Jurnal Keterapian Fisik
type: channel
description: 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.
publisher: Poltekkes Kemenkes Surakarta
language: en
publication name: Jurnal Keterapian Fisik
issn: 2503-3557
items: Effect of Acupuncture on Reducing Migraine Pain and Medication Use: A Meta-Analysis
items: Multimodal Acupuncture Enhances Autonomic Balance and Reduces Blood Pressure in Adults
items: Effect of Aerobic Exercise on Dynamic Balance in Menopausal Women: A Systematic Review
items: Stump Length and Its Role in Improving Functional Mobility Among Transtibial Prosthesis Users
items: Functional Walking Speed in Transtibial Prosthesis Users: Insights from Prosthesis Use Duration
items: Evaluating the Therapeutic Effect of Taichong (LR3) and Zusanli (ST36) on Hypertension in the Elderly
items: Comparison of McKenzie and Cailliet Exercises on Neck Function in Myofascial Pain Syndrome
items: Differences in the Effects of Two Combinations of Hold Relax Techniques on Gastrocnemius Muscle Pain Reduction
items: The Difference in the Effects of Dry Needling (DN) and Low Level Laser Therapy (LLLT) on Pain Reduction in Upper Trapezius Spasms
items: Jin's Three Needle Acupuncture and Moxibustion Reduce Pain Intensity in Gastritis
items: Acupuncture Therapy Combined with Cucumber Juice (Cucumis Sativus) Reduces Blood Pressure in Hypertension
items: The Difference in the Effect of Progressive Muscle Relaxation and Elderly Exercise on Blood Pressure Reduction in Elderly Hypertensive Patients
items: Kinesio Taping and Quadriceps Strengthening Exercise Reduce Osteoarthritis Pain: A Literature Review
items: The Difference in the Effects of Open Kinetic Chain Exercise and Isometric Exercise on the Quadriceps Muscles in Reducing Pain in Patients with Knee Osteoarthritists with Knee Osteoarthritis
items: Adding Core Stability Exercise After SWD and TENS Treatment Reduces Pain in Patients with Non-Specific Low Back Pain
items: Analysis of the Development of Preschool Children with Autism Spectrum Disorder: A Qualitative Descriptive Study
items: Manipulative Therapy Following Standard Therapy Improves Shoulder Joint Function in Patients with Frozen Shoulder
items: The Effect of Cognitive Behavioral Therapy in Occupational Therapy on Anxiety Levels in Schizophrenia Patients
items: Testing the Validity and Reliability of the Step Test for Elderly Balance
items: Overweight Not Associated with Q-Angle in the Elderly
items: Effect of Activity, Massage, Job Control-Demand on Ergonomic Posture of Office Workers
items: Exploring Occupational Therapy in the Punk Community: A Qualitative-Ethnographic Study
items: Parenting Experiences in Shaping Sleep Routines for Children with Attention-Deficit/Hyperactivity Disorder (ADHD): A Phenomenological Study
items: Health Promotion: Home Core and Flexibility Exercises to Manage Low Back Pain in Pregnancy
items: Sensorimotor-Enhanced Shoulder Stabilization Exercises to Improve Their Hand Function in Children with Down Syndrome
items: Exercise-Based Intervention and Its Impact on Sleep Quality Among Older Adults
items: Impact of Crossword Puzzle Therapy on Cognitive Performance Among Elderly Individuals
items: Understanding Social Participation in Post-stroke Patients: A Phenomenological Study
items: Correlation Between Physical Activity and Musculoskeletal Disorders Among the Elderly
items: The Effect of Aerobic Exercise on VO2max in Physiotherapy Students at Surakarta Polytechnic

Effect of Acupuncture on Reducing Migraine Pain and Medication Use: A Meta-Analysis
type: item
description: Background: Migraine is a common neurological disorder that significantly affects quality of life and daily functioning. Despite this, the existing evidence remains inconsistent and requires further clarification through comprehensive analysis. The aim of this study was to analyze and estimate the effectiveness of acupuncture in reducing migraine pain score and medication use. Methods: This is a systematic review and meta-analysis of twelve Randomized Control Trial studies. The data used for this study sourced from following database: PubMed, ScienceDirect, and Google Scholar between 2015-2024. The data selection was carried out using PRISMA flowchart. The statistical analysis was conducted with Review Manager 5.4.1. Effect sizes were pooled using a random-effects model to account for heterogeneity across studies. Results: Result of meta-analysis showed that acupuncture can reduce migraine pain intensity (SMD= -1.05; 95% CI= -1.73 to -0.37; p=0.002) and medication use (SMD= -1.61; 95% CI= -2.99 to -0.23; p=0.02). Conclusion: Acupuncture is effective in reducing both migraine pain intensity and medication use, indicating its potential as a non-pharmacological treatment option for migraine management. Acupuncture may be considered as an adjunct therapy in clinical practice for migraine patients, and further high-quality randomized controlled trials are recommended to strengthen the evidence base.
subject: Articles
  topic: section
subject: acupuncture therapy
  topic: keywords
subject: meta-analysis
  topic: keywords
subject: migraine disorders
  topic: keywords
subject: pain intensity
  topic: keywords
subject: medication use
  topic: keywords
creator: Alwan Dhafi Umar
creator: Ahmad Daffa’ Aushof
rights: Copyright (c) 2026 Jurnal Keterapian Fisik
date: 2026-05-02
publication date: 2026-05-02
starting page: 69
ending page: 81
doi: 10.37341/jkf.v11i1.508

