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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 relationship between flat foot and Q-angle in elementary school students Putra, Dewa Gede Gangga Kusuma; Putra, I Putu Yudi Pramana; Saraswati, Ni Luh Putu Gita Karunia; Dewi, Anak Ayu Nyoman Trisna Narta
Physical Therapy Journal of Indonesia Vol. 4 No. 2 (2023): July-December 2023
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v4i2.115

Abstract

Background: Elementary school students have unique characteristics. Each child has their ways of doing their activities. In its activities, of course, there are risks, especially in the lower extremities, namely flat foot, which is the condition of the medial arch treading with the ground or flat due to emphasis on the medial part, excessive or over foot conditions will result in an increase in valgus shape in the knee joint; thus the degree of quadriceps angle (Q-angle) can increase. This study aims to determine the relationship between flat foot and Q-angle in elementary school children in Kusamba Village, Dawan District, Klungkung Regency. Objective: This study aims to determine the relationship between flat feet and Q-angle. Methods: Observational analytical cross-sectional design that uses simple random sampling techniques with a sample of 51 people according to predetermined inclusion and exclusion criteria. Data were collected with a wet footprint test and Clark's angle to find a flat foot and Q-angle with a 360o goniometer. Results: The analysis test results obtained a result of p=0.000 (p<0.05), so it can be explained that there is a significant relationship between flat foot and Q-angle. The results of the spearmen-rho analysis obtained a moderate relationship with the value of the correlation coefficient on the right flat foot with a right Q-angle of 0.527 and the left flat foot with a left Q-angle of 0.597 which means the direction of the relationship is unidirectional. Conclusion: Based on the study's results, it can be concluded that there is a moderate, unidirectional, and meaningful relationship between flat foot and Q-angle in elementary school children in Kusamba Village, Dawan District, Klungkung Regency.
The relationship between analysis of upper limb function, physical activity, and neck pain in wood carvers Wijayani, Ni Nyoman Ryanti; Saraswati, Ni Luh Putu Gita Karunia; Adnyani, Ni Luh Nopi; Antari, Ni Komang Ayu Juni
Physical Therapy Journal of Indonesia Vol. 4 No. 2 (2023): July-December 2023
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v4i2.132

Abstract

Background: Indonesia has a large workforce and frequent work accidents. The work of woodcarving artisans in Ubud village has a high risk of accidents. Neck pain is a common problem these artisans face due to static movements, vibrations, and excessive physical activity. Ergonomics in the work environment is the key to preventing pain and fatigue, but non-ergonomic working positions often occur in wood artisans. Therefore, this study aims to explore the relationship between rapid upper limb assessment (RULA) analysis, physical activity, and complaints of neck pain among woodcarvers. Methods: This type of research is an analytic observational with a cross-sectional design. The sampling technique is total sampling. The number of subjects obtained is 31 people according to predetermined criteria. The instruments used were the International Physical Activity Questionnaire (IPAQ) questionnaire to measure physical activity levels, the RULA form to assess work position, and the Numeric Rating Scale (NRS) questionnaire to measure complaints of neck pain. This study used two techniques, namely univariate and bivariate analysis, using the SPSS program. Results: Based on bivariate analysis using Spearman’s rho non-parametric method on 31 respondents, a significant correlation was found between RULA analysis and complaints of neck pain with a correlation coefficient of 0.55 and also found that there is a significant relationship between physical activity and complaints of neck pain with a correlation coefficient of 0.83. Conclusion: There is a relationship between RULA analysis and complaints of neck pain in woodcarving craftsmen in Ubud Village and there is a relationship between physical activity and complaints of neck pain in complaints of neck pain in woodcarving craftsmen in Ubud Village.
The relationship between body mass index and vertebral rotation deformity in adolescents with idiopathic scoliosis Parmitha, Ida Ayu Jelantik Ari; Kinandana, Gede Parta; Andayani, Ni Luh Nopi; Saraswati, Ni Luh Putu Gita Karunia
Physical Therapy Journal of Indonesia Vol. 5 No. 1 (2024): January-June 2024
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v5i1.185

