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Efek Pemberian Latihan Hold Relax Dan Penguluran Pasif Otot Kuadrisep Terhadap Peningkatan Lingkup Gerak Fleksi Sendi Lutut Dan Penurunan Nyeri Pada Pasien Pasca Orif Karena Fraktur Femur 1/3 Bawah Dan Tibia 1/3 Atas Yulianto Wahyono; Budi Utomo
Interest : Jurnal Ilmu Kesehatan Vol 5 No 1 (2016): INTEREST : JURNAL ILMU KESEHATAN
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v5i1.19

Abstract: Fracture, Hold-Relax, stretching Passive, LGS Knee And Pain. Handling fracture is divided into three stages, namely (1) returns the position of the bone, (2) the installation of immobilization and (3) returns a function (rehabilitation). To restore the position of the bones in the anatomical shape/reduction and installation imibilisasi, generally carried out operative measures. As a result of operative measures will cause swelling and pain. The pain that there will be increased when the joints around the fracture are moved. For protection, it will automatically happen increasing muscle tension (muscle spasm). That impact will be an increase in pain and decreased range of motion/ LGS. Postoperative problems can be minimized by measures such as physiotherapy exercises. The design of the study using two group pre-test and post-test design, hold group relaxes and passive stretching every 16 subjects, each treatment dose groups of 10 repetitions, three times a series of exercises given 2 times/day for 2 consecutive days. Conclusion: (1) exercise hold relax and stretching passive muscle quadriceps effect on pain reduction and improvement LGS knee flexion, (2) the exercise hold relax effect is better than stretching exercises passive muscle quadriceps against a decrease in pain and improvement LGS knee flexion in patients with post ORIF because the third femur fractures or fractures of the tibia below the upper third.

Perbedaan Pengaruh Antara Mobilisasi Saraf Dan Myofacial Release Terhadap Penurunan Nyeri Pada Pasien Carpal Tunnel Syndrome Budi Utomo; Yulianto Wahyono
Interest : Jurnal Ilmu Kesehatan Vol 6 No 2 (2017): INTEREST : JURNAL ILMU KESEHATAN
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v6i2.103

Abstract : Nerve Mobilization, Myofacial Release, Carpal Tunnel Syndrome. Carpal tunnel syndrome (CTS) is defined with signs and symptoms resulting from compression of the median nerve at the wrist. CTS lead to discomfort and pain, limited daily activities, sleep deprivation and the inability to work. Nerve mobilization is manipulative technique in which the nerve tissue is moved and stretched out both motions relative to the surrounding (interface mechanical) or with the development of tension. Myofascial Release (MFR) refers to massage techniques, instructions for stretching the fascia and releasing bonds between fascia and integument, muscles, bone, with the aim to relieve pain, increase range of motion and balance the body. Some research concluded the difference in the length of time the treatment is with a shorter time can produce significant pain reduction. The aim of this study was to determine the effect of the difference between the provision of nerve mobilization and myofacial release to the reduction of pain in patients with carpal tunnel syndrome. This research is a quasi experimental study with two group pre test and post test control design. The subjects were all patients diagnosed with carpal tunnel syndrome who came to the clinic physiotherapy Dr. Moewardi Surakarta hospital who met the inclusion criteria, exclusion and drop out. Number of research subjects in group I, amounting to 8 people and group II amounted to 7 people. Group I was treated nerve mobilization and group II were treated Myofacial release. Treatment was given 2 times per week for 3 weeks. Results: (1) mobilization of the nerve may reduce pain in patients with CTS (p = 0.012), (2) MFR can reduce a patient's pain CTS (p = 0.018), (3) there is no difference between mobilization nerves and MFR to reduce pain CTS patients (p= 0.189).

Peningkatan Kestabilan Berdiri Lansia Dengan Latihan Penguatan Fleksibilitas Hamstring Pada Kader Lansia Wahyono, Yulianto; pertiwi, Jasmine kartiko
Borneo Community Health Service Journal VOLUME 5 NOMOR 1 TAHUN 2025
Publisher : Fakultas Ilmu Kesehatan Universitas Borneo Tarakan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35334/neotyce.v5i1.6099

The decline in physical function among the elderly often affects balance and standing stability, increasing the risk of falls and reducing quality of life. This Community Service activity aimed to improve the standing stability of the elderly through hamstring flexibility training using theraband. The program involved 35 elderly individuals in Tohudan Village, Karanganyar Regency. Measurements were conducted using the Timed Up and Go (TUG) Test and Active Knee Extension (AKE) before and after the intervention. The implementation included several stages, such as providing education, structured theraband exercises, and evaluating outcomes. Results demonstrated significant improvements in TUG Test and AKE scores after the training, indicating enhanced hamstring flexibility and standing stability. This program successfully enhanced health cadre understanding and elderly capabilities in performing recommended exercises. The initiative has potential for sustainable application in future community health meetings.

