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PENGARUH MOBILISASI SENDI DENGAN KONSEP MULLIGAN MEDIAL DAN LATERAL GLIDE TERHADAP KEMAMPUAN FUNGSIONAL PENDERITA OSTEOARTHRITIS KNEE PADA LANSIA DI STPL BEKASI Achirda, Nur; Ali, Mohammad; Anggita Lisdianti, Rossa
Jurnal Fisioterapi dan Kesehatan Indonesia Vol 3 No 2 (2023): Jurnal Fisioterapi dan Kesehatan Indonesia
Publisher : Ikatan Fisioterapi Indonesia cabang kota bekasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59946/jfki.2023.236

ABSTRACT Elderly is a condition that will be experienced by every human being. The elderly will experience an aging process where the elderly will experience some decline in body functions, one of which is the musculoskeletal system. The elderly will experience a decline in functional abilities caused by degenerative diseases, one of which is osteoarthritis. Joint mobilization with the Mulligan Medial and Lateral Glide concept is a manual therapy technique that can treat joint pain, stiffness and joint dysfunction which can improve functional ability. This research is quasi-experimental with the design of the Two Group Pre Test and Post Test Design. The sample was selected by purposive sampling method and the number of samples for each group was 12 people in the treatment group and the control group. The tool for measuring functional ability uses the Knee Injry Osteoarthritis Outcome Score (KOOS) questionnaire. Paired T-Test with 95% confidence level and Independent Sample T-Test. After being given the intervention, the results obtained in the treatment group and control group using the Paired Sample T-Test obtained a p-value of 0.000. The results of the Independent Sample T-Test obtained a p value of 0.000, the mean result of the Independent Sample T-Test in the treatment group was 22.58 while the mean result in the control group was 13.27. The results of this study can be concluded that joint mobilization using the Mulligan concept affects the functional abilities of patients with knee osteoarthritis in the elderly. Keywords: Mobilization of joints with the concept of Mulligan Medial and Lateral Glide; Functional Ability; Knee Osteoarthritis;

PENGARUH THORACIC SPINE MOBILITY EXERCISE DAN CORE STABILITY EXERCISE TERHADAP POSTUR PADA IBU HAMIL Achirda, Nur; Jannah, Roikhatul
Jurnal Fisioterapi dan Kesehatan Indonesia Vol 3 No 2 (2023): Jurnal Fisioterapi dan Kesehatan Indonesia
Publisher : Ikatan Fisioterapi Indonesia cabang kota bekasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59946/jfki.2023.247

Background: Kyphosis is a change in the position of the spine which causes the surface of the back to bend less than normal, especially in pregnant women. (Mclester, J. and Pierre, S.P., 2008). Changes in spinal posture and an increase in abdominal diameter and sagittal diameter which shift the center of mass of the body to the anterior cause lower back load and pressure on the lower back, resulting in lower back pain felt during pregnancy. The lower back, namely the lumbar during pregnancy becomes lordosis and the thoracic becomes Kyphosis. Vertical balance has decreased. These changes in posture are experienced by pregnant women (Betsch, 2015). Changes in posture in pregnant women during pregnancy can cause lower back pain (Michoński, 2016). The correct way to treat Kyphosis is by doing exercises. Spinal mobility exercises Thoracic Spine Mobiliy Exercise is one that aims to improve the Kyphosis angle after exercise and corrects it significantly. Research by Nicola R et al (2020) showed that good muscle stability can reduce the risk of injury and can improve the Kyphosis angle after training and correct it significantly compared to before training, so that it can produce dynamic and strong dynamics. Apart from the Thoracic Spine Mobility Exercise, Core Stability Exercise can also be given for Kyphosis disorders, because it can make the core muscles work in harmony with complex contractions, so that dozens of muscles in the spine, trunk and surrounding areas will stabilize and reach a neutral position. during body movements and maintains a stable position in the vertebrae (the neutral zone). Core Stability Exercise also aims to improve the Kyphosis angle after exercise and corrects it significantly compared to before exercise. Method: This research is Pre-Experimental with a One Group Pre Test and Post Test design. Objective: This study was to determine the effect of providing Thoracic Spine Mobility Exercise and Core Stability Exercise interventions on Kyphosis Posture in Pregnant Women with a total of 23 respondents. Thoracic Spine Mobility Exercise and Core stability exercise interventions were given for 4 weeks, three times per week. Results and Discussion: The results of the Shapiro-Wilk normality test showed a p value >0.05 in each group of normally distributed data. The results of hypothesis testing after providing intervention in the form of Thoracic Spine Mobility Exercise and Core Stability Exercise, there was a significant difference, namely 0.00 (<0.05). Conclusion: After being given intervention from 23 respondents whose Kyphosis, 17 respondents became normal and 6 respondents started to improve, it was concluded that there was a significant effect on posture correction in Kyphosis patients after being given the Thoracic Spine Mobility Exercise and Core Stability Exercise intervention in pregnant women.

