Comparison of Combination of Foot Exercise With and Without Hydrotherapy to the Range of Motion on Active Knee Joints and Ankle Joints In The Elderly

Authors

  • Andhwika Afif Fahrezi Department of Medicine, Faculty of Medicine, Diponegoro University, Semarang, Indonesia, Indonesia
  • Yuswo Supatmo Department of Physiology, Faculty of Medicine, Diponegoro University, Semarang, Indonesia, Indonesia
  • Marijo Marijo Department of Anatomy, Faculty of Medicine, Diponegoro University, Semarang, Indonesia, Indonesia
  • Raden Mas Soerjo Adji Department of Anatomy, Faculty of Medicine, Diponegoro University, Semarang, Indonesia, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v10i1.814

Keywords:

Foot exercise, Hydrotherapy, Range of Motion

Abstract

Background: Aging results in a decrease in various body functions, one of them is in the aspect of mobility. Increasing age can reduce the range of motion of the joints. One of the easy physical activities for the elderly is foot exercise and hydrotherapy (warm water soaks) in order to minimize the decrease in ROM.

Aim : To compare the combination of foot exercises with hydrotherapy and without hydrotherapy on active ROM of the lower extremities in the elderly.

Methods : This research is an experimental study with parallel 3 groups pre and post-test design. The research subjects were 21 elderly people in RW 04 Karang Wetan, West Ungaran, Semarang Regency. Active ROM of the lower extremity was measured before and after intervention using a goniometer. analyzing the data of this study using the Paired T test and One Way ANOVA method.

Results: There was no significant increase in the active ROM of the lower extremities in the control group, p=0.114 (p>0.05). The range of active motion of the lower extremities (pre test to post test) in the combination treatment group of foot exercise and hydrotherapy p < 0.001 (p < 0.05) and the treatment group of foot exercise p = 0.001 (p < 0.05) experienced a significant increase . However, there was no significant difference in the increase in active ROM of the lower extremities in the combination treatment group with foot exercises and hydrotherapy, p=1.00 (p<0.05) and the foot exercise treatment group.

Conclusion:Physical activity in the form of a combination of foot exercises with hydrotherapy and without hydrotherapy performed 3 times a week for 5 weeks has been shown to increase the active ROM of the lower extremities in the elderly. However, there was no significant difference between the two which was more effective in increasing the active ROM of the lower extremities in the elderly.

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References

  1. Regulation of the Minister of Health of the Republic of Indonesia Number 67 of 2015 concerning the Implementation of Elderly Health Services at Community Health Centers. 2015.
  2. Kholifah SN. Gerontic Nursing Book. Jakarta: Pusdik HR for Health Development and Empowerment of Human Resources for Health. 2016.
  3. Central Bureau of Statistics. Statistics on the Elderly Population in Indonesia 2019. Jakarta: Central Bureau of Statistics of the Republic of Indonesia. 2019: 37.
  4. Aging and health [Internet]. 2018 [cited 2021 Feb 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
  5. Setiati S. Geriatric Medicine, Sarcopenia, Frailty, and Quality of Life of Elderly Patients: Challenges for the Future of Medical Education, Research and Services in Indonesia. Indonesian Kedokt eJournal. 2014;1(3).
  6. Stathokostas L, Mcdonald MW, Little RMD, Paterson DH. Flexibility of Older Adults Aged 55–86 Years and the Influence of Physical Activity.2013.
  7. Schoenfeld BJ, Grgic J. Effects of range of motion on muscle development during resistance training interventions: A systematic review. SAGE Open Med. 2020.
  8. Choi JH, Yoo KT, An HJ, et al. The effects of taping, stretching, and joint exercise on hip joint flexibility and range of motion. J Phys Ther Sci. 2016;28(5):1665–8.
  9. Margono A. Gymnastics. Surakarta: UNS Press. 2009.
  10. Tavip dwi W. Ankle Brachial Index (ABI) After Foot Exercise in Type 2 Diabetes Patients. J Nursing. 2013;4:143–51.
  11. Dilianti IE, Candrawati E, Adi WRC. The Effectiveness of Hydrotherapy on Lowering Blood Pressure in the Elderly at the Al-Islah Nursing Home Malang. Nurs News (Meriden) [Internet]. 2017;2(3):193–206. Available from: https://publikasi.unitri.ac.id/index.php/fikes/article/view/579
  12. Nugroho S, Karyono TH, Dwihandaka R, Pambudi K. The effectiveness of warm, cold and contrast water therapy on pain, fatigue and muscle endurance. INTRODUCTION Badminton game loaded with berba. J Sport J Learning Researcher. 2020;6(2):466–82.
  13. Filantip A. Effect of Active Range of Motion (ROM) Exercise on Flexibility of Lower Extremity Joints and Motor Movement in the Elderly at the Wening Wardoyo Social Service Unit Ungaran [Internet]. Ojs.Fdk.Ac.Id. 2015.Available from:https://ojs.fdk.ac.id/index.php/Nursing/index
  14. Smeltzer SC, Bare BG. Brunner & Suddarth Textbook of Medical-Surgical Nursing. Jakarta: EGC. 2001.
  15. Range of Motion - an overview | ScienceDirect Topics [Internet]. [cited 2021 March 3]. Available from: https://www.sciencedirect.com/topics/immunology-and-microbiology/range-of-motion
  16. Tortora GJ, Derrickson B. Principles of Anatomy and Physiology. United States of America : Journal of Chemical Information and Modeling. 2016. 1689–1699 p.
  17. Nindawi N, Susilawati EF, Iszakiyah N. Effectiveness of Active Range Of Motion (ROM) Exercise on Lower Extremity Muscle Tonus and Joint Range of Motion in the Elderly. Wiraraja Med J Health. 2021;11(1):1–9.
  18. Setiyawan S, Pratiwi L, Rizqiea NS. Effect of warm water foot soak hydrotherapy on muscle strength in non-hemorrhagic stroke patients. Caring J Nursing. 2019;8(1):15–22.

 

Additional Files

Published

2023-03-31

How to Cite

1.
Fahrezi AA, Supatmo Y, Marijo M, Adji RMS. Comparison of Combination of Foot Exercise With and Without Hydrotherapy to the Range of Motion on Active Knee Joints and Ankle Joints In The Elderly. Medica Hospitalia J. Clin. Med. [Internet]. 2023 Mar. 31 [cited 2024 Dec. 26];10(1):26-31. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/814

Issue

Vol. 10 No. 1 (2023): Med Hosp; March 2023

Section

Original Article

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