시지각 자극을 동반한 균형 운동 프로그램이 노인의 균형 능력 향상에 미치는 영향 : 사례 연구
Effects of a Balance Exercise Program Incorporating Visual Perceptual Training on Balance Performance in Older Adults : A Case Series
This study aimed to examine the effects of a balance exercise program combined with visual-perceptual training on balance ability in older adults. Three community-dwelling adults aged 65 years or older participated in the study. All were able to walk independently, scored 24 or higher on the Korean-version of the mini-mental state examination, had no visual or ocular motor impairments, and voluntarily consented to participate. The program was conducted thrice a week for 4 weeks, totaling 12 sessions. The visual-perceptual training included saccadic eye movements in week 1, smooth pursuit eye movements in week 2, vestibulo- ocular movements in week 3, and vergence eye movements in week 4. The balance exercises progressed weekly from static, dynamic, and reactive balance to complex balance tasks. The outcome measures were motor-free visual perception test-3, fullerton advanced balance scale, Korean falls efficacy scale-international, five times sit-to-stand test, and functional reach test. All assessments were performed before and after the intervention by the same examiner, who was blinded to the pre-test scores to minimize bias. All outcome measures improved after the intervention. These results suggest that combining visual-perceptual training with balance exercise enhances visual processing, attention, and postural control, making it an effective approach for improving balance and preventing falls in older adults.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 연구 대상 2. 중재 방법 3. 측정 도구 및 평가 방법 Ⅲ. 결과 1. 연구대상자의 일반적인 특성 2. 시지각 기능의 변화 비교 3. 낙상 관련 기능적 및 심리적 요인 변화 비교 4. 신체적 기능 평가 Ⅴ. 결과 인용문헌