WOBBLE BOARD EXERCISE DAN ISOMETRIC EXERCISE LEBIH BAIK DARI PADA WOBBLE BOARD EXERCISE DAN CALF RAISE EXERCISE TERHADAP PENINGKATAN STABILITAS FUNGSIONAL ANKLE PADA CHRONIC ANKLE SPRAIN

Pendahuluan: Sprain ankle kronis merupakan overstretch pada ligamen compleks lateral ankle pada gerak inversi dan plantar fleksi. Sprain ankle kronis menyebabkan instabilitas ankle, yang disertai dengan reaksi penurunan kekuatan otot ankle karena perubahan aktivasi otot. Penelitian ini dilakukan untuk mengetahui perbandingan efektifitas wobble board exercise dan isometric exercise dengan wobble board exercise dan calf raise exercise terhadap peningkatkan stabilitas fungsional ankle pada penderita chronic ankle sprain. Metode: Penelitian ini menggunakan rancangan quasi experimental dengan rancangan pre test and post test two group design. Dalam penelitian ini 9 responden diberikan wobble board exercise dan isometric exercise selama 6 minggu dengan frekuensi latihan 2 kali seminggu, dan 9 responden diberikan wobble board exercise dan calf raise exercise selama 6 minggu frekuensi latihan 2 kali seminggu. Alat ukur yang digunakan adalah balance error scoring system (BESS).. Hasil: Hasil analisis statistik parametrik dengan paired sample t-test, menunjukkan kedua kelompok perlakuan secara signifikan dapat meningkatkan stabilitas ankle. Rerata nilai BESS sebelum perlakuan pada Kelompok I dengan rerata 30,00�2,784 dan sesudah perlakuan dengan rerata 11,67�0,866 dengan nilai p= 0,001 (p< 0,05), dan sebelum perlakuan pada Kelompok II 31,67�3,162 dan Sesudah Perlakuan dengan nilai 16,67�2,828 dengan nilai p= 0,001 (p< 0,05). Uji rerata nilai BESS post Kelompok I dan post Kelompok II dengan Independent sample t-test diantara kedua kelompok signifikan dapat meningkatkan stabilitas ankle dengan nilai Kelompok I 11,67�0,866, dan kelompok II 16,67�2,828 dan p= 0,001 (p<0,005). Rerata selisih nilai BESS pada Kelompok I 18,33�2,398 dan pada Kelompok II 15,00�1,323 sebesar 3,33 dengan nilai p= 0,001 (p<0,005} menunjukkan adanya perbedaan dalam meningkatkan stabilitas fungsional ankle. Simpulan pada penelitian adalah wobble board exercise dan isometrick exercise lebih efektif meningkatan stabilitas fungsional ankle pada penderita chronic ankle sprain daripada wobble board exercise dan calf raise exercise.


Alt. Description

Background: Chronic ankle sprain is overstretched in complex lateral ankle ligaments in inversion and plantar flexion. Chronic ankle sprain causes ankle instability, which is accompanied by a reaction to a decrease in ankle muscle strength due to changes in muscle activation. This study was conducted to compare the effectiveness of wobble board exercise and isometric exercise with wobble board exercise and calf raise exercise to improve functional stability of the ankle in patients with chronic ankle sprain. Method: This study used a quasi experimental design with a pre-test and post-test two group design. In this study 9 respondents were given wobble board exercise and isometric exercise for 6 weeks with exercise frequency 2 times a week, and 9 respondents were given wobble board exercise and calf raise exercise for 6 weeks exercise frequency 2 times a week. The measuring instrument used is the balance error scoring system (BESS). Results: The results of the parametric statistical analysis using paired sample t-test, showed that the two treatment groups could significantly increase ankle stability. The mean value of BESS before treatment in group I with a mean of 30.00 � 2.784 and after treatment with a mean of 11.67 � 0.866 with a value of p = 0.001 (p <0.05), and before treatment in Group II 31.67 � 3.162 and After treatment with a value of 16.67 � 2.828 with a value of p = 0.001 (p <0.05). The mean BESS test post group I and group II post with the Independent sample t-test between the two groups can significantly improve ankle stability with a Group I value of 11.67 � 0.866, and group II 16.67 � 2.828 and p = 0.001 (p < 0.005). The mean difference in the value of BESS in group I was 18.33 � 2.398 and in group II was 15.00 � 1.323 at 3.33 with a value of p = 0.001 (p <0.005) indicating a difference in increasing ankle functional stability. The conclusion of the study is that wobble board exercise and isometrick exercise are more effective in increasing functional ankle stability in patients with chronic ankle sprain than wobble board exercise and calf raise exercise.

1.  UEU-Journal-17989-11_0728.pdf - 1041 KB