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BENEFITS OF RADIAL SHOCK WAVE THERAPY AND LASER THERAPY ON MYALGIA LOW BACK PAIN: BENEFITS OF RADIAL SHOCK WAVE THERAPY AND LASER THERAPY ON MYALGIA LOW BACK PAIN Jehaman, Isidorus; Ginting, Raynald Ignasius; Berampu, Sabirin; Tantangan, Redi
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 2 (2022): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Low Back Pain (LBP) does not cause death, but causes individuals to become unproductive so that it will cause an enormous economic burden for individuals, families, communities and the government. Indonesian BPS data explains that people over 15 years of age have health problems. With increasing age, the anatomical structure and function of tissues will decrease, such as muscles, bones and joints, ligaments and other soft tissues. These changes are relevant to a person's decrease in activity. Pain is a major problem in patients with LBP disorders. Physiotherapy measures to overcome these complaints are extracorporeal shock wave therapy and laser. Physiotherapeutic intervention using shock wave therapy and extracorporeal laser methods can be given to LBP myalgia patients through community service activities carried out at Grandmed Lubuk Pakam Hospital. To evaluate the results of the intervention, the measuring tool used is the Verbal Analog Scale (VAS). This activity was attended by 12 respondents who complained of low back pain. Before and after the intervention the value will be measured using the VAS. Based on the results of the last evaluation, it can be seen that the respondents' pain complaints before and after the intervention experienced withdrawal, namely 5.8 (moderate pain) before the intervention and after the intervention the value became 0.8 (mild pain). The results of these actions prove that physiotherapy interventions such as radial shock wave therapy and laser therapy are useful/effective in dealing with complaints of LBP myalgia.

The Effect of Tens and Core Stability Exercise on the Functional Ability of Mechanical Lower Back Pain Patients Jehaman, Isidorus; Frisca Sanda Toding; Raynald Ignasius Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 2 (2024): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i2.2133

Salah satu gangguan muskuloskeletal yang paling umum di seluruh dunia adalah Low back pain. Penyebab dari Low back pain bervariasi, lebih dari 90% disebabkan oleh faktor mekanik sprain dan strain lumbal mengangkat beban berat, terlalu lama berdiri atau duduk dengan posisi yang tidak ergonomis merupakan pencetus terbanyak nyeri punggung bawah karena faktor mekanik. Low back pain mechanical merupakan penyebab tersering disabilitas yang berhubungan dengan trauma pekerjaan. Penderita dengan low back pain mechanical berdampak terhadap penurunan kemampuan dalam melakukan aktivitas sehari-hari karena nyeri. Kejadian low back pain mechanical cenderung mengalami peningkatan seiring bertambahnya usia seseorang, hal ini berkaitan dengan faktor degenerasi dan kelainan pada diskus intervertebralis. Tujuan Penelitian ini untuk mengetahui pengaruh TENS dan core stability exercise terhadap kemampuan fungsional pada low back pain mechanical di RSUD Lakipadada Tana Toraja. Metode Penelitian adalah quasi experiment dengan desain one groups pre test and post test. Jumlah sampel dalam penelitian sebnyak 15 orang. Sebelum intervensi kemampuan fungsional pasien diukur terlebih dengan menggunakan ODI selanjutnya akan diberikan intervensi TENS dan core stability exercise selama 3 minggu dengan frekuensi 3 kali seminggu dan diukur kembali kemampuan fungsionalnya setelah intervensi yang terkahir. Analisis data menggunakan paired sampel t-test. Hasil penelitian diperoleh nilai p (p value)= 0,00 lebih kecil dari nilai ?= 0,05 (0.00<0.05) artinya ada pengaruh yang signifikan pemberian TENS dan core stability exercise pada low back pain mechanical di RSUD Lakipadada Tana Toraja tahun 2023

The Effect of Towel Toe Curl Exercise and Tibialis Posterior Strengthening on Dynamic Balance of Flatfoot Patients at SD Negeri 104242 Lubuk Pakam Jehaman, Isidorus; Telaumbanua, Gres Indah Kasih; Raynald Ignasius Ginting; Redi Tantangan
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): 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/jkf.v7i1.2274

