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The Effect of Ultrasound and Core Stability Exercise on Increasing Lower Back Functionality in Adolescents Pertiwi, Jasmine Kartiko; Ghufroni, Afif
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 13 Number 1 May 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v13i1.589

Background: Myogenic low back pain is a disorder characterized by pain in the lower back. Low back pain can have an impact on impaired functional ability. Some of the factors causing functional disorders are physiological factors, poor body posture, and unergonomic work postures. Adolescents are a group that is vulnerable to experiencing functional decline in the lower back due to pain in the lower back as a result of the demands of activity during the learning process, by spending most time sitting, and having busy learning schedules, which make physical activity tend to be low, which can result in decreased lower back functionality. The aim of the study is to determine the effect of ultrasound and core stability exercise on functional abilities in sufferers of myogenic low back pain in adolescents. Methods: The research design was pre-experimental with a one-group pre-and post-test design. From a total population of around 100, after simple random sampling, 57 subjects were obtained with measurements using the Oswestry Disability Index (ODI). Results: The results of the normality test data analysis using the Kolmogorov-Smirnov test, ODI pre-test 0.072, and ODI post-test 0.157, and for hypothesis testing using the paired sample t-test P 0.000, so that there is a significant difference. Conclusion: The clinical implications could be the influence of providing ultrasound and core stability exercises on improving lower back function in adolescents. So the hypothesis is accepted.

PENGARUH MYOFASCIAL RELEASE MENGGUNAKAN INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION (IASTM) TERHADAP PENINGKATAN EKSTENSIBILITAS HAMSTRING Wahyono, Yulianto; Ghufroni, Afif; Putri Juniar, Josephine Ayunda
PHYSIO MOVE JOURNAL Vol 3, No 2 (2024): Physio Move Journal
Publisher : Prodi Fisioterapi UFDK

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/pmj.v3i2.3157

Latar Belakang: mahasiswa cenderung dituntut untuk mengikuti mata kuliah dengan duduk di kelas dalam waktu yang cukup lama. Duduk dalam waktu yang lama secara berulang tanpa diimbangi olahraga rutin dapat mengakibatkan menurunnya ekstensibilitas otot khususnya hamstring. Untuk meningkatkan ekstensibilitas hamstring dapat menggunakan instrument assisted soft tissue mobilization (IASTM). Instrumen ini menghasilkan tekanan mekanik yang dapat merusak jaringan parut dan mengurangi perlengketan pada fascia sehingga ekstensibilitas otot dapat meningkat. Tujuan: untuk mengetahui pengaruh pemberian myofascial release menggunakan IASTM terhadap peningkatan ekstensibilitas hamstring pada mahasiswa. Metode: penelitian ini menggunakan one group with control dimana sebanyak 20 subjek dibagi menjadi kelompok perlakuan yang diberi myofascial release menggunakan IASTM terdiri dari 11 orang dan kelompok kontrol terdiri dari 9 orang. Penelitian dilakukana pada bulan September 2023. Ekstensibilitas hamstring diukur menggunakan goniometer dengan cara active knee extension test (AKE) dan diukur sebelum dan sesudah perlakuan. Hasil: berdasarkan hasil uji statistik sebelum dan sesudah perlakuan pada kelompok perlakuan didapat hasil p = 0,016 (p<0,05) yang berarti ada beda pengaruh. Sedangkan pada kelompok kontrol didapat hasil p = 0,564 (p>0,05) yang bearti tidak ada beda. Uji beda sesudah perlakuan dilakukan pada kedua kelompok dengan hasil p = 0,012 (p<0,05) yang berarti ada beda. Kesimpulan: myofascial release menggunakan IASTM berpengaruh terhadap peningkatan ekstensibilitas hamstring.Kata kunci: Myofascial release, IASTM, ekstensibilitas hamstring

PERAN FISIOTERAPI DALAM UPAYA PREVENTIF RESIKO KEJADIAN JATUH PADA LANSIA MENGGUNAKAN TANDEM WALKING EXERCISE Ghufroni, Afif; Widiarti, Afrianti Wahyu
Jurnal Pengabdian Masyarakat Fisioterapi dan Kesehatan Indonesia Vol 4 No 01 (2025): Jurnal Pengabdian Masyarakat Fisioterapi dan Kesehatan Indonesia
Publisher : IFI cabang Kota Bekasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59946/jpmfki.2025.389

