Jurnal Keterapian Fisik (E-ISSN : 2580-5908; ISSN : 2503-3557) is an journal which publishes scientific works for academics, and practitioners.Jurnal keterapian fisik welcomes and invites original and relevant research articles in physiotherapy, acupuncture, occupational therapy, prosthetic orthotics, speech therapy, and health education, as well as literature study and case report particularly. The journal is an open access journal and The journal is published twice a year in Mei and November. This journal has been accredited by National Journal Accreditation (ARJUNA) managed by the Ministry of Research, Technology, and Higher Education, Republic of Indonesia with fourt Grade (Sinta 4) since 2016 to 2020 (Decree No. 21/E/KPT/2018). JKF welcomes and invites researchers from around the world to submit their papers (original research article, systematic review, and case study) for publication in this journal. All papers are published as soon as they have been accepted. Publisher of Jurnal Keterapian Fisik is Poltekkes Kemenkes Surakarta incorporate with the organization of profesions : Perhimpunan Akupuntur Terapis Indonesia (HAKTI) ACCREDITATION: RE-ACCREDITATION RESULT Start from June 2020, Based on Excerpts and Decrees of the Minister of Research and Technology / Head of the National Research and Innovation Agency, with Number: B / 1796 / E5.2 / KI.02.00/ 2020, Jurnal Keterapian Fisik has accredited SINTA 3 (3rd Grade Journal). The Accreditation is valid until 2024. EDITORIAL: ENGLISH LANGUAGE Since Vol. 6 No. 1 March 2021, Jurnal Keterapian Fisik only receives full-text manuscript in ENGLISH. Thank you.
Exploring Occupational Therapy in the Punk Community: A Qualitative-Ethnographic Study
Background: The punk community is a subculture that is often viewed as contrary to the dominant culture. Society often misunderstands this community, constructing it as a negative and marginalized group. Occupational therapy strives to be more diverse, fair, and inclusive in order to strengthen practitioners' contributions to healthy and engaged communities. This study aims to explore the forms and meanings of occupation in the punk community through an occupational perspective. Methods: This study uses qualitative methods with an ethnographic approach. Respondents were selected through purposive sampling and snowball sampling techniques. Data collection was conducted through semi-structured in-depth interviews, observation, and documentation. Data analysis used ethnographic thematic methods, while data validity was tested through source triangulation. Results: Thematic ethnographic analysis produced two main themes related to the exploration of occupation in the punk community. The first theme concerns the forms of occupation in the punk community, which include anti-mainstream, egalitarian, and DIY (Do-It-Yourself) aspects. The second theme discusses the meaning of occupation in the punk community, which includes working as a means of survival, occupation as self-expression, occupation as a form of contribution and concern for others, and participation in occupation to improve welfare and a sense of belonging. Conclusion: The forms and meanings of occupation in the punk community are very different from those in society at large. The beliefs and environment of the punk community shape unique occupational choices compared to the wider community. The results of this study emphasize the importance of expanding the scope of occupational therapy practices to be more inclusive.
Academic; occupation; the punk community
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Parenting Experiences in Shaping Sleep Routines for Children with Attention-Deficit/Hyperactivity Disorder (ADHD): A Phenomenological Study
Background: Parenting styles influence sleep routines and problems in children with Attention-Deficit/Hyperactivity Disorder (ADHD); sleep quality includes efficiency, latency, duration, and wakefulness after onset. This study explores the experience of implementing bedtime routines based on caregiver parenting styles and their implications for the sleep quality of children with ADHD. Methods: Qualitative study with a phenomenological approach; non-probability sampling (purposive sampling). Participants consisted of 8 caregivers (mothers, aunts, grandmothers) of children with ADHD at YPAC Surakarta; semi-structured in-depth interviews were conducted 2–3 times per participant and analyzed thematically with credibility and confirmability tests. Results: Three main themes emerged: (1) Caregiver parenting styles (implementation and influence on sleep), (2) Types of parenting styles based on Baumrind's aspects, (3) Sleep quality of children with ADHD (sleep quality, sleep problems, supporting factors). Authoritarian parenting was linked to a stable sleep schedule but had no impact on efficiency; democratic parenting influenced emotional regulation; permissive parenting had no apparent effect on sleep quality; neglectful parenting was associated with sleep-onset insomnia without a clear cause. Conclusion: Variations in parenting styles result in different profiles of impact on sleep quality indicators. Education and harmonization of parenting styles are recommended in pediatric occupational therapy services.
