J Korean Acad Nurs JKAN Journal of Korean Academy of Nursing 2005-3673 2093-758X Korean Society of Nursing Science 10.4040/jkan.2014.44.6.697 Original Article Effects of Community-based Comprehensive Fall Prevention Program on Muscle Strength, Postural Balance and Fall Efficacy in Elderly People Bae Jeongyee 1 Cho Seong-il 2 Department of Nursing, Inje University·International Safe Community Research Center of Busan Metropolitan·Institute for Health Science Research, Busan, Korea. Department of Rehabilitation Science, Graduate School, Inje University·International Safe Community Research Center of Busan Metropolitan, Busan, Korea. Address reprint requests to: Bae, Jeongyee. Department of Nursing, College of Medicine, Inje University, 75 Bokji-ro, Busanjin-gu, Busan 614-735, Korea. Tel: +82-51-890-6823, Fax: +82-51-896-9840, jibai@inje.ac.kr 12 2014 31 12 2014 44 6 697 707 07 08 2014 21 08 2014 30 10 2014 © 2014 Korean Society of Nursing Science 2014 This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium. Purpose

The purposes of this study was to develop a comprehensive community-based fall prevention program and to test the effects of the program on the muscle strength, postural balance and fall efficacy for elderly people.

 Methods

The design of this study was a nonequivalent control group pretest-posttest design. There were 28 participants in the experimental group and 29 in the control group. The program consisted of balance exercises, elastic resistance exercises and prevention education. The program was provided five times a week for 8 weeks and each session lasted 90 minutes. Data were analyzed using χ2-test, independent t-test and paired t-test using the SPSS program.

 Results

Muscle strength of the lower extremities, postural balance and fall efficacy scores significantly improved in the experimental group compared to the control group.

 Conclusion

These results suggest that this program can improve lower extremity muscle strength, postural balance and fall efficacy in elders. Therefore, this program is recommended for use in fall prevention programs for elders living in the community.

 Aged Accidental falls Muscle strength Postural balance Inje University

This work was supported by the 2013 Inje University research grant.