Multimodal Acupuncture Enhances Autonomic Balance and Reduces Blood Pressure in Adults
type: item
description: Background: Blood pressure regulation is influenced by autonomic nervous system balance, where increased sympathetic and reduced parasympathetic activity contribute to hypertension. Acupuncture may modulate autonomic function but combined somatic and auricular approaches remain underexplored. This study evaluated a multimodal acupuncture protocol combining Neiguan (PC6), auricular vagus, and Er Shen Men on autonomic function and blood pressure. Methods: A randomized controlled trial with a pretest–posttest design was conducted in 60 adults aged 20–60 years, allocated into four groups: combination therapy, PC6 only, auricular vagus + Er Shen Men, and sham acupuncture. Interventions were applied twice weekly for four weeks. Outcomes included heart rate variability (SDNN, RMSSD, LF/HF ratio, and heart rate) and systolic and diastolic blood pressure. Data were analyzed using paired tests and ANOVA or Kruskal–Wallis tests with post hoc comparisons. Results: The combination group showed significant improvements in SDNN, RMSSD, LF/HF ratio, and heart rate, along with reductions in systolic (−12.0 mmHg) and diastolic (−10.0 mmHg) blood pressure (p < 0.001). Single-intervention groups showed moderate changes, while the sham group showed minimal effects. Between-group differences were significant (p < 0.05), with greater improvements observed in the combination group. Conclusion: Multimodal acupuncture is associated with improved autonomic function and reduced blood pressure, suggesting its potential as a non-pharmacological intervention for cardiovascular regulation.
subject: Articles
  topic: section
subject: blood pressure
  topic: keywords
subject: heart rate variability
  topic: keywords
subject: multimodal acupuncture
  topic: keywords
creator: Kadek Buja Harditya
creator: Anak Agung Istri Mas Padmiswari
creator: Ida Ayu Suptika Strisanti
creator: Komang Rosa Tri Anggaraeni
rights: Copyright (c) 2026 Jurnal Keterapian Fisik
date: 2026-04-14
publication date: 2026-04-14
starting page: 10
ending page: 23
doi: 10.37341/jkf.v11i1.499

Effect of Aerobic Exercise on Dynamic Balance in Menopausal Women: A Systematic Review
type: item
description: Background: Menopause is a natural biological phase in women characterized by a decline in estrogen levels, which contributes to musculoskeletal deterioration and impaired balance function. Reduced dynamic balance in menopausal women increases the risk of falls and may affect functional independence. Aerobic exercise has the potential to serve as a non-pharmacological intervention to improve postural stability and neuromuscular function. This study aimed to systematically review the effects of aerobic exercise on improving dynamic balance in menopausal women. Methods: This study employed a systematic literature review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature searches were conducted in Google Scholar, Semantic Scholar, and PubMed databases for articles published between 2015 and 2025. The inclusion criteria included experimental studies involving menopausal or postmenopausal women receiving aerobic exercise interventions with outcomes related to balance, mobility, or fall risk. Studies were excluded if they were reviews, conference papers, non-experimental designs, did not involve aerobic exercise, or had incomplete data. Results: Four studies met the inclusion criteria. The findings indicated that aerobic exercise, either as a standalone intervention or combined with strength and balance training, was associated with improvements in dynamic balance, functional mobility, and a reduction in fall risk among menopausal and postmenopausal women. Conclusion: Aerobic exercise is effective in improving dynamic balance in menopausal women and may be recommended as a non-pharmacological physiotherapy intervention to prevent balance decline and reduce fall risk.
subject: Articles
  topic: section
subject: aerobic exercise
  topic: keywords
subject: dynamic balance
  topic: keywords
subject: menopause
  topic: keywords
creator: Khalisya Salsabila Savitri Mansyur
creator: Faizah Abdullah Djawas
rights: Copyright (c) 2026 Jurnal Keterapian Fisik
date: 2026-04-21
publication date: 2026-04-21
starting page: 55
ending page: 68
doi: 10.37341/jkf.v11i1.506

Stump Length and Its Role in Improving Functional Mobility Among Transtibial Prosthesis Users
type: item
description: Background: Transtibial amputations generally have a better survival prognosis, and the remaining stump length after transtibial amputation (ideally 12-35 cm) plays a crucial role in the functional mobility of prosthesis users, including balance, weight transfer, walking, and daily activities. Mobility limitations can negatively impact the social aspects, quality of life, and health of amputees, making restoring mobility through prosthesis use an important goal. The purpose of this study was to determine and prove to evaluate the contribution of stump length the relationship between stump length and functional mobility in transtibial prosthesis users. Methods: The research method used was quantitative, with an analytical observational study and a cross-sectional design. A total of 15 respondents were selected from a population of 55 below-knee amputee patients using transtibial prostheses using a purposive sampling technique using the L – Test of Functional Mobility instrument. Results: The Spearman Rank Correlation test produced a p-value of <0.001 which is statistically significant with a correlation coefficient of 0.845 which is very strong and positive. So, there is a very strong relationship between stump length and functional mobility in transtibial prosthesis users. Conclusion: The longer the transtibial stump, the better the functional mobility. It is recommended that during amputation the stump be kept as long as possible.
subject: Articles
  topic: section
subject: functional mobility
  topic: keywords
subject: L–functional mobility test
  topic: keywords
subject: stump length
  topic: keywords
subject: transtibial prosthesis
  topic: keywords
subject: transtibial amputee
  topic: keywords
creator: Atika Febri Anggriani
creator: Prasetyo Catur Utomo
creator: Aprilia Rihhadatul ‘Aisy
rights: Copyright (c) 2026 Jurnal Keterapian Fisik
date: 2026-04-20
publication date: 2026-04-20
starting page: 42
ending page: 53
doi: 10.37341/jkf.v11i1.501

Functional Walking Speed in Transtibial Prosthesis Users: Insights from Prosthesis Use Duration
type: item
description: Background: Amputation of a lower limb has a detrimental effect on one's quality of life, psychological health, and physical health. Reduced physical capacity is one of the effects that contributes to physical health. As a result, the experience of using a prosthesis is essential for enhancing functional capacities to adjust to the social, professional, and family environments. The aim of this study was to determine the relationship between the length of prosthesis use and walking speed in transtibial prosthesis users. Methods: This study used a cross-sectional analytical observational design. A two-minute walk test was used to measure walking speed, and an observation sheet was used to assess usage duration. Purposive sampling was employed to recruit a total of 15 participants, and hypothesis testing was conducted using Spearman’s rank correlation. Results: The results showed that there was no significant correlation between walking speed and the duration of prosthesis use among transtibial prosthesis users (r = −0.314, p = 0.255). Conclusion: This study found no statistically significant relationship between the duration of prosthesis use and walking speed among transtibial prosthesis users. Walking speed is likely influenced by multiple factors, including age, stump length, muscle strength, and prosthesis condition. Therefore, rehabilitation strategies should adopt a comprehensive and individualized approach rather than relying solely on the duration of prosthesis use.
subject: Articles
  topic: section
subject: duration
  topic: keywords
subject: transtibial prosthesis
  topic: keywords
subject: walking speed
  topic: keywords
creator: Muhibbah Fatati
creator: Dwi Setyawan
creator: Prasetyo catur Utomo
rights: Copyright (c) 2026 Jurnal Keterapian Fisik
date: 2026-04-14
publication date: 2026-04-14
starting page: 24
ending page: 32
doi: 10.37341/jkf.v11i1.500