Abstract

Background: Vertebral rotational deformity is a change in the structure and shape of the spine that can be seen when observed from the transverse plane. Abnormal body mass index can affect vertebral rotational deformity in adolescents with adolescent idiopathic scoliosis. This study aimed to determine the relationship between body mass index and vertebral rotation deformity in adolescents with adolescent idiopathic scoliosis.Methods: The study used an observational analytic approach with a cross-sectional approach. The study used the sampling technique of simple random sampling and obtained 90 samples. Data was collected by measuring body mass index (BMI) and vertebral rotation deformity. BMI values were obtained by measuring body weight divided by square meters of height, while the Adam forward bending test measured the vertebral rotational deformity using a scoliometer. Results: Based on the Spearman Rho non-parametric analysis test, the p-value = 0.000 (p < 0.05) and the correlation coefficient r = 0.657, meaning it has a fairly strong correlation level. Conclusion: Based on the study's results, it can be concluded that there was a relationship between BMI and vertebral rotation deformity in adolescents with idiopathic scoliosis.
The correlation between generalized joint hypermobility and musculoskeletal disorders in female dancers Nadila Sari, Putri; Saraswati, Ni Luh Putu Gita Karunia; Winaya, I Made Niko; Wirawan, I Made Ady
Physical Therapy Journal of Indonesia Vol. 5 No. 2 (2024): July-December 2024
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v5i2.208

Abstract

Background: Bali is a popular tourist destination because of its unique culture. One of its unique features is the Balinese dance, which is used to welcome guests, perform arts, and perform religious ceremonies. Many Balinese dancers experience generalized joint hypermobility (GJH) without realizing it, which may have a negative impact on them, especially if they have a problem of musculoskeletal pain. Methods: This research used an analytical observational design of a cross-sectional study. This study employed the sampling technique of purposive technique with a total sampling method. The inclusion criteria for this study were traditional Balinese dancers living in Denpasar city, female, aged 14-20, and having dancing experience more than 1 year. Exclusion criteria were subjects after surgery for fractures or other musculoskeletal injuries in the upper or lower extremities, subjects with signs of acute inflammation in the joints, and those unwilling to be research subjects. The number of samples was calculated using the lame show formula, and 85 samples were obtained. Data was collected by measuring GJH and musculoskeletal disorders using the Nordic body map questionnaire. Results: Based on the bivariate analysis test with Spearman's rho, p-value = 0.000 (p < 0.05) was obtained for the two independent variables with a correlation coefficient of r = 0.797. Conclusion: Based on the research results, it can be concluded that there is a relationship between GJH and MSDs in the Balinese dancer population in Denpasar City.
Validation of the Indonesian version of Western Ontario and McMaster Universities osteoarthritis index in pre-elderly and elderly with osteoarthritis Hartana, Pande Made Yosira; Saraswati, Ni Luh Putu Gita Karunia; Utama, Anak Agung Gede Eka Septian; Kamayoga, I Dewa Gede Alit
Physical Therapy Journal of Indonesia Vol. 5 No. 2 (2024): July-December 2024
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v5i2.215

Abstract

Background: This study aimed to examine the psychometric performance of the Western Ontario and McMaster Universities osteoarthritis index (WOMAC) version Indonesia used in pre-elderly and older adults in Indonesia with knee osteoarthritis and hip osteoarthritis. Methods: This study obtained samples from 124 pre-elderly and elderly individuals affected by knee and hip osteoarthritis in the Denpasar, Badung, and Gianyar areas to check the reliability and validity of the Indonesia WOMAC from Karsten et al. (2019). Knee and hip osteoarthritis were examined using the American College of Rheumatology (ACR) clinical criteria. Results: The Indonesian WOMAC was valid with a score of (0.809-0.964) for knee osteoarthritis, (0.870-0.982) for hip osteoarthritis, and (0.744-0.944) for knee osteoarthritis and hip osteoarthritis. It is reliable with Cronbach’s alpha score of (α = 0.992) for knee osteoarthritis, (α = 0.996) for hip osteoarthritis, and (α = 0.980) for knee osteoarthritis and hip osteoarthritis in pre-elderly and elderly patients. Conclusion: Based on the research results, the Indonesian WOMAC was valid and reliable for knee and hip osteoarthritis and is used in pre-elderly and elderly patients.
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