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Journal : Jurnal Profesional Fisioterapi

FISIOTERAPI PADA POST PARTUM DENGAN PILATES EXERCISE UNTUK MENINGKATKAN FLEKSIBILITAS LUMBAL hidayati Zein, Renni; Muawanah, Siti; Ismaningsih, Ismaningsih
JURNAL PROFESIONAL FISIOTERAPI Vol. 2 No. 1 (2023): JANUARY
Publisher : Universitas Muhammadiyah Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/fisioterapi.v2i1.3290

Abstract

Latar belakang : Post Partum merupakan periode waktu atau masa dimana organ-organ reproduksi kembali kepada keadaan tidak hamil membutuhkan waktu sekitar 6 minggu. Fleksibilitas dipengaruhi oleh elastisitasnya sendi-sendi dan juga otot-otot. Salah satu upaya untuk meningkatkan fleksibilitas lumbal pada kasus post partum adalah dengan pemberian intervensi pilates exercise. Tujuan dari pemberian intervensi ini yaitu meningkatkan fleksibilitas lumbal, menjaga fleksibilitas otot, dan memperbaiki postur. Metode : Penelitian ini adalah penelitian Pra Eksperimen dengan One group pre-test & post-test design. Populasi sampel adalah post partum dengan gangguan fleksibilitas lumbal UPT Puskesmas Kelurahan Enok. Pengambilan data pasien dengan menggunakan midline pre-test dan post-test. Selama masa penelitian jumlah sampel sebanyak 22 responden yang diambil menggunakan teknik total sampling yaitu seluruh penderita. Hasil : Hasil penelitian menunjukkan fleksibilitas sebelum & sesudah pemberian intervensi menunjukkan ada perubahan yang signifikan dari nilai p=0,000 dengan tingkat kepercayaan 95%. Berdasarkan Uji Paired Sampel T Test dengan nilai p= 0,000 < (0,05) telah memperlihatkan bahwa terdapat pengaruh pilates exercise terhadap perubahan fleksibilitas lumbal pada post partum. Kesimpulan : Disimpulkan bahwa fleksibilitas sebelum & sesudah pemberian pillates exercise memperlihatkan ada peningkatan fleksibilitas setelah diberikan pilates exercise dengan frekuensi latihan 3 kali selama 3 minggu.
EFEKTIVITAS METODE SQUARE STEPPING EXERCISE DALAM MENINGKATKAN FUNGSI KOGNITIF PADA LANSIA DENGAN KONDISI DEMENSIA: CASE STUDY Sari Triyulianti; Muawanah, Siti; Relida Samosir, Nova; Haikal Akbar, Muhammad
JURNAL PROFESIONAL FISIOTERAPI Vol. 5 No. 1 (2026): Januari
Publisher : Universitas Muhammadiyah Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/fisioterapi.v5i1.11053

Abstract

Introduction: The aging process in older adults leads to various physiological changes, including a decline in nervous system function that may increase the risk of developing dementia. Dementia is a neurodegenerative syndrome characterized by decreased cognitive functions such as memory, orientation, attention, and thinking ability, which negatively affect independence and quality of life in older adults. This condition also increases the risk of mobility impairment and dependency in daily activities. Therefore, effective non-pharmacological interventions are needed to maintain and improve cognitive function. One such method is Square Stepping Exercise, a structured stepping-pattern-based physical exercise initially developed to improve balance in older adults, which has also been shown to stimulate cognitive function through enhanced concentration, memory, and motor coordination. This study aimed to determine the effectiveness of Square Stepping Exercise in improving cognitive function in older adults with dementia. Methods: This study employed a case study design involving one older adult with dementia and moderate cognitive impairment. The Square Stepping Exercise intervention was administered in 12 therapy sessions with a frequency of three times per week. Cognitive function was measured using the Mini Mental State Examination (MMSE) before and after the intervention. Results: After 12 sessions of Square Stepping Exercise intervention, an improvement in cognitive function was observed as measured by the Mini Mental State Examination (MMSE). The MMSE score increased from 13 (moderate cognitive impairment) before the intervention to 23 (mild cognitive impairment) after the intervention. Conclusion: Based on the results of this study, the implementation of Square Stepping Exercise for 12 therapy sessions demonstrated an improvement in cognitive function in older adults with dementia, as indicated by an increase in MMSE scores from the moderate cognitive impairment category to the mild cognitive impairment category. These findings suggest that Square Stepping Exercise has the potential to be used as a non-pharmacological intervention to improve cognitive function in older adults with dementia
EFEKTIVITAS NEURODYNAMIC EXERCISE DAN NEUROMUSCULER TAPING TERHADAP FUNGSI TANGAN PADA IBU HAMIL DENGAN CARPAL TUNNEL SYNDROME: STUDI KASUS Ayu Permata; Muawanah, Siti; Rizal, Yose; Taqwin Alhabsyi, Ahsana
JURNAL PROFESIONAL FISIOTERAPI Vol. 5 No. 1 (2026): Januari
Publisher : Universitas Muhammadiyah Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/fisioterapi.v5i1.11055

Abstract

Introduction: Carpal Tunnel Syndrome (CTS) is a neuromusculoskeletal condition commonly experienced by pregnant women in the third trimester. This condition is caused by fluid retention, which causes swelling and compression of the nerve within the carpal tunnel. Hormonal fluctuations such as progesterone, estrogen, renin, and angiotensin during pregnancy contribute to swelling and compression of the median nerve. Symptoms resulting from median nerve compression include pain, numbness, and tingling sensations in the hand. These symptoms can reduce hand functional ability, interfere with daily activities, and decrease the quality of life of pregnant women. The management of CTS in pregnancy is limited in the use of innovative, safe, and effective non-pharmacological, physiotherapy-based interventions to address movement and hand function disorders. Neurodynamic exercise is a median nerve mobilization technique that alters nerve length in relation to surrounding structures and improves intraneural blood flow. This technique focuses on stretching methods that reduce neural tension and help restore nerve function. Neuromuscular taping (NMT) helps reduce fluid congestion, improve blood and lymphatic circulation, decrease excess heat, restore tissue homeostasis, and reduce inflammation and pain receptor hypersensitivity. Objective: To determine the effectiveness of neurodynamic exercise and neuromuscular taping as physiotherapy interventions on hand function in pregnant women with carpal tunnel syndrome. Methods: This study was a case study using a single-subject research design conducted on a third-trimester pregnant woman with CTS. The physiotherapy program was delivered six times over three weeks, from April 13 to April 29, 2025. Hand functional ability was evaluated using the Wrist–Hand Disability Index (WHDI). Results:After the physiotherapy intervention, the WHDI score decreased from 40% (moderate disability) before intervention to 18% (minimal disability) after intervention. Conclusion: Neurodynamic exercise combined with neuromuscular taping had a positive effect on hand functional ability in a pregnant woman with carpal tunnel syndrome.