Efek Kombinasi Latihan Keseimbangan dan Resistensi dalam Menurunkan Postural Sway dan Risiko Jatuh pada Lanjut Usia

The Effects of Combined Balance and Resistance Training on Reducing Postural Sway and Fall Risk in Older Adults

  • Nurul Aini Universitas Pendidikan Mandalika
  • Denny Agustiningsih Universitas Gadjah Mada, Sleman, DI Yogyakarta, Indonesia
  • Rahmaningsih Mara Sabirin Universitas Gadjah Mada, Sleman, DI Yogyakarta, Indonesia
  • Zakir Burhan Institut Pendidikan Nusantara Global, Aik Mual, Lombok Tengah, Indonesia

Abstract

Jatuh akibat cedera tidak terduga merupakan penyebab kematian tertinggi kedua di dunia. Angka kejadian jatuh di Indonesia pada lansia berusia diatas 65 tahun mencapai sekitar 30% dan terus meningkat seiring bertambahnya usia. Salah satu penyebab jatuh pada lansia adalah penurunan kekuatan otot dan peningkatan postural sway akibat proses penuaan. Latihan fisik terbukti efektif dalam menurunkan risiko jatuh terutama jika diberikan dalam bentuk latihan multikomponen. Kombinasi latihan keseimbangan dan resistensi terbukti lebih efektif dibandingkan latihan tunggal karena mampu menurunkan postural sway dan meningkatkan kekuatan otot yang mengarah pada penurunan risiko jatuh pada lansia. Penelitian ini bertujuan untuk mengetahui pengaruh efek kombinasi latihan keseimbangan dan resistensi terhadap penurunan postural sway dan risiko jatuh pada lansia. Penelitian merupakan studi quasi-experimental dengan desain pre-test dan post-test. Subjek penelitian adalah 44 lansia dengan rentang usia 60-83 tahun yang tinggal di Panti Lansia Budi Dharma dan Panti Lansia Budi Luhur Yogyakarta. Subjek dibagi menjadi kelompok intervensi dan kelompok kontrol. Pengukuran postural sway dilakukan menggunakan posturometer sedangkan risiko jatuh diukur dengan timed up and go test (TUG). Terdapat perbedaan yang signifikan pada selisih antara posttest dan pretest (delta) posturometer antara kelompok intervensi dan kelompok kontrol. Selain itu, terdapat perbedaan yang signifikan pada selisih antara posttest dan pretest (delta) TUG antara kelompok intervensi dan kelompok kontrol. Kombinasi latihan keseimbangan dan resistensi selama 8 minggu menurunkan postural sway dan risiko jatuh pada lansia.

References

ACSM (2022) ACSM’S Guideline for Exercise Testing and Prescription. Eleventh. Edited by G. Liguori, Y. Feito, C. Fountaine, and B.A. Roy. Philadelphia : Wolters Kluwer.

Beauchet, O., Fantino, B., Allali, G., Muir, S.W., Montero-Odasso, M. and Annweiler, C. (2011) ‘Timed up and go test and risk of falls in older adults: A systematic review’, Journal of Nutrition, Health and Aging, 15(10), pp. 933–938. Available at: https://doi.org/10.1007/s12603-011-0062-0

Chang, C.H., Lee, K.Y. and Shim, Y.H. (2017) ‘Normal aging: Definition and physiologic changes’, Journal of the Korean Medical Association, 60(5), pp. 358–363. Available at: https://doi.org/10.5124/jkma.2017.60.5.358

Chittrakul, J., Siviroj, P., Sungkarat, S. and Sapbamrer, R. (2020) ‘Multi-System Physical Exercise Intervention for Fall Prevention and Quality of Life in Pre-Frail Older Adults: A Randomized Controlled Trial’, International Journal of Environmental Research and Public Health, 17, p. 3102. Available at: https://doi.org/https://doi.org/10.3390/ijerph17093102

Cho, K., Lee, K., Lee, B., Lee, H. and Lee, W. (2014) ‘Relationship between postural sway and dynamic balance in stroke patients’, Journal of Physical Therapy Science, 26(12), pp. 1989–1992. Available at: https://doi.org/10.1589/jpts.26.1989

Hafström, A., Malmström, E.-M., Terdèn, J., Fransson, P.-A. and Magnusson, M. (2016) ‘Improved Balance Confidence and Stability for Elderly After 6 Weeks of a Multimodal Self-Administered Balance-Enhancing Exercise Program’, Gerontology and Geriatric Medicine, 2, p. 233372141664414. Available at: https://doi.org/10.1177/2333721416644149

