The effect of the otago exercise program (OEP) on motor function in elderly people with osteoporosis
DOI: https://doi.org/10.33024/minh.v8i11.1655
Elderly Osteoporosis Otago Exercise Program (OEP)
Abstract
Background: The number of elderly people in Indonesia continues to increase, with the proportion of the elderly population reaching 11.75% in 2023, up from 10.48% in the previous year. This increase in the elderly population is directly proportional to the prevalence of osteoporosis, which not only impacts individuals but also places a burden on families and the health system.
Purpose: To analyze the effect of physical therapy on the balance of elderly people with osteoporosis, to assess changes in muscle strength after undergoing physical therapy and to identify the impact of physical therapy on the risk of falls in elderly people with osteoporosis.
Method: This study employed a quantitative, quasi-experimental design with a pre-test and post-test design. Accidental sampling was used, and univariate analysis was used to determine the frequency distribution of each variable. Bivariate analysis used the Wilcoxon mean difference test for each group and the Mann-Whitney test to determine differences in post-test results between the two groups.
Results: The majority of participants were aged ≥ 66 years, more female participants than male, most participants had jobs. • The average increase in BBS scores in the OEP group (2.67). The average decrease in TUG scores in the OEP group (0.87) was lower than the control group (2.00), p value = 0.0005. Both results are supported by a highly significant p value (<0.001) and a large effect size (>1), which means that the OEP intervention had a strong and real impact on elderly participants.
Conclusion: Statistical analysis results indicate that the Otago Exercise Program (OEP) has a significant and significant impact on improving balance in older adults (BBS score), mobility, and reducing fall risk (TUG score).
Therefore, the OEP is recommended as an effective physical exercise program to improve the quality of life in older adults and reduce the risk of falls.
Suggestions: Involve a larger number of participants Extend the duration of the intervention program and conduct long-term follow-up, Include additional variables such as quality of life, actual fall risk, and the impact of the intervention on daily independence.
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Benavent-Caballer, V., Rosado-Calatayud, P., Segura-Ortí, E., Amer-Cuenca, J. J., & Lisón, J. F. (2016). The effectiveness of a video-supported group-based Otago exercise programme on physical performance in community-dwelling older adults: a preliminary study. Physiotherapy, 102(3), 280-286.
Cadore, E. L., Casas-Herrero, A., Zambom-Ferraresi, F., Idoate, F., Millor, N., Gómez, M., Rodríguez-Mañas, L., & Izquierdo, M. (2022). Multicomponent exercise training reduces falls and improves physical function in older adults: A systematic review and meta-analysis. Journal of Aging and Physical Activity, 30(1), 1–15.
Compston, J. E., McClung, M. R., & Leslie, W. D. (2022). Osteoporosis. Nature Reviews Disease Primers, 8(1), 1–19.
Conti, V., Russomanno, G., Corbi, G., Toro, G., Simeon, V., Filippelli, W., Ferrara, N., Grimaldi, M., D’Argenio, V., Maffulli, N., & Filippelli, A. (2015). A polymorphism at the translation start site of the vitamin D receptor gene is associated with the response to anti-osteoporotic therapy in postmenopausal women from Southern Italy. International Journal of Molecular Sciences, 16(3), 5452–5466.
Cruz-Jentoft, A. J., Bahat, G., Bauer, J., Boirie, Y., Bruyère, O., Cederholm, T., Cooper, C., Landi, F., Rolland, Y., Sayer, A. A., Schneider, S. M., Sieber, C. C., Topinková, E., Vandewoude, M., Visser, M., & Zamboni, M. (2021). Sarcopenia: Revised European consensus on definition and diagnosis (EWGSOP2). Age and Ageing, 50(2), 300–307.
Enoka, R. M. (1997). Neural adaptations with chronic physical activity. Journal of biomechanics, 30(5), 447-455.
Giné-Garriga, M., Roqué-Fíguls, M., Coll-Planas, L., Sitjà-Rabert, M., & Salvà, A. (2021). Physical exercise interventions for improving performance-based measures of physical function in community-dwelling, frail older adults: A systematic review and meta-analysis. Ageing Research Reviews, 62, 101126.
Granacher, U., Muehlbauer, T., Gollhofer, A., Kressig, R. W., & Zahner, L. (2021). An intergenerational approach in the promotion of balance and strength for fall prevention. Sports Medicine, 51(2), 1–14.
Gustiyan, D. P., & Sutantri, S. (2023). Penerapan Otago Exercise Untuk Mengurangi Resiko Jatuh Pada Lansia: Studi Kasus. Jurnal Rumpun Ilmu Kesehatan, 3(2), 01-14.
Hertz, K., & Santy-Tomlinson, J. (2024). Fragility Fracture and Orthogeriatric Nursing: Holistic Care and Management of the Fragility Fracture and Orthogeriatric Patient (p. 307). Springer Nature.
Hopewell, S., Adedire, O., Copsey, B. J., Boniface, G. J., Sherrington, C., Clemson, L., Close, J. C. T., & Lamb, S. E. (2023). Multifactorial and multiple component interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, (2), CD012221.
Horak, F. B. (2006). Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent falls? Gait & Posture, 23(1), 3–11.
Kanis, J. A., Burlet, N., Cooper, C., Delmas, P. D., Reginster, J. Y., Borgstrom, F., Rizzoli, R., & European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) (2008). European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporosis international: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 19(4), 399–428.
