[논문]파킨슨병 노인의 낙상에 영향을 미치는 신체적, 심리적 요인

김지연; 변미경

doi:10.22156/cs4smb.2022.12.03.055

파킨슨병 노인의 낙상에 영향을 미치는 신체적, 심리적 요인
Physical and Psychological Factors Affecting Fall in Elderly Patients with Parkinson's disease 원문보기

융합정보논문지 = Journal of Convergence for Information Technology, v.12 no.3, 2022년, pp.55 - 65

김지연 (서일대학교 간호학과) , 변미경 (동아대학교 간호학부)

초록
AI-Helper

파킨슨병 노인은 낙상의 신체적, 정신적 위험요인을 가진 비율이 비 파킨슨병 노인에 비해 높아, 파킨슨병 노인의 낙상 경험 유무에 따라 낙상에 영향을 주는 신체적, 정신적 위험요인을 한국 노인 전체를 모집단으로 하는 국가 데이터를 이용하여 규명하였다. 2017년 보건복지부의 노인실태 자료조사를 이용한 2차 분석연구로, 파킨슨병 노인은 총 103명이었으며 결측값을 제외하고 총 96명의 대상자를 분석하였다. 파킨슨병 노인에게서 낙상에 가장 큰 영향을 미치는 요인은 IADL로 나타났으며, IADL은 운동 조절기능과 관련이 있다. 운동 조절기능의 저하는 일상생활에 필수적으로 요구되는 신체 움직임에 제약을 가하며 위급상황에서의 자기 보호적 행동까지도 영향을 미쳐 낙상에 영향을 미친다. IADL이 낙상에 영향을 줄 수 있다는 본 연구결과를 바탕으로 파킨슨병 노인의 낙상 예방 중재를 위한 다양한 운동요법을 제안할 수 있을 것이다.

Abstract ▼ AI-Helper

Elderly people with Parkinson's disease have higher rates of physical and mental risk factors for falls than non-Parkinson's disease elderly. The purpose of this study is to investigate this by using national data that includes the entire population of the elderly in Korea. As a secondary analysis study using data survey on the elderly by the Ministry of Health and Welfare in 2017, there were a total of 103 elderly people with Parkinson's disease, and a total of 96 subjects were analyzed excluding missing values. In the elderly with Parkinson's disease, the factor most influencing the fall was IADL, and IADL is related to motor control function. Decreased motor control limits physical movements essential for daily life, and even affects self-protective behavior in emergency situations, affecting falls. Based on the research results that IADL can affect falls, various exercise therapies for fall prevention interventions in the elderly with Parkinson's disease can be suggested.

주제어

표/그림 (5)

그림 Fig. 1. Flow diagram of inclusion of study population.
표 Table 1. Differences in individual variables between groups with and without fall history (N = 96)
표 Table 2. Differences in physical and psychological characteristics between groups with and without fall history (n = 96)
표 Table 4. Regression Analysis of fall risk factors in elderly with Parkinson's Disease (N = 96)
표 Table 3. The causes of fall of Older patients with Parkinson's disease

참고문헌 (47)

S. K. Verma, J. L. Willetts, H. L. Corns, H. R. Marucci-Wellman, D. A. Lombardi & T. K. Courtney. (2016). Falls and fall-related injuries among community-dwelling adults in the United States. PLoS one, 11(3), e0150939. DOI : 10.1371/journal.pone.0150939

상세보기
S. S. Paul, A. Thackeray, R. P. Duncan, J. T. Cavanaugh, T. D. Ellis, G. M. Earhart & L. E. Dibble. (2016). Two-year trajectory of fall risk in people with Parkinson disease: a latent class analysis. Archives of physical medicine and rehabilitation, 97(3), 372-379. DOI : 10.1016/j.apmr.2015.10.105

상세보기
N. E. Allen, A. K. Schwarzel & C. G. Canning. (2013). Recurrent falls in Parkinson's disease: a systematic review. Parkinson's disease. DOI : 10.1155/2013/906274

