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Risk Evaluation system and Exercise Programs for the Prevention of Falls and Fractures in the Elderly

Research Project

Project/Area Number 14370453
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Orthopaedic surgery
Research InstitutionThe University of Tokyo

Principal Investigator

MUTOH Yoshiteru  The University of Tokyo, Graduate School of Education, Professor, 大学院・教育学研究科, 教授 (10143330)

Co-Investigator(Kenkyū-buntansha) YAMAMOTO Yoshiharu  The University of Tokyo, Graduate School of Education, Professor, 大学院・教育学研究科, 教授 (60251427)
TAGA Gentaro  The University of Tokyo, Graduate School of Education, Lecturer, 大学院・教育学研究科, 講師 (00272477)
TAKASUGI Shin-ichiro  Kyushu University, Graduate School of Medicine, Lecturer, 医学部附属病院リハビリテーション部, 講師 (40253447)
Project Period (FY) 2002 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥13,500,000 (Direct Cost: ¥13,500,000)
Fiscal Year 2003: ¥4,400,000 (Direct Cost: ¥4,400,000)
Fiscal Year 2002: ¥9,100,000 (Direct Cost: ¥9,100,000)
KeywordsFall Prevention / Fracture in the Elderly / Nursing / Exercise Prescription / 健脚度
Research Abstract

This study was carried out to investigate pathophysiologyy of falls and fractures among community-dwelling elderly and to examine validity, effect and problem of exercise program. Attendants of fall prevention programs at Tokyo Kousei-Nenkin hospital (study I) and Korean elderly (study II) participated in this study, which resulted as next.
[Study I]
(1) Measurements and analysis of Kenkyaku-do (good walker's index), femoral neck bone mineral density, situation of fall incident and self-efficacy for fall prevention showed that good walker's index was useful as an index not only of ability for avoiding fall but also of fall-fracture risks and fall fear.
(2) Among those who have completed "fall prevention class" and been interviewed (n=244), a rate of fall (changed from 33% to 18%) and a rate of fracture (11%to4%) were both decreasing within a year after completion compared with a year before the "class".
(3) Medical check done at the first "class" showed average number of drugs each taked w … More as 423 items, for maximum 16 items. A attention to what kinds and how many drugs are taken as well as a consideration of undergoing medical treatments to complications in exercise-lifestyle guidance to elderly are required.
(4) Thanks to the medical check from internal and orthopedical view premising exercise, many, kinds of internal and musculoskeltal diseases were found. The rate of having those diseases was 5% in elderly who have got the check, which was so much higher than a rate in medical check among athletes. Therefore, medical examinations before the "fall prevention class" are indispensable.
[Study II]
Effect of exercise intervention (having a comparison group of compound exercise program for ten months : singing, calligraphy, game and so on) was investigated by randomized comparative tests and prospective study with 65 participants those who had osteoporosis (WHO criteria). As a result, good walker's index as an index of fall-avoiding ability (10-m rapid walking maximal step length and the 40-cm step test) and balance ability (one-legged standing test) have significantly improved, and also rates of decreasing bone mineral density in femoral neck and heel bone are significantly lower between before and after the intervention in exercise group. Less

Report

(3 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • Research Products

    (24 results)

All 2004 2003 2002 Other

All Journal Article (13 results) Book (1 results) Publications (10 results)

  • [Journal Article] 骨粗鬆症患者に対する運動処方の実際2004

    • Author(s)
      黒柳律雄, 武藤芳照他
    • Journal Title

      日本臨床 62

      Pages: 505-509

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Exercise prescription for patients with osteoporosis2004

    • Author(s)
      Kuroyanagi R, Mutoh Y., et al.
    • Journal Title

      Nippon Rinsho 62-suppl 2

      Pages: 505-509

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Walking Characteristics and Bone Mineral Density in Community-Dwelling Elderly Women ; A Cross-Sectional Study2003

    • Author(s)
      Park.H, Mutoh.et al.
    • Journal Title

      身体教育医学研究 4

      Pages: 11-19

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] 転倒恐怖者の移動能力と生活状況に関する研究2003

    • Author(s)
      上岡洋晴, 武藤芳照他
    • Journal Title

      身体教育医学研究 4

      Pages: 21-26

    • NAID

      130002145512

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Walking characteristics and bone mineral density in community-dwelling elderly women: A cross-sectional study2003

