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EFEKTIVITAS TEKNIK CONSTRAINT INDUCED MOVEMENT THERAPY (CIMT) DALAM MENINGKATKAN KEMAMPUAN FUNGSIONAL EKSTREMITAS ATAS PADA PASIEN POST STROKE: LITERATURE STUDY Rahayu, Umi Budi
Mitra Raflesia (Journal of Health Science) Vol. 17 No. 2 (2025)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/ns008c37

Abstract

Latar belakang: Intervensi Constraint Induced Movement Therapy (CIMT) banyak mendapat perhatian. Teknik intervensi ini dinilai efektif untuk meningkatkan kemampuan fungsional yang diakibatkan oleh penyakit stroke. Namun, berbeda halnya dengan hasil penelitian yang dilakukan oleh Hayner et al. (2010) yang menyatakan bahwasanya pemberian CIMT tidak memberikan perbedaan efek yang signifikan. Penelitian ini bertujuan untuk mengetahui efektivitas pemberian CIMT untuk meningkatkan kemampuan fungsional ekstremitas atas pada pasien post stroke. Metode: Penelitian dilakukan dengan literature study yaitu dengan mengambil artikel 10 tahun terakhir dari sumber data (Pubmed, Pedro, Sage, dan Science Direct). Jenis artikel yang digunakan adalah randomized control trial (RCT). Sebanyak 245 artikel diidentifikasi berhubungan dengan CIMT dan setelah dilakukan ekstraksi didapat 6 artikel untuk di-review. Hasil: Penelitian menunjukkan total sebanyak 190 responden dijadikan sampel yang kemudian dibagi menjadi kelompok kontrol dan kelompok intervensi. Pemberian intervensi beragam, mulai dari 2 minggu-6 bulan. Hasilnya menunjukkan kelompok intervensi dengan CIMT menghasilkan perubahan yang signifikan pada peningkatan kemampuan fungsional. Kesimpulan: Berdasarkan keenam artikel yang telah di-review dapat disimpulkan bahwa CIMT efektif untuk meningkatkan kemampuan fungsional ekstremitas atas pasien post stroke.
Efektivitas chest physiotherapy pada pasien ventilasi invasif dan NIV terhadap outcome klinis serta durasi rawat Setiawan, Galih Adhi Isak; Rahayu, Umi Budi; Herawati, Isnaini
Journal Physical Therapy UNISA Vol. 5 No. 2 (2025): November
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jitu.4610

Abstract

Pasien di Unit Perawatan Intensif (ICU) dengan ventilasi mekanik sering mengalami kegagalan pembersihan jalan napas akibat retensi sekret, yang dapat menyebabkan komplikasi seperti atelektasis dan memperpanjang durasi ventilasi serta lama rawat inap (LOS). Chest Physiotherapy (CPT) atau teknik pembersihan jalan napas (ACT) diperlukan untuk memperbaiki mekanika paru dan memfasilitasi penyapihan (weaning). Penelitian ini merupakan systematic review yang menggunakan metode PRISMA. Pencarian literatur dilakukan melalui database Google Scholar dengan rentang tahun 2015–2025, kriteria inklusi artikel berbahasa inggris dan merupakan artikel peneltian serta menggunakan salah satu jenis dari CPT dan memiliki outcome klinis. Menghasilkan 20 artikel yang memenuhi kriteria inklusi untuk dianalisis. Analisis artikel dilakukan dengan menggunakan pendekatan PICO, yang meliputi populasi pasien dengan ventilasi invasif maupun non-invasif yang menerima intervensi chest physiotherapy serta airway clearance technique. Pada pasien ventilasi invasif, CPT multimodal yang dikombinasikan dengan rehabilitasi dini terbukti meningkatkan keberhasilan ekstubasi dan menurunkan durasi penggunaan ventilator. Pada pasien Non-Invasif (NIV), CPT lebih berdampak pada perbaikan luaran fungsional dan kelelahan dibandingkan mortalitas. Teknik berbasis alat seperti Mechanical Insufflation-Exsufflation (MI-E) efektif dalam mobilisasi sekret, namun dampaknya terhadap LOS bersifat heterogen. Penurunan LOS yang signifikan lebih terlihat ketika intervensi dilakukan secara komprehensif dan intensif. CPT dan ACT memberikan kontribusi kuat terhadap perbaikan outcome klinis respirasi, khususnya oksigenasi dan mobilisasi sekret. Meskipun efek terhadap durasi rawat bervariasi, pemilihan teknik yang tepat berdasarkan kondisi fisiologis pasien dapat mendukung percepatan penyapihan ventilator.
Understanding and fixing WMSDs in herbal medicine workers at Luang Por Poen Hospital, Thailand Dwi Rosella Komalasari; Umi Budi Rahayu; Suryo Saputra Perdana; Tasa Kasumbung; Pakaratee Chaiyawat
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol. 9 No. 2 (2024): May 2024
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v9i2.12730