Evaluating the Therapeutic Effect of Taichong (LR3) and Zusanli (ST36) on Hypertension in the Elderly
type: item
description: Background: Hypertension is a health problem commonly experienced by the elderly and is one of the most prevalent conditions in this age group. The effect of acupuncture in lowering blood pressure includes regulating vasoactive substances in the blood vessel endothelium. One of the active substances known to be affected by release and activation through acupuncture is Nitric Oxide (NO). This study aimed to determine the effectiveness of taichong and zusanli points of acupuncture for hypertension patients. Methods: This study employed a one-group pre-test–post-test pre-experimental design involving 40 elderly participants selected through accidental sampling during an elderly exercise program. Acupuncture intervention was performed on the LR3 and ST36 points according to clinical guidelines for 10 minutes per session by certified practitioners, with close monitoring and no reported side effects. Data were analyzed using SPSS version 22, and post-intervention comparisons were conducted using paired samples t-test. Results: The analysis showed a reduction in mean systolic blood pressure of 10.95 mmHg after the acupuncture intervention (95% CI: 155.53 to 165.87, p-value < 0.01), indicating a statistically significant pre–post difference within the sample. In contrast, the mean diastolic blood pressure decreased by 1.15 mmHg (95% CI: 76.76 to 84.19, p-value > 0.05), suggesting no statistically significant change. Conclusion: These findings reflect an improvement in systolic, but not diastolic, blood pressure among the participating elderly individuals. Acupuncture shows potential as a supportive therapy in lowering systolic blood pressure in the elderly.
subject: Articles
  topic: section
subject: acupuncture
  topic: keywords
subject: complementary
  topic: keywords
subject: hypertension
  topic: keywords
subject: taichong, zusanli
  topic: keywords
creator: I Dewa Ayu Agra Darmawati
creator: Ida Ayu Anom Rastiti
creator: Ida Ayu Suptika Strisanti
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-09
publication date: 2025-12-09
starting page: 124
ending page: 131
doi: 10.37341/jkf.v10i2.459

Comparison of McKenzie and Cailliet Exercises on Neck Function in Myofascial Pain Syndrome
type: item
description: Background: Myofascial Pain Syndrome (MPS) in the upper trapezius muscle causes pain and limited neck function, which can interfere with work activities. Physiotherapy efforts used to reduce pain and improve neck function include McKenzie Neck Exercise and Neck Cailliet Exercise. The purpose of this study was to determine the difference in the effects of McKenzie Neck Exercise and Neck Cailliet Exercise on neck functional ability in workers with MPS of the upper trapezius muscle. Methods: This study used a quasi-experimental design with a two-group pre- and post-test design. Sampling was conducted using simple random sampling of 30 employees of PT Iskandar Indah Printing Textile who met the inclusion criteria. The subjects were divided into two groups, namely group I, which received McKenzie Neck Exercise (n=15), and group II, which received Neck Cailliet Exercise (n=15). The intervention was given twice a week for three weeks. The research instrument used the Neck Disability Index (NDI) to measure neck functional ability. Data analysis was performed using the Wilcoxon test, paired t-test, and independent t-test. Results: The test results showed a significant improvement in neck functional ability in both groups (group I p=0.001; group II p=0.000). The between-group difference test showed a p-value of 0.004 (p<0.05), which means there was a significant difference between the two exercises. Conclusion: Both exercises were effective in improving neck function, but the McKenzie Neck Exercise was more effective than the Neck Cailliet Exercise. The McKenzie Neck Exercise can be recommended as a more optimal physiotherapy intervention to improve neck function in workers with upper trapezius muscle Myofascial Pain Syndrome.
subject: Articles
  topic: section
subject: Myofascial pain syndrome
  topic: keywords
subject: McKenzie Neck Exercise
  topic: keywords
subject: Neck Cailliet
  topic: keywords
subject: Exercise
  topic: keywords
subject: neck functional ability
  topic: keywords
creator: Aulia Sekar Arum
creator: Afif Ghufroni
creator: Heru Purbo Kuntono
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-17
publication date: 2025-12-17
starting page: 69
ending page: 75
doi: 10.37341/jkf.v8i2.498

Differences in the Effects of Two Combinations of Hold Relax Techniques on Gastrocnemius Muscle Pain Reduction
type: item
description: Background: Pain in the gastrocnemius muscle is often experienced by garment factory workers due to repetitive standing and walking activities. Combination therapy techniques are an alternative to reduce pain and improve muscle function. This study aims to determine the difference in effectiveness between hold relax exercise with auto myofascial release technique and hold relax exercise with auto stretching in reducing gastrocnemius muscle pain in garment company employees. Methods: This study used a quasi-experimental design with a pre-post test control group. A sample of 40 employees with gastrocnemius muscle pain was selected using purposive sampling and divided into two intervention groups of 20 people each. The first group received hold relax exercise and auto myofascial release technique, while the second group received hold relax exercise and auto stretching. Pain was measured using the Visual Analog Scale (VAS). Data were analyzed using the Wilcoxon and Mann-Whitney tests. Results: Statistical testing using an independent t-test yielded a result of p=0.007 (p<0.05), which means that there was a difference between groups I and II, with a mean difference after treatment of 13.27 mm in group I and 3.53 mm in group II. Conclusion: Hold relax exercise with the Auto myofascial release technique is more effective in reducing gastrocnemius muscle pain than Hold relax exercise with Auto stretching in garment company employees.
subject: Articles
  topic: section
subject: Hold relax exercise
  topic: keywords
subject: gastrocnemius muscle
  topic: keywords
subject: pain
  topic: keywords
creator: Ma'rifatu Syafa'ah
creator: Aditya Johan R
creator: M Mudatsir Syatibi
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-17
publication date: 2025-12-17
starting page: 121
ending page: 126
doi: 10.37341/jkf.v8i2.497

