Comparison of the Effects of Trunk Muscle Training and Cawthorne-Cooksey Training on the Risk of Falls in the Elderly
DOI:
https://doi.org/10.35451/jkf.v7i2.2634Keywords:
Trunk Muscle Exercise_Cawthorne-Cooksey Exercise; Fall Risk;_Elderly; BalanceAbstract
Background: The risk of falls in the elderly can lead to serious injuries, making effective prevention strategies essential. Exercises such as trunk muscle exercise and Cawthorne-Cooksey exercise have been shown to be beneficial. Trunk muscle exercise aims to improve core muscle strength and postural stability, while Cawthorne-Cooksey exercise focuses on coordinating head and eye movements to enhance balance. Objective: This study aims to compare the effectiveness of trunk muscle exercise and Cawthorne-Cooksey exercise in reducing fall risk among the elderly. Methods: A quasi-experimental approach was used with a two-group pre-test and post-test design. The sample consisted of two intervention groups: one receiving trunk muscle exercise and the other receiving Cawthorne-Cooksey exercise. Data analysis was conducted using the Wilcoxon test to assess the effectiveness of each intervention and the independent t-test to compare the effects of both exercise methods. Results and Discussion: The Wilcoxon test showed a p-value of 0.046 (? 0.05), indicating that both trunk muscle exercise and Cawthorne-Cooksey exercise were effective in improving balance and reducing the risk of falls in the elderly. However, the independent t-test yielded a p-value of 0.346 (> 0.05), suggesting no significant difference between the two interventions. Despite this, the average improvement in balance scores was higher in the trunk muscle exercise group (mean difference of 1.444) compared to the Cawthorne-Cooksey group (mean difference of 1.222). Conclusion: The findings
Downloads
References
Masril, Bayu Afdhal, Nila Puspita Sari, and Jihan Natassa. “Faktor-Faktor Yang Berhubungan Dengan Keaktifan Lansia (Active Aging) Di Puskesmas Payung Sekaki Kota Pekanbaru.” Jurnal Kesehatan Komunitas 8 (2):333–43. doi: 10.25311/keskom.vol8.iss2.1034
Handayani, Sri Puzzy, Rina Puspita Sari, and Wibisono Wibisono. 2020. “Literature Review Manfaat Senam Lansia Terhadap Kualitas Hidup Lansia.” BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia) 8(2):48–55. doi: 10.53345/bimiki.v8i2.143.
[Azizah, Majid, Ardiyanti (2025). Pengaruh Balance Exercise Terhadap Tingkat Keseimbangan pada Lansia. Citra Delima Scientific journal of Citra Internasional Institute. Vol.8 No.2. DOI Artikel: 10.33862/citradelima. v8i2.453.
Irliani, M., Muharyani, P. W., & Herliawati. (2021). Pengaruh Balance Exercise terhadap Keseimbangan Dinamik pada Lansia. Proceeding Seminar Nasional Keperawatan. 7 (1), 149–154.
Mardiansyah, Hardianto Y, Amalia RN (2022). Hubungan antara Kemampuan Aktivitas Fungsional dan Risiko Jatuh pada Lansia di Yayasan Batara Hati Mulia Kabupaten Gowa The Relationship Between Functional Activity Capability and Fall Risk Among Elderly In Batara Hati Mulia Foundation, Gowa Regency. J Fisioter Dan Rehabil; 6:24–30.
