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TERAPI LATIHAN PADA PASIEN LUKA GANGRENE UNTUK MEMINIMALKAN RISIKO AMPUTASI DI RS EFARINA BERASTAGI Muliati, Muliati; Marolop Parlindungan Napitu; Isa Harpika Br. Ginting; I Ngurah Gede Verar Fujastawan; Margaretha Togatorop
Nusantara Hasana Journal Vol. 4 No. 8 (2025): Nusantara Hasana Journal, January 2025
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v4i8.1966

Abstract

Gangrene wounds are a serious condition characterized by tissue death due to impaired blood circulation and infection, which carry a high risk of amputation if not properly managed. Exercise therapy is a non-pharmacological intervention that can help improve blood circulation, maintain limb function, and accelerate wound healing. This study aims to determine the effectiveness of exercise therapy in minimizing the risk of amputation in patients with gangrene wounds at Efarina Berastagi Hospital. The method used was a descriptive approach with a structured exercise program including range of motion exercises, muscle strengthening, and circulation exercises. The results showed that patients who regularly performed exercise therapy experienced improvement in tissue condition, reduction in edema, and increased functional ability. In addition, the risk of amputation could be reduced through improved tissue perfusion and better infection control. Therefore, exercise therapy can be an important component in the comprehensive management of patients with gangrene wounds
OPTIMALISASI PROGRAM TERAPI LATIHAN LOW IMPACT DENGAN DOSIS INTERMITTEN PADA WANITA MENOPAUSE DI RS EFARINA PEMATANGSIANTAR Muliati, Muliati; Marolop Parlindungan Napitu; Isa Harpika Br. Ginting; Imelda Putri Arianti
Nusantara Hasana Journal Vol. 1 No. 11 (2022): Nusantara Hasana Journal, April 2022
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v1i11.1967

Abstract

Menopausal women experience various physiological changes that can reduce their quality of life, such as decreased bone density, metabolic disorders, and musculoskeletal complaints. Low-impact intermittent exercise therapy is an effective and safe non-pharmacological approach. This community service activity aims to optimize the understanding and implementation of this exercise program among menopausal women at Efarina Hospital in Pematangsiantar. The methods used included education, exercise demonstrations, and practical guidance. The results showed an increase in participants' knowledge and ability to perform the exercises independently. This program is expected to continuously improve the quality of life and physical fitness of menopausal women.
EDUKASI PROGRAM LATIHAN FISIOTERAPI PADA PENDERITA STROKE DI RS EFARINA BERASTAGI Muliati, Muliati; Marolop Parlindungan Napitu; Isa Harpika Br. Ginting; Rodearni Damanik
Nusantara Hasana Journal Vol. 3 No. 8 (2024): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1968

Abstract

Stroke is a leading cause of disability and death worldwide, including in Indonesia. Stroke patients often experience impaired motor and sensory function, as well as limitations in daily activities, requiring ongoing rehabilitation treatment. Physiotherapy plays a crucial role in improving the quality of life of stroke patients through structured and ongoing exercise programs. This community service activity aims to provide education about physiotherapy exercise programs to stroke patients at Efarina Hospital in Berastagi. The methods used include counseling, exercise demonstrations, and direct support for patients and their families. The results of the activity indicate an increase in patient and family understanding of the importance of physiotherapy exercises and increased participation in independent exercise. Thus, the education provided can optimally support the rehabilitation process for stroke patients.
SOSIALISASI MENINGKATKAN KESEIMBANGAN DINAMIS LANSIA DENGAN TERAPI LATIHAN TRADISIONAL TAICHI PADA LANSIA DI PEMATANGSIANTAR Muliati, Muliati; Marolop Parlindungan Napitu; Isa Harpika Br. Ginting; I Ngurah Gede Verar Fujastawan; Margaretha Togatorop
Nusantara Hasana Journal Vol. 4 No. 10 (2025): Nusantara Hasana Journal, March 2025
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v4i10.1969

Abstract

Decreased dynamic balance in the elderly is a major factor that increases the risk of falls and reduces quality of life. Preventive efforts through safe and structured physical exercise are needed, one of which is traditional Tai Chi exercise therapy. This community service activity aimed to improve the knowledge and skills of the elderly in maintaining dynamic balance through Tai Chi exercises in Pematangsiantar. The methods used included socialization, Tai Chi movement training, mentoring, and evaluation. The results showed an improvement in the elderly’s understanding of the importance of balance as well as their ability to independently perform Tai Chi movements. In addition, there was an improvement in body balance, increased confidence in movement, and a reduced risk of falls. Therefore, Tai Chi can be an effective and safe alternative exercise to improve dynamic balance in the elderly sustainably
PENINGKATKAN PENGETAHUAN MASYARAKAT LANSIA DALAM PENCEGAHAN DAN PENANGANAN OSTEOARTHRITIS DI KEC. SIANTAR BARAT Muliati, Muliati; Marolop Parlindungan Napitu; Isa Harpika Br. Ginting; Ilham Irwansyah
Nusantara Hasana Journal Vol. 2 No. 12 (2023): Nusantara Hasana Journal, May 2023
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v2i12.1970

