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All Journal Jurnal Pengabdian Masyarakat Medika Journal of Prosthetics Orthotics and Science Technology (JPOST) Poltekita: Jurnal Ilmu Kesehatan
Ningsih, Cica Tri Mandasari
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Dentistry Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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The Effect Insole Usage on Children Balance with Flatfoot Condition Narastiti, Kerub Dion Sihwening; Dwi Setyawan, Dwi; Ningsih, Cica Tri Mandasari
Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 2 (2023): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v2i2.1244

Abstract

Background: Flatfoot conditions cause children to experience balance problems due to musculoskeletal disorders of the foot. Cases of flatfoot are prevalent in many children and can interfere with their growth and development, potentially reducing their quality of life in the future. Therefore, efforts are needed to improve children's balance. This study aims to determine whether the usage of insoles has an effect on the balance of children with flatfoot conditions at Banyuanyar 3 Elementary School. Methods and Subjects: By implementing gross motor training for children and utilizing arch support insoles, the study seeks to enhance children's balance ability. The research design is a quantitative experimental design with Randomized Controlled Trials (RCT), employing Single Blinding, and data collection through Pre-test and Post-test. The purposive sampling technique was used, with an intervention period of 30 days. The subjects included students from SD Negeri Banyuanyar 3, with a selected sample of 30 children from a population of 119 with flatfoot conditions. Standard interventions, such as rhythmic gymnastics, function as efforts to improve children's balance abilities and are applied to both the control and intervention groups, each comprising 15 children. The Pediatric Balance Scale (PBS) was used in this study to measure the level of functional balance in children. Results: The Wilcoxon test results for the treatment group indicated a P-value of 0.002 (<0.05), signifying a difference in balance ability between the pre-test and post-test in the treatment group. This indicates an improvement in balance among children using EVA insoles. Conversely, the control group's test results showed a P-value of 0.067 (P>0.05), suggesting no difference in balance ability between the pre-test and post-test in the control group. Therefore, based on this study, it can be concluded that the use of EVA insoles with arch support was found to improve the balance of children with flatfoot conditions.
Randomized Controlled Trial: Effectiveness of Ankle Support in Reducing Ankle Sprain Pain in Futsal Players Ningsih, Cica Tri Mandasari; Septiani , Anissa Eka
Journal of Prosthetics Orthotics and Science Technology Vol. 3 No. 1 (2024): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v3i1.1371

Abstract

Background: Many people worldwide engage in sports as a hobby, for health training, work, fitness, and relaxation. However, physical activity can also lead to injuries, as can workplace accidents, traffic incidents, and mishaps at home. One common injury is an ankle sprain, particularly prevalent among highly active individuals. Several treatments are available for ankle injuries, with conservative early intervention being the preferred approach. The RICE method (Rest, Ice, Compression, and Elevation) is commonly employed initially, which can be supplemented with protection and rehabilitation to form the PRICE regimen. Protection involves immobilization, which aids in pain and swelling reduction. Additionally, medications play a role in alleviating pain and swelling. Following conservative treatment, functional intervention utilizing external support is often employed to enhance ankle joint function and stability. In cases where conservative measures fail to yield satisfactory results, surgical intervention may be necessary to improve joint stability. Aims: This study aims to assess the effectiveness of ankle support in alleviating pain among futsal players who have sustained ankle sprains. Methods: The research adopts an experimental design, specifically a randomized controlled trial (RCT), employing simple randomization to form two groups: the control group and the treatment group. Results: Non-parametric tests utilizing the Mann-Whitney Test yielded a probability value of 0.693 (> 0.05), leading to the rejection of the hypothesis. Conclusion: Consequently, the study's findings indicate no significant difference in pain reduction between futsal players who use ankle support and those who do not follow ankle sprains.
Differences in Walking Speed of SACH Foot And Single Axis Foot in Transtibial Prosthesis User Suprayogi, Dody; Ningsih, Cica Tri Mandasari
Journal of Prosthetics Orthotics and Science Technology Vol. 3 No. 2 (2024): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v3i2.1861

