Tesis

Pengaruh Latihan Resistensi Ekstremitas Bawah terhadap Fungsi Keseimbangan pada Geriatri Pasca Hip Arthroplasty di Poli Jatuh RSUPN Dr. Cipto Mangunkusumo = The Effect of Lower Extremity Resistance Training on Balance Function in Geriatrics aftrer Hip Arthroplasty at Fall Polyclinic of Dr. Cipto Mangunkusumo Hospital.

Objektif: Untuk menilai perbandingan efektivitas antara latihan tungkai tanpa beban dengan latihan tungkai dengan pita elastis terhadap fungsi keseimbangan pada pasien geriatri pasca hip arthroplasty. Metode: Penelitian ini merupakan uji eksperimental studi acak terkontrol tersamar tunggal terhadap dua kelompok dimana dilakukan pemberian latihan tungkai tanpa beban atau menggunakan pita elastis selama 6 minggu di rumah pada pasien geriatri pasca hip arthroplasty. Penelitian dilakukan di Poliklinik Jatuh Rehabilitasi Medik RSUPN Cipto Mangunkusumo Jakarta. Penilaian fungsi keseimbangan dengan Timed Up and Go Test (TUG) dilakukan sebelum dan sesudah intervensi. Hasil: Jumlah subjek penelitian sebesar 24 subjek, dengan masing-masing 12 subjek pada tiap kelompok yang dapat dianalisis. Rerata usia 68,08+6,76 tahun pada kelompok latihan tanpa beban dan 68,50+6,80 tahun pada kelompok latihan dengan pita elastis. Saat dibandingkan antara 2 kelompok, terdapat perbedaan signifikan antara 2 kelompok pada nilai akhir pasca intervensi, dengan nilai median TUG pada kelompok latihan dengan pita elastis sebesar 7,94 (1,7-23,2) dan nilai median pada latihan tungkai tanpa beban sebesar 1,48 (0,4-7,43) dengan nilai p < 0,05. Kesimpulan: Latihan tungkai tanpa beban dan latihan dengan pita elastis di rumah selama 6 minggu terbukti secara signifikan dalam meningkatkan fungsi keseimbangan pada geriatri pasca hip arthroplasty. Hasil perbandingan perubahan nilai TUG hasilnya signifikan secara statistik pada kelompok latihan tungkai dengan menggunakan pita elastis.
Kata kunci: Hip arthroplasty, geriatri, latihan tungkai dengan pita elastis, latihan ekstremitas bawah berbasis rumah, Timed Up and Go Test (TUG)


Objective: To determine the comparison effectiveness of lower extremities exercises without load and with elastic band exercises on balance function in geriatric patients after hip arthroplasty. Methods: Method: This study was a single-blind randomized controlled study experimental trial of two groups in which non-weight-bearing leg exercises or elastic band exercises were given at home for 6 weeks in geriatric patients after hip arthroplasty. The study was conducted at the Fall Polyclinic of Medical Rehabilitation, Cipto Mangunkusumo National Hospital, Jakarta. Balance function assessment with the Timed Up and Go Test (TUG) was carried out before and after the intervention. Results: There were 24 subjects, with 12 subjects in each group that could be analyzed. The mean ofthe subject’s age was 68.08 + 6.76 years in lower extremity exercise without load and 68.50 + 6.80 years in the elastic band exercise group. The comparative between the 2 groups, there was a significant difference between the 2 groups in the final postintervention values, with a median TUG value in the elastic band exercise group was 7.94 (1.7-23.2) and a median value in leg exercises without resistance was 1.48 (0.4-7.43) with a p value < 0.05. Conclusion: Lower extremity exercises without weights and exercises with elastic bands at home for 6 weeks were proven to significantly improve balance function in geriatrics after hip arthroplasty. The results of the comparison of changes in TUG values were statistically significant in the leg exercise group using elastic bands.
Keywords: Hip arthroplasty, geriatrics, elastic band leg exercises, home-based lower extremity exercises, Timed Up and Go Test (TUG)