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Siti Sarah Bintang
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Differences In The Effect Of Motor Control Exercise And William Flexion Exercise On Pain In Low Back Pain Miogenic Patients At Ambalat Sesko Tni Clinic, Bandung Siti Sarah Bintang; Karnirius Harefa; Sabirin Berampu; Dwi Handayani; Titin Novayanti Dey; Simarmata, Pratiwi; MHD Yoppy
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (2024): 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.v6i2.2077

Abstract

Changes in the background needs and welfare of human life have led to a shift in modern lifestyle patterns. The growing population has resulted in increased work productivity, along with various types of work activities and a rise in complaints of symptoms like low back pain. Low back pain, or lower back pain, is a complaint where the pain can be local pain (inflammation) or radicular pain in the lower back. This pain can radiate to other areas, or the pain can be felt in the lower back, or it can be felt on a different side of the body from the center of the pain and can be felt in a variety of ways. Occupation is one of the factors causing LBP. Incorrect work postures, for example, sitting static for a long time and not using ergonomic sitting positions, are one of the factors in the occurrence of LBP (WHO, 2013). The purpose of this research is to find out if there is a comparison of the differences in the effect of motor control exercise and William flexion exercise on pain in myogenic low back pain patients at the Ambalat Sesko TNI Bandung clinic in 2023. The design in this study was a quasi-experiment with a control approach of two groups, pre-test and post-test, used to compare two independent groups, namely group I (motor control exercise) and group II (William flexion exercise). The research location was at the Ambalat clinic, Sesko TNI, with a total sample of 20 people. The research data was carried out using the normality test with the Shapiro-Wilk test. After the data was normally distributed, a hypothesis test was carried out using the independent paired sample t-test to obtain a p-value of 0.901 > (? = 0.05). The results of the analysis showed that the intervention of motor control exercise and William flexion exercise had the same effect on reducing pain, and there was no significant difference between giving myogenic low back pain at the Ambalat Sesko TNI Bandung clinic in 2023.
The Effect of Dry needling and Muscle energy technique on Pain in Myofascial Trigger Point Syndrome (MTRPS) M.Upper Trapezius Siti Sarah Bintang; Dani Hafiz Utomo; Simson Sinuhaji; Sabirin Berampu; Karnirius Harefa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): 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.v7i1.2325

Abstract

Background: Myofascial Pain Syndrome is a common health problem where the main cause is repetitive injury. Various interventions can be performed to reduce pain and symptoms from MTrPs, one of which is dry needling (DN) and muscle energy technique (MET). Purpose: of this study is to determine the effect of DN, MET, and combination of DN+MET on pain at MTrPs m.upper trapezius. Research method quantitative three groups pre and post test design. Sample was taken using total sampling technique and total of 48 people with MTrPs m.upper trapezius obtained. Numeric Rating Scale (NRS) used to measure pain intensity. The statistical tests used are Wilcoxon signed ranked test and the Mann-Whitney U. Results and discussion: effect of DN intervention with P-Value= 0.000 (P<0.05), MET P-Value= 0.000 (P<0.05), Combination of DN+MET P-Value= 0.000 (P<0.05). Comparison of DN with MET P-Value= 0.001 (P<0.05), DN with combination of DN+MET P-Value= 0.030 (P<0.05), MET with a combination of DN+MET P-Value= 0.000 (P<0.05). Conclusion: based on statistical result DN, MET, and the combination of DN+MET had the same effect on reducing pain at MTrPs m.upper trapezius, where the DN+MET combination proved to be more effective and more recommended in the treatment of MTrPs m.upper trapezius. Keywords: Myofascial Trigger Point Syndrome; Dry Needling; Muscle Energy Technique.
The Effect Of Core Stability Exercise And Telephysiotherapy On The Walking Balance Of Post-Ischemic Stroke Patients Berampu, Sabirin; Siti Sarah Bintang; Syamsudin; Karnirius Harefa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): 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.v7i2.2674

