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Effectiveness of Integrated Physical Exercise Program on Physical Function, Metabolic Health, and Quality of Life in Pre-Elderly With Musculoskeletal Complaints Widanti, Herista Novia; Dwi Yuliani, Resta; Anjasmara, Bagas
JURNAL PROFESIONAL FISIOTERAPI Vol. 5 No. 1 (2026): Januari
Publisher : Universitas Muhammadiyah Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/fisioterapi.v5i1.9826

Abstract

Introduction: Musculoskeletal complaints are prevalent among pre-elderly individuals, affecting physical function, increasing metabolic risks, and reducing quality of life. Structured and integrated exercise programs tailored for this population remain limited. Objective: This study aimed to evaluate the effects of an Integrated Physical Exercise Program (IPEP) on physical function, metabolic parameters, and quality of life in a pre-elderly individual with musculoskeletal complaints. Methods: A single-subject (N-of-1) design was used. A 46-year-old woman participated in an eight-week IPEP conducted at the Sports Physiotherapy Laboratory of Universitas Muhammadiyah Sidoarjo. Assessments included balance, muscle strength, flexibility, cardiorespiratory fitness, metabolic markers, musculoskeletal symptoms, and quality of life. Results: After the intervention, improvements were observed in balance, muscle strength, flexibility, and VO₂max. Metabolic indicators such as blood pressure, glucose, cholesterol, and uric acid showed favorable changes. Musculoskeletal pain areas decreased, and quality of life scores increased, particularly in physical and psychological domains. Conclusion: The IPEP was effective in enhancing physical function, metabolic health, and quality of life in a pre-elderly individual with musculoskeletal issues. This program has potential as a feasible community-based preventive strategy.
Analisis Faktor Penyebab Ketidakakuratan Kode Diagnosis Cedera di Rumah Sakit 'Aisyiyah Siti Fatimah Tulangan Yuliani, Resta Dwi; Ariani, Suci; Widanti, Herista Novia
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 7 No 1 (2025): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v7i1.6567

Abstract

The accuracy of diagnostic and medical procedure coding depends on the completeness and clarity of information in medical records. A preliminary survey of 59 inpatient records showed that 23 were coded accurately, while 36 were inaccurate. This study aims to analyse factors contributing to inaccurate injury diagnosis coding at RS ‘Aisyiyah Siti Fatimah Tulangan. A descriptive design was used, with data collected through observation and interviews. Observations were conducted on 100 inpatient medical records of injury cases, and interviews involved two coders. The results showed that the fourth-character coding was accurate in 96 records (96%) and inaccurate in 4 records (4%), mainly due to non-specific diagnoses documented by physicians. For the fifth character, 53 records (53%) were coded accurately and 47 records (47%) inaccurately, primarily because the documentation did not specify whether the injury was open or closed. No records (0%) included accurate external cause codes, while all records (100%) were inaccurate, largely due to limited coder knowledge and the fact that coders were not trained medical record professionals. Hospitals are advised to improve clinical documentation, provide regular disease coding training, and strengthen collaboration between coders and physicians to enhance coding accuracy.