낙상 예방을 위한 한의학적 치료와 체계적 운동 프로그램 개발

Development of Korean medicine treatment and systematic exercise program for fall prevention

Objectives Fall is one of the major factors that threaten the health of the elderly, so it is important to detect and prevent fall risk groups early. Although prevention of fall is a very important factor for the health of the elderly, no research has been conducted on Korean medical treatment and systematic exercise program to prevent fall. Methods Through the database of the KERIS(Korea Education&Research Information Service), I have found out the causes of falls and exercise programs for fall prevention. In order to develop Korean Medicine protocols for preventing falls, research on ‘gait’, ‘balance’, ‘Parkinson s disease’ and ‘degenerative knee arthritis’ was found in the Korean medicine web databases. Results 1. Assessment for fall prevention: Use Timed Up and Go(TUG) test, Berg Balance Scale, Performance-Oriented Mobility Assessment(POMA) for the evaluation of walking and balance. 2. Development of Korean Medicine treatment protocol for fall prevention: Based on previous studies of patients with impaired balance and walking disorders, the following acupoints were chosen: GB44, BL60, GB39, ST36, GB34, SP5, KI3, SP9, ST25, LI4, LR3, TE3, TE5, LI11, SP6. In additon, BL24, BL25, BL26, GV16, GB20 can be added that can affect proprioception stimuli. 3. Systematic exercise program for fall prevention: To prevent fall, start with low intensity, stable exercise(Exercise with chair). The next step is to perform ground exercises using a YangSaengDoInBup that can stimulate core muscles. After that, exercise using tools(GYM-BALL, Thera-Band, Footboard) to increase balance is suitable. Finally, conduct resistance and aerobic exercises to strengthen muscle strength. Conclusions Based on prior studies of elderly people with walking disorder and impaired balance, this study sought to develop the development of Korean medical treatment protocols and systematic exercise programs. However, further clinical trials will be needed to develop sufficient evidence about the effectiveness of Korean medicine treatment for fall prevention in the future.