Latar belakang: lansia adalah seseorang yang telah mencapai usia 60 tahun ke atas. Proses penuaan merupakan suatu proses berkurangnya daya tahan tubuh dalam menghadapi rangsangan dari dalam maupun dari luar tubuh. Gangguan keseimbangan merupakan masalah yang sering ditemui pada lansia. Gangguan keseimbangan lansia dapat meningkatkan resiko jatuh dan mengakibatkan cidera. Tandem walking exercise yang dapat digunakan untuk meningkatkan keseimbangan lansia. Tujuan: tujuan dari pengabdian masyarakat ini adalah meningkatkan pemahaman masyarakat tentang permasalahan dan resiko penurunan keseimbangan lansia. Serta meningkatkan skill kemampuan melalui latihan tandem walking exercise untuk meningkatkan keseimbangan lansia. Metode: metode yang digunakan dalam pengabdian masyarakat ini dengan penyuluhan dan pemberdayaan kader kesehatan. Hasil: terdapat peningkatan pemahanan dan skill masyarakat dan kader kesehatan dalam meningkatkan keseimbngan lansia menggunakan latihan tandem walking exercise. Kesimpulan: tandem walking exercise dapat diberikan kepada masyarakat dalam upaya preventive terhadap resiko jatuh lansia.

PELATIHAN NECK CAILLIET EXERCISE DALAM PENURUNAN NYERI LEHER AKIBAT MYOFASCIAL PAIN SYNDROME PADA KADER KESEHATAN DESA TOHUDAN Wahyu Widiarti, Afrianti; Ghufroni, Afif
Jurnal Pengabdian Masyarakat Fisioterapi dan Kesehatan Indonesia Vol 3 No 01 (2024): Jurnal Pengabdian Masyarakat Fisioterapi dan Kesehatan Indonesia
Publisher : IFI cabang Kota Bekasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59946/jpmfki.2024.318

Latar belakang: Nyeri leher adalah rasa tidak nyeman atau tidak menyenangkan yang dirasakan oleh individu pada bagian leher belakang, yang menandakan bahwa otot, ligament, sendi mengalami masalah. Nyeri leher sering ditimbulkan karena posisi statis yang lama, trauma langsung atau beban berlebih pada otot menyebabkan spasme otot daerah sekitar leher seperti otot upper trapezius. Neck calliet exercise dapat mengurangi nyeri, meningkatkan luas gerak sendi, meningkatkan kekuatan otot dan meningkatkan kemampuan fungsional leher. Metode Pendekatan : Penyuluhan tentang nyeri leher myofacial syndrome serta identifikasi kasus. Pelatihan penanganan nyeri leher myofacial syndrome menggunakan neck cailliet exercise pada kader kesehatan desa Tohudan. Tujuan: Meningkatkan pengetahuan dan skill keder kesehatan serta masyarakat tentang identifikasi nyeri leher myofacia syndrome dan penanganannya secara sederhana menggunakan neck cailliet exercise dalam pengurangan nyeri. Manfaat: Pengetahuan dan skill masyarakat meningkat dalam identifikasi nyeri leher myofacia syndrome dan penanganannya secara sederhana menggunakan neck cailliet exercise untuk mengurangi nyeri. Tempat dan Waktu : Di Desa Tohudan Kecamatan Colomadu Kabupaten Karanganyar Provinsi Jawa Tengah pada bulan Februari s/d September 2023. Target Luaran : Para Kader kesehatan di Desa Tohudan diharapkan mampu mengidentifikasi nyeri leher myofacial syndrome dan penanganan secara sederhana nyeri leher menggunakan neck cailliet exercise serta menerapkan kepada masyarakat.

Beda Pengaruh Post Isometric Relaxation dan Stretching Exercise terhadap Penurunan Nyeri Leher Non Spesifik : Studi Kasus Ananta, Diella Khaerani; Haritsah, Nurul Fithriati; Ghufroni, Afif
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 1 (2025): Desember 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i1.219

Background: Non-ergonomic work positions and monotonous postures, when maintained for extended periods, can have detrimental effects on workers, leading to muscle tension in the neck and shoulders, which may result in neck pain. Non specific neck pain refers to pain that can be provoked by static neck postures over long durations, neck movements, and tenderness upon palpation of cervical muscles without accompanying pathological conditions. Physiotherapy interventions that can be applied to reduce non-specific neck pain include post-isometric relaxation and stretching exercises. Objectives: To determine which intervention is more effective between post-isometric relaxation and stretching exercises in reducing non-specific neck pain. Methods: An experimental study with a two-group pre-and-post test design was conducted over two weeks in September 2024. Subjects were workers in a garment factory who met the inclusion criteria. A total of 52 subjects were randomly divided into two groups. Group I (n=27) received treatment through post isometric relaxation, while Group II (n=25) received treatment through stretching exercises. The Visual Analog Scale (VAS) was used to measure the reduction in neck pain. Results: Based on the results of the pre-post test statistical test of groups I and II, a value of p = 0.000 (p< 0.05) was obtained, which means that there is an effect of the pre-post test statistical test of groups I and II. For the post-test statistics of groups I and II, a value of p = 0.000 (p < 0.05) This indicates a difference in effect, with a mean difference of 26.51 in the PIR group and 14.2 in the stretching exercise group.Conclusion: Post-isometric relaxation is more effective in reducing pain in non-specific neck pain. Keywords: Non-specific neck pain, Post isometric relaxation, Stretching exercise, Visual Analogue Scale (VAS).

