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Effectivity Biopsychosocial intervention with Cognitive Behavioral Therapy and Exercise Therapy Program in Chronic Low Back Pain: Meta-analysis Fadli, Arif; Prasetya, Hanung; Kristyanto, Agus
Indonesian Journal of Medicine Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.855 KB)

Background: Pain is a common complaint that causes decreased work productivity and a cause of disability. Biomedical interventions failed to inhibit the increase in chronic low back pain (CLBP) treatment costs. The pain perception of CLBP patients is influenced by emotional psychological and cognitive factors that require biopsychosocial intervention. This study aimed to summarize the existing literature data regarding the effectiveness of biopsychosocial interventions with Cognitive Behavioral Therapy (CBT) and Exercise Therapy Program (ETP) in CLBP.Subjects and Method: This research was systematic review and meta-analysis of the Randomized Control Trial study on the electronic database Pubmed, Google scholar, Willey Online Library, Research Gate, Science Direct. Data analysis was performed using the Revman 5.3 program with Cohen's effect size d.Results: There are 7 articles included in this research. The results of the analysis of studies on the effectiveness of biopsychosocial interventions for CBT and ETP in reducing the intensity of CLBP pain were very large with the effect size (d= -1.31; 95% CI= -2.39 to -0.23; p <0.001), while the effect size of the disability index was very large (d= -1.62; 95% CI= -2.70 to -0.54; p<0.001).Conclusion: Biopsychosocial interventions for CBT and ETP are effective in reducing the pain and disability index of CLBP. The effectiveness of biopsychosocial interventions with CBT and ETP methods is due to the patient's efficacy in completing the rehabilitation program.Keywords: biopysichosocial, CBT, ETP, CLBPCorrespondence: Arif Fadli. Masters Program in Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: Ariffadli950@gmail.com. Mobile: +6281355377050.Indonesian Journal of Medicine (2021), 06(02): 177-193https://doi.org/10.26911/theijmed.2021.06.02.07

THE EFFECTIVENESS OF PROBLEM-BASED LEARNING WITH THE SIMULATION LEARNING METHODS ONLINE PHYSIOTHERAPY: SYSTEMATIC REVIEW Fadli, Arif; Susilowati, Scholastica Theresia
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 1 (2023): Maret
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.60525

Background: Problem-based learning (PBL) experiences face-to-face learning barriers for students due to natural disasters and the spread of disease. PBL requires innovation in the learning methods. This study purposed to summarize the existed literature data on the effectiveness of PBL with the simulation learning methods of online physiotherapy on students' knowledge aspects and skill competencies.Methods: Systematic review of research studies of randomized control trials, case-control studies, non-randomized control trials, and cohort studies of article search results on the Pubmed database, Google Scholar, Willey Online Library, Ovid, Science Direct. Researchers used qualitative descriptive data analysis.Results: 9 articles were included in the qualitative descriptive data analysis stage. 9 (100%) articles describe online physiotherapy simulation learning that is effective for increasing students' knowledge. 6 (66.7%) articles describe online physiotherapy simulation learning that is effective for increasing the competence of students' skills. 5 (55.6%) articles that describe operational guidelines for online physiotherapy simulation learning. Online physiotherapy simulation learning has the strength of learning methods for students in the aspect of flexibility in access to learning, low risk of patient-free learning, and audiovisual learning materials that are relevant to the needs of students. Meanwhile, online physiotherapy simulation learning has a disadvantageous learning method for students in terms of achieving depth of learning and limited learning support facilities.Conclusion: Problem-based learning with the simulation learning method of online physiotherapy is effective in increasing the knowledge and skill competence of students.

