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PERBANDINGAN EFEKTIVITAS PROPRIOCEPTIVE NEUROMUSCULARFACILITATION TERHADAP MUSCLE ENERGY TECHNIQUE PADA MECHANICAL NECK PAIN:A RANDOMIZED CONTROLLED TRIAL Satria Nugraha, Made Hendra; Juni Antari, Ni Komang Ayu; Saraswati, Ni Luh Putu Gita Karunia
Jurnal Vokasi Indonesia Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Neck pain is a problem that often occurs in populations. One of them is mechanical neck pain (MNP). The clinical manifestation of MNP include: pain, range of motion limitation, muscle spasm and also accompanied by weaknesses in deep cervical muscles, and neck disabilities that interfere with the function of daily activities. The purpose of this study is to determine the differences in the effectiveness of the addition of proprioceptive neuromuscular facilitation (PNF) to muscle energy technique (MET) in a combination of ultrasound therapy (UST) and neck stabilization exercise (NSE). This research is a randomized controlled trial with pre and post-test control group design. The number of study participants in both groups is 24 respondents. In the control group (n = 12) were given UST, NSE, and PNF while in the treatment group (n = 12) were given UST, NSE, and MET. The outcome measure of this study include: movement pain is measured by visual analogue scale, lateral flexion cervical range of motion is measured by a goniometer, and neck disability is measured by the Indonesian version of the Northwick park neck pain questionnaire. Based on the results of the study, it can be concluded that: (1) The combination of UST + NSE + MET significantly reduces pain in MNP (p = 0,000), (2) the combination of UST + NSE + MET significantly increases the range of motion in MNP (p = 0,000), and (3) there is no significant difference between the control and treatment groups in reducing neck disability in MNP (p = 0.409).
The Effect of Muscle Spasticity and Gross Motor Function on Quality of Life of Spastic Cerebral Palsy Children Dewi, Putu Putri Ayu Lianita; Saraswati, Ni Luh Putu Gita Karunia
Kinetic and Physiotherapy Comprehensive Vol 3 No 2 (2024): Volume 3 No. 2 August 2024
Publisher : PT. Kesehatan Gerak Fungsi Tubuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62004/kpc.v3i2.50

Abstract

Background: Children with cerebral palsy (CP) frequently have this handicap. One prevalent kind of CP is spastic CP. Children with spastic cerebral palsy (CP) often have elevated muscle tone, paresis, spasticity, muscle weakness, and impaired motor control, which can impair everyday activities and gross motor functioning. Children with spastic CP may have a lower quality of life as a result of these issues. This research attempts to ascertain how children with spastic cerebral palsy (CP) perceive their quality of life in relation to muscular spasticity and gross motor performance.  Methods: This study used a literature review with secondary data from research journal reviews in Indonesian and English. The search for research journals was accessed through Google Scholar and Pubmed databases with a minimum of Sinta or Scopus indexing. Journals were selected based on inclusion and exclusion criteria. The keywords used for this research journal search were “spastic cerebral palsy children”, “gross motor functional”, “spasticity”, “QoL”, and “quality of life”. Results: Quality of life in children with spastic CP depends on the type of spastic CP and the severity of spasticity. Children with high levels of spasticity and severe gross motor function impairment tend to have poorer quality of life compared to spastic CP with mild gross motor function impairment and low levels of spasticity. Conclusion: The level of spasticity and poor gross motor function probably affect the quality of life in spastic CP children.
Validity and reliability of the ABC-6 Scale Questionnaire: Cross-cultural adaptation study among Pejeng Village elders Mutia Pramesti, Anak Agung Istri Queen; Puspa Negara, Anak Agung Gede Angga; Saraswati, Ni Luh Putu Gita Karunia; Vittala, Govinda
Majalah Ilmiah Fisioterapi Indonesia Vol 12 No 3 (2024): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor and Profession of Physiotherapy Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/mifi.2024.v12.i03.p03

