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Efektivitas Program Back School Dan Teknik Mckenzie Pada Pasien Nyeri Punggung Bawah Saifudin Zuhri; Marti Rustanti
Jurnal Keterapian Fisik Vol 1 No 1 (2016): JURNAL KETERAPIAN FISIK
Publisher : Poltekkes Kemenkes Surakarta

Abstract : Back School Program, Mckenzie Techniques, Pain, Vas, Patients With Low Back Pain. On the other hand needed McKenzie method for relaxation to the muscles of the back due to spasm, so that the pain can be reduced. To prove the effectiveness of the program back school and McKenzie techniques in reducing lower back pain. Types of Research: experimental study. Two group pre test-post test design. Place and Time Research in Unit physiotherapy Hospital Dr Moewardi Surakarta from January to June 2015. Sample: lower back pain patients who met the study criteria. Research variables: independent variable is a back school program and McKenzie techniques, while the dependent variable was pain. The research data in the form of pain measured by VAS. Data obtained include scale ratio. Statistical Analysis: The subjects in one group <30 people, then analyzed with nonparametric tests. Homogeneity of data were tested with the Mann-Whitney test was obtained p = 0.030 (P <0.05) indicates the data are not homogeneous. Wilcoxon test group I obtained p = 0.000 (p <0.05) showed no difference effect of back school programs to decrease lower back pain. Wilcoxon test group II obtained p = 0.000 (p <0.05) showed no difference effect of McKenzie technique to decrease lower back pain. Mann-Whitney test after treatment was obtained p = 0.006 (p <0.05) showed no difference in effectiveness between the back school program with McKenzie techniques in reducing lower back pain. Results of the mean difference in pain reduction anatara back school program with the technique gained 9.71 higher McKenzie Techniques. McKenzie Technique is more effective than a back school program to reduce lower back pain.

Beda Efektivitas Elektroakupunktur Dengan Tens Terhadap Nyeri Dan Fleksibilitas Lumbal Pada Pasien Nyeri Punggung Bawah Myogenik Saifudin Zuhri; Marti Rustanti
Jurnal Keterapian Fisik Vol 2 No 2 (2017): JURNAL KETERAPIAN FISIK
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v2i2.91

Abstrack : Lower Back Pain, Electroacupuncture, TENS, Pain, Lumbar Flexibility. Myogenic lower back pain (LBP) is a prevalence that many experienced individuals who perform daily activities. Physiotherapy technology for myogenic LBP in the form of TENS is given more clinically than electroacupuncture that has not been effectively socialized. Objective: To compare the effectiveness of TENS with electroacupuncture for pain and lumbar flexibility of myogenic LBP patients. Quasi experimental research with two groups pre and post test design. The subjects of the study were myogenic LBP patients who met the study criteria. Inclusion criteria include: (1) age 50 - 70 years, (2)willing to be the subject of research. Exclusion criteria: (1) suffer myogenic LBP followed by other disorders, (2) pacemaker use, (3) impaired sensibility, (4) malignancy in the lower back. Criteria for drop out: (1) not following therapy program more than 3 times, (2) experiencing worsening condition, (3) not present during final evaluation of research. Data were collected directly at the start of the study (pre test), pain was measured by VAS and flexibility was measured by schober test. Data were analyzed with SPSS 11.5 for windows. The results of pre-post test different test in group I with Wilcoxon test, obtained p value = 0.005 (p <0.05). Test of pre-post test in group II with Wilcoxon test, got p value = 0,004 (p <0.05). Test of difference of post test in group I and group II using Mann-Whitney test, got value p = 0,017 (p˂ 0.05). The result of change of mean difference of VAS value of pre and post therapy in group I was 45 mm while in group II was 31 mm. Conclusions: (1) there was an effect of electroacupuncture therapy on the decrease of pain in myogenic LBP patients before administered by William Flexion Exercise (p = 0,005); (2) there was effect of TENS therapy on pain reduction in myogenic LBP patients before given William Flexion Exercise (p = 0.004), (3) there was a difference in effect between electro-acupuncture therapy and TENS therapy on pain reduction in patients with myogenic LBP prior to William Flexion Exercise (p = 0.017), (4) electroacupuncture was more effective than TENS for pain reduction in patients Myogenic LBP before administered by William Flexion Exercise was compared with the mean difference between pre and post I groupVAS values greater than group II (group I = 45 mm, group II = 31 mm).

