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IMPROVING BALANCE
PROBLEMS IN ELDERLY
Wisnu Prasetyo Adhi, SST. FT., Ftr
MUKADIMAH
Ya ALLAH SWT, beri aku kekuatan untuk mengubah
hal-hal yang dapat diubah, Rahmat dan kesabaran
untuk menerima dengan ketenangan hal-hal yang
tidak dapat diubah, Dan berilah kebijaksanaan untuk
membedakan yang satu dari yang lain.
B E B E R A P A R E F E R E N S I
PREVALENCY
NEURAL PLASTICITY IN ELDERLY
To maximize human
brain fitness and motor
functions signaled by the
quality of life and
independence in daily
activity, habitual
cognitive and motor
learning or practice is
required across the
lifespan, particularly for
older adults.
BALANCE FACTOR
MICRONETWORK NEURON
PHYSIOLOGY CLOCK
SUBCELLULAR NETWORK —-> NEURON
DEGENERASI
CAUSE OF FALLS
BALANCE CONTROL SYSTEM IN
ELDERLY
Nutrition
BIO-PSYCHO-SOCIAL ASPECT
RECEIVING INFORMATION SENSORY SYSTEM
For normal MOVEMENT we need to:
Receive
information from senses
Integrate
information with memory and stored knowledge
Monitor and correct
action and behaviour in response to changes in
environment
MULTIFACTORIAL ASSESMENT
RISK FACTORS OF GAIT AND BALANCE
DISORDERS
EVALUATION
ASSOCIATED
DIAGNOSIS
GAIT PATTERN IN
ELDERLY
ICF FRAME WORK
BIO-PSYCHOSOCIAL Factor
BODY
AWARENESS
IMPROVING BALANCE IN ELDERLY
IMPROVING BALANCE IN ELDERLY
BALANCE EXERCISE
FlEXIBILITY EXERCISE
STRENGTH EXERCISE
FUNCTIONAL EXERCISE
BALANCE EXERCISE
SIDE WALKING
SIMPLE
GRAPEVINE
HEEL TO TOE
WALK
ONE LEG
STANCE
STEP UP
STRENGTH EXERCISE
SIT TO STAND MINI SQUAD
CALF RAISES SIDEWAYS LEG
LIFT
LEG EXTENSION
WALL PRESS UP
BICEPS CURLS
FLEXIBILITY EXERCISE
NECK STRETCH SIDEWAYS BEND
CALF STRECTH
FUNCTIONAL EXERCISE
REFERENCY
Batterham AM, Hopkins WG (2006) Making meaningful inferences about magnitudes. International Journal of Sports Physiology
and Performance 1: 50–57. BMS (1999)
Biodex Balance System: Clinical Resource Manual. Shirley, NY: Biodex Medical Systems Inc. BMS (2003) Balance System
Operations and Service Manual. Shirley, NY: Biodex Medical Systems Inc. Cameron ID, Murray GR, Gillespie LD, Robertson MC,
Hill KD, Cumming RG, et al (2010)
Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database of Systematic Reviews:
CD005465. Chang NT, Chi LY, Yang NP, Chou P (2010) The impact of falls and fear of falling on health-related quality of life in
Taiwanese elderly. Journal of Community Health Nursing 27: 84–95.
Delbaere K, Close JC, Mikolaizak AS, Sachdev PS, Brodaty H, Lord SR (2010) The Falls Efficacy Scale International (FES-I). A
comprehensive longitudinal validation study. Age and Ageing 39: 210–216.
Deshpande N, Metter EJ, Bandinelli S, Lauretani F, Windham BG, Ferrucci L (2008) Psychological, physical, and sensory correlates
of fear of falling and consequent activity restriction in the elderly: the InCHIANTI study. American Journal of Physical Medicine &
Rehabilitation 87: 354–362.
Dichgans J, Diener HC (1989) The contribution of vestibulospinal mechanisms to the maintenance of human upright posture. Acta
Otolaryngologica 107: 338–345.
Dvir Z (2003) Isokinetics: muscle testing, interpretation and clinical application (2nd edn). London: Churchill Livingstone. Ersoy Y,
MacWalter RS, Durmus B, Altay ZE, Baysal O (2009)
Predictive effects of different clinical balance measures and the fear of falling on falls in postmenopausal women aged 50 years and
over. Gerontology 55: 660–665.

