Jurnal Keterapian Fisik

The Effectiveness Of Dry Needling Versus Muscle Energy Technique Combined With Ultrasound Therapy In Reducing Disability Due To Tennis Elbow

Putu Ayu Sita Saraswati — 2022-11-30

Background: The tennis elbow is the most frequently diagnosed condition in the elbow and the most common cause of musculoskeletal pain in the elbow. Pain, limitation of joint motion, decreased muscle strength, and activity limitations as well as obstacles in participating in life are caused by tennis elbow. The aim of this study was to compare the effectiveness of ultrasound therapy and dry needling versus ultrasound therapy and MET in reducing disability due to tennis elbow.

Methods: This research was a randomized controlled trial using a pre and post-test control group design. The participants were 24 people who were divided into 2 groups. Group 1 (n = 12) was given the combined interventions of ultrasound therapy and dry needling, while group 2 (n = 12) was given the combined interventions of ultrasound therapy and MET. The interventions were given 12 times.

Disability was measured using the Patient-Rated Tennis Elbow Evaluation Questionnaire (PRTEE). This study was conducted in the physiotherapy private practices in Denpasar and Badung Regency in Bali.

Results: The result showed that the disability significantly decreased before and after the intervention in both groups (p<0.05). There was also a significant difference between the two groups.

Conclusion: It can be concluded that ultrasound therapy and dry needling are more effective than ultrasound therapy and MET in reducing disability due to tennis elbow.

The Comparison Analysis Of Rigid And Soft Rigid Material Custom Foot Orthosis On Flat Foot Reduction

Prasetyo Catur Utomo — 2022-12-02

Background: The most frequent musculoskeletal problems, with the passage of time, are flatfoot. According to research, approximately 20–30% of all children in the globe have flat feet, and there are approximately 129 (40%) children that have a flat foot propensity, as determined by the findings of an examination conducted in Sukajadi District, Bandung. Prosthetic orthotics can give medial arch support with sponge and plastic materials in the treatment of flat feet, with the goal of providing support to the plantar foot and restoring the arch form of the foot.

Methods: This is a quasi-experimental study with only a two-group post-test design. This study compared two research groups: one with a rigid custom foot orthosis and one with a soft rigid custom foot orthosis.The total number of research samples is 26.

Results: The results of the Wilcoxon hypothesis analysis show that using a rigid custom foot orthosis reduces the degree of flat foot by 0.002 and using a soft rigid custom foot orthosis reduces the degree of flat foot by 0.059. As a result, when comparing the use of a rigid custom foot orthosis to the use of a soft rigid custom foot orthosis with the same intervention time in both groups of research subjects.

Conclusion: When compared to the use of a soft rigid custom foot orthosis with the same intervention period in both groups of research subjects, the use of a rigid custom foot orthosis is more able to minimize the degree of flat foot.

Speech Intelligibility In Preschoolers Using Indonesian Intelligibility In Context Scale

Cindy Natalia — 2022-12-06

Background: The intelligibility in Context Scale (ICS) is one of the speech intelligibility assessment procedures that measures how clearly an individual's speech can be understood by seven different communicative partners. Recently, ICS has been translated into more than 60 languages across the world including Indonesian language. It is important to know about ICS and how to use it in Indonesia.

Methods: This quantitative research is designed with a descriptive comparative method. The population of this study is preschool-aged children (4-6 years old) in Semarang City. The number of respondents in this current study is 158 respondents which consists of 20 children with parental concerns and 138 children without parental concerns. Data analysis is performed using descriptive and bivariate analysis. A Mann-Whitney U test is used for the bivariate analysis. Data collection was carried out in Semarang City in August–September 2021.

Results: The total average ICS score in this study is 3.96. Children's speech is best understood by parents and least understood by strangers. There is a difference in average ICS scores for paternal education (p = 0.037), paternal income (p = 0.002), and parental concerns (p = 0.01).

Conclusion: The Indonesian ICS can be used as a screening test to assess children's speech proficiency. Paternal education, paternal income, and parental concerns have a direct impact on children's average Indonesian ICS score. The lower the average Indonesian ICS score of the child, the lower his or her speech intelligibility.

Phonological Memory And Phonological Awareness In Children: A Meta-Analysis

Rexsy Taruna — 2022-12-07

Background: Phonological memory skills have been widely documented to have an effect on phonological awareness performance, but with varying effect sizes. This meta-analysis aims to determine the summary effect size as a reference when considering phonological awareness interventions.

Methods: For identification and selection of articles involved in this study, refer to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The database used to search for articles in PubMed. The inclusion criteria used in this study were articles published from 2013 to 2022, free full-text, and the subjects involved in the study did not have neurodevelopmental disorders.

Results: Twelve articles were involved in data synthesis. The average sample in the study ranged from 4 years 2 months to 9 years 8 months. Ninety-one percent of the articles used a norm-referenced test to measure phonological memory abilities, while 66.6% used a norm-referenced test to measure phonological awareness abilities. The summary effect size on the relationship between phonological memory and phonological awareness is 0.433 (p <0.001).

Conclusion: Professionals should consider the level of phonological memory ability in phonological awareness interventions.

