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All Journal Althea Medical Journal Medical and Health Science Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Journal Orthopaedi and Traumatology Surabaya (JOINTS) Community Development Journal: Jurnal Pengabdian Masyarakat Indonesian Journal of Global Health research Indonesia Berdaya International Islamic Medical Journal Journal of Health Community Service SWARNA Prosiding Seminar Nasional Pengabdian Kepada Masyarakat SWARNA: Jurnal Pengabdian Kepada Masyarakat
Rita Vivera Pane
Universitas Nahdlatul Ulama Surabaya
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Osteoarthritis Therapy: Which is More Effective, Laser Therapy or a Combination of TENS IR? Aisyah; Vivera Pane, Rita; Yuriske Agnovianto; Tsabitah Husna
Jurnal Ilmu Kesehatan dan Kesehatan Vol 9 No 1 (2025): FEBRUARY : Fragmentation In Modern Healthcare Approaches Amid Rising Chronic And
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v9i1.6469

Abstract

Background: Osteoarthritis (OA) is a degenerative disease of the joints that attacks the joint cartilage and is one of the types of arthritis disease commonly found in older people. Knee osteoarthritis is one of the most common types of arthritis. Some treatments that can be performed are non-pharmacological therapies: Low Level Laser Therapy (LLLT), Transcutaneous Electrical Nerve Stimulation (TENS) and Infra Red (IR). Their function are to reduce the severity of pain and therefore reducing disability in knee joint pain patients. Objective of the study: to compare the effectiveness of non-pharmacological treatment of LLLT and combination of TENS IR in patients with knee osteoarthritis at RSI A Yani Hospital Surabaya. Method and Result: A quantitative approach was applied using a twogroup post-test-only experimental design to analyze the influence of independent treatments on pain reduction. The study was conducted from February to August 2024. Participants were selected through purposive sampling based on predefined criteria. Data normality was assessed using the Kolmogorov-Smirnov test. Since the data were not normally distributed, the Mann-Whitney U test was used to determine statistical differences between the two treatment groups. The statistical analysis using the MannWhitney test yielded a p-value of 0.417 (p > 0.05), indicating no significant difference in pain reduction between the LLLT group and the TENS+IR group. Conclusion: The findings suggest that both LLLT and the combined use of TENS and IR are equally effective in managing knee pain in osteoarthritis patients. As neither treatment showed superior outcomes, both can be considered valid non-pharmacological options in OA pain management protocols. Further studies with larger sample sizes and longitudinal assessment are recommended to confirm and expand upon these findings.
Hypertonic Dextrose Prolotherapy Injection Improves Clinical Outcomes in Shoulder Impingement Syndrome with Diabetes Mellitus: A Quasi-Experimental Study Pane, Rita Vivera; Al Hajiri, Aufar Zimamuz Zaman
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 14 No. 2 (2025): October 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v14i2.2025.99-104

Abstract

Background: Shoulder impingement syndrome (SIS) is the most common cause of shoulder pain. Current conservative management approaches often require years for patients to achieve pain relief. This study aimed to identify the effects of hypertonic dextrose prolotherapy (HDP) injections on pain levels and shoulder functionality in SIS patients with diabetes mellitus. Methods: A quasi-experimental study was conducted recruiting SIS patients at Hajj Regional Hospital, Surabaya, Indonesia, from January 2022 to December 2023. The study group was divided into two: the HDP group, which received a 5 mL injection of HDP at a concentration of 20%, and the control group, which received pharmacotherapy and regular rehabilitation therapy. While the control group received regular pharmacotherapy and rehabilitation therapy only. The study outcomes assessed were the Numeric Rating Scale (NRS) and shoulder Active Range of Motion (AROM). The evaluation was conducted three times: before the intervention, immediately after the intervention, and two weeks after the intervention. Results: A total of 20 study participants were divided into two groups: 10 in the HDP group and 10 in the control group. Inter- and intragroup analyses showed significant differences in NRS mean values between the HDP and control groups (p < 0.05). Similarly, AROM analysis showed significant differences in mean values between the HDP and control groups, both inter- and intra-group (p < 0.05). Conclusions: HDP injection reduces pain intensity and improves shoulder AROM within two weeks after injection.
The Effect of Midline Exercise Therapy on Global Delayed Development Children’s Gross Motor Abdullah, Khabib; Swandari, Atik; Pane, Rita Vivera; Muzamil, Akhmad; Darajatun, Anik Muwarni
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4578

