Siti Sarah Bintang
Institut Kesehatan Medistra Lubuk Pakam

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Differences In The Effect Of Motor Control Exercise And William Flexion Exercise On Pain In Low Back Pain Miogenic Patients At Ambalat Sesko Tni Clinic, Bandung Siti Sarah Bintang; Karnirius Harefa; Sabirin Berampu; Dwi Handayani; Titin Novayanti Dey; Pratiwi Simarmata; MHD Yoppy
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i2.2077

Abstract

Changes in the background needs and welfare of human life have led to a shift in modern lifestyle patterns. The growing population has resulted in increased work productivity, along with various types of work activities and a rise in complaints of symptoms like low back pain. Low back pain, or lower back pain, is a complaint where the pain can be local pain (inflammation) or radicular pain in the lower back. This pain can radiate to other areas, or the pain can be felt in the lower back, or it can be felt on a different side of the body from the center of the pain and can be felt in a variety of ways. Occupation is one of the factors causing LBP. Incorrect work postures, for example, sitting static for a long time and not using ergonomic sitting positions, are one of the factors in the occurrence of LBP (WHO, 2013). The purpose of this research is to find out if there is a comparison of the differences in the effect of motor control exercise and William flexion exercise on pain in myogenic low back pain patients at the Ambalat Sesko TNI Bandung clinic in 2023. The design in this study was a quasi-experiment with a control approach of two groups, pre-test and post-test, used to compare two independent groups, namely group I (motor control exercise) and group II (William flexion exercise). The research location was at the Ambalat clinic, Sesko TNI, with a total sample of 20 people. The research data was carried out using the normality test with the Shapiro-Wilk test. After the data was normally distributed, a hypothesis test was carried out using the independent paired sample t-test to obtain a p-value of 0.901 > (? = 0.05). The results of the analysis showed that the intervention of motor control exercise and William flexion exercise had the same effect on reducing pain, and there was no significant difference between giving myogenic low back pain at the Ambalat Sesko TNI Bandung clinic in 2023.
The Effect of Dry needling and Muscle energy technique on Pain in Myofascial Trigger Point Syndrome (MTRPS) M.Upper Trapezius Siti Sarah Bintang; Dani Hafiz Utomo; Simson Sinuhaji; Sabirin Berampu; Karnirius Harefa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i1.2325

Abstract

Background: Myofascial Pain Syndrome is a common health problem where the main cause is repetitive injury. Various interventions can be performed to reduce pain and symptoms from MTrPs, one of which is dry needling (DN) and muscle energy technique (MET). Purpose: of this study is to determine the effect of DN, MET, and combination of DN+MET on pain at MTrPs m.upper trapezius. Research method quantitative three groups pre and post test design. Sample was taken using total sampling technique and total of 48 people with MTrPs m.upper trapezius obtained. Numeric Rating Scale (NRS) used to measure pain intensity. The statistical tests used are Wilcoxon signed ranked test and the Mann-Whitney U. Results and discussion: effect of DN intervention with P-Value= 0.000 (P<0.05), MET P-Value= 0.000 (P<0.05), Combination of DN+MET P-Value= 0.000 (P<0.05). Comparison of DN with MET P-Value= 0.001 (P<0.05), DN with combination of DN+MET P-Value= 0.030 (P<0.05), MET with a combination of DN+MET P-Value= 0.000 (P<0.05). Conclusion: based on statistical result DN, MET, and the combination of DN+MET had the same effect on reducing pain at MTrPs m.upper trapezius, where the DN+MET combination proved to be more effective and more recommended in the treatment of MTrPs m.upper trapezius. Keywords: Myofascial Trigger Point Syndrome; Dry Needling; Muscle Energy Technique.
The Effect Of Core Stability Exercise And Telephysiotherapy On The Walking Balance Of Post-Ischemic Stroke Patients Sabirin Berampu; Siti Sarah Bintang; Syamsudin; Karnirius Harefa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i2.2674

Abstract

Stroke remains a major global health concern, ranking as the second leading cause of death and the third leading cause of disability worldwide. Among the common residual effects faced by stroke survivors is impaired walking balance. To address this issue, this study investigated the effectiveness of core stability exercises in improving walking balance, as measured by the Timed Up and Go (TUG) test. The study involved 12 participants aged between 40 and 70 years and adopted a case study approach. A quasi-experimental one-group pre-test and post-test design was used. The dependent variable was walking balance in post-ischemic stroke patients, while the independent variable was the implementation of core stability exercises delivered through tele-physiotherapy.Statistical analysis using the Shapiro-Wilk test revealed a significant improvement in walking balance after the intervention. The results showed a pre-intervention mean TUG score of 17.500 (SD = 5.351) and a post-intervention mean of 12.333 (SD = 3.228), with a significance value of 0.000 (df = 12). These findings indicate a statistically significant difference in performance before and after the intervention. In conclusion, the null hypothesis (H?) is rejected and the alternative hypothesis (H?) is accepted, demonstrating that core stability exercises delivered via tele-physiotherapy significantly improve walking balance in post-ischemic stroke patients at Budhi Dharma Clinic, Kreshna Foundation.
The Effect of Trunk Stability Training on Increasing Segmental Values ​​of Trunk Control in Cerebral Palsy Patients Siti Sarah Bintang; Elvida Rahmi; Helvi; Rizka Mutiara; Karnirius Harefa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/mxj5wj26

Abstract

Background: Cerebral palsy (CP) is the most common cause of physical disability in children. One of the most frequently cited definitions of CP is 'a group of permanent disorders in the development of movement and posture, which causes activity limitations, caused by non-progressive disorders that occur in the development of the fetal or infant brain'. Non-pharmacological approaches such as exercise therapy have been shown to be effective in overcoming the problems of children with cerebral palsy. One of the exercise interventions that has the potential to increase trunk stabilization is Treatment Trunk Stability Training. This technique works synergistically to target the trunk, improve gross motor function, trunk control, and balance, and will help better functional recovery in children with cerebral palsy. Objective: To determine the effect of Trunk Stability Training on Increasing Segmental Of Trunk Control Values ​​in Cerebral Palsy Patients. Methods: This study is a quantitative pre-experimental study with a one group pretest-posttest design. A total of 13 subjects diagnosed with cerebral palsy underwent a two-week intervention. Measurement of trunk stability or trunk control was performed using Segmental Of Trunk Control (SATCo). Data analysis used the Wilcoxon Signed-Rank test with a significance level of α = 0.05. Results: The results of the Shapiro-Wilk normality test showed that the data were not normally distributed (p <0.05). The results of the Wilcoxon test showed a p-value = 0.016 (<0.05), which means that there was a significant difference between the Segmental Of Trunk Control (SATCo) scores before and after the intervention. Conclusion: Trunk Stability Training treatment has been proven effective in strengthening or stabilizing the trunk/torso and improving trunk control in children with cerebral palsy.