Mengurangi Risiko Jatuh pada Lanjut Usia dengan Latihan Keseimbangan

  • The Maria Meiwati Widagdo Duta Wacana Christian University
  • Rambat Sambudi
Keywords: falls risks, elderly, balance training, intervention

Abstract

Background: Population of elderly in Indonesia continues to grow. Physical changes in the elderly cause balance disturbances, increasing the risks of falling.

Objective: To determine balance training effectiveness on reducing risks of falls in elderly.

Methods: This study used a quasi-experimental design with control and intervention groups. Functional Reach Test (FRT) and Falls Efficacy Scale-International (FES-I) were used to assess balance function. The elderly in this study had risks of falling according to FRT and FES-I. Timed Get-up and Go Test was used to assess physical function. Education and balance exercises were given for 3 weeks to the intervention group. Pre-test data were taken at the beginning of the study, while post-test data after the balance training was given to the intervention group. Paired t-test was used to compare the pre-test and post-test data.

Results: Research was conducted in Warungboto and Giwangan Kampongs, Umbulharjo District, Yogyakarta Municipality. Data from 60 elderly: 30 in the intervention and 30 in the control groups. Paired t-test showed a significant difference between pre-test and post-test results in the intervention group on FRT (t=-16,301, p<0.001, and FES-I (t=-24,457, p<0.001). The three-week-balance-training significantly reduced the risk of falling in the intervention group. Significant difference was not found in the control group on FRT (t=-0.126, p=0.901), and FES-I (t=-0.764, p=0.451). There was no significant reduction in the risks of falls in the control group.

Conclusion: Balance training is effective in reducing the risk of falls in elderly.

References

1. Badan Pusat Statistik. Statistik Penduduk Lanjut Usia 2019.; 2019. https://www.bps.go.id/publication/download.html?nrbvfeve=YWIxN2U3NWRiZTYzMGUwNTExMGFlNTNi&xzmn=aHR0cHM6Ly93d3cuYnBzLmdvLmlkL3B1YmxpY2F0aW9uLzIwMTkvMTIvMjAvYWIxN2U3NWRiZTYzMGUwNTExMGFlNTNiL3N0YXRpc3Rpay1wZW5kdWR1ay1sYW5qdXQtdXNpYS0yMDE5Lmh0bWw%3D&twoadfnoa
2. Nugroho W. Keperawatan Gerontik. Kementerian Kesehatan; 2016.
3. Setiati, Siti; Alwi, Idrus; Sudoyo, Aru W; Simadibrata, Marcellus; Setyohadi, Bambang; Syam AF, ed. Buku Ajar Ilmu Penyakit Dalam. VI. Internal Publishing; 2014.
4. Zhang W, Low LF, Schwenk M, Mills N, Gwynn JD, Clemson L. Review of gait, cognition, and fall risks with implications for fall prevention in older adults with dementia. Dement Geriatr Cogn Disord. 2019;48(1-2):17-29. doi:10.1159/000504340
5. Saftari LN, Kwon OS. Ageing vision and falls: A review. J Physiol Anthropol. 2018;37(1):1-14. doi:10.1186/s40101-018-0170-1
6. Terroso M, Rosa N, Torres Marques A, Simoes R. Physical consequences of falls in the elderly: A literature review from 1995 to 2010. Eur Rev Aging Phys Act. 2014;11(1):51-59. doi:10.1007/s11556-013-0134-8
7. Haddad YK, Bergen G, Florence C. Estimating the economic burden related to older adult falls by State Yara. J Public Heal Manag Pr. 2019;25(2):E17-E24. doi:10.1097/PHH.0000000000000816.Estimating
8. Pin S, Spini D. Impact of falling on social participation and social support trajectories in a middle-aged and elderly European sample. SSM - Popul Heal. 2016;2.
9. Guirguis-Blake JM, Michael YL, Perdue LA, Coppola EL, Beil TL. Interventions to prevent falls in older adults: Updated evidence report and systematic review for the US Preventive Services Task Force. JAMA - J Am Med Assoc. 2018;319(16):1705-1716. doi:10.1001/jama.2017.21962
10. Pillay J, Riva JJ, Tessier LA, et al. Fall prevention interventions for older community-dwelling adults: systematic reviews on benefits, harms, and patient values and preferences. Syst Rev. 2021;10(1):1-18. doi:10.1186/s13643-020-01572-7
11. Halvarsson A, Dohrn IM, Ståhle A. Taking balance training for older adults one step further: The rationale for and a description of a proven balance training programme. Clin Rehabil. 2015;29(5):417-425. doi:10.1177/0269215514546770
12. Hafström A, Malmström E-M, Terdèn J, Fransson P-A, Magnusson M. Improved Balance Confidence and Stability for Elderly After 6 Weeks of a Multimodal Self-Administered Balance-Enhancing Exercise Program. Gerontol Geriatr Med. 2016;2:233372141664414. doi:10.1177/2333721416644149
13. Podsiadlo, D; Richardson S. The timed up and go: A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-148. https://pubmed.ncbi.nlm.nih.gov/1991946/
14. Folstein MF, Folstein SE, McHugh PR. “Mini-Mental State” A practical method for grading the cognitive state of patients for the cliniclan. J Psychiatr Res. 1975;12:189-198. doi:10.3744/snak.2003.40.2.021
15. Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: A new clinical measure of balance. Journals Gerontol. 1990;45(6):1-2. doi:10.1093/geronj/45.6.M192
16. Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. Journals Gerontol. 1990;45(6):239-243. doi:10.1093/geronj/45.6.P239
17. Sherrington C, Tiedemann A, Fairhall N, Close JCT, Lord SR. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. NSW Public Heal Bull. 2011;22(3-4):78-83.
18. Pengpid S, Peltzer K. Prevalence and risk factors associated with injurious falls among community-dwelling older adults in Indonesia. Curr Gerontol Geriatr Res. 2018;2018. doi:10.1155/2018/5964305
19. Pengpid S, Peltzer K. Prevalence and associated factors of frailty in community-dwelling older adults in Indonesia, 2014–2015. Int J Environ Res Public Health. 2020;17(1):10. doi:10.3390/ijerph17010010
20. Welmer AK, Rizzuto D, Laukka EJ, Johnell K, Fratiglioni L. Cognitive and physical function in relation to the risk of injurious falls in older adults: A population-based study. Journals Gerontol - Ser A Biol Sci Med Sci. 2017;72(5):669-675. doi:10.1093/gerona/glw141
21. Knight J, Hore N, Nigam Y. Anatomy and physiology of ageing 10: the musculoskeletal system. Nurs Times. 2017;113(11):60-63. https://www.nursingtimes.net/roles/older-people-nurses-roles/anatomy-and-physiology-of-ageing-10-the-musculoskeletal-system-30-10-2017/
22. Dugdale DC. Aging changes in the senses. In: MedlinePlus. ; 2020.
23. Sherrington C, Michaleff Z, Fairhall N, et al. Exercise to prevent falls in older adults: An updated systematic review and meta-analysis. Br J Sports Med. 2017;51:1750-1758.
Published
2021-09-25
How to Cite
Widagdo, T. M., & Sambudi, R. (2021). Mengurangi Risiko Jatuh pada Lanjut Usia dengan Latihan Keseimbangan. Nommensen Journal of Medicine, 7(1), 12-15. https://doi.org/https://doi.org/10.36655/njm.v7i1.599