The Effect Of Otago Exercise On Gait Walking Speed In Elderly Women At Posyandu Harapan Bunda In 2026

Bunga Anisa; Robiatun Amalia Ranti; Slamet Sumarno

doi:10.55227/ijhet.v5i3.1111

Authors

Bunga Anisa a:1:{s:5:"en_US";s:28:"Universitas Binawan, Jakarta";}
Robiatun Amalia Ranti Universitas Binawan, Jakarta
Slamet Sumarno Universitas Binawan, Jakarta

DOI:

https://doi.org/10.55227/ijhet.v5i3.1111

Keywords:

Otago Exercise Program, Gait Walking Speed, 10 Meter Walking Test, Elderly Women, Fall Risk

Abstract

Elderly individuals are prone to a decline in walking ability, which is commonly indicated by reduced gait walking speed and may increase the risk of falls. Gait walking speed is an important parameter in gait analysis as it reflects functional mobility, balance, and lower extremity muscle strength in older adults. One exercise program recommended to improve walking ability and reduce fall risk is the Otago Exercise Program. This study aimed to determine the effect of the Otago Exercise Program on improving gait walking speed in elderly women with a risk of falling at Posyandu Harapan Bunda. This study employed a pre-experimental design using a one-group pretest–posttest approach. The sample consisted of 52 elderly women aged 60–69 years with a risk of falling, selected using total sampling. The Otago Exercise Program was conducted for 8 weeks with a frequency of three sessions per week (12 sessions). Gait walking speed was measured using the 10 Meter Walking Test (10MWT) before and after the intervention. Data were analyzed descriptively and inferentially using the Wilcoxon test. The results showed an improvement in gait walking speed after the Otago Exercise intervention. The mean 10MWT score increased from 65.55 before the intervention to 95.22 after the intervention. The Wilcoxon test results indicated a significant effect of the Otago Exercise Program on improving gait walking speed in elderly women with a risk of falling (p < 0.05). In conclusion, the Otago Exercise Program has a significant effect on improving gait walking speed in elderly women with a risk of falling. This exercise program can be recommended as an effective intervention to enhance walking ability and reduce fall risk in the elderly population.

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References

Ambrose, A.F., Paul, G. & Hausdorff, J.M., 2019. Risk factors for falls among older adults: A review of the literature. Maturitas, 75(1), pp.51–61.

Beauchet, O., Sekhon, H., Schott, A.M. & Allali, G., 2020. Gait speed, gait variability, and risk of falls in older adults. Journal of Geriatric Physical Therapy, 43(2), pp.56–63.

Campbell, A.J. and Robertson, M.C., 2003. Otago exercise programme to prevent falls in older adults. Dunedin: University of Otago.

Cesari, M. et al., 2021. Role of gait speed in the assessment of older patients. Journal of the American Medical Directors Association, 22(7), pp.1396–1403.

Cruz-Jentoft, A.J., Bahat, G., Bauer, J., Boirie, Y., Bruyère, O. & Cederholm, T., 2019. Sarcopenia: Revised European consensus on definition and diagnosis. Age and Ageing, 48(1), pp.16–31.

Dahlan, M.S., 2021. Statistik untuk kedokteran dan kesehatan. Jakarta: Epidemiologi Indonesia.

Guralnik, J.M. & Ferrucci, L., 2020. Assessing the building blocks of function: Utilizing measures of functional limitation. Journal of Gerontology, 75(1), pp.56–62.

Han, J., Wang, H., Ding, Y., Zhai, H. and He, S., 2024. Effect of Otago exercise on fear of falling in older adults: A systematic review and meta-analysis. BMC Sports Science, Medicine and Rehabilitation, 16(1), p.132.

Hollman, J.H., McDade, E.M. & Petersen, R.C., 2019. Normative spatiotemporal gait parameters in older adults. Gait & Posture, 34(1), pp.111–118.

Liu, T.W., Ng, G.Y.F. & Chung, R.C.K., 2021. Effectiveness of Otago Exercise Program on fall prevention in older adults: A systematic review and meta-analysis. Archives of Gerontology and Geriatrics, 93, 104308.

Makizako, H., Shimada, H., Doi, T., Park, H. & Tsutsumimoto, K., 2019. Gait speed and future disability in older adults. Journal of the American Medical Directors Association, 16(5), pp.438–443.

Middleton, A., Fritz, S.L. & Lusardi, M., 2020. Walking speed: The functional vital sign. Journal of Aging and Physical Activity, 23(2), pp.314–322.

Montero-Odasso, M. et al., 2022. Gait performance as a predictor of falls in older adults. Age and Ageing, 51(3), afac044.

Pijnappels, M., Reeves, N.D., van Dieën, J.H. & Hodges, P.W., 2020. Muscle activation patterns during walking. Journal of Biomechanics, 103, 109684.

Podsiadlo, D. & Richardson, S., 2019. The timed “Up & Go”: A test of basic functional mobility. Journal of the American Geriatrics Society, 39(2), pp.142–148.

Rathi, M., Joshi, R., Desai, R. and Kulkarni, N., 2022. Effect of Otago Exercise Programme on strength, balance and mobility in elderly. Indian Journal of Physiotherapy and Occupational Therapy, 16(3), pp.38–43.

Sherrington, C., Fairhall, N., Wallbank, G., Tiedemann, A. & Michaleff, Z.A., 2020. Exercise for preventing falls in older people living in the community. British Journal of Sports Medicine, 54(15), pp.885–891.

Studenski, S., Perera, S., Patel, K., Rosano, C. & Faulkner, K., 2021. Gait speed and survival in older adults. JAMA, 305(1), pp.50–58.

Sugiyono, 2020. Metode penelitian kuantitatif, kualitatif, dan R&D. Bandung: Alfabeta.

Verghese, J., Wang, C., Lipton, R.B. & Holtzer, R., 2021. Motoric cognitive risk syndrome and gait speed. Neurology, 87(2), pp.201–208.

WHO, 2020. Guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization.