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All Journal Jurnal Ners Vitamin: Jurnal Ilmu Kesehatan Umum
Slamet Sumarno
Universitas Binawan
Health Professions Medicine & Pharmacology Nursing Public Health

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Efektivitas Aquatic Therapy dalam Meningkatkan Keseimbangan pada Kasus Ankle Instability: Systematic Literatur Review Putra Adytio Giriyoga; Yulis Susanti; Slamet Sumarno
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60844

Abstract

Ankle instability merupakan masalah muskuloskeletal dengan prevalensi tinggi, terutama pada atlet, yang menyebabkan gangguan keseimbangan dan cedera berulang. Rehabilitasi konvensional di darat sering terkendala nyeri dan beban tumpuan tubuh. Aquatic therapy hadir sebagai intervensi potensial yang memanfaatkan buoyancy dan viskositas untuk memfasilitasi sensorimotor dan keseimbangan secara aman. Penelitian ini bertujuan mengevaluasi efektivitas aquatic therapy dalam meningkatkan keseimbangan dinamis dan statis pada kasus ankle instability. Penelitian ini menggunakan desain Systematic Literature Review, pencarian literatur dilakukan pada database PubMed, ScienceDirect, Google Scholar, dan ResearchGate dalam rentang waktu publikasi 2015–2025. Seleksi studi menggunakan diagram PRISMA dan dievaluasi dengan JBI Critical Appraisal Checklist, menghasilkan 20 artikel dengan metode penelitian RCT dan Quasi-experimental untuk dianalisis. Sintesis dari 20 studi menunjukkan bahwa aquatic therapy memberikan peningkatan signifikan pada keseimbangan statis dan dinamis. Metode ini lebih unggul dibandingkan terapi darat dalam hal stabilitas postural, pengurangan nyeri, serta mempercepat return-to-sport. Sifat air memfasilitasi inisiasi latihan lebih dini dengan menurunkan beban sendi dan meningkatkan propriosepsi tanpa memicu kinesiophobia. Aquatic therapy terbukti efektif dan aman sebagai modalitas utama. Intervensi ini mampu menjembatani fase imobilisasi menuju latihan fungsional penuh dan memperbaiki stabilitas mekanis secara signifikan.
Pengaruh Core Stability Exercise terhadap Keseimbangan Pasien Stroke di Poli Rehabilitasi Medik RS Adhyaksa Jakarta: Case Study Rokhim Sunandi; Ezra Bernadus Wijaya; Slamet Sumarno
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 4 No. 1 (2026): January : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v4i1.2107

Abstract

Stroke is a major cause of long-term disability and frequently results in balance impairment that limits functional mobility and increases the risk of falls. Impaired trunk control and postural instability are common consequences of stroke, highlighting the need for effective rehabilitation strategies. This study aimed to analyze the effect of Core Stability Exercise on balance improvement in stroke patients undergoing rehabilitation at the Medical Rehabilitation Polyclinic of RS Adhyaksa Jakarta. A case study design with a pretest–posttest approach was applied to three patients with ischemic stroke who presented with balance disorders. The intervention consisted of Core Stability Exercise, including bridging, bird-dog exercise, and seated balance exercise, conducted three times per week for eight sessions. Balance performance was measured using the Berg Balance Scale before and after the intervention. The findings demonstrated a consistent increase in Berg Balance Scale scores in all patients, indicating improvements in static and dynamic balance as well as a reduction in fall risk. Patients with better initial motor control showed faster and greater improvement, although positive changes were also observed in patients with more severe impairments. These results suggest that Core Stability Exercise contributes to enhanced trunk stability, postural control, and functional balance in stroke patients. The study implies that integrating Core Stability Exercise into routine physiotherapy programs may support more comprehensive and individualized stroke rehabilitation, particularly in addressing balance-related functional limitations.
Co-Authors Ezra Bernadus Wijaya Putra Adytio Giriyoga Rokhim Sunandi Yulis Susanti