코어운동이 노인의 SPPB,균형자신감,삶의질에 미치는 영향

Abstract

본 연구는 노인을 대상으로 12주간 맞춤형 코어운동프로그램을 적용하여 코어운동이 노인의 신체수행능력(SPPB), 균형자신감, 삶의 질에 미치는 영향을 분석하는데 그 목적이 있다. 이를 위해 지역 복지관을 이용하는 65세 이상의 노인 중 코어운동 경험이 없는 노인들로부터 자발적인 신청을 받아 최종적으로 코어그룹 25명(n=25)과 통제그룹 20명(n=20)으로 연구대상을 선정하였다. 연구방법으로는 코어그룹은 12주간 주 3회 준비운동 10분, 코어운동 40분, 정리운동 10분으로 1회에 60분정도 실시하였다. 측정방법으로는 신체수행능력를 위한 균형 검사, 의자에서 일어서기, 보행 속도를 측정하여 3가지 점수를 합하여 총 12점으로 평가하였다. 균형자신감은 Powell과 Myers(1995)에 의해 개발된 활동 특이적 척도를 장숙랑 등(2003)이 우리나라 실정에 맞게 수정 보완된 (K-ABC: Korean Activities-specific Balance Confidence scale)설문지 기법을 사용하였다. 삶의 질은 미국의 Medical Outcome Study에서 Ware 등(2001)이 개발한 Short Form(SF-8)을 사용하여 설문항목을 ‘전반적인 건강상태’, ‘신체적 기능’, ‘신체적 역할’, ‘통증’, ‘활력’, ‘사회적 기능’, ‘정신건강’, ‘정서적 역할’ 등 8개의 항목으로 측정하였다. 연구결과 신체수행능력(SPPB)은 코어그룹이 운동 전보다 운동 후에 유의하게 증가하였다. 세부적으로 코어운동그룹이 통제그룹보다 신체수행능력 중 의자일어서기와 보행속도에 유의하게 빠르게 나타났다. 균형자신감은 코어그룹에서는 운동 전보다 운동 후에 자신감이 유의하게 증가하였다. 즉, 코어운동이 노인들의 균형자신감이 유의하게 증가하는 것으로 나타났다. 그리고 코어운동과 노인의 삶의 질은 통계적으로 유의한 차이가 나타나지 않았다. 더욱이 코어그룹과 통제그룹 모두 코어운동 전보다 운동 후 삶의 질이 저하된 것으로 나타났다. 이와 같은 결과는 연구에 참여한 노인들의 환경적요인(개인별 운동유무, 운동시간, 연령, 측정의 일관성 등)에 기인된 것으로 판단된다. 결론적으로 코어운동이 노인의 신체수행능력 및 균형자신감에는 유의적인 효과가 나타났다. 따라서 노인의 신체수행능력 향상 및 균형자신감에 코어운동이 도움이 될 수 있다. 노인들의 지속적인 운동효과를 가져올 수 있는 자가적인 운동프로그램의 개발과 보급이 앞으로 더욱더 필요하며, 노인들의 삶과 활동영역을 넓혀줄 수 있다고 생각된다.|This study was applied for 12 weeks old custom core exercise program for exercising the physical performance of the old core SPPB, balance confidence, it is an object of analyzing the effects on quality of life. Of 65 years or older to use the local welfare centers for this purpose without core workout experience received an application from older people finally a core group of 25 people (n=25) and were selected for the study as a control group of 20 people (n=20). Methods by group (core, control), two won repeated analysis of variance for standard deviation and variance analysis and average according to the time (pre-exercise and post) (2-way ANOVA with Repeated Measure) and after verification of the interaction performed in a simple and effective verification, the significance level was set at p <.05. Statistical analysis program SPSS 21.0 (IBM, USA) v was used. Results: 1. Physical performance (SPPB) is a core group was significantly increased after exercise than before exercise. Fine-chair of the physical ability to perform in accordance with the core group on stand exercise showed a significant effect on walking speed. 2. Balanced self-confidence has increased significantly after exercise than before exercise to have confidence in the core group. In other words, the core motion has been analyzed that the balance indicates a significant increase in confidence in the elderly. 3. The quality of life of the elderly and core exercise did not appear statistically significant. In addition, both the core and the core group and the control group than exercise showed that the quality of life deteriorates. This results in brief environment of the elderly in the study are judged to be due to (individual or without exercise, exercise time, age, and consistency of the measurement). As a result, the body core exercise performance and balance confidence of the elderly showed significant effects. Therefore, the core exercises to improve balance in elderly self-confidence and physical performance can be helpful.; This study was applied for 12 weeks old custom core exercise program for exercising the physical performance of the old core SPPB, balance confidence, it is an object of analyzing the effects on quality of life. Of 65 years or older to use the local welfare centers for this purpose without core workout experience received an application from older people finally a core group of 25 people (n=25) and were selected for the study as a control group of 20 people (n=20). Methods by group (core, control), two won repeated analysis of variance for standard deviation and variance analysis and average according to the time (pre-exercise and post) (2-way ANOVA with Repeated Measure) and after verification of the interaction performed in a simple and effective verification, the significance level was set at p <.05. Statistical analysis program SPSS 21.0 (IBM, USA) v was used. Results: 1. Physical performance (SPPB) is a core group was significantly increased after exercise than before exercise. Fine-chair of the physical ability to perform in accordance with the core group on stand exercise showed a significant effect on walking speed. 2. Balanced self-confidence has increased significantly after exercise than before exercise to have confidence in the core group. In other words, the core motion has been analyzed that the balance indicates a significant increase in confidence in the elderly. 3. The quality of life of the elderly and core exercise did not appear statistically significant. In addition, both the core and the core group and the control group than exercise showed that the quality of life deteriorates. This results in brief environment of the elderly in the study are judged to be due to (individual or without exercise, exercise time, age, and consistency of the measurement). As a result, the body core exercise performance and balance confidence of the elderly showed significant effects. Therefore, the core exercises to improve balance in elderly self-confidence and physical performance can be helpful.