The Difference in the Effects of Dry Needling (DN) and Low Level Laser Therapy (LLLT) on Pain Reduction in Upper Trapezius Spasms
type: item
description: Background: Upper trapezius muscle spasm pain often occurs due to excessive forward head posture and persistent muscle tension, thereby hindering functional activities. Various physiotherapy modalities are used to reduce pain, including Dry Needling (DN) and Low Level Laser Therapy (LLLT). The purpose of this study was to compare the effectiveness of DN and LLLT in reducing upper trapezius muscle spasm pain. Methods: This study was an experiment with a two-group pre- and post-test design. A sample of 30 patients from the Physiotherapy Clinic at Dr. Ramelan Hospital in Surabaya was selected using simple random sampling and divided into two groups of 15 people each. Group I received DN intervention, while group II received LLLT for four weeks at a frequency of three times per week. The research instrument used the Visual Analog Scale (VAS), which has a reliability of 0.97 and validity of 0.925. Data analysis was performed using the paired sample t-test and independent sample t-test. Results: There was a significant difference between the VAS scores before and after treatment in both groups (p=<0.001). The pain reduction score was higher in the DN group (Δ=3.5) than in the LLLT group (Δ=1.75), proving that DN is more effective in reducing upper trapezius muscle spasm pain. Conclusion: DN is more effective than LLLT in reducing upper trapezius muscle spasm pain. DN intervention can be used as the primary choice in the management of neck muscle spasm and combined with therapeutic exercises for optimal results.
subject: Articles
  topic: section
subject: Dry Needling
  topic: keywords
subject: Low Level Laser Therapy
  topic: keywords
subject: Muscle Spasm Pain
  topic: keywords
subject: Upper Trapezius Pain Patients
  topic: keywords
creator: Anggit Laksita Dewi
creator: Saifudin Zuhri
creator: Aditya Johan R
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-17
publication date: 2025-12-17
starting page: 114
ending page: 120
doi: 10.37341/jkf.v8i2.496

Jin's Three Needle Acupuncture and Moxibustion Reduce Pain Intensity in Gastritis
type: item
description: Background: Gastritis is a common disease in the community caused by unhealthy lifestyles. Long-term repeated use of stomach medication has the potential to cause side effects and organ damage. Acupuncture is an effective therapy for chronic pain that has long-lasting effects without side effects. This study aims to determine the effect of Jin's Three Needle acupuncture and moxibustion therapy on pain intensity in gastritis patients. Methods: This study used a true experimental design with a two-group pretest-posttest design. The sample consisted of 30 respondents who met the inclusion and exclusion criteria, divided into two groups. Group 1 received Jin's Three Needle acupuncture and moxibustion therapy, while group 2 received only Jin's Three Needle acupuncture therapy. The measurement instrument used a pain scale. Data analysis used the Shapiro-Wilk normality test, followed by an independent t-test and Mann-Whitney test. Results: The analysis showed that the group receiving Jin's Three Needle acupuncture and moxibustion therapy experienced a more significant reduction in pain scale compared to the acupuncture-only therapy group with a p-value of <0.001. Conclusion: Jin's Three Needle acupuncture therapy combined with moxibustion is effective in reducing the intensity of gastritis pain. The combination of acupuncture and moxibustion therapy is recommended as an alternative treatment for gastritis to increase effectiveness and reduce the side effects of gastric medication.
subject: Articles
  topic: section
subject: Acupuncture
  topic: keywords
subject: gastritis
  topic: keywords
subject: moxibustion
  topic: keywords
creator: Eka Diah Amiroh
creator: Sholichan Badri
creator: Nurmila Mutiah
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-17
publication date: 2025-12-17
starting page: 106
ending page: 113
doi: 10.37341/jkf.v8i2.495

Acupuncture Therapy Combined with Cucumber Juice (Cucumis Sativus) Reduces Blood Pressure in Hypertension
type: item
description: Background: Hypertension is a condition of elevated arterial blood pressure that can cause dysfunction of vital organs such as the heart and kidneys. Complementary therapies, such as acupuncture and consumption of cucumber juice, are known to help lower blood pressure. This study aims to determine the effect of acupuncture therapy combined with cucumber juice on blood pressure in hypertensive patients. Methods: This study used a true experimental design with a pretest-post test control group design. The sampling technique used purposive sampling with a sample size of 36 hypertensive patients at the BMI Pringsewu Lampung Primary Clinic who met the inclusion and exclusion criteria. The research instruments used observation sheets and blood pressure measurements with an aneroid sphygmomanometer and stethoscope. Data analysis was performed using univariate and bivariate analysis with the One-Way ANOVA test. Results: The greatest average decrease in systolic blood pressure occurred in the acupuncture therapy group combined with cucumber juice, with a percentage decrease of 13.76% in systolic and 11.10% in diastolic blood pressure. The results of the analysis showed a significant effect on the reduction in systolic blood pressure (F = 6.369; p = 0.005), while the reduction in diastolic blood pressure was not significant (p = 0.205). Conclusion: Acupuncture therapy combined with cucumber juice is effective in lowering systolic blood pressure in hypertensive patients. This combination therapy can be used as a non-pharmacological complementary alternative for controlling hypertension.
subject: Articles
  topic: section
subject: Acupuncture;
  topic: keywords
subject: Cucumber juice
  topic: keywords
subject: Hypertension
  topic: keywords
creator: Robby Insani Hasan
creator: Kurnia Eka Putri
creator: Suwaji Handaru Wardoyo
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-17
publication date: 2025-12-17
starting page: 97
ending page: 105
doi: 10.37341/jkf.v8i2.494

The Difference in the Effect of Progressive Muscle Relaxation and Elderly Exercise on Blood Pressure Reduction in Elderly Hypertensive Patients
type: item
description: Background: Hypertension in the elderly isolated systolic hypertension (ISH), where increased systolic pressure increases the likelihood of stroke and myocardial infarction even if diastolic pressure is within normal limits. The purpose of this study was to determine the difference in the effect of progressive muscle relaxation and elderly exercise on blood pressure reduction in elderly hypertensive patients. Methods: This study used a two-group pre-test and post-test design involving 20 subjects randomly divided into two groups. Group I was given progressive muscle relaxation treatment, and group II was given elderly exercise treatment. The frequency of exercise was twice a week for two weeks. The measuring instrument used in this study was a sphygmomanometer. Results: Hypothesis I test using a paired sample t-test obtained a p-value of 0.001, while hypothesis II test using a paired sample t-test obtained a p-value of <0.001. Hypothesis III test using an independent sample t-test obtained a p-value of 0.042 (p<0.005). Conclusion: Progressive muscle relaxation combined with exercise for the elderly has an effect on lowering blood pressure in elderly people with hypertension. Both interventions can be used to lower blood pressure in the elderly.
subject: Articles
  topic: section
subject: elderly exercise
  topic: keywords
subject: hypertension
  topic: keywords
subject: progressive muscle relaxation
  topic: keywords
creator: Angling Krismaya Jati
creator: Budi Utomo
creator: Sukadarwanto Sukadarwanto
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-11
publication date: 2025-12-11
starting page: 54
ending page: 60
doi: 10.37341/jkf.v8i1.493