Understanding Social Participation in Post-stroke Patients: A Phenomenological Study
Background: Stroke is a leading cause of long-term disability worldwide. Post-stroke patients experience various physical and mental problems. This has a significant impact on the patient’s life, affecting their ability to perform daily activities and participate in community social activities. As many as 50% of post-stroke patients still experience problems with social participation. The purpose of this study was to investigate the social participation of patients after experiencing a stroke. Methods: This research is qualitative research with a phenomenological approach conducted at RSUD by Dr. Soedono Madiun. Data collection was carried out through interviews and documentation of 6 patients who had a stroke for at least 4 months which were included in the purposive sampling criteria. Results: From the thematic analysis that has been carried out, there are three themes regarding the social participation of post-stroke patients: (1) social participation of post-stroke patients, consisting of continuity in social activities, decreased activity, and socialization limitation; (2) social participation barriers, consisting of internal factors and external factors; and (3) coping strategies, consisting of physical recovery, staying connected, and social support. Conclusion: Post-stroke patients experience changes in social participation, they find it difficult to get involved in various social activities due to various barriers from within themselves and their environment. Recommendations for future research are to consider variables that exist as a consideration of research results, such as environmental conditions, stroke severity, gender, and so on.
Correlation Between Physical Activity and Musculoskeletal Disorders Among the Elderly
Background: Engaging in physical activity helps prevent Musculoskeletal Disorders (MSDs) in the elderly, which affect both soft and hard supporting tissues of the limbs. Low physical activity levels in older adults often lead to MSD complaints, especially in the lower back, knees, shoulders, and hands. This study aims to evaluate the correlation of physical activity in the incidence of MSDs among the elderly. Methods: This study employed analytical observational research with a cross-sectional design and purposive sampling technique. The participants consisted of 50 older adults aged 60 and above. The research utilized the Physical Activity Questionnaire-Short Form (IPAQ-SF) to assess physical activity, while musculoskeletal disorders were evaluated using the Nordic Body Map (NBM). Data analysis was performed using the Spearman rank statistical test, facilitated by SPSS version 23 software. Results: The findings showed a notable relationship between physical activity and the occurrence of musculoskeletal disorders in older adults, yielding a p-value of <0.001 and a correlation coefficient of -0.474, indicating a moderate level of strength. This means that the lower a person's level of physical activity, the higher the degree of Musculoskeletal Disorder complaints. Conclusion: This study demonstrates a significant correlation between low levels of physical activity and the prevalence and severity of MSDs among older adults at the Arum Sari Health Post. The findings emphasize the need to raise public awareness and investigate additional risk factors to enhance the prevention and management of MSDs in the elderly.
The Effect of Aerobic Exercise on VO2max in Physiotherapy Students at Surakarta Polytechnic
Background: Aerobic exercise is a physical fitness exercise that can increase VO2 max. The provision of this exercise is intended to provide exercise on the increase in aerobic physical exercise by measuring maximum oxygen consumption. An indicator of physical fitness, and heart and lung endurance is VO2max. VO2max denotes the peak amount of oxygen the body can absorb and use during vigorous exercise before reaching fatigue. The purpose of this study was to determine the effect of aerobic exercise on VO2 max in Physiotherapy as a student at Surakarta Polytechnic. Methods: This research is a quasi-experimental study with a one-group pre-test and post-test design. A total of 56 students were selected using simple random sampling and received treatment with aerobic exercise in the form of 30-minute walking sessions, three times a week, for 12 sessions. Data analysis to determine the difference between pre-and post-tests was conducted using the Wilcoxon test. Results: The results of this study indicate that aerobic exercise can increase VO2max in Physiotherapy students at Surakarta Polytechnic, as shown by the six-minute walking test. The hypothesis test yielded a p-value of <0.001, indicating a statistically significant difference, with a mean increase of 6.44 in VO2max values. Conclusion: There is a different effect between before and after treatment given aerobic exercise can increase VO2 max in Physiotherapy students at Surakarta Polytechnic. Regular aerobic exercise is recommended to be incorporated into students' routines to improve cardiovascular endurance and support physical fitness.
