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Perbedaan Pengaruh Penggunaan Transtibial Prosthesis Dan Axial Crutch Terhadap Keseimbangan Pasien Post Amputasi Transtibial Nur Rachmat; Alfan Zubaidi
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.v6i2.100

Abstract: Transtibial Prosthesis, Walking Balance, Axilla Crutch, Post Transtibial Amputation. This study aims to determine the effect of the use of transtibial prosthesis and axial crutch on the balance of transtibial post amputation patient. This research is hoped to be beneficial to the benefit of people who have transtibial amputation in order to obtain the appropriate balance. This research method is Quantitative research, pre experiment, using research design one groups pre and post test design, where in this research there is only one group of subjects that will be measured equilibrium using prosthesis and axial crutch. Research conducted at PT. Kuspito Ortotik Prostetik. In this research, there are two variables, namely (1) dependent variable, balance, (2) independent variables are use of transtibial prosthesis and axial crutch. Data collection is done in two stages, first and second phase. In the first stage, the researcher records the client identity that has been defined as the research subject (sample), including name, gender, age, address, and examination to establish the type of patient who meets the inclusion criteria. Afterwards, measurements were made on patients using transtibial prostheses and recording the results of the treatment group in terms of their equilibrium values. In the second stage of data collection, measurements were taken in patients using axial crutch and recording the results of the treatment group in terms of their equilibrium value. The instruments used are TUG Test equipment (armrest and armrest seats, stopwatch, wall, stationery). Data were analyzed with SPSS for Win13.00 for Windows software. Test the normality of data using Shapiro-Wilk normality test. The results showed that there was a difference of effect of axial crutch with prosthesis on post amputation patient equilibrium (0,017 <0,05), it is also known that average equilibrium in group of axial crutch (18,46) while mean balance in group Prosthesis (20,84). Crutches are walking sticks, usually used in pairs that are created to regulate the balance at the time of going and sustaining the user's body. Axilla crutches are not designed to rest during support of the body. To minimize the inconvenience of using axilla crutches, a prosthesis is created which, when an amputation patient has been determined to use a prosthesis, determines the purpose of prosthetic fitting, whether functional, cosmetic or both.

Faktor Risiko Low Back Pain Pada Mahasiswa Jurusan Ortotik Prostetik Politeknik Kesehatan Surakarta Martina Wulandari; Dwi Setyawan; Alfan Zubaidi
Jurnal Keterapian Fisik Vol 2 No 1 (2017): JURNAL KETERAPIAN FISIK
Publisher : Poltekkes Kemenkes Surakarta

Abstract : Risk factors, Low Back Pain, Prosthetics and Orthotics Students of Health Polytechnic of Surakarta. Low Back Pain (LBP) or lower back pain is a common health problem that found in many people, not only in older people but also in younger nowadays. Low Back Pain associated with many kind of conditions and also risk factors. The etiology of LBP is widely accepted to be multi-factorial. The objectives of this study were to determine the risk factors causing LBP on Prosthetics and Orthotics students of Health Polytechnic of Surakarta. The study is cross sectional design used a questionnaire instrument to all Prosthetics and Orthotics students. Data analysis was performed by Chi square. The results showed that the prevalence of LBP after being Prosthetics and Orthotics students of Health Polytechnic of Surakarta is 32,2%. Risk factors associated with Low Back Pain were exercise (p value 0,033), daily time spend standing (p value 0,046), lifting (p value 0,027) and perceived stress (p value 0,008). Gender, body mass index and daily time spend sitting were not associate with Low Back Pain.

Efektifitas Peran Guru Pada Deteksi Dini Suspect Flatfoot Di Sekolah Dasar Kecamatan Ngemplak Alfan Zubaidi; Sri Surini Pudjiastuti
Jurnal Keterapian Fisik Vol 3 No 1 (2018): JURNAL KETERAPIAN FISIK
Publisher : Poltekkes Kemenkes Surakarta