Abstract

Background: Lower limb amputation causes disruption of limb function, one of which is the ability to walk. One of the walking aids that can be used is a transtibial prosthesis. A transtibial prosthesis consists of a socket, shank and foot components. The choice of foot type and the use of a transtibial prosthesis is one of the factors that influence walking speed. SACH foot and single axis foot are the types of foot that are often used by prosthesis users Aims: To determine the difference in walking speed of SACH Foot and Single Axis Foot in transtibial prosthesis users. Method and Subjects: Using quantitative research, observational method with cross sectional design. The subjects of this research were users of transtibial prosthesis type SACH foot and single axis foot. The sample for this study consisted of 28 people. The measuring instruments used in this research are 10 MWT (Meter Walk Test). Results: Based on statistical tests, the results showed that there were differences in walking speed between SACH foot and single axis foot type transtibial prosthesis users. Where the p value <0.05 is 0.000 with an effect size of 0.81, which means it has a high or strong difference effect. Conclusion: There is a difference in walking speed, namely the walking speed of users of single axis foot transtibial prosthesis is faster than SACH foot. So, it is recommended to prefer using a single axis foot in users of transtibial prosthesis, especially at moderate activity levels. The limitations of this research are that there are not many subjects and the foot types are less diverse. Future research can be developed with other types of foot prosthesis and measurement of gait parameters
EDUKASI DAN IMPLEMENTASI PEMBERIAN PROSTHESIS PADA PASIEN PASCA AMPUTASI TRANSTIBIAL AKIBAT DIABETES MELITUS Suprayogi, Dody; Ningsih, Cica Tri Mandasari
Jurnal Pengabdian Masyarakat Medika Vol 6. No. 1, Maret 2026
Publisher : Universitas Muhamamdiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRAK Diabetes melitus merupakan penyakit metabolik kronis yang prevalensinya terus meningkat dan berpotensi menimbulkan berbagai komplikasi serius, salah satunya amputasi ekstremitas bawah. Amputasi transtibial dapat menyebabkan keterbatasan fungsi dan menurunkan kualitas hidup penyandang disabilitas. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan edukasi serta implementasi pemberian transtibial prosthesis kepada pasien pasca amputasi transtibial akibat diabetes melitus guna meningkatkan kemandirian dan kemampuan fungsional. Metode pelaksanaan kegiatan meliputi edukasi kesehatan, pemeriksaan dan asesmen pasien, pembuatan transtibial prosthesis, serta pelatihan penggunaan dan perawatan prosthesis. Hasil kegiatan menunjukkan bahwa penerima prosthesis mampu melakukan aktivitas berjalan dengan lebih mandiri, meningkatkan kepercayaan diri, serta memahami pentingnya perawatan stump dan pengendalian gula darah. Kegiatan ini juga berperan sebagai sarana pengenalan layanan ortotik prostetik kepada masyarakat. Simpulan dari kegiatan ini adalah bahwa edukasi yang disertai dengan pemberian dan pendampingan penggunaan prosthesis dapat meningkatkan kualitas hidup pasien pasca amputasi transtibial akibat diabetes melitus. ABSTRACT Diabetes mellitus is a chronic metabolic disease with an increasing prevalence and serious complications, including lower limb amputation. Transtibial amputation often results in functional limitations and reduced quality of life. This community service activity aimed to provide education and implement transtibial prosthesis provision for patients post transtibial amputation due to diabetes mellitus in order to improve functional independence. The methods included health education, patient assessment, fabrication of transtibial prosthesis, and training on prosthesis use and maintenance. The results showed that prosthesis recipients were able to walk more independently, demonstrated increased self-confidence, and gained better understanding of stump care and blood glucose control. This activity also served as an introduction to orthotic and prosthetic services for the community. In conclusion, education combined with prosthesis provision and usage assistance can effectively enhance the quality of life of patients following transtibial amputation due to diabetes mellitus.
The Relationship Between Body Mass Index (BMI) And Walking Speed in Users of SACH Foot Designed Transtibial Prosthesis Ningsih, Cica Tri Mandasari; Suprayogi, Dody; Syarifah, Syarifah
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4236

Abstract

Background: Walking speed is an important indicator for assessing mobility in prosthesis users. One factor suspected to influence walking speed is Body Mass Index (BMI). This study aims to determine the relationship between BMI and walking speed in transtibial prosthesis users with a SACH (Solid Ankle Cushion Heel) foot design. Methods: This observational study used a cross-sectional approach and was conducted at Klinik Bangkit Kaki Palsu from January to June 2025. A total of 15 subjects were purposively selected from a population of 40 patients who met the inclusion and exclusion criteria. BMI was calculated from body weight and height measurements, while walking speed was assessed using the 10-Meter Walk Test on a 14-meter walkway. Data normality was tested using the Shapiro-Wilk test, and the correlation analysis was performed using the Pearson product-moment test. Results: The majority of subjects were aged 26–35 years (53.3%), male (66.7%), and had a normal BMI (80%). The average walking speed between male and female subjects did not differ significantly. Statistical analysis revealed a significant correlation between BMI and walking speed, with a correlation coefficient of 0.590 and a p-value of 0.020 (p < 0.05), indicating a moderate positive relationship. Conclusion: This study found a significant relationship between BMI and walking speed among transtibial prosthesis users with a SACH foot design. These findings support the importance of considering BMI in prosthesis design and adjustment to enhance walking efficiency and user comfort.
Co-Authors Dwi Setyawan, Dwi Narastiti, Kerub Dion Sihwening Septiani , Anissa Eka Suprayogi, Dody Syarifah Syarifah, Syarifah