Study of Leg Muscle Strength and Fear of Falling of Elderly People in Nakhon Ratchasima Province
Keywords:
Elderly, Leg Muscle Strength, Fear of Falling, risk for fallAbstract
The objectives of this research are to measure leg muscle strength and to study fear of falling in elderly people. This study was divided into survey research and experimental research. Personal data and fear of falling are collected using a set of questionnaires. Body dimensions are measured by anthropometer. Leg muscle strength is evaluated by strength evaluation system. Risk for falls is assessed by Five Time Sit to Stand Test (FTSST). The subjects were 45 elderly people. The age ranges 60-82 years old with 18 males (40%) and 27 females (60%). The results show that seven elderly people (15.6%) have high level of fear of falling, and fourteen senior citizens (31.1%) have moderate level of fear of falling. Chair without armrest leads to difficulty in rising up. From the analysis of FTSST, male elderly people complete FTSST in 14.16 + 5.57 s. on average, and female elderly people complete FTSST in 16.27 + 3.73 s. on average. The average male leg strength is 36.38 kg and the average female leg strength is 20.98 kg. Ordinal Logistic Regression is used to investigate relationship between fear of falling and age, leg muscle strength, and risk for falls. It is found that age and risk for falls have a significant effect on fear of falling. This study suggests that the elderly should exercise to strengthen their leg muscles for comfortable sit-ups and reduction in the risk of falling.
References
Alexander, N.B. 1994. Postural control in older adults. Journal of the American Geriatrics Society 42: 93-108.
Ballard, J.E., McFarland, C., Wallace, L.S., Holiday, D.B. and Roberson, G. 2004. The effect of 15 weeks of exercise on balance, leg strength, and reduction in falls in 40 women aged 65 to 89 years. Journal of the American Medical Women's Association 59(4): 255-261.
Brooks, V.B. 1986. The neural basis of motor control. Oxford University Press, Oxford.
Buchner, A. 2010. G*Power: users guide-analysis by design. Web Page of Heinrich-Heine Universität - Institut für experimentelle Psychologie. Available from: http://www.psycho.uniduesseldorf.de/abteilungen/aap/gpower3, March 1, 2019.
Campbell, A.J., Reinken, J., Allen, B. and Martinez, G. 1981. Falls in old age: A study of frequency and related clinical factors. Age and Ageing 10: 264-270.
Chen, L.K., Woo, J., Assantachai, P., Auyeung, T.W., Chou, M.Y., Iijima, K., Jang, H.C., Kang, L., Kim, M., Kim, S., Kojima, T., Kuzuya, M., Lee, J.S.W., Lee, S.Y., Lee, W.J., Lee, Y., Liang, C.K., Lim, J.Y., Lim, W. S., Peng, L.N., Sugimoto, K., Tanaka, T., Won, C.W., Yamada, M., Zhang, T., Akishita, M. and Arai, H. 2020. Asian working group for sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment. Journal of the American Medical Directors Association 21(3): 300-307.
Cohen, J. 1977. Statistical power analysis for the behavioral sciences. 1st ed. Erlbaum L. Publisher, Academic Press, New York.
Galli, M., Cimolin, V. and Crivellini, M. 2008. Campanini I quantitative analysis of sit to stand movement: experimental set-up definition and application to healthy and hemiplegic adults. Gait Posture 28(1): 80-85.
Han, P., Kang, L., Guo, Q., Wang, J., Zhang, W., Shen, S., Wang, X., Dong, R., Ma, Y., Shi, Y., Shi, Z., Li, H., Li, C., Ma, Y., Wang, L. and Niu, K. 2016. Prevalence and factors associated with sarcopenia in suburb-dwelling older Chinese using the Asian working group for sarcopenia definition. The Journals of Gerontology Series A, Biological Sciences and Medical Sciences 71(4):529-535.
Intaranon, K. 2005. Ergonomics. Chulalongkorn University Press, Bangkok. (in Thai)
Kim, C.M., Eng, J.J. and Whittaker, M.W. 2004. Level walking and ambulatory capacity in persons with incomplete spinal cord injury: relationship with muscle strength. Spinal Cord 42(3): 156-162.
Krityakierne, O. 1998. Design of chair for the elderly. Bachelor of Architecture (Industrial Design), King Mongkut's Institute of Technology Ladkrabang. (in Thai)
Lemmink, K.A.P.M., Han, K., de Greef, M.H.G., Rispens, P. and Stevens, M. 2001. Reliability of the Groningen fitness test for the elderly. Journal of Aging and Physical Activity 9(2): 194-212.
Lipsitz, L.A., Jonsson, P.V., Relley, M.M. and Roesner, J.S. 1991. Causes and correlates of recurrent falls in ambulatory frail elderly. Journal of Gerontology 46: 114-122.
Lord, S.R., Murray, S.M., Chapman, K., Munro, B. and Tiedemann, A. 2002. Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. Journals of Gerontology Series A: Biological Sciences Medical Sciences 57(8): 539-543.
Nakhon Ratchasima Provincial Statistical Office. 2019. Elderly in Nakhon Ratchasima Province. Situation of the elderly in Nakhon Ratchasima province 2019. Available Source: http://nkrat.nso.go.th/index.php?option=com_content&view=article&id=559:older62&catid =115:2017-11-07-04-53-35&Itemid=590, May 20, 2020. (in Thai)
Patel, H.P., Syddall, H.E. and Jameson, K. 2013. Prevalence of sarcopenia in community-dwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) definition: findings from the Hertfordshire Cohort Study (HCS). Age Ageing 42: 378-384.
Poncumhak, P., Insorn, T., Prasittimet, N. and Manota, P. 2014. The pilot study on the risk of fall prediction in Thai elderly using five times sit-to- stand test. Srinagarind Medical Journal 29(3): 237-242.
Promklang, D., Piaseu, N., Maruo, S.J. and Tantiprasoplap, S. 2018. Factors associated with sarcopenia amongst older adults in congested communities in Bangkok. Thai Journal of Nursing Council 33(1): 49-60. (in Thai)
Punyakunlaset, S., Chansatitporn, N. and Vatanasomboon, P. 2019. Factors affecting level of intention to quit smoking among police officers in the central region, Thailand. Journal of Health Science 28(6): 1029-1039. (in Thai)
Scheffer, A.C., Schuurmans, M.J., Dijk, N.V., Hooft, T.V. and Rooij, S.E. 2008. Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing 37: 19-24.
Tinetti, M.E., Richman, D. and Powell, L. 1990. Falls efficacy as a measure of fear of falling. Journal of Gerontology Psychological Sciences 45(6): 239-243.
Tongma, S., Klinpudtan, N., Sawangchit, S., Bandansin, J. and Srithumsuk, W. 2021. Nurses’ role in home care for older people with sarcopenia. Journal of The Royal Thai Army Nurses 22(1): 65-73. (in Thai)
Vander Linden, D.W., Brunt, D. and McCulloch, M.U. 1994. Variant and invariant characteristics of the sit-to-stand task in healthy elderly adults. Archives of Physical Medicine and Rehabilitation 75(6): 653-660.
Whitney, S.L., Wrisley, D.M., Marchetti, G.F., Gee, M.A., Redfern, M.S. and Furman, J.M. 2005. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test. Physical Therapy 85(10): 1034-45.
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