Physiotherapy Services: Core Stability Exercises are Essential for Reducing Lower Back Pain (LBP) in the Elderly Ghufroni, Afif; Pertiwi, Jasmine; Wahyono, Yulianto
Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Empathy Pengabdian Kepada Masyarakat Volume 6 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jurnalempathy.v6i2.341

Background: Low back pain (LBP) is a common health problem among the elderly, often interfering with daily activities and reducing quality of life. Aging affects the spine’s structure and function, increasing the risk of LBP. Non-pharmacological interventions such as core stability exercises have shown potential in reducing pain and improving function. This training program improved the knowledge and skills of both health cadres and older adults, making it a useful non-pharmacological therapy to enhance quality of life. Methods: This community service program was conducted in Tohudan Village, Karanganyar, Central Java, from February to July 2023, involving elderly individuals experiencing LBP and local health cadres. The intervention included educational sessions, training in core stability exercises, and evaluations of participants’ knowledge and skills. The exercises taught included diaphragmatic breathing, raising limbs, bridging, and quadruped positions. The evaluation was conducted through structured qualitative interviews with participants and cadres. Results: The program showed positive outcomes, with increased understanding and skill among health cadres and elderly participants in performing core stability exercises. Interviews with participants and cadres supported these findings—participants reported reduced pain and improved ability to perform daily activities after regular exercise, while cadres felt more confident in guiding others to perform correctly and maintaining programme continuity. Conclusion: Core stability exercise is an effective non-pharmacological intervention to reduce low back pain and improve the quality of life among the elderly. Training community health cadres ensures sustainable impact, enabling continued support for elderly individuals suffering from LBP. Further referrals to health facilities are recommended if symptoms persist.

Direct Effect of Using Kinesio Taping (KT) on Balance in Young People Pertiwi, Jasmine; Ghufroni, Afif
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 10 Issue 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v10i2.467

Background: This study investigated the immediate effects of the Kinesio Taping (KT) mechanical correction technique on balance, joint mobility, and muscle strength in healthy young adults. The findings aim to clarify whether this taping method can contribute to improved postural control and functional performance in individuals without musculoskeletal disorders. The purpose of this study: was to examine the immediate effects of kinesio taping on balance among adolescents. Methods: A pre-experimental, one-group pre- and post-test design was employed. Accidental Sampling technique 106 healthy individuals aged 18-25 years (20 males, 86 females) participated. KT was applied to the gastrocnemius, soleus, and Achilles tendons using specific techniques (10-50% stretch for gastrocnemius, Method I for Achilles, and Y method for gastrocnemius). Balance was evaluated through the Star Excursion Balance Test (SEBT), which measures reach distance in eight specific directions. Range of motion and muscle strength were also examined and differences before and after the KT intervention were analyzed using a paired sample t-test. Results: The participants had an average age of 19.20 years and a mean BMI of 21.63. Pre-intervention SEBT scores ranged from 38 to 84 (mean = 55.48, SD = 8.733), while post-intervention scores ranged from 37 to 79 (mean = 59.06, SD = 10.068). A paired sample t-test demonstrated a statistically significant improvement in SEBT scores following the KT intervention (p < 0.001), indicating enhanced balance performance after taping. Conclusion: This study indicates that applying KT’s “mechanical correction” technique to the ankle joint can immediately enhance dynamic balance in healthy young adults. These results highlight the potential role of KT as a supportive intervention to improve balance and possibly minimize the risk of injury.

The Effect of Ultrasound and Core Stability Exercise on Increasing Lower Back Functionality in Adolescents Pertiwi, Jasmine Kartiko; Ghufroni, Afif
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 13 Number 1 May 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v13i1.589

Background: Myogenic low back pain is a disorder characterized by pain in the lower back. Low back pain can have an impact on impaired functional ability. Some of the factors causing functional disorders are physiological factors, poor body posture, and unergonomic work postures. Adolescents are a group that is vulnerable to experiencing functional decline in the lower back due to pain in the lower back as a result of the demands of activity during the learning process, by spending most time sitting, and having busy learning schedules, which make physical activity tend to be low, which can result in decreased lower back functionality. The aim of the study is to determine the effect of ultrasound and core stability exercise on functional abilities in sufferers of myogenic low back pain in adolescents. Methods: The research design was pre-experimental with a one-group pre-and post-test design. From a total population of around 100, after simple random sampling, 57 subjects were obtained with measurements using the Oswestry Disability Index (ODI). Results: The results of the normality test data analysis using the Kolmogorov-Smirnov test, ODI pre-test 0.072, and ODI post-test 0.157, and for hypothesis testing using the paired sample t-test P 0.000, so that there is a significant difference. Conclusion: The clinical implications could be the influence of providing ultrasound and core stability exercises on improving lower back function in adolescents. So the hypothesis is accepted.