Abstract

Introduction: The percentage of the elderly population in Bali increased to 12.47% in 2020, leading to heightened risks and fear of falling with age. One measure to assess fear of falling is the ABC-6 Scale, which gauges self-confidence in maintaining body balance. A well-measured instrument requires good validity and reliability. Testing the validity and reliability of the questionnaire is essential to demonstrate its usefulness in measuring fear of falling and screening fall risks in the future. Methods: This study employed a descriptive survey method to assess content validity using expert evaluation and a cross-sectional design with a purposive sampling technique involving 49 subjects. Validity testing utilized Pearson product-moment correlation for construct validity and Content Validity Index for content validity assessment. Reliability testing employed Cronbach's alpha to assess internal consistency. Results: The analysis revealed good construct validity values (0.509-0.823) and excellent content validity index scores (S-CVI/Ave=0.98). Reliability analysis using Cronbach's alpha demonstrated good reliability (0.775). Conclusion: The modified Indonesian version of the ABC-6 Scale is valid and reliable for screening and evaluating fear of falling among older people. Keywords: cross-cultural adaptation, Indonesia, ABC-6 Scale questionnaire, reliability, validity
Duration of Mejejaitan and the Risk of De Quervain's Tenosynovitis Among Banten Artisans in Gianyar Regency Wona, Yohana Virani; Saraswati, Ni Luh Putu Gita Karunia; Sugiritama, I Wayan; Andayani, Ni Luh Nopi
Majalah Ilmiah Fisioterapi Indonesia Vol 12 No 3 (2024): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor and Profession of Physiotherapy Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/mifi.2024.v12.i03.p13

Abstract

Introduction: Religious rituals in Balinese Hinduism involve numerous ceremonies with offerings called banten. An essential stage in making Banten is mejejaitan, where artisans use staplers instead of bamboo skewers in crafting. However, prolonged use of staplers and highly repetitive behaviour can increase the risk of de Quervain's tenosynovitis. This study aims to determine the relationship between the duration of mejejaitan and the risk of developing de Quervain's tenosynovitis among Banten artisans in Gianyar Regency. Methods: This observational study used a cross-sectional approach, with purposive sampling yielding 88 subjects. The independent variable was the duration of mejejaitan, while the dependent variable was de Quervain's tenosynovitis. Data collection was conducted through direct interviews to gather information about the duration of mejejaitan. Additionally, specific tests such as the WHAT test were performed to assess the risk of de Quervain's tenosynovitis, and pain intensity was measured using the NRS. Results: Data analysis using the Spearman rho test yielded a p-value of 0.018, indicating a relationship between the duration of mejejaitan and the risk of de Quervain's tenosynovitis. The correlation coefficient r of 0.251 showed a positive correlation, suggesting a direct relationship with a low correlation strength. Conclusion: The longer the duration of mejejaitan without rest, the higher the risk of developing de Quervain's tenosynovitis. Keywords: de Quervain's tenosynovitis, mejejaitan, Banten artisans
Duration of Work and Body Position on Carpal Tunnel Syndrome among BNI Employees in Denpasar City Sancitawati, Ida Ayu Diah; Saraswati, Ni Luh Putu Gita Karunia; Juhanna, Indira Vidiari; Pramita, Indah
Majalah Ilmiah Fisioterapi Indonesia Vol 12 No 3 (2024): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor and Profession of Physiotherapy Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/mifi.2024.v12.i03.p06

Abstract

Introduction: Typing activities at work involving repetitive movements with static body posture, if not adequately addressed, can lead to Carpal Tunnel Syndrome (CTS). Data from the National Health Interview Study (NHIS) shows that the incidence rate of CTS in the general population is 2.6 million. Bank employees are one of the professions prone to CTS due to their computer typing activities. This study aims to determine the relationship between the duration of work and body position during typing and the occurrence of CTS among computer users at BNI in Denpasar City. Methods: This study used a cross-sectional study design and purposive sampling technique for subject recruitment. The total sample size in this study was 86 BNI employees who use computers in Denpasar City. Data collection was conducted through interviews to determine the duration of work and specific examinations such as Phalen’s and Tinel’s tests, and researchers measured the body position of employees during typing using the Rapid Upper Limb Assessment (RULA). Results: The chi-square test analysis yielded a p-value of 0.039, indicating a relationship between the duration of work and the occurrence of CTS, and a p-value of 0.002, indicating a relationship between body position during typing and CTS. Conclusion: The study concludes that there is a relationship between the duration of work and body position during typing and the occurrence of CTS among computer users at BNI in Denpasar City. Providing ergonomic training and education by the institution, managing work time and modifying workstations, followed by light stretching by the subjects, can reduce the risk and severity of CTS occurrences. Keywords: carpal tunnel syndrome, duration of work, body position during typing
The Relationship between Work Attitudes and Complaints of Musculoskeletal Pain in Laundry Workers Chandrayana, Made Handy; Widnyana, Made; Antari, Ni Komang Ayu Juni; Saraswati, Ni Luh Putu Gita Karunia
FISIO MU: Physiotherapy Evidences Vol. 5 No. 2 (2024): Personalized Physiotherapy
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v5i2.4858