Abstract : The role of teacher, Flatfoot, Dynamic Balance. Children are growing well of motoric and sensoric activities. Their activities always use of lowerlimbs (legs). A problem which often rise on foot is flat foot. The purpose of this research is to know the effectiveness of the role of teachers in early detection of suspect flatfoot. this study is quasi experiment, with one gruop pre and post test design, variable in this study consists of the role of teacher effectiveness and early detection of flatfoot. This study was conducted in SDN Giriroto I, SDN Sindon I, and SDN III Manggung. Subjec of this study 32 teacher and 32 students (ages 6 – 8 years). Instrument in this study are Foot print and stopwatch. Data analysis using linear Regression and T tests. There was the influence of the teacher's role by administering the intervention (p value 0.000 < 0.05). There is the influence of dynamic balance by administering the intervention (p value 0.000 < 0.05). Linear regression test results obtained niali ρ = 0.016 indicates that there is a significant influence on the effectiveness of the role of the teacher towards early detection of flat foot. The effectiveness of the role of teachers affected by the grant of training on early detection of flat foot.

The Effect of Using Knee Support on Reducing Knee Pain in Elderly Cyclists Suprayogi, Dody; Zubaidi, Alfan; Widagdo , F.A. Hendy Setyo
Journal of Prosthetics Orthotics and Science Technology Vol. 3 No. 1 (2024): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v3i1.1574

Background: Knee pain during cycling can arise due to the repetitive movements involved in the activity. Overuse injuries, also termed repetitive strain injuries, denote damage and discomfort resulting from repetitive and excessive motions. Such injuries typically affect muscles, tendons, and bones. This pain may persist, particularly during strenuous activities like exercise. Knee support represents a common orthotic tool utilized to alleviate knee pain. Aims: The aim of this study is to ascertain whether the use of knee support has an effect on reducing the degree of knee pain in elderly cyclists. Methods: The research employs a quasi-experimental design with pre- and post-test assessments. Twenty-five subjects were selected using purposive sampling techniques based on predefined inclusion and exclusion criteria. Results: The analysis employed the Wilcoxon test, yielding a p-value of (0.001). Since the p-value is ?0.05, it can be inferred that the utilization of knee support effectively diminishes the degree of knee pain in elderly cyclists. Conclusion: This study demonstrates the efficacy of knee support in reducing knee pain among elderly cyclists. Hence, it is advisable for elderly cyclists to utilize knee braces while cycling.

The Use of Modified Cervical Colar in Reducing Neck Pain Zubaidi, Alfan; Fadli, Arif
Indonesian Journal of Medicine Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: One of the conditions of pain in the neck area where there is a stiff neck, so sometimes there is pain radiating from the shoulder to the hand, the symptom is often called cervical syndrome. This condition occurs because the vertebral root is compressed for a long time in the use of activities. In the long term, the pain can even radiate to both shoulders and even to the arms of the arch, this situation will result in abnormal and rapid fatigue. According to studies conducted by researchers, this situation may be prevented by giving a special cervical collar design to Tafidz Ouran students. In this study, it will be investigated how effective the special collar model is to overcome the problems/prevention of cervical syndrome for Tafidz Ouran students in Karanganyar. The purpose of this study was to determine how effective a special cervical collar design is to reduce pain in cervical syndrome.Subjects and Method: This research is a Randomized Controll Trial (RCT) where in this study before being randomized in determining the control and treatment groups, matching was done first. In the control group in this study were students who used regular collars (collars sold in the market) and in the intervention group were given special collars. The sample in this study was the students of the Tahfidz boarding school in the Karanganyar area as many as 160 students who experienced cervical syndrome. Each group in this study amounted to 80 students. The sampling technique was simple random sampling. The variables in this study, the dependent variable is the cervical syndrome condition of the Tafidz Quran students and the use of a special cervical collar model as the independent variable. Analysis of the data using the Independent samples t test if the data is normal, and using the Mann Whitney test if the data is not normal.Results: After the intervention, it was shown that pain in the special cervical collar group (mean = 2.51; SD = 0.50) was lower than that in the regular collar group (mean = 5.50; SD = 0.59) and was statistically significant (p value = 0.000).Conclusion: The use of a special cervical collar is better than a regular cervical collar to reduce neck pain.Keywords: cervical syndrome, cervical collar, special cervical collarCorrespondence: Alfan Zubaidi. Department of Orthotic Prosthetic, Ministry of Health Surakarta. Jl. Letjen Sutoyo, Mojosongo, Surakarta, Central Java, Indonesia. Email: drsalfanzubaidi@gmail.com.Indonesian Journal of Medicine (2021), 06(04): 460-464https://doi.org/10.26911/theijmed.2021.06.04.12

