscle increased significantly (p<.001), and that of lower limbs training group also increased significantly (p<.05). After the exercise, walking speed of the group who moved lumbo-pelvic region as well as lower limbs muscle increased significantly (p<.001), and that of lower limbs training group also increased significantly (p<.05). In conclusion, after elastic resistance exercise, both groups improved not only walking ability such as step length in average, cadence and walking speed, etc but also balance ability such as static balance and dynamic balance, so that reinforced lower limbs muscle could improve walking ability as well as balance ability of the elderly to prevent hurt from a fall. However, elastic resistance exercise of lumbo-pelvic region muscle did not have influence upon walking ability as well as balance ability of the elderly.

참고문헌 (Reference)

1 "허리 디스크" 열음사 1998

2 "한국인의 건강관심도 건강실청행위 및 건강수준간의 구조 분석" 28 (28): 187-205, 1995

3 "하지근력강화가 노인의 보행 및 균형능력에 미치는 영향" 14 (14): 71-79, 2002

4 "탄성저항의 원리와 치료적 적용" 대한미디어 2004

5 "탄성저항운동이 편마비 환자의 보행 및 운동기능 향상에 미치는 영향" 한양대학교대학원 2005

6 "탄성밴드를 이용한 무릎관절 근력강화운동이 노인들의 균형조절 능력에 미치는 영향" 단국대학교 대학원 2003

7 "체간 근력 강화 훈련이 경직성 뇌성마비아의 앉은 자세 균형에 미치는 효과" 16 (16): 87-102, 2004

8 "점진적 저항운동과 수중운동프로그램이 여성노인의 하지근력강화와 균형능력에 미치는 영향" 고려대학교 대학원 2002

9 "저항성 운동 및 평형성 운동이 낙상경험 여성 노인의 보행 형태에 미치는 영향" 국민대학교 대학원 2004

10 "저 강도의 점진적 근력운동이 노인의 활동과 기능 수행에 미치는 효과" 가톨릭대학교 대학원 2000

11 "일부 농촌지역 노인 낙상 위험요인 조사연구" 서울대학교 대학원 2001

12 "요통의 요골반부 안정화 접근법" 4 (4): 7-20, 1998

13 "시설노인의 근력강화운동이 근력, 지구력, 일상생활 활동 능력 및 삶의 질에 미치는 효과" 서울대학교 대학원 1994

14 "발목 근력강화 운동이 노인의 낙상예방에 미치는 효과" 한국체육대학교 대학원 2001

15 "노인의 특성, 건강, 질환, 운동진단과 프로그램 문헌적 고찰" 한양대학교 대학원 1994

16 "노인의 건강지식 및 행위가 건강상태에 미치는 영향 요인" 한국노인학회 17 (17): 117-143, 1997

17 "노인에서 Berg 균형 척도, 보행 변수, 그리고 넘어짐과의 관계" 연세대학교 대학원 2001

18 "노인 여성의 운동 전후 보행 형태 분석" 순천향대학교 대학원 2003

19 "노인 간호학" 현문사 1998

20 "근력강화운동이 노인의 균형 수행력에 미치는 영향" 11 (11): 149-161, 1999

21 "근 골격계 재활" 군자 출판사 2005

22 "개방형 현미경적 요추간판 제거술 후 동적 요부 안정화 운동에 따른 체간 안정성의 개선과 유지" 11 (11): 37-48, 1995

23 "가정운동 훈련 프로그램이 근력 균형 및 보행능력에 미치는 영향" 계명대학교 대학원 2001

24 "Training Functional Ability in Old Age" 82 (82): 159-167, 1996

25 "The prevention of falls in later life A report of the kellogg international work group on the prevention of falls by the elderly" 1-24, 1987

26 "The changing approach to falls in the elderly" 56 : 1815-1823, 1997

27 "The Effect of a 12-Week Dynamic Resistance Strength Training Program on Gait Velocity and Balance of Older Adults" 501-506, 1993

28 "Stride-dependent changes in gait of older people" 1-5, 1991

29 "Screening for balance and mobility impairment in elderly Individuals living in residental care facilities." 75 (75): 462-469, 1995

30 "Risk factors for serious injury during falls by older persons in community" 43 : 1214-1221, 1995

31 "Risk factors for falls among elderly persons living in the community" 1701-1707, 1988

32 "Risk factors for fall in a community-based prospective study of people 70 years and older" 44 : 112-117, 1989

33 "Preventing falls in older people: risk factors and primary prevention through physical activity" 8 (8): 214-220, 2003

34 "Postural control and strength and mood among older adults" 10 (10): 11-18, 1997

35 "Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy" 14 (14): 431-437, 1989

36 "Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain" 21 (21): 2763-2769, 1996

37 "Mechanisms of muscle training in man experimental demonstration of the overload principle" 371-375, 1956

38 "Gait changes in older adult: Predictors of falls or indicators of fear?" 45 (45): 313-319, 1997

39 "Gait assesment for nrurologically impaired patient" 35-40, 1984

40 "Falls in the elderly Risk factors for injurious falls" -170, 1991

41 "Falls and function. How to prevent falls and injuries in patients with impaired mobility" 56 (56): 41-45, 2001

42 "Falling in elder persons" Springer 1997

43 "Effects of back extensor strength training versus balance training on postural control" 32 (32): 1770-1776, 2000

44 "Effect of Resistance Training on Strength, Postural Control, and Gait Velocity Among Older Adults" 5 (5): 407-427, 1996

45 "Contraction of the abdominal muscle associated with movement of the lower limb" 77 : 132-142, 1997

46 "Clinical measurement of postural control in adults" 19871881-1885

47 "Changes in the cross-sectional areaof multifidus and psoas in patients with unilateral back pain" 29 (29): 515-519, 2004

48 "Balance improvement in older women effect of exercise training" 253-262, 1993

49 "A study of the clinical test of sensory interaction and balance" 346-354, 1987

50 "A focused exercise regimen improves clinical measures of balance in patients with peripheral neuropathy" 82 : 205-209, 2001

51 "A fall prevention program for the home environment" 6 (6): 157-163, 2001