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PENGARUH CORE STABILITY DAN MICRO WAVE DIATHERMY TERHADAP NYERI SPONDYLOARTHROSIS LUMBAL Jhon Roby Purba; Surya Syahputra Berampu; Rostime Hermayerni Simanullang
Jurnal Online Keperawatan Indonesia Vol 4 No 2 (2021): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v4i2.2408

Lumbar spondyloarthrosis is low back pain caused by degeneration of the discs, facet joints in the lumbar, so that there is pressure on the intervertebral foramen which will cause osteophytes where this causes irritation, it will cause tissue inflammation or can also occur pressure on the cauda equine. In other conditions, pain can also be caused by spasm of the muscles causing ischemia, ischemia causes pain.Perpuse: the aim of this study is analyzed effect of Core Stability and Micro Wave Diathermy to reduce pain on patients with Lumbar Spondyloarthrosis.Method: Design of this study is a eksperimental studyPre and Post Test Group Design without control group, used a total sampling teqhniqe and 12 respondents. Before and after is done intervention, measurement of pain scale of respondens. Result: Wilcoxon range test is analized data in this study with p value = 0.002 ( p<0.05).It is mean, there is a significant effect of Core Stability and Micro Wave Diathermy to reduce pain on patients with Lumbar Spondyloarthrosis. Conclusion:conclusion of this study are the core stability exercise and micro wave diathermy can reduce pain in patients with lumbar spondyloarthrosis. The suggestion in this study is to increase the number of respondents for the further reseaerch so they can represent a wider representative.

PENGARUH CORE STABILITY DAN MICRO WAVE DIATHERMY TERHADAP NYERI SPONDYLOARTHROSIS LUMBAL Jhon Roby Purba; Surya Syahputra Berampu; Rostime Hermayerni Simanullang
Jurnal Online Keperawatan Indonesia Vol 4 No 2 (2021): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v4i2.2408

Lumbar spondyloarthrosis is low back pain caused by degeneration of the discs, facet joints in the lumbar, so that there is pressure on the intervertebral foramen which will cause osteophytes where this causes irritation, it will cause tissue inflammation or can also occur pressure on the cauda equine. In other conditions, pain can also be caused by spasm of the muscles causing ischemia, ischemia causes pain.Perpuse: the aim of this study is analyzed effect of Core Stability and Micro Wave Diathermy to reduce pain on patients with Lumbar Spondyloarthrosis.Method: Design of this study is a eksperimental studyPre and Post Test Group Design without control group, used a total sampling teqhniqe and 12 respondents. Before and after is done intervention, measurement of pain scale of respondens. Result: Wilcoxon range test is analized data in this study with p value = 0.002 ( p<0.05).It is mean, there is a significant effect of Core Stability and Micro Wave Diathermy to reduce pain on patients with Lumbar Spondyloarthrosis. Conclusion:conclusion of this study are the core stability exercise and micro wave diathermy can reduce pain in patients with lumbar spondyloarthrosis. The suggestion in this study is to increase the number of respondents for the further reseaerch so they can represent a wider representative.

PENGARUH CLOSED KINETIC CHAIN EXERCISE DAN OPEN KINETIC CHAIN EXERCISE TERHADAP AKTIVITAS FUNGSIONAL PADA PASIEN OSTEOARTHRITIS KNEE DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2022 BERAMPU, SURYA SYAHPUTRA
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 2 No. 2 (2022): JULI : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v2i2.343

Osteoarthritis is the most common degenerative condition among the elderly. Functional disorders are caused by knee osteoarthritis. A person with osteoarthritis knee typically experiences pain, stiffness, and a decrease in functional activity as a result of limited function. The purpose of this study is to compare the effects of open kinetic chain exercise and closed kinetic chain exercise on increasing functional activity in patients with osteoarthritis of the knee. This is a quasi-experimental type of study. To compare two intervention groups, a two-group pre-test post-test research design was used. In addition, WOMAC is being used to assess functional ability. Exercises should be done twice a week for four weeks. Effect analysis using the paired T-test in treatment groups 1 and 2. The paired T-test on closed kinetic chain exercise and open kinetic chain exercise yielded the same result, P = 0.000 (p0.05), indicating that functional ability influences before and after treatment. Meanwhile, an independent t-test resulted in a value of p = 0.153 (p>0.05), indicating that there are differences in the influence of open kinetic chain and closed kinetic chain on increasing functional ability in patients with osteoarthritis knee. Open kinetic chain exercise and closed kinetic chain exercise have different effects on improving functional ability in people with osteoarthritis knee.