    • Author(s)
      Park H, Mutoh Y., et al.
    • Journal Title

      J.Phys.Edu.Med. 4

      Pages: 11-19

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Study of mobility and daily life-styles of people with a fear of falling2003

    • Author(s)
      Kamioka H, Mutoh Y., et al.
    • Journal Title

      J.Phys.Edu.Med. 4

      Pages: 21-26

    • NAID

      130002145512

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] 高齢者の転倒・骨折予防教室の基本理念と運動・教育プログラム2002

    • Author(s)
      黒柳律雄, 武藤芳照他
    • Journal Title

      Clinical Calcium 12

      Pages: 495-499

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] 北京における在宅高齢者のリハビリテーション能力と生活特性との関連2002

    • Author(s)
      侯 文, 武藤芳照他
    • Journal Title

      身体教育医学研究 3

      Pages: 7-14

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] 転倒予防を主眼とした高齢者の体力づくり2002

    • Author(s)
      岡田真平, 武藤芳照他
    • Journal Title

      Gerontology New Horizon 14

      Pages: 336-343

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] The basic idea and exercise program of "fall and fracture prevention school" for elderly people2002

    • Author(s)
      Kuroyanagi R, Mutoh Y., et al.
    • Journal Title

      Clinical Calcium 12-4

      Pages: 495-499

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] The association between socioeconomic characteristics and mobility of the elderly2002

    • Author(s)
      Hou W, Mutoh Y., et al.
    • Journal Title

      J.Phys.Edu.Med. 3

      Pages: 7-14

    • NAID

      130002145543

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Fitness program to prevent falls among the elderly2002

    • Author(s)
      Okada S, Mutoh Y., et al.
    • Journal Title

      Gerontology New Horizon 14-4

      Pages: 336-343

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Fall Prevention Program-Medical Approach to Fall Prevention-(2^<nd> Ed.)2002

    • Author(s)
      Mutoh Y., et al.
    • Journal Title

      Nihon-Iji-Shinpo-Publisher

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Book] 転倒予防教室-転倒予防への医学的対応-第2版2002

    • Author(s)
      武藤芳照他
    • Total Pages
      332
    • Publisher
      日本医事新報社
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 武藤芳照, 太田美穂, 長谷川亜弓: "高齢者の転倒・骨折の予防医学.生活習慣病への整形外科医の関わり"日本整形外科スポーツ医学会誌. 23・2. 147-157 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Hyuntae PARK, Sungjin PARK, Taiki KOMATSU, Tetsuo KAMINAI, Yoshiteru MUTOH: "Walking Characteristics and Bone Mineral Density in Community-dwelling Elderly Women : A Cross-Sectional Study."Journal of Physical Education and Medicine. 4・1. 11-19 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 上岡洋晴, 岡田真平, 武藤芳照他: "転倒恐怖者の移動能力と生活状況に関する研究"身体教育医学研究. 4・1. 21-26 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 武藤芳照: "「運動」をどうとらえるか"治療学. 37・12. 62-63 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 奥泉宏康, 黒柳律雄, 武藤芳照, 長谷川亜弓: "高齢者の骨粗鬆症に伴う骨折予防のための「転倒予防教室」事業の方法・内容と普及・教育"CLINICAL CALCIUM. 14・3. 30-35 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 岡田真平, 上岡洋晴, 小林佳澄, 高橋亮輔, 太田美穂, 武藤芳照: "転倒予防を主眼とした高齢者の体力づくり"ジェントロジーニューホライズン. 14・4. 336-343 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 上内哲男, 武藤芳照: "転倒症例における医療事故管理"理学療法ジャーナル. 36・10. 763-769 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 武藤芳照, 太田美穂, 黒柳律雄, 上野勝則, 征矢野あや子: "高齢者の転倒・骨折の病態とその予防"整形外科. 53・3. 434-349 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 侯文, 上岡洋晴, 武藤芳照: "北京における在宅高齢者の移動能力及びバランス能力と生活特性との関連"身体教育医学研究. 3・1. 7-14 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 武藤芳照, 黒柳律雄, 上野勝則, 太田美穂: "転倒予防教室 第2版"日本医事新報社. 332 (2002)

    • Related Report
      2002 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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