Difference in the Effect of Giving Neck Stabilization Exercise with Stretching on Improvement of Neck Functional Ability in Non-Specific Neck Pain Dekamelania, Almas Khonsa; Basuki, Nur; Wahyono, Yulianto
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.631

Background: Tailor workers when working with a bowed position and a long static position, the muscles will contract excessively resulting in spasms and pain that causes non-specific neck pain which will interfere with the functional ability of the neck. Neck stabilization exercises and stretching can be exercises to improve neck functional ability in non-specific neck pain. This study aims to determine the difference in the effect of neck stabilization exercise and stretching on increasing the functional ability of the neck in non-specific neck pain. Subjects and Method: This study is a randomized controlled trial using a two-group pretest and post-test design conducted at sevinta convection and padi emas from November to December 2023. A total of 24 subjects were selected by random sampling and randomly allocated into 2 groups. Group 1 was given neck stabilization exercise and group 2 was given stretching. The dependent variable is neck functional ability in non-specific neck pain and the independent variables are neck stabilization exercise and stretching. The measuring instrument used is the neck disability index to measure neck functional ability. Data analysis using independent sample t-test. Results: The results after the intervention obtained neck functional ability in non-specific neck pain increased in both groups. There is a statistically significant difference in neck stabilization exercise (Mean = 4.00; SD = 2.21) and stretching (Mean = 6.83; SD = 2.79), and it was statistically significant (p = 0.012). Conclusion: There is a significant difference in the effect of neck stabilization exercise and stretching on improving neck functional ability in non-specific neck pain. Neck stabilization exercise is more influential than stretching on improving neck functional ability in non-specific neck pain. Keywords: neck stabilization exercise, stretching, neck disability index. Correspondence: Yulianto Wahyono, School of Health Polytechnics Ministry of Health Surakarta. Jl. Adi Sumarmo, Tohudan, Colomadu, Karanganyar 57173, Central Java, Indonesia. Email: yulianto2wahyono@gmail.com. Mobile: 085742017903. Indonesian Journal of Medicine (2023), 08(03): 258-265

PENGARUH MYOFASCIAL RELEASE MENGGUNAKAN INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION (IASTM) TERHADAP PENINGKATAN EKSTENSIBILITAS HAMSTRING Wahyono, Yulianto; Ghufroni, Afif; Putri Juniar, Josephine Ayunda
PHYSIO MOVE JOURNAL Vol 3, No 2 (2024): Physio Move Journal
Publisher : Prodi Fisioterapi UFDK

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/pmj.v3i2.3157

Latar Belakang: mahasiswa cenderung dituntut untuk mengikuti mata kuliah dengan duduk di kelas dalam waktu yang cukup lama. Duduk dalam waktu yang lama secara berulang tanpa diimbangi olahraga rutin dapat mengakibatkan menurunnya ekstensibilitas otot khususnya hamstring. Untuk meningkatkan ekstensibilitas hamstring dapat menggunakan instrument assisted soft tissue mobilization (IASTM). Instrumen ini menghasilkan tekanan mekanik yang dapat merusak jaringan parut dan mengurangi perlengketan pada fascia sehingga ekstensibilitas otot dapat meningkat. Tujuan: untuk mengetahui pengaruh pemberian myofascial release menggunakan IASTM terhadap peningkatan ekstensibilitas hamstring pada mahasiswa. Metode: penelitian ini menggunakan one group with control dimana sebanyak 20 subjek dibagi menjadi kelompok perlakuan yang diberi myofascial release menggunakan IASTM terdiri dari 11 orang dan kelompok kontrol terdiri dari 9 orang. Penelitian dilakukana pada bulan September 2023. Ekstensibilitas hamstring diukur menggunakan goniometer dengan cara active knee extension test (AKE) dan diukur sebelum dan sesudah perlakuan. Hasil: berdasarkan hasil uji statistik sebelum dan sesudah perlakuan pada kelompok perlakuan didapat hasil p = 0,016 (p<0,05) yang berarti ada beda pengaruh. Sedangkan pada kelompok kontrol didapat hasil p = 0,564 (p>0,05) yang bearti tidak ada beda. Uji beda sesudah perlakuan dilakukan pada kedua kelompok dengan hasil p = 0,012 (p<0,05) yang berarti ada beda. Kesimpulan: myofascial release menggunakan IASTM berpengaruh terhadap peningkatan ekstensibilitas hamstring.Kata kunci: Myofascial release, IASTM, ekstensibilitas hamstring

