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The Relationship Between Working Duration and Forward Head Posture Karang, Ni Nyoman Melani; Kadek Dwi Pradnya Lestari
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.531

Forward head posture refers to the anatomical alignment of the head positioned anteriorly to the shoulders. An imbalance in the muscles of the cervical region characterizes this disorder. This phenomenon can be attributed to multiple variables, one of which pertains to the length of the work period. This investigation seeks to establish the relationship between working duration and forward head posture. This research method uses a cross-sectional analytic observational study design that was carried out from February to March 2023 in Gianyar. The study employed a sample size of 60 individuals, selected by the utilisation of a basic random sampling methodology. The CVA measurement uses the MB Ruler, and the duration of work is measured with a self-report questionnaire. Data analysis in this study used the SPSS version 24 application with bivariate tests using Chi Square and Spearman's rank tests. The findings of this study revealed a statistically significant association between work duration and forward head posture, as indicated by a p-value of 0.012 (p < 0.05). The findings of this study indicate a statistically significant correlation between the duration of employment and the occurrence of forward head posture.

The Relationship Between Working Duration and Forward Head Posture Karang, Ni Nyoman Melani; Kadek Dwi Pradnya Lestari
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.531

Forward head posture refers to the anatomical alignment of the head positioned anteriorly to the shoulders. An imbalance in the muscles of the cervical region characterizes this disorder. This phenomenon can be attributed to multiple variables, one of which pertains to the length of the work period. This investigation seeks to establish the relationship between working duration and forward head posture. This research method uses a cross-sectional analytic observational study design that was carried out from February to March 2023 in Gianyar. The study employed a sample size of 60 individuals, selected by the utilisation of a basic random sampling methodology. The CVA measurement uses the MB Ruler, and the duration of work is measured with a self-report questionnaire. Data analysis in this study used the SPSS version 24 application with bivariate tests using Chi Square and Spearman's rank tests. The findings of this study revealed a statistically significant association between work duration and forward head posture, as indicated by a p-value of 0.012 (p < 0.05). The findings of this study indicate a statistically significant correlation between the duration of employment and the occurrence of forward head posture.

REVIEW LITERATUR: ADAPTASI FISIOLOGIS TERHADAP LATIHAN BLOOD FLOW RESTRICTION PADA INDIVIDU DENGAN KNEE OSTEOARTHRITIS Adyasputri, A A I Ayesa Febrinia; Karang, Ni Nyoman Melani; Raini, Putu Ayu Meka
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.v9i2.4440

Osteoarthritis (OA) merupakan salah satu gangguan muskuloskeletal yang paling sering dijumpai, terutama pada populasi usia lanjut, ditandai dengan kerusakan struktural sendi dan penurunan fungsi fisik. Terdapat latihan blood flow restriction yang dapat digunakan sebagai alternatif latihan dengan pendekatan latihan beban rendah yang tetap memberikan efek terhadap adaptasi otot. Metode yang digunakan dalam studi ini yaitu review literature yang mencakup proses pencarian dan analisis berbagai referensi yang relevan dengan topik melalui basis data. Berdasarkan studi sebelumnya, pemberian latihan blood flow restriction dapat memberikan adaptasi fisiologis pada peningkatan kekuatan dan massa otot, aktivasi serat otot tipe II, peningkat hormon anabolik, serta perbaikan fungsi sendi dan penurunan nyeri sehingga latihan blood flow restriction metode intervensi yang efektif dan aman bagi individu dengan knee osteoarthritis (OA), terutama pada populasi lanjut usia.

Efektivitas Scapular Stabilization Exercise pada Forward Head Posture : Literature Review Karang, Ni Nyoman Melani; Adyasputri, A A I Ayesa Febrinia; Antyesti, Aryaning Dwi; Diahputri, Ni Made Nuari
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.v9i2.4441

Background: Musculoskeletal disorders are among the health problems increasingly observed across various age groups. One of the commonly encountered conditions is forward head posture (FHP). This condition has the potential to cause postural deviations, functional limitations, and musculoskeletal pain. Exercise therapy is a widely used approach to address FHP. Specifically, Scapular Stabilization Exercise (SSE) is a training method that can improve postural alignment and reduce associated symptoms. This literature review aims to analyze the effects of SSE on individuals with FHP based on findings from relevant research studies. Methods: This article was developed using a literature review methodology, which involved searching and examining various sources related to the topic obtained through databases such as Google Scholar, PEDro, and PubMed. A total of five articles were reviewed for this study. Results: Based on previous research, SSE can be an effective exercise therapy option for individuals with FHP. Conclusion: Scapular Stabilization Exercise (SSE) has proven effective as an exercise therapy approach for FHP. This intervention is known to increase Cervical Vertebral Angle (CVA), and reduce pain and disability in the short term.