Effect of Using Medial Arch Support on Foot Pain (Plantar Fasciitis) in Pregnant Women
Background: Pregnancy often causes physical and psychological discomfort, including foot pain or plantar fasciitis due to inflammation of the plantar fascia, which is worsened by increased body weight. Medial arch support is an orthotic device designed to relieve this pain by stabilizing the medial longitudinal arch of the foot. This study aims to examine the effect of using medial arch support in reducing foot pain (plantar fasciitis) in third-trimester pregnant women. Methods: This quantitative study used a quasi-experiment with a one-group pre-test and post-test design to examine the effect of medial arch support on foot pain in pregnant women. The study was conducted in Noborejo, Salatiga. The sampling technique used is purposive sampling and involved 20 pregnant women who often complained of foot pain in the 2-3 trimesters. Pain levels were measured using the Numeric Rating Scale (NRS) before and after a two-week intervention with medial arch support. Results: The Wilcoxon test results indicate a significant reduction in foot pain (p= <0.001, p < 0.05). The average pain score before the intervention was 7.9, which decreased to 4.5 after the use of medial arch support, reflecting a pain reduction of 43%. The average difference in pain level before and after the intervention was 3.4. Conclusion: Medial arch support significantly reduces foot pain (plantar fasciitis) in pregnant women. This intervention offers a practical solution to reduce discomfort and improve the quality of health of pregnant women. Further studies are needed on the long-term use of medial arch support in pregnancy.
The Effect of Foot Massage on Quality of Sleep in Elderly
Background: Sleep disruptions and pattern alterations are more common in the elderly. The physical well-being, mental clarity, and overall quality of life of the elderly can all be greatly impacted by these changes. The following are some of the main problems with the elderly's sleep quality. The objective of this research is to determine the effect of foot massage on quality sleep in the elderly. Methods: Quasi-experimental research with pretest and posttest control group design approach. Participants were selected using a non-probability purposive sampling technique based on inclusion criteria related to age and sleep disturbances, with a total of 25 elderly individuals. Subjects were randomly divided into 2 groups. Group I receives the foot massage treatment and group II is the control group. This study measured the quality of sleep in the elderly. The research instrument used the Pittsburgh Sleep Quality Index (PSQI). Results: The analysis includes 25 participants, divided into two groups. In Group 1, all 14 participants showed a decrease in sleep quality scores, which is statistically significant (p<0.001). In group II, the change is not statistically significant (p=0.724), indicating that most participants did not experience substantial changes in sleep quality. Conclusion: Foot massage is a non-pharmacological intervention demonstrated to enhance sleep quality among elderly individuals. The analysis indicates that foot massage significantly enhances blood circulation and muscle relaxation, contributing to improved sleep quality. This intervention shows potential as a practical and non-pharmacological method for managing sleep disturbances in the elderly.
Effect of Custom Foot Orthoses on Vertical Jump in Flat-Footed Basketball Players
Background: Basketball is popular in Indonesia, and vertical jump ability plays a significant role in performance in the game. Abnormal curvature of the legs can reduce jump outcomes. The use of custom foot orthoses can help address this condition. This study aims to determine the effect of custom foot orthoses on vertical jumps in flat-footed basketball players. Methods: This study used a one-group pretest-posttest design with a population of 25 people and 23 respondents selected through purposive sampling. The vertical jump was evaluated using a vertical jump test conducted before and after one month of using foot orthoses. Data were analyzed using a Paired Sample T-test. Results: The results of the statistical test showed a p value of <0.001 (p < 0.05), indicating a significant difference in the use of custom foot orthosis before and after the intervention. Conclusion: There is an improvement in the vertical jump of basketball players with flat foot condition. Custom foot orthoses are recommended for use to improve the vertical jump of basketball players with flatfoot conditions.
Impact of Interventions with Modified Snake Ladder Games on Cognitive Abilities and Reducing Cognitive Decline in Aging
Background: Aging is the process by which humans slowly lose the capacity of their tissue to improve. Elderly people experience physical, mental, and social decline as well as a decrease in cognitive function. To maintain cognitive abilities, interventions in the form of cognitive activities are needed. The purpose of this study was to determine the effect of a cognitive game in the form of a modified Indonesian version of the Snakes and Ladders board game on cognitive abilities. Methods: This research is quantitative research with a pre-experimental design with one group pre-post test. The sampling technique used was purposive sampling with a sample size of thirty people. The instrument used was the MoCA-Ina. The cognitive game Modified Snakes & Ladders Indonesian version was carried out in 8 sessions over 18 weeks. Data analysis using paired t-test. Results: The research sample shows that the characteristics of age are dominated by female middle-aged elderly, and the characteristics of the sample with a final elementary school education are 14 people. Paired t-test results Sig. (2-tailed) = 0.000, which means p-value <0.05. It shows that a cognitive game in the form of a modified Indonesian version of the Snakes and Ladders board game has an effect on cognitive abilities. Conclusion: The modified Indonesian version of the Snake Ladder Game is one of the board games used in activity therapy that can be used for cognitive function in the elderly.