PENGARUH RUBBER BALL TRAINING TERHADAP PENINGKATAN KEKUATAN MENGGENGGAM PADA LANSIA DIABETES MELLITUS DI PERSADIA CIPAYUNG Achirda, Nur; Sudarsono, Ari; Puspitaningtias, Dzaky Aulia
Jurnal Fisioterapi dan Kesehatan Indonesia Vol 4 No 01 (2024): Jurnal Fisioterapi dan Kesehatan Indonesia
Publisher : Ikatan Fisioterapi Indonesia cabang kota bekasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59946/jfki.2024.289

Elderly with DM for a long time generally have a poor quality of life because it has a negative impact on the physical and psychological aspects of the sufferer. Due to the detrimental effects of hyperglycemia on nerves and connective tissue, hand function in terms of dexterity, hand grip strength and pinching, hand skills can be impaired so that quality of life, independence and activity in the elderly can be disrupted. Purpose to determine the effect of rubber ball training on increasing grip strength in DM elderly at Persadia Cipayung. Method is pre-experiment with One Group Pre-test Post-test design. This research was conducted in April - May 2023. Sampling used a purposive sampling method with a total sample of 32 people. The results showed that the average grip strength before the intervention was 15.08 and after that it was 16.75 with a maximum value of 21.4. The result of the p value is 0.000 (p < 0.05). Conclusion there is an effect of rubber ball training on increasing the grip strength of elderly DM in Persadia Cipayung.

Dual-Task Training Dan Edukasi Menurunkan Tingkat Risiko Jatuh Pada Lansiadi Pstw Budi Mulia Iv Jakarta Timur Achwan, Achwan; Utami, Dian; Achirda, Nur
Jurnal Fisioterapi dan Kesehatan Indonesia Vol 4 No 01 (2024): Jurnal Fisioterapi dan Kesehatan Indonesia
Publisher : Ikatan Fisioterapi Indonesia cabang kota bekasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59946/jfki.2024.304

Fall is an accident that causes injury in elderly. The increased risk of falling in the elderly affects the mobility and independence of the elderly in activity daily living. Interventions for the risk of falling are dual-task training and providing education about the risk of falling. This study aims to determine the effect of a combination of dual-task training and education on the risk of falling in the elderly. This study used a quasi-experimental research design with two groups pre-post test. The sample was selected based on the purposive sampling method with a total sample of 34 people, 17 people in the intervention group were given a combination of dual-task training and education, and 17 people in the control group were given education. The risk of falling is measured using the Timed Up and Go Test (TUGT). The results of the paired sample t-test for the difference in measuring risk of falling before and after in the intervention group obtained p-value=0.000 (p<0.05). The independent sample t-test for the difference between before and after in the intervention group obtained p-value=0.000 (p<0.05). Conclusion from this research there is an effect of dual-task training and education on the elderly in PSTW Budi Mulia IV, East Jakarta.