Comparison of McKenzie and Cailliet Exercises on Neck Function in Myofascial Pain Syndrome Aulia Sekar Arum; Ghufroni, Afif; Kuntono, Heru Purbo
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 8 Number 2 Year 2023
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v8i2.498

Background: Myofascial Pain Syndrome (MPS) in the upper trapezius muscle causes pain and limited neck function, which can interfere with work activities. Physiotherapy efforts used to reduce pain and improve neck function include McKenzie Neck Exercise and Neck Cailliet Exercise. The purpose of this study was to determine the difference in the effects of McKenzie Neck Exercise and Neck Cailliet Exercise on neck functional ability in workers with MPS of the upper trapezius muscle. Methods: This study used a quasi-experimental design with a two-group pre- and post-test design. Sampling was conducted using simple random sampling of 30 employees of PT Iskandar Indah Printing Textile who met the inclusion criteria. The subjects were divided into two groups, namely group I, which received McKenzie Neck Exercise (n=15), and group II, which received Neck Cailliet Exercise (n=15). The intervention was given twice a week for three weeks. The research instrument used the Neck Disability Index (NDI) to measure neck functional ability. Data analysis was performed using the Wilcoxon test, paired t-test, and independent t-test. Results: The test results showed a significant improvement in neck functional ability in both groups (group I p=0.001; group II p=0.000). The between-group difference test showed a p-value of 0.004 (p<0.05), which means there was a significant difference between the two exercises. Conclusion: Both exercises were effective in improving neck function, but the McKenzie Neck Exercise was more effective than the Neck Cailliet Exercise. The McKenzie Neck Exercise can be recommended as a more optimal physiotherapy intervention to improve neck function in workers with upper trapezius muscle Myofascial Pain Syndrome.

MANFAAT ULTRASOUND DAN MOBILISASI SARAF PADA KASUS CARPAL TUNNEL SYNDROME: STUDI KASUS Tri Atun Solekah; Ghufroni, Afif; Kusuma, Herdianty
Jurnal Nasional Fisioterapi Vol. 3 No. 3 (2025): Oktober 2025
Publisher : Jurusan Fisioterapi Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64974/jnf.v3i3.84

Latar belakang: CTS merupakan cedera akibat kompresi saraf medianus yang menyebabkan entrapment neuropati. Gejala yang sering dirasakan penderita CTS yaitu berupa nyeri menjalar yang mengenai persarafan saraf medianus pada pergelangan tangan. Selain itu penderita juga merasakan kesemutan pada ibu jari, telunjuk, jari tengah, dan setengah jari manis yang dirasakan diarea permukaan palmar tangan.Tujuan: untuk mengetahui penatalaksanaan fisioterapi pada kasus CTS dengan modalitas US dan mobilisasi saraf Metode: Metode yang digunakan pada studi kasus pada pasien dengan diagnosa CTS dextra. Terapi diberikan sebanyak tiga kali dengan kombinasi modalitas US dan ULTT 1 Hasil: Hasil evaluasi didapatkan adanya penurunan nyeri dengan skala VAS pada nyeri tekan awalnya 4,3 menjadi 3,2 dan nyeri gerak awalnya 5,3 menjadi 4,5 pada sisi dextra, peningkatan lingkup gerak sendi pada bidang sagital dari T1 S: 62°-0-70° menjadi T3 S: 65°-0-75° dan pada bidang frontal dari T1 F: 16°-0-30° menjadi T3 F: 20°-0-30°, peningkatan kekuatan otot dorsal fleksi, palmar fleksi dan radial deviasi dari T1 dengan nilai 4 menjadi T3 dengan nilai 5 tetapi masih disertai nyeri, dan pengukuran kemampuan fungsional menggunakan skala WHDI dengan skor awal 28% menjadi 20% pada sisi dextra Kesimpulan: Pemberian terapi US dan ULTT 1 yang telah dilakukan sebanyak 3 kali memberikan hasil terdapat adanya penurunan nyeri, peningkatan lingkup gerak sendi, peningkatan kekuatan otot, dan peningkatan kemampuan aktivitas fungsional pergelangan tangan.

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