Abstract

Global delayed development (GDD) is a developmental disorder in children characterized by delays in gross motor development. Gross motor development is based on the development of an optimal midline position, and in GDD this does not happen. This reseaarch objective to determine the effect of midline exercise therapy on improving gross motor skills in children with GDD at Haji Hospital Surabaya. This is experimental research purposive sampling research on 15 GDD children at RSUD Haji Surabaya with a one-group pre and post-test design. Midline exercise therapy is carried out twice a week for 6 weeks consisting of relaxing the neck extensors, adjusting the position to the middle of the body, and cortical level exercises. Tool for measuring children's gross motor skills with GMFM (gross motor functional measurement) sector A/lying down with scale 0-51 measured pre and post treatment. Data analysis with univariate and bivariate SPSS. For the results 3 subjects were boy and 12 girl with an average age of 13.1 months. There was an increase in the mean GMFM score from 4.2 to 6 (paired t-test p=0.000) after 12 physiotherapy sessions.
Perbandingan Program Rehabilitasi Reguler dengan Penambahan Terapi Membaca Al-Qur’an Terhadap Kebugaran Kardiorespirasi Penyintas Covid-19 Pane, Rita Vivera; Donastin, Adyan; Al Hajiri, Aufar Zimamuz Zaman
Majalah Kedokteran Indonesia Vol 72 No 5 (2022): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.72.5-2022-812

Abstract

Introduction: Rehabilitation program has been proven to be able to restore the cardiorespiratory function of Covid-19 survivors. Reciting Holy Qur’an are associated with a more relaxed and lowered heart rate of the reciter. The present study aims to compare the regular rehabilitation program with addition of Reciting Holy Qur’an on cardiorespiratory fitness among moslem Covid-19 survivors. Method: This quantitative experimental study involved 18 moslem patients who were assigned into two groups. Eight patients in the interventional group received additional Qur’an recitation every day at least 20 pages, divided into several sessions according to the participants’ ability and opportunity. Meanwhile, ten patients in the control group received regular rehabilitation programs with mild to moderate intensity. The cardiorespiratory fitness level was evaluated by a count test (CT), incentive spirometry test (IST), and a 6-minute walk test (6MWT). The measurement was performed three times: before intervention, the first week, and the second week after treatment. Result: The participants were eight males and ten females with an age average of 51.9 ± 9.5 years. Both groups showed significant differences before and after treatment in the first and second week in terms of CT, IST, and 6MWT (p less than 0.05). There was a significant difference between the two groups in the first week in the IST result (p less than 0.05), no significant difference in the second week was noticed. Conclusion: The Covid-19 survivors receiving additional Holy Qur’an recitation exhibit faster cardiorespiratory fitness improvement than the control group.
Strengthening Family and Community Roles in Elderly Rehabilitation for Osteoarthritis Prevention Aisyah, Aisyah; Pane, Rita Vivera; Ambarsari, Utami; Alfan, Moh Nabil; Abidin, Rully Genadi; Wijaya, Annisa' Dharmestha; Ramadhana, Ain Darojah Siddiq
Indonesia Berdaya Vol 7, No 1 (2026)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20261376

Abstract

The elderly population in Surabaya exceeds 350,000 individuals, presenting major challenges in musculoskeletal health, particularly osteoarthritis, which contributes to pain, functional limitations, and reduced independence. A preliminary community survey in Wonocolo District showed that 35.7% of older adults experienced knee pain, particularly during stair climbing, squatting, and sit-to-stand movements, indicating an urgent need for preventive and functional rehabilitation strategies. Families and community health cadres hold a key role, yet their knowledge and skills in assisting elderly mobility and joint-protection activities remain limited. This community engagement program aimed to strengthen family and cadre capacity in elderly rehabilitation and osteoarthritis prevention through structured education, functional exercise training, and health literacy improvement. The intervention was conducted from February to July 2025 and involved 40 elderly participants and 32 family caregivers and health cadres. Activities included community health education, hands-on functional exercise training, mobility modification for prayer movements, screening for common comorbidities, and pre- and post-test knowledge assessments. Qualitative feedback was obtained to evaluate perceived benefits and readiness for sustainability. Participants demonstrated significant improvement in knowledge, with post-test scores showing more than 85% achieving 8–10 correct answers compared to pre-program scores of 4–6. Elderly participants reported decreased stiffness, increased mobility confidence, and improved ability in daily movements such as sit-to-stand transitions. Families and cadres exhibited enhanced skills in supervising exercises and assisting safe transfers. Screening activities also identified undiagnosed hypertension, hyperglycemia, and hyperuricemia, which were referred to primary health care services. The program effectively enhanced health literacy, mobility skills, and caregiver involvement in elderly rehabilitation. Strengthened family and cadre participation supports program continuity and sustainable community-based healthy aging initiatives. Future programs should include periodic follow-up training, integration with primary health services, and expansion of digital education resources to reinforce long-term behavior change.
Clinical Outcomes of Hypertonic Dextrose Prolotherapy Injection in Obese Patients with Knee Osteoarthritis: A Quasi-Experimental Study Pane, Rita Vivera; Al Hajiri, Aufar Zimamuz Zaman
Althea Medical Journal Vol 12, No 4 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.4307