Kinesiotape Versus Home-Based Exercise for Reducing Pain and Disability in Elderly Osteoarthritis
Background: Osteoarthritis (OA) in the knee causes various health problems, including pain and limited movement that reduces productivity and quality of life, causing disability. This study aims to determine the comparative effectiveness between home-based exercise and kinesiotape in lowering pain and disability in the elderly with knee osteoarthritis. Methods: It was an experimental study with a randomized pre-test and post-test control group design. There were 30 participants divided into 2 groups: Group 1 with Kinesiotape and Group 2 with Home-Based Exercise. The intervention was given 3 times per week for 4 weeks. Disability was measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and pain was measured by the Visual Analogue Scale (VAS). Results: The p-value for WOMAC and VAS scores before and after intervention is <0.001 in kinesiotape and Home-Based exercise interventions, which states that there is a significant improvement in lowering disability. Comparative analysis between groups also showed p< 0.001. Conclusion: Kinesiotape and home-based exercises are both effective in reducing knee pain and disability in elderly with knee OA. However, home-based exercises have proven to be more effective than kinesiotape. Home-based exercises are recommended as the primary intervention to decrease pain and disability in elderly individuals with genetic knee OA.
The Impact of Stretching Exercise on Musculoskeletal Pain and Quality of Life of Occupational Therapists
Background: The occupational therapy profession has risks from its work, namely musculoskeletal pain. This problem, if not properly addressed, will have a serious impact, including a deterioration in quality of life. Some attempts that can be made to overcome musculoskeletal pain are pharmacological and non-pharmacological efforts. This study will look at the effect of intervention in the form of stretching exercises on musculoskeletal pain and quality of life in occupational therapists in the Klaten district. The aim of this study is to measure the effect of stretching exercises on musculoskeletal pain and quality of life among occupational therapists in the Klaten district. Methods: This study utilized a pre-experimental pretest-posttest design and employed purposive sampling to select participants. Musculoskeletal pain was assessed using the Nordic Body Map questionnaire, while the WHOQOL-BREF instrument was used to measure quality of life. Results: The study found a statistically significant decrease in musculoskeletal pain with a p-value of 0.000 using a paired t-test. Similarly, both the Wilcoxon signed-rank test and the paired t-test showed statistically significant improvements across all four quality-of-life domains, yielding a p-value of 0.001. Conclusion: Stretching exercise has the effect of reducing musculoskeletal pain and improving the quality of life of occupational therapists in the Klaten district.
The The Effect of Job Crafting on Employee Well-Being in Brachial Plexus Injury (BPI) Patients
Background: Brachial Plexus Injury (BPI) is a peripheral nerve injury that can cause functional disorders of the upper limbs due to decreased range of motion of joints and muscle strength. Further impacts can include psychological stress, socioeconomic difficulties, reduced quality of life, and ability to work. Patients who are unable to return to work require job crafting to create a balance between job demands and job resources so that they can achieve employee well-being. The general objective of this study is to determine the effect of job crafting on the level of employee well-being in BPI patients. The benefits of the results of this study will later be used to improve outcome measurement and recommendations in determining therapy goals, especially in the area of productivity, so that independent, productive, and prosperous BPI can be realized. Methods: This research is quantitative research with a pre-experimental research form. The type of approach used is comparative, using a group pre- and post-test design. The research was conducted in the BPI community of East Java using purposive sampling techniques, and 30 research subjects were obtained. Results: The results of the study showed that the majority of research subjects were in the age range of 19-44 years (adults) as much as (80%), male gender (76.7%), and dominated by workers in the private sector (96.7%). The results of the hypothesis test using the paired sample t-test obtained an ρ value of 0.001. Conclusion: job crafting has an effect on employee well-being in BPI patients.
