scholarly journals The Effect of Ankle Strategy Exercises on Static Balance in The Elderly

2021 ◽  
Vol 14 (1) ◽  
pp. 32-37
Author(s):  
Dwi Yuniar Ramadhani ◽  
Putri Arivia

Decreased muscle strength is a musculoskeletal disorder in the elderly, resulting in slow movements and impaired physical mobility. Physical changes that occur in the elderly cause the risk of falling. This study analyzes the ankle strategy exercise's effect on static balance in the elderly at Regional Technical Implementation Unit (UPTD) Griya Werdha Surabaya.   This study was Pre-Experimental with One Group Pre-Post Test Design. From the population, there were thirty-five respondents by simple random sampling. This study's independent variable was ankle strategy exercises with frequency three times a week within a month. The dependent variable was a static balance with the instrument Time Up Go (TUG) test. The authors analyzed the data with the Wilcoxon test. The study results showed a significant effect of the ankle strategy exercise on static balance in the elderly (p=0,000). The result showed a decrease in the number of elderly who have the high-risk of falling before the ankle strategy exercise (60% of elderly have a high risk of falling) and after the intervention (34% of elderly have a decreased risk of falling).   The elderly should do the ankle strategy exercise independently or with assistant three times a week to improve their static balance and decrease their high-risk of falls.  

2020 ◽  
Vol 5 (1) ◽  
pp. 1-5
Author(s):  
Ni Made Dwi Yunica Astriani ◽  
Putu Indah Sintya Dewi ◽  
I Putu Indra Yudiastu ◽  
Made Mahaguna Putra

Abstract: Tandem Stance Therapy is a therapy that is usually given to the elderly who are at risk of falling. The purpose of this study was to analyze the effect of tandem stance therapy on the risk of falling in the elderly in Giri Emas Village, Sawan District, Buleleng Regency. The research design was pre-experimental with one group pretest post-test design approach with a sample of 64 respondents selected using simple random sampling technique. Data collection was performed using the Morse Fall Scale (MFS) questionnaire. This study uses the Wilcoxon test. The results showed that the pre-test means value was 2.41 and the post-test score was 2.27. Wilcoxon test results obtained pretest and posttest (0.003) <α (0.05). It was concluded that there was an influence of Tandem Stance Therapy on Falling Risk in the Elderly in Giri Emas Village, Sawan District, Buleleng Regency.


2021 ◽  
Vol 19 (3) ◽  
pp. 279-288
Author(s):  
Mohammad Hani Mansori ◽  
◽  
Yousef Moghadas Tabrizi ◽  
Kamal Mohammadkhani ◽  
◽  
...  

Objectives: Walking and balance control are determining factors in the independence of the elderly because they are the main components of daily physical activity. This study evaluated the effectiveness of Dynamic Neuromuscular Stability (DNS) training on balance and gait function in the elderly. Methods: This study had a pre-test/post-test design. It was a quasi-experimental study performed on 30 older men aged 60-70 years in Qom Province, Iran, in 2021. The elderly was randomly divided into experimental (n=15) and control (n=15) groups. The Experimental Group (EG) participated in three 45-min sessions of dynamic neuromuscular stability training every week for 6 weeks, and the Control Group (CG) continued their normal daily routine. Berg balance scale (dynamic balance), modified stork stand (static balance), and temporal and spatial gait parameters were used to collect information before and after applying the training protocol. The obtained data were analyzed using ANCOVA statistical method and the paired t test. Results: There were significant differences between pre-test and post-test in EG regarding the variables of dynamic balance, static balance (P=0.001), and gait function, but in the CG, no significant difference was observed for these variables (P>0.05). Also, there was a significant difference between the mean scores obtained in the balance and gait tests between the two groups (P<0.05), and EG performed better in the post-test. Discussion: DNS training due to the great variety of movement in different parts of the body and the effect on improving strength, flexibility, range of motion, and physical fitness can also improve balance and gait function in the elderly. According to the present study results, one of the best ways to reduce the costs and physical, psychological, and social problems caused by aging is to use DNS training for the elderly.