Abstract

Work-related Musculoskeletal Disorders (WMSDs) affect millions globally, involving painful conditions of muscles, tendons, ligaments, and nerves due to workplace factors like repetitive tasks and awkward postures. Common ergonomic risks include repetitive tasks, awkward postures, forceful exertions, and prolonged static positions. A program at Luang Por Poen Hospital in Thailand educated workers in the Herbal Medicines division on WMSDs, with management support. The program provided education on WMSDs to workers and management, with strong support from company leadership. Workers were instructed to perform muscle stretching exercises before, during, and after work, and to continue these exercises at home. Over a month, supervisors observed workers' stretching routines. The Nordic Body Map Index (NBMI) was used to assess pain; workers reported pain in various body regions. Severe neck pain decreased from six workers to one, and severe back pain from three workers to none. However, severe shoulder pain remained unchanged. No workers reported severe pain in the arm, back, buttock, wrist, calf muscle, or ankle after the program. In conclusion, incorporating stretching into the work routine benefits workers by improving physical health, mental well-being, and productivity. Encouraging regular stretching and providing opportunities for stretching breaks can create a healthier, more ergonomic work environment. 
Ground Reaction Force Analysis in Para-Athletes with Various Impairments: A Scoping Review Muhammad Tasa Kasumbung; Umi Budi Rahayu; Suryo Saputra Perdana; Retno Setianing
ACTIVE: Journal of Physical Education, Sport, Health and Recreation Vol. 14 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/active.v14i1.22872

Abstract

Background: Para-sport provides a new meaning of life for people with disabilities giving them the opportunity to compete nationally and globally, the achievements obtained will have a positive impact on the quality of life, social and economic. To achieve all of this requires biomechanical analysis such as ground reaction force to the specific needs of para-athletes. Objective: To determine the changes in ground reaction force (GRF) in para-athletes with various impairments. Methods: Following PRISMA guidelines, studies from 2015 to 2025 were analyzed in Scopus, PubMed, Springer, and Google Scholar. The eligible study examined para-athletes with a focus on the variable ground reaction force. Results: the 87 articles obtained 8 articles met the inclusion criteria. The participants was 97 (12.88 ± 6.97). Quality assessment (6.75 ± 0.7). This review identified significant differences in GRF between para-athletes and healthy athletes, especially in those with uTFA. Asymmetry in vertical and anterior-posterior GRFs is observed between affected and unaffected limbs in athletes with uTFA. Conclusions: This review emphasizes the importance of understanding GRF patterns in para-athletes to improve training methods, prosthetic design, and injury prevention strategies. These findings highlight the need for individualized programs that consider the unique biomechanical challenges of para-athletes.
Exercise for Dysphagia Pasca Stroke : A Literature Review Annisa Fitri Dewi; Umi Budi Rahayu; Subandi
ACTIVE: Journal of Physical Education, Sport, Health and Recreation Vol. 14 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/active.v14i1.22880

Abstract

Stroke causes many complications, one of which is dysphagia which is common after a stroke. Medical complications of dysphagia include the risk of aspiration pneumonia which results in increased hospitalization and morbidity. Several approaches to treating dysphagia can be taken including exercise therapy interventions. The aim of this study was to examine the effects of exercise for stroke patients with dysphagia. The method of this research was to look for studies related to exercise in post-stroke dysphagia and review them using an electronic database. Search for articles to review using the keywords “exercise”, “dysphagia”, and “stroke” and their combinations. The results of data extraction found a total of five pieces of literature which were thoroughly reviewed in the form of resistance training combined with kinesiology taping, group-based training, lingual strengthening exercise, Inspiratory and Expiratory Respiratory Muscle Training (IEMT), and McNeill Dysphagia Therapy Program (MDTP) exercises, showing that training for post-stroke dysphagia not only improves swallowing ability but can also improve mood, quality of life, and swallowing efficiency and reduce the cost of post-stroke dysphagia treatment. The conclusion of the review study was that in general exercise can overcome post-stroke dysphagia.
The Effectiveness Visual Feedback on Postural Control Post Stroke: Literature Review Wanda Kurnia Yuda; Umi Budi Rahayu; Rivan Danuaji
ACTIVE: Journal of Physical Education, Sport, Health and Recreation Vol. 14 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/active.v14i1.22930

