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The Effect of Scoliosis Orthosis on the Reduction of Cobb Angle in Scoliosis Patients: A Meta-Analysis Suprayogi, Dody; Kristiyanto, Agus; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Scoliosis is a spinal deformity that often occurs in adolescents with a prevalence of 0.47% -5.2% worldwide. The prevalence of scoliosis in Asia was about 2.25% of the population. In Surabaya, Indonesia, 6.37% of students from 784 schools who conducted scoliosis screening tests positively had scoliosis. In addition, 9 out of 300 students in Surakarta positively had scoliosis. This study aimed to estimate the effect of using scoliosis orthosis in reducingcobb angle in scoliosis patients by conducting a meta-analysis on theseveral similar articles.Subjects and Method: This study used a meta-analysis by systematically reviewing the several similar articles from PubMed, ScienceDirect, and Google Scholar. The keywords were "scoliosis" AND "scoliosis orthosis" OR "scoliosis brace" AND "cobb angle" OR "curve" AND "randomized control trial". The intervention was the use of a scoliosis orthosis with a comparison of non-scoliosis orthosis and the scoliosis patients as the study subjects. The outcome of the study was a reduction of cobb angle. The included articles were full-text articles with a randomized controlled trial design that showed the effect size (mean and standard deviations). The articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 application.Results: Based on a meta-analysis result of 9 randomized controlled trial articles from the United States, Canada, Germany, Sweden, Denmark, Poland, and Hong Kong, scoliosis orthosis reduced cobb angle in scoliosis patients (SMD= -0.67; 95% CI= -1.02 to -0.33; p <0.001). The heterogeneity I2=75%.Conclusion: Scoliosis orthosis affects the reduction of cobb angle in scoliosis patients.Keywords: scoliosis, cobb angle, scoliosis orthosisCorrespondence: Dody Suprayogi. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: 23dhodik.yogi@gmail.com. Mobile: 08562772052.Indonesian Journal of Medicine (2020), 05(04): 356-367https://doi.org/10.26911/theijmed.2020.05.04.11.

The Effect of Toe-Only Rocker Sole at 10-Degree’s Extension on Dynamic Balance in Transtibial Prosthesis Users Suprayogi, Dody; Nugroho, Agus Setyo
Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 2 (2023): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v2i2.1363

Background: For transtibial amputees, the use of a transtibial prosthesis has an impact on balance during daily activities (Wang et al., 2015). Apart from the prosthesis which affect walking patterns and balance, the use of the shoes related to the patient's balance. Modifications to the shoes of transtibial prosthesis users to achieve the best balance with toe-only rocker sole are considered an option to improve balance (Preece et al., 2017). Objective: To determine the effect of a 10-degree toe-only rocker sole on dynamic balance in transtibial prosthesis users. Methods and Subjects: This research was conducted from May to June in APOC Boyolali, using a quantitative research method using a quasi-experimental one group pre-test and post-test design. The sampling technique used is purposive sampling. The subjects used were transtibial prosthesis users. Results: A Statistical analysis with a p value of 0.000 less than 0.05 revealed that the use of a toe only rocker sole of 10 degrees had an impact on dynamic balance in transtibial prosthesis users. Conclusion: There is an effect of using a 10-degree toe only rocker sole to improve the dynamic balance of transtibial prosthesis users, so that reducing the risk of falls when carrying out daily activities.

The Effect of Using Knee Support on Reducing Knee Pain in Elderly Cyclists Suprayogi, Dody; Zubaidi, Alfan; Widagdo , F.A. Hendy Setyo
Journal of Prosthetics Orthotics and Science Technology Vol. 3 No. 1 (2024): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v3i1.1574

Background: Knee pain during cycling can arise due to the repetitive movements involved in the activity. Overuse injuries, also termed repetitive strain injuries, denote damage and discomfort resulting from repetitive and excessive motions. Such injuries typically affect muscles, tendons, and bones. This pain may persist, particularly during strenuous activities like exercise. Knee support represents a common orthotic tool utilized to alleviate knee pain. Aims: The aim of this study is to ascertain whether the use of knee support has an effect on reducing the degree of knee pain in elderly cyclists. Methods: The research employs a quasi-experimental design with pre- and post-test assessments. Twenty-five subjects were selected using purposive sampling techniques based on predefined inclusion and exclusion criteria. Results: The analysis employed the Wilcoxon test, yielding a p-value of (0.001). Since the p-value is ?0.05, it can be inferred that the utilization of knee support effectively diminishes the degree of knee pain in elderly cyclists. Conclusion: This study demonstrates the efficacy of knee support in reducing knee pain among elderly cyclists. Hence, it is advisable for elderly cyclists to utilize knee braces while cycling.