The Use of Modified Cervical Colar in Reducing Neck Pain Zubaidi, Alfan; Fadli, Arif
Indonesian Journal of Medicine Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.021 KB)

Background: One of the conditions of pain in the neck area where there is a stiff neck, so sometimes there is pain radiating from the shoulder to the hand, the symptom is often called cervical syndrome. This condition occurs because the vertebral root is compressed for a long time in the use of activities. In the long term, the pain can even radiate to both shoulders and even to the arms of the arch, this situation will result in abnormal and rapid fatigue. According to studies conducted by researchers, this situation may be prevented by giving a special cervical collar design to Tafidz Ouran students. In this study, it will be investigated how effective the special collar model is to overcome the problems/prevention of cervical syndrome for Tafidz Ouran students in Karanganyar. The purpose of this study was to determine how effective a special cervical collar design is to reduce pain in cervical syndrome.Subjects and Method: This research is a Randomized Controll Trial (RCT) where in this study before being randomized in determining the control and treatment groups, matching was done first. In the control group in this study were students who used regular collars (collars sold in the market) and in the intervention group were given special collars. The sample in this study was the students of the Tahfidz boarding school in the Karanganyar area as many as 160 students who experienced cervical syndrome. Each group in this study amounted to 80 students. The sampling technique was simple random sampling. The variables in this study, the dependent variable is the cervical syndrome condition of the Tafidz Quran students and the use of a special cervical collar model as the independent variable. Analysis of the data using the Independent samples t test if the data is normal, and using the Mann Whitney test if the data is not normal.Results: After the intervention, it was shown that pain in the special cervical collar group (mean = 2.51; SD = 0.50) was lower than that in the regular collar group (mean = 5.50; SD = 0.59) and was statistically significant (p value = 0.000).Conclusion: The use of a special cervical collar is better than a regular cervical collar to reduce neck pain.Keywords: cervical syndrome, cervical collar, special cervical collarCorrespondence: Alfan Zubaidi. Department of Orthotic Prosthetic, Ministry of Health Surakarta. Jl. Letjen Sutoyo, Mojosongo, Surakarta, Central Java, Indonesia. Email: drsalfanzubaidi@gmail.com.Indonesian Journal of Medicine (2021), 06(04): 460-464https://doi.org/10.26911/theijmed.2021.06.04.12

The Difference Effect of Special Cervical Collar with Height of 5 cm and 6 cm to Reduce Neck Pain among Students in Karanganyar, Central Java Zubaidi, Alfan; Fadli, Arif
Indonesian Journal of Medicine Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Specific cervical collars need to be standardized in order to effectively and efficiently reduce cervical syndrome pain. This condition occurs because the radicle vertebrae are compressed in the long term and even pain can radiate to both shoulders and even to the arches of both hands, this condition will result in abnormal and rapid fatigue. The purpose of this study was to find a standardized cervical collar design specifically to reduce cervical syndrome pain in Tahfidz Karanganyar Islamic boarding school students.Subjects and Method: This was a Randomized Control Trial (RCT) study which was con-ducted from March 2022 to August 2022 in all Tahfidz Islamic boarding schools in Karang-anyar, Central Java, Indonesia. The sample in this study were 160 students with cervical syndrome. Each group in this study consisted of 80 students who were divided into control and treatment groups using simple random sampling. The dependent variable in this study is neck pain (cervical syndrome). The independent variable is the use of the cervical collar. Data analysis uses the Independent samples t-test if the data is normal, and uses the Mann Whitney test if the data is not normal.Results: After the intervention was given, the results showed that the average pain in the intervention group using a special collar as high as 6 cm (Mean = 1.11; SD = 0.39) was lower in pain compared to the control group using a special collar as high as 5 cm (Mean = 3.50; SD = 0.57) and statistically significant (p<0.001).Conclusion: The use of a special cervical collar with a height of 6 cm is more effective in reducing pain than a special cervical collar with a height of 5 cm.Keywords: cervical syndrome, cervical collar, special cervical collar with a height of 6 cm and 5 cm.Correspondence: Alfan Zubaidi. Department of Orthotic Prosthetic, Ministry of Health Surakarta. Jl. Letjen Sutoyo, Mojosongo, Surakarta, Central Java, Indonesia. Email :drsalfanzubaidi@gmail.com.Indonesian Journal of Medicine (2022), 07(04): 411-416https://doi.org/10.26911/theijmed.2022.07.04.06

