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Journal : Journal of Innovation Research and Knowledge

PERBEDAAN PENGARUH PEMBERIAN WILLIAM FLEXION EXERCISE DAN ISOMETRIC EXERCISE TERHADAP PENINGKATAN KEMAMPUAN FUNGSIONAL PADA PENDERITALOW BACK PAIN NON SPESIFIK Rafif Himawan Nimasdwi Putra; Agus Riyanto; Suci Muqodimatul Jannah
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Background: Non-specific low back pain (NSLBP) is a common musculoskeletal disorder among the elderly, leading to reduced functional ability and quality of life. William Flexion Exercise (WFE) and Isometric Exercise (IE) are two physical therapy interventions aimed at reducing pain and improving functional ability; however, the comparison of their effectiveness has not been extensively studied in the elderly population in Indonesia. Objective: This study aims to compare the effects of WFE and IE on improving functional ability in patients with LBP in the Bugar Mandiri elderly health center group in Tegalrejo, Yogyakarta. Methods: A quasi-experimental study with a pre-test and post-test design was conducted on 36 elderly individuals aged 60– 75 years, randomly divided into a WFE group (n = 18) and an IE group (n = 18). Interventions were administered three times a week for four weeks, with WFE including pelvic tilt, single knee to chest, double knee to chest, and hamstring stretch movements, and IE including curl up, side bridge, and bird dog exercises. Functional ability was measured using the Oswestry Disability Index (ODI), and pain intensity was assessed using the Visual Analogue Scale (VAS). Data analysis used the Shapiro-Wilk normality test, Levene's homogeneity test, paired t-test for effects within groups, and independent t-test for comparisons between groups. Results: Both groups showed a significant increase in functional ability (ODI) and a decrease in pain (VAS) (p<0.001). The WFE group had an ODI score of 31.5 before treatment and 26.56 after treatment, while the VAS score was 4.17 before treatment and 2.61 after treatment. Meanwhile, the IE group showed an ODI score of 28.22 before treatment and 23.33 after treatment, while the VAS score was 3.89 before treatment and 2.67 after treatment. However, the independent t-test showed no significant differences between groups in ODI (p=0.066) and VAS (p=0.879). Conclusion: WFE and IE are both effective in improving functional ability and reducing pain in patients with NPBNS, with no significant difference between the two interventions. Recommendation: Both exercises can be recommended as physiotherapy interventions for NPBNS in the elderly, taking into account patient comfort and clinical needs. Further research with larger samples and longer intervention durations is needed to confirm these findings.
PENGARUH PEMBERIAN NEURODYNAMIC MOBILIZATION (NDM) MELALUI DIGITAL TERHADAP NYERI CARPAL TUNNEL SYNDROME (CTS) PADA OJEK ONLINE Syhakira Rahmadhani Husein Nasution; Agus Riyanto; Suci Muqodimatul Jannah
Journal of Innovation Research and Knowledge Vol. 5 No. 8 (2026): Januari 2026
Publisher : Bajang Institute

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Abstract

Background: Carpal Tunnel Syndrome (CTS) is a common compression neuropathy, frequently experienced by workers performing repetitive movements, including online motorcycle taxi drivers. Pain and functional impairments caused by CTS can be managed through physiotherapy interventions. This study aims to investigate the effect of Neurodynamic Mobilization (NMD) delivered through digital media on reducing pain levels in CTS patients among online motorcycle taxi drivers. This study employed a pre-test and post-test design on a single intervention group. A total of 20 respondents (14 males, 6 females) diagnosed with CTS and working as online motorcycle taxi drivers were selected using a non-probability convenience sampling method according to inclusion criteria. The intervention consisted of NDM techniques: Sliding and Tensioning of the Median Nerve. Exercises were delivered digitally using the Physitrack application for the researcher and PhysiApp for the respondents over a 2 week period, with a frequency of five sessions per week (2 sets of 10 repetitions per session). Pain levels were measured before (pre-test) and after (post-test) the intervention’s effect. The results showed that the average pain level before the intervention (Pre-VAS) was 6.25. After the digital NDM intervention, pain levels decreased significantly (Post-VAS). The Wilcoxon test yielded a significance value (P-value) of 0.000 (P<0.05), indicating a highly significant effect of NDM on reducing CTS-related pain. Delivering NDM via digital media is effective in reducing pain levels in online motorcycle taxi drivers with CTS. NDM can serve as a pratical and effective intervention option for managing CTS pain in populations engaged in digital-based workrecommended as physiotherapy interventions for NPBNS in the elderly, taking into account patient comfort and clinical needs. Further research with larger samples and longer intervention durations is needed to confirm these findings.
Co-Authors , Fitriyani Abdul Haris Ade Setiawan Adh Dhiya' Husnaputri AGUS IRIANTO Agus Riyanto Alfia Magfirona Ali Mushofa Anik Ariyanti Anthara, I.Made Aryantha ARTANTO, TRI Ary Sutrischastini Atang Saputra Ayu Laili Ayu Laili Rahmiati Bambang Kriswantara Bowo Sugiharto BUDI PRAMONO Budi Santoso Budiman Carolinna Patrichia Sulau Chairul Razak Chrisna Monica Asa Dena Merliana Dian Kurniawati Dika Riyan Saputra Dion Bagus Priyatna Dyah Ratri Nurmaningsih Dyah Susanti Dyan Kunthi Nugrahaeni Dyan Kunthi Nugraheni Ega Via Ambarwati Eko Mardianto Erman " Evllyshin Pakadang Fajri Kamilatul Muniroh Fatur Rozi Saputra Gandi Adnan Gunawan Irianto HARYONO Heni D Wahyuni I Gusti Ayu Ketut Rachmi Handayani Iftitah Walinda Fujiarti Indi Rahmayani Indriani Isnatin Miladiyah Joni Welman Simatupang Jutri Bonal Khusnul Khotimah Leli Triana Lenny Husna Lia Lismeri Linda Memi Zhara Lisda Amara Dewi M. Syamsul Komar Maieka Sari Istiqomah Mona Megasari Muhammad Akmal Muhammad Hanif Muhammad Ridhwan Sufandi Muharam, Hari Mukhamad Murdiono Nadiya Yunan Noor Farid Novie E Mauliku Novie E. Mauliku Novie Mauliku Nur Anggi Andini nur nabilla Nur Patul Auliah Nurul Hidayati Nurwijayanti Oedjiono Oedjiono Pantas P Pardede Paramita Paraningtyas Parlagutan Silitonga Pramono Pramono Purbayu Budi Santosa Rafif Himawan Nimasdwi Putra Rafsi Azzam Hibatullah Albar Reni Sulistiyowati Rhiki Sekti Utami Rianda Rianda Rizki Tri Anugrah Bhakti Rudy Syafariansyah Ryan Permana Salsabila, Aisyah Sarwanto Satriyo Seftia Azrianti setiawati, erni Sigit Dani Nugraha Sigit Dani Nugroho Silva agustini Hanifah Siska Wulandari Siti Rohmah Siti Rohmah Sri Kusumadewi Sri Mulyati Sri Wahyuti Suci Muqodimatul Jannah Suhat Suhat Suhat Suhat Sumardiono Sumardiono Suprayogi Supriandono, Tri Sutanto Priyo Hastono Syhakira Rahmadhani Husein Nasution Tjasmana, Felicia Totok Agung D. H. Tri Laksono Tuti Herningtyas Wendy Yuniarto Widia Rahmi Pratiwi Yanti Yulianti Yanti Yulianti Yohanes Indroyono Yuli Darni Zuhdi Arman