The Effect of Using a Spinal Orthosis on Non-Specific Lower Back Pain: Literature review Suprayogi, Dody; Zubaidi, Alfan; Rahayu, Listianingrum Budi
Journal of Prosthetics Orthotics and Science Technology Vol. 4 No. 1 (2025): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v4i1.2133

Background: Over time, various problems have emerged alongside societal developments, including those in the health sector. One common issue is musculoskeletal disorders, particularly low back pain (LBP). Nonspecific Low Back Pain (NSLBP) refers to a pain syndrome in the lower back region without a clearly identifiable cause. Spinal orthosis has been proposed as a potential treatment for back pain. Aims: This study aims to examine the effectiveness of spinal orthosis in managing low back pain through a literature review. Methods and Subjects: A literature review was conducted using databases such as Google Scholar, PubMed, and ScienceDirect. The keywords used included "spinal orthosis," "lumbar corset," and "low back pain." Only full-text English articles with an experimental design were included. Article selection followed the PRISMA diagram guidelines. Results: Low back pain can affect individuals of all ages, including adolescents and adults. Pain assessment tools such as the Visual Analog Scale (VAS) and Numeric Rating Scale (NRS) were commonly used in the studies. Among the types of spinal orthoses, Lumbosacral Orthosis (LSO) was found to be effective in reducing pain in individuals with low back pain. Conclusion: The use of a spinal orthosis, particularly a lumbosacral orthosis, in daily activities contributes to pain reduction in individuals suffering from nonspecific low back pain.

Effectiveness of Specialized Cervical Collars in Reducing Pain Associated with Cervical Syndrome among Computer Workers zubaidi, Alfan; Suprayogi, Dody; akbar, Muh Syaiful
Jurnal Teknokes Vol. 18 No. 2 (2025): June
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

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

Cervical syndrome is a prevalent musculoskeletal disorder among computer workers, primarily caused by prolonged static postures and poor ergonomic practices. It leads to chronic neck pain, muscle stiffness, and reduced work productivity. Addressing this issue, ergonomic interventions such as specialized cervical collars can help mitigate discomfort and prevent further complications. This study aims to evaluate the effectiveness of a customized cervical collar in reducing neck pain among computer workers in Karanganyar Regency. Specifically, it investigates whether a specially designed collar provides more effective pain relief compared to commercially available collars. This study contributes to occupational health by proposing an ergonomic intervention that may improve the well-being of computer workers. It highlights the potential benefits of personalized cervical support, which may influence workplace ergonomic policies and musculoskeletal disorder prevention strategies. A pre- and post-test experimental design was used to assess pain reduction using the Visual Analog Scale (VAS). The study involved 80 computer workers diagnosed with cervical syndrome. Participants underwent a baseline pain assessment using the VAS before the intervention. The intervention group used a customized cervical collar, while the control group used a standard commercial collar. Pain levels were reassessed after a specified intervention period. Data were analyzed using paired t-tests to evaluate the significance of pain reduction, with additional correlation analysis conducted to examine relationships between pre- and post-intervention scores. The findings revealed a significant reduction in neck pain within the intervention group. The mean pain score decreased from 4.29 to 2.25 (p < 0.001), with a large effect size (Cohen’s d = 2.401). Correlation analysis showed a meaningful relationship (r = 0.292, p = 0.009) between pre- and post-intervention pain levels, confirming the effectiveness of the customized cervical collar. This study demonstrates that a customized cervical collar is highly effective in reducing neck pain among computer workers. These results support its use as an ergonomic intervention for preventing work-related musculoskeletal disorders. Future research should explore long-term benefits and compliance rates in various occupational settings.

The Correlation Between Obesity with Stroke Incidence among Elderly Zubaidi, Alfan; Akbar, Muh. Syaiful
Indonesian Journal of Global Health Research Vol 5 No 4 (2023): 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.v5i4.2462

Obesity can increase the risk of hemorrhagic stroke through increased blood pressure, tendency to blood clots, and systemic inflammation. The purpose of the study was to determine the relationship between the incidence of obesity and the increased risk of stroke in Karanganyar, Central Java. This was a cross-sectional study by applying non-probability sampling techniques by means of Consecutive Sampling. The instruments and study materials used in this study came from primary and secondary data, namely body scales and manual height measurements, Medical Records. The results showed that there was a relationship between obesity and the incidence of stroke in Karanganyar, Central Java (p=0.001). This study conclude that obesity have a close relationship with stroke. The policy about prevent obesity by healthy lifestyle need to be increases so it can help minimize the risk of stroke.