Optimalisasi Kesadaran Postur Tubuh dan Penggunaan Gadget Sehat dalam Pencegahan Forward Head Posture Anak Sekolah Mulyoto, Raufina Riandhani; Karang, Ni Nyoman Melani; Adyasputri, A A I Ayesa Febrinia; Wicaksana, Hendika Dwinanda
Jurnal Pengabdian Masyarakat (JUDIMAS) Vol. 4 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/judimas.v4i1.779

Forward Head Posture (FHP), also known as "text neck," has become an increasingly prevalent postural issue among school-aged children due to the non-ergonomic use of electronic devices. This condition, characterized by an abnormal forward projection of the head, places chronic stress on the cervical spine, leading to various complaints such as neck pain, headaches, and reduced respiratory function. In response, a community outreach program was implemented to optimize postural awareness and promote healthy gadget usage habits. The intervention employed an educational and participatory methodology, including interactive sessions, demonstrations of correct posture, and hands-on practice of stretching exercises to alleviate muscle tension. The program's success was quantitatively evaluated by comparing pre-test and post-test results to assess the students' level of knowledge and awareness. The findings revealed a significant improvement, with student comprehension scores increasing dramatically following the intervention. While a majority of students initially demonstrated a low understanding of ergonomic principles, a substantial increase in knowledge was observed post-program. This outcome confirms that an educational approach combined with practical application is highly effective in instilling the awareness and skills necessary for FHP prevention, underscoring the importance of early intervention for the musculoskeletal health of the digital generation.

Effectiveness of Multicomponent Elderly Exercise on Balance and Fall Risk: SKILAS-based Screening in West Lombok Elderly Schools Supinganto, Agus; Mulyoto, Raufina Riandhani; Metri, Ni Ketut; Karang, Ni Nyoman Melani; Adyasputri, A A I Ayesa Febrinia; Hidayatullah, M. Syarif
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 16 No. 1 (2026): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Sekolah Tinggi Ilmu Kesehatan YARSI Mataram

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

Background: Falls are a major public health problem among older adults, leading to injuries, disability, and loss of independence. Community-based exercise programs are recommended as a preventive strategy. Objective: This study aimed to evaluate the effectiveness of a 4-week multicomponent elderly exercise program on balance and fall risk among Elderly School participants in West Lombok, Indonesia. Methods: A quasi-experimental one-group pretest–posttest design was conducted in February 2025 in Gunungsari, Mambalan Village. Sixty older adults aged ≥60 years were recruited using purposive sampling. Balance and fall risk were assessed using the Berg Balance Scale (BBS) and Timed Up and Go (TUG), while functional status was recorded using the SKILAS form. The intervention consisted of multicomponent exercise sessions conducted twice weekly for four weeks (eight sessions). Paired t-test or Wilcoxon signed-rank test was applied for continuous variables, and McNemar or chi-square test for categorical outcomes. Statistical significance was set at α = 0.05, with effect sizes and 95% confidence intervals (CI) reported. Results: Mean BBS scores significantly increased from 38.5 (95% CI: 37.42–39.58) at baseline to 45.7 (95% CI: 44.72–46.68) post-intervention, indicating a mean improvement of 7.2 points (p < 0.001; Cohen’s d ≈ 0.72). The proportion of participants at risk of falls decreased from 40% (24/60; 95% CI: 28.6–52.6%) to 18% (10/60; 95% CI: 9.3–28.0%), representing an absolute reduction of 22 percentage points (p = 0.002). Conclusion: A 4-week multicomponent elderly exercise program significantly improved balance and reduced fall risk among older adults. This intervention is recommended for routine implementation in Elderly Schools and primary healthcare settings as a practical and effective fall-prevention strategy.