상세보기
Y. H. Hiorth, J. P. Larsen, K. Lode & K. F. Pedersen. (2014). Natural history of falls in a population-based cohort of patients with Parkinson's disease: an 8-year prospective study. Parkinsonism & related disorders, 20(10), 1059-1064. DOI : 10.1016/j.parkreldis.2014.06.023

상세보기
M. A. Hely, J. G. Morris, W. G. Reid & R. Trafficante. (2005). Sydney multicenter study of Parkinson's disease: Non-L-dopa-responsive problems dominate at 15 years. Movement disorders, 20(2), 190-199. DOI : 10.1002/mds.20324

상세보기
J. E. Thorp, P. G. Adamczyk, H. L. Ploeg & K. A. Pickett. (2018). Monitoring motor symptoms during activities of daily living in individuals with Parkinson's disease. Frontiers in neurology, 9, 1036. DOI : 10.3389/fneur.2018.01036

상세보기
S. M. Cheon. K. W. Park & J. W. Kim. (2015). Identification of daily activity impairments in the diagnosis of Parkinson disease dementia. Cognitive and Behavioral Neurology, 28(4), 220-228. DOI : 10.1097/WNN.0000000000000081

상세보기
A. G. Hamedani, D. S. Abraham, M. G. Maguire & A. W. Willis. (2020). Visual impairment is more common in Parkinson's disease and is a risk factor for poor health outcomes. Movement Disorders, 35(9), 1542-1549. DOI : 10.1002/mds.28182

상세보기
A. Fasano, C. G. Canning, J. M. Hausdorff, S. Lord & L. Rochester. (2017). Falls in Parkinson's disease: a complex and evolving picture. Movement disorders, 32(11), 1524-1536. DOI : 10.1002/mds.27195

상세보기
M. S. Bakken, J. Schjott, A. Engeland, L. B. Engesaeter & S. Ruths. (2016). Antipsychotic drugs and risk of hip fracture in people aged 60 and older in Norway. Journal of the American Geriatrics Society, 64(6), 1203-1209. DOI : 10.1111/jgs.14162

상세보기
N. C. Favaro-Moreira, S. Krausch-Hofmann, C. Matthys, C. Vereecken, E. Vanhauwaert, A. Declercq & J. Duyck. (2016). Risk factors for malnutrition in older adults: a systematic review of the literature based on longitudinal data. Advances in nutrition, 7(3), 507-522. DOI : 10.3945/an.115.011254

상세보기
D. Aarsland, S. Pahlhagen, C. G. Ballard, U. Ehrt, & P. Svenningsson. (2012). Depression in Parkinson disease-epidemiology, mechanisms and management. Nature Reviews Neurology, 8(1), 35-47. DOI : 10.1038/nrneurol.2011.189

상세보기
P. Martinez-Martin, A. H. Schapira, F. Stocchi, K. Sethi, P. Odin, G. MacPhee & K. R. Chaudhuri. (2007). Prevalence of nonmotor symptoms in Parkinson's disease in an international setting; study using nonmotor symptoms questionnaire in 545 patients. Movement disorders: official journal of the Movement Disorder Society, 22(11), 1623-1629. DOI : 10.1002/mds.21586

상세보기
N. G. Choi, N. M. Gell, D. M. DiNitto, C. N. Marti & M. E. Kunik. (2020). Depression and activity-limiting fall worry among older adults: longitudinal reciprocal relationships. International psychogeriatrics, 32(4), 495-504. DOI : 10.1017/S1041610219000838

상세보기
M. Velegraki et al. (2020). Age, Comorbidities and Fear of Fall: mortality predictors associated with fall-related fractures. Maedica, 15(1), 18. DOI : 10.26574/maedica.2020.15.1.18
N. Ball, W. P. Teo, S. Chandra & J. Chapman. (2019). Parkinson's disease and the environment. Frontiers in neurology, 10, 218. DOI : 10.3389/fneur.2019.00218

상세보기
C. W. Won et al. (2002). The development of Korean activities of daily living (K-ADL) and Korean instrumental activities of daily living (K-IADL) scale. Journal of the Korean Geriatrics Society, 107-120.