 World Health Organization WHO global report on falls prevention in older age Geneva, CH Author 2007 Haber D Health promotion and aging: Practical applications for health professionals 3rd ed New York, NY Springer Publishing Company 2003 Akyol AD Falls in the elderly: What can be done? Int Nurs Rev 2007 54 2 191 196 http://dx.doi.org/10.1111/j.1466-7657.2007.00505.x Jeong KH Oh YH Lee YK Son CG Park BM Lee SY A survey of the elderly, 2011 Seoul Ministry of Health and Welfare, The Korea Institute for Health and Social Affairs 2012 Rubenstein LZ Josephson KR Falls and their prevention in elderly people: What does the evidence show? Med Clin North Am 2006 90 5 807 824 http://dx.doi.org/10.1016/j.mcna.2006.05.013 Jung YM Lee SE Chung KS Prevalence and associated factors of falls according to health status in elderly living in the community J Korean Gerontol Soc 2006 26 2 291 303 Jeoung BJ A review of exercise program for fall prevention in the elderly J Korean Soc Aerobic Exerc 2008 12 1 1 9 Choe MA Jeon MY Choi JA Effect of walk training on physical fitness for prevention in a home bound elderly J Korean Acad Nurs 2000 30 5 1318 1332 Liu MR So H Effects of Tai Chi exercise program on physical fitness, fall related perception and health status in institutionalized elders J Korean Acad Nurs 2008 38 4 620 628 http://dx.doi.org/10.4040/jkan.2008.38.4.620 Jeon MY Bark ES Lee EG Im JS Jeong BS Choe ES The effects of a Korean traditional dance movement program in elderly women J Korean Acad Nurs 2005 35 7 1268 1276 Gu MO Jeon MY Eun Y The development and effect of a tailored falls prevention exercise for older adults J Korean Acad Nurs 2006 36 2 341 352 Kwon MS Effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders J Korean Acad Nurs 2011 41 2 165 174 http://dx.doi.org/10.4040/jkan.2011.41.2.165 Yoo JS Jeon MY Kim CG Effects of a fall prevention program on falls in frail elders living at home in rural communities J Korean Acad Nurs 2013 43 5 613 625 http://dx.doi.org/10.4040/jkan.2013.43.5.613 Shin KR Shin SJ Kim JS Kim JY The effects of fall prevention program on knowledge, self-efficacy, and preventive activity related to fall, and depression of low-income elderly women J Korean Acad Nurs 2005 35 1 104 112 Moreland JD Richardson JA Goldsmith CH Clase CM Muscle weakness and falls in older adults: A systematic review and meta-analysis J Am Geriatr Soc 2004 52 7 1121 1129 http://dx.doi.org/10.1111/j.1532-5415.2004.52310.x Zion AS De Meersman R Diamond BE Bloomfield DM A home-based resistance-training program using elastic bands for elderly patients with orthostatic hypotension Clin Auton Res 2003 13 4 286 292 http://dx.doi.org/10.1007/s10286-003-0117-3 Barnett A Smith B Lord SR Williams M Baumand A Community-based group exercise improves balance and reduces falls in at-risk older people: A randomised controlled trial Age Ageing 2003 32 4 407 414 Miller KL Magel JR Hayes JG The effects of a home-based exercise program on balance confidence, balance performance, and gait in debilitated, ambulatory community-dwelling older adults: A pilot study J Geriatr Phys Ther 2010 33 2 85 91 Jones GR Frederick JAB The Canadian centre for activity and aging's home support exercise program Geriatr Aging 2003 6 7 48 49 Yoo IY Effects of fall prevention program applying HSEP on physical balance and gait, leg strength, fear of falling and falls efficacy of community-dwelling elderly J Korean Gerontol Soc 2009 29 1 259 273 Gu MO Jeon MY Kim HJ Eun Y A review of exercise interventions for fall prevention in the elderly J Korean Acad Nurs 2005 35 6 1101 1112 Brilla LR Stephens AB Knutzen KM Caine D Effect of strength training on orthostatic hypotension in older adults J Cardiopulm Rehabil 1998 18 4 295 300 Tinetti ME Richman D Powell L Falls efficacy as a measure of fear of falling J Gerontol 1990 45 6 P239 P243 Jang SN Cho SI Ou SW Lee ES Baik HW The validity and reliability of Korean fall efficacy scale (FES) and activities-specific balance confidence scale (ABC) J Korean Geriatr Soc 2003 7 4 255 268 Kwon YC Park JH Korean version of mini-mental state examination (MMSE-K) Part I: Development of the test for the elderly J Korean Neuropsychiatr Assoc 1998 28 1 125 135 Page P Ellenbecker TS The scientific and clinical application of elastic resistance Champaign, IL Human Kinetics 2003 Choi JH The effects of Tai Chi exercise on physiologic, psychological functions and fall in fall prone elderly [dissertation] Seoul The Catholic University of Korea 2002 Mikesky AE Topp R Wigglesworth JK Harsha DM Edwards JE Efficacy of a home-based training program for older adults using elastic tubing Eur J Appl Physiol Occup Physiol 1994 69 4 316 320 Park HS Chang R Park KY Comparative study on fall related characteristics between single and recurrent falls in community-dwelling older women J Korean Acad Adult Nurs 2008 20 6 905 916 Hill-Westmoreland EE Soeken K Spellbring AM A meta-analysis of fall prevention programs for the elderly: How effective are they? Nurs Res 2002 51 1 1 8

Effects of exercise on muscle power, postural balance and fall efficacy between the experiment and control groups.

Contents of the Fall Prevention Program

Homogeneity of General Characteristics and Dependent Variables (N=57)

Exp.=Experimental group; Cont.=Control group.

Differences in Muscle Power, Postural Balance and Fall Efficacy between the Experimental and Control Groups

p≤ .05; Exp.=Experimental group; Cont.=Control group.