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BENEFITS OF RADIAL SHOCK WAVE THERAPY AND LASER THERAPY ON MYALGIA LOW BACK PAIN: BENEFITS OF RADIAL SHOCK WAVE THERAPY AND LASER THERAPY ON MYALGIA LOW BACK PAIN Jehaman, Isidorus; Ginting, Raynald Ignasius; Berampu, Sabirin; Tantangan, Redi
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 2 (2022): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Low Back Pain (LBP) does not cause death, but causes individuals to become unproductive so that it will cause an enormous economic burden for individuals, families, communities and the government. Indonesian BPS data explains that people over 15 years of age have health problems. With increasing age, the anatomical structure and function of tissues will decrease, such as muscles, bones and joints, ligaments and other soft tissues. These changes are relevant to a person's decrease in activity. Pain is a major problem in patients with LBP disorders. Physiotherapy measures to overcome these complaints are extracorporeal shock wave therapy and laser. Physiotherapeutic intervention using shock wave therapy and extracorporeal laser methods can be given to LBP myalgia patients through community service activities carried out at Grandmed Lubuk Pakam Hospital. To evaluate the results of the intervention, the measuring tool used is the Verbal Analog Scale (VAS). This activity was attended by 12 respondents who complained of low back pain. Before and after the intervention the value will be measured using the VAS. Based on the results of the last evaluation, it can be seen that the respondents' pain complaints before and after the intervention experienced withdrawal, namely 5.8 (moderate pain) before the intervention and after the intervention the value became 0.8 (mild pain). The results of these actions prove that physiotherapy interventions such as radial shock wave therapy and laser therapy are useful/effective in dealing with complaints of LBP myalgia.

Socialization of Low Purine Diet in Elderly Patients With Gout Arthiritis at Puskesmas Batang Kuis Panjaitan, Raini; Damayanti, Erika; Manurung, Jelita; Ginting, Wira Maria; Ginting, Raynald Ignasius
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 1 (2023): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v3i1.1758

Gout arthritis is a disease caused by impaired purine metabolism resulting in excessive uric acid (hyperuricemia). It is said to be hyperuricemia if the uric acid level is more than 6.0 mg/dl in women and 7.0 mg/dl in men, which is measured based on blood serum. To overcome the problem of hyperuricemia, it is necessary to apply a low-purine diet, especially for elderly people with gout arthritis. The goal of a low-purine diet is to prevent monosodium urate crystals from accumulating in the joints. The implementation method used by the PkM team in collaboration with Puskesmas Batang Kuis partners and elderly people with gout arthritis consists of 4 stages. Based on the results of the activities of the 41 community service participants, frequency characteristics were obtained based on the uric acid value of the elderly at the Puskesmas Batang Kuis, namely the majority of gout categories in the elderly, namely the 7.6-9.0 category, as many as 25 people (61%). From the results of the activity it was also found that the number of elderly women with gout arthritis was more (28 people) while there were 13 men. The results of an evaluation of the increase in knowledge of 41 participants showed that the majority of elderly knowledge was categorized as good as many as 27 people (66%) participants with good knowledge. The low knowledge and understanding and awareness of the elderly regarding a low purine diet is the cause of the high number of gout arthritis sufferers. So we need a program that educates and raises public awareness and needs to monitor diet in the elderly.

Socialization to Mothers Regarding Tummy Time and Normal Baby Gross Motor Development in Pagar Jati’s Puskesmas Syara, Arfah May; Purba, Anita Sri Gandaria; Karo-karo, Tati Murni; Ginting, Raynald Ignasius; Sulistyani, Endah
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 2 (2023): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v3i2.2002

Adolescence is a period when a person experiences a transition from child to adult which The incidence of delayed child development in Indonesia is 10%. This delay in growth and development is related to the baby's brain development, such as genetic factors, health and nutritional status, the quality of interaction between mother and child, and environmental conditions. Baby's motor development is a phase of baby's development according to age. The child's limited time in motor learning and excessive parental attention as well as low child motivation and stimulation are the triggers for delays. Tummy time is a type of stimulant that influences the motor development of newborn babies. Tummy time is useful in improving the baby's development in positions such as lying on his stomach or back, rolling over, crawling, and preventing brachycephaly. PkM activities were carried out at the Pagar Jati Community Health Center where the PkM participants were mothers with toddlers who were determined using a total sampling method of 15 people. Implementation of PkM is carried out through socialization, demonstrations, discussions and questions and answers. To measure the initial knowledge and increase in knowledge of PkM participants before and after implementing PkM, pre and post-tests will be given. The PkM results show that Tummy time can influence the gross motor development of normal babies with a correlation value of 0.932 and a significance of 0.000. The average pre-test score for PkM participants was 5.6 and post-test was 7.7. If the differences are calculated, an average score increase of 2.1 is obtained, which means that this PkM activity succeeded in increasing the knowledge and abilities of PkM participants regarding tummy time and gross motor development.