Kinesio Taping and Quadriceps Strengthening Exercise Reduce Osteoarthritis Pain: A Literature Review
type: item
description: Background: Osteoarthritis is one of the most common degenerative diseases, not only in Indonesia but also throughout most of the world. This disease causes pain in sufferers. Kinesio taping has therapeutic effects for muscle function correction by increasing weak muscle strength and improving blood and lymphatic circulation. Quadriceps strengthening exercises are one form of strengthening exercise recommended to increase the strength of the quadriceps and lower extreme muscles. The purpose of this study was to determine the effect of kinesio taping and quadriceps strengthening exercises on reducing osteoarthritis pain based on the literature. Methods: This study was a literature review using PICOT analysis. Five databases were used, namely PubMed, Sage Journal, BMC, Science Direct, PEDro, and snowballing technique. After all articles were collected and checked for duplication and screening, 11 articles were accepted and analyzed from 223 articles. Results: In this literature study, the researchers searched for and selected articles from 223 titles to 11 titles that met the inclusion criteria. Nine of the eleven journals had an effect on knee OA pain. Conclusion: Research on the effect of Kinesio Taping and quadriceps strengthening exercises on knee osteoarthritis pain was conducted using a literature study method, and eleven articles that passed the screening test showed that Kinesio Taping and quadriceps strengthening exercises have an effect on knee osteoarthritis pain.
subject: Articles
  topic: section
subject: kinesio taping
  topic: keywords
subject: osteoarthritis
  topic: keywords
subject: pain
  topic: keywords
subject: quadriceps strengthening exercise
  topic: keywords
creator: Aji Darwin Kurniawan Waskito
creator: Marti Rustanti
creator: Sukadarwanto Sukadarwanto
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-10
publication date: 2025-12-10
starting page: 35
ending page: 46
doi: 10.37341/jkf.v8i1.492

The Difference in the Effects of Open Kinetic Chain Exercise and Isometric Exercise on the Quadriceps Muscles in Reducing Pain in Patients with Knee Osteoarthritists with Knee Osteoarthritis
type: item
description: Background: Knee osteoarthritis causes a decrease in quadriceps muscle strength and pain during activities. Strengthening the quadriceps muscles through exercise effectively reduces pain and improves the quality of life of patients. The purpose of this study was to compare the effects of open kinetic chain (OKC) and isometric exercises on pain reduction in patients with knee osteoarthritis. Methods: This study used a quasi-experimental two-group pre- and post-test design with 40 patients with knee osteoarthritis. Patients were randomly divided into two groups of 20 people. Group I performed OKC exercises and group II performed isometric exercises for 4 weeks (3 sessions/week). Pain was measured using the valid and reliable Visual Analog Scale (VAS). Data analysis used the Wilcoxon test for pre- and post-comparisons within each group and the Mann-Whitney test for differences between groups. Results: OKC and isometric exercises significantly reduced pain in patients. The mean VAS reduction in the OKC group was 2.10 ± 0.60, while in the isometric group it was 1.20 ± 0.51. The difference in pain reduction between groups was significant (p < 0.001). Conclusion: OKC exercise was more effective in reducing knee osteoarthritis pain than isometric exercise. It is recommended that OKC exercise be used as the primary intervention in knee osteoarthritis physiotherapy rehabilitation for optimal results. Further studies with larger samples and longer durations are needed.
subject: Articles
  topic: section
subject: isometric exercise
  topic: subjects
subject: knee osteoarthritis
  topic: subjects
subject: open kinetic chain
  topic: subjects
creator: Maryono Maryono
creator: Pajar Haryatno
creator: Nitaya Putri
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-17
publication date: 2025-12-17
starting page: 90
ending page: 96
doi: 10.37341/jkf.v8i2.490

Adding Core Stability Exercise After SWD and TENS Treatment Reduces Pain in Patients with Non-Specific Low Back Pain
type: item
description: Background: Non-specific low back pain (LBP) is pain in the lower back that has no specific pathological cause, characterized by tenderness and muscle spasm that reduces lumbar stability. Common therapies in healthcare facilities include Short Wave Diathermy (SWD) and Transcutaneous Electrical Nerve Stimulation (TENS). However, effectiveness can be increased by adding Core Stability Exercise (CSE), which focuses on strengthening the core muscles to maintain spinal stability. This study aims to determine the effectiveness of adding CSE after SWD and TENS in reducing pain in patients with non-specific LBP. Methods: This study used a quasi-experimental design with a two-group pre-test and post-test design. The study sample consisted of 30 patients with non-specific LBP at Bethesda Hospital in Yogyakarta, who were selected using purposive sampling according to inclusion and exclusion criteria. Group I received SWD and TENS, while group II received SWD, TENS, and CSE twice a week for four weeks. The research instrument was the Visual Analogue Scale (VAS). Data analysis was performed using the paired sample t-test and independent sample t-test. Results: Analysis showed a p-value <0.001 in both groups, with greater pain reduction in the group that received additional CSE. Conclusion: The addition of Core Stability Exercise after SWD and TENS therapy was effective in reducing pain in patients with non-specific LBP. It is recommended that physiotherapists integrate core stability exercises as part of standard therapy to reduce pain and improve lower back stability.
subject: Articles
  topic: section
subject: core stability exercise
  topic: keywords
subject: low back pain
  topic: keywords
creator: Lina Pratifi
creator: Sugiono Sugiono
creator: M. Mudatsir Syatibi
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-17
publication date: 2025-12-17
starting page: 83
ending page: 89
doi: 10.37341/jkf.v8i2.489

