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All Journal Physical Activity Journal (PAJU) Journal of Physical Education and Sports
Romayuli Pardede
Universitas Negeri Semarang
Education Public Health Social Sciences Other

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The Effectiveness of Rheumatic Exercise on Functional Independence among Elderly with Joint Pain: A Study in a Nursing Home Romayuli Pardede; Fajar Awang Irawan
Physical Activity Journal (PAJU) Vol 8 No 1 (2026): Physical Activity Journal (PAJU)
Publisher : Department of Physical Education, Faculty of Health Sciences, Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.paju.2026.8.1.18223

Abstract

Nyeri sendi merupakan salah satu masalah kesehatan yang paling sering dialami oleh lanjut usia dan berdampak pada penurunan mobilitas, timbulnya nyeri, serta ketergantungan dalam melakukan aktivitas sehari-hari. Penelitian ini bertujuan untuk menganalisis efektivitas senam rematik terhadap kemandirian fungsional lansia dengan nyeri sendi. Jenis penelitian ini adalah kuantitatif dengan rancangan quasi-eksperimen menggunakan pendekatan one group pretest–posttest design. Sebanyak 18 lansia yang memenuhi kriteria inklusi menjadi responden penelitian. Senam rematik dilakukan tiga kali seminggu selama empat minggu, terdiri dari fase pemanasan, gerakan inti, dan pendinginan dengan gerakan sendi berulang yang berfokus pada fleksi, ekstensi, dan rotasi. Tingkat kemandirian diukur menggunakan Barthel Index, dan data dianalisis menggunakan uji Wilcoxon Signed Rank Test dengan tingkat signifikansi p < 0,05. Hasil penelitian menunjukkan adanya peningkatan yang signifikan pada kemandirian fungsional setelah intervensi (p = 0,001). Rata-rata skor ADL meningkat dari 71,11 sebelum intervensi menjadi 79,72 setelah empat minggu pelaksanaan senam rematik. Peningkatan ini berkaitan dengan meningkatnya fleksibilitas sendi, kekuatan otot, dan berkurangnya kekakuan akibat gerakan yang teratur dan terkontrol. Hasil penelitian ini menunjukkan bahwa senam rematik efektif sebagai intervensi nonfarmakologis untuk meningkatkan kemampuan fungsional dan kemandirian lansia dengan nyeri sendi.
Analysis of Activity Daily Living in Elderly with Joint Pain: Rheumatic Exercise and Functional Independence Romayuli Pardede; Fajar Awang Irawan
Journal of Physical Education and Sports Vol. 15 No. 2 (2026): Juni 2026
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jpes.v15i2.41410

Abstract

The increasing prevalence of joint pain among the elderly often leads to decreased functional independence and limitations in Activities of Daily Living (ADL). Rheumatic exercise is considered a low-impact physical activity that may help maintain joint mobility and functional capacity in the elderly. This study aimed to analyze Activities of Daily Living among elderly individuals with joint pain and to examine the effect of rheumatic exercise on functional independence at Panti Werdha Rindang Asih II Bongsari, Semarang. A quantitative quasi-experimental design with a one-group pretest–posttest approach was employed. The study involved 18 elderly participants selected through purposive sampling. The intervention was conducted over four weeks, with rheumatic exercise sessions held three times per week for approximately 30 minutes. Functional independence was measured using the Barthel Index of Activities of Daily Living. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed a significant improvement in ADL scores after the intervention, with the mean score increasing from 71.11 before the intervention to 79.72 after the intervention (p = 0.001). These findings indicate that rheumatic exercise significantly improves functional independence in elderly individuals with joint pain. Rheumatic exercise can therefore be recommended as a safe and effective non-pharmacological intervention to support mobility, independence, and quality of life among the elderly, particularly in institutional care settings.
Co-Authors Fajar Awang Irawan