Pengaruh Play-Based Exercise Terhadap Keseimbangan Pada Anak Dengan Gangguan Spektrum Autisme (ASD) Usia 7-12 Tahun
DOI:
https://doi.org/10.36990/hijp.v18i1.1633Keywords:
Autisme, Integrasi sensorimotor, Perceptual Motor ProgramAbstract
Latar belakang: gangguan keseimbangan merupakan masalah motorik utama pada anak Autism Spectrum Disorder (ASD) dan mengganggu aktivitas fungsional, sementara bukti intervensi permainan sensorimotor terstruktur terhadap keseimbangan dinamis masih terbatas. Tujuan: menganalisis pengaruh play-based exercise berbasis Perceptual Motor Program (PMP) terhadap keseimbangan anak ASD usia 7–12 tahun. Metode: desain pre-eksperimental one group pretest-posttest pada 22 anak ASD di SLB Mitra Ananda Karanganyar, dengan delapan sesi play-based exercise selama empat minggu (dua kali/minggu, ±30 menit/sesi). Keseimbangan dinamis diukur menggunakan Balance Beam Test dan dianalisis dengan Wilcoxon Signed Rank Test (?=0,05). Hasil: rerata skor Balance Beam Test meningkat dari 2,659±1,200 menjadi 4,041±0,756 dengan selisih rata-rata 1,382 dan menunjukkan perbedaan bermakna (p=0,000). Simpulan: play-based exercise berbasis PMP berpotensi meningkatkan keseimbangan dinamis anak ASD usia sekolah dasar. Saran: intervensi ini direkomendasikan sebagai komponen program fisioterapi dan pendidikan jasmani berbasis sekolah bagi anak ASD serta perlu diuji lebih lanjut dengan uji coba terkontrol acak, sampel lebih besar, dan tindak lanjut jangka panjang
References
Aprilia, Tutut, Nanik Yuliati, and Senny Weyara Dienda Saputri. 2021. “Analisis Karakteristik Perkembangan Kognitif Anak Autis Usia 5-6 Tahun.” JECER (Journal Of Early Childhood Education And Research). doi: https://jurnal.unej.ac.id/index.php/ECEJ/article/view/18867.
Arifadhi, Tiara, and Nur Susanti. 2019. “Pengaruh Penatalaksanaan Fisioterapi Pada Anak Kondisi Autisme Dengan Modalitas Play Exercise (Perceptual Motor Program) Dan Hidroterapi (Balance and Coordination) Di Ypac Surakarta.” Pena Jurnal Ilmu Pengetahuan Dan Teknologi 33(2):53. doi: https://doi.org/10.31941/jurnalpena.v33i2.902.
Astriyana, Sevy, Binuko Amarseto, Fatchurrohmah Ines Prabandari, and Meyta Tatarina. 2025. “Nutritional Status , Parenting and Sleep Disorders in Children with Autism Spectrum Disorder ( ASD ).” Fisiomu 6(1):112–18. doi: https://doi.org/10.23917/fisiomu.v6i1.7524.
Baidhowi, Ahmad. 2019. “Status Gizi Anak Autis Di Sekolah Lanjutan Autis Fredofis Sleman Yogyakata.” Universitas Negeri Yogyakarta.
Baldwin, Emma, Sharon Kinsella, and Paul J. Byrne. 2024. “The Reliability of Field-Based Static and Dynamic Balance Tests in Primary School-Aged Autistic Children.” Behavioral Sciences (Basel, Switzerland) 14(8):640. doi: https://doi.org/10.3390/bs14080640.
Bhat, Anjana N. 2021. “Motor Impairment Increases in Children With Autism Spectrum Disorder as a Function of Social Communication, Cognitive and Functional Impairment, Repetitive Behavior Severity, and Comorbid Diagnoses: A SPARK Study Report.” Autism Research?: Official Journal of the International Society for Autism Research 14(1):202–19. doi: https://doi.org/10.1371/journal.pbio.1001081.
Cohen, Simon Baron, Michael V Lombardo, Bonnie Anyeung, Emma Ashwin, Bhismadev Chakrabarti, and Rebecca Knickmeyer. 2011. “Why Are Autism Spectrum Conditions More Prevalent in Males?” PLoS Biology, 9(6). doi: 10.1371/journal.pbio.1001081.
Daniusevi?, Laura, Lina Draudvilien, Justas Draudvila, and Simona Stankevi?. 2024. “Two Physiotherapy Methods to Improve the Physical Condition of Children with Autism Spectrum Disorder.” Children 11(798). doi: https://doi.org/10.3390/children11070798.