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Impact of Infant Massage on Weight Gain: A Study in Banjar District, South Kalimantan
Background: Underweight in children under five is still a significant health problem in many parts of the world, especially in developing countries. One such intervention that has gained cultural significance is infant massage, a traditional practice that promotes relaxation, improves digestion, and enhances weight gain. This study seeks to evaluate the impact of infant massage on weight gain in infants under 24 months within Banjar Regency, a region where undernutrition presents a significant public health issue. While infant massage is traditionally practiced and believed to benefit infant health, its effectiveness remains debatable. Methods: A quasi-experimental design with a control group involving 51 mother-infant pairs was employed. Participants were divided into an intervention group (n=17) that received infant massage training and performed it over three months and a control group (n=34) that received no such intervention. This research uses an observation form instrument. Infant weight gain was the primary outcome measure, with data analyzed using independent sample t-tests to assess differences between the two groups. Results: No statistically significant difference was found in weight gain between the intervention and control groups (t = -0.415, p = 0.680). However, descriptive data revealed that 88.2% of infants in the intervention group experienced weight gain compared to 85.3% in the control group, indicating a potential trend toward positive effects of infant massage. Conclusion: Despite the lack of statistical significance, the observed trend suggests potential benefits of infant massage. Further research with larger sample sizes and longer durations is recommended.
The Effect of Acupuncture Therapy on the Concentration Level of Health Students
Background: Health students face various challenges during their studies. The demands of mastering clinical skills and the ability to build therapeutic relationships with patients require high concentration from health students. So it is important for health students to have good concentration during the learning process so that students' mastery of clinical skills can be achieved optimally. Acupuncture is a therapeutic modality that has been proven to have a function to improve individual cognitive abilities. This study aims to identify the effectiveness of acupuncture therapy in improving the concentration of health students. Methods: The research sample in this study is 60 undergraduate nursing students of the Institute of Technology and Health Bali who are divided into an intervention group (n = 30) and a control group (n = 30). The instrument that will be used in this study is the Grid Concentration test to assess the level of student concentration. Results: There was a significant increase (p < 0.05) in the concentration score in the treatment group, where before acupuncture the concentration score was (median = 14) and after acupuncture, the concentration score became (median = 20.50). Conclusion: According to the results above, it proves that acupuncture therapy is effective in improving student concentration and can directly optimize working memory capacity.
The Effect of Myofascial Release Iliotibial Band on Reducing Pain and Increasing Functional Activity in Knee Osteoarthritis
Background: Knee osteoarthritis is the most common case suffered by elderly women. The population at high risk of experiencing knee osteoarthritis is women at 18% compared to men at around 9.6% worldwide, older age, excessive body weight, and having had a knee injury or having had previous knee surgery. Methods: The design of this study was a two-group pre-and post-test design. The research compares the effect of the myofascial release of the iliotibial band on reducing pain and increasing functional activity in knee osteoarthritis. The research subjects were all clients who had been diagnosed with osteoarthritis by a doctor. Results: The results of the test for the difference in pain scores with VAS before and after treatment in group 1 showed a value of p = 0.000 or a value of p < 0.05, while the functional ability scores with WOMAC before and after group 1 treatment showed a p-value = 0.000 or a p-value < 0.05, which means that there was an effect of standard therapy on reducing pain and increasing functional activity in osteoarthritis knees in group 1 so that the hypothesis was accepted. Conclusion: There is a difference in effect between standard therapy and standard therapy plus myofascial release of the iliotibial band to increase functional activity in knee osteoarthritis. There is a difference in the effect of standard therapy and standard therapy plus myofascial release iliotibial band on increasing functional activity (p = 0.00) in knee osteoarthritis.
Effectiveness of Jin’s 3 Needles and INMAS Acupuncture in Reducing Low Back Pain
Background: Low back pain is one of the musculoskeletal disorders caused by poor body activity. Acupuncture for low back pain can stimulate the body to secrete endorphins which cause the body to become comfortable and relaxed, so that the degree of pain in the low back can be reduced. This study aims to compare the effect of Jin's 3 needles acupuncture therapy with Integrative Neuromuscular Acupoint System (INMAS) on changes in the degree of low back pain. Methods: This study used the two groups pre and post test design. The sample was 36 research subjects who met the inclusion and exclusion criteria and were selected using a simple random sampling technique, divided into 2 groups, namely the Jin's 3 needles group and the INMAS group. The data were analysed using the Wilcoxon test for changes within groups and the Mann–Whitney test for comparisons between groups. Results: The acupuncture therapy intervention of the Jin's 3 Needles method and the INMAS method is effective in reducing the degree of low back pain (p-value:<0.001). There is no significant difference between acupuncture therapy interventions Jin's 3 Needles method and INMAS in reducing the degree of low back pain (p value 0.769). Conclusion: There is an effect of acupuncture therapy Jin's 3 Needles and INMAS on changes in the degree of low back pain and there is no significant difference between the two interventions. Both interventions can be considered as non-pharmacological treatment options for lower back pain.