Analysis of the Development of Preschool Children with Autism Spectrum Disorder: A Qualitative Descriptive Study
type: item
description: Background: Preschool is an important period in child development because of the acceleration in motor, language, and social-emotional skills. Children with Autism Spectrum Disorder (ASD) have difficulties in social, communication, and repetitive behavior aspects that impact developmental delays. This study aims to analyze the developmental aspects of preschool-aged children with ASD. Methods: This study used a descriptive qualitative approach. The sample consisted of four preschool-aged children with ASD and their four mothers, who were selected using purposive sampling based on the Denver II criteria. Data collection was conducted through interviews and observations of child development during one assessment period. Data analysis was performed thematically with triangulation of sources and techniques and verification through member checks to ensure data validity. Results: The thematic analysis yielded three main themes, namely: (1) motor aspects, which include delays in locomotor skills, manipulative movements, eye-hand coordination, and early writing skills; (2) language aspects showing barriers in speech initiation and language expression abilities; and (3) socio-emotional aspects including delays in environmental exploration, independence, and social interaction abilities. Conclusion: Preschool-aged children with ASD have developmental delays in motor, language, and social-emotional aspects with varying degrees of severity according to age. Structured occupational therapy and early intervention based on multisensory stimulation are recommended to support the optimal developmental achievement of children with ASD.
subject: Articles
  topic: section
subject: autism spectrum disorder,
  topic: keywords
subject: child developmen
  topic: keywords
subject: preschool
  topic: keywords
creator: Irma Soraya Nur Aini
creator: Endang Sri Wahyuni
creator: Roh Hastuti
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-10
publication date: 2025-12-10
starting page: 25
ending page: 34
doi: 10.37341/jkf.v8i1.488

Manipulative Therapy Following Standard Therapy Improves Shoulder Joint Function in Patients with Frozen Shoulder
type: item
description: Background: Frozen shoulder is a common disorder encountered by physiotherapists, causing limited movement and pain in the shoulder joint. Many complaints experienced by patients require effective therapeutic modalities to improve joint functional ability. This study aimed to determine the effect of manipulation therapy after standard therapy on improving shoulder joint functional ability in frozen shoulder patients at Telogorejo Hospital, Semarang. Methods: This study used an experimental design with a one-group pre-test and post-test design with control, involving two groups of frozen shoulder patients. Sampling was conducted randomly with a total of 30 patients. Both groups received standard therapy in the form of TENS and ultrasound, while the treatment group received additional manipulation therapy. The measurement instrument used was the Shoulder Pain and Disability Index (SPADI) to assess pain and functional ability, which was analyzed using the Wilcoxon test. Results: The analysis showed a significant decrease in SPADI scores in the treatment group (pre-test value 62.6±6.17 decreased to post-test 44.07±5.8, p<0.05) compared to the control group (pre-test 64.4±7.58 to post-test 53.5±6.3, p<0.05). This indicates a greater improvement in functional ability and pain reduction in the treatment group. Conclusion: Manipulative therapy after standard therapy effectively improves function and reduces pain in patients with frozen shoulder. It is recommended that manipulative therapy be included in the rehabilitation protocol for frozen shoulder patients to achieve optimal therapeutic results.
subject: Articles
  topic: section
subject: frozen shoulder
  topic: keywords
subject: manipulation therapy
  topic: keywords
subject: Shoulder Pain and Disability Index (SPADI)
  topic: keywords
creator: Heppy Ade Kristyono
creator: Aditya Johan R
creator: Heru Purbo Kuntono
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-17
publication date: 2025-12-17
starting page: 76
ending page: 82
doi: 10.37341/jkf.v8i2.487

The Effect of Cognitive Behavioral Therapy in Occupational Therapy on Anxiety Levels in Schizophrenia Patients
type: item
description: Background: Schizophrenia patients tend to experience anxiety that can hinder the occupational therapy process and occupational function recovery. The purpose of this study was to determine the effect of Cognitive Behavioral Therapy (CBT) on the occupational therapy perspective on the anxiety levels of schizophrenia patients at Grhasia Mental Hospital, Special Region of Yogyakarta (DIY). Methods: This study used a pre-experimental research design with a one-group pre-test and post-test approach. Purposive sampling was used with a sample size of 16 schizophrenia patients. The research instrument used the Zung Self Rating Anxiety Scale (ZSAS) to measure anxiety levels before and after the intervention. Data analysis was performed using the Wilcoxon signed-rank test with the assistance of the SPSS program. Results: The analysis results showed a significant difference between anxiety levels before and after the CBT intervention, with a p-value of 0.001 (p < 0.05). Conclusion: Cognitive Behavioral Therapy has a significant effect on reducing anxiety in schizophrenia patients at Grhasia DIY Mental Hospital. The application of CBT needs to be carried out on schizophrenia patients as a form of occupational therapy intervention to support emotional stability and improve occupational function.
subject: Articles
  topic: section
subject: anxiety
  topic: keywords
subject: cognitive behavioral therapy
  topic: keywords
subject: schizophrenic
  topic: keywords
creator: Dila Juwita Prameswara
creator: Bambang Kuncoro
creator: Maya Indah Febrianti
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-10
publication date: 2025-12-10
starting page: 18
ending page: 24
doi: 10.37341/jkf.v8i1.486

Testing the Validity and Reliability of the Step Test for Elderly Balance
type: item
description: Background: A common problem among the elderly is a decline in functional capacity, which can affect their balance and lead to a high risk of falling. Balance is the ability to maintain body position while stationary or moving. Maintaining balance in the elderly is important to enable them to remain independent in performing various daily activities. The Step Test is one of the measurement tools that can be used to determine the level of balance in the elderly. The purpose of this study was to determine the validity and reliability of the Step Test in measuring balance in the elderly by comparing it with the Berg Balance Scale (BBS). Methods: This study used a descriptive research design with an observational method involving 20 elderly subjects. Results: Based on the validity test, p=0.001 and r=0.689 were obtained, which means that there is a strong relationship between the Step Test and the Berg Balance Scale (BBS). The interrater reliability test yielded a result of p=0.000 and ICC=0.897, while the intrarater reliability test yielded a result of p=0.000 and ICC=0.881. Conclusion: The Step Test is proven to be valid and reliable for measuring balance in the elderly. The Step Test is recommended for use in detecting the risk of falling more quickly and accurately in the elderly.
subject: Articles
  topic: section
subject: balance in the elderly
  topic: keywords
subject: reliability
  topic: keywords
subject: step test, validity
  topic: keywords
creator: Ardhita Dyah Ramadani
creator: Dwi Kurniawati
creator: Budi Utomo
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-11
publication date: 2025-12-11
starting page: 47
ending page: 53
doi: 10.37341/jkf.v8i1.485

