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All Journal Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Warta LPM
Chaiyawat, Pakaratee
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Humanities Economics, Econometrics & Finance Education Engineering Health Professions Social Sciences

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Utilization Community-Based Rehabilitation Methods to Improve Independence and Quality of Life for Patients with Disabilities in Nara Phirom Health Promoting Hospital, Thailand Komalasari, Dwi Rosella; Rahayu, Umi Budi; Perdana, Suryo Saputra; Chaiyawat, Pakaratee; Rosidah, Nikmatur
Warta LPM WARTA LPM, Vol. 27, No. 2, Juli 2024
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/warta.v27i2.4782

Abstract

The disability community activity, Nara Phirom Health Promoting Hospital in Banglen District, Nakhon Pathom, Thailand, collaborated with the Faculty of Physiotherapy, Mahidol University to support the disability community. Using the Community-based rehabilitation (CBR) method, the aim to enhance independence and quality of life. Evaluation includes IADL for independence and WHOQoL Bref-100 for quality of life. Education on health, immobilization, and exercise was provided to patients, families, and caregivers. Therapists teached physical exercises, to be repeated 2-3 times daily by caregivers and family. The 1-month program, supervised by therapists, includes standing and walking for patients with lower extremity strength of 3/5 (measured by manual muscle testing). Rehabilitation involves crafting items like wallets and bags, stamps, and flowers from bottles. Results, patients with low function status (very dependent on other people) decreased by 64.3%, moderate function increased by 116.7% and independence increased by 111.1%. There was a significant improvement in quality of life (WHOQoL) and all domains after CBR program.
Understanding and fixing WMSDs in herbal medicine workers at Luang Por Poen Hospital, Thailand Komalasari, Dwi Rosella; Rahayu, Umi Budi; Perdana, Suryo Saputra; Kasumbung, Tasa; Chaiyawat, Pakaratee
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol. 9 No. 2 (2024): May 2024
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v9i2.12730

Abstract

Work-related Musculoskeletal Disorders (WMSDs) affect millions globally, involving painful conditions of muscles, tendons, ligaments, and nerves due to workplace factors like repetitive tasks and awkward postures. Common ergonomic risks include repetitive tasks, awkward postures, forceful exertions, and prolonged static positions. A program at Luang Por Poen Hospital in Thailand educated workers in the Herbal Medicines division on WMSDs, with management support. The program provided education on WMSDs to workers and management, with strong support from company leadership. Workers were instructed to perform muscle stretching exercises before, during, and after work, and to continue these exercises at home. Over a month, supervisors observed workers' stretching routines. The Nordic Body Map Index (NBMI) was used to assess pain; workers reported pain in various body regions. Severe neck pain decreased from six workers to one, and severe back pain from three workers to none. However, severe shoulder pain remained unchanged. No workers reported severe pain in the arm, back, buttock, wrist, calf muscle, or ankle after the program. In conclusion, incorporating stretching into the work routine benefits workers by improving physical health, mental well-being, and productivity. Encouraging regular stretching and providing opportunities for stretching breaks can create a healthier, more ergonomic work environment. 
Co-Authors Kasumbung, Tasa Komalasari, Dwi Rosella Perdana, Suryo Saputra Rosidah, Nikmatur Umi Budi Rahayu