Efektivitas Kombinasi Short Foot Exercise dan Gluteus Strengthening Exercise pada Flexible Flat Foot : Literature Review Karang, Ni Nyoman Melani; Aryaning Dwi Antyesti
Jurnal Kesehatan Terpadu Vol. 10 No. 1 (2026): Jurnal Kesehatan Terpadu
Publisher : LPPM Universitas Dhyana Pura

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

Latar Belakang: Flat foot atau pes planus merupakan suatu kondisi dimana medial longitudinal arch (MLA) pada kaki lebih datar yang dapat terjadi pada anak, remaja maupun dewasa. Kondisi ini dapat menyebabkan berbagai masalah jika tidak ditangani dengan baik. Terapi latihan menjadi salah satu rehabilitatif yang dapat digunakan untuk flexible flat foot. Salah satu kombinasi terapi latihan yang dapat digunakan yaitu Short Foot Exercise (SFE) dan gluteus strengthening exercise. Literature review ini bertujuan menganalisis pengaruh kombinasi SFE dan gluteus strengthening exercise terhadap individu dengan flexible flat foot berdasarkan temuan-temuan penelitian yang relevan. Metode: Metode yang digunakan dalam penulisan artikel ini merupakan tinjauan pustaka, yang melibatkan pencarian dan peninjauan berbagai sumber terkait topik yang diperoleh melalui basis data di Google Scholar, PEDro, dan PubMed dengan kata kunci yang digunakan dalam berbagai kombinasi meliputi: “flexible flat foot,” “pes planus,” “short foot exercise,” “gluteus strengthening,” “short foot exercise for flexible flat foot,” “gluteus strengthening exercise for flexible flat foot,” “combination short foot exercise gluteus strengthening exercise for flexible flat foot.” Jumlah artikel yang ditinjau dalam penelitian ini adalah empat artikel. Hasil: Berdasarkan hasil dari penelitian artikel sebelumnya yang telah ditelaah, kombinasi SFE dan gluteus strengthening exercise dapat menjadi salah satu pilihan rehabilitatif yang diterapkan terhadap individu dengan flexible flat foot. Dengan kombinasi ini dapat mempengaruhi navicular drop height, medial longitudinal arch, keseimbangan, kekuatan otot pada flexible flat foot. Kesimpulan: Kombinasi SFE dan gluteus strengthening exercise, dapat menjadi salah satu latihan yang terbukti sebagai pendekatan terapeutik yang efektif untuk penanganan flexible flat foot.

Deteksi dini kelainan knee dan ankle pada atlet futsal SMP Negeri 13 Kota Depok Karang, Ni Nyoman Melani; Adyasputri, A A I Ayesa Febrinia; Mulyoto, Raufina Riandhani; Nugroho, Bayu Meidiansyah; Indriyani, Fitri; Febrina, Naisya; Batosai, Rurouni; Angelica, Gabeuli; Aqila, Valya Modja
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 10, No 2 (2026): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v10i2.38315

