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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

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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

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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

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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

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