Pengembangan Model Latihan-Back Strengthening Exercise Sebagai Terapi Dasar Non Farmakologi Pada Penderita Low Back Pain Di Rumah Sakit Kota Medan Purba, Jhon Roby; Berampu, Surya Syahputra; Sembiring, Hizkianta
BEST Journal (Biology Education, Sains and Technology) Vol 6, No 2 (2023): September 2023
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v6i2.8064

Tujuan: pengembangkan model latihan back strengthening exercise sebagai terapi dasar non farmakologi pada penderita low back pain di rumah sakit kota medan. Uji yang digunakan uji statis paired t-test dengan siginifikan p value 0.05 yang menyatakan hipotesis alternatif di terima dan dengan pembuktian dilakukan untuk membuktikan hipotesis pengembangan model latihan back strengthening exercise sebagai terapi dasar non farmakologi pada penderita low back pain di rumah sakit murni teguh medan . Hasil: Rata-rata nilai nyeri sebelum dilakukan Latihan Back Strengthening Exercise adalah 5.40, dengan nilai standar deviasi 0.821, dimana nilai min 4 dan nilai max 7 dan setelah dilakukan Latihan Back Strengthening Exercise nilai Nyeri adalah 2.80 dengan standar deviasi 0.696, dimana nilai min 2 dan nilai max 4, selain melihat nilai nyeri peneliti juga melihat nilai aktivitas fungsionalnya dengan hasil rata-rata nilai aktivitas fungsional sebelum dilakukan Latihan Back Strengthening Exercise adalah 17.50, dengan nilai standar deviasi 3.663, dimana nilai min 13 dan nilai max 26 dan setelah dilakukan Latihan Back Strengthening Exercise nilai Aktivitas Fungsional adalah 8.25 dengan standar deviasi 4.290, dimana nilai min 2 dan nilai max 19, dengan masing – masing hasil analisis statistic dengan menggunakan paired t-test dengan nilai p value 0.000 0.05 maka dapat disimpulkan terdapat hasil yang baik dengan pemberian Latihan Latihan Back Strengthening Exercise sebagai Terapi Dasar Non Farmakologi Pada Penderita Low Back Pain di Rumah Sakit Kota Medan. Kesimpulan: Pengembangan Model Latihan Back Strengthening Exercise sebagai Terapi Dasar Non Farmakologi Pada Penderita Low Back Pain di Rumah Sakit Kota Medan sangat mempengaruhi nilai pengurangan nyeri serta meningkatkan aktivitas fungsional pada penderita Low Back Pain di Rumah Sakit Kota Medan

Mutu Pelayanan Fisioterapi Dengan Tingkat Kepuasan Pasien Low Back Pain Spondylosis Lumbalis Di Poliklinik Fisioterapi Rumah Sakit Grandmed Berampu, Surya Syahputra; Purba, Jhon Roby
JURNAL SOCIAL LIBRARY Vol 1, No 3 (2021): JURNAL SOCIAL LIBRARY NOVEMBER
Publisher : Granada El-Fath

