Balance Exercise Improves Muscle Strength And Body Stability In Frail Older People

Silvia Malasari, Sutriani Sutriani, Andi Masyitha Irwan

Abstract


Background: Many elderly people in Indonesia experience falling every year and the half had fallen more than once. This falls due to loss of bone and muscle mass which results in poor of balance. This study aimed to show whether balance excercise could improve muscle strength and balance on elderly people with risk of falling. Methods: This was a quasi-experimental design with two-group pretest-posttest control group. The sample was taken by purposive sampling and the total of 27 elderly people was selected into 2 groups: intervention (n = 14) and control (n = 13). The intervention group received the balance exercise regularly 3 times a week for 3 weeks. The balance exercise consists of plantar flexion, knee flexion, hip flexion, hip extention, and single leg side. Results: As an independent t test showed a significant difference in the balance and muscle strength between the intervention and the control group. Paired t-test on balance values obtained (p = 0.003) and the muscular strength (p = 0.000) which means that there was effect of balance exercise on muscle strength and balance in elderly with risk of falling. Conclusions: Balance exercise for 3 weeks regularly could improve balance score and muscle strength on the older people. Therefore, elderly people escpecially who are at risk of falling better to do balance exercise as their routine and getting support for doing this from family and health workers.

Keywords


balance exercise, muscle strength, older people

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References


Avers. (2007). Why You Need To Know About Balance and Falls. Retrieved from http:// www.apta.org/AM/Templeat.cfm7.

Booth, F. W., Roberts, C. K., & Laye, M. J. (2012). Lack of exercise is a major cause of chronic diseases. Comprehensive Physiology, 2(2), 1143–1211. doi.org/10.1002/cphy.c110025

Cangussu, L.M, Nahas-Neto, J, Nahas, E.A.P, Cesar, AB, Barral, R, Buttros, DA & Uemura, G. (2012). Evaluation of postural balance in postmenopausal women and its relationship with bone mineral density- a cross sectional study. BMC Muskuloskeletal Disorder. 13(1), 2. doi:10.1186/1471-2474-13-2

Eliopoulos, C. (2014). Gerontological Nursing (8th ed.). Philadelpia: Lippincott Williams & Wilkins.

Gschwind, Y. J., Kressig, R. W., Lacroix, A., Muehlbauer, T., Pfenninger, B., & Granacher, U. (2013). A best practice fall prevention exercise program to improve balance, strength / power, and psychosocial health in older adults: study protocol for a randomized controlled trial. BMC Geriatrics, 13, 105. doi:10.1186/1471-2318-13-105

Hadhisuyatmana, S., Anita, F., Goddess, Y.S. (2012). Study of the risk of falling through the examination of dynamic gait index (DGI) of the elderly in nursing Werdha hargodedali Surabaya. Retrieved from http://journal.unair.ac.id/detail_jurnal.php?id=4810&med=127&bid=3.

Hall, J.E & Guyton, A.C. (2014). Guyton dan Hall Buku Ajar Fisiologi Kedokteran (Ed 12.). Jakarta : EGC.

Jowir. (2009). Balance exercise. Retrieved from http://id.scribd.com

Kaesler, DS, Mellifont, RB, Swete Kelly, P, & Taafe, DR. (2007). A novel balance exercise program for postural stability in older adults: a pilot study. Retrieved from http://files.carellipilates.webnode.com.br/200000318_4dfd94ef73/balanc% 20exercise%20program.pdf.

Kusnanto. (2007). Increased postural stability in elderly with balanceexercise. Medianurses.FK PSIK UNAIR. Retrieved from http://ejournal.undip.ac.id/index.php/medianers/article/view/716

Lee, I.H (2013). Balance improvement by strength training for the elderly. Physical Therapy Science. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3885846/

Mauk, K. L (2014). Gerontological nursing : competencies for care (3rd ed.). The USA: Jones & Bartlett Learning.

Nugroho, W. (2008). Keperawatan gerontik dan geriatrik (Ed 3). Jakarta: EGC.

Nurhayati, E. Arwani., Purnomo. (2012). Differences in the elderly body balance gymnastics participation by the elderly in a nursing home pelkris Pengayoman and Elim Semarang. Retrieved from http://ejournal.stikestelogorejo.ac.id/ejournal/index.php/ilmukeperawatan/article/view/167.

Nyman, S. R, & Skelton, D.A. (2017). The case for Tai Chi in the repertoire of strategies to prevent falls among older people. Perspectives in Public Health, 137(2), 85-86. doi:10.1177/1757913916685642

Nyman. (2007). Why do I need to Improve my Balance?, Retrieved from www.balancetraining.org.uk

Pizzigalli, L, Filippini, A, Ahmaidi, S, Jullien, H, & Rainoldi, A. (2011). Prevention of falling risk in elderly people: the relevance of muscular strength and symmetry of lower limbs in postural stability. The Journal of Strength and Conditioning Research. 25(2). 567-574. doi: 10.1519/JSC.0b013e3181d32213.

Potter, PA, Perry, AG, Stockert, PA & Hall, AM. (2017). Fundamentals of nursing (9th Ed.). St. Louis: Elsevier.

Rahayu, U.B, and Masitoh, I. (2013). The phenomenon of balance exercises to improve postural balance the elderly. Proceedings of the Seminar on Health Sciences. Retrieved from http://publikasiilmiah.ums.ac.id/handle/123456789/3348.

Salsabili, H, Bahrpeyma, F, Forogh, B & Rajabali, S. (2011). Dynamic stability training improves standing balance control in neuropathic patients with type 2 diabetes. Journal of Rehabilitation Research & Development, 48 (7), 775–786. doi:10.1682/JRRD.2010.08.0160

Sari, C.W.M., Rahayu, U & Fauziah, N. (2021). Overview of falling and risk factors of falling in the elderly in Bandung, West Java, indonesia. Journal of Critical Reviews. 7(19), 7777. doi:10.31838/jcr.07.19.530

Sherwood (2015). Fisiologi manusia dari sel ke sistem (Ed 8.). Jakarta: EGC.

Shubert, T. (2011). Evidence-based exercise prescription for balance and falls prevention: a current review of the literature. Journal of Geriatric Physical Therapy, 34(3). doi: 10.1519/JPT.0b013e31822938ac.

Stanley, M., Beare, P.G (2006). Buku ajar keperawatan gerontik (Ed 2). Jakarta: EGC.

Ulfiana, E, Dewi, T.P & Yusuf, A. (2019). The effect of balance exercise on postural balance of elderly as fall prevention in institutionalized elderly. Indian Journal of Public Health Research & Development, 10 (8), 2708 – 2712. doi: 10.5958/0976-5506.2019.02279.4.

Utomo, B. (2010). Hubungan antara kekuatan otot dan daya tahan otot anggota gerak bawah dengan kemampuan fungsional lanjut usia. Program Pascasarjana Universitas Sebelas Maret: Surakarta. Retrieved from https://digilib.uns.ac.id/dokumen/detail/15396

Yuda, H.T, Utoyo B, & Ernawati. (2019). Pemeriksaan dan pencegahan resiko jatuh pada lansia di Posyandu Gelora Desa Semondo. Proceeding The 9th University Research Colloqium 2019 Universitas Muhammdaiyah Purworejo. Retrieved from https://ns.umpwr.ac.id/prosiding/index.php/urecol9/article/download/571/482




DOI: https://doi.org/10.24198/jnc.v5i1.34837

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