Abstract

Stroke often causes disturbances in the sensorimotor system, which can interfere with the sufferer's ability to maintain balance and movement. Visual feedback can provide real-time information regarding the position and movement of a patient's body after a stroke, by adjusting movement adjustments and controlling body posture to maintain balance. The aim of this research is to determine the effect of visual feedback from the exercises given on post-stroke patients' posture control related to muscle activity, center of pressure, balance, gait and functional ability. The method used is a literature review through searching Pubmed and Scopus articles with the keywords "Visual Feedback" AND "Postural Control" OR "Postural Instability" AND Stroke which will be identified and selected using PRISMA guidelines. The research results showed that from 488 search articles, 6 articles were obtained that met the inclusion and exclusion criteria for review, which informed that visual feedback mediated by sit to stand exercises, Dynamic Sitting Sport, Sitting Balance, or visual feedback with a stable surface and bilateral visual feedback can improve muscle activity, center of pressure, balance, gait and functional abilities of post-stroke patients. The conclusion of this research is that there is an influence of visual feedback from the exercises given on posture control in stroke patients.
Manajemen Fisioterapi pada Pasien Carpal Tunnel Syndrome Dengan Kombinasi Nerve Gliding Exercise dan Modalitas Elektroterapi di RSJ Soerodjo Magelang: case report Muh. Ghozy Rezki Ramadan Sitompul; Umi Budi Rahayu; Dyah Wahyu Utami
Journal of Educational Innovation and Public Health Vol. 4 No. 2 (2026): April: Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i2.9020

Abstract

Background: Carpal Tunnel Syndrome (CTS) is a condition caused by compression of the median nerve at the wrist, resulting in pain, paresthesia, and decreased hand function. This condition is commonly experienced by individuals who perform repetitive wrist activities. Objective: To determine the effectiveness of a combination of neural mobilization exercises and electrotherapy modalities in improving hand function, increasing muscle strength, and reducing pain in a patient with Carpal Tunnel Syndrome. Methods: This study used a case report design involving a 57-year-old female patient (Mrs. Q) who presented with pain and sensory disturbances in the right hand. The intervention was administered for four weeks and consisted of ultrasound therapy, Transcutaneous Electrical Nerve Stimulation (TENS), grip strengthening exercises, and nerve gliding exercises. Outcome measures included pain intensity assessed using the Numeric Rating Scale (NRS), muscle strength evaluated using Manual Muscle Testing (MMT), and functional ability measured using the Wrist Hand Disability Index (WHDI). Results: The evaluation showed a reduction in pain intensity, with resting pain at 0/10, tenderness at 4/10, and movement pain at 4/10. Muscle strength improved from grade 3 to grade 4 based on MMT. Functional ability also improved, as indicated by a 20% reduction in the WHDI score. The combination of these interventions proved effective as a conservative management approach for Carpal Tunnel Syndrome. Conclusion: The administration of ultrasound, TENS, grip strengthening exercises, and nerve gliding exercises over four therapy sessions in Mrs. Q resulted in decreased pain, increased muscle strength, and improved hand functional ability.
Relationship Between Medication Adherence and Blood Sugar Levels Among Diabetes Mellitus Outpatients Ida Untari; Sri Utami; Muhammad Hafiduddin; Asmirati Yakob; Yuli Kusumawati; Lina Alfiyani; Umi Budi Rahayu; Sri Sat Titi Hamranani; Devid Noor Umam
Media Kesehatan Masyarakat Indonesia Vol. 20 No. 1: MARCH 2024
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v20i1.28016