Efektifitas Latihan Aerobik pada Keseimbangan Jalan Penderita Parkinson’s Disease: Meta-Analisis Fadli, Arif; Noerdjanah, Noerdjanah
Jurnal Terapi Wicara dan Bahasa Vol. 3 No. 2 (2025): Juni 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v3i2.188

Background: Parkinson's disease (PD) has caused progressive gait impairment with a high risk of falls in daily activities. Aerobic exercise is effective in improving physical fitness with an impact on cognitive function of gait execution. The benefits of aerobic exercise have not been optimally utilized by PD sufferers. Objectives: This systematic review study aims to know effect of aerobic training exercises on gait balance in PD patients. This study will synthesize article data from randomized control trial (RCT) studies in 5 electronic databases PubMed, Google-Scholar, PEDro, OVID, and ScienceDirect. Article searches using search keywords: "Parkinson's disease" AND (exercise OR training OR "dance exercise" OR "aerobic exercise" OR "treadmill exercise"). Methods: The researcher used the Revman 5.3 program to meta-analysis data with an effect size of value Cohen's d. 334 PD patients in 8 articles included in the meta-analysis. Results: The results of the analysis of 8 articles showed that aerobic training exercise was effective in improving walking balance in PD patients with a large intervention effect (d = -0.78; CI: -1.00 to -0.55; P <0.001) with a control group comparison. Conclusion: The effectiveness of aerobic exercise in improving walking balance is due to increased physical fitness which has an impact on the cognitive function of executing walking activities in PD patients. Keywords : aerobic exercise, parkinson's disease, walking balance

Efektivitas Program Latihan Aerobik pada Penurunan Nyeri Dismenore Primer: Meta-analysis Fadli, Arif; Rustanti, Marti; Windiastoni, Yoga Handita
Jurnal Kesehatan Vokasional Vol 9, No 1 (2024): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.92667

Latar Belakang: Wanita dengan Dismenore Primer (DP) dapat merasakan nyeri hebat akibat hiperkontraktilitas saat menstruasi, hipoksia, dan iskemia otot rahim. Wanita dengan DP akan mengalami hambatan aktivitas belajar dan keseharian. Obat analgetik efektif menurunkan nyeri dismenore primer dengan efek samping mual dan muntah. Program latihan aerobik bisa menjadi solusi pengobatan nyeri DP tanpa efek samping.Tujuan: Penelitian ini bertujuan untuk mengevaluasi efektivitas program latihan aerobik untuk pengurangan nyeri akibat dismenore primer.Metode: Systematic review dan meta-analisis artikel publikasi tahun 2013 s/d 2023 pada desain Randomized Control Trial di databased PubMed, Google Scholar, OVID, ResearchGate, ScienceDirect. Program Revman 5.3 digunakan dalam analisis data dengan ukuran efek terapi pada penurunan nyeri DP.Hasil: Lima artikel dengan 312 wanita DP dimasukan sintesis meta-analisis. Hasilnya menunjukan bahwa latihan aerobik efektif menurunkaan nyeri akibat dismenore primer dibandingkan dengan kelompok kontrol tanpa intervensi dengan ukuran efek terapi adalah besar (d= -2,03; CI= -3,37 – 0,69; P <0,00001).Kesimpulan: Program latihan aerobik efektif menurunkan nyeri akibat dismenore primer. Latihan aerobik dapat menurunkan nyeri melalui peningkatan sirkulasi darah sistemik yang disertai penurunan sensitifitas gerak akibat dismenore primer.