Abstract

Osteoarthritis is a degenerative disease commonly experienced by the elderly and can reduce quality of life due to pain and limited mobility. Lack of public knowledge regarding the prevention and treatment of osteoarthritis is a contributing factor to the worsening condition. This community service activity aims to increase the knowledge of elderly people in West Siantar District regarding the prevention and treatment of osteoarthritis. The methods used included health education, interactive discussions, and demonstrations of simple physical exercises. The results showed an increase in participants' understanding of the risk factors, symptoms, and self-management methods for osteoarthritis. This activity is expected to help elderly people maintain joint health and improve their quality of life.
Penatalaksanaan Fisioterapi pada Kasus Post Operasi Meniscus Repair Dextra di Klinik Karya Kasih Muliati, Muliati; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Irwansyah, Ilham
Jurnal Riset Hesti Medan Vol 8, No 1 (2023): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v8i1.352

Abstract

Meniscus tear is one of the most common knee injuries treated. The meniscus is essential for normal knee function, including load transmission, joint stability, lubrication, and nutrition of the articular cartilage. Loss of normal meniscus function leads to increased knee contact pressure and articular cartilage degeneration over time. Meniscus repair (meniscus repair) is one type of surgery performed. When the meniscus has to be operated on by sewing the torn meniscus. Physiotherapy plays an important role in meniscus repair with isometric, isokinetic exercises that aim to strengthen the grub of weak muscles. Objektive: improve to the next phase and increase functional activity to be able to return to the sports field. Methods: subjects were given isometric and isokinetic strengthening exercises for 4 weeks which were performed 3x/week. Results: evaluation was carried out using Visual Analog Scale (VAS), Range Of Motion (ROM) measurement instruments, Manual Muscle Testing, and Anthropometry. Conclusion: there was an increase in ROM, MMT, and Anthropometry after being given therapy exercise for 4 weeks.
Perbandingan Pengaruh Core Exercise dan Senam Nifas terhadap Penurunan Lingkar Perut pada Perempuan Postnatal Spontan di RS Efarina Berastagi Muliati, Muliati; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Saragih, Indra Riski
Jurnal Riset Hesti Medan Vol 9, No 1 (2024): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i1.340

Abstract

Objective: To find out the comparison of the effect of giving core exercise and postpartum exercise to the decrease in abdominal circumference in spontaneous women. Method: The research method used is quasi-experimental with a pre-test and post-test design. The sample used was 30 people and divided into 2 groups who were given core exercise and postpartum gymnastics, each group amounted to 15 people. The measuring instrument used to measure the circumference of the respondent's abdomen is a measuring tape or midline. Results: The results of the paired t-test effect on the core exercise and postpartum exercise group obtained the same values, namely 0.000 (p<0.05). The results of the independent sample t-test obtained the results of 1.000 (p>0.05). Conclusion: There is no comparison of the effect of giving core exercise and postpartum exercise on the decrease in abdominal circumference in spontaneous postnatal women.
Perbandingan Crunch Free ABS dengan Abdominal Exercise Kombinasi Bracing dalam Mengurangi Diastasis Recti pada Postnatal Pervaginam di RS Efarina Pematangsiantar Muliati, Muliati; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Togatorop, Margaretha
Jurnal Riset Hesti Medan Vol 9, No 2 (2024): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i2.345

Abstract

Diastasis recti is often characterized by a prominent midline following increased intra-abdominal pressure, thinning and widening of the linea alba, coupled with weakness of the abdominal wall muscles. Diastasis recti bise causes complications such as pelvic floor muscle dysfunction, umbilical hernia, incontinence, and prolapse of the uterus. To return the abdominal muscles to normal again, crunch free abs exercises or andominal exercises combined with bracing can be done. This study aims to determine the comparison of crunch free abs with abdominal exercises combined with bracing in reducing diastasis recti in postnatal vaginal delivery. This study used a quasi-experimental design with a pretest – posttest design. The sample was divided into two groups, group A was given the crunch free abs treatment and group B was given the combination bracing abdominal exercise treatment. Based on the results of statistical tests with Mann Whitney obtained a significance result of 0.747 (> 0.05) so that it can guarantee that there is no difference in the effect of crunch free abs with abdominal exercises on the reduction of rectal diastasis in postnatal vaginal women.
Hubungan Kelentukan Pergelangan Tangan terhadap Kemampuan Menggiring Bola pada Permainan Bola Basket di Medan Muliati, Muliati; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Damanik, Rodearni
Jurnal Riset Hesti Medan Vol 10, No 2 (2025): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i2.359

