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EFEK KOMBINASI TENS DAN STATIC CYCLE TERHADAP NILAI NYERI DAN KEMAMPUAN FUNGSIONAL PENDERITA OSTEOARTHRITIS KNEE Natalia, Christovani Eva; Sartoyo, Sartoyo; Fariz, Achmad; Halimah, Nurul
Kieraha Medical Journal Vol 6, No 2 (2024): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v6i2.9029

Abstract

Osteoarthritis (OA) merupakan penyakit kronis dan kelainan ortopedi yang paling umum. Sebagian besar beban sosial OA berhubungan dengan pinggul dan knee. Osteoarthritis knee kronis menyebabkan rasa sakit, degenerasi sendi, dan secara bertahap kehilangan tulang rawan sendi. Selain itu, sklerosis subkondral dan osteoarthritis kronis berhubungan langsung, dan osteofit merupakan hasil dari keduanya. Ketikaosteoarthritis kronis menyerang knee, pembengkakan dan rasa sakit bertahan selama lebih dari 12 minggu. Untuk mengetahui pengaruh kombinasi TENS dan Static Cycle terhadap nilai nyeri dan kemampuan fungsional penderita osteoarthritis knee di RS K Ngesti Waluyo Temanggung. Penelitian ini merupakan penelitian pre eksperimental. Dengan desain penelitian mengacu pada one group pretest-posttes. Peneliti memberikan pre-test nyeri dan Fungsional Knee kepada sampel yang akan diberikan perlakuan. Kemudian peneliti melakukan perlakuan berupa TENS (Transcuntaneous Electrical Nerve Stimulation) dan Static Cycle. Setelah selesai perlakuan, peneliti memberikan post-test nyeri dan Fungsional Knee. Penelitian ini dilaksanakan di Di RS Kristen Ngesti Waluyo Temanggung, Jawa Tengah pada Mei - Juni 2024. Populasi pada penelitian ini 45 pasien yang datang dengan keluahan nyeri knee ke instalasi rehabilitasi medik. Sampel dalam penelitian adalah penderita osteoarthritis knee pada Instalasi Rehabilitasi medik RS Kristen Ngesti Waluyo Temanggung yang sesuai dengan krteria inklusi dan ekslusi yang berjumlah 20 sampel. Hasil penelitian menunjukkan kombinasi Transcutaneous Electrical Nerve Stimulation dan Static Cycle dapat mengurangi nyeri dan meningkatkan kemampuan fungsional penderita osteoarthritis. Kesimpulan dari penelitian ini adalah terdapat pengaruh kombinasi Transcutaneous Electrical Nerve Stimulation dan Static Cycle terhadap penurunan nyeri peningkatan kemampuan fungsional pada kondisi Osteoarthritis Knee di RS K Ngesti Waluyo Temanggung, Jawa Tengah.   
LATIHAN PROPRIOSEPTIF PADA ANAK DENGAN AUTISM SPECTRUM DISORDER Yuliati, Wiwik; Halimah, Nurul; Kasimbara, Rachma Putri; Sartoyo, Sartoyo
Kieraha Medical Journal Vol 6, No 1 (2024): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v6i1.7091

Abstract

Autism Spectrum Disorder (ASD) adalah gangguan perkembangan pervasif yang terjadi pada anak usia dini, dilihat tanda dan gejalanya pada dua tahun pertama kehidupan. Anak dengan ASD mengalami kesulitan dalam mengintegrasikan informasi sensoris, termasuk indera proprioseptif. Defisit pemrosesan informasi sensori dapat menyebabkan defisit kemampuan motorik kasar. Penelitian ini bertujuan untuk mengidentifikasi pengaruh latihan proprioseptif dengan peningkatan kemampuan motorik kasar pada anak dengan Autism Spectrum Disorder. Desain Penelitian ini iyalah latihan proprioseptif pada penggunaan sinyal somatosensori yaitu proprioseptif atau taktil aferen tanpa melalui informasi dari bantuan atau modalitas lain seperti penglihatan. Jenis latihan yang diberikan meliputi latihan lompat trampoline, monkey climbing, pijat bola, dan gulung matras. Penelitian ini menggunakan one group pretest-postest pada 20 pasien ASD berusia 3-4 tahun yang sudah mendapatkan program latihan 2-3x/minggu selama 1 bulan. Hasil penelitian diperoleh nilai p = 0,000 (p 0,01) antara skor Peabody Development Measurement Scale-2 sebelum dan sesudah diberikan latihan proprioseptif. Terdapat pengaruh latihan proprioseptif terhadap peningkatan keterampilan motorik kasar.
Plank Exercise Dapat Meningkatkan Keseimbangan Remaja Di SMAN 01 Bongan Fauziah, Rahmah Ghinha; Pradita, Angria; Prasetiyo, Bagus Dadang; Halimah, Nurul
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 4 (2024): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i4.2422