The Effectiveness Of Facial Massage On Reducing Sleep Disorders (Insomnia) In The Elderly In Tohudan Village, Karanganyar
Background: Insomnia is a disorder in which sufferers experience difficulty initiating and maintaining sleep so that they cannot adequately maintain their sleep needs, both in quality and quantity. In this study, physiotherapy efforts to reduce insomnia used facial massage intervention as measured by the insomnia severity index (ISI). Objective: To determine the effect of facial massage on reducing the scale of sleep disorders (insomnia) in pre-elderly people in Tohudan village, Karanganyar regency. Methods: The method used in this research is quasi-experimental, with the design used being one group pre-test and post-test. From the population of 200 elderly in Senden, Tohudan village, and 72 elderly came to Posyandu Lansia, 19 people who met the inclusion criteria using a purposive sampling method would be given treatment in the form of facial massage for 3 consecutive days. Pre- and post-test measurements were carried out by filling out the ISI scale questionnaire. Results: The pre- and post-test differences were carried out using the paired t-test and obtained a p-value of 0.000 (p<0.05). So the alternative hypothesis (Ha) in this study is accepted. Conclusion: Giving facial massages reduces insomnia in elderly people in Tohudan Village.
The The Effectiveness of Myofascial Release Technique and Self Exercise in Reducing Pain & Disability in Elderly with Myofascial Pain Syndrome
Background: Neck pain is a major public health problem, especially for the elderly. One cause of neck pain is myofascial pain syndrome. Myofascial pain syndrome is characterized by the presence of trigger points that arise from the junction bands of muscle fibers. Three studies found that the prevalence of neck pain in the elderly was between 8.8% and 11.6%. Chronic neck pain causes increased muscle tone, decreased joint range of motion, functional impairment and activities of daily living, and decreased quality of life in the elderly. This study aimed to compare the effectiveness of combining myofascial release technique and ultrasound with self-exercise and ultrasound in reducing pain and neck disability for the elderly. Methods: This experimental study used a randomized pre- and post-test control group design. The variables in this study were pain and neck disability. The participants were 24 people who were divided into Group 1 with myofascial release technique (n = 12) and Group 2 with self-exercise (n = 12). The intervention was given 3 times per week for 4 weeks. Results: The results showed that neck disability significantly decreased before and after the intervention in both groups (p<0.001). There was also a significant difference between the two groups. Conclusion: Myofascial release technique and self-exercise are effective in reducing neck pain and disability in the elderly with myofascial pain syndrome. However, the combination of ultrasound and myofascial release technique is more effective than ultrasound and self-exercise in reducing neck pain and disability in the elderly with myofascial pain syndrome.
Correlation of Fitness Levels with Physical Activity in Elderly Patients in Yogyakarta, Indonesia
Background: Fitness is closely linked to aerobic capacity, which depends on the availability of oxygen to meet the needs of the blood and facilitate the burning process to provide energy to maximise the performance of the body's organs. Under certain conditions, such as disabilities, reduced function, or certain diseases that prevent physical activity, especially in the elderly, the aerobic process may not function optimally. This study investigates the correlation between fitness level and physical activity in elderly patients at the Muhammadiyah Community Welfare Development Hospital (RS PKU) in Bantul, Yogyakarta. Methods: The research design is cross-sectional, using purposive sampling. To assess fitness and physical activity levels, the six-minute walk test (6MWT) and the Global Physical Activity Questionnaire (GPAQ) were used in the study. Thirty-six (36) responded to the questionnaires and participated in the study. The analysis of the data was performed using the Spearman rank correlation test. Results: The Pearson correlation test showed that there was a significant correlation (r = 0.657** and p-value = 0.000) between fitness level and physical activity. Conclusion: There is a strong correlation between fitness level and physical activity in elderly patients at PKU Muhammadiyah Bantul.