Abstract

Diabetes Mellitus (DM) is a disease with progressively increasing prevalence every year and often leads to complications when not properly managed. Control or success of treatment is influenced by adherence of patients to the treatment process. This study aimed to analyze relationship between medication adherence and fasting glucose levels among DM outpatients. A correlation study was conducted using a cross-sectional approach on a sample of 300 respondents selected by probability sampling technique from the entire population. The instrument used was the MMAS-8 Test (Morisky Scale Medication Adherence Scales-8) and examination of fasting sugar levels. Meanwhile, data analysis was conducted with the Spearman Rho test. The results showed that the highest treatment adherence was in the moderate category by 130 (43.3%) and a decrease in fasting sugar levels was observed among 230 (76.7%) respondents. A significant relationship was found between medication adherence and fasting glucose levels with a p-value = <0.001 and r: -0.597. Based on the results, there was a negative relationship between medication adherence and fasting blood sugar. The higher medication adherence, the better the fasting sugar levels in DM outpatients.
Utilization Community-Based Rehabilitation Methods to Improve Independence and Quality of Life for Patients with Disabilities in Nara Phirom Health Promoting Hospital, Thailand Dwi Rosella Komalasari; Umi Budi Rahayu; Suryo Saputra Perdana; Pakaratee Chaiyawat; Nikmatur Rosidah
Warta LPM WARTA LPM, Vol. 27, No. 2, Juli 2024
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/warta.v27i2.4782

