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All Journal Health Notions Jurnal Kesehatan Journal of Prosthetics Orthotics and Science Technology (JPOST)

Agusni Karma

Dosen Poltekkes Kemenkes Jakarta I Jurusan Keperawatan. Jalan Wijayakusuma No. 47 Cilandak Jakarta Selatan

Author-ID : 295876

Dentistry Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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The Effect of Using 3D Printed Insole and Semi-Rigid Insole on Spatiotemporal Parameters in Students with Flexible Flat Foot Deformity Yulianto, Bayu Sholeh; Anatasia, Suci; Karma, Agusni; Yunihanawati, Rizan
Journal of Prosthetics Orthotics and Science Technology Vol. 3 No. 1 (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.v3i1.1579

Background: The most common foot deformity in the community is the flexible flat foot where the MLA condition becomes flat. Flat foot deformity results in decreased spatiotemporal gait parameters and requires an orthosis like an insole. Usually, flat feet are given a semi-rigid insole, but there is an alternative to the modeling and fabrication process of the insole, called the 3D printing method. Aims: To analyze the effect of 3D printed insole and semi-rigid insole on spatiotemporal gait parameters (walking speed, cadence, and step length). Methods: Using a quantitative analysis with cross sectional design to observe the improvement on spatiotemporal gait parameters. Five flexible flatfeet participants were recruited and asked to walk about 10-meter with 3D printed insoles. Results: There was an increase in walking speed after using 3D printed insoles on spatiotemporal parameters (speed, cadence, and stride length). Conclusion: The use of a 3d printed insole can help improve walking speed in participants with flexible flat foot deformity.

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

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.

Effectiveness of Prefabricated Lumbar Sacral Orthosis (LSO) Corset for Pain Relief in Low Back Pain (LBP) Health Students Rohmah, Salsabila Laili Nur; Utami, Feryanda; 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.v3i2.1983

Background: Low back pain (LBP) is a common musculoskeletal disorder often resulting from poor ergonomics. Students are particularly susceptible to LBP due to prolonged static positions and awkward postures. Objective: This study aims to evaluate the effectiveness of a prefabricated lumbar sacral orthosis (LSO) corset in reducing pain intensity and improving functional activity levels among students with LBP in the Dental Health and Prosthetics Orthotics Departments, Poltekkes Kemenkes Jakarta I. Method: A quantitative, pre-experimental one-group pre-test post-test design was employed, involving students from Poltekkes Kemenkes Jakarta I. Results: Among 30 students with LBP, 26 participants (86.7%) experienced a reduction in pain, while 4 (13.3%) continued to report moderate pain. Conclusion: The use of the prefabricated LSO corset significantly reduced pain levels and improved functional activity in affected Dental Health and Orthotics Prosthetics students at Jakarta Polytechnic I in 2024. Suggestions: Future studies should consider a larger participant pool, enhanced research monitoring, and comparisons between corsets with and without support bars for more robust findings.

Comparison of Energy Cost in Transfemoral Prosthesis Users using Mechanical Four-bar Linkage and Pneumatic System Prosthetic Knee Joints Rahmi, Diah; Kristianto, Jusuf; Karma, Agusni
Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 1 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY
Publisher : Poltekkes Kemenkes Jakarta I

Background. The prosthetic knee joint is an essential component of the transfemoral prosthesis. Different types of knee joints are used in transfemoral prosthesis. The different features found in artificial knee joints affecting on different energy costs to prosthesis user during walking. The selection of prosthetic knee joints should be appropriate to the user's needs. Research purposes. To analyze and comparing two types of prosthetic knee joint four bar linkage mechanical and pneumatic system in minimize the energy cost during walking. Research methods. Quantitative descriptive. The participants were 4 men transfemoral prosthesis user. Energy cost calculation is done with five minutes walking test, which is participants observed for 5 minutes by using prosthetic knee joint four bar linkages mechanical and pneumatic system. Results. The results showed that the prosthetic knee joint fourbar linkage pneumatic system decreased the energy cost by decreasing the value of PCI (p <0.05) and the participants's speed was increase significantly affected (p <0.05) compared to the fourbar linkage mechanical. Conclusion. The results show decreased PCI values and increased walking speed in the use of prosthetic knee joint fourbar linkage pneumatic system. It can be concluded that the use of pneumatic knee joints can clinically facilitate prosthesis users during walking.

