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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) NuCSJo : Nusantara Community Service Journal Jurnal Kesehatan Masyarakat
Dody Suprayogi
Poltekkes Kemenkes Surakarta
Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Public Health Other

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Custom-Made Foot Insoles on Dynamic Balance in Children with Flexible Flat Feet: A Community-Based Study Nur Rachmat; Bambang Kuncoro; Dody Suprayogi; Atika Febri Anggraini; Annisa Dwi Nur Kusumawardani; Indra Yulianti
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i3.39922

Abstract

Flexible flat feet in children are common in community and school-aged populations and may be associated with altered lower-limb biomechanics, impaired postural control, and reduced dynamic balance, potentially affecting mobility, participation, and safety in daily activities. Although custom-made foot insoles are widely prescribed, evidence regarding their functional effects on dynamic balance in community-based pediatric settings remains limited. This study aimed to evaluate the effects of custom-made foot insoles on dynamic balance among children with flexible flat feet in a community-based rehabilitation context. A pre–post intervention study was conducted involving 40 children (mean age 10.05 ± 1.04 years). Dynamic balance was assessed using the Balance Beam Test before and after the intervention. Changes in balance performance were analyzed using the Wilcoxon signed-rank test, with effect size calculated using Cohen’s d. Dynamic balance scores improved significantly after insole use (Z = −3.995, p < 0.001), with a large effect size (d = 0.81). Greater improvements were observed in children with lower baseline balance. These findings support the potential role of custom-made foot insoles within community-based rehabilitation strategies to enhance functional balance and promote safe participation among children.
Pemberdayaan Pasien Amputasi melalui Pemberian Kaki Palsu Prostetik pada Komunitas Disabilitas Sisybania Sisybania; Dody Suprayogi; Syarifah Syarifah
NuCSJo : Nusantara Community Service Journal Vol. 3 No. 1 (2026)
Publisher : Lembaga Penelitian Dan Publikasi Ilmiah (lppi) Yayasan Almahmudi Bin Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70437/nucsjo.v3i1.474

Abstract

Amputasi dapat menyebabkan keterbatasan mobilitas dan kemandirian dalam menjalankan aktivitas sehari-hari. Kegiatan pengabdian kepada masyarakat ini bertujuan memberdayakan penyandang amputasi melalui pemberian prostesis pada Perkumpulan Penyandang Disabilitas Manisrenggo. Kegiatan dilaksanakan melalui koordinasi dengan mitra, identifikasi penerima manfaat, asesmen kondisi stump, pengukuran, casting, fabrikasi, alignment, fitting, edukasi, dan penyerahan prostesis. Proses pembuatan dilakukan berdasarkan kondisi anatomis dan kebutuhan fungsional masing-masing penerima manfaat. Hasil kegiatan menunjukkan bahwa tahapan pelayanan prostetik dapat dilaksanakan mulai dari asesmen hingga penyerahan alat kepada penerima manfaat. Selain memperoleh prostesis, penerima manfaat mendapatkan edukasi mengenai penggunaan, perawatan, dan pemantauan alat. Kegiatan juga meningkatkan keterlibatan mitra dalam proses pelayanan prostetik. Pemberian prostesis yang disertai asesmen, fitting, edukasi, dan pendampingan menjadi pendekatan yang mendukung pemanfaatan alat secara lebih optimal. Kegiatan ini menunjukkan pentingnya kolaborasi antara institusi pendidikan, penyedia layanan prostetik, dan komunitas disabilitas dalam mendukung pelayanan rehabilitasi yang inklusif.
Profile of Physiological Cost Index in Users of Transtibial Prostheses with SACH Foot Cica Tri Mandasari NIngsih; Dody Suprayogi; Syarifah
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 9 No. 1 (2026): 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.v9i1.3906

Abstract

Users of transtibial prostheses may experience increased physiological demands during walking because of altered biomechanics and compensatory strategies after amputation. The Physiological Cost Index (PCI) is an indirect index that uses changes in heart rate and walking speed to describe the physiological cost of walking. This study aimed to describe the PCI profile of users of transtibial prostheses with a Solid Ankle Cushion Heel (SACH) Foot. This article used a descriptive analysis of data from 14 unilateral transtibial prosthesis users who used a SACH Foot and met the study criteria. Variables included age, sex, height, body weight, body mass index, resting heart rate, walking heart rate, walking time, walking speed, and PCI. Data were presented as frequencies, percentages, means, standard deviations, minimums, and maximums. The mean age was 36.36 ± 4.34 years and the mean body mass index was 21.52 ± 0.70 kg/m². Mean resting heart rate was 79.86 ± 1.17 beats/min and increased to 101.71 ± 2.23 beats/min during walking. Mean walking speed was 65.63 ± 4.05 m/min, while mean PCI was 0.334 ± 0.042 beat/meter, with a range of 0.263–0.428 beat/meter. The profile demonstrates a cardiovascular response to walking among SACH Foot users and provides an initial description of walking physiological cost that may support further clinical evaluation.
Co-Authors Annisa Dwi Nur Kusumawardani Atika Febri Anggraini Bambang Kuncoro Cica Tri Mandasari Ningsih Indra Yulianti Nur Rachmat Sisybania Sisybania Syarifah Syarifah Syarifah