Overweight Not Associated with Q-Angle in the Elderly
type: item
description: Background: Overweight can affect the quadriceps angle (Q-angle), which plays an important role in knee balance and stability, especially in the elderly. Q-angle imbalance has the potential to cause musculoskeletal disorders. This study aims to determine the relationship between overweight and Q-angle in the elderly. Methods: This study used a cross-sectional design and was conducted on December 1 and 5, 2022, at the Dr. Soetomo Surabaya Hospital Retirees Association. The sampling technique used purposive sampling with a sample size of 54 elderly people (14 men and 40 women) aged 60–75 years. Data were collected using observation sheets and measurements of height, weight, and Q-angle in the supine position. Data analysis used Spearman's correlation test because the data were not normally distributed. Results: The average age of respondents was 64.41±3.77 years with a body mass index (BMI) of 27.41±1.22 kg/m² and an average Q-angle of 17.78±3.42°. The correlation test results showed a p-value >0.05 (r=0.196), indicating no significant relationship between overweight and Q-angle in the elderly. Conclusion: There is no relationship between overweight and Q-angle in the elderly. These results indicate that the measurement position, activities prior to measurement, and physical characteristics of the elderly can affect Q-angle values. The researchers suggest that Q-angle examinations in the elderly be performed in a functional position (standing) and with relaxed muscles.
subject: Articles
  topic: section
subject: elderly
  topic: keywords
subject: overweight
  topic: keywords
subject: q-angle
  topic: keywords
creator: Eko Titik Handayani
creator: Marti Rustanti
creator: Dwi Kurniawati
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-11
publication date: 2025-12-11
starting page: 61
ending page: 68
doi: 10.37341/jkf.v8i1.484

Effect of Activity, Massage, Job Control-Demand on Ergonomic Posture of Office Workers
type: item
description: Background: Work-related musculoskeletal disorders (WMSDs) are common occupational injuries affecting muscles, joints, and the skeletal system. Effective management requires both individual and workplace support. Physical activity, therapy compliance, job control, and job demand are key factors influencing ergonomic posture and pain management outcomes. This study examined the effects of physical activity, massage therapy compliance, job control, and job demand on ergonomic posture of office workers in PT. X’s musculoskeletal pain management program. Methods: Quantitative and cross-sectional research using proportional random sampling, data from 100 office workers of PT X were analyzed with multiple linear regression (T-test and F-test) via SPSS. The ergonomic posture was evaluated through Rapid Assessment Office Strain (ROSA). Results: All variables significantly affected ergonomic posture (F = 227.621, p < 0.001). Massage therapy compliance contributed the most (40.2%), followed by physical activity (33.1%), job demand (9.2%), and job control (8.1%). Conclusion: Physical activity and therapy compliance had the strongest positive effects on ergonomic attitudes, emphasizing their role in improving musculoskeletal pain management at PT. X. It is recommended that workplace programmes prioritise efforts to increase physical activity and therapy compliance, as these two factors have the strongest positive influence on ergonomic attitudes and musculoskeletal pain management.
subject: Articles
  topic: section
subject: activity
  topic: keywords
subject: ergonomic posture
  topic: keywords
subject: job demand-control
  topic: keywords
subject: massage therapy
  topic: keywords
creator: Yusly Agatha
creator: Sobarna Kartamihardja
creator: Rahadian Malik
creator: Ayu Laili Rahmiyati
creator: Kosasih Kosasih
creator: Farida Yuliyaty
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-09
publication date: 2025-12-09
starting page: 139
ending page: 148
doi: 10.37341/jkf.v10i2.483

Exploring Occupational Therapy in the Punk Community: A Qualitative-Ethnographic Study
type: item
description: 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.
subject: Articles
  topic: section
subject: academic
  topic: keywords
subject: occupation
  topic: keywords
subject: the punk community
  topic: keywords
creator: Ana Syifa’u Nafilah
creator: Lis Sarwi Hastuti
creator: Erayanti Saloko
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-10-07
publication date: 2025-10-07
starting page: 118
ending page: 126
doi: 10.37341/jkf.v9i2.482

Parenting Experiences in Shaping Sleep Routines for Children with Attention-Deficit/Hyperactivity Disorder (ADHD): A Phenomenological Study
type: item
description: 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.
subject: Articles
  topic: section
subject: caregivers
  topic: keywords
subject: parenting styles
  topic: keywords
subject: sleep routines
  topic: keywords
creator: Ainulia Salsabila Rahmaningrum
creator: Tri Budi Santoso
creator: Tri Winarno
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-10-07
publication date: 2025-10-07
starting page: 127
ending page: 136
doi: 10.37341/jkf.v9i2.481

Health Promotion: Home Core and Flexibility Exercises to Manage Low Back Pain in Pregnancy
type: item
description: Background: Low back pain is a common complaint among pregnant women and is related to biomechanical adaptations, weight gain, and hormonal changes during pregnancy. Health promotion efforts, such as structured home exercise programs that focus on core stability and flexibility, can help alleviate these symptoms. The aim of this study was to evaluate the effectiveness of a structured home exercise program in preventing and managing low back pain in pregnant women in the second and third trimesters. Methods: A pre-experimental design with a single group and pretest-posttest approach was utilized, involving 42 pregnant women chosen through purposive sampling. The participants engaged in a Structured Home-Based Core Stabilization and Flexibility Exercise Program twice a week, with each session lasting 30–45 minutes over a span of eight weeks. Pain intensity was measured using the Visual Analog Scale (VAS). Due to the non-normal distribution of the pre- and post-intervention scores, the Wilcoxon Signed Rank Test was used for analysis. Results: The VAS score significantly decreased from 4.81 ± 1.44 to 1.93 ± 0.84 (p < 0.001), with an average reduction of 2.88 points. The effect size was very large (r = 0.87; 95% CI: 0.86–0.88), indicating a strong intervention effect on pain reduction. Conclusion: These findings indicate that the program is an effective non-pharmacological health promotion strategy and can be recommended for routine implementation in maternal health services to prevent and manage low back pain during pregnancy.
subject: Articles
  topic: section
subject: core stabilization
  topic: keywords
subject: home-based exercise
  topic: keywords
subject: low back pain
  topic: keywords
subject: pregnancy
  topic: keywords
creator: Saifudin Zuhri
creator: Marti Rustanti
creator: Sri Suwarni
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-12-04
publication date: 2025-12-04
starting page: 102
ending page: 109
doi: 10.37341/jkf.v10i2.478

