이 연구는 여성노인을 대상으로 전정-고유수용감각 운동을 통한 낙상관련 위험요인에 미치는 영향을 규명하는데 그 목적이 있었다. 대상자들은 65세이상 여성노인 24명(전정-고유수용감각 운동군 12명, 전정재활군 12명)을 선정하였으며, 전정-고유수용감각 운동은 양지(2016)와 황병준(2010)이 실시한 9988북부노인교실 운동프로그램과 김영아(2014)의 하지안정화 운동프로그램을 재구성하여 수행하였으며, 전정재활은 morimoto 등(2011)이 제시한 안구운동을 수행하였다. 운동 전 후 근지구력, 평형성, 협응력과 간편신체수행능력(Short physical performance, battery: SPPB), 한국형 노인 낙상효능감(Korea falls efficacy scale: FES-K), 건강관련 삶의 질(EQ-5D)을 측정하였다. 자료처리는 집단 및 측정 시기에 따른 상호작용 효과 검증을 위한 반복측정분산분석을 실시하였다(α≤.05). 연구 결과 근지구력, 평형성, 협응력에서 전정-고유수용감각 운동집단이 유의하게 향상되었으며(P.<01), 상호작용 효과도 나타났다(P<.05). 그러나, 간편신체수행능력에서는 유의한 차이가 나타나지 않았다. 그리고, 한국형 낙상효능감 척도와 건강관련 삶의 질에서 유의한 차이가 나타났으며(P<.01), 상호작용 효과도 나타났다(P<.05). 결론적으로, 전정-고유수용감각 운동프로그램은 여성노인의 낙상관련 체력적 요인과 심리적 요인에 대체로 긍정적인 영향을 미치는 것으로 나타났다. 따라서, 전정-고유수용감각 운동프로그램이 낙상에 취약한 여성노인을 대상으로 효과적임을 나타낸다.
The purpose of this study was to identify the effect of vestibulo-proprioception exercises on fall-related risk factors in elderly women. The subjects were 24 elderly women over the age of 65(12 in the vestibulo-proprioception exercise group, 12 in the vestibular rehabilitation group), and the vestibulo-proprioception exercise was performed by Yang Ji(2016) and Hwang Byeong-jun(2010) in the 9988 North. The elderly class exercise program and Kim Young-ah et al.,(2014) lower extremity stabilization exercise program were reconstructed and performed, and vestibular rehabilitation was performed using the gaze stability exercises suggested by Morimoto et al.,(2011). muscle endurance, balance, coordination, Short physical performance battery(SPPB), Korean falls efficacay scale(FES-K), and health-related quality of life(EQ-5D) were measured before and after exercise. for data processing, repeated measures analysis of variance was performed to verify interaction effects depending on group and measurement period(α≤.05). As a result of the study, the vestibulo-proprioception exercise group significantly improved muscle endurance, balance, and coordination(P.<01), and an interaction effect was also found (P<.05). However, there was no significant difference in short physical performance battery. Additionally, a significant difference was found between the Korean fall efficacy scale and health-related quality of life (P<.01), and an interaction effect was also found (P<.05). The results of the study showed that the vestibulo-proprioception exercise program had a generally positive effect on the physical and psychological factors related to falls in elderly women. Therefore, it shows that the vestibulo-proprioception exercise program is effective for elderly women who are vulnerable to falls.