PELATIHAN PBL DENGAN SIMULASI FISIOTERAPI ONLINE PADA MAHASISWA JURUSAN FISIOTERAPI POLTEKKES SURAKARTA Fadli, Arif
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2024): Volume 5 No 1 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i1.24584

Pandemi Covid-19 telah menyebabkan terhambatnya proses pembelajaran pendidikan fisioterapi. Pembelajaran tatap muka di kelas membutuhkan modifikasi metode pembelajaran menjadi pembelajaran online maupun blended learning yang memerlukan adaptasi pembelajar. Pembelajaran berbasis masalah (PBL) praktik fisioterapi dengan simulasi online di Jurusan Fisioterapi Poltekkes Surakarta membutuhkan adaptasi pembelajar. Pemberdayaan masyarakat dengan kegiatan pelatihan Problem-based learning (PBL) praktik fisioterapi dengan simulasi online dapat menjadi solusi pemecahan masalah hambatan adaptasi pembelajar. Kegiatan pelatihan berbasis masalah (PBL) praktik fisioterapi dengan simulasi online dilaksanakan pada tanggal 16 s/d 19 Oktober 2023 pada 105 siswa tingkat 1 Program Studi Sarjana Terapan Jurusan Fisioterapi Poltekkes Surakarta yang meliputi materi teknik motivasi diri, keterampilan akses sumber belajar online, pengetahuan manajemen belajar efektif, dan kemampuan evaluasi diri mencapai hasil belajar secara mandiri. Sebelum mengikuti pelatihan, peserta diminta mengisi angket kuesioner ( pre test) menggunakan skala guttman tentang problem-based learning (PBL) praktik fisioterapi dengan simulasi online. Setelah mengikuti pelatihan, peserta diminta mengisi angket kuesioner ( post test) dengan hasil 102 siswa (97,1%) dari 105 siswa memiliki motivasi diri yang baik untuk belajar online, 97 siswa (92,4%) dari 105 siswa memiliki metode pengetahuan belajar online dengan efektif, 96 siswa (91,4%) dari 105 siswa memiliki keterampilan akses sumber belajar online, 90 siswa (85,7%) dari 105 siswa memiliki keterampilan evaluasi diri mencapai hasil belajar secara mandiri.

Efektivitas latihan aerobik pada metabolisme glukosa darah remaja dengan obesitas: meta-analisis Fadli, Arif; Noerdjanah, Noerdjanah; Rustanti, Marti
Journal Physical Therapy UNISA Vol. 5 No. 2 (2025): November
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jitu.4345

Remaja dengan kelebihan berat badan dan obesitas akan mengalami resistensi insulin yang berkaitan dengan kurangnya aktivitas fisik. Resistensi insulin pada remaja dapat menyebabkan sindrom metabolik dan penyakit kardiovaskular di masa dewasa. Aktivitas fisik pada remaja dengan obesitas belum banyak dikaji efek terapeutiknya pada gangguan metabolisme glukosa darah akibat resistensi insulin. Penelitian ini bertujuan untuk mengetahui efektivitas latihan aerobik dalam meningkatkan sensitivitas insulin dalam metabolisme glukosa darah pada remaja obesitas. Penelitian ini merupakan meta-analisis dari artikel Randomized Controlled Trials pada basis data elektronik DOAJ, PEDro, PubMed, OVID, dan ScienceDirect. Pencarian artikel menggunakan kata kunci "glucose metabolism" OR "insulin resistance" AND "obese adolescents" OR "adolescents with obesity" OR "adolescents with overweight" AND exercise. Analisis data dilakukan menggunakan program RevMan 5.3 dengan ukuran efek menggunakan Cohen's d. Terdapat 6 artikel yang diikutsertakan dalam meta-analisis. Hasil analisis artikel menunjukkan bahwa latihan aerobik efektif dalam memperbaiki skor Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) dengan ukuran efek yang besar (d = -0,69; CI = -1,38 hingga -0,00; P <0,001) dibandingkan dengan kelompok kontrol. Latihan aerobik efektif memperbaiki skor HOMA-IR. Perbaikan skor HOMA-IR menjadi indikator pemulihan resistensi insulin pada remaja obesitas.

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