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The effectiveness of early mobilization to improve flexibility after arthroplasty knee: a meta-analysis Pristianto, Arif; Anjani, Dwi Tiara; Ibaadurrohmaan; Kurniasari, Avida; Arofah, Putri Isha Fidhia; Wijaya, Syailendra
Physical Therapy Journal of Indonesia Vol. 5 No. 2 (2024): July-December 2024
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v5i2.221

Abstract

Background: Knee arthroplasty is a surgical procedure in the knee area to replace the joint with a fixed-bearing implant, after knee arthroplasty functional abilities will decrease. One intervention that can be carried out to improve the function after knee arthroplasty is by providing early mobilization. The purpose of this study was to evaluate how well early mobilization improves knee arthroplasty patients' range of motion. Methods: This meta-analysis was conducted with a sample size of 9 research studies with a total of 511 subjects. The search for articles was carried out using the PICO criteria consisting of population, namely patients with knee arthroplasty conditions, the intervention provided is early mobilization, comparison with standard care, and outcomes improve flexibility and functional ability. Results: Meta-analysis of 9 randomized controlled trial studies showed that EM significantly improved the flexibility of TKA patients (SMD=0.56; 95% CI=0.15-0.97, p=0.007), although with high heterogeneity (I2=79%) and indications of publication bias. Conclusion: EM is effective in improving the flexibility of patients after knee surgery. Conclusion: Early mobilization can increase flexibility compared to patients who are only given standard care.
The Effect of Backpack and Totebag Use on the Movement of the Center of Pressure in Children Aged 8-12 Years Kurniasari, Avida; Naufal, Adnan Faris
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/stt5wz18

Abstract

Introduction: Two commonly used types of bags are backpacks that distribute weight evenly and totebags that put weight on one side of the body. The use of bags by school-aged children can affect their postural balance. Physiotherapy plays a role in ergonomics education, corrective exercises and core muscle strengthening to prevent muskuloskeletal disorders due to unbalanced loads. Purpose: This study aims to analyze the effect of using backpacks and totebags on the movement of Center of Pressure (CoP) in children aged 8-12 years. Method: This study used 25 samples selected by purposive sampling technique with observational method and cross-sectional approach. CoP measurements were taken using the Zebris FDM-s in the gymnasium laboratory of the Faculty of Health Sciences, Universitas Muhammadiyah Surakarta. Data analysis included univariate, bivariate, Shapiro-Wilk normality test, and Mann Whitney test with a significance of p<0.05. Result: The Mann-Whitney statistical test showed that there was no significant difference between the two types of bags on CoP movement (p=0.826). Despite the change in load distribution, the child's body is still able to adapt. Conclusion: The use of backpacks and totebags does not directly affect a child's postural balance in the short term, but it is important to pay attention to the weight and duration of use to prevent long-term muskuloskeletal disorders.