KEKUATAN GENGGAMAN TANGAN PADA WANITA USIA LANJUT DI POSYANDU LANSIA KECAMATAN KALASAN DENGAN RIWAYAT JATUH DAN TIDAK JATUH
| Main Authors: | , dr. Dian Ekowati, , dr. I Dewa Putu Pramantara, SpPD-KGer |
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| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2014
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| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/128280/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=68619 |
Daftar Isi:
- BACKGROUND Falls often occurs in older people, in fact falls has been considered as one of the major health problems in elderly. Falls in older age will increase morbidity, mortality, disability, social dysfunction and decreased quality of life. Handgrip strength is strongly correlated with other tests for muscle strength and is often considered to represent the strength of whole body muscles, thus this test may be potentially used as an physical indicator of overall body strength. Handgrip strength and TUG test are parts of a number of physical performance tests to establish the risk of falls and recurrent falls. OBJECTIVES to assess the differences in handgrip strength among older women population with and without falls in the posyandu lansia Kalasan District, Sleman Regency. MATERIALS AND METHODS this is a cross-sectional study. Subjects were elderly women in the posyandu lansia Kalasan District, Sleman Regency, Yogyakarta Province who fulfilled the inclusion criteria. Mean difference of handgrip strength between fallers and non fallers groups were analyzed using independent t-test if the data had normal distribution or Mann-Whitney test if the data did not have normal distribution. Statistical analysis was done with a computer program. Statistically significant differences were determined by their value (P < 0.05). RESULTS Ninety nine subjects were recruited with a median age of 74 years. Subjects were divided into 2 groups: 33 subjects with a history of falls (33.33%) and 66 (66.67%) without history of falls. There was significant difference in handgrip strength between fallers group (median 16) and non-fallers group (median 18.5) with p = 0.005. There was a significant difference in TUG test time between fallers (median 11.85) and non-fallers (median 10.9) with p = 0.017. From this study it can be concluded that both handgrip strength and TUG test can be a strong indicator for clinical risk of falls. Physical performance measurement with handgrip strength can be used as an alternative test to predict the incidence of falls if TUG test could not be performed because of the motor limitations in elderly.