Evaluation Of The Implementation Of Balance Exercises To Improve Muscle Strength In Elderly People At Risk Of Falls: Literature Review
Abstract
Falls pose a serious threat to the health and independence of older adults over 60 and are a leading cause of death in this age group. Approximately 25-38% of older adults over 65 are at risk of falling, with approximately one-third experiencing serious injuries such as hip fractures or head trauma. Falls in older adults are influenced by various factors, including gait disturbances, leg muscle strength, joint stiffness, and dizziness, as well as external factors such as slippery floors or poor lighting. These conditions interfere with daily activities and reduce the quality of life of older adults. This study aimed to evaluate the effectiveness of balance training in improving muscle strength in older adults at risk of falling. A literature review used articles and journals from the Google Scholar database from 2020 to 2025, using the keywords: balance training AND fall risk AND older adults. Six reviewed journals reported that various forms of balance training, such as Otago exercises, tandem walking, single-leg standing, and ankle strategy training, are effective in improving balance and reducing fall risk in older adults. These exercises, particularly the Otago Exercise Program, which combines strengthening, balance, and walking exercises, work by increasing lower-extremity muscle strength, improving neuromuscular control, and enhancing postural recovery strategies, ultimately reducing the risk of falls. Overall, regular balance training interventions are recommended as a simple yet effective way to optimise muscle function, enhance coordination, improve posture, and enhance quality of life and independence in older adults.
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References
- Syaifullah RM. “Pemutusan Rantai Infeksi Di Rumah Sakit Dengan Menerapkan Medication Safety.” Lit Rev. 2020;11(November):33-37. https://osf.io/uzbkn
- Siregar R, Gultom R, Sirait II. Pengaruh Latihan Jalan Tandem terhadap Keseimbangan Tubuh Lansia untuk mengurangi Resiko Jatuh di UPT Pelayanan Sosial Lanjut Usia Binjai Sumatera Utara Effects of Tandem Walking Exercise on Elderly Body Balance to Reduce Falling Risk at UPT Binjai Elderl. J Healthc Technol Med. 2020;6(1):2615-109. http://jurnal.uui.ac.id/index.php/JHTM/article/view/697
- Shalahuddin I, Maulana I, Eriyani T, Nurrahmawati D. Latihan Fisik Untuk Menurunkan Resiko Jatuh Pada Lansia?: Literatur Review Physical Exercise To Lower the Risk of Falling in the Elderly?: Literature Review. J Keperawatan Jiwa. 2022;10(4):739-754.
- Adilla Mualif Z, Karunianingtyas Wirawati M. Jalan Tandem Untuk Mengurangi Risiko Jatuh Pada Lansia Dipanti Wredha Harapan Ibu. J Manaj Asuhan Keperawatan. 2021;5(2):77-80.
- Sitanggang DM, Nababan VR, Tobing MS, Purba B. MESIR: Journal of Management Education Social Sciences Information and Religion Analisis Dampak Ageing Population di Indonesia. MESIR:JournalofManagementEducationSocialScienceInformationandReligion. 2024;1(2):251-256.
- Warijan, Normawati AT, Cipto. Analisis Penerapan Otago Exercise. J Kesehat. 2022;11(2):101-105. doi:10.37048/kesehatan.v11i2.472
- Choirunnisa L, Pudjianto M. Pengaruh Senam Osteoporosis Terhadap Kekuatan Otot Quadriceps Dan Keseimbangan Pada Lansia. Physio J. 2023;3(1):41-48. doi:10.30787/phyjou.v3i1.972
- Palupi BS, Rianita M, Sinaga E, Tinggi S, Kesehatan I, Yakkum B. Hubungan Status Kesehatan Fisik Dengan Kualitas Hidup Lansia Di Kabupaten Gunungkidul Yogyakarta Pendahuluan Lanjut usia ( lansia ) merupakan individu yang memiliki usia 60 tahun keatas ( Sitanggang et al ., 2021 ).
- Sari M, Sari NP, Sulastri W. Pengaruh Tandem Walking Exercise Terhadap Penurunan Resiko Jatuh Pada Lansia di Panti Tresna Werdha Pagar Dewa Provinsi Bengkulu The Effect of Tandem Walking Exercise on Reducing the Risk of Falls in the Elderly at the Panti Sosial Tresna Werdha Pagar Dew. Ris Media Keperawatan. 2024;7(1):56-59.
- Nursalam N, Indarwati R, Kristi MC. Berg Balance Test (Bbt) and Time Up and Go Tes (Tugt) as Falls Prediction on Elderly. J Ners. 2017;3(2):170-175. doi:10.20473/jn.v3i2.5001
- Mulia WW, Ankle LS. Indonesian Journal of Physiotherapy. 2025;5(1):9-20.
- Rusminingsih E, Marwanti M, Sawitri E, Dwi Cahyani A. The Effect of Balance Exercise (Forward Stepping) on The Risk of Falling in the Elderly. Urecol Journal Part C Heal Sci. 2021;1(1):22-28.
- Vikawati NE, Julianti HP, Dewi NS, Mariani ES. Comparison of Modified OTAGO Training Program and Walking Training on Physical Performance in Pre-Frail Elderly. 2023;10(2):191-197.
- Disabilitas D, Di F, Malang K. ????? ?? ????? ) Cross Sectional ( ?????? ???. 2020;8(2):102-114.
- Arifiati RF, Prasaja P, Kurniawan H. Jalan Tendem Menurunkan Resiko Jatuh Lansia. J Ter Wicara dan Bhs. 2024;2(2):666-676. doi:10.59686/jtwb.v2i2.96
- Fatimah. Pengalaman Lansia Selama Tinggal di Panti Jompo Fatimah Desa Padang Bujur Kecamatan Padang Bolak Julu. J Kesehat Vokasional. 2020;6(1):61.
- Nasri N, Widarti R. Efektivitas Latihan The Otago Home Exercise Program Terhadap Keseimbangan pada Lansia. Physio J. 2020;1(1). doi:10.30787/phyjou.v1i1.655
- Resiko P, Pada J, Ny L. IMPLEMENTASI BALANCE EXERCISE SEBAGAI UPAYA. 2025;9(7):193-197.
- Sholehudin MA, Elmaghfuroh DR. Efektivitas Intervensi Balance Exercise terhadap Masalah Keperawatan Risiko Jatuh pada Lansia di UPT Pelayanan Sosial Tresna Werdha Jember. Heal Med Sci. 2023;1(1):1-9. doi:10.47134/phms.v1i1.24
- Fauziah E, Zulfah K, Oktaviani YE. Penatalaksanaan Fisioterapi untuk Meningkatkan Keseimbangan Dinamis Lansia dengan Teknik Core Stability Exercise dan Tandem Walking Exercise. FISIO MU Physiother
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