Background: Improper use of the foot can cause problems when walking and even endanger a person's health. The arch of the foot helps withstand impact pressure and provides stability when standing or walking. Flatfoot is a deformity related to the foot, such as medial longitudinal arch disorders of the foot, valgus deformity of the heel, and forefoot abduction. The exercise methods that can be given to overcome flatfoot are Towel toe curl exercise and tibialis posterior strengthening. Purpose: to improve foot function by strengthening the intrinsic muscles of the foot. While tibialis posterior strengthening exercise is to strengthen the tibialis posterior muscle, which is part of the extrinsic muscle. Research method: This type of research is quantitative with a one group pre-test and post-test design. Data analysis using paired sample t-test. The sample of this study were children at SD Negeri 104242 Lubuk Pakam who suffered from flatfoot with a total of 22 samples. The intervention given was towel toe curl and tibialis posterior strengthening 3 times a week for 4 weeks with a total of 12 actions. Before the dynamic balance intervention, respondents were measured first (pretest) with the Y Balance Test (YBT) and re-measured after the intervention (Posttest). Results and discussion: The results of the paired sample t-test obtained a significant value (p) of 0.000, greater than the alpha value (a) (0.000 <0.05), meaning that there is a significant effect of towel toe curl exercises and tibialis posterior strengthening on improving dynamic balance in flatfoot children. Conclusion: Based on the results of the study, it can be concluded that towel toe curl exercises and tibialis posterior strengthening can be one of the training methods that can be applied to overcome dynamic balance disorders in flatfoot sufferers

Comparison of the Effects of Trunk Muscle Training and Cawthorne-Cooksey Training on the Risk of Falls in the Elderly Jehaman, Isidorus; Fenti Fransiska; Redi Tantangan
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (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/jkf.v7i2.2634

Background: The risk of falls in the elderly can lead to serious injuries, making effective prevention strategies essential. Exercises such as trunk muscle exercise and Cawthorne-Cooksey exercise have been shown to be beneficial. Trunk muscle exercise aims to improve core muscle strength and postural stability, while Cawthorne-Cooksey exercise focuses on coordinating head and eye movements to enhance balance. Objective: This study aims to compare the effectiveness of trunk muscle exercise and Cawthorne-Cooksey exercise in reducing fall risk among the elderly. Methods: A quasi-experimental approach was used with a two-group pre-test and post-test design. The sample consisted of two intervention groups: one receiving trunk muscle exercise and the other receiving Cawthorne-Cooksey exercise. Data analysis was conducted using the Wilcoxon test to assess the effectiveness of each intervention and the independent t-test to compare the effects of both exercise methods. Results and Discussion: The Wilcoxon test showed a p-value of 0.046 (? 0.05), indicating that both trunk muscle exercise and Cawthorne-Cooksey exercise were effective in improving balance and reducing the risk of falls in the elderly. However, the independent t-test yielded a p-value of 0.346 (> 0.05), suggesting no significant difference between the two interventions. Despite this, the average improvement in balance scores was higher in the trunk muscle exercise group (mean difference of 1.444) compared to the Cawthorne-Cooksey group (mean difference of 1.222). Conclusion: The findings

The Effects of Trunk Muscle and Cawthorne Cooksey Exercises on Reducing Fall Risk Among Older Adults Jehaman, Isidorus; Tantangan, Redi; Sinuhaji, Simson; Nasution, Rabiatun; Ginting, Raynald Ignasius
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/gp97g330

Background: Falls are a common health challenge experienced by the elderly and can significantly affect their quality of life. The leading causes of falls include decreased trunk muscle strength and disturbances in the vestibular system. Ironically, many older adults are unaware that these risks can be reduced through simple and regular physical activity. Therefore, interventions in the form of education and structured exercise, delivered directly at the community level, are considered a strategic approach to promote preventive behavior. Objective: This Community Partnership Program (PKM) aimed to improve the knowledge, practical skills, and motivation of elderly individuals in preventing fall risks through trunk muscle exercises and Cawthorne-Cooksey exercises. Method: The activity was conducted at Pagar Jati Public Health Center, Lubuk Pakam, involving 20 elderly participants. It consisted of two main sessions: an educational session covering the causes of falls, the role of trunk muscles, and the body's balance system; and a practical session where participants performed both exercises under the guidance of the implementation team. Evaluation was carried out through initial discussions, observation of participant engagement, and a simple pre-test and post-test. Results: The program showed a significant impact. A total of 85% of participants demonstrated improved understanding of fall risk and its prevention, 78% were able to perform the exercises correctly, and 90% expressed a commitment to continue the exercises independently at home. Participant satisfaction reached 92%. The elderly showed high enthusiasm throughout the activity, with many stating that this was the first time they realized the importance of light exercises in maintaining balance. Conclusion: This activity successfully enhanced the cognitive and motor skills of elderly participants in fall prevention. The combination of trunk muscle exercises and Cawthorne-Cooksey exercises proved effective in improving postural control, vestibular adaptation, and overall body stability. This hands-on approach is highly effective and recommended for sustainable implementation within community-based health promotion and prevention programs for the elderly.

