Introduction: The chronic post-stroke phase is often accompanied by various sensory, cognitive, motoric, coordination, and balance impairments. Decreased strength and motoric control contribute to walking capacity in patients with stroke. This study aims to evaluate the effect of Open Kinetic Chain (OKC) vs Closed Kinetic Chain (CKC) exercise on walking capacity in the chronic post-stroke phase. Open Kinetic Chain (OKC) and Closed Kinetic Chain (CKC) were reported to improve functional mobility and balance in the chronic post-stroke phase. However, there is a lack of studies emphasizing the effect of OKC and CKC on walking capacity. Methods: This study is a quasi-experimental pre- and post-controlled trial group design. Twenty subjects were randomized into two groups of equal size: the CKC group (n=10) and the OKC group (n=10). There was one subject from each group who dropped out at the end of the study. CKC and OKC groups were trained for 6 weeks. The walking capacity was measured with 2 Minutes Walking Test (2WMT). Results: 2WMT results showed improvement in both groups after 6 weeks of intervention, 56,17 ± 10,95 ± to 57,43 ± 11,29 in CKC group (p<0.001) and 57,04 ± 8,58 to 58,19 ± 8,77 in OKC group (p<0.002). Conclusion: CKC and OKC exercise significantly improve the 2WMT results after 6 weeks of intervention. Keywords: Chronic post-stroke phase, walking capacity, open kinetic chain exercise, closed kinetic chain exercise
LATAR BELAKANG : Proses penuaan akan menyebabkan perubahan anatomik maupun penurunan fungsi dari berbagai sistem organ. Pada penuaan terjadi gangguan keseimbangan yang dapat menyebabkan jatuh yang diakibatkan oleh adanya penurunan fungsi pada sistem sensorik maupun motorik. Latihan keseimbangan direkomendasikan untuk meningkatkan keseimbangan lansia dan mencegah timbulnya jatuh. Penelitian ini dilakukan di Paguyuban Lansia Melati 7 Karangasem, Laweyan, Surakarta. TUJUAN : Mengetahui apakah penambahan latihan penguatan dengan Resistance Band dapat meningkatkan keseimbangan fungsional lansia yang mendapat latihan keseimbangan. METODE : Metode penelitian ini adalah quasi eksperimental Populasi adalah lansia sehat. 24 subjek lansia yang memenuhi kriteria penelitian dibagi secara acak dengan undian menjadi kelompok Latihan keseimbangan (n=12) dan kelompok Latihan keseimbangan + Resistance Band (n=12). Kedua kelompok mendapatkan latihan tiga kali seminggu selama lima minggu. Keseimbangan diukur sebelum dan setelah intervensi dengan menggunakan Berg Balance Scale (BBS). Inform konsen diberikan pada tanggal 11 September 2020. HASIL: Terdapat penambahan skor BBS sebelum dan sesudah intervensi pada kelompok Latihan keseimbangan (p=0,047), dan pada kelompok Latihan keseimbangan + Resistance Band (p=0,016). Perbandingan antar kelompok tidak menunjukkan perbedaan signifikan pada rerata peningkatan skor BBS (p=0,882), namun terdapat peningkatan skor BBS yang lebih tinggi pada kelompok Latihan keseimbangan + Resistance Band. KESIMPULAN : Penambahan latihan penguatan dengan Resistance Band pada latihan keseimbangan tidak berpengaruh secara statistik terhadap peningkatan keseimbangan fungsional lansia. KATA KUNCI : Keseimbangan fungsional, lansia, latihan keseimbangan, latihan penguatan, resistance band
Introduction: Knee osteoarthritis (OA) causes pain which limits functional activity and quality of life. Quadriceps femoris muscle strengthening with weight-pulley system is effective in improving functional activity. Kinesiotaping is known in reducing pain thus improving activity and quality of life. This study was to determine the effect of kinesiotaping in addition to weight-pulley system exercise on quality oflife in grade II and III knee OA patients. Methods: Participants were randomly assigned to intervention group (n=13) and control group (n=14). All participants were treated with weight-pulley system exercise for nine sessions meanwhile participants in intervention group received additional kinesiotaping. Pre- and post-intervention quality of life were evaluated using Medical Outcome Study Short Form-36 (SF-36). Results: There were differences in total score of SF-36, bodily pain, general health, vitality, and role emotional between intervention and control group; (90.53±8.23, 76.98±11.88; p=0.002), (83.75±16.86,67.31±17.3; p=0.022), (88.57±10.27, 72.69±12.18; p=<0.001), (93.93±7.64, 80.77±10.18; p=0.002) and (92.86±14.18, 74.37±24.17; p=0.027), respectively. Conclusion: Application of kinesiotaping in addition to weight-pulley system exercise improved quality of, particularly in bodily pain, general health, vitality and role emotional in grade II and III knee OApatients.
Introduction: The chronic post-stroke phase is often accompanied by various sensory, cognitive, motoric, coordination, and balance impairments. Decreased strength and motoric control contribute to walkingcapacity in patients with stroke. Open Kinetic Chain (OKC) and Closed Kinetic Chain (CKC) were reported to improve strength, functional mobility and balance in the chronic post-stroke phase. However, there is aphysiologically differences between CKC and OKC exercise. This study aims to compare the result of two methods of progressive resistant training (PRT) on walking capacity in the chronic post-stroke phase.Methods: This study is a quasi-experimental pre- and post-controlled trial group design. Twenty subjects were randomized into two groups of equal size: the CKC group (n=10) and the OKC group (n=10). Therewas one subject from each group who dropped out at the end of the study. CKC and OKC groups were trained for 6 weeks. The walking capacity was measured with 2 Minutes Walking Test (2WMT).Results: 2WMT results showed improvement in both groups after 6 weeks of intervention, while CKC group show greater improvement in walking distance 56,17 ± 10,95 to 57,43 compared to OKC group57,04 ± 8,58 to 58,19 ± 8,77 (p<0.002).Conclusions: This study shows CKC group showed slightly better improvement in walking capacity after 6 weeks of progressive resistance training compare to OKC group. However, there were no statisticallydifferences between the groups
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