Elfath, Orisa, and Miranti Yolanda Anggita. 2019. “Penambahan Catching Ball Exercise Pada Balance Board Exercise Terhadap Peningkatan Postural Control Pada Anak Dengan Autis.” Jurnal Fisioterapi 19(1). doi: https://doi.org/10.47007/fisio.v19i1.2691.
Fatimah, Danisa Nurul, and Nesi Nesi. 2022. “Perceptual Motor Program Pada Autistic Disorder.” Indonesian Journal of Health Science 2(1):20–23. doi: https://doi.org/10.54957/ijhs.v2i1.137.
Hariri, Rabeeh, Amin Nakhostin-ansari, Fatemeh Mohammadi, Amir Hossein Memari, Iman Menbari Oskouie, and Afarin Haghparast. 2022. “An Overview of the Available Intervention Strategies for Postural Balance Control in Individuals with Autism Spectrum Disorder.” 2022. doi: https://doi.org/10.1155/2022/3639352.
Hassen, Imen Ben, Rihab Abid, Fatma Ben Waer, Liwa Masmoudi, Sonia Sahli, Tarak Driss, and Omar Hammouda. 2023. “Intervention Based on Psychomotor Rehabilitation in Children with Autism Spectrum Disorder ASD?: Effect on Postural Control and Sensory Integration.” Children 10(1480). doi: https:// doi.org/10.3390/children10091480.
Li, Yinhua, Yanqing Feng, Jiugen Zhong, Zhi Zou, Wanting Lan, Yingying Shen, and Jiaheng Gong. 2023. “The Effects of Physical Activity Interventions in Children with Autism Spectrum Disorder?: A Systematic Review and Network Meta ? Analysis.” Review Journal of Autism and Developmental Disorders 12:651–65. doi: https://doi.org/10.1007/s40489-023-00418-x.
Licari, Melissa K., Gail A. Alvares, Kandice Varcin, Kiah L. Evans, Dominique Cleary, Siobhan L. Reid, Emma J. Glasson, Keely Bebbington, Jess E. Reynolds, John Wray, and Andrew J. O. Whitehouse. 2020. “Prevalence of Motor Difficulties in Autism Spectrum Disorder: Analysis of a Population?based Cohort.” Autism Research 13(2):298–306.
Mardiyani, Rosa Dwi Nur Rahma, and Choiriyah Widyasari. 2023. “Interaksi Teman Sebaya Dalam Mengembangkan Perilaku Sosial Anak Usia Dini.” Murhum?: Jurnal Pendidikan Anak Usia Dini 4(2):416–29. doi: https://doi.org/10.37985/murhum.v4i2.329.
Pramita, Indah, Daryono Daryono, and Antonius Tri Wahyudi. 2022. “Pengaruh Perceptual Motor Program Terhadap Keseimbangan Pada Anak Autism Spectrum Disorder (ASD).” Pendidikan Kesehatan Rekreasi 8(2):336–43. doi: 10.5281/zenodo.6783284.
Purwati, Purwati, Agung Hadi Endaryanto, Yohanes Deo Fau, and Achmad Fariz. 2023. “Pengaruh Core Strengthening Exercise Terhadap Keseimbangan Statis Pada Anak Adhd Di Praktik Fisioterapi Wates Kediri.” Jurnal Keperawatan Muhammadiyah 8(1):116–21. doi: 10.30651/jkm.v8i1.15986.
Stins, John F., and Claudia Emck. 2018. “Balance Performance in Autism: A Brief Overview.” Front Psychol 9:901. doi: https://doi.org/10.3389/fpsyg.2018.00901.
Travers, Brittany G., Lucia Lee, Nicole Klans, Alexandra Engeldinger, Desiree Taylor, Karla Ausderau, Emily C. Skaletski, and Joshua Brown. 2022. “Associations Among Daily Living Skills, Motor, and Sensory Difficulties in Autistic and Nonautistic Children.” The American Journal of Occupational Therapy?: Official Publication of the American Occupational Therapy Association 76(2):1–10. doi: https://doi.org/10.5014/ajot.2022.045955.
Widiantara, I. Made Adi, Susy Purnawati, Muh Irfan, Cokorda Bagus Jaya Lesmana, and Ketut Tirtayasa. 2020. “Perceptual Motor Approach Lebih Baik Daripada Specific Balance Training Dalam Meningkatkan Keseimbangan Dinamis Pada Anak Dengan Autism Spectrum Disorder (ASD) Derajat 1 Di Pusat Layanan Autis Kota Denpasar.” Sport and Fitness Journal 8(2):69–75. doi: https://doi.org/10.24843/spj.2020.v08.i02.p09
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