The Effect of Prosthesis Socket Variations on Gait Deviation in Patients with Transfemoral Short Stumps: A Case Study Silmia, Ana; Hjelmström, Olle; Karma, Agusni; Ns. Widada
Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 2 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY
Publisher : Poltekkes Kemenkes Jakarta I

Background: The most common problem in patient transfemoral short stump is lack of stability during walking and creates gait deviation. One of the things that can increase the stability is which socket that used. Socket is the most important part of prosthesis for increasing stability for the patient itself. Because of that really important to decide which socket that has gait deviation close to normal especially for patient transfemoral short stump. Objectives: To know which socket that has gait deviation especially for lateral trunk bending and abducted gait those close to normal gait for patient transfemoral short stump with using quadrilateral socket and IC socket. Methods: This research is using case study method. Sample of this research is patient transfemoral short stump, male, 54 years old. Patient asked for use quadrilateral socket and IC socket 2 days each. Observation of gait deviation is using recorder. Degree of lateral trunk bending and distance of abducted gait were measured by recording in 2nd meter until 6th meter. This research has done in Clinic ortothotics prosthetics Poltekkes Kemenkes Jakarta I. Results: Result of the research shows that socket that have gait deviation less than ideal normal espsecially degree of lateral trunk bending and distance of abducted gait is IC socket compare to quadrilateral socket. Degree of lateral trunk bending while using ic socket got 10,07° but for quadrilateral socket got 12,57° with ideal normal is 11,32°. Distance of abducted gait for IC sockets is 25,8 cm but quadrilateral is 29 cm with distance ideal normal is 27,4 cm. Conclusion: This research shows that there is any effect of difference sockets toward gait deviation especially lateral trunk bending and abducted gait for patient transfemoral short stump. From this research get results socket that better for patient transfemoral short stump is IC socket.

Relationship Between Backpack Use and Positive Early Sign of Scoliosis in Elementary School Student Illiyin, Shabrina; Karma, Agusni; Triyani; Yunihanawati, Rizan
Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 1 (2023): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Background. The use of backpacks that are not suitable both in terms of design, weight of the load, and how to use it can have a negative impact on students due to increased pressure on the spinal structure of adolescents during their growth period. Early detection (scoliosis screening) must be carried out to determine the long-term effects of using the wrong backpack so that treatment can be carried out as soon as possible to avoid the occurrence of more severe musculoskeletal disorders. Aim. Analyzing the relationship between the use of non-ergonomic backpacks on spinal abnormalities (scoliosis) in students Cilandak Barat 08 Elementary School South Jakarta. Method. Analytical quantitative research, by conducting a cross-sectional study simultaneously on individuals of a population at a time. Result. This research found there was no significant relationship between backpack characteristics and the incidence of scoliosis (p-value 1.000) and OR 1.261. It was found that on average the respondents experienced musculoskeletal complaints due to the use of backpacks with non-ergonomic characteristics about 64.8% and scoliosis prevalence about 20.5%. Conclusion. There is no relationship between the characteristics of the backpack with the incidence of scoliosis. The use of a non-ergonomic backpack can still be used by considering the recommended aspects while using it.

Co-Authors Anatasia, Suci Erwinsyah, Belva Lativa Putri Hjelmstrom, Olle Illiyin, Shabrina Kristianto, Jusuf Masita, Masita Nazier, Suci Anatasia Ns. Widada Putra, Raden Achmad Candra Rahmi, Diah Rianti, Emy Rohmah, Salsabila Laili Nur Silmia, Ana Triyani Utami, Feryanda Wasnidar, Wasnidar Yulianto, Bayu Sholeh Yunihanawati, Rizan

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