Abstract

Keseimbangan pada remaja bertujuan untuk mempertahankan pusat massa tubuh terhadap sumbu tubuh untuk melawan gravitasi bumi yang di pengaruhi oleh proses sensorik atau system saraf, motorik atau musculoskeletal. Keseimbangan merupakan salah satu aspek penting dalam Kesehatan dan kebugaran tubuh manusia. Keseimbangan memungkinkan seseorang untuk melakukan aktivitas sehari-hari dengan lancer dan mengurangi resiko jatuh. Kajian ini merupakan studi Pre eksperimental yang bertujuan untuk mengetahui adanya peningkatan pada keseimbangan dengan pemberian plank exercise. Dengan desain penelitian one group pre-test dan post-test. Dengan sampel 20 orang remaja laki-laki dan Perempuan yang berusia 16-17 tahun di SMAN 01 Bongan. Penulis memberikan pengukuran keseimbangan dengan Y Balance Test kepada sampel dengan meminta untuk menyeimbangkan satu kaki sekaligus meraih sejauh mungkin dengan kaki satunya dalam 3 arah terpisah: anterior, posterolateral, dan posteromedial, setelah itu di berikan plank exercise. Frekuensi Latihan adalah 3 kali seminggu selama satu bulan dengan 3 kali pengulangan untuk pengukuran keseimbangan dan plank exercise ditahan selama 10 detik. Berdasarkan hasil Y Balance Test terdapat pengaruh dari pemberian plank exercise selama 12 kali yang di dapatkan dari uji t berpasangan diperoleh nilai p= 0,000<0,05 untuk left dan right dengan nilai pre-test keseimbangan sebesar 82,45 untuk left dan 85,25 untuk right dan post-test keseimbangan 90,65 untuk left dan 92,45 untuk right. Sehingga didapatkan adanya pengaruh dari pemberian plank exercise untuk keseimbangan remaja usia 16-17 tahun di SMAN 01 Bongan.
Pengaruh Kombinasi TENS Dan Self-Stretching Terhadap Perubahan Nyeri Dan Kemampuan Fungsional Pada Pasien Low Back Pain Myogenic Di Rumah Sakit Eka Husada Prasetyo, Samuel; Halimah, Nurul; Fau, Yohanes; Fariz, Achmad
Jurnal Keperawatan Muhammadiyah 2024: EDISI KHUSUS II
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Abstract

Objective: This study aims to determine the effect of a combination of TENS and self-stretching on changes in pain and functional ability in patients with Myogenic Low Back Pain at Eka Husada Hospital. Methods: This research is quasi-experimental research. With research design, it refers to the pre-test group and post-test control design. Researchers gave a pre-test on pain and functional ability to 30 respondents with myogenic low back pain who would be given treatment. Then the researchers carried out treatment in the form of a combination of Transcutaneous Electrical Nerve Stimulation and Self-stretching. After completing the treatment, the researcher gave a post-test on pain and functional ability. The research population was all low back pain patients with decreased functional ability, totaling 35 patients at Eka Husada Hospital. The research sample was 30 low back pain patients with decreased functional ability at Eka Husada Hospital who met the inclusion and exclusion criteria. Primary data was collected through direct interviews followed by examination. Data analysis used the Wilcoxon test. Results: Based on the analysis, it is known that there is an effect of a combination of Transcutaneous Electrical Nerve Stimulation and Self-stretching on reducing pain and increasing functional ability in conditions of myogenic low back pain at Eka Husada Hospital Conclusion: There is an effect of TENS and self-stretching on reducing pain and improving function in patients with myogenic low back pain.
Influence Chair Yoga Exercise on Decreasing the Risk of Falls for the Elderly Novistianasari, Florida; Halimah, Nurul; Mufarokha, Hanim; Fariz, Achmad
Journal La Medihealtico Vol. 6 No. 1 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i1.1877

