Nuraini Fikri
Institut Kesehatan Hermina

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The Effect of Exercise Therapy on Amyotrophic Lateral Sclerosis Patients: A Literature Review Nuraini Fikri; Cicilia Febriyani Hayuningrum; Nabila Syawala Parlian; Rasya Rizki Hadi Putra; Gede Ananda Krisna Parama Satya
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: 10.35451/7sd4k345

Abstract

Weakness caused by motor neuron degeneration in Amyotrophic lateral sclerosis (ALS) can result in avoidance of physical activity, resulting in deconditioning and decreased health-related quality of life. The literature review that the author obtained from previous research has a role in shaping the character of thinking in this study. The articles used in this study were obtained from three databases, namely PubMed, Science Direct and Google Scholar. The keywords used during the search were ALS, Exercise, Therapy, Exercise Therapy, Amyotrophic Lateral Sclerosis, carried out a maximum of 2019. Out of 10 articles, there are 7 articles stated that aerobic exercise therapy and strength training had a positive effect on ALS. While 3 other articles showed changes but were not significant. The results of this preliminary ALSFRS-R study support the safety and feasibility of 12 sessions of supine whole-body stepping in individuals with ALS. This respiratory EMST training program was well tolerated and resulted in positive changes in respiratory and bulbar function in ALS. Our prospective CPET study measured significantly reduced exercise capacity in ALS via non-invasive CPET. Genetically predicted physical activity was not significantly associated with risk of neurodegenerative disorders. A 12-week combined aerobic and strength training program was significantly superior to freezing alone in improving respiratory function, mobility, and well-being in ambulatory ALS patients.
Implementasi Video Edukasi Stretching dan Pernapasan untuk Meningkatkan Kardirespirasi pada Karate Apdi (Anak Penderita Disabilitas Intelektual) Nur Khotimah Elfiyani; Dyas Nurvitasari Puspita; Wa Ode Rantika; Nesi Nesi; Dela Fariha Fuadi; Nuraini Fikri; Sofie Handajany; Elysia Amabel; Nazwa Azzahra Balqis; Yudhistika Rahma Dewanti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 2 (2026): Volume 9 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i2.23164

Abstract

ABSTRAK Anak Penyandang Disabilitas Intelektual (APDI) memiliki keterbatasan dalam kapasitas kardiorespirasi dan kemampuan motorik kasar yang berdampak pada kemandirian serta partisipasi sosial. Kegiatan ini bertujuan untuk mengimplementasikan video edukasi stretching dan pernapasan berbasis karate adaptif guna meningkatkan fungsi kardiorespirasi dan keterampilan motorik APDI. Program dilaksanakan di Yayasan Asih Budi dengan melibatkan 21 peserta, guru pendamping dan intruktur karate. Intervensi dilakukan melalui pemutaran video edukasi berdurasi lima menit yang menampilkan gerakan stretching dasar karate adaptif, disertai latihan pernapasan dan praktik karate sederhana. Evaluasi dilakukan melalui observasi peserta dan wawancara terhadap guru dan intruktur karate menilai efektivitas media serta respon anak. Hasil menunjukkan bahwa video edukasi meningkatkan antusiasme dan keterlibatan peserta. Gerakan sederhana seperti mengangkat tangan dan menarik napas dapat diikuti dengan baik, namun transisi cepat dari berdiri ke duduk menjadi tantangan bagi sebagian peserta. Instruksi verbal terbukti penting dalam membantu pemahaman dan fokus. Guru menilai video efektif sebagai media pembelajaran, namun perlu penyesuaian tempo dan pengulangan gerakan. Implementasi video edukasi stretching dan pernapasan berbasis karate adaptif terbukti efektif untuk meningkatkan koordinasi gerak, kebugaran, dan kepercayaan diri APDI. Kombinasi media audiovisual dan bimbingan verbal menjadi strategi pembelajaran yang potensial bagi anak dengan disabilitas intelektual. Kata Kunci: Disabilitas Intelektual, Video Edukasi, Kardiorespirasi, Karate Adaptif, Motorik Kasar.  ABSTRACT Children with Intellectual Disabilities (ID) often experience limitations in cardiorespiratory capacity and gross motor skills, affecting their independence and social participation. This activity aimed to implement an educational video on adaptive karate-based stretching and breathing to improve cardiorespiratory function and motor coordination. The programme was conducted at Yayasan Asih Budi, involving 21 participants, teachers and Karate instructor. The intervention consisted of a five-minute educational video demonstrating adaptive karate stretching movements, followed by breathing and basic karate exercises. Evaluation was conducted through participants observation and interviews with teachers and Karate instructor to assess effectiveness and engagement. The educational video increased enthusiasm and participation among participants. Simple movements, such as hand lifting and breathing, were well-followed, though faster transitions from standing to sitting posed challenges. Verbal guidance played a key role in maintaining understanding and attention. Teachers found the video effective as a learning medium but recommended slower pacing and repeated movements. The implementation of an adaptive karate-based stretching and breathing video proved effective in improving motor coordination, fitness, and confidence among children with intellectual disabilities. Combining audio visual materials with verbal guidance presents a promising approach to inclusive learning. Keywords: Intellectual Disability, Educational Video, Cardiorespiratory, Adaptive Karate, Gross Motor Skills.