Differences in Walking Speed of SACH Foot And Single Axis Foot in Transtibial Prosthesis User Suprayogi, Dody; Ningsih, Cica Tri Mandasari
Journal of Prosthetics Orthotics and Science Technology Vol. 3 No. 2 (2024): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v3i2.1861

Background: Lower limb amputation causes disruption of limb function, one of which is the ability to walk. One of the walking aids that can be used is a transtibial prosthesis. A transtibial prosthesis consists of a socket, shank and foot components. The choice of foot type and the use of a transtibial prosthesis is one of the factors that influence walking speed. SACH foot and single axis foot are the types of foot that are often used by prosthesis users Aims: To determine the difference in walking speed of SACH Foot and Single Axis Foot in transtibial prosthesis users. Method and Subjects: Using quantitative research, observational method with cross sectional design. The subjects of this research were users of transtibial prosthesis type SACH foot and single axis foot. The sample for this study consisted of 28 people. The measuring instruments used in this research are 10 MWT (Meter Walk Test). Results: Based on statistical tests, the results showed that there were differences in walking speed between SACH foot and single axis foot type transtibial prosthesis users. Where the p value <0.05 is 0.000 with an effect size of 0.81, which means it has a high or strong difference effect. Conclusion: There is a difference in walking speed, namely the walking speed of users of single axis foot transtibial prosthesis is faster than SACH foot. So, it is recommended to prefer using a single axis foot in users of transtibial prosthesis, especially at moderate activity levels. The limitations of this research are that there are not many subjects and the foot types are less diverse. Future research can be developed with other types of foot prosthesis and measurement of gait parameters

The Effect of Bottom Rocker Sole on Kinetic Energy in Transtibial Prosthesis Users Nugroho, Agus Setyo; Suprayogi, Dody
Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 2 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY
Publisher : Poltekkes Kemenkes Jakarta I

Background : Lower limb amputation with or without the use of a prosthesis has an impact on energy consumption/needs for ambulances. There are studies that say the results of the measurement of energy used in amputated patients, namely walking with a partially amputated leg will expend more energy than the amputee. Higher than the study, it can be said that more energy expenditure results in fatigue one level above the fatigue that is experienced felt in normal people. The purpose of this study was to determine the effect of the bottom rocker sole on the kinetic energy of transtibial prosthesis users. Methods: This type of research is quasi-experimental with a pre and post test design approach. This research was conducted at APOC Clinic in April - July 2021, with the research subjects being 20 users of the transtibial prosthesis. Each research subject will be given an intervention in the form of a bottom rocker sole, then measured for kinetic energy before and after treatment. Analysis of the data in this study using the Wilcoxon test. Results: There is a statistically significant effect of the use of the buttom rocker sole on the kinetic energy of the transtibial prosthesis users (z = -2.73, mean difference 1.5 and p value = 0.006). Conclusion: The use of buttom rocker sole can increase the occurrence of kinetic energy in transtibial prosthesis users so that they can maximize their activities.

The Effect of Using a Knee Decker to Reduce Knee Pain in Farmers Suprayogi, Dody; Fathi, Muhammad; Kotimah, Nurul
Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 1 (2023): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Background: Farmers are people who carry out activities in the agricultural sector, both garden farming, fields, rice fields, fisheries, and others on land with the aim of obtaining economic benefits. Farmers have prevalence of knee pain symptoms that lead to reduced mobility and ability to work. Knee pain occurs due to heavy and continuous pressure such as standing, squatting, lifting crops, and hoeing. In this case to treat knee pain using a tool in the form of a knee lifter to determine the ability to reduce knee pain. Objective: To determine the effect of using a knee decker on reducing the degree of knee pain in farmers in Mojopuro Village, Sragen Regency. Methods and Subjects: This research was conducted from March to April in Mojopuro Village, Sragen Regency using a quantitative research method using a quasi-experimental one group pre-test and post-test design. The sampling technique used is purposive sampling. The subjects used were all farmers who experienced knee pain. Results: A statistical analysis with a p-value 0.000 less than 0.05 revealed that using a knee decker had a substantial impact on lowering the severity of knee pain in farmers by 43% from a sample of 25 people who had knee pain Conclusion: There is an effect of using a knee decker to reduce the degree of knee pain in farmers, so that increasing mobility and ability to work.