A Comparative Analysis of Foot Orthosis Manufacturing Results Using the Gips Roll Casting and Custom 3D Scan Method
Background: A musculoskeletal disorder that is often found is flatfoot. In handling various problems that occur in the foot, intervention can be given by using custom foot orthoses. The method often used in the process of making custom foot orthoses is the casting method. In recent years, advanced technology has continued to emerge and has really helped many manufacturers make foot orthoses with 3D scan tools and 3D printers. The aim of this research is to analyse the results of making foot orthoses using the cast roll casting method and a custom 3D scan. Methods: The method used is experimental research with purposive sampling. The inclusion criteria were subjects with flat feet, and the exclusion criteria were subjects with deformities other than flat feet. The population was 38 people, and the respondent was 8. To determine the accuracy of measurements using statistical analysis with the Mann-Whitney test. Then the results of the two casting methods were fabricated and compared with measurements, as well as the efficiency of the foot orthosis manufacturing process using each method. Results: The p value was 0.967 in the measurements with plaster roll media and 1.000 in the measurements with 3D scan media based on the respondent's original foot. Conclusion: There is no significant difference between the two methods. So the 3D scan method can also be used as a method for developing custom foot orthosis fabrication processes to improve the development of science and technology in the field of prosthetic orthotics.
The Effect of Auditory Perception Training on Speech Ability and Hearing Impairment in Children
Background: Hearing is one of the five senses that plays an important role in early childhood development. With hearing, a child can learn to speak, socialize, and increase their intellectual development. Hearing impairment is a problem that can occur at any age and makes it difficult for someone to communicate verbally. Apart from this, hearing impairment can also result in delays in speech and language skills in children, which are also associated with difficulties in reading, writing, paying attention, and social interaction. Methods: The subjects of this research were children with hearing impairments. An experimental research design was used to determine the effect of certain treatments, with a one-group pre- and post-test design and a sample size of 30 people. bivariate test analysis with different tests to determine the effect of auditory perception training on improving the speaking ability of hearing-impaired children in Surakarta using the paired test technique. Results: The results of the analysis using the Wilcoxon rank test showed a statistical significance value of 0.000 (p ≤ 0.05), so there was a significant influence between auditory perception training and speaking ability in children with hearing impairment. Conclusion: The results of the study showed that the speaking ability of deaf children improved after auditory perception training was carried out. There is a significant effect of auditory perception training on the speaking ability of deaf children (p-value 0.000 < 0.05).
The Effect Of Picture Memory Training On Children's Language Skills
Background: Information on how students' academic performance is also determined by their language profile is limited. The use of picture memory exercises has never been provided by teachers in schools. This study aims to determine the effect of picture memory training on improving children's language skills. Methods: This study used an experimental design by giving treatment to children over a period of time and then measuring their language proficiency profile. The intervention was conducted using the picture-memory approach. The study design involved a single-group intervention with assessments conducted before and after the intervention. The target of the intervention is children with language impairment. Results: From the results of the Wilcoxon test, it was found that receptive language skills, especially receptive vocabulary, showed a p-value of 0.002. These results indicate that the picture memory intervention is able to improve receptive vocabulary skills. For expressive vocabulary, a p-value of 0.034 was found. The result also showed that the picture memory intervention was able to improve expressive vocabulary. Picture memory intervention resulted in changes in receptive vocabulary with an r-value of 0.44. Picture memory intervention resulted in changes in expressive vocabulary with an r-value of 0.29. Conclusion: The results of the analysis showed a difference in impact where the receptive vocabulary component was the component that changed more than the expressive vocabulary. However, the provision of a picture memory training intervention can be said to be able to improve language skills in general.
Effect of Using Custom Foot Orthosis on Musculoskeletal Disorders Security Bank
Backgrounds: Musculoskeletal disorders are one aspect that can hinder productivity and work activity. According to the Riskesdas from 2018, non-ergonomic working postures are to blame for 8.3% of back pain, 36% of upper limb pain, and 63.3% of lower limb pain. Prevention and treatment of musculoskeletal disorders can be Standing on a softer surface can produce smooth muscle movements, reduce muscle tension, increase blood flow, reduce discomfort and fatigue, and help prevent and treat musculoskeletal disorders. For optimal weight distribution, an insole can serve as a supporting mat between the floor and the feet. Methods: This research is quantitative with one group pretest posttest pre-experimental designs. The NBM questionnaire was completed during the pre-intervention and post-intervention tests with a custom foot orthosis for observations. This study used 30 security personnel as samples. Results: The results of the Wilcoxon test, wearing a custom foot orthosis affected musculoskeletal disorders, with a significance level of 0.000 (p < 0.05). The value of reducing pain was 17.47 on average. Conclusion: When working in a standing position for too long, using a custom foot orthosis can help distribute weight more evenly and reduce pain from musculoskeletal disorders.
