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Effect of Stabilization Exercise Improve Balance in Joint Degenerative Pain Nuraini Noviati; Muthiah Munawaran; Tabita Dwi Cahyani; Kesit Ivanali
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 5 No. 2 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v5i2.1560

Abstract

Increasing life expectancy and sedentary lifestyle in the elderly have an impact on physical changes, especially degenerative joint disease. Exercise is a modality that can provide physiological and therapeutic effects so that it can prevent, treat, and improve the quality of health. However, to find an exercise design that has the desired therapeutic effect requires a long journey and in-depth study. Many recent studies have shown that exercise initiates the secretion of proteins and tissue regeneration hormones which are very necessary for anti-aging in the elderly. The purpose of this study is to further enrich the exercise design which can be used as a reference for the high-risk elderly population and the elderly in general so that the quality of life and life expectancy are getting longer. The research method used pre and post design experimental studies through the purposive sampling technique method which was divided into 4 groups consisting of the control group, experimental group 1 and experimental group 2 which were carried out in August-October 2022 at Balai Warga RT 08 Kembangan Village, West Jakarta. Samples that met the inclusive and exclusion criteria were obtained by 18 respondents. To determine the range of motion and balance function assessment, the sample was measured with a range of motion and balance test instrument. Data were analyzed using a paired sample t-test to determine the effect of stabilization exercises on joint motion and balance function. Statistical test results p=0,001, (p<0,05) experimental first group and p=0,011, (p<0,05) experimental second group showed that there was a significant difference in the experimental groups 1 and 2 but there was no difference in the balance function p=0,414, (p>0.05). The conclusion is that stabilization exercises affect the range of motion in degenerative joint pain.
Hubungan Fungsi Kognitif Dengan Keseimbangan Pada Lansia Dengan Mild Cognitive Impairment Muthiah Munawwarah; Atika Rezky Ramadhani; Jerry Maratis; Kesit Ivanali
Jurnal Ilmiah Fisioterapi Vol 4 No 02 (2021): Agustus
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (597.574 KB) | DOI: 10.36341/jif.v4i02.1864

Abstract

Objective: To determine the relationship between cognitive function and balance in the elderly within Mild Cognitive Impairment (MCI) conditions at Posyandu, Talawi, Taratak Capo Hamlet. Method: This type of research is a descriptive correlative study using a cross sectional approach with the identification of purposive sampling on 72 sample. To assess cognitive levels, its make use of the Indonesian-Montreal Cognitive Assessment (INA-MoCA) questionnaire and balance measurement using the Time Up and Go Test (TUGT). Results: Correlation test with Pearson Product Moment obtained a significant relationship with p = 0.014 where p <value α (0.05) with r = 0.290, Which means there is a significant correlation between cognitive function and balance, where the higher the value of cognitive function, the higher balance value. Mean and standard deviation of Cognitive Function is 19.49 ± 2.089 and 18.06 ± 2.443 for balance. Conclusion: There is a relationship between cognitive function and balance in the elderly with Mild Cognitive Impairment (MCI) conditions in Posyandu, Talawi District, Taratak Capo Hamlet.
The effect of additional breathing exercises in postural training on decreasing the hyperkyphosis curve in the elderly Ilmanisa; Muthiah Munawwarah; Kesit Ivanali; Trisia Lusiana Amir
Physical Therapy Journal of Indonesia Vol. 4 No. 1 (2023): January-June 2023
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v4i1.71