The Effect of Using a Spinal Orthosis on Non-Specific Lower Back Pain: Literature review Suprayogi, Dody; Zubaidi, Alfan; Rahayu, Listianingrum Budi
Journal of Prosthetics Orthotics and Science Technology Vol. 4 No. 1 (2025): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v4i1.2133

Background: Over time, various problems have emerged alongside societal developments, including those in the health sector. One common issue is musculoskeletal disorders, particularly low back pain (LBP). Nonspecific Low Back Pain (NSLBP) refers to a pain syndrome in the lower back region without a clearly identifiable cause. Spinal orthosis has been proposed as a potential treatment for back pain. Aims: This study aims to examine the effectiveness of spinal orthosis in managing low back pain through a literature review. Methods and Subjects: A literature review was conducted using databases such as Google Scholar, PubMed, and ScienceDirect. The keywords used included "spinal orthosis," "lumbar corset," and "low back pain." Only full-text English articles with an experimental design were included. Article selection followed the PRISMA diagram guidelines. Results: Low back pain can affect individuals of all ages, including adolescents and adults. Pain assessment tools such as the Visual Analog Scale (VAS) and Numeric Rating Scale (NRS) were commonly used in the studies. Among the types of spinal orthoses, Lumbosacral Orthosis (LSO) was found to be effective in reducing pain in individuals with low back pain. Conclusion: The use of a spinal orthosis, particularly a lumbosacral orthosis, in daily activities contributes to pain reduction in individuals suffering from nonspecific low back pain.

Effectiveness of Specialized Cervical Collars in Reducing Pain Associated with Cervical Syndrome among Computer Workers zubaidi, Alfan; Suprayogi, Dody; akbar, Muh Syaiful
Jurnal Teknokes Vol. 18 No. 2 (2025): June
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

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Cervical syndrome is a prevalent musculoskeletal disorder among computer workers, primarily caused by prolonged static postures and poor ergonomic practices. It leads to chronic neck pain, muscle stiffness, and reduced work productivity. Addressing this issue, ergonomic interventions such as specialized cervical collars can help mitigate discomfort and prevent further complications. This study aims to evaluate the effectiveness of a customized cervical collar in reducing neck pain among computer workers in Karanganyar Regency. Specifically, it investigates whether a specially designed collar provides more effective pain relief compared to commercially available collars. This study contributes to occupational health by proposing an ergonomic intervention that may improve the well-being of computer workers. It highlights the potential benefits of personalized cervical support, which may influence workplace ergonomic policies and musculoskeletal disorder prevention strategies. A pre- and post-test experimental design was used to assess pain reduction using the Visual Analog Scale (VAS). The study involved 80 computer workers diagnosed with cervical syndrome. Participants underwent a baseline pain assessment using the VAS before the intervention. The intervention group used a customized cervical collar, while the control group used a standard commercial collar. Pain levels were reassessed after a specified intervention period. Data were analyzed using paired t-tests to evaluate the significance of pain reduction, with additional correlation analysis conducted to examine relationships between pre- and post-intervention scores. The findings revealed a significant reduction in neck pain within the intervention group. The mean pain score decreased from 4.29 to 2.25 (p < 0.001), with a large effect size (Cohen’s d = 2.401). Correlation analysis showed a meaningful relationship (r = 0.292, p = 0.009) between pre- and post-intervention pain levels, confirming the effectiveness of the customized cervical collar. This study demonstrates that a customized cervical collar is highly effective in reducing neck pain among computer workers. These results support its use as an ergonomic intervention for preventing work-related musculoskeletal disorders. Future research should explore long-term benefits and compliance rates in various occupational settings.

