PS 17-31 DETECTING ORTHOSTATIC HYPOTENSION TO PREVENT FALLS AMONG INDONESIA ELDERLY BEFORE EXERCISE

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Abstract

Objective:

One of the most important causes of falls in exercise among elderly is orthostatic hypotension. Furthermore, while the people are getting old, the body strength also decreases. Therefore elderly need exercise to increase their muscle mass for gain the strength. Providing the proper preparation before and during exercise is needed to succeed the goals. So here we need a good strategy for them.

Design and method:

We conducted a survey study on orthostatic hypotension risk screening among 125 Indonesian elderly. The aim of the study was to identify orthostatic hypotension commonly found in Indonesian elderly population and provide the safety exercise for them. Using protocol of 3 positions of bedside blood pressure measurements, we gained the information of elderly with orthostatic hypotension and proceed a strategy for fall prevention during the exercise. The data obtained was written down into manuscript for further analysis. Panel consists of strategy used during exercise later discussed and concluded findings of the studies.

Results:

19% sample had orthostatic hypotension. 27% sample had weakness of lower extremities. 18% sample had instability. 59% spent more than 10 seconds for timed up and go test. Thus exercise is designed in seated position using callisthenic method to strengthen lower extremities should be endorsed to prevent falls in this population. Elderly with orthostatic hypotension marked by given a ribbon and place fast respond helper if they were having the symptoms. No elderly fell during the exercise.

Conclusions:

Falls on elderly with orthostatic hypotension during exercise can be controlled by given a suitable strategy and appropriate exercise. Further study is required to quantify the effect of this strategy in preventing falls among Indonesian elderly population.

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