EFEKTIVITAS CUSTOME LUMBAR SACRAL ORTHOSIS (LSO) UNTUK MENGURANGI NYERI PADA LOW BACK PAIN Suprayogi, Dody; Zubaidi, Alfan
Medical Journal of Nusantara Vol. 4 No. 3 (2025): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v4i3.1706

Latar Belakang: Low back pain merupakan salah satu kondisi nyeri didaerah punggung bawah. Kondisi ini terjadi karena tulang vertebra lumbalis tertekan dalam jangka lama dalam penggunaan aktifitas. Dalam jangka panjang bahkan nyeri dapat menjalar dikedua kaki bahkan sampai dikedua telapak kaki. Salah satu alat untuk meredakan nyeri adalah Lumbal Sacral Ortosis. Lumbal Sacral Ortosis merupakan alat pelindung diri yang berkaitan dengan pekerjaan untuk mencegah cedera jaringan otot. Lumbal Sacral Ortosis dapat berfungsi sebagai pereda nyeri, membatasi gerakan atau immobilisasi sebagian, memenejemen postur tubuh yang salah. Tujuan: Penelitian ini bertujuan untuk mengetahui efektivitas penggunaan custom Lumbal Sacral Ortosis terhadap penurunan nyeri pada penderita low back pain. Metode: Jenis penelitian kuantitatif, metode pre eksperimental dengan desain one grup pretest-post test dengan sampel berjumlah 60 orang di Klinik Fisioterapi Karanganyar. Instrumen yang digunakan untuk mengukur derajat nyeri adalah Numerical Rating Scale (NRS). Metode analisis data menggunakan uji Wilcoxon dan uji normalitas date menggunakan Kolmogorov-Smirnov. Hasil: Hasil uji Wilcoxon memperoleh p value 0.000 (< 0.05). Penurunan derajat nyeri sebelum dan setelah diberikan intervensi custome Lumbar Sacral Orthosis dengan selisih rata-rata sebesar 1.7. Custome Lumbar Sacral Orthosis efektif untuk mengurangi nyeri pada low back pain. Sampel penelitian semuanya berjenis kelamin perempuan. Kesimpulan: Penelitian ini menunjukkan intervensi custome Lumbar Sacral Orthosis efektif dalam mengurangi nyeri pada penderita low back pain

MEDIAL ARCH SUPPORT CUSTOM SEBAGAI KOREKSI BIOMEKANIK PADA ANAK PES PLANNUS Zubaidi, Alfan; Akbar, Muh. Syaiful
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.56217

Pes plannus merupakan kelainan lengkung medial kaki yang dapat mengganggu fungsi biomekanik dan aktivitas berjalan pada anak usia sekolah. Gangguan ini berpotensi menurunkan stabilitas, efisiensi gerak, dan performa berjalan apabila tidak ditangani secara tepat. Salah satu intervensi konservatif yang digunakan adalah medial arch support. Namun, perbedaan efektivitas antara medial arch support custom dan produk standar masih memerlukan pembuktian ilmiah. Penelitian ini bertujuan untuk menganalisis peran medial arch support custom dalam koreksi biomekanik pada anak dengan pes plannus. Penelitian ini menggunakan desain Randomized Controlled Trial dengan dua kelompok perlakuan. Populasi adalah anak usia 9-12 tahun dengan pes plannus di Kabupaten Karanganyar. Sampel sebanyak 80 anak dipilih menggunakan teknik simple random sampling dan dibagi menjadi kelompok medial arch support custom dan kelompok medial arch support standar. Variabel independen adalah jenis medial arch support, sedangkan variabel dependen adalah koreksi biomekanik yang diukur melalui tes sprint 40 meter sebagai indikator aktivitas berjalan. Analisis data dilakukan menggunakan uji Kolmogorov-Smirnov, paired t-test, dan Mann-Whitney dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan adanya peningkatan signifikan performa berjalan pada kelompok medial arch support custom dibandingkan kelompok standar (p<0,05). Medial arch support custom lebih efektif dalam mendukung koreksi biomekanik kaki dan meningkatkan aktivitas berjalan pada anak dengan pes plannus.

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