EFEKTIVITAS CUSTOME LUMBAR SACRAL ORTHOSIS (LSO) UNTUK MENGURANGI NYERI PADA LOW BACK PAIN Suprayogi, Dody; Zubaidi, Alfan
Medical Journal of Nusantara Vol. 4 No. 3 (2025): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v4i3.1706

Latar Belakang: Low back pain merupakan salah satu kondisi nyeri didaerah punggung bawah. Kondisi ini terjadi karena tulang vertebra lumbalis tertekan dalam jangka lama dalam penggunaan aktifitas. Dalam jangka panjang bahkan nyeri dapat menjalar dikedua kaki bahkan sampai dikedua telapak kaki. Salah satu alat untuk meredakan nyeri adalah Lumbal Sacral Ortosis. Lumbal Sacral Ortosis merupakan alat pelindung diri yang berkaitan dengan pekerjaan untuk mencegah cedera jaringan otot. Lumbal Sacral Ortosis dapat berfungsi sebagai pereda nyeri, membatasi gerakan atau immobilisasi sebagian, memenejemen postur tubuh yang salah. Tujuan: Penelitian ini bertujuan untuk mengetahui efektivitas penggunaan custom Lumbal Sacral Ortosis terhadap penurunan nyeri pada penderita low back pain. Metode: Jenis penelitian kuantitatif, metode pre eksperimental dengan desain one grup pretest-post test dengan sampel berjumlah 60 orang di Klinik Fisioterapi Karanganyar. Instrumen yang digunakan untuk mengukur derajat nyeri adalah Numerical Rating Scale (NRS). Metode analisis data menggunakan uji Wilcoxon dan uji normalitas date menggunakan Kolmogorov-Smirnov. Hasil: Hasil uji Wilcoxon memperoleh p value 0.000 (< 0.05). Penurunan derajat nyeri sebelum dan setelah diberikan intervensi custome Lumbar Sacral Orthosis dengan selisih rata-rata sebesar 1.7. Custome Lumbar Sacral Orthosis efektif untuk mengurangi nyeri pada low back pain. Sampel penelitian semuanya berjenis kelamin perempuan. Kesimpulan: Penelitian ini menunjukkan intervensi custome Lumbar Sacral Orthosis efektif dalam mengurangi nyeri pada penderita low back pain

EDUKASI DAN IMPLEMENTASI PEMBERIAN PROSTHESIS PADA PASIEN PASCA AMPUTASI TRANSTIBIAL AKIBAT DIABETES MELITUS Suprayogi, Dody; Ningsih, Cica Tri Mandasari
Jurnal Pengabdian Masyarakat Medika Vol 6. No. 1, Maret 2026
Publisher : Universitas Muhamamdiyah Surakarta

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ABSTRAK Diabetes melitus merupakan penyakit metabolik kronis yang prevalensinya terus meningkat dan berpotensi menimbulkan berbagai komplikasi serius, salah satunya amputasi ekstremitas bawah. Amputasi transtibial dapat menyebabkan keterbatasan fungsi dan menurunkan kualitas hidup penyandang disabilitas. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan edukasi serta implementasi pemberian transtibial prosthesis kepada pasien pasca amputasi transtibial akibat diabetes melitus guna meningkatkan kemandirian dan kemampuan fungsional. Metode pelaksanaan kegiatan meliputi edukasi kesehatan, pemeriksaan dan asesmen pasien, pembuatan transtibial prosthesis, serta pelatihan penggunaan dan perawatan prosthesis. Hasil kegiatan menunjukkan bahwa penerima prosthesis mampu melakukan aktivitas berjalan dengan lebih mandiri, meningkatkan kepercayaan diri, serta memahami pentingnya perawatan stump dan pengendalian gula darah. Kegiatan ini juga berperan sebagai sarana pengenalan layanan ortotik prostetik kepada masyarakat. Simpulan dari kegiatan ini adalah bahwa edukasi yang disertai dengan pemberian dan pendampingan penggunaan prosthesis dapat meningkatkan kualitas hidup pasien pasca amputasi transtibial akibat diabetes melitus. ABSTRACT Diabetes mellitus is a chronic metabolic disease with an increasing prevalence and serious complications, including lower limb amputation. Transtibial amputation often results in functional limitations and reduced quality of life. This community service activity aimed to provide education and implement transtibial prosthesis provision for patients post transtibial amputation due to diabetes mellitus in order to improve functional independence. The methods included health education, patient assessment, fabrication of transtibial prosthesis, and training on prosthesis use and maintenance. The results showed that prosthesis recipients were able to walk more independently, demonstrated increased self-confidence, and gained better understanding of stump care and blood glucose control. This activity also served as an introduction to orthotic and prosthetic services for the community. In conclusion, education combined with prosthesis provision and usage assistance can effectively enhance the quality of life of patients following transtibial amputation due to diabetes mellitus.

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