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All Journal INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) NuCSJo : Nusantara Community Service Journal Jurnal Kesehatan Masyarakat
Anissa Eka Septiani
Poltekkes Kemenkes Surakarta
Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Nursing Public Health Other

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DIFFERENCES IN WALKING BALANCE ACROSS BODY MASS INDEX ANDFALL RISK CATEGORIES AMONG OLDER ADULTS Nur Rachmat; M Syafii; Anissa Eka Septiani; Tarezza Dewi Sekar Mayang; Indra Yulianti
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 1 (2026): VOLUME 10 ISSUE 1 APRIL 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss1/807

Abstract

This study aimed to examine differences in walking balance across body mass index (BMI) categories and fall risk categories among community-dwelling older adults. Methods: A cross-sectional study was conducted involving 55 older adults aged 50–90 years in a community setting in Central Java, Indonesia. Body mass index was classified using Asia–Pacific criteria. Fall risk was assessed using the Morse Fall Scale, and walking balance was evaluated using the 8-Foot Up and Go test, categorized as balanced or impaired. Data were analyzed using descriptive statistics and Pearson’s chi-square test. Results: The mean age of participants was 63.16 ± 8.60 years, and the mean BMI was 22.02 ± 3.86 kg/m². Overall, 69.1% of participants exhibited impaired walking balance. No significant association was found between BMI category and walking balance status (χ² = 4.78, p = 0.188). In contrast, fall risk category showed a significant association with walking balance status (χ² = 11.61, p = 0.003), with higher fall risk corresponding to greater balance impairment. Conclusion: Walking balance impairment among older adults was significantly associated with fall risk category but not with BMI classification. These findings indicate that fall risk assessment provides greater clinical relevance for identifying balance impairment than anthropometric measures alone.
Implementasi Ankle Foot Orthosis Desain Posterior Shell Jointed Plantarflexion Stop pada Rehabilitasi Pasien Pascastrok Anissa Eka Septiani; Muhammad Syaifuddin; Sisybania Sisybania; Hisyam Syafi’ie
NuCSJo : Nusantara Community Service Journal Vol. 3 No. 1 (2026): in progres
Publisher : Lembaga Penelitian Dan Publikasi Ilmiah (lppi) Yayasan Almahmudi Bin Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70437/nucsjo.v3i1.403

Abstract

Strok merupakan gangguan cerebrovascular yang ditandai dengan defisit neurologis akibat iskemia atau perdarahan pada jaringan otak, dan menjadi salah satu penyebab utama kecacatan fisik jangka panjang, termasuk drop foot dan deformitas metatarsus adductus, yang berdampak signifikan terhadap kemampuan fungsional dan kualitas hidup penderita. Kegiatan pengabdian kepada masyarakat ini bertujuan memberikan Jointed Plantar Stop Ankle Foot Orthosis (AFO) kepada seorang pasien pascastrok kedua yang sedang menjalani program rehabilitasi fisioterapi. Metode yang diterapkan adalah pelayanan ortotik klinis langsung berbasis bukti, mencakup tahapan assessment, casting, rectification, fabrication dari bahan polyethylene dengan sendi plantar stop, fitting, pelatihan penggunaan alat, serta evaluasi pola berjalan. Hasil kegiatan menunjukkan bahwa AFO yang diberikan mampu mencegah toe drag dan foot slap, memperbaiki alignment deformitas metatarsus adductus, serta meningkatkan stabilitas dan keseimbangan saat berjalan. Pasien dan keluarga melaporkan tingkat kepuasan yang tinggi terhadap fungsi alat ortosis yang diberikan. Kegiatan ini menegaskan pentingnya intervensi ortotik yang terkoordinasi dengan program fisioterapi dalam mendukung pemulihan fungsional pasien pasca strok.
Elastic Knee Sleeve on Dynamic Balance in Pre-Elderly Women: A Community-Based Study Nur Rachmat; Anissa Eka Septiani; Angga Nur Wahyu Saputra
Jurnal Kesehatan Masyarakat Vol. 22 No. 1 (2026)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v22i1.45735

Abstract

Population aging is associated with progressive declines in neuromuscular function and proprioceptive sensitivity that may impair postural stability beginning in middle adulthood. Reduced balance performance is associated with an increased risk of falls and functional limitations later in life. Elastic knee sleeves are widely used orthotic devices that may enhance proprioceptive feedback and joint awareness; however, evidence regarding their functional effects in community-dwelling pre-elderly populations remains limited. This study aimed to evaluate the effect of elastic knee sleeve use on dynamic balance among pre-elderly women participating in community exercise programs. A community-based quasi-experimental pre–post intervention study was conducted involving 30 pre-elderly women aged 45–59 years. Participants were instructed to wear elastic knee sleeves for approximately five hours daily over six weeks. Dynamic balance was assessed using the Y Balance Test before and after the intervention. Differences in balance performance were analyzed using paired t-tests with statistical significance set at p < 0.05. Dynamic balance performance improved significantly after the intervention. Mean Y Balance Test scores increased from 74.93 ± 13.32 to 108.50 ± 12.74 for the left leg and from 75.20 ± 12.32 to 108.10 ± 13.72 for the right leg (p < 0.001). These findings indicate a substantial improvement in dynamic postural control following knee sleeve use. Elastic knee sleeves may represent a simple orthotic strategy to enhance proprioceptive feedback and improve dynamic balance among pre-elderly women participating in community exercise programs.
Co-Authors Angga Nur Wahyu Saputra Hisyam Syafi’ie M Syafii Muhammad Syaifuddin Nur Rachmat Sisybania Sisybania Tarezza Dewi Sekar Mayang Yulianti, Indra