Perbedaan Pengaruh Pemberian Aquatic Exercise Therapy Dengan Land Exercise Therapy Terhadap Peningkatan Keseimbangan Statis Dan Dinamis Lansia
Abstract
Penurunan fungsi tubuh pada lansia akan mengakibatkan penurunan fungsi keseimbangan, penurunan kemampuan fungsional, penurunan kemandirian dalam aktivitas kehidupan seharihari. Untuk mencegah jatuh dibutuhkan suatu latihan fisik yang dapat meningkatkan keseimbangan. Penelitian ini bertujuan untuk mengetahui apakah ada perbedaan pengaruh antara pemberian aquatic exercise therapy dan land exercise therapy terhadap peningkatan keseimbangan statis dan dinamis pada lansia. Subyek adalah Lansia paguyuban PEPABRI, desa Paulan, Colomadu, yang memenuhi kriteria inklusi dan eksklusi 29 orang lansia. Penelitian ini dilakukan dengan desain two group pre test and post test design. Variabel yang diukur adalah keseimbangan statis dan dinamis diukur menggunakan berg balance scale. Uji hipotesis dilakukan uji beda sebelum, sesudah perlakuan dengan uji wilcoxon. Uji beda antara kelompok I dan II menggunakan uji man withney.
Hasil uji pengaruh keseimbangan pada kelompok aquatic exercise therapy didapat p = 0,001 dan pada kelompok land exercise therapy didapat p = 0,001 sehingga dapat disimpulkan
bahwa aquatic exercise therapy dan land exercise therapy berpengaruh untuk meningkatkan keseimbangan lansia. Uji beda keseimbangan antara kelompok aquatic exercise therapy dan land exercise therapy didapat nilai p = 0,230 sehingga tidak ada perbedaan antara aquatic exercise therapy dan land exercise therapy untuk meningkatkan keseimbangan lansia. Kesimpulan aquatic exercise therapy sama pengaruhnya dengan land exercise therapy dalam meningkatkan keseimbangan statis dan dinamis lansia.
Downloads
References
Gai, J., Gomes, L., Nobrega, O.T., Rodrigues, M.P., 2010; Factor Related to Falls AmongElderly Women Resident in A Community, vol. 56, hal.327-332.Hausdorff, J.M., Alexander, N.B., 2005; Gait Disorder Evaluation and Management; Boca Raton, Taylor and FrancisGroup.Hosseini, S.S., Mirzaei, B.,Panahi, M., Rostamkhany, H., 2011; Effect of Aquatic BalanceTraining and Detraining on Neuromuscular Performance, Balance and Walking Ability inHealthy Older Men, vol. 9, hal. 661-666.Irfan, M., 2010; Fisioterapi Bagi Insan Stroke; Fitramaya, Yogyakarta, hal. 77.Ismayadi, 2004; Proses Menua; Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sumatera Utara, Sumatera Utara, hal. 1-3.Javaheri, S.A.A.H., Alikhajeh, Y., Rahimi, N.M., Rashidlamir, A., 2012; The Effect of Water and Land ExercisePrograms in Static and Dynamic Balance Among Elderly Men, Global Journal of Guidance and Counselling, Vol 2, No: 1, MayKisner, C., Colby, L.A., 2007; Therapeutic Exercise: Foundation and TechniquesFifth Edition,F.A. Davis Company, Philadelphia, hal. 273-275.Kuntarti,2006;FisiologiOtot;diaksestanggal7/7/14,dari http://staff.ui.ac.id/system/file/users/kuntarti/material/fisiologiotot.pdfLangley, F.A., Mackintosh, S.F.H., 2007; Functional Balance Assesment of Older CommunityDwelling Adults: A Systemic Review of the Literature, vol. 5, hal. 5Lee, Harry, K.M., Scudds, R.J., 2003; Comparison of Balance in Older People With and WithoutVisual Impairment: Age and Aging, vol. 32, hal. 643-649.Lord, S.R., Sherrington, C., Menz, H.B., Close, J.C.T., 2007; Falls in Older People, New York: Cambridge University Press.Maryam, R.S., Batubara, I., Ekasari, M.F., Jubaedi, A., Rosidawati, 2008; Mengenal Usia Lanjutdan Perawatannya; Salemba Medika, Jakarta, hal. 32-33.Mauk, K.L., 2010; Gerontologi Nursing Competencies for Care ( 2nded.); Sudbury: Janes and Barlett Publisher.Miller, Carol, A., 2004; Nursing for Wellneess in Older Adults: Theory and Practice (4thed.), Philadelphia.Mujahidullah, K., 2012; Keperawatan Geriatrik; Pustaka Pelajar, Yogyakarta, hal. 