Waode Riska Astuti Aini
Institut Kesehatan Medistra Lubuk Pakam

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The Effect of Scapular Stabilization and McKenzie Neck Exercise on Craniovertebral Angle in Adolescents Aged 13–15 Years with Forward Head Posture at SMP Muhammadiyah 16 Isidorus Jehaman; Desy Fitriani Tanjung; Waode Riska Astuti Aini; Raynald Ignasius Ginting
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/xm8yce13

Abstract

Body posture can be impaired when daily activities are performed in non-ergonomic positions, resulting in uneven load distribution throughout the body. One of the most common postural disorders found in adolescents is a forward-leaning head position, known as forward head posture. This condition can be corrected through appropriate exercises, such as scapular stabilization exercises, which aim to improve scapular positioning and enhance stability and alignment in the cervical region, as well as McKenzie neck exercises, which focus on correcting neck posture.This study aims to determine the effect of scapular stabilization exercises and McKenzie neck exercises on increasing the craniovertebral angle in adolescents aged 13–15 years with forward head posture at SMP Muhammadiyah 16 Lubuk Pakam in 2025. The study employed a quasi-experimental design using a one-group pre-test and post-test approach. The interventions were administered twice a week for four weeks, with a total of eight sessions. Measurements were conducted using a goniometer. The results showed that the mean craniovertebral angle before the intervention was 45.00 with a standard deviation of 1.414, and after the intervention, it increased to 47.43 with a standard deviation of 1.604. Data analysis using the paired sample t-test revealed a p-value of 0.000, which is smaller than α = 0.05, indicating a significant difference between pre- and post-intervention measurements. Therefore, it can be concluded that scapular stabilization exercises and McKenzie neck exercises have an effect on improving the craniovertebral angle in adolescents aged 13–15 years with forward head posture at SMP Muhammadiyah 16 Lubuk Pakam in 2025
Effect Of Manual Traction Physotherapy On Knee Injury And Osteoarthritis Outcome Score And Interleukin-6  Levels In Patient Knee Osteoarthritis Waode Riska Astuti Aini; Dedi Ardinata; Milahayati Daulay
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/qfcdnb48

Abstract

Background: Knee osteoarthritis (OA) is the most common degenerative joint disease with a high global prevalence. It causes pain, joint stiffness, muscle weakness, and reduced functional activity, significantly affecting patients' quality of life. Inflammatory factors, particularly interleukin-6 (IL-6), play a role in the pathogenesis of knee OA, contributing to inflammation and pain sensitization. Non-pharmacological management of knee OA includes physiotherapy manual traction therapy, aimed at reducing pain and improving joint function. However, the relationship between manual traction and the reduction of IL-6 levels as well as improvements in the Knee Injury and Osteoarthritis Outcome Score (KOOS) has not been widely studied. Objective: To analyze the effect of physiotherapy manual traction on KOOS values and serum interleukin-6 (IL-6) levels in patients with knee osteoarthritis. Methods: This experimental study used a pre-post test design involving 36 patients with knee OA who received manual traction interventions twice a week for four weeks. KOOS values and IL-6 levels were measured before and after the intervention. Data were analyzed using the Wilcoxon test and Spearman correlation. Results: A significant increase in KOOS scores was observed after the intervention (p = 0.001), but no significant reduction in IL-6 levels was found (p = 0.491). The correlation between changes in IL-6 levels and KOOS scores was very weak and not statistically significant (r = 0.122; p = 0.760). Conclusion: Manual traction physiotherapy significantly improves knee joint function and quality of life in patients with knee OA, but does not significantly reduce serum IL-6 levels over a short intervention period. Moreover, the correlation between changes in IL-6 and KOOS scores is very weak and not statistically significant