2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
N Swiatoniowska-Lonc ◽  
E Jaciow ◽  
J Polanski ◽  
B Jankowska-Polanska

Abstract Funding Acknowledgements Type of funding sources: None. Background. Falls among the elderly are a major cause of injury, significant disability and premature death. Hypotension is a potential risk factor for falls in older adults, especially patients with hypertension (HTN) taking antihypertensive drugs. Furthermore, the cardiovascular benefit of treatment of hypertension in older patients is clear, findings from observational studies have raised concerns that antihypertensive therapies in the elderly might also induce adverse effects, including injurious falls.  In spite of the large number of issues related to this topic, the analysis of the causes of falls is insufficient. The aim of the study was to assess the frequency of falls and the impact of selected variables on the occurrence of risk of falls among patients with HTN. Material and methods. 100 patients, including 55 women, with HTN (mean age 69.4 ± 3.29 years) were enrolled into the study. The Tinetti test was used to assess the risk of falls. Sociodemographic and clinical data were obtained from the hospital register. Results. 89% of patients had a high risk of falls and 11% were prone to falls. The average number of falls during the last year in the study group was 1.86 ± 2.82 and in 30% of cases the fall was the cause of hospitalization. Single-factor analysis of the influence of selected variables on the risk of falls showed that higher values of SBP (-0.27; p = 0.007), DBP (-0.279; p = 0.005) and younger age of patients decrease the risk of falls (-0.273; p = 0.006). The linear regression model showed that independent predictors increasing the risk of falling are: use of diuretics (β=4.192; p &lt; 0.001), co-occurrence of ischemic heart disease (β=4.669; p = 0. 007) and co-occurrence of heart failure (β=3.494; p = 0.016), and predictors reducing the risk of falling patients with hypertension are: the use of beta-blockers (β= -4.033; p = 0.013) and higher DBP value (β= -0.123; p = 0.016). Conclusions. Patients with HTN have a high risk of falling. Independent determinants increasing the risk of falling patients with HTN are the use of diuretics and the co-occurrence of ischemic heart disease or heart failure, while beta-blockers and a higher DBP value are factors reducing the risk of falling. Fall risk assessment and implementation of fall prevention should be carried out in everyday practice.


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ninik Nurhidayah

Abstract : Elders, Aerobic. Decreased physical function of the elderly causes the risk of falling. Falling in the elderly can lead to injury. Injuries that occur can lead to serious disability in the elderly. This study aims to determine to determine the effect of gymnastics and aerobics against the risk of falling in the elderly in the Village Sobokerto Ngemplak Boyolali District. The study was conducted with quasi experimental design. The sampling technique with random sampling. Total sample of 30 elderly consisting of 15 persons and 15 persons group gymnastics aerobics group. The research instrument used Tinetti test. The pre-test was conducted to determine the risk of falls of elderly before gymnastics and aerobics. Post-test performed after gymnastics and aerobics. Gymnastics and aerobics done 3 times/week for about 4 weeks with a duration of 20-30 minutes. Analysis of the data with the t-test. The significance level (= 0.05) and local criticism (dk) with dk = N - 1. The value of t count on gymnastics group is-1853, with a significance value (probability) 0.084. Therefore we can conclude there is no influence of exercise on the risk of falls in the elderly village Ngemplak Sobokerto District of Boyolali. T-count the aerobic group is -3290, with a significance value (probability) of 0.005. This means that the aerobic effect in reducing the risk of falls in the elderly Sobokerto Village District of Ngemplak Boyolali Central of Java. There is an aerobic effect on the risk of falls in the elderly village Ngemplak Sobokerto District of Boyolali.