PENGARUH PEMBERIAN SENAM YOGA TERHADAP FLEKSIBILITAS TRUNK PADA WANITA DEWASA UMUR 30-45 TAHUN Luh Putu Ayu Vitalistyawati; Marti Rustanti; Yoni Rustiana; . Suhardi
Jurnal Kesehatan Terpadu Vol 3, No 1 (2019): Jurnal Kesehatan Terpadu
Publisher : LPPM Universitas Dhyana Pura

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.09 KB)

ABSTRAKKesehatan wanita di usia produktif merupakan hal penting yang harus diperhatikan. Pertambahan umur dan perubahan postur tubuh setelah melahirkan akan mempengaruhi kemampuan fleksibilitas punggung yang cenderung akan menurun. Penurunan fleksibilitas punggung akan menyebabkan timbulnya nyeri saat beraktivitas. Program yang direkomendasikan untuk menjaga dan meningkatkan fleksibilitas punggung di usia dewasa madya adalah senam yoga. Tujuan: untuk mengetahui pengaruh pemberian senam yoga terhadap fleksibilitas trunk pada wanita dewasa umur 30-45 tahun. Metode Penelitian: eksperimen kuasi dengan rancangan one group pretest and posttest design. Alat Ukur: alat ukur fleksibilitas trunk dengan sit and reach test yang dinyatakan dalam numerik. Subjek: 17 orang wanita dewasa umur 30-45 tahun di kelompok Arisan di sekitar sanggar senam RM7, Malangjiwan, Colomadu, Karanganyar yang memenuhi kriteria inklusi. Analisis: Uji nonparametrik dengan Wilcoxon untuk mengetahui nilai fleksibilitas trunk antara sebelum dan sesudah perlakuan. Uji statistik Wilcoxon didapatkan nilai p 0,000.Ada pengaruh pemberian senam yoga terhadap fleksibilitas trunk pada wanita dewasa umur 30-45 tahun. Kata kunci: senam yoga, fleksibilitas, sit and reach testABSTRACTWoman’s health in productive aged is the most important thing to be concern. The increased of age and posture changes after birth will decrease the trunk flexibility. The decrease of trunk flexibility, it can cause low back pain during activity. The recommended programs to maintain and increase back flexibility in the middle adulthood is yoga exercise. Objectives: to know the effect of yoga exercise to trunk flexibility on adult woman aged 30-45 years old. Research Method: A quasi-experimental design with one group pre-test and post-test design. Measurement Instrument: Measurement instrument of trunk flexibility is sit and reach test. Subject: 17 adult women aged 35-40 years old in Arisan group around RM7 Gymnastic Studio, Malangjiwan, Colomadu, Karanganyar and have the inclusion criteria. Analysis: Non-parametric test by Wilcoxon to know the score of trunk flexibility between before and after treatment. Wilcoxon statistical test obtained p=0.000. There was the effect of yoga exercise to trunk flexibility on adult woman aged 30-45 years old. Keyword: yoga exercises, flex ibility, sit and reach test

air hangat PENGARUH PERENDAMAN KAKI DENGAN AIR HANGAT TERHADAP KUALITAS TIDUR REMAJA: PENGARUH PERENDAMAN KAKI DENGAN AIR HANGAT TERHADAP KUALITAS TIDUR REMAJA Shihab, Ahmad Rizky Farras; Kusumawati, Yoni Rustiana; Rustanti, Marti
Journal of Local Therapy Vol 3 No 1 (2024): Journal of Local Therapy
Publisher : Pusat Unggulan IPTEK Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jlt.v3i1.4296

Background: adolescence is a transitional period where individuals experience physical changes and psychological development starting at the age of 12-20 years. These changes can cause problems that affect development, health and sleep quality. To improve sleep quality, foot bath in warm water Objective: to determine the effect of foot bath in warm water on the quality of sleep in adolescents. Research design: two group pre and post test. Research subject: there were 30 students from the Department of Physiotherapy, Health Polytechnic, Surakarta, who were divided into two groups, where group one was given intervention for 7 consecutive days and the research instrument used PSQI. Research result : the independent t-test showed that there was an influence on adolescent sleep quality. Conclusion : foot bath in warm water has an effect on improving the quality of sleep in adolescents.