Abstract

Falls are a significant concern among the elderly, often leading to injury, disability, and reduced quality of life. This study aims to examine the influence of chair yoga exercises on reducing the risk of falls among residents at St. Joseph's Nursing Home, Kediri. Using a pre-experimental one-group pretest-posttest design, this research assessed fall risk levels before and after a structured chair yoga intervention. The study employed the Timed Up and Go Test (TUGT) to measure fall risk, with data analyzed using paired t-tests to determine the effectiveness of the intervention. The results demonstrated a significant decrease in fall risk scores following the chair yoga program, highlighting its efficacy in enhancing balance and physical stability among participants. The findings suggest that incorporating chair yoga into daily routines can serve as a practical and accessible strategy for fall prevention in elderly populations. This study contributes to the growing body of evidence supporting yoga-based interventions as a non-pharmacological approach to improving the health and well-being of older adults in nursing care settings.
Perbandingan Konservatif Fisioterapi Dengan Core Stability Exercise Pada Kasus Nyeri Punggung Bawah Pradita, Angria; Nurul Halimah
Jurnal Fisioterapi Terapan Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

ABSTRACT: Low back pain is a major complaint caused by multifactorial conditions. The most common factors of low back pain complaints are due to age, occupation and gender. This study aims to compare the differences in therapeutic effects of conservative physiotherapy with the provision of electrotherapy, namely; microwave diathermy combined with transcutaneous electrical nerve stimulation (TENS), core stability exercise techniques and a combination of electrotherapy with core stability exercise (CSE). This type of research is quasi experimental with a pre-post test design in a population of 90 low back pain patients who seek treatment at the Physiotherapy clinic. By using purposive sampling technique of 60 patients who have met the exclusion and inclusion criteria, patients were divided into intervention groups, namely; (1) conservative physiotherapy (electrotherapy); (2) core stability exercise; (3) conservative physiotherapy and core stability exercise. Data collection techniques using visual analogue scale (VAS) measurement, and schoober method with analysis test using krusskal wallis. The results of this study showed a difference in the median value of pain of 2 (group 1), 4 (group 2), and 3.5 (group 3) with a P value on pain of 0.06>0.05, and a difference in the median value of muscle flexibility of 1.5 (group 1); 1.75 (group 2); 1.75 (group 3) with a P value showing 0.895. The three intervention groups have no difference in reducing pain and increasing flexibility.
PENGARUH PEMBERIAN KOMBINASI SHORT WAVE DIATHERMY DAN STRETCHING HAMSTRING TERHADAP PENINGKATAN KEMAMPUAN FUNGSIONAL PADA PASIEN OSTEOARTHRITIS KNEE UNILATERAL Apriana Rahayuningsih; Fransisca Xaferia Hargiani; Rachma Putri Kasimbara; Nurul Halimah
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 01 (2024): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i01.598

Abstract

Introduction: Osteoarthritis of the knee is a degenerative joint disease that causes limited joint mobility. As a result, limited joint mobility can cause a decrease in the knee's functional ability. Hamstring stretching is a form of exercise that aims to stretch or stretch muscles that have decreased elasticity and flexibility, so it reduces scope limitations motion of the knee joint to repair the walking patterns in order to improve knee functional abilities. The purpose of this study is to determine the effect of giving a combination of short-wave diathermy and stretching toward improving functional abilities in osteoarthritis knee unilateral patients. Methods: This type of research uses quasi-experiments with one group pretest and posttest design methods. With a population of 30 people taken randomly. It uses the Womac scale measuring instrument with a combination exercise design of short-wave diathermy and hamstring stretching which is given 2 times a week for one month. Results: Wilcoxon hypothesis test obtained a median value pre 47.00 and post 44.00 with a difference of 3.00, p-value=0.000 (p <0.005). Conclusion: there is an effect of giving a combination of short-wave diathermy and hamstring stretching for 8 treatments on functional improvement in unilateral knee osteoarthritis conditions.  Keywords: knee osteoarthritis, short wave diathermy, stretching hamstring
PENGARUH DRY NEEDLING TERHADAP PENURUNAN NYERI PADA PASIEN KASUS SPASME UPPER TRAPEZIUS DI RW 1 DESA GURAH KECAMATAN GURAH KABUPATEN KEDIRI Rizky Pratama Putra; Agung Hadi Endaryanto; Sartoyo Sartoyo; Nurul Halimah
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 01 (2024): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i01.603

