PENGARUH DUAL TASK EXERCISE DALAM MENINGKATKAN KESEIMBANGAN DAN KEMAMPUAN FUNGSIONAL PADA PASIEN OSTEOARTHRITIS LUTUT DERAJAT DUA
Main Article Content
Abstract
Knee osteoarthritis is a degenerative condition that affects balance and functional mobility of the knee joint. The application of dual-task exercise using a Bola bosu is expected to improve these impairments. Objective: To evaluate the effectiveness of dual-task exercise in improving balance and functional ability in patients with grade II knee osteoarthritis. Methods: This study employed a pre-experimental design with a one-group pretest-posttest approach. A total of 15 participants were selected using a consecutive sampling technique. Balance was measured using the Berg Balance Scale, while functional ability was assessed using the Timed Up and Go (TUG) test and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire. Results: The paired t-test showed a significant improvement in balance (p = 0.001) and functional ability (p = 0.001). Conclusion: Dual-task exercise effectively improves balance and functional ability in patients with grade II knee osteoarthritis. Implications: Dual-task exercise can be considered a therapeutic option for rehabilitation programs in patients with grade II knee osteoarthritis.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
![]()
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
Alfawzan, M. M., Ajzajy, R. O., Alharbi, S. J., Aldhubaiban, A. S., & Aljasir, M. F. (2023). Impact of Combined Motor and Cognitive Training on Balance in Older Adults: Assessing the Efficacy of Dual-Task Training in Reducing Fall Risk and Enhancing Stability Occupational Therapy-Physical Therapy Health affairs at the Ministry of National Guard. https://doi.org/https://doi.org/10.5281/ZENODO.13335597
Araujo, I. L. A., Castro, M. C., Daltro, C., & Matos, M. A. (2016). Quality of life and functional independence in patients with osteoarthritis of the knee. Knee Surgery and Related Research, 28(3), 219–224. https://doi.org/10.5792/ksrr.2016.28.3.219
Daly, R. M., Duckham, R. L., Tait, J. L., Rantalainen, T., Nowson, C. A., Taaffe, D. R., Sanders, K., Hill, K. D., Kidgell, D. J., & Busija, L. (2015). Effectiveness of dual-task functional power training for preventing falls in older people: Study protocol for a cluster randomised controlled trial. Trials, 16(1). https://doi.org/10.1186/s13063-015-0652-y
Ghiami Rad, A., Hassan Pour, V., Rad, G., & Pour, H. (2022). The Effect of Cognitive-Motor Exercises on Pain, Range Of Motion, and Quality Of Life in Elderly Female Patients with Knee Osteoarthritis CITE: The Effect of Cognitive-Motor Exercises on Pain, Range Of Motion, and Quality Of Life in Elderly Female Patients with Knee Osteoarthritis, Research in Sport Management & Motor Behavior, 2022: 12(24): 1-15. https://doi.org/10.52547/jrsm.12.24.1
Gupta, M., & Singh, V. (2024). Effects of Dual Task Training on Balance and Gait Ability in Geriatric Polpulation. www.ijnrd.org
Hartana, P. M. Y., Saraswati, N. L. P. G. K., Utama, A. A. G. E. S., & Kamayoga, I. D. G. A. (2024). Validation of the Indonesian version of Western Ontario and McMaster Universities osteoarthritis index in pre-elderly and elderly with osteoarthritis. Physical Therapy Journal of Indonesia, 5(2), 164–170. https://doi.org/10.51559/ptji.v5i2.215
Komalasari, D. R., & Motik, A. F. (2024). Reliability Test of The Timed Up and Go Test in Elderly People with Knee Osteoarthritis. FISIO MU: Physiotherapy Evidences, 5(2), 129–140. https://doi.org/10.23917/fisiomu.v5i2.4227