2021 ◽  
Vol 7 (3) ◽  
pp. 177
Author(s):  
Yusuf Adi Saputra ◽  
Anggraini Dwi Kurnia ◽  
Nur Aini

Latar Belakang: Dismenore merupakan salah satu masalah menstruasi yang sering dialami oleh remaja putri. Namun hal tersebut sering diabaikan bahkan dianggap biasa, padahal dismenore bisa menjadi hal yang serius apabila tidak segera ditangani. Pendidikan kesehatan merupakan upaya yang dilakukan untuk merubah perilaku dan peduli terhadap masalah kesehatan individu dan kelompok. Tujuan penelitian ini adalah untuk mengetahui perubahan upaya yang dilakukan remaja saat nyeri haid sebelum dan sesudah diberikan pendidikan kesehatan tentang dismenore.Metode: Desain penelitian yang digunakan adalah experimental research dengan jenis praeskperimen one group pre-test post-tes design. Teknik pengambilan sampel yang digunakan adalah probability dengan jenis simple random sampling. Total responden adalah 30 orang. Penelitian dilakukan di SMP Muhammadiyah 1 Malang. Analisa data dilakukan menggunakan Uji Wilcoxon test.Hasil Dan Pembahasan: Hasil pre-test dan post-test pada kelompok intervensi yaitu sebanyak 23 (77%) siswi dalam kategori kurang baik dan 7 (23%) siswi memiliki upaya baik, setelah diberikan pendidikan kesehatan tentang dismenore 30 (100%) siswi memiliki upaya baik. Uji Wilcoxon test didapatkan nilai sig. (2-tailed) adalah 0,000, dimana jika dibandingkan dengan nilai α (0,05) maka akan didapatkan 0,000 < 0,05. Sehingga pendidikan kesehatan tentang dismenore berpengaruh terhadap upaya remaja untuk menurunkan nyeri menstruasi (dismenore primer).Kesimpulan: Pendidikan kesehatan tentang dismenore sangat penting diberikan pada remaja yang baru mengalami menstruasi karena bisa menjadi panduan bagi remaja untuk mengatasi dismenore oleh karena itu petugas kesehatan dan guru harus sering melakukan penyuluhan dan konseling tentang masalah menstruasi serta cara untuk mengatasi dismenore dengan tepat


2019 ◽  
Vol 9 (1) ◽  
pp. 56-61
Author(s):  
Asti Nuraeni ◽  
Sri Hartini

Proses menua merupakan proses menghilangnya secara perlahan kemampuan jaringan untuk memperbaiki diri atau mengganti dan mempertahankan fungsi normalnya sehingga tidak dapat bertahan terhadap infeksi dan perbaikan kerusakan yang diderita. Masalah kesehatan yang sering terjadi pada lansia salah satunya adalah muskuloskeletal, yaitu penurunan massa dan tonus otot, serat otot berkurang ukurannya, kekuatan otot berkurang. Insiden jatuh di Indonesia tercatat dari 115 penghuni panti sebanyak 30 lansia atau sekitar 43,47%. Salah satu upaya mencegah terjadinya jatuh pada lansia yaitu dengan cara latihan keseimbangan fisik. Tujuan dari penelitian ini adalah menganalisis pengaruh latihan keseimbangan fisik dengan penilaian Tinetti POMA terhadap penurunan kejadian lansia jatuh. Desain penelitian ini menggunakan pre-eksperimental dengan metode one group pretest posttest design. Teknik sampling pada penelitian ini menggunakan metode simple random sampling dan besar sampel menggunakan Roschoe dengan jumlah sampel 30 responden. Hasil penelitian menunjukan bahwa Sebelum diberikan intervensi, menunjukan hasil bahwa responden lansia  yang memiliki risiko jatuh tinggi sebanyak 9 responden (30,0%), dan responden dengan risiko jatuh sedang sebanyak 21 responden (70,0%). Sedangkan setelah diberikan intervensi menunjukan hasil yang sama besar yaitu sebanyak 15 responden (50%) memiliki risiko jatuh sedang dan 15 responden (50%) memiliki risiko jatuh rendah. Hasil statistik dengan uji paired t test menunjukkan ada pengaruh latihan keseimbangan fisik lansia dengan kajian jatih pada lansia dengan P value 0,000. Perawat diharapkan mampu mencegah risiko jatuh pada lansia dengan memberikan bekal ilmu pengetahuan kepada petugas panti/ kader tentang pengkajian lansia yang beresiko jatuh yang kemudian untuk melakukan pencegahan pada lansia dengan diberikan latihan keseimbangan fisik.   Kata kunci : Tinetti POMA, latihan keseimbangan fisik   RISK DECREASING FALLS THROUGH TINETTI PERFORMANCE ORIENTED MOBILITY ASSESSMENT (POMA) ASSESSMENT WITH EXERCISEPHYSICAL BALANCE IN ELDERLY   ABSTRACT Aging is a process of slowly disappearing the ability of tissue to repair itself or replace and maintain its normal function so it cannot withstand infections and repair damage suffered. Health problems that often occur in the elderly, one of which is musculoskeletal, which is a decrease in muscle mass and tone, muscle fiber decreases in size, muscle strength decreases. The falling incident in Indonesia was recorded by 115 orphanage residents as many as 30 elderly or around 43.47%. One effort to prevent falls in the elderly is by physical balance training. The purpose of this study was to analyze the effect of physical balance training with the Tinetti POMA assessment of the decline in the incidence of elderly falls. The design of this study used a pre-experimental method with one group pretest posttest design. The sampling technique in this study used a simple random sampling method and the sample size used Roschoe with a sample of 30 respondents. The results showed that before the intervention was given, the results showed that elderly respondents who had a high risk of falling were 9 respondents (30.0%), and respondents with a moderate risk of falling were 21 respondents (70.0%). Whereas after being given the intervention showed the same results as many as 15 respondents (50%) had a risk of moderate fall and 15 respondents (50%) had a risk of falling low. Statistical results with paired t test showed that there was an effect of elderly physical balance training with a jatih study on the elderly with P value 0,000. Nurses are expected to be able to prevent the risk of falling on the elderly by providing knowledge to nursing staff / cadres about the study of elderly people who are at risk of falling who then to prevent the elderly by being given physical balance training. Keywords: POMA Tinetti, physical balance training