The Effect of Pilates Exercise on Cognitive Function in The Elderly Jehaman, Isidorus; Br Sitorus, Tania Annisa; Ginting, Raynald Ignasius; Sinuhaji, Simson; Tantangan, Redi
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i1.2159

The number of elderly people worldwide is estimated to increase by 56% between 2015 and 2030. In Indonesia, the number of elderly people is estimated to increase by 23.66 million people, and is expected to continue to increase until 2035. Impaired cognitive function is one of the most common symptoms in the elderly. According to the World Health Organization (WHO), in 2017 there were 47 million people worldwide who experienced impaired cognitive function. Therefore, appropriate treatment is needed to improve the cognitive function of the elderly. Due to impaired cognitive function, a person becomes dependent on other people to care for themselves. To overcome this cognitive function disorder, it is necessary to carry out community service activities (PKM) in the form of outreach to the community about the importance of Pilates training for the elderly with the aim of overcoming cognitive function disorders in the elderly. Pilates exercise combines strength, flexibility and balance. Pilates exercise is a sport that focuses on lumbo-pelvic stabilization and activation of other body muscles. The methods applied in this activity are lectures, discussions and demonstrations of Pilates exercises and evaluation. Based on the results of the evaluation carried out, this socialization activity shows positive and satisfying benefits for the elderly where the elderly's understanding of Pilates exercises has improved. Previously they felt the exercises were very heavy and difficult to implement, but after doing them it turned out that these exercises were very interesting and easy to do. In fact, most of the elderly show a very high desire to continue to learn more and practice these exercises. Overall, this socialization activity received a positive response from the elderly, so it is hoped that it can encourage and motivate the elderly to independently carry out this exercise, considering that Pilates training is very useful in improving cognitive function. By increasing the understanding and interest of the elderly in this exercise, the elderly can develop this exercise on an ongoing basis, both individually and in groups, in order to maintain, develop and improve the cognitive function of the elderly so as to achieve the quality of society in general.

The Effect Of Calf Raise Exercise And Core Stability Exercise On Balance In The Elderly Puskesmas Tanjung Morawa Ginting, Raynald Ignasius; Aktifiti Gulo
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i2.2643

Balance disorders are a common issue among the elderly, increasing the risk of falls. Therefore, it is important to conduct studies on balance exercises to reduce this risk. This research focuses on two types of balance exercises: calf raise exercise and core stability exercise. The aim of this study is to analyze the effects of these two exercises on improving balance in the elderly. This study uses a quasi-experimental design with a pre-post test approach, dividing the sample into two groups. The sampling technique used is purposive sampling, involving 15 participants who meet the inclusion criteria. The measurement tool used is the Timed Up and Go Test (TUGT). To analyze the differences in effects between calf raise exercise and core stability exercise, the Shapiro-Wilk Test, Paired Sample T-Test, and Independent T-Test were applied. The results showed that both types of exercises led to improvements in balance, with calf raise exercise (p=0.001) and core stability exercise (p=0.000). The Independent T-Test results showed a p-value of 0.036, indicating a significant difference between the two exercises, with core stability exercise being more effective in improving balance in the elderly.

The Effects of Trunk Muscle and Cawthorne Cooksey Exercises on Reducing Fall Risk Among Older Adults Jehaman, Isidorus; Tantangan, Redi; Sinuhaji, Simson; Nasution, Rabiatun; Ginting, Raynald Ignasius
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/gp97g330