Innovation And Development Of Dash Instruments For Functional Examination Of The Hand In Brachialis Plexus Injury (BPI)

Endang Sri Wahyuni — 2022-12-08

Background: The modified DASH instrument has been used as a measure of the functional ability of the hand in brachial plexus injury (BPI) until now, but its validity and reliability have not been tested. The aims of the study are to analyze the validity and reliability of the modified DASH instrument as a measure of the functional ability of the hand in brachial plexus injury (BPI) conditions.

Methods: This research uses an observational correlation approach. The design of the validity and reliability test uses the person-product moment test and Cronbach's alpha based on standardized items. The number of questions is 30, with 75 research subjects selected by purposive sampling.

Results: The majority of the research subjects were male, 56 subjects (74.7%), were in the late adolescent age group (17–25 years) of 46.7% (35 subjects). Construct validity test value > 0.227 with ρ < 0.05. The instrument reliability coefficient value is 0.925 with Cronbach's Alpha on each question item worth above 0.90.

Conclusion: All Q1-Q30 question items are valid and reliable so they can be used to measure hand functional abilities under BPI conditions.

Efectivity Between Dry Needling And Laser Combinated With Core Stability Exercise For Pain Reduction On Complaints Of Myogenic Low Back Pain

Saifudin Zuhri — 2022-12-12

Background: The majority of people who experience myogenic low back pain (LBP) do so while going about their normal lives. Compared to other physical therapy technology applications, the combination of laser and dry needling with core stability exercises for LBP myogenic pain has not been utilized as frequently in clinical practice.

Methods: Purposive sampling is used to select subjects. Subjects were those who fit the criteria of the study and reported experiencing myogenic LBP. The number of subjects in group I was 35 subjects and group II was 34 subjects. Experimental study with two groups participating in pre and post-testing. Phase I of the research was conducted in 2021 at the Sunafa physiotherapy practice, Colomadu, and Karanganyar. Phase II of the research was conducted there in 2022. After discovering that the research data was not normally distributed, a nonparametric test was conducted.

Results: The combination of core stability exercises and dry needling reduced myogenic LBP complaints (p = 0.000), using laser therapy along with core stability exercises significantly reduced the number of complaints of myogenic LBP (p = 0.000). Dry needle and core stability exercise, as well as laser and core stability exercise, both reduced pain in the same way as myogenic LBP complaints (p = 0.242).

Conclusion: Both laser therapy and dry needling combined with core stability exercises are useful in easing myogenic LBP complaints.

Effect Of Use Of Flexible Transfemoral Prosthesis On Dynamic Balance Of Transfemoral Amputee

Nur Rachmat — 2022-12-21

Background: The flexible transfemoral prosthesis is known to improve the level of independence in performing the daily activities of transfemoral amputees. Dynamic balance is needed by transfemoral amputee patients to be able to move properly.

Methods: The research was conducted using a quasi-experimental research design with the post-test-only design method. A sample was obtained by the purposive sampling process. The Four Square Step Test (FSST) is used as an instrument to measure the dynamic balance. It was performed on 30 transfemoral amputee patients using axillary crutches, and then the patient wears a flexible prosthesis. The research was done at PT Kuspito Orthotic Prosthetics, and it was carried out from May to September 2022.

Results: The research subjects were transfemoral amputee patients who met the inclusion and exclusion criteria determined by the researcher, a total of 30 patients. The subjects in this study were mostly male: 23 patients (76.67%). The largest proportions of respondents are aged 26–45 years (adults), as many as 17 people (56.675). The data normality test was obtained from dynamic balance using the four-square step IP-value of 0.07, which indicates that the data is normally distributed. With a significance of 0.000 and an average time to perform the four square step of 12.54 seconds versus 22.45 seconds with axillary crutches, patients walking with flexible artificial limbs had more stable balance than patients walking with axillary crutches.

Conclusion: Patients with flexible artificial limbs are more balanced. It is recommended for transfemoral amputee patients to use a flexible prosthesis to improve dynamic balance when walking, so they can move better.

Effect Of Medial Arch Support On Valgus Ankle Angle In Flat Foot Conditions

Adinda Imas Nicavia — 2022-12-21

Background: Flat foot, or pes planus, is a condition where the medial longitudinal arch is lost, resulting in flat feet. In this case, if there is a problem with the medial longitudinal arch, it will affect the joint above it, called the valgus ankle. Handling flat foot is done by providing medial arch support. The use of medial arch support aims to maintain the foot and ankle in a neutral position by supporting the medial part so that the valgus can be corrected.

Methods: This type of research is a quasi-experiment with a one-group pre- and post-test design. The number of subjects was 32 students of the Applied Undergraduate Program, Department of Prosthetic Orthotics.

Results: Using the Wilcoxon hypothesis test and the p-value was found to be 0.000 for the right and left pre- and post-test foot. This shows that there is a decrease in the ankle valgus angle before and after the use of medial arch support. The average decrease in valgus ankle angle between pre- and post-test on the right foot was 2.32 degrees, while it was 2.44 degrees on the left foot.

Conclusion: The use of medial arch support has an effect on decreasing valgus ankle in flat foot conditions, so it is recommended to use medial arch support in flat foot conditions.