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Cicilia Wahju Djajanti ◽  
Paula Aprilia Sukmanto ◽  
Iriene Kusuma Wardhani

At Lack of information is a risk factor for lack of knowledge on adolescents about the eye health. Phenomenon was obtained by adolescents in Kemala Bhayangkari 4 Waru High School had never received information about eye health. When they were asked didn’t know how to keep eye health. The purpose of this study was to identify effect of counseling on the level of knowledge (know) of adolescents about eye health before and after counseling in Kemala Bhayangkari 4 Waru High School. Design of this study was Pre Experimental One Group Pre Post Test Design. Sample of this study was grade X students at SMA Kemala Bhayangkari 4 Waru which included as many as 58 inclusion criteria using simple random sampling techniques. Instrument used was a questionnaire. Data were analyzed using descriptive statistics proportion with results before giving counseling 45% of respondents had a lack of knowledge. After being given counseling more than 50% (65%) of respondents had a good level of knowledge. Wilcoxon test results showed value of ρ (0,000) <α (0.05), so H0 was rejected, meaning that there is an influence of counseling on the level of knowledge (know) of adolescents about eye health before and after counseling.


Author(s):  
Ni Wayan Rusni ◽  
Ketut Tirtayasa ◽  
I Made Muliarta

Employment in the garment industries involves a lot of human resources as workers, especially those in the sewing sector. Workers who work in the garment industry have higher possibility to suffer musculoskeletal disorders compared with those in other industries. Less ergonomic working postures is one of the factors that can affect the quality and quantity  of the tailor’s work. Lack of rest time and nutrition of the workers are also additional factor for the musculoskeletal complaints and fatigue in workers that will ultimately impact to the productivity. Therefore, ergonomic intervention is needed in forms of workplace stretching exercise and giving sweet tea to overcome the condition.   This research was an experimental study using treatment by subject design on 25 samples selected by simple random sampling method. Interventions given were WSE and sweet tea. Data were collected three times before and after intervention with washing out period for one day. The data collected comprised subjective fatigue using questionnaire of 30 items of fatigue, data for the musculoskeletal complaints used questionnaire of nordic body map, and also employ productivity by calculation partial productivity.   Data analysis was done initially by the descriptive analysis with the significance’s level ?=0.05 and the normality data tested with Shapiro-Wilk. Subsequently, the data with normal distribution were analyzed by t-paired, while the data with abnormal distribution analyzed be Wilcoxon test. The results showed, there was decrease of musculoskeletal complaints of 24.98%, decrease of fatigue 27.06%, and increase of labor productivity  66.67% all were significant (p<0.05).   Inconclusion, the ergonomic intervention with WSE and giving sweet tea can improve the physiologic response as shown decrease of fatigue and musculoskeletal complaints as well as increase of labor productivity of the tailors. It is recommended  that the study results be applied by tailors working in garment industry or individually.