Pelayanan kesehatan akan dipersepsikan berkualitas oleh pasien jika penyampaiannya dirasakan melebihi harapan pengguna jasa. Tujuan penelitian ini adalah untuk mengetahui hubungan dimensi mutu pelayanan kesehatan dengan kepuasan pasien rawat jalan di poli fisioterapi rumah sakit GrandMed. Penelitian ini menggunakan accidental sampling dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh pasien rawat jalan di poliklinik fisioterapi sebanyak 166 pasien per bulan, sampel 62 pasien diambil secara accidental sampling dan metode pengumpulan data menggunakan kuesioner. Analisis data bivariat menggunakan uji chi square dengan tingkat kepercayaan 95%, = 0,05. Berdasarkan hasil penelitian, ada hubungan dimensi fisik berwujud dengan dimensi kepuasan pasien (p value = 0,002), ada hubungan dimensi reliabilitas dengan dimensi kepuasan pasien (p value = 0,015), ada hubungan dimensi responsiveness dengan dimensi kepuasan pasien. kepuasan pasien (p value = 0,030), ada hubungan dimensi assurance dengan kepuasan pasien (p value = 0,007), ada hubungan dimensi empati dengan kepuasan pasien (p value = 0,086) dan hasil multivariat menunjukkan, dimensi assurance paling banyak dominan kualitas dalam kaitannya dengan kepuasan pasien (rasio prevalensi 10,543).

EDUKASI KESEHATAN TENTANG CORE STABILITY EXERCISE PADA LANSIA DI KLINIK PRATAMASANTA ELISABETH MEDAN Siahaan, Timbul; Lumbantoruan, Sontiar; Silitonga, Santo Damerius; Berampu, Surya Syahputra; Sitepu , Floresta br; Sitepu, Murniati br
Jurnal Pengabdian Kesehatan Vol. 4 No. 2 (2025): Jurnal Pengabdian Kesehatan (JUPKes), Edisi Juni 2025
Publisher : STIKes Santa Elisabeth Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52317/jupkes.v4i2.60

Lansia merupakan usia yang rentan terhadap jatuh akibat perubahan fisik seperti penurunan fungsi pada semua sistem dalam tubuh terutama fungsi sistem saraf sensorik dan muskuloskletal. Terganggunya fungsi muskuloskletal mempengaruhi fungsi dan kerja otot atau kelemahan otot sehingga dapat mengakibatkan ketidakseimbangan pada lansia. Pengabdian ini bertujuan untuk menganalisa Pengaruh edukasi terhadap peningkatan pemahaman lansia terhadap Core Stability Exercise di klinik Pratama Santa Elisabeth Medan. Metode yang dilakukan observasi: Persiapan, Pelaksanaan dan Evaluasi. Hasil yang diperoleh dari 15 responden terdapat adanya peningkatan pemahaman Core Stability Exercise dengan hasil obesrvasi dedapatkan responden mampu melakasanakan Stability Exercise dengan baik dan merasa nyaman serta kekakuan pada otot otot tangan menjadi rileks.

PENGARUH STEP LENGTH DAN STRIDE LENGHT DALAM MENINGKATKAN KESEIMBANGAN BERJALAN PADA LANSIA DENGAN RESIKO JATUH STUDI KASUS : PRAKTEK FISIOTERAPI ASSYIFA PHYSIO HEALTH Berampu, Surya Syahputra
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol 8, No 2 (2025): May 2025
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v8i2.4000