HUBUNGAN SIT TO STAND ABILITY TERHADAP GAIT SPEED PADA LANSIA Hasna Nabila, Farras; Kusumawati, Yoni Rustiana; Rustanti, Marti
Jurnal Fisioterapi dan Kesehatan Indonesia Vol 3 No 2 (2023): Jurnal Fisioterapi dan Kesehatan Indonesia
Publisher : Ikatan Fisioterapi Indonesia cabang kota bekasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59946/jfki.2023.194

Background: In the elderly there is an aging process which results in changes in body systems, one of which is the musculoskeletal system which results in a decrease in functional ability. A person’s can be measured using sit to stand ability and gait speed as an objective measure of functional mobility to predict functional decline. Objective: To determine the relationship between sit to stand ability and gait speed in the elderly. Design: Quantitative observational descriptive. Subjects: Elderly Posyandu Melati 3, Tegalrejo Village, Ceper District, Klaten Regency, as many as 37 people who met the inclusion criteria were made into one group and measured sit to stand ability using the 5 Times Sit To Stand Test and gait speed was measured using the 10 Meter Walking Test at one time . Results: The normality test using the Shapiro-Wilk test showed normal results of p=0.134 for sit to stand ability and p= 0.784 for gait speed. Correlation test found a relationship with r = 0.706. Conclusion: There is a strong negative relationship between sit to stand ability and gait speed in the elderly.

No Different Acute Effect Of Passive And Active Stretching On Hamstring Flexibility In Elderly Women Rustanti, Marti
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 12 Number 1 Year 2023
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v12i1.496

Background: The flexibility of the hamstring muscle contributes significantly to movement and the risk of injury. Decreased hamstring flexibility increases the risk in older women with age. Stretching is the most common form of intervention to overcome this problem, but the most appropriate form of stretching for older women still requires further research. Methods: The study included 2 groups, where Group I received passive stretching treatment on the hamstring muscles while Group II received active stretching treatment on the same muscles. The subjects of this study were elderly women members of the Posyandu Elders from Tohudan Village, Colomadu District, Karanganyar Regency. Results: The results showed that there was a decrease in hamstring flexibility in older women. Passive stretching treatment has an effect on increasing hamstring muscle flexibility (p = 0.00). There was an effect of active stretching on increasing hamstring muscle flexibility (p = 0.03). There was no difference in the effect between passive stretching and active stretching on increasing hamstring muscle flexibility (p = 0.837). Conclusion: Passive stretching treatment has an effect on increasing hamstring muscle flexibility (p = 0.00). There was an effect of active stretching on increasing hamstring muscle flexibility (p = 0.03). There was no difference in the effect between passive stretching and active stretching on increasing hamstring muscle flexibility (p = 0.837). Conclusion: Based on the results of this study, it can be concluded that providing passive stretching and active stretching can both increase hamstring muscle flexibility in older women.

Efektivitas Program Latihan Aerobik pada Penurunan Nyeri Dismenore Primer: Meta-analysis Fadli, Arif; Rustanti, Marti; Windiastoni, Yoga Handita
Jurnal Kesehatan Vokasional Vol 9, No 1 (2024): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.92667