Abstrak Saat ini futsal menjadi salah satu olahraga yang diminati. Futsal melibatkan beberapa kemampuan teknis dan fisik dalam permainnya yang menjadikan banyak variabel dapat memengaruhi keberhasilan dalam olahraga ini. Tingkat cedera yang terjadi pada futsal lebih tinggi dibandingkan dengan sepak bola. Knee dan ankle merupakan dua bagian tubuh yang paling rentan mengalami cedera. Maka dari itu diperlukan deteksi dini untuk pencegahan cedera. Kegiatan ini bertujuan untuk deteksi dini kelainan pada knee dan ankle untuk pencegahan cedera dan memberikan intervensi yang tepat. Kegiatan pengabdian masyarakat ini dilaksanakan melalui tiga tahap, yaitu tahap proses persiapan, pelaksanaan, pengolahan hasil dari pemeriksaan.Kegiatan ini dilaksanakan di Gedung Merce UPN Veteran Jakarta, pada 2 Desember 2025 dengan metode demonstrasi yang melibatkan 17 orang. Hasil dari seluruh pemeriksaan yang telah dilakukan pada pemain futsal, pemeriksaan khusus yang sistematis mampu mendeteksi potensi masalah struktur jaringan sebelum berkembang menjadi cedera yang lebih serius. Hasil pemeriksaan menunjukkan hasil tertinggi yaitu 5 orang yang postifi pada Thessaly Test (29,45%). Sehingga dengan melakukan pemeriksaan knee dan ankle dapat menjadi program pencegahan cedera yang komprehensif dan deteksi dini faktor risiko, implementasi intervensi individual yang tepat sasaran, dan monitoring berkelanjutan terhadap status kondisi pemain yang akan mengoptimalkan performa dari pemain futsal. Kata kunci: ankle; deteksi dini; futsal; knee; pemeriksaan khusus. Abstract Futsal has emerged as one of the most widely practiced sports in contemporary society. The game demands a combination of technical skills and physical conditioning, making performance outcomes contingent upon numerous variables. Notably, the incidence of injury in futsal has been reported to be higher than that observed in association football, with the knee and ankle identified as the two anatomical regions most susceptible to injury. Consequently, early detection measures are essential for injury prevention purposes.This community service activity was designed to facilitate early detection of abnormalities in the knee and ankle joints, with the dual objectives of preventing sports-related injuries and providing appropriate clinical interventions.The program was conducted in three sequential phases: the preparatory phase, the implementation phase, and the phase of examination result processing. The activity was carried out at the Merce Building, UPN Veteran Jakarta, on December 2, 2025, employing a demonstration method with a total of 17 participants drawn from the futsal player population.The findings from the comprehensive physical examinations demonstrated that systematic special testing protocols are capable of detecting potential structural tissue abnormalities prior to their progression into more serious injuries. Among the examination results, the Thessaly Test yielded the highest positive rate, with 5 participants (29.45%) returning a positive result.These findings suggest that the implementation of knee and ankle screening programs can serve as a comprehensive injury prevention strategy through early identification of risk factors, the application of individually targeted interventions, and continuous monitoring of players' physical condition — all of which are anticipated to optimize the overall performance of futsal athletes. Keywords: ankle; early detection; futsal; knee; specialized examination

Skrining antropometri sebagai upaya deteksi dini dan pencegahan obesitas pada anak sekolah di SDI Plus Darul Ulum Mulyoto, Raufina Riandhani; Karang, Ni Nyoman Melani; Adyasputri, A A I Ayesa Febrinia; Rezmaylatifa, Rezmaylatifa; Az Zahra, Salsabila Hilwa; Meivianty, Jevelien Tesalonika; Tsani, Haya Almayra; Setiansyah, Najwa Ramadhani
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 10, No 2 (2026): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v10i2.38305

Abstrak Obesitas saat ini menjadi satu permasalahan yang ada di berbagai negara, salah satunya Indonesia. Terdapat 2 faktor yang dapat memengaruhi obesitas, yaitu faktor yang tidak dapat dimodifikasi dan yang dapat dimodifikasi. Interaksi antara faktor-faktor yang kompleks ini dapat menyebabkan terjadinya obesitas pada anak. Maka dari itu, diperlukan deteksi dini untuk pencegahan obesitas. Kegiatan ini bertujuan untuk deteksi dini untuk upaya pencegahan obesitas pada anak, salah satunya dengan melakukan pemeriksaan secara berkala. Kegiatan pengabdian masyarakat ini dilaksanakan melalui tiga tahap, yaitu tahap proses persiapan, pelaksanaan, dan pengolahan hasil dari pemeriksaan. Kegiatan ini dilaksanakan di SDI Plus Darul Ulum pada 24 November 2025 menggunakan metode demonstrasi yang melibatkan 24 siswa/i. Hasil pemeriksaan menunjukkan bahwa mayoritas anak berada pada kategori IMT normal (58.3%) dan risiko obesitas rendah (87.5%). Nilai rata-rata WHtR responden berada di bawah ambang risiko obesitas sentral (0.43 ± 0.04), yang mengindikasikan bahwa secara umum risiko penumpukan lemak abdominal masih rendah. Kegiatan pemeriksaan antropometri tidak hanya berfungsi sebagai skrining, tetapi juga sebagai dasar penyusunan program promotif dan preventif di sekolah. Pendekatan kolaboratif antara sekolah, tenaga kesehatan, dan orang tua diharapkan mampu mendukung tumbuh kembang anak secara optimal serta menurunkan risiko masalah gizi di masa mendatang. Kata Kunci : deteksi dini; obesitas; pemeriksaan antropometri. Abstract Obesity is currently a problem in various countries, including Indonesia. Two factors can influence obesity: non-modifiable and modifiable factors. The interaction between these complex factors can lead to obesity in children. Therefore, early detection is needed to prevent obesity. This activity aims to provide early detection for obesity prevention efforts in children, one of which is through regular examinations. This community service activity is carried out in three stages: preparation, implementation, and processing of the examination results. This activity was carried out at SDI Plus Darul Ulum on November 24, 2025, using a demonstration method involving 24 students. The examination results showed that the majority of children were in the normal BMI category (58.3%) and low risk of obesity (87.5%). The average WHtR value of respondents was below the threshold for central obesity risk (0.43 ± 0.04), indicating that the risk of abdominal fat accumulation is generally low. Anthropometric examinations serve not only as screening but also as a basis for developing promotive and preventive programs in schools. A collaborative approach between schools, health workers, and parents is expected to support optimal child growth and development and reduce the risk of nutritional problems in the future. Keywords: early detection; obesity; anthropometric examination.