Abstract

Background: Obesity is a major risk factor for knee osteoarthritis (KOA), contributing to pain, reduced joint function, and decreased quality of life. Hypertonic dextrose prolotherapy (HDP) has emerged as a potential treatment to lessen pain and improve function in KOA. This study aimed to observe the clinical outcomes of HDP injections in obese patients with KOA.Methods: A quasi-experimental study was conducted in 2023, involved obese patients diagnosed with KOA. Participants were divided into two groups: an intervention group receiving HDP injections and a control group receiving normal saline (NS) injections. Clinical outcomes were assessed using the Numeric Rating Scale (NRS) for pain and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) before intervention, and at two and six weeks after intervention. Intergroup and intragroup mean differences were analyzed, with a significance value of p<0.05.Results: A total of 38 participants were included, with 20 assigned to the HDP group and 18 to the control group. Intragroup analysis showed a significant reduction in NRS scores in both groups (p<0.001), whereas no significant intragroup change was observed in WOMAC scores. Intergroup analysis showed significantly greater improvement in both NRS and WOMAC scores in the HDP group compared with the control group at two and six weeks after intervention (p<0.001).Conclusions: HDP injections improve clinical outcomes in obese patients with KOA, particularly in reducing pain intensity and improving functional status. Pain reduction may support participation in exercise and weight management programs, although persistent obesity may increase the risk of KOA recurrence.
Health Education for Elderly to Prevent Obesity at the Yayasan Pondok Lansia Bahagia Surabaya Vivera Pane, Rita; Aisyah; Handayani; Zaman Al Hajiri, Aufar Zimamuz; Isna Rahmawati, Rima
Journal of Health Community Service Vol. 4 No. 3 (2024): Journal of Health Community Service: 2024 September Editor's Choice
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhcs.v4i3.8642

Abstract

Aging is a degenerative process that leads to a decline in physiological functions and increases the risk of noncommunicable diseases. Obesity is particularly prevalent among individuals aged 55 to 64 years, with contributing factors including diet, physical activity, and lifestyle. This article reports the results of a community service program aimed at educating the elderly on healthy living to prevent obesity at Yayasan Pondok Lansia Bahagia Surabaya. The program was conducted on Sunday, March 10, 2024, from 08:00 to 10:30 AM at the foundation’s secretariat. Target participants included 25 elderly and pre-elderly women who regularly attend the foundation’s Islamic study groups and exercise sessions. The activities utilized counseling and practical methods, including health education and group gymnastics. Participants engaged enthusiastically, noting the material was both interesting and beneficial for their health. Evaluation through pre-test and post-test assessments demonstrated a measurable increase in participants’ knowledge after the program. This community service effectively enhanced awareness of healthy behaviors and obesity prevention among the elderly. The findings suggest that combining educational sessions with practical exercise can improve knowledge retention and encourage the application of healthy lifestyle practices. The program also highlights the importance of continuous community-based interventions in supporting elderly health and promoting sustainable habits to prevent obesity.
Co-Authors -, Rusdianingseh Abdullah, Khabib Abidin, Rully Genadi Afiyah, R. Khairiyatul Aisyah Aisyah Aisyah Aisyah Aisyah Al Hajiri, Aufar Zimamuz Zaman Alfan, Moh Nabil Ambarasari, Utami Ambarsari, Utami Anisgupta Larasaty Favurita Atik Swandari, Atik Aufar Zimamuz Zaman Al Hajiri Darajatun, Anik Muwarni Davin Rachma Aziza Dewi, Uke Maharani Donastin, Adyan Hajiri, Aufar Zimamuz Zaman Al HANDAYANI Hasan Hasan Hutapea, Octavianus Imamatul Faizah Isna Rahmawati, Rima Maimunah, Siti Mawarda Hatmanti, Nety Muhamad Khafid Muhammad Setio Widodo Muzamil, Akhmad Naufal Putra Pratama Ramadhana, Ain Darojah Siddiq Ratna Yunita Sari Rima Isna Rahmawati Rohmawati, Riska Siti Nur Hasina Tamaulina Br Sembiring Tsabitah Husna Wijaya, Annisa' Dharmestha Wiwik Winarningsih Yanis Kartini Yekti Tunjungsari Yuriske Agnovianto Zaman Al Hajiri, Aufar Zimamuz