Background: The prevalence of elderly people in Indonesia in 2018 is 22.4 million people, and it is estimated that the elderly population in Indonesia in 2025 will be 33.69 million. Falling is an impact that can occur due to a decrease in balance, which can result in serious injuries such as fractures and spinal cord injuries that cause limitations in activities. Balance exercise is a special exercise that is given to increase muscle strength in the lower extremities and the vestibular system. Object: To determine the effect of balance exercise on balance in the elderly. Method: Using a critical review system on 7 selected articles with a Randomized Controlled Trial study and a minimum article is quartile 3. Result: Balance exercise program has been shown to be beneficial for the elderly to improve balance abilities to reduce the falls risk in elderly. Conclusion: Balance exercise program is recommended to improve the balance of the elderly, which is conducted 3 times per week for 12 weeks with a duration of 45 minutes per session and 6-8 repetitions. Strengthening, Coordination and propioceptive principal used for balance program with the example are tandem stance, heel stand, heel-toe walking, one leg standing, heel walking, side walking, toe walking, knee marching, single limb stance, sit-to-stand exercise, and stepping progress. As well as a combined balance exercise with a biodex balance system by using a tool used to improve dynamic balances that focus on changes in center of gravity and changes in weight.
Key words: Balance exercise, elderly, balance of the elderly, fall risk
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