Abstract

Physical fitness of a basketball player is an absolute requirement in running a game. Flexibility is one of the components of physical fitness needed by players to produce proper basketball techniques such as dribbling or dribbling techniques. This study aims to determine how the contribution or relationship of wrist flexibility (flexion) to dribbling ability in basketball games. This study was conducted on adolescents with an age range of 15-17 years. This research is a quantitative research without giving any treatment or training. The research sample consisted of 25 students who were members of the basketball extracurricular which were selected by purposive sampling based on inclusion and exclusion criteria. Wrist flexibility was measured using a goneometer, while the dribbling test was used to measure the sample's ability to dribble. To test the hypothesis in this study, using the Pearson product moment correlation test to determine the relationship between the two variables with the results obtained a significant value of 0.000 which indicates a correlation between the two variables and the correlation coefficient of 0.728 which means the relationship between the two variables is strong. The correlation coefficient from the results of data analysis is negative, which means that the resulting correlation is inversely proportional so that the higher the wrist flexibility, the better the ability to dribble.
Penatalaksanaan Fisioterapi pada Kasus Kompresi Fraktur Thorakal 12 – Lumbal 1 Stadium Post Imobilisasi di Rumah Sakit Efarina Brastagi Muliati, Muliati; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Haris, Muhamad
Jurnal Riset Hesti Medan Vol 10, No 1 (2025): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i1.350

