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KMID : 1195020230190010047
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Archives of Orthopedic and Sports Physical Therapy
2023 Volume.19 No. 1 p.47 ~ p.58
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The Effect of Smart Home Training on Lower Extremity Muscle Strength and Depression in Rural Elderly
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Jeong Hye-Young
Kim Yu-Shin
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Abstract
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Purpose: In this study, 10 weeks of lower extremity exercise was conducted in rural elderly people, and theeffect of exercise between the smart home training group (experimental group) and the group-exercise group(control group) was compared to analyze the effect on muscle strength and depression. Elderly women aged60 years or older who visited the J clinic located in G-gun, Chungcheong buk-do were included in this study.
Methods: The study involved a group-exercise group comprising 10 individuals who exercised once a weekat the clinic, and a smart home training group comprising 10 individuals who installed the app and performedsmart home training at home. At the initiation of the smart home training group, the participants were providedinstruction on the correct exercise posture and guidance on how to use the app. Four exercises were selected,including sitting, knee extension, walking in place, mini squats, and sideways walking. The participants weretaught the correct technique, their movements were assessed, and the training proceeded. Before and afterthe program, 2-m step test, short physical performance battery, strength measurement, Beck Anxiety Inventory,and Beck Depression Inventory tests were conducted.
Results: First, the short physical performance battery test showed that balance was significantly higher in theexperimental group than in the control group (P<.029). Second, knee extension strength significantly increasedin the experimental group compared with that in the control group (P<.001). Third, the results of the 2-mstep test showed no significant differences between the experimental and control groups. Fourth, in anxietyand depression tests, there were no significant differences between the experimental and control groups.
Conclusion: The results of this study suggest that smart home training can improve the strength of the lowerlimbs in elderly people in rural areas. In addition, considering the significant increase in balance and strengthof knee extension, smart home training exercises can be seen as an effective intervention method for preventingfalls in the elderly.
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KEYWORD
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Home training, elderly, depression, lower extremity muscle strength, farming village, smartphone app
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