Does the Kyphotic Change Decrease the Risk of Fall?

최창재; 박무균; 임현우; 조재구; 임기정; 채성원

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자료유형: 학술저널

저자정보: 최창재 박무균 임현우 조재구 임기정 채성원

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제4권 제3호

발행연도: 2011.1

수록면: 118 - 121 (4page)

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Objectives. Falls are a major problem in the elderly. Age-related degeneration of the human balance system increases the risk of falls. Kyphosis is a common condition of curvature of the upper spine in the elderly and its development occurs through degenerative change. However, relatively little is known about the effect of kyphotic changes on balance in the elderly. The aim of this study is to investigate the influence of kyphosis on the balance strategy through use of the motor control test (MCT) in computerized dynamic posturography. Methods. Fifty healthy subjects who were not affected by other medical disorders that could affect gait or balance were enrolled in the study. By simulation of kyphotic condition through change of the angles of the line connecting the shoulder to the hip and the ankle axis by approximately 30°, the latency and amplitude of the MCT were measured in upright and kyphotic condition. Results. In the kyphotic condition, latency was shortened in backward movement. In forward movement, latency was shortened only in large stimulation. The amplitude in forward movement was decreased in kyphotic condition. However,the change of amplitude was not significant in large intensity backward movement in the same condition. Conclusion. Kyphotic condition decreases the latency of MCT, especially in backward movement. These findings imply that kyphotic condition may serve as a protective factor against falls.

#Kyphosis #Accidental falls #Dynamic posturography

참고문헌 (16)

참고문헌 신청

Fernie GR / 1982 / The relationship of postural sway in standing to the incidence of falls in geriatric subjects / Age Ageing 11 (1) : 11 ~ 16

Greig AM / 2007 / Balance impairment is related to vertebral fracture rather than thoracic kyphosis in individuals with osteoporosis / Osteoporos Int 18 (4) : 543 ~ 551

Hindmarsh JJ / 1989 / Falls in older persons: causes and interventions / Arch Intern Med 149 (10) : 2217 ~ 2222

Kado DM / 2007 / Hyperkyphotic posture and risk of injurious falls in older persons: the Rancho Bernardo Study / J Gerontol A Biol Sci Med Sci 62 (6) : 652 ~ 657

Kado DM / 2007 / Narrative review: hyperkyphosis in older persons / Ann Intern Med 147 (5) : 330 ~ 338