Abstract

Stroke remains a major global health concern, ranking as the second leading cause of death and the third leading cause of disability worldwide. Among the common residual effects faced by stroke survivors is impaired walking balance. To address this issue, this study investigated the effectiveness of core stability exercises in improving walking balance, as measured by the Timed Up and Go (TUG) test. The study involved 12 participants aged between 40 and 70 years and adopted a case study approach. A quasi-experimental one-group pre-test and post-test design was used. The dependent variable was walking balance in post-ischemic stroke patients, while the independent variable was the implementation of core stability exercises delivered through tele-physiotherapy.Statistical analysis using the Shapiro-Wilk test revealed a significant improvement in walking balance after the intervention. The results showed a pre-intervention mean TUG score of 17.500 (SD = 5.351) and a post-intervention mean of 12.333 (SD = 3.228), with a significance value of 0.000 (df = 12). These findings indicate a statistically significant difference in performance before and after the intervention. In conclusion, the null hypothesis (H?) is rejected and the alternative hypothesis (H?) is accepted, demonstrating that core stability exercises delivered via tele-physiotherapy significantly improve walking balance in post-ischemic stroke patients at Budhi Dharma Clinic, Kreshna Foundation.
The Effect of Proprioceptive Training on Knee Joint Stability in Anterior Cruciate Ligament Injuries Mutiara, Rizka; Rabiatun Nasution; Siti Sarah Bintang
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (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: 10.35451/03sjew57

Abstract

Anterior Cruciate Ligament (ACL) injury is a disorder of the knee joint that often causes instability and decreased movement function. In addition to structural damage, this injury also impacts the decline in proprioception, which plays a role in neuromuscular control. This decline can disrupt balance and coordination of movement, thereby increasing the risk of recurrent injury and limitations in daily functional activities. Therefore, proprioceptive training is an important intervention in rehabilitation to improve knee joint stability. Objective: To determine the effect of proprioceptive training on knee joint stability in patients with ACL injury. The research method used a quasi-experimental design with a pre-test and post-test approach. The study sample consisted of ACL injury patients who were given proprioceptive training intervention for a certain period. Knee stability measurements were performed using functional and balance test instruments, namely the Single Leg Balance Test and the Star Excursion Balance Test (SEBT). Method: The study used a quasi-experimental design with a pre-test and post-test approach. The study sample consisted of ACL injury patients who were given proprioceptive training intervention for a certain period. Knee stability measurements were performed using functional and balance test instruments. Results: The study showed a significant increase in knee joint stability after proprioceptive training. This was demonstrated by an increase in static and dynamic balance scores and motor control compared to before the intervention. The discussion shows that proprioceptive training can improve sensorimotor integration, resulting in more optimal muscle response to changes in joint position. Conclusion: Proprioceptive training has a positive effect on improving knee joint stability in patients with ACL injuries. This intervention can be recommended as an important part of a physiotherapy rehabilitation program to improve knee function and reduce the risk of recurrent injury.
Different Effect Of Neck Stabilization Exercise With Stretching On Improving Neck Functional Ability In Non-Specific Neck Pain Harefa, Karnirius; Siti Sarah Bintang; Sumarjon
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (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/rax4kq57

Abstract

Latar belakang: Pekerja kantoran dengan posisi menunduk dan statis dalam waktu yang lama, otot akan berkontraksi berlebih sehingga terjadi spasme dan nyeri menyebabkan nyeri leher non spesifik lalu akan mengganggu kemampuan fungsional leher. Neck stabilization exercise dan stretching dapat menjadi latihan untuk meningkatkan kemampuan fungsional leher pada nyeri leher non spesifik. Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan pengaruh Neck Stabilization Exercise dengan Stretching terhadap peningkatan kemampuan fungsional leher pada nyeri leher non spesifik. Metode: Penelitian ini merupakan penelitian randomized controlled trial menggunakan rancangan two group pre test and post test dengan subjek sebanyak 24 orang yang dibagi menjadi 2 kelompok. Kelompok 1 diberikan perlakuan Neck Stabilization Exercise dan kelompok 2 diberikan stretching. Alat ukur yang digunakan yaitu neck disability index untuk mengukur kemampuan fungsional leher. Hasil: Hasil uji beda pre dan posttest kelompok 1 dan uji beda pre dan posttest kelompok 2 didapatkan p=0.000 (p<0,05), latihan neck stabilization dan stretching menunjukan perbedaan yang signifikan p=0.012 dengan selisih mean kelompok 1 di sapat 9.08 dan selisih mean kelompok 2 didapat 4.00. Kesimpulan: Ada beda pengaruh yang signifikan antara neck stabilization exercise dan stretching terhadap peningkatan kemampuan fungsional leher pada nyeri leher non spesifik. 
Co-Authors Berampu, Sabirin Dani Hafiz Utomo Dwi Handayani Karnirius Harefa MHD Yoppy Mutiara, Rizka Rabiatun Nasution Sabirin Berampu Simarmata, Pratiwi Simson Sinuhaji Sumarjon Syamsudin Titin Novayanti Dey