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All Journal Jurnal Kesehatan Tambusai Excellent Midwifery Journal Journal of Advanced Computer Knowledge and Algorithms
Gatot Sunarto
RSUD Sumberglagah Provinsi Jawa Timur
Computer Science & IT Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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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.
HUBUNGAN KEPATUHAN PENGGUNAAN BRACE SKOLIOSIS DENGAN PERUBAHAN SUDUT COBB PADA REMAJA PUTRI DENGAN ADOLESCENT IDIOPATHIC SCOLIOSIS : STUDI KOHORT RETROSPEKTIF Gatot Sunarto; Ellysa Okky Gusma
Jurnal Kesehatan Tambusai Vol. 7 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i3.61562

Abstract

Adolescent Idiopathic Scoliosis (AIS) merupakan deformitas tiga dimensi tulang belakang yang berkembang selama masa pertumbuhan dan berisiko mengalami progresi kurva. Brace merupakan terapi konservatif utama, tetapi keberhasilannya dipengaruhi oleh kepatuhan pemakaian. Bukti mengenai hubungan kepatuhan brace dengan perubahan sudut Cobb pada layanan ortotik prostetik di Indonesia masih terbatas. Penelitian ini bertujuan menganalisis hubungan kepatuhan penggunaan scoliosis brace dengan perubahan sudut Cobb pada remaja putri dengan AIS di Praktik Mandiri Ortotik Prostetik X Mojokerto. Penelitian menggunakan desain kohort retrospektif dengan total sampling terhadap rekam medis pasien yang memulai terapi brace pada Januari–Desember 2025 dan menjalani terapi minimal enam bulan hingga April 2026. Sebanyak 56 pasien memenuhi kriteria. Data dianalisis menggunakan uji Wilcoxon signed-rank, korelasi Spearman, Mann-Whitney U, dan regresi linier multivariat. Rerata durasi penggunaan brace sebesar 12,75 ± 3,05 jam/hari. Sudut Cobb menurun dari 34,16 ± 5,45° menjadi 24,16 ± 4,12°, dengan perubahan 9,98 ± 3,35° (p < 0,001). Durasi penggunaan brace berkorelasi positif kuat dengan perubahan sudut Cobb (rₛ = 0,660; p < 0,001). Kepatuhan tinggi (≥14 jam/hari) menghasilkan perubahan lebih besar dibandingkan kepatuhan rendah (11,68 ± 3,03° vs. 8,29 ± 2,96°; p < 0,001). Analisis multivariat menunjukkan hubungan independen setelah penyesuaian (adjusted R² = 0,626). Kepatuhan brace berhubungan dengan perubahan sudut Cobb.
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 Ellysa Okky Gusma Ellysa Okky Gusma Gian Lisuari Adityasiwi