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이춘희 ( Lee Chun-Hee ) - 선린대학교 간호학과
박희옥 ( Park Hee-Ok ) - 계명대학교 간호대학
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Abstract
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Purpose: This study was a meta-analysis of the effects of exercise intervention in preventing falls among persons with arthritis.
Methods: The review consisted of searches from Pubmed, Ovid-MEDLINE, CINAHL, EMBASE and Korean DBs using PICO-SD format. Key words for searching included ‘arthritis’, ‘exercise’, ‘fall’ and the articles published until January 2017 were selected for this study.
Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.3 program of Cochrane Library.
Results: Nineteen clinical trials met the inclusion criteria with a total of 832 participants. There were significant differences in Tai Chi exercise (ES=0.76), exercise interventions performed over 60 minutes at one time (ES=0.98), exercise interventions provided once a week (ES=0.69) or 2~3 times a week (ES=0.65), exercise interventions provided for a total of 12 weeks or less (ES=0.86). The outcome measures such as balance (ES=0.66), fall efficacy (ES=0.70), and fear of falling (ES=-0.70) showed the significant difference, and their effect sizes were ranged from moderate to large
Conclusion: The results of the study show that the exercise intervention is effective to prevent fall in persons with arthritis. It is necessary to include the comprehensive exercise interventions to enhance balance and fall efficacy and reduce fear of falling for the fall prevention program in persons with arthritis.
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KeyWords
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관절염, 운동, 낙상, 메타분석
Arthritis, Exercise, Falls, Meta-analysis
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원문 및 링크아웃 정보
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등재저널 정보
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