2020 ◽  
Vol 1 (2) ◽  
pp. 21
Author(s):  
Puspa Ayu Larasanti ◽  
Baiq Iin Rumintang

Latar Belakang : Setiap hari di negara berkembang, 20.000 anak perempuan di bawah usia 18 melahirkan. Pada tahun 2014 kasus kehamilan remaja mencapai 33,4 juta remaja. Berdasarkan hasil studi pendahuluan yang peneliti lakukan, Kabupaten Lombok Barat merupakan wilayah yang memiliki jumlah ibu hamil terbanyak pada tahun 2017 dengan 15,246 jiwa dibandingkan Wilayah Kota Mataram dengan 10,021 Jiwa, hasil studi kasus kehamilan remaja pada tahun 2017 kasus tertinggi berada di wilayah Puskesmas Lingsar dengan 135 Kasus. Penggunaan media yang tepat dalam memberikan pendidikan kesehatan menjadi salah satu solusi untuk menyelesaikan permasalahan dalam mengurangi kejadian kehamilan remaja. Video merupakan media yang tepat karena video memiliki durasi yang tidak terlalu panjang. Tujuan : Untuk mengetahui adanya Pengaruh Pendidikan Kesehatan Menggunakan Media Video Terhadap Peningkatan Pengetahuan Remaja Putri Mengenai Dampak Kehamilan Usia Remaja Di SMPN 1 Lingsar tahun 2018. Metode : Desain penelitian ini dilaksanakan dengan menggunakan rancangan penelitian One Group Pre-test Post-test. Teknik pengambilan sampel pada penelitian ini menggunakan Simple Random Sampling dengan sampel berjumlah 40 responden. Peneliti memberikan intervensi berupa pendidikan kesehatan menggunakan media video mengenai dampak kehamilan remaja yang berdurasi 10 menit. Pemberian pendidikan kesehatan diberikan selama 1 hari dan berlangsung 1 jam dengan 2x pemberian pendidikan kesehatan menggunakan media video yaitu setelah pretest dan  sebelum posttest. Hasil : Sebelum diberikan intervensi responden yang mendapatkan skor 76-100 (Kriteria Baik) sebanyak 2 responden (5,0%), kemudian setelah diberikan intervensi responden yang mendapatkan skor 76-100  (Kriteria Baik) meningkat menjadi 37 responden (92,5%)  Hasil uji statistik dengan Wilcoxon Test diperoleh nilai p value = 0,000 atau p < α=0,05 Kesimpulan : Ada Pengaruh Pendidikan Kesehatan Menggunakan Media Video Terhadap Peningkatan Pengetahuan Remaja Putri Mengenai Dampak Kehamilan Usia Remaja Di SMPN 1 Lingsar Tahun 2018 AbstractBackground: Every day in developing countries, 20,000 girls under the age of 18 give birth. In 2014 cases of teenage pregnancy reached 33.4 million adolescents. Based on the results of a preliminary study conducted by researchers, West Lombok Regency is the region that has the highest number of pregnant women in 2017 with 15,246 people compared to Mataram City Region with 10,021 Souls, the results of the 2017 teenage pregnancy case study the highest case in the Lingsar Health Center with 135 Case. The use of appropriate media in providing health education is one solution to solve the problem in reducing the incidence of teenage pregnancy. Video is the right media because the video has a duration that is not too long.Aim : This research is to know the influence of Health Education Using Media Video to Improving Young Women Knowledge About The Impact Of Teenage Adolescent Pregnancy At SMPN 1 Lingsar 2018.Method : The design of this study was conducted using the One Group Pre-test Post-test design. Sampling technique in this study using Simple Random Sampling with a sample amounted to 40 respondents. Researchers provide intervention in the form of health education using video media about the impact of teen pregnancy which lasted 10 minutes. Provision of health education is given for 1 day and lasts 1 hour with 2x of health education using video media and that is after pretest and before posttest.Results : Before the intervention of respondents who got the score of 76-100 (Good Criteria) as much as 2 respondents (5.0%), then after given the intervention of respondents who get score 76-100 (Good Criteria) 37 respondents (92.5%) Results of statistical tests with Wilcoxon Test obtained P value = 0,000 or p <α = 0.05Conclusion : There is an Effect Health Education Using Video Media To Increasing Young Women Knowledge About The Impact Of Teenage Adolescent Pregnancy at SMPN 1 Lingsar in Year 2018