Sensorimotor-Enhanced Shoulder Stabilization Exercises to Improve Their Hand Function in Children with Down Syndrome
type: item
description: Background: Down syndrome is a condition of a genetic disorder caused by an abnormality of chromosome 21. Statistical data shows that the average incidence of Down syndrome worldwide is 1 in every 700 births. This incident will increase with the increasing age of pregnant women. This study aims to compare the addition of sensory motor training to shoulder stabilization exercise to further improve upper extremity strength and fine motor coordination in the Down syndrome population. Methods: This research is an experimental study with blocked randomization. Group 1 (n=15) given the combination of sensorimotor exercises and shoulder stabilization exercise, while the Group 2 (n=15) were given shoulder stabilization exercise. The sampling technique used in this study was purposive sampling. The intervention was given 3 times a week for 4 weeks. Measurements were carried out using the manual muscle test (MMT) and the manual abilities classification system (MACS). Data were analyzed using Wilcoxon Test and the Mann–Whitney U test to compare differences between the two independent groups. Results: The MMT value was p=0.037 (p<0.05) and the MACS value was p=0.041 (p<0.05). These results indicate a significant difference between the two groups. Conclusion: Adding sensorimotor training in shoulder stabilization exercise intervention can improve upper extremity strength and fine motor coordination in down syndrome population. It is suggested to add sensorimotor training in down syndrome population.
subject: Articles
  topic: section
subject: down syndrome
  topic: keywords
subject: shoulder stabilization exercise
  topic: keywords
subject: sensory motor training
  topic: keywords
creator: Ni Luh Putu Gita Karunia Saraswati
creator: Made Hendra Satria Nugraha
creator: Putu Mulya Kharismawan
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-11-28
publication date: 2025-11-28
starting page: 70
ending page: 77
doi: 10.37341/jkf.v10i2.417

Exercise-Based Intervention and Its Impact on Sleep Quality Among Older Adults
type: item
description: Background: Poor sleep quality is one of the common problems in the elderly. Non-pharmacological interventions such as chair-based exercise (CBE) are considered effective in improving sleep quality. The study aimed to determine how CBE affects the sleep quality of older people at community-based health service posts in Central Java, Indonesia. Methods: A pre-experimental one-group pretest-post test design was conducted at community-based health service posts in Central Java, Indonesia, with 30 elderly respondents selected through a purposive sampling technique. The intervention was performed for 4 weeks, twice a week. 30 minutes/session. Sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI). Data analysis using the Wilcoxon test. Results: The mean PSQI score before the intervention was 10.23 (SD = 1.80), with a maximum score of 15, and a minimum score of 7. After the intervention, the mean score decreased to 5.43 (SD =1.85), with a maximum score of 10 and a minimum score of 3. There was a significant decrease in PSQI scores after the intervention (Z= -4.583, p <0.001). Conclusion: CBE can be an alternative non-pharmacological therapy that is effective, safe, and easy to implement in the elderly community, especially in the posyandu environment, which is the center of public health activities, especially to improve sleep quality. Its inclusion in posyandu lansia programs provides a useful way to enhance sleep quality and support health promotion and prevention initiatives, without the need for medication.
subject: Articles
  topic: section
subject: chair-based exercise
  topic: keywords
subject: elderly
  topic: keywords
subject: sleep quality
  topic: keywords
creator: Ninik Nurhidayah
creator: Yusni Ayu Adi Susanti
rights: Copyright (c) 2026 Jurnal Keterapian Fisik
date: 2026-04-14
publication date: 2026-04-14
starting page: 33
ending page: 41
doi: 10.37341/jkf.v11i1.475

Impact of Crossword Puzzle Therapy on Cognitive Performance Among Elderly Individuals
type: item
description: Background: The elderly experience a decline in cognitive function due to degenerative processes that affect their independence and quality of life. Crossword Puzzle Therapy is one of the non-pharmacological interventions that can stimulate cognitive functions, including memory, concentration, language, and problem-solving. This study aimed to examine the effect of crossword puzzle therapy on cognitive function among older adults at community-based health service posts in Central Java, Indonesia. Methods: This research utilized a pre-experimental design with a one-group pretest–posttest approach. The sample, selected through purposive sampling, consisted of 35 elderly participants who took part in six intervention sessions over a two-week period. Cognitive function was assessed using the Mini-Mental State Examination (MMSE). Data analysis involved the paired sample t-test for comparison, with the Shapiro–Wilk test applied to assess data normality. Results: The findings revealed an increase in the average MMSE score from 24.74 to 26.20 following the intervention. Results of the paired sample t-test yielded a p-value of <0.001 (<0.05), indicating a statistically significant difference between pre- and post-therapy scores. Conclusion: Crossword Puzzle Therapy significantly improves the cognitive function of the elderly and offers an easy, affordable, and enjoyable intervention that can be applied within the community. Crossword Puzzle Therapy can be an intervention option to prevent cognitive decline and for older adults with cognitive impairment.
subject: Articles
  topic: section
subject: crossword puzzle therapy
  topic: keywords
subject: cognitive function
  topic: keywords
subject: elderly
  topic: keywords
subject: the Mini-Mental State Examination
  topic: keywords
creator: Ninik Nurhidayah
creator: Annisa Aulia Rachma
rights: Copyright (c) 2026 Jurnal Keterapian Fisik
date: 2026-03-18
publication date: 2026-03-18
starting page: 1
ending page: 9
doi: 10.37341/jkf.v11i1.474

Understanding Social Participation in Post-stroke Patients: A Phenomenological Study
type: item
description: 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.
subject: Articles
  topic: section
subject: social participation
  topic: keywords
subject: stroke
  topic: keywords
creator: Cahya Lintang Ajeng Praditya
creator: Rina Kurnia
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-06-03
publication date: 2025-06-03
starting page: 46
ending page: 55
doi: 10.37341/jkf.v10i1.468

Correlation Between Physical Activity and Musculoskeletal Disorders Among the Elderly
type: item
description: 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.
subject: Articles
  topic: section
subject: elderly
  topic: keywords
subject: musculoskeletal disorders
  topic: keywords
subject: physical activity
  topic: keywords
creator: Sabrina Fitri Nadiyah
creator: Riska Risty Wardhani
creator: Luluk Rosida
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-05-28
publication date: 2025-05-28
starting page: 27
ending page: 35
doi: 10.37341/jkf.v10i1.367

The Effect of Aerobic Exercise on VO2max in Physiotherapy Students at Surakarta Polytechnic
type: item
description: 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.
subject: Articles
  topic: section
subject: aerobic exercise
  topic: keywords
subject: physiotherapy student
  topic: keywords
subject: VO2max
  topic: keywords
creator: Budi Utomo
creator: Yoni Rustiana Kusumawati
rights: Copyright (c) 2025 Jurnal Keterapian Fisik
date: 2025-06-10
publication date: 2025-06-10
starting page: 56
ending page: 62
doi: 10.37341/jkf.v10i1.453