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.Lansia merupakan proses kehidupan manusia yang ditandai dengan penurunan kemampuan fungsi tubuh baik secara fisik maupun psikologis, adanya fisiologis yang berubah pada lansia diakibatkan adanya degenerasi dan diantaranya merupakan komponen keseimbangan tubuh, seperti visual, vestibular, kekuatan otot, lingkup gerak sendi, dan sensomotorik. Akibat perubahan fisiologis tersebut pada komponen utama keseimbangan, maka keseimbangan pada lansia menjadi terganggu. Tujuan dari penelitian ini untuk mengetahui Efektifitas Tandem Stance Exercise dan Swiss Ball Exercise dalam meningkatkan keseimbangan dinamis pada lansia. Penelitian ini menggunakandesainQuas-i Eksperiment, teknik pengambilan sampel Purposive Sampling. Subjek penelitian ini Lansia diwilayah Puskesmas Ibuh Payakumbuh, usia 60 sampai 74 tahun berjumlah 20 orang. Sampel dibagimenjadi 2 grup, terdiri dari 10 orang kelompok perlakuan A(Tandem Stance Exercise) dan kelompok perlakuan B(Swiss Ball Exercise) dilakukan pengukuran tes keseimbangan dengan TUG-Test untuk mendapatkan data awal sebelum pelatihan dan data akhir sesudah pelatihan. Dilakukan 3 kali seminggu selama 2 minggu. Diperoleh data normal, uji statistik menggunakan Paired Samples t-Test dan Wilcoxon Signed Ranks Test. Hasil perubahan pada Tandem Stance Exercise yang signifikan dengan nilai p=0,005. Hasil pada Swiss Ball Exerciseyang signifikan dengan nilai p=0,000. Uji statistik beda pengaruh pada Tandem Stance Exercise dan Swiss Ball Exercise menggunakan Mann- Whitney Test.Uji beda pengaruh didapatkan nilai sebesar p=0,000(<0,05). Dapat disimpulkan terdapat perbedaan yang bermakna antara Tandem Stance Exercise dan Swiss Ball Exercise. Tandem Stance Exercise lebih efektif dari Swiss Ball Exercisedilihat dari meanTandem Stance Exercise5,55 dan Swiss Ball Exercise 15,45. Diharapkan bagi responden dan tempat penelitian selalu mengembangkan terapiTandem Stance Exercise dan Swiss Ball Exercisekhususnya bagi lansia.

Elderly is a process of human life which is characterized by a decrease in the ability of bodily functions both physically and psychologically, the physiological changes in the elderly due to degeneration and among them are components of the body's balance, such as visual, vestibular, muscle strength, joint motion, and sensomotor. As a result of these physiological changes in the main components of balance, the balance in the elderly becomes disrupted. The purpose of this study was to determine the effectiveness of Tandem Stance Exercise and Swiss Ball Exercise in improving dynamic balance in the elderly. This study uses the Quas-i Experiment design, "Purposive Sampling" sampling technique. The subject of this study is Elderly in the area of Puskesmas Ibuh Payakumbuh, aged 60 to 74 years, amounting to 20 people. The sample was divided into 2 groups, consisting of 10 treatment group A (Tandem StanceExercise) and treatment group B (Swiss Ball Exercise), the balance test was measured by TUG-Test to obtain preliminary data before training and final data after training. Performed 3 times a week for 2 weeks. Obtained normal data, statistical tests using Paired Samples t-Test and Wilcoxon Signed Ranks Test. The results of changes in the Tandem Stance Exercise are significant with a value of p = 0.005. Results on Swiss Ball Exercise were significant with p = 0,000. Different statistical tests influence the Tandem Stance Exercise and Swiss Ball Exercise using Mann-Whitney Test. Differential test of influence obtained a value of p = 0,000 (<0,05). It can be concluded that there are significant differences between the Tandem Stance Exercise and Swiss Ball Exercise. The Tandem Stance Exercise is more effective than Swiss Ball Exercise as seen from the mean Tandem StanceExercise 5.55 and Swiss Ball Exercise 15.45. It is expected that respondents and research sites will always develop Tandem Stance Exercise therapy and Swiss Ball Exercise especially for the elderly.