IDENTIFICATION OF PROBLEMS IN ADULT AGE WITH THE RISK OF STROKE IN JATIMELATI VILLAGE ACHIRDA, NUR; SATIVANI, ZAHRA
Jurnal Pengabdian Masyarakat Fisioterapi dan Kesehatan Indonesia Vol 3 No 02 (2024): Jurnal Pengabdian Masyarakat Fisioterapi dan Kesehatan Indonesia
Publisher : IFI cabang Kota Bekasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59946/jpmfki.2024.380

Physical activity is very important for people both young and old. Lack of physical activity can cause several health risks that can interfere with daily life. One of them is hypertension. Stroke can be caused by high or uncontrolled blood pressure. This community service aims to identify health problems in adults with a risk of stroke in the Jatimelati sub-district. This community service activity was carried out on April 20 2024 with a total of 30 participants. This activity is carried out by identifying health problems and following up. Identify health problems that arise, including diabetes mellitus, hypertension and cholesterol. The activity continues with evaluation through counseling or education and exercise. The exercise carried out is low impact aerobic exercise. Keywords: physical activity, hypertension, stroke, low impact aerobic exercise

EFEKTIVITAS GLOBAL POSTURAL RE-EDUCATION EXERCISE DAN EDUKASI TERHADAP NYERI PUNGGUNG BAWAH NON-SPESIFIK PADA PEREMPUAN DI LTQ IQRO’ JATIMAKMUR ACHIRDA, NUR; PAMBUDI, RESTU ARYA; MAULIDA, CHOLIFAH NUR
Jurnal Fisioterapi dan Kesehatan Indonesia Vol 5 No 01 (2025): Jurnal Fisioterapi dan Kesehatan Indonesia
Publisher : Ikatan Fisioterapi Indonesia cabang kota bekasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59946/jfki.2025.397

Background: Non-specific lower back pain (NSLBP) represents a significant subset of musculoskeletal disorders. Epidemiological data suggest a predisposition towards females as a risk factor. Physiotherapy has an important role in non-specific LBP conditions. Objective: This study aims to evaluate the effectiveness of GPR exercises combined with educational interventions in managing non-specific lower back pain among women. Methods: Employing a quasi-experimental design, this study utilized a two- group pretest-posttest methodology. A total of 36 participants meeting the inclusion and exclusion criteria were allocated into two groups: Group I (n=18) received GPR exercises and educational interventions, while Group II (n=18) received only educational interventions. Pain intensity was quantified using the Visual Analog Scale (VAS). Interventions were administered bi-weekly over a six-week period. Results: Subsequent analysis using a paired sample t-test showed a significant reduction in pain in the intervention group (p < 0.05) and the education control group (p < 0.05. An independent t-test on the mean pain before and after intervention showed a significant difference (p < 0.05). Conclusion: There is a difference in the effectiveness of GPR exercise and education in reducing non-specific low back pain in women at LTQ Iqro'.

EFEKTIVITAS OTAGO EXERCISE PROGRAMME SETELAH SENAM LANSIA TERHADAP RISIKO JATUH PADA LANSIA DI PSTW BUDI MULIA I ACHIRDA, NUR; KURNIAWATI, NIA; AMINOTO, TOTO; SAURULITA, ANGELA; LINA, RATU KAREL
Jurnal Fisioterapi dan Kesehatan Indonesia Vol 5 No 01 (2025): Jurnal Fisioterapi dan Kesehatan Indonesia
Publisher : Ikatan Fisioterapi Indonesia cabang kota bekasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59946/jfki.2025.398

Background: Elderly are someone who vulnerable to decline health status and physical abilities. One of changes in physical conditions that interfere with daily activities elderly is risk of falling. Objective: To determine effectiveness of Otago Exercise Program and elderly exercise to reduce risk of falls in elderly at Tresna Werdha Budi Mulia I Social Home. Method: This research uses quasi-experimental research design with prepost-test two group design, for 3 weeks, 2 times a week. The research respondents consisted 22 people, 11 people as treatment group with Otago Exercise Program intervention and elderly exercise, and 11 people as elderly exercise control group, timed up and go test was measured before and after intervention was given to measure the risk of falls. Results: The Paired Sample T-Test showed a p 0.000 in Otago Exercise Program intervention and elderly exercise, while the Wilcoxon Test results for the elderly exercise control group obtained a p 0.003. Conclusion: Intervention of the Otago Exercise Program and elderly exercise has more significant effect on reducing risk of falls in elderly people who experience balance disorders compared to providing elderly exercise.

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