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A study to identify the predictors of fall/stumbling tendency among community-dwelling elderly people in concerning gate abilities.

Research Project

Project/Area Number 20590637
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Public health/Health science
Research InstitutionNiigata University

Principal Investigator

SHINODA Kunihiko  Niigata University, 人文社会・教育科学系, 教授 (80134906)

Co-Investigator(Renkei-kenkyūsha) TANABE Naohito  新潟大学, 医歯学系, 准教授 (40270938)
SEKI Nao  新潟大学, 医歯学系, 教授 (30270937)
OKAMURA Taro  千葉県立保健医療大学, 健康科学部, 教授 (30367429)
KONISHI Isamu  新潟医療福祉大学, 医療技術学部, 准教授 (70367431)
SUZUKI Hiroshi  新潟青陵大学, 看護福祉心理学部, 教授 (20091704)
Project Period (FY) 2008 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2010: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2009: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2008: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords高齢者 / 転倒予防 / 歩行能力 / 臨界点
Research Abstract

Five studies were conducted to identify the predictors of fall among community-dwelling elderly people in Japan. In study 1, the relationship between falls and lower limbs strength among community-dwelling elderly people were examined. It appears that the strength of hip extension and knee flexion are significantly useful to discriminate fall tendency among elderly. In study 2, the lower limbs strength of elderly people was examined between fall-free group and fall-tendency group. The fall-tendency group show weaker strength about hip extension and knee flexion than fall-free group. Furthermore, the results of the maximal 3 steps among fall-tendency group show lower scores than the results of fall-free group. On the other hand, the maximal 3 steps scores are co-related significantly to the strength of hip extension, knee flexion, hip flexion and knee extension.
It was found that if the strength ratio of lower limbs about gluteus major/psoas major and hamstring/quadriceps less than 0.55, the fall tendency will be increased. If the difference ratio between right and left on hip flexion/extension and knee flexion/extension higher than 15%, the fall tendency will be increased. If the strength of lower limbs less than 20lb, the fall tendency will be increased.
Seasonal change of gate steps on one day was examined. Gate steps on one day among elderly show decrease tendency on winter and summer season. During 12 months, 8 falls and 17 stumbling occurred among community-dwelling elderly. Although falls occurred in each season, 11 stumbling occurred in winter. In conclusion, the maximal 3 steps is useful tool for discriminate fall or stumbling tendency among elderly. And also suggested that fall prevention related strength training should be conducted from autumn for elderly.

Report

(4 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (13 results)

All 2010 2009 2008 Other

All Journal Article (3 results) (of which Peer Reviewed: 3 results) Presentation (7 results) Book (1 results) Remarks (2 results)

  • [Journal Article] Physiotherapy Program through Home Visits for Community-Dwelling Elderly Japanese Women with Mild Knee Pain2009

    • Author(s)
      Isamu Konishi, et. al
    • Journal Title

      Tohoku Journal of Experimental Medicine 219

      Pages: 91-99

    • NAID

      10025534381

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 食習慣と体格・体型認識、運動習慣との関係の検討2009

    • Author(s)
      伊藤由紀, 佐藤由太、篠田邦彦
    • Journal Title

      体力科学 58-56

      Pages: 680-680

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 運動頻度を指標とした小・中・高校生活実態と新体力テスト結果の検討2009

    • Author(s)
      佐藤由太, 伊藤由紀, 篠田邦彦
    • Journal Title

      体力科学 58-56

      Pages: 681-681

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] 中高齢者の転倒傾向と下肢筋群筋力との関係の検討2010

    • Author(s)
      篠田邦彦, 岡村太郎, 田邊直仁古, 西勇関, 奈緒, 鈴木宏
    • Organizer
      第69回日本公衆衛生学会総会
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2010-10-28
    • Related Report
      2010 Annual Research Report
  • [Presentation] 中高齢者の転倒傾向と下肢筋群筋力との関係の検討2010

    • Author(s)
      篠田邦彦、岡村太郎、田辺直仁、古西勇、関奈緒、鈴木宏
    • Organizer
      第69回日本公衆衛生学会総会
    • Place of Presentation
      東京
    • Related Report
      2010 Final Research Report
  • [Presentation] 中高年地域住民の膝痛へのリスク評価における有用な体格指標2009

    • Author(s)
      古西勇、田邊直仁、関奈緒、鈴木宏、篠田邦彦、星野恵美子、岡村太郎
    • Organizer
      日本公衆衛生学会
    • Place of Presentation
      奈良市
    • Year and Date
      2009-10-15
    • Related Report
      2009 Annual Research Report
  • [Presentation] 食習慣と体格・体型認識、運動習慣との関係の検討2009

    • Author(s)
      伊藤由紀, 佐藤由太、篠田邦彦
    • Organizer
      日本体力医学会
    • Place of Presentation
      新潟市朱鷺メッセ
    • Year and Date
      2009-09-20
    • Related Report
      2009 Annual Research Report
  • [Presentation] 運動頻度を指標とした小・中・高校生の生活実態と新体力テスト結果の検討2009

    • Author(s)
      佐藤由太、伊藤由紀, 篠田邦彦
    • Organizer
      日本体力医学会
    • Place of Presentation
      新潟市朱鷺メッセ
    • Year and Date
      2009-09-20
    • Related Report
      2009 Annual Research Report
  • [Presentation] 立位姿勢写真によるアライメント評価は軽強度エクササイズの効果判定に有効か2008

    • Author(s)
      松尾真輔 篠田邦彦
    • Organizer
      第67回日本公衆衛生学会総会
    • Place of Presentation
      福岡国際会議場
    • Year and Date
      2008-11-06
    • Related Report
      2008 Annual Research Report
  • [Presentation] 膝痛のある高齢女性への在宅訪問による理学療法の効果2008

    • Author(s)
      小西勇, 田辺直仁, 関奈緒, 鈴木宏, 篠田邦彦, 星野恵美子
    • Organizer
      第67回日本公衆衛生学会総会
    • Place of Presentation
      福岡国際会議場
    • Year and Date
      2008-11-06
    • Related Report
      2008 Annual Research Report
  • [Book] 平成21年度子どもの体力つくり支援事業指導者のための体力向上ハンドブック2010

    • Author(s)
      篠田邦彦
    • Total Pages
      36
    • Publisher
      新潟県教育委員会
    • Related Report
      2009 Annual Research Report
  • [Remarks] ホームページ等

    • Related Report
      2010 Final Research Report
  • [Remarks] 平成20年度~平成22年度までの研究成果をまとめた研究成果報告書を作成した。

    • Related Report
      2010 Annual Research Report

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Published: 2008-04-01   Modified: 2016-04-21  

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