Peran Fisioterapi dalam Meningkatkan Pengetahuan dan Identifikasi Risiko Jatuh pada Komunitas Lansia
DOI:
https://doi.org/10.61116/jpkm.v4i2.837Keywords:
Fisioterapi, Pengetahuan, Identifikasi, Risiko, Jatuh, Komunitas, LansiaAbstract
Kegiatan ini dilakukan di Komunitas Lansia Dahlia Senja, Depok, dengan tujuan meningkatkan pemahaman lansia mengenai pencegahan risiko jatuh serta menilai kemampuan fungsional mereka melalui pemeriksaan Timed Up and Go (TUG) Test. Metode pelaksanaan meliputi dua tahap utama, yaitu edukasi kesehatan dan skrining risiko jatuh menggunakan tiga variasi TUG (standar, manual, dan kognitif). Sebanyak 28 peserta lansia mengikuti kegiatan ini. Hasil pre-test dan post-test menunjukkan peningkatan rata-rata skor pengetahuan sebesar 5,3%, menandakan adanya peningkatan pemahaman setelah edukasi. Pada hasil skrining TUG, ditemukan bahwa 60,7% peserta memiliki risiko jatuh tinggi, terutama pada variasi TUG Kognitif yang menunjukkan penurunan koordinasi motorik dan fungsi kognitif. Temuan ini mengindikasikan pentingnya latihan keseimbangan, penguatan otot tungkai, serta stimulasi kognitif secara rutin. Secara keseluruhan, kegiatan fisioterapi komunitas ini berhasil meningkatkan kesadaran dan pengetahuan lansia terhadap pencegahan risiko jatuh sekaligus berfungsi sebagai deteksi dini kondisi fungsional. Program seperti ini direkomendasikan untuk dilaksanakan secara berkala guna mendukung kemandirian dan kualitas hidup lansia di masyarakat.
References
Åberg, A. C., Cedervall, Y., & Halvorsen, K. (2021). Dual-task performance and gait characteristics in older adults: Validity and reliability of the Timed Up and Go dual-task test. BMC Geriatrics, 21(1), 1–10. https://doi.org/10.1186/s12877-021-02101-7
Aragão-Santos, J. C., Oliveira, R. J., Silva, A. L., & Oliveira, C. E. (2024). Simultaneous and sequential dual-task training in older adults: Effects on balance, cognition, and fall risk. Journal of Aging and Physical Activity, 32(3), 155–164. https://doi.org/10.1123/japa.2023- 0142
Beauchet, O., Annweiler, C., Allali, G., Berrut, G., Herrmann, F. R., & Dubost, V. (2011). Recurrent falls and dual task-related decrease in walking speed: Is there a relationship? Journal of the American Geriatrics Society, 59(8), 1450–1451. https://doi.org/10.1111/j.1532- 5415.2011.03469.x
Cedervall, Y., Halvorsen, K., & Åberg, A. C. (2020). A longitudinal study of gait function and dual‐task performance in older adults with mild cognitive impairment and mild Alzheimer’s disease. BMC Geriatrics, 20(1), 1–10. https://doi.org/10.1186/s12877-020-01505-3
Cedervall, Y., Halvorsen, K., & Åberg, A. C. (2020). A longitudinal study of gait function and cognitive performance in older people. BMC Geriatrics, 20(1), 1–9. https://doi.org/10.1186/s12877-020-01584-0
Cruz-Jentoft, A. J., Bahat, G., Bauer, J., Boirie, Y., Bruyère, O., Cederholm, T., … & Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2). (2019). Sarcopenia: Revised European consensus on definition and diagnosis. Age and Ageing, 48(1), 16–31. https://doi.org/10.1093/ageing/afy169
Karundeng, M. V., Wowor, M. P., & Kalesaran, A. F. (2020). Perubahan sistem indra pada lanjut usia. Jurnal Biomedik, 12(2), 75–82.