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GERIATRIC POLTEKKES 3.pptx

  • 1. IMPROVING BALANCE PROBLEMS IN ELDERLY Wisnu Prasetyo Adhi, SST. FT., Ftr
  • 2. MUKADIMAH Ya ALLAH SWT, beri aku kekuatan untuk mengubah hal-hal yang dapat diubah, Rahmat dan kesabaran untuk menerima dengan ketenangan hal-hal yang tidak dapat diubah, Dan berilah kebijaksanaan untuk membedakan yang satu dari yang lain.
  • 3. B E B E R A P A R E F E R E N S I
  • 5. NEURAL PLASTICITY IN ELDERLY To maximize human brain fitness and motor functions signaled by the quality of life and independence in daily activity, habitual cognitive and motor learning or practice is required across the lifespan, particularly for older adults.
  • 9. SUBCELLULAR NETWORK —-> NEURON DEGENERASI
  • 11. BALANCE CONTROL SYSTEM IN ELDERLY Nutrition
  • 13.
  • 14. RECEIVING INFORMATION SENSORY SYSTEM For normal MOVEMENT we need to: Receive information from senses Integrate information with memory and stored knowledge Monitor and correct action and behaviour in response to changes in environment
  • 16. RISK FACTORS OF GAIT AND BALANCE DISORDERS
  • 19. ICF FRAME WORK BIO-PSYCHOSOCIAL Factor BODY AWARENESS
  • 20. IMPROVING BALANCE IN ELDERLY IMPROVING BALANCE IN ELDERLY BALANCE EXERCISE FlEXIBILITY EXERCISE STRENGTH EXERCISE FUNCTIONAL EXERCISE
  • 21. BALANCE EXERCISE SIDE WALKING SIMPLE GRAPEVINE HEEL TO TOE WALK ONE LEG STANCE STEP UP
  • 22. STRENGTH EXERCISE SIT TO STAND MINI SQUAD CALF RAISES SIDEWAYS LEG LIFT
  • 23. LEG EXTENSION WALL PRESS UP BICEPS CURLS
  • 24. FLEXIBILITY EXERCISE NECK STRETCH SIDEWAYS BEND CALF STRECTH
  • 26. REFERENCY Batterham AM, Hopkins WG (2006) Making meaningful inferences about magnitudes. International Journal of Sports Physiology and Performance 1: 50–57. BMS (1999) Biodex Balance System: Clinical Resource Manual. Shirley, NY: Biodex Medical Systems Inc. BMS (2003) Balance System Operations and Service Manual. Shirley, NY: Biodex Medical Systems Inc. Cameron ID, Murray GR, Gillespie LD, Robertson MC, Hill KD, Cumming RG, et al (2010) Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database of Systematic Reviews: CD005465. Chang NT, Chi LY, Yang NP, Chou P (2010) The impact of falls and fear of falling on health-related quality of life in Taiwanese elderly. Journal of Community Health Nursing 27: 84–95. Delbaere K, Close JC, Mikolaizak AS, Sachdev PS, Brodaty H, Lord SR (2010) The Falls Efficacy Scale International (FES-I). A comprehensive longitudinal validation study. Age and Ageing 39: 210–216. Deshpande N, Metter EJ, Bandinelli S, Lauretani F, Windham BG, Ferrucci L (2008) Psychological, physical, and sensory correlates of fear of falling and consequent activity restriction in the elderly: the InCHIANTI study. American Journal of Physical Medicine & Rehabilitation 87: 354–362. Dichgans J, Diener HC (1989) The contribution of vestibulospinal mechanisms to the maintenance of human upright posture. Acta Otolaryngologica 107: 338–345. Dvir Z (2003) Isokinetics: muscle testing, interpretation and clinical application (2nd edn). London: Churchill Livingstone. Ersoy Y, MacWalter RS, Durmus B, Altay ZE, Baysal O (2009) Predictive effects of different clinical balance measures and the fear of falling on falls in postmenopausal women aged 50 years and over. Gerontology 55: 660–665.