The Effect of Motor Relearning Program on Daily Living Activity and Dynamic Balance in Non-Hemorrhagic Post Stroke Hemiparese Patients at Grandmed Lubuk Pakam Hospital Jehaman, Isidorus; Br Siagian, Khairunnisa; Bintang, Siti Sarah; Ginting, Raynald Ignasius; Ginting, Rosita; Harefa, Karnirius
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): 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/jkf.v6i1.1887

Stroke is a functional disorder of the brain that can occur suddenly or abruptly with focal or global neurological signs that can last 24 hours or more (if no surgery or death occurs) without any signs of non-vascular causes, which include signs of subarachnoid hemorrhage, intracerebral hemorrhage, ischemia or cerebral infarction. This can cause disturbances in vital brain functions such as coordination disorders, balance disorders, posture control disorders, sensation disorders and movement reflex disorders, thereby reducing the ability to carry out daily living activities and balance disorders. The motor relearning program method is a program for retraining specific motor controls by avoiding unnecessary or wrong movements that involve cognitive processes, the application of motor and psychological science, training, understanding of nervous anatomy and physiology and is not based on the theory of normal development (neuro development). The research aims to determine the effect of the motor relearning program on daily living activities and dynamic balance disorders in post-stroke patients. The method used in this research is a quasi experiment with one group pretest and post test design. The research sample consisted of 9 people. The samples will be observed and adjusted to the specified criteria so that they do not cause problems. Each respondent was measured 2 (two) times, namely before and after the intervention. Test the hypothesis using the Wilcoxon test. The research results obtained a value of p = 0.000 (p=<0.05), which means there is a significant influence of the motor relearning program intervention on daily living activities and dynamic balance disorders in post-stroke patients. The results of this research can be concluded that the motorbike relearning program can improve daily living activities and dynamic balance disorders in patients after non-hemorrhagic stroke. It is hoped that the results of this research can contribute to health services for the community in overcoming the problems of daily living activities and dynamic balance disorders in post-stroke patients.

The Effect of Quadriceps Strengthening Exercise and Ultrasound on Improving Functional Activity in Patients with Knee Osteoarthritis jehaman, isidorus; Saputra, Debi
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: 10.35451/1pdfe128

Background: Knee osteoarthritis (OA) is a degenerative joint disease with increasing prevalence due to population aging. WHO data (2022) shows OA affects 528 million people globally. In Indonesia, OA prevalence in the population >45 years reaches 24.7%, with knee OA contributing 65% of cases, highest in West Java, specifically Bandung City (26.3%). The pathophysiology of knee OA involves cartilage degradation, synovial inflammation, and quadriceps muscle weakness. This study aims to determine the effect of combining ultrasound therapy and quadriceps strengthening exercises on improving functional activity in knee OA patients at RSAU Dr. M. Salamun Bandung in 2025. Methods: The study used a quasi-experimental design with a one-group pre-test and post-test approach on 12 patients selected via purposive sampling. The intervention, combining ultrasound therapy and quadriceps strengthening exercises, was administered twice weekly for 3 weeks. Functional activity was measured using the WOMAC Index before and after the intervention. Data analysis employed the Dependent T-test after the Shapiro-Wilk normality test confirmed a normal distribution (Sig. ≥ 0.05). Results: The Dependent T-test showed a significant improvement in functional activity post-intervention. The mean WOMAC score post-test was better than pre-test. Statistical analysis revealed a Sig. (2-tailed) value of 0.000 (≤ 0.05), indicating a significant difference between functional activity before and after the intervention.Conclusion: There is a significant effect of combining ultrasound therapy and quadriceps strengthening exercises on improving the functional activity of knee osteoarthritis patients at RSAU Dr. M. Salamun Bandung in 2025.

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