Abstract

Background: Spasm is an informal, non-specific term often used to describe musculoskeletal pain. Pain is an uncomfortable and unpleasant feeling associated with tissue damage. Pain is also a subjective feeling that is felt. Spasm pain that often occurs is pain in the upper trapezius muscle area which is caused by work, stress and posture. Dry needling is a method that uses dry and sterile needles which is often used to help reduce pain in muscle trigger points. The aim of this study was to determine the effect of dry needling on reducing pain in patients with cases of upper trapezius spasm. Methods: The research design used was quasi experimental with a pre and post-test one group design research type with a total of 17 respondents who met the exclusion and inclusion criteria using a purposive sampling technique. Pain was measured using a visual analog scale (VAS) which was carried out before and after physiotherapy treatment in 1 group, namely; dry needling with 1 administration. Statistical tests use the Wilcoxon test. Results: When giving dry needling, the median value was pre 6 to post 2 with a P value = 0.00. Conclusion: it can be concluded that dry needling is effective in reducing upper trapezius spasm pain. Keywords: Dry Needling, Pain, Spasm
PENGARUH DEEP BREATHING EXERCISE TERHADAP NYERI HAID (DISMENORE) DI PERUMAHAN WAHYU TAMAN SARIROGO DESA SUMPUT KECAMATAN SIDOARJO Geby Sarawati; Agung Hadi Endaryanto; Achmad Fariz; Nurul Halimah
PROFESSIONAL HEALTH JOURNAL Vol. 4 No. 2sp (2023): Special Issue June
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v4i2sp.345

Abstract

Introduction: Dysmenorrhea is menstrual pain that is actually not so dangerous for adolescent girls but their complaints can hinder daily activities with varying degrees of pain for each person (Ibrahim et all., 2020). Methods: This study uses quasi-experimental research with the type of 1 group design before and after the test, the type used is the manipulation of free or flexible variables with the number of respondents 15 adolescent women aged 15-20 years using NRS (Numeric Rating Sacle) measurements. Results: From the results of the analysis test with paired T-Test there is an influence on the initial and final variables, because the significance value shows (2 tailed) p=0.000, <0.05 So it can be concluded that <0.05 can correlate, namely there is a significant effect on deep breathing exercise on menstrual pain or dysmenorrhea. Conclusion: the provision of deep breathing exercises is proven to have an effect on respondents with complaints of menstrual pain or dysmenorrhea.
Effectiveness of Core Stability Exercise in Physiotherapy Approach to Improve Cardiorespiratory Fitness in College Students Pradita, Angria; Halimah, Nurul
FISIO MU: Physiotherapy Evidences Vol. 6 No. 2 (2025): Integrating Local Wisdom into Sustainable Physiotherapy Practices
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v6i2.9205

