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Effect Vladimir Janda balance training on postural sway and leg muscle strength
Setiorini A, Agustiningsih D, Yunus J, Budiharjo S
Open Access Macedonian Journal of Medical Sciences 2021 Jan 10;9(A):477-482
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

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. AIM: 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. Participants 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 5 weeks consisting of 5 phases. Phase I to IV was carried out 5 times a week, while the V phase was done three times a week and each session lasted 15 min. 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 receiver operating charateristics 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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