Abstract

The disability community activity, Nara Phirom Health Promoting Hospital in Banglen District, Nakhon Pathom, Thailand, collaborated with the Faculty of Physiotherapy, Mahidol University to support the disability community. Using the Community-based rehabilitation (CBR) method, the aim to enhance independence and quality of life. Evaluation includes IADL for independence and WHOQoL Bref-100 for quality of life. Education on health, immobilization, and exercise was provided to patients, families, and caregivers. Therapists teached physical exercises, to be repeated 2-3 times daily by caregivers and family. The 1-month program, supervised by therapists, includes standing and walking for patients with lower extremity strength of 3/5 (measured by manual muscle testing). Rehabilitation involves crafting items like wallets and bags, stamps, and flowers from bottles. Results, patients with low function status (very dependent on other people) decreased by 64.3%, moderate function increased by 116.7% and independence increased by 111.1%. There was a significant improvement in quality of life (WHOQoL) and all domains after CBR program.
EDUKASI GIZI UNTUK PENCEGAHAN KEKURANGAN ENERGI KRONIK (KEK) PADA IBU HAMIL DI DESA BEKONANG SUKOHARJO Ahmad Rifai; Amanda Permata Putri Putri; Yasier Ikrom; Siti Rahma Fatkhiyah; Devina Kemala Pratidina; Qur'ana Fauziyah; Fauziah Nurulita Addin; Nadiah Ardiningrum; Umi Budi Rahayu; Fitriana Mustikaningrum
Jurnal Berkawan: Jurnal Pengabdian kepada Masyarakat Vol. 3, No.1, Januari 2026
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Chronic Energy Deficiency (CED) in pregnant women is a nutritional issue that directly contributes to increased maternal and infant morbidity and mortality rates, as well as the overall quality of future generations. Bekonang Village, located in Mojolaban Sub-district, Sukoharjo Regency, is one of the areas still facing significant challenges in preventing CED, as indicated by the low awarene ss among pregnant women regarding the importance of balanced nutrition during pregnancy. This community service activity aimed to improve pregnant women’s knowledge about CED and its prevention through structured and communicative nutrition education. The method consisted of nutrition counseling delivered through interactive lectures, discussions, and leaflet distribution to 30 pregnant women. Knowledge levels were assessed using pre-test and post-test instruments to evaluate the effectiveness of the intervention. The results showed a significant increase in knowledge scores after the educational session, indicating the success of the educational approach used. Additionally, participants demonstrated high levels of enthusiasm and active engagement, which contributed to achieving the program’s objectives. Target ed and participatory nutrition education has proven to be an effective strategy for supporting CED prevention at the community level. This activity is expected to serve as a promotive and preventive model that can be replicated in maternal health programs in other regions.
Co-Authors ., Subandi Abi Muhlisin Adhy Kurniawan Agus Setiya Agus Setiyawan Ahmad Rifai Ajeng Marshela Tiara Ningrum Ajeng Sabtorini Akib, Marliyanti Nur Rahmah Al-Kubro, Putri Balqis Alinda Nur Ramadhani Alviana Dwi Lestari Amanda Permata Putri Putri Amanda, Tasya Ghea Ambarwati Amelia Dwi Putika Sari Amir, Suliati P Anandri S, Rico Anindita, Putri Maharani Annisa Fitri Dewi Apriliyani, Yuyun ARIF KURNIAWAN Arif Pristianto Arifin Agung Prehanto Arum Pratiwi Asmirati Yakob Atik Hidayati Atik Hidayati Ayu Tri Kusumaningrum Subiyanto Baihaqi, Muhamad Adzib Cahyana, Aris Alfaldieka Cahyo Setiawan Daru Kumoro Cipto Jati Deistriany, Zehra Karil Della Annisa Thalib Devid Noor Umam Devina Kemala Pratidina Dewangga, Mahendra Wahyu Dewi, Asri Seftika Dwi Fijianto Dwi Rosela Komala Sari Dwi Rosella Komala Sari Dwi Rosella Komalasari Dwi Rosella Komalasari Dwiky Yudhistira Dyah Wahyu Utami Edy Waspada Endy Effran Faizah Betty Rahayuningsih Fauziah Nurulita Addin Firman Faradisi Firnadia Septika Rahajeng Fitri Dwi Jayanti Fitriana Mustikaningrum Fitriyya, Munaaya Guswiyamto, G Hamidah, Nilam Nur Haqi, Nadyastama Faisal Harun, Andi Qonita Hasmar, Wanti Ida Untari Ida Untari Imtiyaz Nisa Indiana Radinda Intan Herlinawati Irfan Muhammad Ismadi Ismail Setyopranoto Isnaini Herawati Kadek Agustini Aryani Kasumbung, Muhammad Tasa Katno Asha Khairi Rizqi Fadhlika Khairunissa, Hatifa Kingkinnarti Kingkinnarti Kingkinnarti Kingkinnarti, K Kurnia Kusuma Ramadhan Kurniawati, Susilo lestari, sulis Lina Alfiyani Lina Alfiyani Lusia Intan Purnamasari M. Halim Mardianto, Halim Maulidia, Kamila Mufidati, Husna Muh. Ghozy Rezki Ramadan Sitompul Muhamad Nasuka Muhammad fauzan Muhammad Fawwaz Malik Azhari Muhammad Ghilang Maulud Setyawan Muhammad Hafiduddin Muhammad Nasuka Muhammad Raffi Muhammad Tasa Kasumbung Muhammad Taufik Ilyas Muliyono, Didik Mulyadi, Farah Ekawati Mulyanto Mulyanto Mustiko, Prihantoro Larasati Nadiah Ardiningrum Namirah, Hanna Aulia Napisah, Sri Nastiti, Rindang Rizky Ni Putu Riantini Nia Hayati Nikmatur Rosidah Nilam Nur Hamidah Nuraini, Hikmatul Laili Nurhidayah, Indah Suci Nurul Aktifah Nusaibah, Yasmin Oktiva, Yayuk Dwi Pakaratee Chaiyawat Pakaratee Chaiyawat Panrus, Ali Imroni Muhammad Pasya, Muhammad Sena Nurrahman Pramaisella, Inggrid Pitaloka Pramesti, Redita Salma Ayusandra Pratiwi, Citra Dewi Loh Budi Puad, Laylin Putra, Guntur Rusmana Putra, Zulfikar Yucha Qur'ana Fauziyah Ramadhani, Muhammad Mumtaz Retno Setianing Rhavida Anniza Andyani riantini, ni putu Rini Mustikasari Kurnia Pratama Ririt Ika Lestari Ririt Ika lestari Rivan Danuaji Rizy, Muhammad Hasbi Alfa Safitri, Lela Lutfiana sakinah sakinah Salatina, Alfi Salsabila, Savira Rizka Meidy Samekto Wibowo Seliana Sinta Debi Seliana Sinta Debi Setiawan, Galih Adhi Isak Setiawan, Purnomo Gani Setyawati, Yayuk Silvia Rahma Maulida Sirajuddin Handalguna Siti Rahma Fatkhiyah Siti Raihani Siti Raihani Siti Soekiswati Spence, Nicola Sri Sat Titi Hamranani Sri Sat Titi Hamranani Sri Utami Sudarsono, Wahyu Tri Sugiarto, Rahmat Sulistyawati, Irma Sunyiwara, Arum Sekar Suryo Saputra Perdana Syavira Nooryana Syinta, Ahmada Norma Tasa Kasumbung Tiara Paramitha Sugiri Syah Putri Trisnandhika Galang Pratama Ulfah Zulfahmi Umam, Devid Noor Umar Jamaludin W Wahyuni, W Wahyu Tri Sudaryanto Wanda Kurnia Yuda Waspada, Edy Wibo, Samekto Wijianto Wijianto Yantini, Sri Yasier Ikrom Yuli Kusumawati Yunita Nur Rochmah Zulikha, Nora Eny