상세보기
J. Dwyer. (1994). Strategies to detect and prevent malnutrition in the elderly: the Nutrition Screening Initiative. Nutrition Today, 29(5), 14-24. DOI : 10.1097/00017285-199409000-00004

상세보기
J. I. Sheikh & J. A. Yesavage. (1986). Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clinical Gerontologist: The Journal of Aging and Mental Health. 165-173. DOI : 10.1300/J018v05n01_09
M. J. Cho et al. (1999). Validation of geriatric depression scale, Korean version (GDS) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association, 38(1), 48-63.
World Health Organization. (2010). Global recommendations on physical activity for health. World Health Organization.
F. Rotgers. (1997). Assessing Alcohol Problems: A Guide for Clinicians and Researchers. Journal of Studies on Alcohol, 58(1), 106-106. DOI : 10.15288/jsa.1997.58.106

상세보기
A. Curra et al. (1997). Performance of sequential arm movements with and without advance knowledge of motor pathways in Parkinson's disease. Movement disorders: official journal of the Movement Disorder Society, 12(5), 646-654. DOI : 10.1002/mds.870120505

상세보기
M. E. Tinetti. (1997). Falls. In Geriatric medicine (pp. 787-799). Springer, New York, NY.
C. G. Canning et al. (2009). Exercise therapy for prevention of falls in people with Parkinson's disease: a protocol for a randomised controlled trial and economic evaluation. BMC neurology, 9(1), 1-7. DOI : 10.1186/1471-2377-9-4

상세보기
M. C. Rodriguez-Oro et al. (2009). Initial clinical manifestations of Parkinson's disease: features and pathophysiological mechanisms. The Lancet Neurology, 8(12), 1128-1139. DOI : 10.1016/S1474-4422(09)70293-5

상세보기
K. J. Bridgewater & M. H. Sharpe. (1998). Trunk muscle performance in early Parkinson's disease. Physical Therapy, 78(6), 566-576. DOI : 10.1093/ptj/78.6.566

상세보기
J. Jankovic. (2008). Parkinson's disease: clinical features and diagnosis. Journal of neurology, neurosurgery & psychiatry, 79(4), 368-376. DOI : 10.1136/jnnp.2007.131045

상세보기
J. A. Cooper, H. J. Sagar, S. M. Doherty, N. Jordan, P. Tidswell & E. V. Sullivan. (1992). Different effects of dopaminergic and anticholinergic therapies on cognitive and motor function in Parkinson's disease: a follow-up study of untreated patients. Brain, 115(6), 1701-1725. DOI : 10.1093/brain/115.6.1701

상세보기
I. Benatru, M. Vaugoyeau & J. P. Azulay. (2008). Postural disorders in Parkinson's disease. Neurophysiologie Clinique/Clinical Neurophysiology, 38(6), 459-465. DOI : 10.1016/j.neucli.2008.07.006

상세보기
H. K. Lee, L. J. Altmann, N. McFarland & C. J. Hass. (2016). The relationship between balance confidence and control in individuals with Parkinson's disease. Parkinsonism & related disorders, 26, 24-28. DOI : 10.1016/j.parkreldis.2016.02.015

상세보기
M. Nallegowda et al. (2004). Role of sensory input and muscle strength in maintenance of balance, gait, and posture in Parkinson's disease: a pilot study. American journal of physical medicine & rehabilitation, 83(12), 898-908. DOI : 10.1097/01.PHM.0000146505.18244.43

상세보기
N. Giladi. (2001). Freezing of gait in patients with advanced Parkinson's disease. Journal of neural transmission, 108(1), 53-61. DOI : 10.1007/s007020170096

상세보기
M. Macht, M. S. Pasqualini & P. Taba. (2007). Cognitive-behavioral strategies for Parkinson's disease: a report of three cases. Journal of Clinical Psychology in Medical Settings, 14(2), 165-176. DOI : 10.1007/s10880-007-9065-8

상세보기
M. Bishop, D. Brunt, N. Pathare, M. Ko & J. Marjama-Lyons. (2005). Changes in distal muscle timing may contribute to slowness during sit to stand in Parkinsons disease. Clinical biomechanics, 20(1), 112-117. DOI : 10.1016/j.clinbiomech.2004.08.002

