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All Journal Excellent Midwifery Journal Journal of Prosthetics Orthotics and Science Technology (JPOST) Journal of Advanced Computer Knowledge and Algorithms Jurnal Kesehatan
Ellysa Okky Gusma
Stikes Bethesda Yakkum Yogyakarta
Computer Science & IT Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Other

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PENGARUH MICROBREAK STRETCHING BERBASIS VIDEO DAN AUDIT POSTUR KERJA TERHADAP KELUHAN NYERI PUNGGUNG BAWAH Ellysa Okky Gusma; Gian Lisuari Adityasiwi; Gatot Sunarto; Nathan Agwin Khenda; Hana Kristina
Jurnal Kesehatan Vol. 17 No. 01 (2026): Jurnal Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38165/jk.v17i01.472

Abstract

Low back pain (LBP) remains a major musculoskeletal problem among informal sector workers, particularly shoe craftsmen who are exposed to prolonged static postures and repetitive tasks. Although previous studies have shown that stretching exercises and posture education can reduce LBP complaints, objective ergonomic assessments and sustainable intervention models are still limited. This study aimed to evaluate the effectiveness of a video-based microbreak stretching program combined with a workplace posture audit using the Rapid Entire Body Assessment (REBA) method in reducing low back pain and musculoskeletal disorder risks among shoe craftsmen in Mojokerto. This quasi-experimental study employed a pretest–posttest two-group design involving 70 participants selected through purposive sampling. The intervention group received video-guided microbreak stretching for four weeks accompanied by posture evaluation and correction, while the comparison group performed conventional workplace stretching. Outcome measures included pain intensity (Visual Analogue Scale), musculoskeletal complaints (Nordic Body Map), and ergonomic risk scores (REBA). Data were analyzed using the Wilcoxon Signed-Rank Test and Mann–Whitney U Test.The results demonstrated a significantly greater reduction in pain intensity, musculoskeletal complaints, and REBA scores in the intervention group compared with the comparison group (p < 0.001). In conclusion, video-based microbreak stretching combined with workplace posture audit is more effective than conventional stretching in reducing low back pain and ergonomic risks. These findings highlight the importance of integrating technology-supported micro-ergonomic interventions with objective posture evaluation for informal industry workers.   Abstrak: Nyeri punggung bawah (low back pain/LBP) merupakan salah satu masalah muskuloskeletal yang banyak dialami oleh pekerja sektor informal, khususnya pengrajin sepatu yang terpapar postur kerja statis dan aktivitas berulang dalam durasi panjang. Meskipun penelitian sebelumnya menunjukkan bahwa latihan peregangan dan edukasi postur kerja dapat menurunkan keluhan LBP, penerapan pengukuran ergonomi objektif dan model intervensi yang berkelanjutan masih terbatas. Penelitian ini bertujuan mengevaluasi efektivitas microbreak stretching berbasis video yang dikombinasikan dengan audit postur kerja menggunakan metode Rapid Entire Body Assessment (REBA) terhadap penurunan nyeri punggung bawah dan risiko gangguan muskuloskeletal pada pengrajin sepatu di Mojokerto. Penelitian quasi-eksperimental ini menggunakan rancangan pretest–posttest dengan kelompok pembanding dan melibatkan 70 responden yang dipilih secara purposive. Kelompok intervensi menerima microbreak stretching berbasis video selama empat minggu disertai evaluasi dan koreksi postur kerja, sedangkan kelompok pembanding menjalani stretching konvensional. Pengukuran dilakukan menggunakan Visual Analogue Scale (VAS), Nordic Body Map (NBM), dan skor REBA. Analisis data menggunakan uji Wilcoxon dan uji Mann–Whitney. Hasil penelitian menunjukkan penurunan yang signifikan pada intensitas nyeri, keluhan muskuloskeletal, dan skor REBA pada kelompok intervensi dibandingkan kelompok pembanding (p < 0,001). Disimpulkan bahwa microbreak stretching berbasis video yang dikombinasikan dengan audit postur kerja lebih efektif dibandingkan stretching konvensional dalam menurunkan LBP dan risiko ergonomi. Temuan ini menegaskan pentingnya intervensi mikro-ergonomi berbasis teknologi dan evaluasi postur objektif pada pekerja sektor informal.
Hubungan Riwayat Menarke Dini dengan Derajat Keparahan Skoliosis pada Remaja Putri Pengguna Brace Skoliosis di Klinik Ortotik Prostetik Mojokerto Ellysa Okky Gusma; Gatot Sunarto
Excellent Midwifery Journal Vol. 9 No. 1 (2026): Volume 9 No. 1, April Tahun 2026
Publisher : STIKes Mitra Husada Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55541/emj.v9i1.405

