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Lilik Sigit Wibisono; Purna Luberto; Fitratun Najizah; Syurrahmi Syurrahmi; Ni Kadek Krisna Dwi Patrisia +6 more

Jurnal ilmu Kesehatan Umum 2023 Asosiasi Riset Ilmu Kesehatan Indonesia

Stroke is a disease that is the third leading cause of death in the world after heart disease and cancer. Stroke is also the world's leading cause of serious and permanent disability. In the world stroke attacks occur in more than 15 million people each year. Of these 15 million people, 5 million die, and others survive, but experience permanent disability and live dependent on family and society, and a small percentage of people recover as before the stroke (WHO, 2010) to prevent the risk of excessive falls, physiotherapy has a way to prevent it through the Fukuda TEST. This study used a mix-method research design. The participants in this study were parties related to the problem of fall risk prevention, including the community around Tugurejo Semarang Hospital, local government, health cadres and community leaders. Qualitative data collection techniques used structured interview guides and observation and quantitative data in the form of Fukuda Test measurements on the community and IFI members who were present. After the data was obtained, FGD (Focus Group Discussion) was conducted with local government, health cadres and community leaders with the aim of validating the data that had been obtained. A total of 62 patients with unilateral BPPV were included in our study (35 female/27 male). The mean age was 45.3 years (range 23-67 years). Of these patients 51 (83.6%) were posterior and 11 (16.4%) were lateral canal BPPV. Two groups were created due to the FST results. Group 1 consisted of 33 (53.2%) patients with positive FST results and Group 2 consisted of 29 (46.8%) patients with negative FST results. No statistically significant differences were found between the gender and age distributions in Group 1 and Group 2, p=0.7943 and p=0.5262, respectively (Table 1). In addition, the ratio of FST positive and FST negative BPPV patients was not statistically significant. will cause daily activities to be disrupted then Qualitative data processing was carried out using the advocacy method according to the Covey and Miller advocacy framework, so as to obtain complete information related to the root causes of problems to the preparation of fall risk prevention strategies. Based on the results of data processing according to the Covey and Miller advocacy framework, the data is then analyzed through three stages: data reduction, data presentation and conclusion drawing. This research will be conducted at RSUD Tugu, Semarang City, conducted by physiotherapy in collaboration with STIKES KESDAM IV Diponegoro students.

Widya Ervianta; Lilik Sigit Wibisono; Fitratun Najizah; Ni Kadek Krisna Dwi Patrisia; Lulu'ah Feby Purwanti

Publikasi Hasil Pengabdian dan Kegiatan Masyarakat 2023 Asosiasi Periset Bahasa Sastra Indonesia

The elderly are an age group that is prone to falls. The purpose of this service is to detect the risk of falls in the elderly and provide assistance in balance training as an effort to prevent the risk of falls in the elderly. Falls occur due to unintentional loss of balance resulting in failure of postural stability, or unexpected and sudden changes resulting in a position landing on the floor. Associated risk factors include current health status (living in the community, nursing home, hospital, frail or active state), diseases suffered (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, muscle strength, visual impairment, etc.). The output targets to be achieved are in the form of publications in accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using the Time Up and Go Test and continued with the provision of balance training, so that the elderly who have a risk of falling can be recognized as early as possible so that the provision of balance training can maintain and improve the balance of the elderly body.

Ulfatun Hasanah; H.Nur Hamim; Shinta Wahyusari

Jurnal Riset Rumpun Ilmu Kesehatan 2023 Pusat riset dan Inovasi Nasional

The risk of falling can be a serious complication in the elderly because falls in the elderly can cause serious injury and disability. Handling that can be applied to reduce the risk of falling is by otago  and ankle exercises. The purpose of this study was to analyze the effectiveness of otago  and ankle exercises on reducing the risk of falling in the elderly in Tegalsiwalan Village, Tegalsiwalan, Probolinggo.This type of research is a pre experimental design with a pre post design approach. The population of 40 people with 36 respondents who met the inclusion requirements of the study, were selected by purposive sampling technique. The berg balance scale obsevatio sheet is the tool employed, and the data is subsequently gathered using the editing, coding, scoring and tabulating processes. The data obtained were analyzed using the Chi square and the Wilcoxon hypothesis test in both groups. The results showed that the p value was 0.002 in the group given the otago exercise and the p value was 0.014 in the group given the ankle exercise. For the comparison test, the value of sig(2-tailed) was 0.245 > 0.05. So there is no difference between otago exercise and ankle exercise in reducing the risk of falling in the elderly.The next researcher gave the same intervention both for group one and group two. So that further researchers can combine these two interventions, so that the result are maximized.    

Dinda Pristy Gustiyan; Sutantri Sutantri

Jurnal Rumpun Ilmu Kesehatan 2023 Pusat Riset dan Inovasi Nasional

Elderly is a group of people over 60 years old which is one of the phases that all humans go through. In this phase there will also be various complex problems, especially falls. Falls are the main cause and often cause morbidity and mortality, especially in the elderly over 65 years. The purpose of this study was to see the effectiveness of reducing the risk of falling by implementing the Otago Exercise Program in the elderly. The method used is a case study conducted in February 2023. The duration of the Otago Exercise intervention is 3x a week for 2 weeks. Based on the results of the EOP implementation, it was found that there was a decrease in the Morse Fall Scale value from 90 to 75 (high risk category of falling). There was also a decrease in the TUG value before and after the exercise was carried out. In conclusion, the application of the Otago Exercise Program can reduce the risk of falling in the elderly.    

Widya Ervianta; Lilik Sigit Wibisono; Fitratun Najizah; Ni Kadek Krisna Dwi Patrisia; Lulu'ah Feby Purwanti

Karunia: Jurnal Hasil Pengabdian Masyarakat Indonesia 2023 Fakultas Teknik Universitas Maritim AMNI Semarang

One way to improve the quality of life for the elderly is to do physical exercise. Physical exercise can maintain or improve flexibility, cardiopulmonary endurance, agility, strength and balance. Several studies show that physical exercise has a consistent effect in reducing the risk of falls in healthy older adults. Kuptniratsaikul's research in 2009-2010 showed that simple balance exercises carried out by elderly people with a history of falls could reduce the incidence of falls in the elderly and significantly improve body balance. A 2017 Cuevas meta-analysis study showed that balance training programs showed the greatest effect in reducing the risk of falls in the elderly. For elderly people who are not yet able to do balance exercises independently, they need assistance from professional staff. Elderly people are an age group that is vulnerable to falls. The aim of implementing this service is to detect the risk of falls in the elderly and provide assistance with balance exercises as an effort to prevent the risk of falls in the elderly. Falls occur due to an unintentional loss of balance which results in failure of postural stability, or an unexpected and sudden change which results in the position landing on the floor . Associated risk factors include current health status (living in the community, nursing home, hospital, weak or active state), existing diseases (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, strength muscle, visual disturbances, etc.). The output targets to be achieved include publication of accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using the Time Up and Go Test and continued by providing balance training, so that elderly people who are at risk of falling can be identified as early as possible so that providing balance training can maintain and improve the elderly's body balance.