Cost of Illness: Stroke Patients with Medical Rehabilitation
Background: Cerebrovascular disease (ICD 10: I60–I69), is a medical condition that leads to limitations such as limited mobility and cognitive impairment. It is the most fatal disease in Indonesia. Medical rehabilitation has been clinically proven to be an effective strategy to minimize disability in stroke patients. Methods: This research is a quantitative study with a cross-sectional design. The data source was obtained from BPJS Kesehatan sample data for 2022. The sample units for this study were all patients with a diagnosis of cerebrovascular disease. This study examined 3,528 patients, representative of a larger population of 339,707 patients. Results: In 2022, healthcare costs for stroke patients in Indonesia, covered by BPJS Kesehatan, varied widely from Rp 1,937,400 to Rp 207,675,700, averaging Rp 8,487,531 per person. BPJS Kesehatan's total spending on stroke treatment and rehab in 2022 was Rp 2,883,269,825,972. The productive age group constitutes the majority of stroke cases, comprising 68.9% of the total, with males representing the predominant gender at 54.5%. The biggest group benefiting from this were those receiving Beneficiary Contribution Assistance (PBI), making up 46.5% of all National Health Insurance participants. Conclusion: This study indicates that providing medical rehabilitation during the golden period yields greater efficiency compared to its absence. This recommendation extends beyond cost-saving measures, emphasizing a strategic investment in national welfare through the enhancement of individuals' quality of life. Therefore, policymakers, BPJS Kesehatan, hospitals, and healthcare professionals are encouraged to factor this insight into their decision-making processes.
The Effectiveness Of Family Empowerment In Increasing The Independence Of The Daily Living Activities Of Children With Intellectual Disability
Background: Intellectual Disability (ID) is a disability characterized by significant limitations in intellectual functioning and adaptive behavior in many social skills and practical daily skills, including activities of daily living (ADL). To train ID children to independently carry out these activities, it is necessary to empower families (increase knowledge, attitudes, and skills of parents in handling ID children at home) so that the handling of ID children can be optimal. The purpose of this study was to analyze the effectiveness of family empowerment through training and monitored home programs on increasing ADL independence for ID children. Methods: This research was conducted using a quasi-experimental one-group pretest and posttest. The data analysis in this study is the Paired Samples T-test. The instrument in this study is WeeFIM (The Functional Independence Measure for Children). Respondent criteria: mild-severe degree of intellectual disability based on the Mental Retardation Screening examination, ID child's parents are willing and committed to following research procedures, ID child's parents are able to read and can understand the contents of the module (minimum junior high school graduates). Results: Mean value after intervention = 103.21 (> mean before intervention = 96.54) and statistically significant (p = 0.000). It showed that family empowerment (training and monitored home programs) significantly increased the independence of children with intellectual disabilities. Conclusion: The family empowerment program (training and monitored home programs) is a cheap, easy, and effective program for ID children, and it can be applied to all families of ID children.
Copyright (c) 2023 Jurnal Keterapian Fisik
The Correlation Of Cognitive And Memory With Pragmatic Ability In Older People
Background: Older people experience decreased cognitive abilities, decreased memory, confusion, and difficulty understanding what others say and how they use language. The elderly often have conversations that are not fluent and are difficult to listen to. Decreasing speed in processing information and decreasing working memory, especially in terms of the ability to store information in the mind when processing, tend to contribute to a lack of language efficiency in the elderly. This study aimed to determine the relationship between cognitive, memory, and pragmatic abilities in Surakarta's older people. Methods: This study uses a cross-sectional approach to quantitative research with an observational analytical plan. The sample consisted of 30 respondents living in Surakarta. Bivariate analysis using standard deviation and multivariate analysis using logistic linear regression models. The research instruments used were cognitive-linguistic evaluation, memory examination, and the assessment of pragmatic skills. Results: The effect of statistical tests with contingency coefficient tests showed that cognitive ability and memory ability affected the pragmatic ability of older people with a p-value of 0.000, 0.01, and a correlation coefficient value of 0.550, 0.531. Meanwhile, the multivariate test using logistic regression results showed a value of sig.0.003<0.05. Conclusion: There is a relationship between cognitive and memory ability with the pragmatic ability of older people in Surakarta.
Effect Of Use Of Flexible Transfemoral Prosthesis On Dynamic Balance Of Transfemoral Amputee
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.
Copyright (c) 2022 Jurnal Keterapian Fisik
Effect Of Medial Arch Support On Valgus Ankle Angle In Flat Foot Conditions
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.
Phonological Memory And Phonological Awareness In Children: A Meta-Analysis
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)
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.