상세보기
A. Nieuwboer, S. Vercruysse, P. Feys, O. Levin, J. Spildooren & S. Swinnen. (2009). Upper limb movement interruptions are correlated to freezing of gait in Parkinson's disease. European Journal of Neuroscience, 29(7), 1422-1430. DOI : 10.1111/j.1460-9568.2009.06681.x

상세보기
A. Nieuwboer, L. Rochester, T. Herman, W. Vandenberghe, G. E. Emil, T. Thomaes & N. Giladi. (2009). Reliability of the new freezing of gait questionnaire: agreement between patients with Parkinson's disease and their carers. Gait & posture, 30(4), 459-463. DOI : 10.1016/j.gaitpost.2009.07.108

상세보기
M. J. Majsak, T. Kaminski, A. M. Gentile & A. M. Gordon. (2008). Effects of a moving target versus a temporal constraint on reach and grasp in patients with Parkinson's disease. Experimental neurology, 210(2), 479-488. DOI : 10.1016/j.expneurol.2007.11.023

상세보기
L. F. Schettino, S. V. Adamovich, W. Hening, E. Tunik, J. Sage & H. Poizner. (2006). Hand preshaping in Parkinson's disease: effects of visual feedback and medication state. Experimental brain research, 168(1), 186-202. DOI : 10.1007/s00221-005-0080-4

상세보기
V. Dietz, W. Zijlstra, T. Prokop & W. Berger. (1995). Leg muscle activation during gait in Parkinson's disease: adaptation and interlimb coordination. Electroencephalography and Clinical Neurophysiology/Electromyography and Motor Control, 97(6), 408-415. DOI : 10.1016/S0924-980X(97)00042-8

상세보기
S. J. Fellows & J. Noth. (2004). Grip force abnormalities in de novo Parkinson's disease. Movement disorders: official journal of the Movement Disorder Society, 19(5), 560-565. DOI : 10.1002/mds.10710

상세보기
M. M. Ponsen, D. Stoffers, E. C. Wolters, J. Booij & H. W. Berendse. (2010). Olfactory testing combined with dopamine transporter imaging as a method to detect prodromal Parkinson's disease. Journal of Neurology, Neurosurgery & Psychiatry, 81(4), 396-399. DOI : 10.1136/jnnp.2009.183715

상세보기
A. A. Moustafa, S. Chakravarthy, J. R. Phillips, A. Gupta, S. Keri, B. Polner & M. Jahanshahi. (2016). Motor symptoms in Parkinson's disease: A unified framework. Neuroscience & Biobehavioral Reviews, 68, 727-740. DOI : 10.1016/j.neubiorev.2016.07.010

상세보기
Z. Tkaczynska, A. Pilotto, S. Becker, S. Graber-Sultan, D. Berg & I. Liepelt-Scarfone. (2017). Association between cognitive impairment and urinary dysfunction in Parkinson's disease. Journal of Neural Transmission, 124(5), 543-550. DOI : 10.1007/s00702-017-1690-2

상세보기
A. M. Crizzle & I. J. Newhouse. (2006). Is physical exercise beneficial for persons with Parkinson's disease?. Clinical Journal of Sport Medicine, 16(5), 422-425. DOI : 10.1097/01.jsm.0000244612.55550.7d

상세보기
I. Reuter, S. Mehnert, M. Oechsner & M. Engelhardt. (2011). Cognitive Rehabilitation in Parkinson's Disease Using Neuropsychological Training, Transfer Training and Sports Therapy. diagnosics and rehabilitation of Parkinson's disease. ED: Dushanova J, 257-286.
E. Kraft, W. Loichinger, M. Diepers, D. Lule, J. Schwarz, A. C. Ludolph & A. Storch. (2009). Levodopa-induced striatal activation in Parkinson's disease: a functional MRI study. Parkinsonism & related disorders, 15(8), 558-563. DOI : 10.1016/j.parkreldis.2009.02.005

상세보기

LOADING...

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증