Abstract

Background: Elderly is someone who is classified as old and is experiencing the aging process. The risk of falling and decreased function are two of the many geriatric syndromes, which are affected by various things, such as muscle weakness, imbalance, and poor posture. Objective: This study aimed to determine the difference in the effect of adding deep breathing exercises on postural training and only postural training on reducing the hyperkyphosis curve. Methods: This study is quasi-experimental with a pre-test and post-test group design, in which the thoracic kyphosis curve is measured with a flexible ruler. The total sample in this study was 22 people divided into two groups. Group 1 consisted of 11 people with the intervention given, namely postural training, and group 2 consisted of 11 people with the intervention given, namely postural training and deep breathing exercise. Results: Hypothesis testing I and II using the Paired sample t-test showed a value of p=0.000, with an average value before and after in group 1 of 54.17 ± 2.39 and 50.90 ± 2.43, while in group 2, it was 54.61 ± 2.07 and 50, 11±1.93. Furthermore, Hypothesis testing III used the Mann Whitney-u tried and obtained a value of p=0.000 with a difference in group 1 of 3.26 ± 0.57 and group 2 of 4.50 ± 0.41. Conclusion: There is a significant difference in effectiveness with the addition of breathing exercises in postural training and postural training alone in reducing the hyperkyphosis curve.
PENYULUHAN UPAYA PENCEGAHAN & PENGENDALIAN NYERI PADA PESEPEDA Nuraini Diah Noviati; Muthiah Munawarah; Abdurrasyid Abdurrasyid; Kesit Ivanali; Daniel Happy Putra
Jurnal Pengabdian Masyarakat Multidisiplin Vol 7 No 1 (2023): Oktober
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jpm.v7i1.3335

Abstract

Sejak masa awal pandemi COVID-19 hingga saat ini, gaya hidup masyarakat mengalami perubahan dalam aspek pekerjaaa, hobi, gaya hidup, pendidikan, dan kesehatan. Olahraga menjadi aktivitas hobi yang populer selama masa pandemi. Selain untuk menjaga kesehatan dan kebugaran, manfaat berolahraga juga untuk mengurangi stress dan bersosialisasi. Ketika pandemi dan diberlakukan ‘pembatasan sosial’ area Jabodetabek, terjadi suatu fenomena, masyarakat senang dan tertarik untuk bersepeda. Penggunaan sepeda meningkat 1000 persen saat pembatasan tersebut di Jabodetabek. Namun peningkatan penggunaan sepeda tidak diimbangi oleh pemahaman mengenai faktor resiko cedera oopenyebab timbulnya nyeri muskuloskeletal yang mengakibatkan gangguan fungsi gerak. Nyeri muskuloskeletal yang tidak diharapkan ini dapat mengganggu produktifitas sehari-hari sehingga beresiko menurunkan kualitas hidup individu. Penyuluhan untuk mencegah nyeri muskuloskeletal pada pesepeda penting dilakukan agar mitra dapat menerapkan langkah-langkah dan teknik pencegahan cedera dan mengoptimalkan manfaat kebugaran bersepeda. Pengabdian ini bertujuan menyelenggarakan penyuluhan bagi para pesepeda untuk langkah-langkah pencegahan di rumah sehingga dapat mengurangi angka kejadian nyeri. Adapun mitra pengabdian adalah komunitas sepeda Purnakarya Tangerang.. Kegiatan berupa penyuluhan terhadap faktor resiko, memberikan langkah-langkah pencegahan sebelum, saat dan sesudab bersepeda dan strategi pengoptimalan tingkat kebugaran bersepeda. Luaran kegiatan adalah mitra dapat mengelola faktor resiko, langkah-langkah pencegahan, dan optimalisasi manfaat kebugaran olahraga bersepeda.
EFEK PENAMBAHAN FOOT CORE STABILITY EXERCISE PADA INTERVENSI CORE STABILITY EXERCISE DALAM PENINGKATAN POSTURAL CONTROL PASIEN PASCASTROKE Samosir, Sondang; Maratis, Jerry; Ivanali, Kesit
Jurnal Ilmiah Fisioterapi Vol 7 No 2 (2024): Jurnal Ilmiah Fisioterapi
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jif.v7i2.4510

