柔道の動きを取り入れた転倒予防体操の効果について

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In 2004, Hyogo Prefecture Judo Therapists Association created and started teaching an exercise program “fall-prevention exercise” for preventing people from falling down. Composed of 18 movements including deep breathing, this exercise was developed from basic Judo techniques such as mae-ukemi and zenpo kaiten-ukemi. The subjects were seven (4 males and 3 females) frail elderly, who are users of the care center for the elderly. The average age of these subjescts were 77.1±10.0 and their care levels were as follows: one yo-shien (in need of assistance), four yo-kaigo 1 (in need of care 1), and two yo-kaigo 2. When teaching the exercise, the main focus was on 3 movements especially similar to Judo ukemi: the positioning of the hands, protection of the head, and making a step forward.We measured the shoulder strength and choice reaction time. Shoulder strength was measured with shoulder dynamometer and choice reaction time was measured with reaction meter. Mats were placed at the right and the left in the anterior and the lateral directions. We measured the time it takes for the subjects to identify the red or the blue lamp which indicates the right or the left direction, and to step on the given mat. The measurement was carried right after starting the exercise, two months later, and four months later. At the same time, we took questionnaires on subjective effects the exercise had, both mentally and physically.Choice reaction time decreased significantly for right anterior and right and left lateral directions. No particular tendency was observed for shoulder strength. According to the questionnaire, in terms of subjective physical effects, the following articles had positive changes: “I enjoy the meal more,” “I feel refreshed,” “I have better sleep,” “My stomach is working better,” and “My back pain lessened.” As to actions from daily life, the following had positive effects: “I can turn over in bed more easily,” “I can get up more easily,” “I can stand up more easily,” and “I can walk more easily.”These results suggested that this exercise program “fall-prevention exercise” is effective for preventing frail elderly people from falling.

柔道の動きを取り入れた転倒予防体操の効果について

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