Abstract

Introduction: Musculoskeletal pain complaints are complaints in the form of mild to severe pain due to joints, ligaments, tendons, and skeletal muscles disorders. One of the factors causing complaints of musculoskeletal pain is ergonomics or work posture. Jobs that has a high risk of experiencing musculoskeletal pain complaints is the laundry business because the work activities are carried out with poor work postures such as twisting, bending and repeating for a long time. This research aims to understand the correlation between work postures and musculoskeletal pain complaints, especially in laundry workers. Methods: This research applies a cross sectional approach in analytical observational method. Sampling used purposive sampling technique with a sample of 47 people. Work posture was measured using the Ovako Work Posture Analysis System (OWAS), while musculoskeletal pain complaints were measured using the Nordic Body Map (NBM) questionnaire. Results: Based on the results of the non-parametric spearman rank analysis test, the value obtained was ρ=0.002 (ρ<0.05) and the correlation coefficient r=0.441. Conclusion: Based on the research results, it can be concluded that there is a significant relationship, sufficient strength, and the same direction between work postures and musculoskeletal pain complaints among laundry workers in Denpasar, Bali
Towel Curl Exercise Meningkatkan Keseimbangan Dinamis pada Anak dengan Flat Foot Pramita, Indah; Andayani, Ni Luh Nopi; Saraswati, Ni Luh Putu Gita Karunia
Jurnal Kesehatan Terpadu Vol. 9 No. 2 (2025): Jurnal Kesehatan Terpadu
Publisher : LPPM Universitas Dhyana Pura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36002/jkt.v9i2.4854

Abstract

Flat foot atau telapak kaki datar merupakan kelainan muskuloskeletal yang ditandai dengan tidak terbentuknya arcus pedis akibat kelemahan otot intrinsik kaki. Arcus pedis memiliki peran biomekanis penting sebagai penopang berat badan dan sebagai daya ungkit (lever arm) dalam aktivitas lokomotorik. Gangguan fungsi arcus dapat menyebabkan penurunan stabilitas postural dan keseimbangan dinamis. Penelitian ini bertujuan untuk menganalisis pengaruh towel curl exercise dalam meningkatkan keseimbangan dinamis pada anak dengan kondisi flat foot. Metode yang digunakan dalam penelitian ini adalah pre eksperimental design dengan rancangan penelitian one group pretest-posttest dengan jumlah sampel sebanyak 10 anak. Intervensi berupa towel curl exercise. Towel curl exercise diberikan pada anak dengan menginstruksikan anak mencengkram handuk kecil dengan menggunakan jari kaki dalam posisi duduk, kemudian memindahkan handuk ke dalam wadah yang telah disediakan. Latihan diberikan selama 4 minggu, dengan frekuensi 3 kali per minggu dan setiap sesi terdiri atas 10 repetisi per set, diulang sebanyak 2 set . Penilaian keseimbangan dinamis dapat dilakukan dengan diagonal dynamic balance test. Hasil penelitian menunjukkan rerata nilai pre-test sebesar 44,50 dan post-test sebesar 54,00. Uji hipotesis dengan paired sample t-test menghasilkan nilai signifikansi 0,001 (p<0,05), yang menandakan adanya perbedaan bermakna antara sebelum dan sesudah intervensi. Selisih rata-rata peningkatan keseimbangan dinamis tercatat sebesar 21,34%. Kesimpulan penelitian ini adalah towel curl exercise terbukti efektif meningkatkan keseimbangan dinamis pada anak dengan kondisi flat foot.