Abstract

Tujuan: Menganalisis peningkatan postural control pasien pasca stroke akibat penambahan foot core stability terhadap core stability exercise. Metode: pelaksanaan penelitian ini berjenis “randomized controlled trial experimental” untuk menganalisis ketidaksamaan dari “penambahan intervensi foot core stability new bobath concept pada intervensi core stability exercise dalam peningkatan postural control pasien pascastroke”. Sampel terdiri dari 20 pasien dan akan dibagi kedalam dua kelompok yakni kelompok perlakuan I dengan memberikan pelatihan core stability exercise dan kelompok perlakuan II dengan memberi tambahan foot core stability exercise terhadap intervensi core stability exercise. Hasil: Berdasarkan hasil uji normalitas dengan mengimplementasikan metode Shapiro wilk test dan dari hasil uji homogenitas metode Levene’s test diperoleh data penelitian yang terdistribusi normal dan bersifat homogen. Kemudian dari hasil uji hipotesis dengan metode Paired T-test pada kelompok perlakuan I nilai p senilai 0,36 yang artinya “peningkatan postural control terbebas dari pengaruh core stability exercise” sedangkan hasil uji pada kelompok perlakuan II diperoleh nilai p senilai 0,001 yang artinya “peningkatan postural control dipengaruhi oleh penambahan foot core stability terhadap core stability exercise”. Selain itu, juga didapatkan nilai p senilai 0,845 dari hasil Independent T-test yang artinya “ditemukan ketidaksamaan penurunan nyeri fungsional pada kelompok perlakukan I dan II”. Kesimpulan: adanya peningkatan postural control yang dipengaruhi oleh penambahan foot core stability terhadap core stability exercise.
COMPARE THE EFFECTIVENESS OF CONSTRAINT INDUCED MOVEMENT THERAPY AND MOTOR RELEARNING PROGRAMME IN POST STROKE PATIENTS Maratis, Jerry; Wahidin, Ahmad; Ivanali, Kesit
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (616.077 KB)

Abstract

Objective: Compare the effectiveness of Constraint Induced Movement Therapy (CIMT) and Motor Relearning Program (MRP) on upper extremity and hand functions in post-stroke patients.. Methods: This research is an experimental study design. randomaized control pre test post-Test Design. Sample of convenience of twelve (12) stroke subjects are selected and devided into group I and group II. Group I received CIMT and group II with MRP. Results: test normality with Shapiro Wilk Test obtained normal distribution data while with test homogenity with Levene's test obtained data has variant Homogen. The results of hypothesis testing in treatment group I with the One Sampels T-test obtained pvalue <0.001 in Wolf Motor Function Test (WMFT) CIMT intervention can improve Upper Etremity function. In the treatment group II with the One Sampels T-test, the pvalue was <0.001 at WMFT. So it can be concluded that MRP intervention can improve Upper Extremity function. The independent sample t-test results show a p-value <0.360, which means there is no difference in the functional increase in Upper Extremity Stroke conditions between CIMT and MRP interventions. Conclusion: there was no difference in effectiveness between CIMT and MRP for improving upper extremity function in poststroke patients.
PENELITIAN LANJUTAN PENINGKATAN KESEIMBANGAN LANSIA DENGAN PEMBERIAN LATIHAN BERDIRI SATU KAKI DAN LATIHAN ANKLE STRATEGY Ivanali, Kesit; Ramadhona, Shella; Mailani, Rena
Indonesian Journal of Physiotherapy Vol 5 No 1 (2025): Indonesian Journal of Physiotherapy
Publisher : Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52019/ijpt.v5i1.10603

Abstract

Background: Balance in the elderly declines with age, increasing the risk of falls. Exercises such as single leg stance and ankle strategy exercise can help, but their effectiveness needs further investigation. Comparing the effects of latihan berdiri satu kaki and latihan strategi ankle on balance improvement in the elderly. Methods: This quasi-experimental study used a pretest-posttest group design involving 20 elderly participants from Panti Werdha Wisma Mulia, divided into two groups (10 participants each). The first group performed single leg stance, while the second group performed ankle strategy exercise. Balance was measured using the Functional Reach Test (FRT). Results: Single leg stance significantly improved balance (p ≤ 0.001), with a mean ± SD increase from 10.20 ± 2.394 to 12.80 ± 3.120. Ankle strategy exercise was more effective (p ≤ 0.001), increasing balance from 12.00 ± 3.590 to 19.20 ± 4.517. Independent T-test showed a significant difference (p = 0.001), with ankle strategy exercise having a greater effect. Conclusion: Ankle strategy exercise is more effective than single leg stance in improving balance in the elderly and can serve as a better intervention to reduce the risk of falls. Keywords: Single Leg Stance; Ankle Strategy Exercise; Balance; Functional Reach Test