Ekasari. (2019). Meningkatkan Kualitas Hidup Lansia Konsep dan Berbagai Intervensi. Malang: Wineka Media
Bintang, S. S. (2022). Pengaruh Pemberian Trunk Muscle Exercise Terhadap Penurunan Resiko Jatuh Lansia. Jurnal Kesehatan Masyarakat & Gizi. Vol. 5No.1 Edisi Mei-Oktober 2022
Armayanthi, I.G.A.P., Dewi, A.A.N.T.N., Saraswati, P.A.S., & Muliarta, I.M. (2021). Penambahan Cawthorne Cooksey Exercise pada Senam Lansia Menurunkan Risiko Jatuh Lansia di Karang Lansia Melati Putih Jembrana. Majalah Ilmiah Fisioterapi Indonesia, 9(2), 74–80
Kaveh MH, Bahadori F, Doosti A, Asadollahi A (2021). The effect of balance exercise training on balance status, and quality of life in elderly women: A randomized controlled trial. Malaysian J Med Heal Sci;17(2):129–36
Armayanthi, Dewi, Saraswati, Muliarta, (2021). Penambahan Cawthorne Cooksey Exercise Pada Senam Lansia Menurunkan Risiko Jatuh Lansia Di Karang Lansia Melati Putih Jembrana. Vol 9 No 2 (2021). https://ojs.unud.ac.id/index.php/mifi/index |
Serina, Fadhilah, Taufik, Bella, Arif, (2024). Edukasi Fisioterapi Mengenai Keseimbangan Dinamis dan Risiko Jatuh pada Caregiver Lansia di Komunitas Alzheimer Indonesia (ALZI) Solo Raya. Jurnal Pengabdian kepada Masyarakat
Fitri, N. m. (2022). Darussalam Indonesian Journal of Nursing and Midwifery. Pengaruh Latihan Keseimbangan Terhadap Penurunan Resiko Jatuh Pada Lansia, 58-65.
Rahimi, N. M., Mahdavinejad, R., Hosseini, S. R. A., & Negahban, H. (2020). Efficacy of Dynamic Neuromuscular Stabilization Breathing Exercises on Chest Mobility, Trunk Muscles, and Thoracic Kyphosis: A Randomized Controlled 6-Week Trial. Iranian Rehabilitation Journal, 18(3), 329– 336. https://doi.org/10.32598/irj.18.3.969.1
Kholifah, Sinta, and Susumaningrum (2021). “Hubungan Kemampuan Mobilisasi Dengan Risiko Jatuh Pada Lansia Hipertensi.” 6(1):9–25.
Asif, I. (2022). Asia Pacific Journal of Allied Health Science. An in vestigation on the effects of Cawthorne Cooksey exercise on both vestibular and non- vestibular balance issues: A Systematic Review of Rehabilitative Services for the elderly, 107-115
Sumarsih, G. (2023). Cawthorne-Cooksey Exercise untuk Lansia (Dwi Larasati (Ed.); 1st ed.). CV Mitra Edukasi Negeri. https://books.google.co.id/books?
Tekin Dal B, Bumin G, Aksoy S, Günayd?n RÖ (2021). Comparison of Activity-Based Home Program and Cawthorne-Cooksey Exercises in Patients With Chronic Unilateral Peripheral Vestibular Disorders. Arch Phys Med Rehabil. 102(7):1300–7.
Sherrington, C., Fairhall, N. J., Wallbank, G. K., Tiedemann, A., Michaleff, Z. A., Howard, K., & Clemson, L. (2017). Exercise for preventing falls in older people living in the community: An abridged Cochrane systematic review. British Journal of Sports Medicine, 51(24), 1750-1758
Karthikbabu, S., Nayak, A., Nagarajan, K., Prem, V., & Chakrapani, M. (2018). Role of trunk rehabilitation on trunk control, balance, and gait in patients with chronic stroke: A pre-post design. Neurosciences, 23(3), 147-152
Herdman, S. J., Hall, C. D., Maloney, B., Knight, S., & Ebert, M. (2014). Variables associated with outcome in patients with chronic peripheral vestibular hypofunction: An evidence-based review. Journal of Vestibular Research, 24(5-6), 353-362.
Ricci, N. A., Aratani, M. C., Caovilla, H. H., & Gananca, F. F. (2009). Vestibular rehabilitation in elderly patients with dizziness: Randomized clinical trial. Brazilian Journal of Otorhinolaryngology, 75(3), 356-363
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Isidorus Jehaman, Fenti Fransiska, Redi Tantangan
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright in each article is the property of the Author.
