Towel Curl Exercise Meningkatkan Keseimbangan Dinamis pada Anak dengan Flat Foot
Main Article Content
Abstract
Flat foot atau telapak kaki datar merupakan kelainan muskuloskeletal yang ditandai dengan tidak terbentuknya arcus pedis akibat kelemahan otot intrinsik kaki. Arcus pedis memiliki peran biomekanis penting sebagai penopang berat badan dan sebagai daya ungkit (lever arm) dalam aktivitas lokomotorik. Gangguan fungsi arcus dapat menyebabkan penurunan stabilitas postural dan keseimbangan dinamis. Penelitian ini bertujuan untuk menganalisis pengaruh towel curl exercise dalam meningkatkan keseimbangan dinamis pada anak dengan kondisi flat foot. Metode yang digunakan dalam penelitian ini adalah pre eksperimental design dengan rancangan penelitian one group pretest-posttest dengan jumlah sampel sebanyak 10 anak. Intervensi berupa towel curl exercise. Towel curl exercise diberikan pada anak dengan menginstruksikan anak mencengkram handuk kecil dengan menggunakan jari kaki dalam posisi duduk, kemudian memindahkan handuk ke dalam wadah yang telah disediakan. Latihan diberikan selama 4 minggu, dengan frekuensi 3 kali per minggu dan setiap sesi terdiri atas 10 repetisi per set, diulang sebanyak 2 set . Penilaian keseimbangan dinamis dapat dilakukan dengan diagonal dynamic balance test. Hasil penelitian menunjukkan rerata nilai pre-test sebesar 44,50 dan post-test sebesar 54,00. Uji hipotesis dengan paired sample t-test menghasilkan nilai signifikansi 0,001 (p<0,05), yang menandakan adanya perbedaan bermakna antara sebelum dan sesudah intervensi. Selisih rata-rata peningkatan keseimbangan dinamis tercatat sebesar 21,34%. Kesimpulan penelitian ini adalah towel curl exercise terbukti efektif meningkatkan keseimbangan dinamis pada anak dengan kondisi flat foot.
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
Bresnahan, P. J., & Juanto, M. A. (2020). Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment. In Frontiers in Pediatrics (Vol. 8). Frontiers Media S.A. https://doi.org/10.3389/fped.2020.00019
Evans, A. M., & Rome, K. (2011). A review of the evidence for non-surgical interventions for flexible pediatric flat feet. Eur J Phys Rehabil Med, 47(1), 69-89.
Hashimoto, T., & Sakuraba, K. (2014). Strength training for the intrinsic flexor muscles of the foot: effects on muscle strength, the foot arch, and dynamic parameters before and after the training. Journal of physical therapy science, 26(3), 373-376.
Hrysomallis, C. (2011). Balance ability and athletic performance. Sports medicine, 41(3), 221-232.
Jaffri, A. H., Koldenhoven, R., Saliba, S., & Hertel, J. (2023). Evidence for intrinsic foot muscle training in improving foot function: A systematic review and meta-analysis. Journal of athletic training, 58(11-12), 941-951.
Jehaman, I., Telaumbanua, G. I. K., Ginting, R. I., & Tantangan, R. (2024). The Effect of Towel Toe Curl Exercise and Tibialis Posterior Strengthening on Dynamic Balance of Flatfoot Patients at SD Negeri 104242 Lubuk Pakam. Jurnal Keperawatan dan Fisioterapi (JKF), 7(1), 102-107. DOI: 10.35451/jkf.v7i1.2274
Jung, D. Y., Koh, E. K., & Kwon, O. Y. (2011). Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial. Journal of back and musculoskeletal rehabilitation, 24(4), 225-231.
Kim, E. K., & Kim, J. S. (2016). The effects of short foot exercises and arch support insoles on improvement in the medial longitudinal arch and dynamic balance of flexible flatfoot patients. Journal of physical therapy science, 28(11), 3136-3139.
Kothari, A., Dixon, P. C., Stebbins, J., Zavatsky, A. B., & Theologis, T. (2015). The relationship between quality of life and foot function in children with flexible flatfeet. Gait & posture, 41(3), 786-790.
Liu, C., Zhang, H., Li, J., Li, S., Li, G., & Jiang, X. (2024). The effects of foot orthoses on radiological parameters and pain in children with flexible flat feet: a systematic review and meta-analysis. Frontiers in Pediatrics, 12, 1388248.
Mulligan, E. P., & Cook, P. G. (2013). Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Manual Therapy, 18(5), 425–430. https://doi.org/10.1016/j.math.2013.02.007
Panaet, A. E., Alexe, C. I., Stângaciu, O. A., Hazar, F., Rață, G., Alexe, D. I., & Hofmeister, M. (2022). The effects of pediatric flat foot on the frontal alignment of proximal segment. Balneo and PRM Research Journal, 13(2). https://doi.org/10.12680/balneo.2022.499
Pfeiffer, M., Kotz, R., Ledl, T., Hauser, G., & Sluga, M. (2006). Prevalence of flat foot in preschool-aged children. Pediatrics, 118(2), 634-639. https://doi.org/10.1542/peds.2005-2126
Pisal, S. N., Chotai, K., & Patil, S. (2020). Effectiveness of Short Foot Exercises Versus Towel Curl Exercises to Improve Balance and Foot Posture in Individuals with Flexible Flat foot. Indian Journal of Forensic Medicine & Toxicology, 14(3), 653-658. DOI: 10.37506/ijfmt.v14i3.10442
Pourghasem, M., Kamali, N., Farsi, M., & Soltanpour, N. (2016). Prevalence of flatfoot among school students and its relationship with BMI. Acta Orthopaedica et Traumatologica Turcica, 50(5), 554–557. https://doi.org/10.1016/j.aott.2016.03.002
Ripdianawati, S., & Ramadhani, A. N. (2023). The Effect of Strengthening Exercise on Postural Balance and Functional Ability in Children with Flatfoot. FISIO MU: Physiotherapy Evidences, 5(1), 54-58. DOI: 10.23917/fisiomu.v5i1.2558
Uden, H., & Scharfbillig, R. (2017). The typically developing paediatric foot: How flat should it be? A systematic review. Journal of Foot and Ankle Research, 10(1), 37. https://doi.org/10.1186/s13047-017-0218-1
Wei, Z., Zeng, Z., Liu, M., & Wang, L. (2022). Effect of intrinsic foot muscles training on foot function and dynamic postural balance: A systematic review and meta-analysis. PLoS One, 17(4), e0266525.
Yalçin, N., Esen, E., Kanatli, U., & Yetkin, H. (2010). Evaluation of the medial longitudinal arch: a comparison between the dynamic plantar pressure measurement system and radiographic analysis. Acta Orthop Traumatol Turc, 44(3), 241-5.