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Impact of Silicone Arch Support on Energy Expenditure in Flexible Flatfeet Employees Erwinsyah, Belva Lativa Putri; Putra, Raden Achmad Candra; Karma, Agusni
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.v3i2.1982

Abstract

Background: Flat feet, or pes planus, is a common condition affecting approximately 20-30% of the general population, leading to muscle tension and instability that can impact energy expenditure during walking. Objective: To evaluate the effectiveness of Silicone Medial Arch Support in reducing energy expenditure during walking in individuals with flat feet compared to a control group. Methods: A total of 32 participants with flexible flat feet were selected through random sampling. This study employed a quasi-experimental design with a control group using a sham insole and an intervention group using silicone medial arch support for two months. Energy expenditure was measured using VO? max. The average energy expenditure before using silicone medial arch support was 36.76 ± 5.03 ml/kg/min, which increased to 39.75 ± 4.05 ml/kg/min post-intervention (p < 0.001). For the sham insole group, the energy expenditure was 34.67 ± 2.44 ml/kg/min before and 34.87 ± 2.20 ml/kg/min after the intervention (p = 0.183). Results: The use of silicone medial arch support resulted in a significant increase in energy expenditure compared to the sham insole group (p < 0.001). Conclusion: The study concludes that silicone medial arch support can reduce energy expenditure during walking in individuals with flat feet. These results suggest that incorporating well-designed arch support interventions can significantly improve biomechanical efficiency and comfort for individuals with flat feet. Future interventions should consider individual variations in foot morphology and activity levels to optimize support design, potentially integrating adjustable or customizable insoles to better address the diverse needs of this population.
DEVELOPMENT AND EFFECTIVENESS OF DIGITAL APPLICATION AS THE NEW SYSTEM TO ORGANIZE PRACTICUM MATERIALS AT SCHOOL OF PROSTHETICS ORTHOTICS IN POLYTECHNIC HEALTH SCIENCES JAKARTA I Nazier, Suci Anatasia; Triyani, Triyani; Annisa, Rizki; Gayatri, Padma Vidya; Putra, Raden Achmad Candra
Quality : Jurnal Kesehatan Vol. 17 No. 2 (2023): Quality : Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/qjk.v17i2.1423

Abstract

Introduction: The Prosthetic Orthotics (PO) School at Health Polytechnic Jakarta I relies on practical skills and various materials in its labs/workshops for device fabrication. To enhance logistics management, this study proposes a new digital application leveraging digital technology's efficiency. The aim is to improve the organization of logistics at the PO school, given the diversity and volume of practicum materials. The study involves developing and evaluating the effectiveness of the new digital application. Method: Using a mixed methods approach, the study employed a focus group discussion (FGD) to gather insights from managerial-level participants and student users. FGD participants discussed the expected design, features, and functions of the new digital management system, as they are actively involved in logistic management. The study also evaluated the new system by comparing it with the old manual system. Results and Conclusion: Participants expressed expectations for a digital application with user-friendly features, easy gadget access, access authorization, automation of stock tracking, and a warning system for stock shortages. The developed digital management system aligned with these expectations and demonstrated superior effectiveness when compared to the manual system in managing a diverse range of practicum materials at the PO School of Health Polytechnic Jakarta I. Time constraints during the COVID-19 lockdown limited the elaboration of additional key features, suggesting a need for future studies to explore other aspects based on the school's evolving needs.
Pengaruh Custom-Made Insole (CMI) terhadap Kenyamanan dan Keseimbangan Pasien dengan Fleksibel Flatfoot Karma, Agusni; Putra, Raden Achmad Candra; Trifani, Fika; Noviani, Nita
Jurnal Kesehatan Vokasional Vol 8, No 1 (2023): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.74184

Abstract

Latar Belakang: Kondisi flatfoot pada anak dapat menyebabkan penurunan kemampuan mobilitas seperti keseimbangan sehingga risiko jatuh akan meningkat. Bahan Ethylene-Vinyl Acetate (EVA) sering digunakan dalam pembuatan custom-made insole (CMI) untuk pasien dengan fleksibel flatfoot. Namun, EVA di Indonesia sering dikeluhkan elastisitas dan durabilitasnya dalam meredam tekanan.Tujuan: Membandingkan CMI bahan neoprene dan EVA terhadap kenyamanan dan keseimbangan pada anak dengan fleksibel flatfoot.Metode: Desain studi cross over randomized. Sejumlah 15 partisipan (9 laki-laki dan 6 perempuan) dengan kondisi bilateral dennis grade 2–3 mendapatkan CMI dengan bahan EVA dan neoprene secara acak. Kenyamanan dengan Visual Analog Score (VAS) dan keseimbangan statis dengan one leg standing yang diukur sebelum dan sesudah partisipan tanpa dan dengan menggunakan CMI dengan bahan neoprene dan EVA selama 2 minggu.  Hasil: Terdapat perbedaan yang signifikan tanpa dan dengan menggunakan CMI dengan bahan neoprene maupun EVA (p<0,01). Berdasarkan analisis, terdapat perbedaan tingkat kenyamanan yang signifikan antara insole berbahan neoprene dan EVA (p=0,022). Namun, tidak terdapat perbedaan yang signifikan antara CMI neoprene dan EVA dalam meningkatkan keseimbangan statis (p=0,195).Kesimpulan: CMI secara signifikan meningkatkan kenyamanan dan keseimbangan pada anak dengan fleksibel flatfoot. CMI neoprene secara signifikan meningkatkan kenyamanan dibandingkan EVA.