Skrining keseimbangan, proprioseptif dan kelincahan untuk pencegahan cedera dan peningkatan performa pada komunitas basket UPN Veteran Jakarta Adyasputri, A A I Ayesa Febrinia; Mulyoto, Raufina Riandhani; Karang, Ni Nyoman Melani; Indriyani, Fitri; Nurhasanah, Fauziah; Maharani, Aulia; Prasya, Legi Puteri; Chaerunnisa, Mutiara; Ramadhanty, Tariva; Ahmad, Attaya
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 10, No 2 (2026): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v10i2.38312

Abstrak Sistem neuromuskular merupakan satu sistem yang kompleks dan saling terhubung yang menghubungkan otak, spinal cord dan saraf ekstremitas dengan reseptor sensorik dan otot yang terletak di seluruh tubuh. Peran sistem neuromuskular berfungsi untuk mengintegrasikan informasi sensorik sehingga dapat mengoordinasikan tindakan otot yang tepat yang diperlukan untuk menghasilkan gerakan yang diinginkan. Salah satu olahraga yang membutuhkan keseimbangan, proprioseptif dan kelincahan yaitu basket. Kegiatan ini bertujuan untuk mendeteksi keseimbangan, proprioseptif dan kelincahan guna meningkatkan performa dan mencegah cedera. Kegiatan pengabdian masyarakat ini dilaksanakan melalui tiga tahap, yaitu tahap proses persiapan, pelaksanaan, pengolahan hasil dari pemeriksaan. Kegiatan ini dilaksanakan di Lapangan Limo UPN Veteran Jakrta pada 14 November 2025 dengan metode demonstrasi pada 21 orang yang terlibat. Secara keseluruhan, hasil pemeriksaan menunjukkan bahwa program skrining ini efektif dalam mengidentifikasi profil kemampuan keseimbangan, propioseptif, dan kelincahan pada komunitas basket FEB dan FISIP UPN “Veteran” Jakarta. Meskipun mayoritas peserta menunjukkan performa yang baik hingga rata-rata pada nilai keseimbangan, propioseptif, dan kelincahan. Kegiatan ini berhasil memberikan gambaran kondisi neuromotor peserta dan dapat digunakan sebagai dasar pemberian rekomendasi latihan preventif untuk mengurangi risiko cedera dan meningkatkan performa bermain basket. Kata Kunci : basket; kelincahan; keseimbangan; propioseptif Abstract The neuromuscular system is a complex and interconnected system that connects the brain, spinal cord, and peripheral nerves with sensory receptors and muscles located throughout the body. The role of the neuromuscular system is to integrate sensory information so it can coordinate appropriate muscle actions necessary to produce desired movements. One sport that requires balance, proprioception, and agility is basketball. This activity aims to assess balance, proprioception, and agility to enhance performance and prevent injuries. This community service activity was carried out through three stages: the preparation process, implementation, and processing of examination results. This activity was held at Lapangan Limo Upn Veteran Jakarta on November 14, 2025 using a demonstration method involving 21 participants. Overall, the neuromotor skill examination results show that this screening program is effective in identifying the balance, proprioception, and agility profiles of the FEB and FISIP UPN "Veteran" Jakarta basketball community. Although the majority of participants demonstrated good to average performance in balance, proprioception, and agility. This activity successfully provided an overview of participants' neuromotor condition and can be used as a basis for providing preventive training recommendations to reduce injury risk and improve basketball performance. Keywords: basketball; agility; balance; propioception

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