1-4.Neuls, P.D., Bieber, M.E., Car-Jules, S.A., Clark, T.L., Donlan, A.V., Neidel, W.H., Newton, R.A., Proctor, J.E., Van Heuklon, N.C., 2011; Usefullness of the Berg Balance Scale toPredict Falls in the Elderly, vol. 34, hal. 3-10.Philips, J.O., 2011; FindYour balance; diakses tanggal 16/7/14, dari http://issu.com/hearinghealthmagazinePoonam, K.P., Alan, M.J., Jonathan, F.B., Mary, D.S., Nancy, K.L., Robert, C.W., Pengsheng, N., 2011; Sensitivity to Change and Responsiveness of Four Balance Measure forCommunity-Dwelling Older Adults, vol. 92, hal. 1-12.Pudjiastuti, S.S., Utomo, B., 2003; Fisioterapi Pada Lansia; Penerbit Buku Kedokteran EGC, Jakarta, hal. 5-17.Resende, S.M., Rassi, C.M., Viana, F.P., 2008; Effect of Hydrotherapy in Balance andPrevention of Falls among Elderly Women, vol. 12, hal.57-63.Rosmalina, Y., 2003; Hubungan Faktor Internal dan Eksternal dengan Keseimbangan Lansia diDesa Pamijen Sokaraja Banyumas; diakses tanggal 13/7/14, dari http://ejournal.litbang.depkes.go.id
Roth, A.E., Miller, M.G., Ricard, M., Ritenour, D., Chapman, B.L., 2006; Comparison of Staticand Dynamic Balance Following Training in Aquatic and Land Environments, vol. 15, hal. 299-311.Shimoyama, I., Yoshida, A., Yugeta, T., Asano, Y., Murata, A., Shimada, H., Yoshizaki, K., 2011; Postural Balance on Standing Upright and Knees Flexion-Extension for Aging, vol. 18, hal. 41-46.Singh, M.A.F., 2000; Exercise, Nutrition, and The Older Woman: Wellness for Women OverFifty, Boca raton: CRC Press LLC.Todd, C., Skelton, D., 2004; What are The Main Risk Factors for Falls Among Older People andWhat areThe Most Effective Interventions to Prevent These Falls?, Copenhagen: WHO Regional Office for Europe.Vivanti, A., Ward N., Haines, T., 2011; Nutritional Status and Association with Falls, Balance,Mobility, and Functionality During Hospital Admission, vol. 15, hal. 388-391.Walia, R., Shefali, 2012; A Comparison Between Land-Based and Water-Based Balance Training Exercise Program in Improvement of Balance in community Dwelling Elderly Population, Indian Journal of Physiotherapy and Ocupatioonal Therapy, Vol. 6, No.3.Wollam, K., Cynthia, Henley, 2009; Benefits and Techniques of Aquatic Therapy; diakses tanggal 7/7/14, darihttp://www.ednf.org
The use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution 4.0 International License.
Author’s Warranties
The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).
User Rights
JFR's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, JFR permits users to copy, distribute, display, and perform the work. Users will also need to attribute authors and JFR on distributing works in the journal.
Rights of Authors
Authors retain all their rights to the published works, such as (but not limited to) the following rights;
- Copyright and other proprietary rights relating to the article, such as patent rights,
- The right to use the substance of the article in own future works, including lectures and books,
- The right to reproduce the article for own purposes,
- The right to self-archive the article
Co-Authorship
If the article was jointly prepared by other authors, any authors submitting the manuscript warrants that he/she has been authorized by all co-authors to be agreed on this copyright and license notice (agreement) on their behalf, and agrees to inform his/her co-authors of the terms of this policy. JFR will not be held liable for anything that may arise due to the author(s) internal dispute. JFR will only communicate with the corresponding author.
Miscellaneous
JFR will publish the article (or have it published) in the journal if the article’s editorial process is successfully completed. JFR's editors may modify the article to a style of punctuation, spelling, capitalization, referencing and usage that deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers as mentioned in point 3.