PELATIHAN RESISTANCE EXERCISE THERABAND DAN TERAPI LATIHAN DALAM PENURUNAN NYERI BAHU DENGAN PEMBERIAN PADA LANSIA Wahyono, Yulianto; pertiwi, jasmine kartiko
Jurnal Pengabdian Masyarakat Fisioterapi dan Kesehatan Indonesia Vol 3 No 01 (2024): Jurnal Pengabdian Masyarakat Fisioterapi dan Kesehatan Indonesia
Publisher : IFI cabang Kota Bekasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59946/jpmfki.2024.319

Changes in the musculoskeletal system in the elderly, such as decreased height, redistribution of muscle and fat mass, increased bone porosity, muscle atrophy, and joint stiffness, are part of the aging process. Musculoskeletal disorders such as shoulder pain or frozen shoulder are often found in the elderly. Frozen shoulder is a condition characterized by limited active and passive movement in the shoulder joint, often accompanied by pain and stiffness, which interferes with daily activities. This condition goes through four phases: pain, freezing, stiffness, and thawing, each lasting a certain period of time. Physiotherapy treatment usually focuses on pain management that occurs in each phase. Physiotherapists conducted resistance exercise theraband training and exercise therapy to reduce pain at the Tohudan posyandu which was attended by 35 elderly people. Theraband resistance exercise is isotonic exercise that uses a theraband, which is a very flexible colored rubber device. The exercise therapy given to the elderly is in the form of active movement, passive movement and hold relax. Evaluation was carried out using the SPADI index and the results showed that there was a reduction in shoulder pain.

Analysis of the Acute Effects of Self-Myofascial Release and Dynamic stretching on Hamstring Flexibility in Individuals with Hamstring Tightness Intantri, Raisyah; Wahyono, Yulianto; -, Sugiono -
Jurnal Fisioterapi Terapan Indonesia
Publisher : UI Scholars Hub

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

Background: Sedentary behavior among college students leads to decreased physical activity, which negatively affects physical fitness, especially by reducing muscle flexibility. Self-Myofascial Release (SMFR) and Dynamic stretching (DS) are exercise interventions that have the potential to improve muscle flexibility. Objective : This study aimed to compare the acute effects of Self-Myofascial Release and Dynamic stretching on hamstring flexibility in students with hamstring tightness. Methods: This study employed a two-group pre-test and post-test design conducted in May at Poltekkes Surakarta. Participants were selected using simple random sampling and divided into two groups: SMFR (n=19) and DS (n=19). Each group received a single intervention. Hamstring flexibility was measured using the Active Knee Extension Test with a goniometer before and after treatment. Results : Statistical analysis using the dependent t-test showed significant improvement in both groups (Group I: p = 0.000; Group II: p = 0.000, p= Conclusion : Both Self-Myofascial Release and Dynamic stretching produce acute effects in improving hamstring flexibility. However, Dynamic stretching is more effective than Self-Myofascial Release in increasing hamstring flexibility among students with hamstring tightness.

Physiotherapy Services: Core Stability Exercises are Essential for Reducing Lower Back Pain (LBP) in the Elderly Ghufroni, Afif; Pertiwi, Jasmine; Wahyono, Yulianto
Jurnal Empathy Pengabdian Kepada Masyarakat Article in Press: Jurnal Empathy Pengabdian Kepada Masyarakat Volume 6 Nomor 2 Tahun 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jurnalempathy.v6i2.341

Background: Low back pain (LBP) is a common health problem among the elderly, often interfering with daily activities and reducing quality of life. Aging affects the spine’s structure and function, increasing the risk of LBP. Non-pharmacological interventions such as core stability exercises have shown potential in reducing pain and improving function. This training program improved the knowledge and skills of both health cadres and older adults, making it a useful non-pharmacological therapy to enhance quality of life. Methods: This community service program was conducted in Tohudan Village, Karanganyar, Central Java, from February to July 2023, involving elderly individuals experiencing LBP and local health cadres. The intervention included educational sessions, training in core stability exercises, and evaluations of participants’ knowledge and skills. The exercises taught included diaphragmatic breathing, raising limbs, bridging, and quadruped positions. The evaluation was conducted through structured qualitative interviews with participants and cadres. Results: The program showed positive outcomes, with increased understanding and skill among health cadres and elderly participants in performing core stability exercises. Interviews with participants and cadres supported these findings—participants reported reduced pain and improved ability to perform daily activities after regular exercise, while cadres felt more confident in guiding others to perform correctly and maintaining programme continuity. Conclusion: Core stability exercise is an effective non-pharmacological intervention to reduce low back pain and improve the quality of life among the elderly. Training community health cadres ensures sustainable impact, enabling continued support for elderly individuals suffering from LBP. Further referrals to health facilities are recommended if symptoms persist.

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