Berampu, Sabirin
Institut Kesehatan Medistra Lubuk Pakam

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The Effect Of Core Stability Exercise And Telephysiotherapy On The Walking Balance Of Post-Ischemic Stroke Patients Berampu, Sabirin; 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 Transcutaneous Electrical Nerve Stimulation and Median Nerve Mobilization on Pain Reduction in Carpal Tunnel Syndrome Berampu, Sabirin; Ardianto Saputra; Winda Alfiana; 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/mdw70b38

Abstract

Carpal Tunnel Syndrome (CTS) is a peripheral nerve disorder that occurs in the hands and wrists which is characterized by complaints of pain, tingling, numbness and even in severe cases there will be muscle weakness and atrophy of the hand muscles. One of the non-pharmacological or conventional treatments for CTS cases is Transcutaneous Electrical Nerve Stimulation (TENS) and Median Nerve Mobilization. TENS and Median Nerve Mobilization can reduce pain complaints in various neuromuscular cases including CTS. The purpose of the study was to determine the effect of TENS and Median Nerve Mobilization on Pain Reduction in CTS Patients in 2025. Research Methods: type of research was a Quasi Experiment with a Purposive Sampling approach technique. The study population of CTS sufferers was 35 people with a sample size of 15 people. The Action Dose was given 3 times per week for 2 weeks or 6 training sessions. The measuring instrument used was the Visual Analog Scale (VAS). Data Analysis Method: Primary Questionnaire Data was Recapitulated and entered into the SPSS Application and Data Normality Test was carried out with Shapiro-Wilk and Wilcoxon Sign Rank Test with a confidence level of 95%. The results of this study obtained the Normality Value of VAS Pretest with a Significance value of 0.015 and Posttest Significance Value of 0.009 with Interpretation of Non-Normally Distributed Data. And the Results of the Wilcoxon Sign Rank Test obtained a P (Value) of 0.001. And the Average Value of VAS Pretest was 6.4 points, Posttest 2.13 points and the average difference value was 4.27 points. The conclusion of this study is that there is a Difference in the Average Value of Pretest and Posttest Pain After being given TENS and Median Nerve Mobilization Physiotherapy interventions so that it can also be concluded that there is an Effect of Transcutaneous Electrical Nerve Stimulation (TENS) and Median Nerve Mobilization on reducing pain in CTS Patients in 2025.