Elvida Rahmi Zein
Institut Kesehatan Medistra Lubuk Pakam

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Relationship of Archus Pedis With Walking Balance In Children Aged 10-2 Years at SDN 017 Candirejo Air Molek Siti Sarah Bintang Sarah Bintang; Elvida Rahmi Zein; Annisa Nabila; Karnirius Harefa
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.v7i2.2633

Abstract

Background: WHO states the muskuloskeletal disorders disrupt the lives of hundreds of millions of individuals. The structure and biomechanics of the foot are greatly influenced by the arch of the foot. Abnormalities in the lower extremities often occur in children. Flat foot and cavus foot are disorders in the development of the arch of the foot. This condition can cause various problems, such as difficulty walking, impaired balance, easy fatigue when walking, frequent injuries, and excessive pain in the foot area.  Purpose: This study aims to determine the relationship between the arch of the foot and walking balance in children aged 10-12 years at SDN 017 Candirejo Air Molek 2024. Research method This study applies a cross sectional approach design , namely , research to study the correlation between relationships with an observation approach and data collection at the same time. Results and discussion: The research results show that the variables related to the pedis arch (p-value = 0.000), walking balance (p-value = 0.000).Conslusion: Based on the research conducted that there is a relationship between the arch of the pedis and walking balance in children aged 10-12 years at SDN 017 Candirejo Air Molek 2024.
Comparison of the Effects of Dry Needling and Bobath Concept on Spasticity in Post-Stroke Pastients Rizka Mutiara; Simson Sinuhaji; Elvida Rahmi Zein; Siti Sarah Bintang; Maria Febiana Tanur
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 9 No. 1 (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/jkf.v9i1.3851

Abstract

Background: Stroke is a global health issue with a significant impact on mortality and disability. The lifetime risk of stroke is reported to be 1 in 4 adults, indicating a massive global disease burden [8]. This high prevalence contributes to an increasing number of post-stroke patients experiencing motor function impairments. Spasticity is a common motor complication in post-stroke patients [27]. Various physiotherapy approaches are used to manage spasticity, including the Bobath Concept—which emphasizes the normalization of muscle tone and postural control [19]—and dry needling, a modern neuromuscular intervention reported to reduce spasticity by modulating spinal reflexes and motor neuron activity [9]. Objectives: To determined the effect of dry needling on spasticity in post-stroke patients, the effect of the Bobath Concept on spasticity in post-stroke patients, and to compared the effects of dry needling and the Bobath Concept on spasticity in post-stroke patients. Methodology: A quasi-experimental study design using a pre-test and post-test two-group approach was employed, comparing a dry needling treatment group (n=20) with a Bobath Concept group (n=20). The Ashworth Scale was used to measure spasticity. Data analysis involved the Wilcoxon signed-rank test for hypotheses 1 and 2, and the Mann-Whitney U test for hypothesis 3. Results: Based on the results of The Wilcoxon signed-rank test for hypotheses 1 and 2 yielded p- values< 0.05, and the Mann-Whitney U test for hypothesis 3 comparing post-intervention Ashworth Scale scores also yielded a p-value < 0.05. Conclusion: Dry needling gives an effect on spasticity in post-stroke patients, the Bobath Concept gives an effect on spasticity in post-stroke patients, and there is a difference in the effects of dry needling and the Bobath Concept on spasticity in post-stroke patients.