Background: Falls are a common health challenge experienced by the elderly and can significantly affect their quality of life. The leading causes of falls include decreased trunk muscle strength and disturbances in the vestibular system. Ironically, many older adults are unaware that these risks can be reduced through simple and regular physical activity. Therefore, interventions in the form of education and structured exercise, delivered directly at the community level, are considered a strategic approach to promote preventive behavior. Objective: This Community Partnership Program (PKM) aimed to improve the knowledge, practical skills, and motivation of elderly individuals in preventing fall risks through trunk muscle exercises and Cawthorne-Cooksey exercises. Method: The activity was conducted at Pagar Jati Public Health Center, Lubuk Pakam, involving 20 elderly participants. It consisted of two main sessions: an educational session covering the causes of falls, the role of trunk muscles, and the body's balance system; and a practical session where participants performed both exercises under the guidance of the implementation team. Evaluation was carried out through initial discussions, observation of participant engagement, and a simple pre-test and post-test. Results: The program showed a significant impact. A total of 85% of participants demonstrated improved understanding of fall risk and its prevention, 78% were able to perform the exercises correctly, and 90% expressed a commitment to continue the exercises independently at home. Participant satisfaction reached 92%. The elderly showed high enthusiasm throughout the activity, with many stating that this was the first time they realized the importance of light exercises in maintaining balance. Conclusion: This activity successfully enhanced the cognitive and motor skills of elderly participants in fall prevention. The combination of trunk muscle exercises and Cawthorne-Cooksey exercises proved effective in improving postural control, vestibular adaptation, and overall body stability. This hands-on approach is highly effective and recommended for sustainable implementation within community-based health promotion and prevention programs for the elderly.

The Effect of Motor Relearning Program on Daily Living Activity and Dynamic Balance in Non-Hemorrhagic Post Stroke Hemiparese Patients at Grandmed Lubuk Pakam Hospital Jehaman, Isidorus; Br Siagian, Khairunnisa; Bintang, Siti Sarah; Ginting, Raynald Ignasius; Ginting, Rosita; Harefa, Karnirius
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.1887

Stroke is a functional disorder of the brain that can occur suddenly or abruptly with focal or global neurological signs that can last 24 hours or more (if no surgery or death occurs) without any signs of non-vascular causes, which include signs of subarachnoid hemorrhage, intracerebral hemorrhage, ischemia or cerebral infarction. This can cause disturbances in vital brain functions such as coordination disorders, balance disorders, posture control disorders, sensation disorders and movement reflex disorders, thereby reducing the ability to carry out daily living activities and balance disorders. The motor relearning program method is a program for retraining specific motor controls by avoiding unnecessary or wrong movements that involve cognitive processes, the application of motor and psychological science, training, understanding of nervous anatomy and physiology and is not based on the theory of normal development (neuro development). The research aims to determine the effect of the motor relearning program on daily living activities and dynamic balance disorders in post-stroke patients. The method used in this research is a quasi experiment with one group pretest and post test design. The research sample consisted of 9 people. The samples will be observed and adjusted to the specified criteria so that they do not cause problems. Each respondent was measured 2 (two) times, namely before and after the intervention. Test the hypothesis using the Wilcoxon test. The research results obtained a value of p = 0.000 (p=<0.05), which means there is a significant influence of the motor relearning program intervention on daily living activities and dynamic balance disorders in post-stroke patients. The results of this research can be concluded that the motorbike relearning program can improve daily living activities and dynamic balance disorders in patients after non-hemorrhagic stroke. It is hoped that the results of this research can contribute to health services for the community in overcoming the problems of daily living activities and dynamic balance disorders in post-stroke patients.

THE EFFECT OF HYDROTHERAPY ON PAIN RELIEF IN KNEE OSTEOARTHRITIS PATIENTS AT DRS. H. AMRI TAMBUNAN REGIONAL HOSPITAL Ginting, Raynald Ignasius; Nurpaizah; Rabiatun Nasution
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/akyzhb84

Osteoarthritis (OA) of the knee is a common degenerative joint disease, characterized by progressive damage to the articular cartilage, changes in the subchondral bone, and synovial inflammation. This condition often causes pain, stiffness, and decreased joint function, which significantly affects the quality of life of sufferers. Hydrotherapy is an exercise program carried out in a swimming pool with various types of movements. Research Objective: To analyze the effects of Hydrotherapy on Osteoarthritis sufferers. Research Method: This is a quasi-experimental study with a one-group pre-test and post-test design. Hydrotherapy interventions were carried out twice a week for 4 weeks with a total of 8 actions, the measuring instrument used was the Visual Analog Scale (VAS). Results and Discusion: shows that pain in Osteoarthritis patients before being given Hydrotherapy was obtained an average pain of 4.82 with a standard deviation of 1.237 and the pain value in Osteoarthritis patients after being given Hydrotherapy was obtained an average pain of 2.47 with a standard deviation of 1.125 based on the data analysis value using the paired sample t-test statistical test obtained a p-value of 0.000 smaller than α 0.05. Conclusion: identifying the effect of Hydrotherapy on pain in Osteoarthritis patients.

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