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KMID : 1211620070020010073
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Journal of the Korean Society of Physical Medicine
2007 Volume.2 No. 1 p.73 ~ p.84
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Risk Factors and Methods in Balance Assessment Associated with Fall in Older Adults
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Lee Yun-Kyung
Bae Sung-Soo
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Abstract
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Purpose : The purpose of this study was to determine risk factors and methods in balance assessment associated with fall in older adults.
Methods : This article describes many of the tools that can be used to evaluate the physical parameters associated with fall risk in older adults.
Results : Composite ratings of performance(Tinetti balance assessment, Guralnik test battery, Berg balance scale, modified-physical performance test) measures the score compounding the balance measure to determine fall risk. Static balance instruments are composed of FICSIT-4 that measures the ability of maintaining foot positions and CTSIB that measures postural stability. Dynamic balance instrument is composed of functional reach test. To measure walking velocity and mobility, 8-foot up-and-go test and walking around two cones are used. We can use 1-RM and to measure muscular strength, isokinetic dynamometery, and 30-second chair stand to measure lower extremity muscle strength.
Conclusion : The described instruments are easy to use and widespread. To select and use these tool kits carefully is considered to be helpful in identifying those who are most likely to fall. The final part of the article includes a brief discussion of the potential role of exercise training interventions to improve these physical parameters and prevent falls.
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KEYWORD
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Fall, Instrument, Older adults, Risk factors
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