Latar Belakang: Wanita dengan Dismenore Primer (DP) dapat merasakan nyeri hebat akibat hiperkontraktilitas saat menstruasi, hipoksia, dan iskemia otot rahim. Wanita dengan DP akan mengalami hambatan aktivitas belajar dan keseharian. Obat analgetik efektif menurunkan nyeri dismenore primer dengan efek samping mual dan muntah. Program latihan aerobik bisa menjadi solusi pengobatan nyeri DP tanpa efek samping.Tujuan: Penelitian ini bertujuan untuk mengevaluasi efektivitas program latihan aerobik untuk pengurangan nyeri akibat dismenore primer.Metode: Systematic review dan meta-analisis artikel publikasi tahun 2013 s/d 2023 pada desain Randomized Control Trial di databased PubMed, Google Scholar, OVID, ResearchGate, ScienceDirect. Program Revman 5.3 digunakan dalam analisis data dengan ukuran efek terapi pada penurunan nyeri DP.Hasil: Lima artikel dengan 312 wanita DP dimasukan sintesis meta-analisis. Hasilnya menunjukan bahwa latihan aerobik efektif menurunkaan nyeri akibat dismenore primer dibandingkan dengan kelompok kontrol tanpa intervensi dengan ukuran efek terapi adalah besar (d= -2,03; CI= -3,37 – 0,69; P <0,00001).Kesimpulan: Program latihan aerobik efektif menurunkan nyeri akibat dismenore primer. Latihan aerobik dapat menurunkan nyeri melalui peningkatan sirkulasi darah sistemik yang disertai penurunan sensitifitas gerak akibat dismenore primer.

Efektivitas latihan aerobik pada metabolisme glukosa darah remaja dengan obesitas: meta-analisis Fadli, Arif; Noerdjanah, Noerdjanah; Rustanti, Marti
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.4345

Remaja dengan kelebihan berat badan dan obesitas akan mengalami resistensi insulin yang berkaitan dengan kurangnya aktivitas fisik. Resistensi insulin pada remaja dapat menyebabkan sindrom metabolik dan penyakit kardiovaskular di masa dewasa. Aktivitas fisik pada remaja dengan obesitas belum banyak dikaji efek terapeutiknya pada gangguan metabolisme glukosa darah akibat resistensi insulin. Penelitian ini bertujuan untuk mengetahui efektivitas latihan aerobik dalam meningkatkan sensitivitas insulin dalam metabolisme glukosa darah pada remaja obesitas. Penelitian ini merupakan meta-analisis dari artikel Randomized Controlled Trials pada basis data elektronik DOAJ, PEDro, PubMed, OVID, dan ScienceDirect. Pencarian artikel menggunakan kata kunci "glucose metabolism" OR "insulin resistance" AND "obese adolescents" OR "adolescents with obesity" OR "adolescents with overweight" AND exercise. Analisis data dilakukan menggunakan program RevMan 5.3 dengan ukuran efek menggunakan Cohen's d. Terdapat 6 artikel yang diikutsertakan dalam meta-analisis. Hasil analisis artikel menunjukkan bahwa latihan aerobik efektif dalam memperbaiki skor Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) dengan ukuran efek yang besar (d = -0,69; CI = -1,38 hingga -0,00; P <0,001) dibandingkan dengan kelompok kontrol. Latihan aerobik efektif memperbaiki skor HOMA-IR. Perbaikan skor HOMA-IR menjadi indikator pemulihan resistensi insulin pada remaja obesitas.

Efektifitas Core Stability Exercise terhadap Penurunan Nyeri Punggung Bawah Non Spesifik Kartiko Pertiwi, Jasmine; Dwi Nur Astuti; Rustanti, Marti; Noerdjanah, Noerdjanah
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 1 (2025): Desember 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i1.205

Background: Non-specific low back pain is a health problem that is often experienced by many individuals, especially among workers, and can interfere with daily activities and productivity. Objective: This study aims to explore the effectiveness of Core Stability Exercise in reducing non-specific low back pain. Method: The method used was an experimental design with a pre test-post test control group approach, involving 30 subjects who experienced non-specific low back pain. Subjects were divided into two groups: a treatment group that received the Core Stability Exercise intervention, and a control group that only received education. The intervention was carried out 12 times with a frequency of 3 times a week for 4 weeks. Pain levels were measured using the QVAS scale before and after the intervention. Results: The results of the analysis showed that there was a significant reduction in the level of non-specific low back pain in the group that received the intervention compared to the control group. Conclusion: Core Stability Exercise has been proven to be effective in reducing non-specific low back pain. Keywords : Core Stability Exercise, Physiotherapy, Lower Back Pain

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