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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Mutiara, Rizka
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Medicine & Pharmacology Other

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The Effect of Physiotherapy Manual Traction Techniques on the Western Ontario and McMaster University OA Index (WOMAC) in Knee Osteoarthritis Patients Mutiara, Rizka; Ardinata, Dedi; Fachrina, Ririe; Vytra, Sunna; Lumongga, Firiani
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (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/jkf.v7i2.2466

Abstract

Age-related physical decline increases the risk of various diseases, including degenerative conditions, such as osteoarthritis (OA). OA is a chronic, progressive, multifactorial joint disorder characterized by cartilage deterioration, leading to chronic pain, stiffness, and impaired joint mobility. Knee OA significantly reduces patients' quality of life owing to functional limitations and pain. Manual traction therapy has shown potential in alleviating secondary inflammation in OA by lowering serum interleukin-1? levels and reducing pro-inflammatory cytokines and subchondral bone changes. This study aimed to assess the effect of manual traction physiotherapy on the Western Ontario and McMaster Universities Arthritis Index (WOMAC) in patients with knee OA. The study utilized a one-group pretest-post-test design, involving 36 participants selected through consecutive sampling from patients at the Sembiring Deli Tua Hospital Physiotherapy Clinic and Universitas Sumatera Utara's medical laboratory. Participants (aged 48–69 years, 80.6% female) underwent manual traction therapy twice a week for four weeks. The WOMAC questionnaire was used to evaluate changes in pain, stiffness, and physical function pre- and post-intervention. Statistical analysis using the Wilcoxon test revealed significant improvements across all WOMAC components, with pain scores decreasing from 14.81 to 7.58, stiffness scores from 4.0 to 2.5, and physical function scores from 30 to 23 (p < 0.001). These results demonstrate that manual traction therapy effectively reduces pain and stiffness while enhancing joint function in patients with knee OA.
The Effectiveness of a High-Protein Liquid Dietary Supplementation in Improving Nutritional Status of Malnourished Patients in Hospital Care: a Preliminary Study Simadibrata, Marcellus; Abdullah, Murdani; Witjaksono, Fiastuti; Muzellina, Virly Nanda; Utari, Amanda Pitarini; Wulandari, Yohannessa; Wijayanti, Ari; Mustikarani, Dewi; Haloho, Raja Mangatur; Rachman, Aditya; Simadibrata, Daniel Martin; Mutiara, Rizka; Renaldi, Kaka
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 23, No 1 (2022): VOLUME 23, NUMBER 1, April 2022
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (671.108 KB) | DOI: 10.24871/231202243-51

Abstract

Background: Malnutrition is a very common problem in hospitalized patients. Based on studies conducted in various countries, the prevalence of hospital malnutrition ranges from 20-45%. Hospital malnutrition can occur as a result of insufficient nutrient intake, impaired absorption of nutrients in the gastrointestinal (GI) tract, loss of nutrients due to disease, or increased metabolic requirement during illness. Nutrition is the basis for the healing process as it requires good nutrients through various enzymatic reactions. Some studies have shown that hospital malnutrition increases morbidity, mortality, prolongs the duration of hospitalization, and delays recovery. To improve nutritional status, a high-protein diet can be given. Liquid diet is one of the alternative forms of nutrition because it is easier to swallow.Method: This study was a double-blind randomized controlled trial conducted to assess the effectiveness of high protein liquid dietary supplementation in malnourished hospitalized patients. The patients were assessed for their nutritional status based on ESPEN 2015 criteria. Patients who experienced malnutrition will be divided into 2 groups, namely the control group which was given normal protein liquid diet, while the intervention group was given high protein liquid diet supplementation as much as 2 bottles (200 mL) per day for 7-10 days. Furthermore, the nutritional status of the patient was assessed.Results: By administering high-protein liquid diet supplementation, there was a tendency to increase the strength of the right handgrip in 3 subjects (50%), the tendency to increase body mass index (BMI) in 3 subjects (50%), Subjective Global Assessment (SGA) score improved in 2 subjects with mild/moderate malnutrition (33.3%) and 1 subject with normal nutrition (16.7%), and the tendency to increase the fat-free mass in 3 subjects (50%).Conclusion: The administration of high protein liquid dietary supplementation tended to increase the strength of the right handgrip, BMI, SGA score, and body fat-free mass index.
The Effect Of Anterior Posterior Glide Mobilization Technique And Hold Relax On Functional Activities In Frozen Shoulder Patients In The Physiotherapy Clinic Grandmed Hospital Lubuk Pakam Mutiara, Rizka; Rabiatun Nasution
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: 10.35451/4hsjty29

Abstract

Background: The American Shoulder and Elbow Surgeons defines frozen shoulder as a condition with a specific cause characterized by limited active and passive movement of the shoulder joint due to damage to internal tissues. Physiotherapy modalities that can be applied to this condition include anterior-posterior glide mobilization and hold relax techniques. Objective: This study was to analyze the effect of administering Anterior Posterior Glide Mobilization and Hold Relax on patients with frozen shoulder. Method: Using a quasi-experimental design with two treatment groups and pre-test and post-test measurements, involving 14 respondents. Functional activity assessment was carried out using the SPADI instrument, while data analysis used paired t-test and independent t-test. Results: The study showed a significant difference between the two types of treatment. Conclusion: The administration of Anterior Posterior Glide Mobilization and Hold Relax had a positive effect on increasing functional activity in frozen shoulder patients. Suggestions for future research are expected to involve a larger sample size and a longer intervention duration to obtain more optimal results.
Co-Authors Aditya Rachman, Aditya Amanda Pitarini Utari Ardinata, Dedi - Ari Wijayanti Fachrina, Ririe Fiastuti Witjaksono Haloho, Raja Mangatur Kaka Renaldi Lumongga, Firiani Marcellus Simadibrata Murdani Abdullah Mustikarani, Dewi Muzellina, Virly Nanda Rabiatun Nasution Simadibrata, Daniel Martin Vytra, Sunna Wulandari, Yohannessa