Abstract: This study aims to evaluate the effect of physiotherapy interventions involving the optimization of step length and stride length on walking balance in the elderly with a risk of falling. A total of 10 elderly people at risk of falling followed a 4-week physiotherapy therapy program, which focused on improving leg muscle strength, flexibility, and walking techniques. Data were collected by measuring step length and stride length before and after the intervention, and using the Berg Balance Scale (BBS) to assess changes in walking balance. The results showed a significant increase in step length (from 55 cm to 62 cm, an increase of 12.7%), stride length (from 100 cm to 108 cm, an increase of 8%), and a Berg Balance Scale score (from 42 to 48, an increase of 14.3%). Statistical tests using paired t-tests showed significant differences between pre and post-intervention data (p < 0.05), indicating that physiotherapy interventions targeting stride length can improve walking balance in the elderly. This study concludes that optimizing step length and stride length through physiotherapy can be an effective method in improving balance and reducing the risk of falls in the elderly. It is recommended for further research exploring other factors that contribute to walking balance in the elderly, as well as the development of more integrated and efficient intervention methods. Keywords: Step Length, Stride Length, Walking Balance, Elderly, Risk of Fall Abstrak: Penelitian ini bertujuan untuk mengevaluasi pengaruh intervensi fisioterapi yang melibatkan pengoptimalan step length (panjang langkah) dan stride length (panjang langkah ayun) terhadap keseimbangan berjalan pada lansia dengan risiko jatuh. Sebanyak 10 lansia yang berisiko jatuh mengikuti program terapi fisioterapi selama 4 minggu, yang difokuskan pada peningkatan kekuatan otot kaki, fleksibilitas, dan teknik berjalan. Data dikumpulkan dengan mengukur step length dan stride length sebelum dan setelah intervensi, serta menggunakan Berg Balance Scale (BBS) untuk menilai perubahan dalam keseimbangan berjalan. Hasil penelitian menunjukkan peningkatan yang signifikan pada step length (dari 55 cm menjadi 62 cm, peningkatan 12.7%), stride length (dari 100 cm menjadi 108 cm, peningkatan 8%), dan skor Berg Balance Scale (dari 42 menjadi 48, peningkatan 14.3%). Uji statistik menggunakan t-test berpasangan menunjukkan perbedaan yang signifikan antara data pre dan post-intervensi (p < 0.05), yang mengindikasikan bahwa intervensi fisioterapi yang menargetkan panjang langkah dapat memperbaiki keseimbangan berjalan pada lansia. Penelitian ini menyimpulkan bahwa pengoptimalan step length dan stride length melalui fisioterapi dapat menjadi metode yang efektif dalam meningkatkan keseimbangan dan mengurangi risiko jatuh pada lansia. Disarankan untuk penelitian lebih lanjut yang mengeksplorasi faktor lain yang berkontribusi terhadap keseimbangan berjalan pada lansia, serta pengembangan metode intervensi yang lebih terintegrasi dan efisien. Kata kunci: Step Length, Stride Length, Keseimbangan Berjalan, Lansia, Risiko Jatuh Nilai

PENGARUH CLOSED KINETIC CHAIN EXERCISE DAN OPEN KINETIC CHAIN EXERCISE TERHADAP AKTIVITAS FUNGSIONAL PADA PASIEN OSTEOARTHRITIS KNEE DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2022 BERAMPU, SURYA SYAHPUTRA
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 2 No. 2 (2022): JULI : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v2i2.343

Osteoarthritis is the most common degenerative condition among the elderly. Functional disorders are caused by knee osteoarthritis. A person with osteoarthritis knee typically experiences pain, stiffness, and a decrease in functional activity as a result of limited function. The purpose of this study is to compare the effects of open kinetic chain exercise and closed kinetic chain exercise on increasing functional activity in patients with osteoarthritis of the knee. This is a quasi-experimental type of study. To compare two intervention groups, a two-group pre-test post-test research design was used. In addition, WOMAC is being used to assess functional ability. Exercises should be done twice a week for four weeks. Effect analysis using the paired T-test in treatment groups 1 and 2. The paired T-test on closed kinetic chain exercise and open kinetic chain exercise yielded the same result, P = 0.000 (p0.05), indicating that functional ability influences before and after treatment. Meanwhile, an independent t-test resulted in a value of p = 0.153 (p>0.05), indicating that there are differences in the influence of open kinetic chain and closed kinetic chain on increasing functional ability in patients with osteoarthritis knee. Open kinetic chain exercise and closed kinetic chain exercise have different effects on improving functional ability in people with osteoarthritis knee.