Kusumaningtyas, M., Tamtomo, G., & Murti, B. (2018). Kusumaningtyas et al./ Factors Associated with the Occurrence of Osteoarthritis Factors Associated with the Occurrence of Osteoarthritis: A Path Analysis Evidence from Surakarta, Central Java. Journal of Epidemiology and Public Health, 4(1), 9–19. https://doi.org/10.26911/jepublichealth.2019.04.01.02
Lee, S., Kim, E., Duolikun, D., Cha, B., Ferre, C. L., Yücel, M., & Kumar, D. (2025). Prefrontal cortex function and gait alterations during single- and dual-task walking in knee osteoarthritis. PLOS ONE, 20(9 September). https://doi.org/10.1371/journal.pone.0331070
Lee, T. S., Liu, H. C., Lee, S. P., & Kao, Y. W. (2022). Balance factors affecting the quality of life in patients with knee osteoarthritis. South African Journal of Physiotherapy, 78(1). https://doi.org/10.4102/sajp.v78i1.1628
Mohan Ra, R. D. o, Methe, A. D., & Patil, H. (2021). Effect of Otago Exercise versus Dual Task Net Step Exercise on Balance and Functional Mobility in Community Dwelling Elderly Person with Knee Osteoarthritis - A Randomised Control Trial. International Journal of Health Sciences and Research, 11(7), 179–187. https://doi.org/10.52403/ijhsr.20210726
Nisar, A., Khan, A., iqbal, M., Raza, A., Ghazi, I., Naeem, Z., Nazir, D. A. U., Younas, A., Sairien, Dr. S., & ghaffar, D. T. (2024). Effects of Single and Dual Task Training on Static, Dynamic Balance Performance and Gait in Patients with Grade II Knee Osteoarthritis. Journal of Population Therapeutics and Clinical Pharmacology. https://doi.org/10.53555/jptcp.v31i4.5648
Shah, S., & Nanavati, N. (2024). Impact of cognitive tasks on postural stability in young and older adults. Egyptian Journal of Otolaryngology, 40(1). https://doi.org/10.1186/s43163-024-00739-6
Shen, P., Li, S., Li, L., Fong, D. T. P., Mao, D., & Song, Q. (2024). Balance Control is Sequentially Correlated with Proprioception, Joint Range of Motion, Strength, Pain, and Plantar Tactile Sensation Among Older Adults with Knee Osteoarthritis. Sports Medicine - Open, 10(1). https://doi.org/10.1186/s40798-024-00735-3
Steinmetz, J. D., Culbreth, G. T., Haile, L. M., Rafferty, Q., Lo, J., Fukutaki, K. G., Cruz, J. A., Smith, A. E., Vollset, S. E., Brooks, P. M., Cross, M., Woolf, A. D., Hagins, H., Abbasi-Kangevari, M., Abedi, A., Ackerman, I. N., Amu, H., Antony, B., Arabloo, J., … Kopec, J. A. (2023). Global, regional, and national burden of osteoarthritis, 1990-2020 and projections to 2050: a systematic analysis for the Global Burden of Disease Study 2021. The Lancet Rheumatology, 5(9), e508–e522. https://doi.org/10.1016/S2665-9913(23)00163-7
Takacs, J., Garland, S. J., Carpenter, M. G., & Hunt, M. A. (2014). Validity and Reliability of the Community Balance and Mobility Scale in Individuals With Knee Osteoarthritis. https://doi.org/https://doi.org/10.2522/ptj.20130385
Uzunkulaoğlu, A., Kerim, D., Ay, S., & Ergin, S. (2020). Effects of single-task versus dual-task training on balance performance in elderly patients with knee osteoarthritis. Archives of Rheumatology, 35(1), 35–40. https://doi.org/10.5606/ArchRheumatol.2020.7174
Yuniarwati, W., Arman Subijanto, A., & Prasetyo, H. (2019). Determinants of Quality of Life among Patient with Knee Osteoarthritis. Journal of Epidemiology and Public Health, 4(4), 320–327. https://doi.org/10.26911/jepublichealth.2019.04.04.07
Yuzlu, V., Oguz, S., Timurtas, E., Aykutoglu, E., & Polat, M. G. (2022). The Effect of 2 Different Dual-Task Balance Training Methods on Balance and Gait in Older Adults: A Randomized Controlled Trial. Physical Therapy, 102(3). https://doi.org/10.1093/ptj/pzab298