Abstract

Latar Belakang: Adolescent idiopathic scoliosis (AIS) merupakan deformitas tulang belakang tiga dimensi yang sering ditemukan pada remaja, terutama perempuan, dan progresinya berkaitan erat dengan fase pertumbuhan pubertas. Riwayat menarke sebagai penanda maturasi pubertas diduga memiliki hubungan dengan derajat keparahan skoliosis, meskipun bukti yang tersedia masih belum konsisten. Pada pasien remaja putri pengguna brace, informasi mengenai usia menarke berpotensi menjadi salah satu indikator klinis tambahan dalam evaluasi penyakit. Tujuan: Menganalisis hubungan riwayat menarke dini dengan derajat keparahan skoliosis pada remaja putri pengguna brace di Klinik OP Mojokerto. Metode: Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Populasi penelitian adalah remaja putri pengguna brace skoliosis di Klinik OP Mojokerto tahun 2025. Sampel diambil dengan teknik consecutive sampling. Variabel independen adalah riwayat menarke dini, sedangkan variabel dependen adalah derajat keparahan skoliosis berdasarkan sudut Cobb. Variabel lain yang dianalisis meliputi usia, tipe skoliosis, dan lama penggunaan brace. Data dianalisis secara univariat dan bivariat menggunakan uji chi-square dan uji t tidak berpasangan. Hasil: Sebanyak 60 responden dianalisis, dengan 41 pasien (68,3%) memiliki riwayat menarke dini. Derajat skoliosis terdiri atas ringan 18 pasien (30,0%), sedang 30 pasien (50,0%), dan berat 12 pasien (20,0%). Hasil analisis menunjukkan terdapat hubungan bermakna antara riwayat menarke dini dengan derajat keparahan skoliosis (p=0,014). Rerata sudut Cobb pada kelompok menarke dini lebih rendah dibandingkan kelompok tidak menarke dini. Kesimpulan: Riwayat menarke dini berhubungan dengan derajat keparahan skoliosis pada remaja putri pengguna brace. Riwayat maturasi pubertas dapat dipertimbangkan sebagai informasi klinis tambahan dalam evaluasi pasien AIS yang menjalani terapi brace konservatif.
3D Printed Wrist Splint for Carpal Tunnel Syndrome in a Cigarette-Rolling Worker at RSUD Sumberglagah: A Case Study Gatot Sunarto; Ellysa Okky Gusma; dea Septianiputri; Rahmat Apriyanto; Riska Permatasari
Journal of Prosthetics Orthotics and Science Technology Vol. 5 No. 1 (2026): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v5i1.3118

Abstract

Background: Carpal tunnel syndrome (CTS) is a prevalent entrapment neuropathy among manual workers performing repetitive wrist loading and sustained precision grip. Cigarette-rolling workers face elevated risk due to prolonged wrist flexion and repetitive pinch activity. Despite the efficacy of wrist orthoses, conventional devices often provide suboptimal anatomical conformity and restrict occupational hand function. Three-dimensional printing enables patient-specific fabrication at low cost, yet clinical evidence in occupational rehabilitation remains limited. Aims: This study evaluated the fabrication workflow and clinical outcomes of a customized 3D-printed CTS wrist splint in a cigarette-rolling worker, focusing on efficiency, anatomical fit, cost, and functional performance. Methods: A single-case study design was employed consistent with established methodology for novel clinical workflow documentation, to evaluate practicability rather than population-level efficacy. The participant was a 38-year-old female with mild-to-moderate right-hand CTS. A CAD-designed PLA+ orthosis was fabricated via FDM 3D printing and hot-water thermoforming. Primary outcomes wrist posture, pain, fatigue, endurance, and comfort were assessed at baseline, post-fitting, Day 7, and Day 14 via structured observation and KPOP Plus telemonitoring. Results: Digital fabrication required 384 minutes and 60.31 g of PLA+ at a material cost of IDR 16,200. Wrist posture improved to near-neutral alignment, while pain, fatigue, and endurance improved without skin complications. Telemonitoring confirmed sustained symptom relief and device comfort through Day 14. Conclusion: Digitally fabricated 3D-printed wrist orthoses were feasible, clinically beneficial, and cost-effective for occupational CTS management. This case demonstrates an integrated workflow combining CAD design, FDM printing, thermoforming, and telemonitoring. Keywords: Carpal tunnel syndrome; Digital fabrication; 3D printing; Wrist orthosis; Occupational health
Peran Dukungan Keluarga terhadap Penerimaan Penggunaan Scoliosis Brace pada Remaja dengan Adolescent Idiopathic Scoliosis: Studi Observasional Analitik Gatot Sunarto; Ellysa Okky Gusma
Excellent Midwifery Journal Vol. 9 No. 2 (2026): Volume 9 No. 2, Oktober Tahun 2026
Publisher : STIKes Mitra Husada Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55541/emj.v9i2.445