Abstract

Indonesia is one of the countries with a relatively high rate of traffic accidents. Data from the Indonesian National Police in 2009 indicates that at least 57,726 traffic accidents occurred on public roads that year. This means that an accident occurred once every 9.1 minutes (Ministry of Transportation, 2010). The consequences for the victims themselves can include both physical and psychological effects. A patient named Mrs. Suhaeriah, aged 57, was diagnosed with a lumbar compression fracture at L1-T12. The physiotherapy issues identified included complaints of pain, muscle spasms, reduced range of motion, decreased functional activity in the lower back, and the patient also reported difficulty bending over, standing for long periods, walking long distances, and performing household chores. Transcutaneous electrical nerve stimulation (TENS) is one of the interventions performed by physical therapists, utilizing low-voltage electrical currents to reduce pain in patients with lumbar compression fractures at T12 and L1. TENS can be used for acute pain with high frequency, high pulse width, and amplitude adjusted to the patient’s subjective comfort and perceived sensation. Core stability exercises are exercises that facilitate continuous isometric contraction of the deep spinal muscles at the lower levels, integrating into progressive functional training. Core stability exercises utilize motor learning principles to facilitate coordination of the deep spinal muscles.
Co-Authors -, Rampeng Abdul jalil Abdul Kahar Abdulllah, Muhammad Ikbal admin admin, admin Adreansyah, Ikbar Afrianti Afrianti, Afrianti Afriyani Afriyani Afriyani, Afriyani AKHMAD NOOR Ali, Marzuki Made ALIF, NUR MUHAMMAD Alim, Saskia S Ambo Upe Amelia, Mila Amin, Muh Agil Amir, Andi Mattulada Amiruddin, Muhammad Majdy Andi Bahri S Andi Bahri, Andi Andriansyah Andriansyah Annas, Alfian Antika, Rindi Anwar Anwar Anwar, Wahyu Mustika Ardiansyah, Faisal Aski Arfiah Busari Arianti, Melda Putri Arifanti, Dwi Risky Arista, Arista Artiyany, Megawhati Arung Gihna Mayapada Asdar Asdar Ashariana, Ashariana Asnawati Asnawati Asriani Asriani, Asriani Astin, Astin Aulia, Silvi Auliansyah, Auliansyah Ayu, Sinar Azalia, Areta Nur Fatimah BAKRY, M.Iqbal Baso, Muniro Baso Batau, ST. Haliah Besse Herlina Bunga, Purnamasari Busa, Yunus Cahyana, Indra Cahyani, Asti Cantika, Zhalsabila Putri Damanik, Rodearni DAMIRAH DAMIRAH, DAMIRAH Darma, Darma Darpin, Darpin Dewi Purnamasari Dewintara, Eka Djaniba, Erlina Dona, Doni Roma Effendi, Aji Sofyan Elpira Asmin Emiliyati, Emiliyati Ernawati Ernawati Ernawaty Usman Fansury, Andi Hamzah Farda, Sella Fatmarida Sabani, Fatmarida Ginting, Isaharpika Br Halmiah, Halmiah Halwi, Muhammad Darma Hamid, Sundari Hammad, Hamza Abed Al Karim Hamsiah, Andi Hamsiah, Andi Hamsiah Hanafi, Ali Hannani Hapipah, Risdina Haris, Muhamad Hartono Hartono Hasniar Hasniar, Hasniar Husnadian, Alfan I Ngurah Gede Verar Fujastawan Ibrahim Ibrahim Ilham Irwansyah Ilham, M. Imamah, Ayu Nur Imelda Putri Arianti Indah Indah Indra Indra Insarullah, Insarullah Irmawati Irmawati Irwan Gani Irwansyah, Ilham Isa Harpika Br. Ginting Islamul Haq Islamulhaq, Islamulhaq Jabar, Aryuni Salpian Jadi, Soliman Al Jalil, Ivon Jamaluddin Jamaluddin Jamilah, Sitti Janustisisa, Wina Jeti, La Julia I, Trigen Jumrah Jumrah Jumria Jumria Juri Naswa Nathania Kamal Zubair, Muhammad Kasim, Hermawaty Remba Khairul Anwar Khoiriah, Khifayatul Kusumayadi, Firmansyah Latifah Sukmawati Yuniar Lestari, Andi Indah Lestari, Retno Oktavia Liato, Della Fitriany Lilies Lilies Lukman, Sri Hardianti Luneto, Abdul Razik Lusianai, Wa Ode M, Ristifani Arista Maddolangeng, Nur Misyuari Mahmud, Usamah Mahsyar, Mahsyar Mahyus, Mahyus Makasale, Ariel Sousii Manan, Manan Manuhutu, Fenty Yoseph MARCELLINA, Nelly Mardiana, Fani Margaretha Togatorop Marlina, Santy Marlina Marolop Parlindungan Napitu Mas'ud Muhammadiah Masmarulan, Masmarulan Masnur Masnur Masruddin Mattulada, Andi Mauliza, Riska Misnawati Misnawati Muhammad Din Muhammad Elwan, La Ode Muhammad Ilham Pakawaru Mulianah, Maedatul Muliati, Windi Murbayani Murbayani, Murbayani Musafir, Musafir Musakkir , Musakkir Musmulyadi, Musmulyadi Mustamin Mustamin Musyarif Musyarif, Musyarif Muzaini, Muhammad Nadhar, Muhammad Nahak, Marthalena Erbin Napitu, Marolop Parlindungan Nasaruddin Nasaruddin Nina Yusnita Yamin Nofinda, Ayu NOPIANTI, NOPIANTI Norhaedah Novalina Serdiati Noyo, Irfandi A. Nur Edy Nur Hidayah Nur Hikmah NUR, MUFLIHA Nurdin, Jurana Nurfadillah Nurfadillah Nurfadillah, Siti Nurhayati Nurhayati Okto Irianto, Okto Oneng, Muthia Yogelina Pare Datu, Virgina A. Parwati, Ni Made Suwitri Patmawati, Andi Kiki Pramudita Budi Rahayu, Pramudita Budi Pratama, Yulianda Dian Putra, L. M. Ricard Zeldi Putri, Amelia Hamdani Putri, Andini Yulianto PUTRI, EVA NORHYA AKHMAR RAMADHAN Qasim, Rahmawati R, Masmarulan Rahayu Indriasari Rahman, Nasrul Rarasati, Indin Restele, La Ode Restu Januarty Hamid Rianti, Rianti Ridwan, Ridwan Riski, Lestari Riswani Riswani Rodearni Damanik Rosdiana Rosdiana Roslina Roslina, Roslina Rudy Usman S, Andi Bahri Safaruddin Safitri, Suci Safitri Salamatun Umma Saleh, Fitra Samir, Yulia Gita Samuji, Samuji Sangadji, Mia Lestari Sanusi, Novi Sundari Saragih, Indra Riski Sari, Wina Janustisia Sarmila, Sarmila Sarramadani Selmita Paranoan Sitanggang, Theodora Christina Romauli Sri Nur Rahmi Sri Reski Ananda St. Aminah Suarning Suarning, Suarning Suci, Fuji Mutia Suci, Indah Sukatin, Sukatin Sulfiani, Besse Sulindrina, Andra Sulistina Agustin, Sulistina Sumarni Sumarni Sumual, Claudea J. E. Sutrisman Basir Syahriyah Semaun Syamsiar, Syamsiar Tampang, Tampang Tangahu, Wahyu Ayuningsi Tangahu Tanra, Andi Ainil Mufidah Tengku Nurhidayah Togatorop, Margaretha Totanan, Chalarce Tri Wulandari Umar, Umrah Yani Utari, Adiani Purwa Varian, Devlin Janitra Wahidah, Wiratul Wahyudi, Rifqi Nur Wahyuniarsih, Desi Winarni Fujiastuti Winata, Aliahardi Wiranta, Yudhistira Wisnu Wardana, Wisnu Wulan Fabisian Wulandari, Neti Yasin, Nurfatwa Andriani Yeni Trisna Purba Yesi Aprianti Yuldi Mile Yulianti Yulianti Zamli