Hewitt, J., Goodall, S., Clemson, L., Henwood, T. and Refshauge, K. (2018) ‘Progressive Resistance and Balance Training for Falls Prevention in Long-Term Residential Aged Care: A Cluster Randomized Trial of the Sunbeam Program’, Journal of the American Medical Directors Association, 19(4), pp. 361–369. Available at: https://doi.org/10.1016/j.jamda.2017.12.014

Ibrahim, H., Aly, S. and Mahran, S. (2019) ‘Impact of Strengthening and Balance Training Exercise on Fall Risk among Elderly at Assiut Geriatric Clubs’, Journal of Nursing and Health Science, 8(2), pp. 83–91. Available at: https://doi.org/10.9790/1959-0802098391

Ikezoe, T. (2020) ‘Age-Related Change in Muscle Characteristics and Resistance Training for Older Adults’, Physical Therapy Research, 23(2), pp. 99–105. Available at: https://doi.org/10.1298/ptr.r0009

Jiang, G., Tan, X., Zou, J. and Wu, X. (2024) ‘A 24-Week Combined Resistance and Balance Training Program Improves Physical Function in Older Adults: A Randomized Controlled Trial’, Journal of Strength and Conditioning Research, 39(1). Available at: https://doi.org/10.1519/JSC.0000000000004941

Jiang, G. and Wu, X. (2022) ‘Effects of resistance training combined with balance training on physical function among older adults: a protocol for a randomised controlled trial’, BMJ Open, 12(10), pp. 1–9. Available at: https://doi.org/10.1136/bmjopen-2022-062486

Nascimento, M. de M. (2019) ‘Fall in Older Adults: Considerations On Balance Regulation, Postural Strategies, and Physical Exercise’, Geriatrics, Gerontology and Aging, 13(2), pp. 103–110. Available at: https://doi.org/10.5327/z2447-211520191800062

Novianti, I.G.A.S.W.N. and Naufal, J. (2023) ‘Hubungan Usia dan Jenis Kelamin dengan Risiko Jatuh pada Lansia di Banjar Paang Tebel Peguyangan Kaja’, Indonesian Journal of Physiotherapy Research and Education, 4(2), pp. 41–46. Available at: https://journal.aptifi.org/index.php/ijopre/article/view/92%0Ahttps://journal.aptifi.org/index.php/ijopre/article/download/92/61

Papalia, G.F., et al. (2020) ‘The effects of physical exercise on balance and prevention of falls in older people: A systematic review and meta-analysis’, Journal of Clinical Medicine, 9(8), pp. 1–19. Available at: https://doi.org/10.3390/jcm9082595

Rogers, M.E., Fernandez, J.E. and Bohlken, R.M. (2001) ‘Training to reduce postural sway and increase functional reach in the elderly’, Journal of Occupational Rehabilitation, 11(4), pp. 291–298. Available at: https://doi.org/10.1023/A:1013300725964

Sadaqa, M., Németh, Z., Makai, A., Prémusz, V. and Hock, M. (2023) ‘Effectiveness of exercise interventions on fall prevention in ambulatory community-dwelling older adults: a systematic review with narrative synthesis’, Frontiers in Public Health, 11(August), pp. 1–14. Available at: https://doi.org/10.3389/fpubh.2023.1209319

Seidler, R.D., et al. (2010) ‘Motor control and aging: Links to age-related brain structural, functional, and biochemical effects’, Neuroscience and Biobehavioral Reviews, 34(5), pp. 721–733. Available at: https://doi.org/10.1016/j.neubiorev.2009.10.005

Setiorini, A., Agustiningsih, D., Yunus, J. (2024). Pengaruh Latihan Modifikasi VLADIMIR JANDA (Keseimbangan dan Peregangangan Otot Tungkai Bawah) Terhadap Nyeri Akibat Kerja Pemetik Daun Teh. Open Access Macedonian Journal of Medical Sciences. 9(A): 477–482

World Health Organization (2007) ‘WHO Global Report on Falls Prevention in Older Age’, pp. 1–47

Zouita, S., et al. (2020) ‘Effects of Combined Balance and Strength Training on Measures of Balance and Muscle Strength in Older Women With a History of Falls’, Frontiers in Physiology, 11(December). Available at: https://doi.org/10.3389/fphys.2020.619016
Published
2026-01-30
How to Cite
AINI, Nurul et al. Efek Kombinasi Latihan Keseimbangan dan Resistensi dalam Menurunkan Postural Sway dan Risiko Jatuh pada Lanjut Usia. Jurnal Fisioterapi dan Rehabilitasi, [S.l.], v. 10, n. 1, p. 57-63, jan. 2026. ISSN 2599-2791. Available at: <https://jurnal-d3fis.uwhs.ac.id/index.php/akfis/article/view/659>. Date accessed: 31 may 2026. doi: https://doi.org/10.33660/jfrwhs.v10i1.659.