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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.