Kim, S., Kim, M., & Kim, H. (2020). Falls and their prevention among older adults: A global health perspective. Journal of Geriatric Physical Therapy, 43(4), 163–170. https://doi.org/10.1519/JPT.0000000000000245
Landi, F., Calvani, R., Tosato, M., Martone, A. M., Ortolani, E., Savera, G., … & Marzetti, E. (2020). Age-related variations of muscle mass, strength, and physical performance in community-dwellers: Results from the longevity check-up 7+ project. Journal of Cachexia, Sarcopenia and Muscle, 11(4), 787–795. https://doi.org/10.1002/jcsm.12528
Lijang, W., Zhao, Y., & Han, X. (2023). Efficiency of the Timed Up and Go dual-task test in predicting fall risk among elderly hip fracture patients. Clinical Geriatrics, 31(2), 112–120. https://doi.org/10.1016/j.clingeri.2023.112120
Mawaddah, S., & Wijayanto, I. (2020). Proses penuaan dan implikasinya Mirelman, A., Herman, T., Brozgol, M., Dorfman, M., Sprecher, E., Schweiger, A., ... & Hausdorff, J. M. (2014). Executive function and falls in older adults: New findings from a five- year prospective study link fall risk to cognition. PLOS ONE, 9(6), e98332. https://doi.org/10.1371/journal.pone.0098332
Multazam, M., Rukmana, R., & Puspitasari, L. (2021). Perubahan sistem respirasi pada lanjut usia. Jurnal Ilmu Kesehatan, 13(1), 45–51.
Nascimento, C. M. C., et al. (2019). The Timed Up and Go dual-task test as a measure of functional mobility and cognitive function in the elderly. Geriatrics & Gerontology International, 19(7), 601–606. https://doi.org/10.1111/ggi.13674
Ni, M., Xie, W., & Guo, Y. (2021). Fall risk and prevention in older adults: A systematic review. Frontiers in Public Health, 9, 637–645. https://doi.org/10.3389/fpubh.2021.637645
Nie, W., Zhang, J., & Li, X. (2024). Falls among the elderly: Global epidemiology, risk factors, and prevention strategies. BMC Public Health, 24(1), 457–468. https://doi.org/10.1186/s12889-024-16872-9
Peterson, M. D., & Gordon, P. M. (2011). Resistance exercise for the aging adult: Clinical implications and prescription guidelines. The American Journal of Medicine, 124(3), 194–198. https://doi.org/10.1016/j.amjmed.2010.08.020
Podsiadlo, D., & Richardson, S. (1991). The timed “Up & Go”: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142–148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Rasyiqah, N., & Khairani, N. (2019). Hubungan antara keseimbangan tubuh dengan risiko jatuh pada lanjut usia di Panti Sosial Tresna Werdha Banda Aceh. Jurnal Ilmiah Kesehatan, 13(2), 67–74.
Rindiani, D., Hartini, S., & Yuliani, E. (2023). Perubahan fungsi pendengaran pada lanjut usia dan dampaknya terhadap komunikasi. Jurnal Kesehatan, 17(1), 23–30.
Sherrington, C., Fairhall, N. J., Wallbank, G. K., Tiedemann, A., Michaleff, Z. A., Howard, K., & Clemson, L. (2019). Exercise for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, 2019(1), CD012424. https://doi.org/10.1002/14651858.CD012424.pub2
Shumway-Cook, A., Brauer, S., & Woollacott, M. (2000). Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Physical Therapy, 80(9), 896–903. https://doi.org/10.1093/ptj/80.9.896
Wang, D. X. M., Yao, J., Zirek, Y., Reijnierse, E. M., & Maier, A. B. (2021). Muscle mass, strength, and physical performance predicting activities of daily living: A meta analysis. Journal of Cachexia, Sarcopenia and Muscle, 12(1), 25–38. https://doi.org/10.1002/jcsm.12650
Windayati, R., Putri, S. D., & Lestari, P. (2023). Perubahan sistem reproduksi pada lansia: Dampak fisiologis dan psikologis. Jurnal Keperawatan Indonesia, 26(2), 121–128.
World Health Organization. (2020). Decade of healthy ageing 2020–2030. World Health Organization. https://www.who.int/initiatives/decade-of-healthy-ageing
World Health Organization. (2020). WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization.
Yang, L., Zhao, X., & Sun, J. (2024). Musculoskeletal changes and bone fragility in aging adults: Implications for fall prevention. Frontiers in Physiology, 15, 145–155. https://doi.org/10.3389/fphys.2024.145155
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Copyright (c) 2026 Firdausiyah Rizki Amallia, Muhammad Farhan Abigian Widyatna, Dzalika Shafa Ichtiarty, Bintang Cahaya Kamila, Wiananda Aura Putri, Anisah Nisrina Rifdah, Sri Gunda Fahriana Fahruddin

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