Abstract

Introduction: Physical fitness, especially cardiorespiratory fitness, is an important factor in supporting students' health and academic performance. However, an increase in sedentary lifestyles has led to a decrease in physical fitness levels in university students. This study evaluates the effectiveness of the Core Stability Exercise (CSE) program in improving the cardiorespiratory fitness of university students, using a combination of bicycle crunch and mountain climber as the main exercises. This exercise is one of the physiotherapy exercise methods that focuses on strengthening core muscles, which not only improves body stability but also contributes to improving cardiorespiratory capacity through diaphragm activation and postural control. This study aimed to evaluate the effectiveness of CSE in improving the physical fitness of university students using a one-group pre-post-test quasi-experimental design. Methods: A total of 27 students underwent the bicycle crunch and mountain climber exercise program for eight weeks with a frequency of three times a week. Cardiorespiratory fitness was measured using the Harvard Step Test, and the results of statistical analysis with the Wilcoxon test showed a significant increase (p < 0.05) after the intervention. Results: The results of this study indicate that Core Stability Exercise is an effective exercise method in improving the cardiorespiratory fitness of college students. Conclusion: Therefore, this exercise is recommended as part of a preventive physiotherapy program to improve the health and fitness of students in the academic environment.
Co-Authors Achmad Fariz Achmad Fariz Achmad Fariz Achmad, Fariz Agata Sukha Kartika Agung Hadi Endaryanto Agung Hadi Endaryanto Agung Hadi Endaryanto Agus Purnomo Rijal Kurniawan Agustiani S, Ani Ahyuni Ainun, Nurul Alvina Rahmawati Amal, Muhammad Niltal Andy Setyawan Anggi Kurniawati Angrita Pradita Ani Agustiani S Apriana Rahayuningsih Arie Wicaksono Arie Wicaksono Arief Efendi Arief Efendi, Arief Arifiyanto, Ahmad Syarwani Arintika, Andis Puspita Asiyah Binti Supri Astuti Asriyanah, Asriyanah Atmojo Budi Prasetyo, Tri Bagus Abdul Rozaq Budhiana, Johan Candra Hermawan Candra, Kristian Ady Christian, Gideon May Dayanara Elsa Amedika Desyandri Desyandri Devi Ayu Trisnaningrum Dio Putra Mahardhika Duwi Ana Tiara Tiara Elok Ghina Fadhilah Emi Aprilyanti Fao, Yohanes Deu Faris, Achmad Fariz , Achmad Fariz, Achmad Fau, Yohanes Fauziah, Rahmah Ghinha Febriantama, Mohammad Dhany Fitria, Yanti Fitriania, Fitriani Fransisa Xaferia Hargiani Fransisca Xaferia Hargiani Fransisca Xaveria Hargiani Geby Sarawati Geby Sarawati Harnoko Hadiyanto Hamdi Hamdi Hargiani, Fransisca Xaveria Hargiani, Fransisca Xaveria Hargiani, Fransisca Xavier Indrati Indrati Irdamurni Jamilatus Sholeha Jatmiko, Rizki Priyo Johana Prity Karini Wahyuningrum, Esti Kartika Agung Kurniawan Kasimbara, Rachma Putri Kastalani, Kabid Kurniawan, Kartika Agung Kurniawati Kurniawati kusuma, fitria ary L. Lisnawati Laurentius Gigih Hari Utomo Maharani, Louise gabriella Kurnia Malik, Yuliana Motu Margareta, Lorensia Dodin Moh Mujibus Sauqi Mokhtar Jamil Mufarokha, Hanim Mursidah Mursidah, Mursidah Nada, Faricha Qotrun Natalia, Christovani Eva Nofitri, Fifi Novistianasari, Florida Nugraha, Dani Maulana Nur Aini Pradipta, Angria Pradita, Angria Prasetiyo, Bagus Dadang Prasetyo, Samuel Prasetyo, Samuel Vincentius Dani Prity, Johana Provisa Redy Fernando Rachma Putri Kasimbara Rachma Putri Kasimbara Retno Widaningrum Rianingtyas, Valensia Risa Puspita Sari Rizky Pratama Putra Rochadi Kristiningrum, Rochadi Ronaldo Patti Pelohy, Riko Rulyana, Nindi Rusdinal Sahrul, Sahrul Sanjaya, Waqid Sanjoyo, Mas Nugroho Dudi Saputra, Indra Kurniari Anggi Hari Sari, Wulan IR Sartoyo Satria Aji Dewantara Setiawan Edi Kriswanto Sumpena, Fajar Tirtha Ayu Paramitha, Tirtha Ayu Tri Atmojo Budi Prasetyo Tristia Nurul Hasanah Vincentia Kristanti Vivin Aini Zahroh Usmawanti Wahyu Oni Kurniawan Wahyu Tejakusuma, Wahyu Wahyu, Ardhiles Wardoyo, Pospo Wardoyo, Puspo Widyaningtyas, Erlina Windy Arief Wicaksana Winingsih, Suwarni Wiwik Yuliati Yohanes Deo Fau Yosep Ruslim Yuda Kristiawan Yuliati, Wiwik