2018 ◽  
Vol 5 (3) ◽  
pp. 218-223
Author(s):  
Khamida Khamida ◽  
Abdul Muhith ◽  
Rohmadi Yuda Diharja ◽  
Ririn Probowati

ABSTRACTAging is something that can cause health problems, both physical and mental health for the elderly. Anxiety is one of mental health experienced in the elderly. If it continues to ignored, it will have an impact to the memories or nightmares experienced by the elderly will recur, therefore the quality of the elderly's sleep will diminish. The purpose of this study was to determine the effect of Tai Chi Gymnastics on Elderly Anxiety.The study design used the One Group Pre-Post Test Design, the sample was elderly at the Posyandu Perintis Ngagel Rejo Surabaya.32 subject taken by Simple Random Sampling technique. The Independent Variable is Tai Chi Gymnastics, the dependent variable is Anxiety. Anxiety instruments were measured using the HRS-A questionnaire. Data were analyzed by the Wilcoxon test with significance ? = 0.05. The results of the study before being given Tai Chi Gymnastics were mostly (59.4%) respondents had mild anxiety. After being given Tai Chi Gymnastics most (59.4%) respondents were not experiencing anxiety (normal). Analysis of the Wilcoxon Sign Rank Test obtained p = 0,000 <? = 0.05, meaning that there is an effect of Tai Chi Gymnastics on decreasing anxiety. Conclusions from this study that Tai Chi exercise can reduce anxiety in the elderly. It is expected that nurses can provide Tai Chi gymnastics as a nurse's independent nursing intervention in the management of decreased anxiety.Keywords: Anxiety, Elderly, Tai Chi Gymnastics.ABSTRAKMenua merupakan hal yang dapat menimbulkan masalah kesehatan baik kesehatan umum maupun kesehatan jiwa bagi lansia.Kesehatan jiwa yang dialami pada lansia yaitu salah satunya adalah kecemasan. Apabila terus menerus dibiarkan, akan berdampak yaitu ingatan atau mimpi buruk yang dialami lansia akan terulang kembali dan kualitas tidur lansia menjadi berkurang. Tujuan dari penelitian ini adalah untuk mengetahui Pengaruh Senam Tai Chi Terhadap Kecemasan Lansia.Desain penelitian menggunakan One Group Pre- Post Test Design, sampel adalah lansia di Posyandu Perintis Ngagel Rejo Surabaya sebesar 32 Orang yang diambil dengan teknik Simple Random Sampling. Variabel Independen adalah Senam Tai Chi, variabel dependen adalah Kecemasan.Instrumen Kecemasan diukur menggunakan kuesioner HRS-A. Data dianalisis dengan uji Wilcoxon dengan kemaknaan?= 0,05.Hasil penelitian sebelum diberikan Senam Tai Chi sebagian besar (59,4 %) responden mempunyai kecemasan ringan. Setelah diberikan Senam Tai Chi sebagian besar (59,4 %) responden tidak cemas (normal). Analisa uji Wilcoxon Sign Rank Test didapatkan p=0,000< ? =0,05, artinya ada pengaruh Senam Tai Chi terhadap penurunan kecemasan.Simpulan dari penelitian ini bahwa senam Tai Chi dapat menurunkan kecemasan pada lansia.Diharapkan perawat dapat memberikan senam Tai Chi sebagai intervensi keperawatan mandiri perawat dalam penatalaksanaan penurunan kecemasan.Kata Kunci :Kecemasan, Lansia, Senam Tai Chi.


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