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All Journal Indonesian Journal of Medicine KESANS : International Journal of Health and Science Multidiscience: Journal of Multidisciplinary Science
Puspita, Wita Hana
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Chemistry Computer Science & IT Economics, Econometrics & Finance Engineering Health Professions Medicine & Pharmacology Physics Public Health Social Sciences

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Transcutaneous Electrical Nerve Stimulation and Neck Calliet Exercise Intervention in Cervical Root Syndrome Cases Fazrina, Gina; Agustyaningsih, Nugraheni; Mahasih, Teki; Puspita, Wita Hana; Gunawan, Dindin Hardi; Assidqi, M Wildan
Multidiscience : Journal of Multidisciplinary Science Vol. 2 No. 1 (2025): January
Publisher : CV. Strata Persada Academia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59631/multidiscience.v2i1.330

Abstract

Cervical Root Syndrome (CRS) is caused by spinal nerve root compression, manifesting as neck pain, sensory disturbances, and functional impairments. This study evaluates the effectiveness of combining Transcutaneous Electrical Nerve Stimulation (TENS) and Neck Calliet Exercise in managing CRS symptoms. A case study was conducted on a 52-year-old woman presenting with pain and functional limitations due to CRS. The interventions were applied in four sessions over two weeks at Ciremai Hospital, Cirebon. TENS was administered at 50-200 Hz frequency and 50-150 µs pulse duration for 15 minutes, targeting the m. splenius capitis and m. upper trapezius muscles bilaterally. The Neck Calliet Exercise included active movements, isometric contractions, and contract-relax stretching. Pain was assessed using the Visual Analogue Scale (VAS), while functional disability was evaluated with the Neck Disability Index (NDI). Post-intervention results revealed a significant reduction in pain across all neck movements, with some movements achieving complete pain resolution. Functional disability scores improved from moderate (42%) to mild (28%), demonstrating enhanced cervical mobility and motor control. These findings suggest that combining TENS and Neck callit exercise provides a synergistic approach to alleviating pain and improving functional outcomes in CRS patients.
Meta-Analysis the Effect of Aquatic Therapy on Functional Ability in Patients with Knee Osteoarthritis Puspita, Wita Hana; Tamtomo, Didik Gunawan; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.486 KB) | DOI: 10.26911/theijmed.2022.7.2.531

Abstract

Background: Knee OA can affect mobility in the elderly causing pain and impaired functional ability. This study aims to analyze the effect of aquatic therapy on functional ability in knee osteo­arthritis patients based on the results of a number of previous primary studies..Subject and Method: This study was conducted using a meta-analysis method with articles searched using the search keywords "knee osteoarthritis" OR "osteoarthritis genu" AND "aquatic therapy" OR "hydrotherapy" OR "water exercise" AND "functional ability" OR "WOMAC" AND "Randomized Controlled Trial” OR “RCT” from PubMed, google scholar and science direct and processed using RevMan 5.3.Results: 9 RCT articles that fit into the inclusion criteria, with a total of 573 samples. Knee OA patients receiving aquatic therapy had a mean WOMAC score of 1.22 units lower than those without aquatic therapy, and the effect was statistically significant (SMD = -1.22; 95% CI -2.03 to -0.41; p = 0.003). In other words, aquatic therapy is effective in improving functional ability in knee OA patients.Conclusion: Aquatic therapy has an effect on increasing functional ability in knee osteoarthritis patients.Keywords: Osteoarthritis, aquatic therapy, WOMAC indexCorrespondence: Wita Hana Puspita. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: wita.tj0408@gmail.com. Mobile: +628164837959.Indonesian Journal of Medicine (2022), 07(02): 138-149https://doi.org/10.26911/theijmed.2022.07.02.03
Case Study: Post-Orif Joint Stiffness Following a Distal Third Right Tibial Fracture Managed with Infrared Radiation Therapy and Exercise Puspita, Wita Hana; Fazrina, Gina; Agustyaningsih, Nugrahaeni; Izzatul Aziz, Faza
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.583

Abstract

Fractures of  the tibia 1/3 distal dextra after Open Reduction External Fixation (OREF) often cause joint stiffness, pain, oedema,  muscle atrophy, as well as limitations in joint range of motion (LGS) and functional activity. The administration of physiotherapy with Infrared Radiation (IRR) modalities and exercise therapy is a non-invasive approach to overcome these complications. This study used a case study method, in a 61-year-old female patient, with the provision of interventions in the form of IRR and exercise therapy such as static contractions, free active exercises, active resistance training, and non-weight bearing (NWB)  walking exercises using walkers.  After 6 sessions of therapy, compressive pain decreased, motion pain decreased, oedema in the maleolus decreased, LGS eversi-inversion increased and LGS plantar-dorsal flexion increased, knee flexor muscle strength, dorsal flexor ankle, plantar flexor ankle, as well as evertor and invertor ankle increases, the circumference of the right thigh muscle increases, and the value of functional ability increases
Co-Authors Agustyaningsih, Nugrahaeni Agustyaningsih, Nugraheni Assidqi, M Wildan Dhony, Ervia Fahma Dian Handayani Dianika, Bani Didik Gunawan Tamtomo Fazrina, Gina Gunawan, Dindin Hardi Izzatul Aziz, Faza Krisnawati, Hesthi Mahasih, Teki Munawaroh, Siti Mar'atul Nurhayati, Happy Prasetya, Hanung Sudarmono, Andang Sumarah, Kristuti Catur Veibiani, Nindita Arum