Effect Vladimir Janda Balance Training on Postural Sway and Leg Muscle Strength

Anggi Setiorini; Denny Agustiningsih; Junaedy Yunus; Santosa Budiharjo

doi:10.3889/oamjms.2021.5988

Authors

Anggi Setiorini Department of Anatomy, Faculty Medicine, Universitas Lampung, Lampung, Indonesia https://orcid.org/0000-0002-1016-1591
Denny Agustiningsih Departement of Physiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia https://orcid.org/0000-0001-7008-0390
Junaedy Yunus Department of Anatomy, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia https://orcid.org/0000-0002-1500-3015
Santosa Budiharjo Department of Anatomy, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia https://orcid.org/0000-0002-7131-2365

DOI:

https://doi.org/10.3889/oamjms.2021.5988

Keywords:

External loads, Leg muscle strength, Postural sway, Vladimir Janda balance training

Abstract

Background: The majority of people who work as tea plantation pickers are powerful. They carry heavy loads of tea on their backs while the roads are quite dangerous and sometimes cause problems. A balance training program has proven to reduce postural sway, increasing leg muscle strength and improving balance strategies.

Objective:The aim of this study was to determine the effect of Vladimir Janda balance training methods with an external load on postural sway and leg muscle strength of tea pickers.

Methods: The study design used was quasi-experimental with a randomized control group pretest-posttest design. Subjects were tea pickers consisting of a productive age group of 15 people and 15 people as a control treatment group. The Vladimir Janda method balance exercises were conducted over five weeks consisting of 5 phases. Phase I-IV were carried out 5 times a week, while the V phase was done 3 times a week and each session lasted 15 minutes. Postural sway was measured with a posturometer. Leg muscle strength was measured by a back-leg dynamometer. The statistical tests used were Independent T-test and the Mann-Whitney test.

Results:The statistical test for the control and treatment groups using the Mann-Whitney test showed p = 0.001, meaning no external load effects on postural sway. Independent t-test showed p = 0.000, meaning there are differences in the effect between the treatment and control groups after being given balance exercises to increase leg muscle strength. Logistic regression test results obtained the ROC value of 0.917, meaning the Vladimir Janda balance training can affect the postural sway and knee extensor muscle strength by 91.7%.

Conclusion: The Vladimir Janda balance exercise method can reduce postural sway and increase the strength of knee extensor muscles and ankle flexor Dorsi muscles. External loads can affect the postural sway.

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