Budi Utomo
Departement of Physiotherapy, Poltekkes Kemenkes Surakarta, Indonesia

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Testing the Validity and Reliability of the Step Test for Elderly Balance Ardhita Dyah Ramadani; Dwi Kurniawati; Budi Utomo
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 8 Number 1 Year 2023
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v8i1.485

Abstract

Background: A common problem among the elderly is a decline in functional capacity, which can affect their balance and lead to a high risk of falling. Balance is the ability to maintain body position while stationary or moving. Maintaining balance in the elderly is important to enable them to remain independent in performing various daily activities. The Step Test is one of the measurement tools that can be used to determine the level of balance in the elderly. The purpose of this study was to determine the validity and reliability of the Step Test in measuring balance in the elderly by comparing it with the Berg Balance Scale (BBS). Methods: This study used a descriptive research design with an observational method involving 20 elderly subjects.  Results: Based on the validity test, p=0.001 and r=0.689 were obtained, which means that there is a strong relationship between the Step Test and the Berg Balance Scale (BBS). The interrater reliability test yielded a result of p=0.000 and ICC=0.897, while the intrarater reliability test yielded a result of p=0.000 and ICC=0.881. Conclusion: The Step Test is proven to be valid and reliable for measuring balance in the elderly. The Step Test is recommended for use in detecting the risk of falling more quickly and accurately in the elderly.
The Difference in the Effect of Progressive Muscle Relaxation and Elderly Exercise on Blood Pressure Reduction in Elderly Hypertensive Patients Angling Krismaya Jati; Budi Utomo; Sukadarwanto Sukadarwanto
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 8 Number 1 Year 2023
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v8i1.493

Abstract

Background: Hypertension in the elderly isolated systolic hypertension (ISH), where increased systolic pressure increases the likelihood of stroke and myocardial infarction even if diastolic pressure is within normal limits. The purpose of this study was to determine the difference in the effect of progressive muscle relaxation and elderly exercise on blood pressure reduction in elderly hypertensive patients. Methods: This study used a two-group pre-test and post-test design involving 20 subjects randomly divided into two groups. Group I was given progressive muscle relaxation treatment, and group II was given elderly exercise treatment. The frequency of exercise was twice a week for two weeks. The measuring instrument used in this study was a sphygmomanometer.  Results: Hypothesis I test using a paired sample t-test obtained a p-value of 0.001, while hypothesis II test using a paired sample t-test obtained a p-value of <0.001. Hypothesis III test using an independent sample t-test obtained a p-value of 0.042 (p<0.005). Conclusion: Progressive muscle relaxation combined with exercise for the elderly has an effect on lowering blood pressure in elderly people with hypertension. Both interventions can be used to lower blood pressure in the elderly.