Pengembangan Model Latihan-Back Strengthening Exercise Sebagai Terapi Dasar Non Farmakologi Pada Penderita Low Back Pain Di Rumah Sakit Kota Medan Purba, Jhon Roby; Berampu, Surya Syahputra; Sembiring, Hizkianta
BEST Journal (Biology Education, Sains and Technology) Vol 6, No 2 (2023): September 2023
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v6i2.8064

Tujuan: pengembangkan model latihan back strengthening exercise sebagai terapi dasar non farmakologi pada penderita low back pain di rumah sakit kota medan. Uji yang digunakan uji statis paired t-test dengan siginifikan p value 0.05 yang menyatakan hipotesis alternatif di terima dan dengan pembuktian dilakukan untuk membuktikan hipotesis pengembangan model latihan back strengthening exercise sebagai terapi dasar non farmakologi pada penderita low back pain di rumah sakit murni teguh medan . Hasil: Rata-rata nilai nyeri sebelum dilakukan Latihan Back Strengthening Exercise adalah 5.40, dengan nilai standar deviasi 0.821, dimana nilai min 4 dan nilai max 7 dan setelah dilakukan Latihan Back Strengthening Exercise nilai Nyeri adalah 2.80 dengan standar deviasi 0.696, dimana nilai min 2 dan nilai max 4, selain melihat nilai nyeri peneliti juga melihat nilai aktivitas fungsionalnya dengan hasil rata-rata nilai aktivitas fungsional sebelum dilakukan Latihan Back Strengthening Exercise adalah 17.50, dengan nilai standar deviasi 3.663, dimana nilai min 13 dan nilai max 26 dan setelah dilakukan Latihan Back Strengthening Exercise nilai Aktivitas Fungsional adalah 8.25 dengan standar deviasi 4.290, dimana nilai min 2 dan nilai max 19, dengan masing – masing hasil analisis statistic dengan menggunakan paired t-test dengan nilai p value 0.000 0.05 maka dapat disimpulkan terdapat hasil yang baik dengan pemberian Latihan Latihan Back Strengthening Exercise sebagai Terapi Dasar Non Farmakologi Pada Penderita Low Back Pain di Rumah Sakit Kota Medan. Kesimpulan: Pengembangan Model Latihan Back Strengthening Exercise sebagai Terapi Dasar Non Farmakologi Pada Penderita Low Back Pain di Rumah Sakit Kota Medan sangat mempengaruhi nilai pengurangan nyeri serta meningkatkan aktivitas fungsional pada penderita Low Back Pain di Rumah Sakit Kota Medan

Pengaruh Latihan Plyometric Hurdle Jump Terhadap Daya Ledak Otot Tungkai Bawah Pada Pemain Futsal di Karya Futsal Medan Tahun 2025 Lumbantoruan, Sontiar; Berampu, Ira Manda sari; Silitonga, Santo Damerius; Berampu, Surya Syahputra; Siahaan, Timbul; Derang, Imelda
Jurnal Masyarakat Indonesia (Jumas) Vol. 4 No. 03 (2025): Jurnal Masyarakat Indonesia (Jumas)
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/jumas.v4i03.328

Background: Futsal is now one of the most popular sports in the community. This can be seen from the existence of futsal courts in almost every region, whether they meet the standards or not. This achievement sport is well organized, has a planned program, and sets certain targets to reach the peak of achievement. One important component in the physical condition needed in the game of futsal is the explosive power (power) of the leg muscles. Explosive power is defined as the ability of a muscle to face resistance with a very fast contraction. This concept includes a combination of strength and speed of muscle contraction that is dynamic and explosive, where the muscle must release maximum strength in the fastest possible time. Objective: To determine the effect of giving Plyometric Hurdle Jump on lower limb muscle explosiveness in futsal players. Methods: This study uses an experimental type with a quasi-experimental approach pre test and post test design with one group. The sample of this study amounted to 15 people with meetings 2 times a week for 8 meetings. Results: normality test with Shapiro Wilk Test obtained data before and after not normally distributed p <0.05. Based on the analysis using the Wilcoxon test, the p-value = (0.002 <0.05) then Ha is accepted and H0 is rejected. Conclusion: there is an effect of Plyometric Hurdle Jump on the explosive power of the lower leg muscles of futsal players

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