PERBEDAAN ANKLE MOVEMENT EXERCISE DENGAN CORE STABILITY EXERCISE PADA POSTURAL CONTROL EXERCISE UNTUK KESEIMBANGAN BERDIRI ANAK CEREBRAL PALSY

Abstract

Abstract

Objective: The aims of this study to determine differences ankle movement exercise with core stability exercise on postural control exercise for standing balance on childrren with spastic cerebral palsy. Methods: This research is Quasi Experimental by Pretest-Postest Two Group Design and standing balance is measured using GMFM. Sample: 14 people aged 4-8 years were taken by purposive random sampling technique at YPAC Jakarta. The sample was divided into 2 groups and each group consist of 7 people. Group I got ankle movement exercise and postural control exercise and group II got core stability exercise and postural control exercise. Result: Test of hypothesis I and II with paired sample t-test shown that there was a significant increase on standing balance with ankle movement exercise and postural control exercise (p<0.001) and also core stability exercise and postural control exercise (p<0.001). Hypothesis III test with independent sample t-test obtained p=0.003, it’s means that there was a significant difference between group I and group II in improving the standing balance of spastic cerebral palsy. Conclusion: There is a significant differences ankle movement exercise with core stability exercise on postural control exercise for standing balance on children with spastic cerebral palsy.

 

Keywords: standing balance, ankle movement exercise, core stability exercise

 

Abstrak

Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan ankle movement exercise dengan core stability exercise pada postural control exercise untuk keseimbangan berdiri anak cerebral palsy spastik diplegi. Metode: Penelitian ini bersifat Quasi Experimental dengan menggunakan Pretest-Postest Two Group Design, dimana peningkatan keseimbangan berdiri diukur dengan menggunakan GMFM. Sampel: 14 orang berusia 4-8 tahun berdasarkan purposive random sampling di YPAC jakarta. Sampel dibagi menjadi 2 kelompok, yang masing-masing terdiri atas 7 orang. Kelompok I diberikan intervensi ankle movement exercise dan postural control exercise sedangkan kelompok II diberikan intervensi core stability exercise dan postural control exercise. Hasil: Uji hipotesis 1 menggunakan Paired Sample T-tes didapatkan nilai p<0,001 sehingga ada peningkatan keseimbangan berdiri yang signifikan pada ankle movement exercise dan postural control exercise. Uji hipotesis II menggunakan Paired Sample T-test didapatkan nilai p<0,001 sehingga ada peningkatan keseimbangan berdiri pada core stability exercise dan postural control exercise. Uji hipotesis III menggunakan Independent Sample t-test didapatkan nilai p=0,003 yang artinya ada perbedaan yang bermakna antara kelompok I dan kelompok II dalam meningkatkan keseimbangan berdiri anak cerebral palsy spastik diplegi. Kesimpulan: Ada perbedaan yang bermakna ankle movement exercise dengan core stability exercise pada postural control exercise dalam meningkatkan keseimbangan berdiri anak cerebral palsy spastik diplegi.

 

Kata kunci: Keseimbangan berdiri, ankle movement exercise, core stability exercise