Abstract

Background: A three-dimensional spinal curvature deformity commonly found among adolescent girls often imposes significant psychosocial burden, particularly during scoliosis brace use as the primary conservative therapy. Brace acceptance is a critical determinant of treatment success, and family support is thought to facilitate this psychosocial adaptation, although specific evidence among adolescents attending prosthetic-orthotic services in Indonesia remains limited. Objective: To analyze the relationship between family support and acceptance of scoliosis brace use among adolescent girls with Adolescent Idiopathic Scoliosis (AIS) at Mojokerto Prosthetic-Orthotic Clinic. Method: This study used an analytic observational design with a cross-sectional approach. Samples were selected using consecutive sampling among adolescent girls using scoliosis braces. The independent variable was family support (emotional, informational, instrumental, and appraisal), while the dependent variable was brace acceptance (perception, comfort, and barriers). Data were analyzed using Spearman correlation and multivariate linear regression controlling for age, brace-wearing duration, and initial Cobb angle. Results: Sixty respondents were analyzed. Total family support score had a median of 65 (range 48–76), while total brace acceptance score had a median of 42 (range 25–53). Family support was significantly correlated with brace acceptance (rs=0.61; p<0.001) and remained an independent predictor after adjusting for covariates (β=0.42; p<0.001), explaining 39% of the variance. Conclusion: Family support was significantly associated with brace acceptance among adolescent girls with AIS. Involving families in education and clinical follow-up may improve conservative scoliosis therapy outcomes.
Internet of Things-Based Remote Monitoring in Physiotherapy Services: A Systematic Literature Review Ellysa Okky Gusma; Gatot Sunarto; Gian Lisuari Adityasiwi
Journal of Advanced Computer Knowledge and Algorithms Vol. 3 No. 4 (2026): Journal of Advanced Computer Knowledge and Algorithms - October 2026
Publisher : Department of Informatics, Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/jacka.v3i4.28614

Abstract

The Internet of Things (IoT) has increasingly been proposed as a means of extending physiotherapy services beyond the clinical environment through continuous remote monitoring of patient performance. This study systematically reviews the application, clinical effectiveness, and implementation challenges of IoT-based remote monitoring in physiotherapy services. Following PRISMA 2020 guidelines, a systematic search was conducted across PubMed, Scopus, IEEE Xplore, ScienceDirect, and SAGE Journals for studies published between January 2020 and July 2026. Eligibility was determined using the PICOS framework, and methodological quality was appraised using a five-item checklist; the identity and reported outcomes of each candidate study were independently verified against the original publication prior to inclusion. Eight randomized controlled trials met the eligibility criteria and were retained for narrative and thematic synthesis. The included studies addressed stroke rehabilitation, musculoskeletal recovery, Parkinson's disease, and chronic respiratory disease, employing wearable sensors, telerehabilitation platforms, and smartphone-based feedback systems. Most studies reported favourable clinical outcomes, although one verified trial found that technology-assisted telerehabilitation was not superior to usual care overall, with benefit confined to participants with higher intervention adherence. IoT-based remote monitoring shows meaningful, though uneven, clinical benefit across rehabilitation populations, and its effectiveness appears to depend on adherence and continued clinician involvement rather than technology alone. Persistent barriers include data security, device interoperability, sensor accuracy, and the scarcity of large multicentre trials, particularly in resource-constrained settings. Future research should prioritize interoperable, patient-centred IoT frameworks integrating artificial intelligence, with expanded evaluation in low-resource contexts such as Indonesia.
Co-Authors dea Septianiputri Gatot Sunarto Gatot Sunarto Gatot Sunarto Gian Lisuari Adityasiwi Gian Lisuari Adityasiwi Hana Kristina Nathan Agwin Khenda Rahmat Apriyanto Riska Permatasari