Kanis, J. A., Cooper, C., Rizzoli, R., Reginster, J. Y., & Scientific Advisory Board of the European Society for Clinical and Economic Aspects of Osteoporosis (ESCEO) and the Committees of Scientific Advisors and National Societies of the International Osteoporosis Foundation (IOF). (2019). European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporosis International, 30(1), 3-44.
Kleim, J. A., & Jones, T. A. (2008). Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage.
Kohrt, W. M., Bloomfield, S. A., Little, K. D., Nelson, M. E., & Yingling, V. R. (2004). Physical activity and bone health. Medicine and Science in Sports and Exercise, 36(11), 1985–1996.
Levin, M. F., Kleim, J. A., & Wolf, S. L. (2021). What do motor “recovery” and “compensation” mean in patients following stroke? Progress in Brain Research, 259, 1–28.
Liu, C. J., Shiroy, D. M., Jones, L. Y., & Clark, D. O. (2021). Systematic review of functional training on muscle strength, physical functioning, and activities of daily living in older adults. Clinical Interventions in Aging, 16, 123–139.
Martins, A. C., Guia, D., Saraiva, M., & Pereira, T. (2020). Effects of a “modified” otago exercise program on the functional abilities and social participation of older adults living in the community— the aga@4life model. International Journal of Environmental Research and Public Health, 17(4).
Ministry of Health of Republic of Indonesia. (2023). Pedoman Nasional Pelayanan Kedokteran Tatalaksana Osteoporosis. Pusat Data Dan Informasi Kementrian Kesehatan RI, 1–12. Accessed from: https://pusdatin.kemkes.go.id/article/view/21051100002/situasi-osteoporosis-di-indonesia.html
Paddiansyah, Y. K., Nisa, Z., & Faddiasya, E. (2023). Physical Exercise Program for Osteoporosis in the Elderly: Literature Review. Asian Journal of Healthcare Analytics, 2(1), 255–268.
Patel, D., & Saxena, B. (2025). Decoding osteoporosis: Understanding the disease, exploring current and new therapies and emerging targets. Journal of Orthopaedic Reports, 4(4), 100472.
Pramadita, A. P., Wati, A. P., Muhartomo, H., Kognitif, F., & Romberg, T. (2019). Hubungan Fungsi Kognitif Dengan Gangguan Keseimbangan Postural Pada Lansia. Diponegoro Medical Journal (Jurnal Kedokteran Diponegoro), 8(2), 626–641.
Pujiastuti, S. S., & Utomo, B. (2003). Fisioterapi Pada Lansia. In Jakarta: EGC (pp. 6097–6098).
Rantanen, T., Guralnik, J. M., Sakari-Rantala, R., Leveille, S., Simonsick, E. M., Ling, S., & Fried, L. P. (1999). Disability, physical activity, and muscle strength in older women: the Women's Health and Aging Study. Archives of physical medicine and rehabilitation, 80(2), 130-135.
Salari, N., Darvishi, N., Bartina, Y., Larti, M., Kiaei, A., Hemmati, M., Shohaimi, S., & Mohammadi, M. (2021). Global prevalence of osteoporosis among the world older adults: a comprehensive systematic review and meta-analysis. Journal of Orthopaedic Surgery and Research, 16(1), 1–13.
Saraswati, P. A. S., Thanaya, S. A. P., & Vittala, G. (2024). The The Effectiveness of Myofascial Release Technique and Self Exercise in Reducing Pain & Disability in Elderly with Myofascial Pain Syndrome. Jurnal Keterapian Fisik, 39-46.
Seidler, R. D., Bernard, J. A., Burutolu, T. B., Fling, B. W., Gordon, M. T., Gwin, J. T., Kwak, Y., & Lipps, D. B. (2021). Motor control and aging: Links to age-related brain structural, functional, and biochemical effects. Journal of Neurophysiology, 125(3), 1023–1038.
Sherrington, C., Fairhall, N., Wallbank, G., Tiedemann, A., Michaleff, Z. A., Howard, K., Clemson, L., & Lamb, S. (2022). Exercise for preventing falls in older people living in the community. British Journal of Sports Medicine, 56(15), 825–833.
Skelton, D. A., & Mavroeidi, A. (2018). Which strength and balance activities are safe and efficacious for individuals with specific challenges (osteoporosis, vertebral fractures, frailty, dementia)?: A Narrative review. Journal of Frailty, Sarcopenia and Falls, 3(2), 85.
Thomas, E., Battaglia, G., Patti, A., Brusa, J., Leonardi, V., Palma, A., & Bellafiore, M. (2021). Physical activity programs for balance and fall prevention in elderly: A systematic review. Aging Clinical and Experimental Research, 33(3), 1–14.
Yang, Y., Wang, K., Liu, H., Qu, J., Wang, Y., Chen, P., Zhang, T., & Luo, J. (2022). The impact of Otago exercise programme on the prevention of falls in older adult: A systematic review. Frontiers in public health, 10, 953593.
Yoo, J. I., Ha, Y. C., Kwon, H. B., Lee, Y. K., Koo, K. H., & Park, K. S. (2022). Osteoporosis and fall risk in older adults. Osteoporosis International, 33(2), 1–10.
Zhao, R., Feng, F., Wang, X., & Liu, J. (2023). Effectiveness of the Otago Exercise Program in improving balance and reducing falls in older adults: A meta-analysis. BMC Geriatrics, 23(1), 1–12.
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