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Tele-Physiotherapy for Older Adults: A Scoping Review of Feasibility, Accessibility, and Clinical Outcomes Catherine Hermawan Salim; Astrid Komala Dewi; Linauli Happy Christina Zega
International Journal Of Health Science Vol. 5 No. 3 (2025): November : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i3.6179

Abstract

The rapid expansion of digital health technologies has increased interest in tele-physiotherapy as an alternative or complementary approach to traditional in-person rehabilitation for older adults. However, evidence regarding its feasibility, accessibility, and clinical outcomes remains fragmented across different populations and delivery models. This scoping review aimed to explore and synthesize current evidence on the feasibility, accessibility, and clinical effectiveness of tele-physiotherapy interventions for older adults published between 2020 and 2025. A systematic search was conducted across four major databases, PubMed, Scopus, and Google Scholar, for studies published from 2020 to 2025. Inclusion criteria comprised peer-reviewed articles involving older adults (≥60 years) who received physiotherapy via telehealth platforms. Studies focusing on feasibility, usability, or clinical outcomes were included. After screening 490 articles and removing duplicates, 8 studies met the inclusion criteria. Data were extracted on study design, sample characteristics, interventions, and outcomes. Tele-physiotherapy represents a promising, cost-effective, and accessible rehabilitation strategy for older adults, particularly in contexts with restricted physical access to healthcare. Although feasibility and short-term effectiveness are well-supported, further research is required to evaluate long-term outcomes. Integrating tele-physiotherapy into geriatric care models could enhance continuity of care and promote functional independence in the aging population.
The Relationship Between Health Care Performance and Mothers' Satisfaction with Toddler Services Integrated Health Post in RW 01 East Pademangan Ria Efkelin; Khalida Ziah Sibualamu; Astrid Komala Dewi
International Journal Of Health Science Vol. 5 No. 3 (2025): November : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i3.6252

Abstract

Study This aim For to determine the Relationship between Health Cadre Performance and Toddler Mother Satisfaction in Posyandu Services in RW 01 East Pademangan, North Jakarta. This type of research is quantitative with a Cross-Sectional design . The data collection technique for this study uses primary data and secondary data. Primary data were obtained directly through filling out questionnaires by mothers of toddlers at Posyandu RW 01 East Pademangan, while secondary data were obtained from sources that could support the research, including documentation and literature . The data analysis of this study used bivariate analysis which was carried out to determine the influence between variables x and y in the form of a static Likelihood Ratio Chi-Square (G - Test ) test . The results of the study showed that the performance of health cadres at Posyandu RW 01 East Pademangan was generally in the good category. This shows that cadres have carried out their roles optimally in providing health services to mothers and toddlers. Most toddler mothers are satisfied with the services provided by Posyandu cadres. This illustrates that the services provided are sufficient to meet the expectations and needs of mothers of toddlers in the area, and there is a significant relationship between the performance of health cadres and the satisfaction of mothers of toddlers at Posyandu RW 01 East Pademangan. This finding indicates that the better the performance of the cadres, the higher the level of satisfaction of mothers of toddlers with Posyandu services
Safe Movement, Comfortable Living: Optimizing Health and Productivity among Older Adults at RPTRA Masudela, Sawah Besar District Ratu Chairunisa; Elyn A. K. Lumban Gaol; Astrid Komala Dewi; Afifah Nur Azizah; Kayla Salina
AMK : Abdi Masyarakat UIKA Vol. 5 No. 2 (2026): JUNI
Publisher : Universitas Ibn Khaldun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/amk.v5i2.3465

Abstract

Falls remain one of the most frequent health concerns among older adults, often affecting mobility, independence, and overall well-being. Limited understanding of fall risk factors may increase the likelihood of accidents and reduce participation in daily activities. This community service activity was conducted to improve older adults’ knowledge of fall prevention, safe movement, mobility maintenance, and productive aging. The program took place on June 2, 2026, at RPTRA Masudela, Sawah Besar District, Central Jakarta, and involved 30 female participants aged 60–68 years. The activity consisted of health education sessions, interactive discussions, balance and mobility exercise demonstrations, and knowledge assessments using pre-test and post-test questionnaires. Participants received information on common causes of falls, preventive strategies in everyday life, and the importance of maintaining physical activity in later years. Following the intervention, participants showed a noticeable improvement in their understanding of the topics presented. The average knowledge score increased from 62 before the activity to 88 after the intervention. In addition, more participants achieved good and very good knowledge categories in the post-test assessment. These results suggest that combining health education with practical exercise demonstrations can be an effective approach to increasing awareness of fall prevention and encouraging active aging among older adults.
Gerak Sehat Mandiri: Senam Fisioterapi untuk Meningkatkan Mobilitas dan Mencegah Jatuh pada Lansia Jemaat GPIB Surya Kasih Ftr. Elyin A K Lumban Gaol M.K.M, M. Erg; Linauli Happy Christina Zega; Astrid Komala Dewi
Jurnal Pengabdian Kesehatan Vol 3 No 1 (2026): SerQua : Service Quality (Jurnal Pengabdian Masyarakat)
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Populasi lansia secara global dan nasional terus meningkat, memicu berbagai tantangan kesehatan masyarakat seperti penurunan fungsi muskuloskeletal, gangguan keseimbangan, berkurangnya mobilitas, serta risiko jatuh yang tinggi. Faktor fisiologis penuaan, termasuk kehilangan massa otot, penurunan propriosepsi, dan lambatnya respon neuromotor, berpadu dengan faktor lingkungan dan perilaku, sehingga diperlukan intervensi promotif dan preventif yang mudah diakses di tingkat komunitas. Penelitian ini mengevaluasi perubahan distribusi tingkat keseimbangan pada lansia setelah intervensi senam fisioterapi melalui kegiatan pengabdian masyarakat di Gereja GPIB Surya Kasih. Seluruh peserta lansia yang hadir (n = 30; usia 60–78 tahun) mengikuti satu sesi senam fisioterapi mencakup pemanasan, latihan inti penguatan anggota bawah dan keseimbangan statik-dinamik, serta pendinginan, yang disampaikan melalui ceramah singkat, demonstrasi, praktik bersama, dan pendampingan individual. Tingkat keseimbangan diukur sebelum dan segera setelah intervensi menggunakan kategorisasi ordinal: Kurang, Cukup, Baik, dan Sangat Baik. Analisis deskriptif menunjukkan pergeseran distribusi dari Kurang 60,00% menjadi 3,33%, Cukup dari 33,33% menjadi 20,00%, dan Baik dari 6,67% menjadi 76,67%, sedangkan kategori Sangat Baik tetap 0%. Hasil ini mengindikasikan bahwa senam fisioterapi terstruktur yang dilaksanakan di komunitas keagamaan dapat meningkatkan tingkat keseimbangan lansia secara signifikan dalam waktu singkat. Kata Kunci : Lansia; keseimbangan; senam fisioterapi; komunitas keagamaan; pencegahan jatuh
Peran Dry Needling dalam Menurunkan Nyeri dan Meningkatkan Mobilitas pada Osteoarthritis Lutut: Scoping Review Catherine Hermawan Salim; Astrid Komala Dewi; Paramita Boni Lestari
Jurnal Ventilator Vol. 4 No. 1 (2026): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i1.2410

Abstract

Knee osteoarthritis is a leading cause of chronic pain and mobility limitations in adults and the elderly. Physiotherapy approaches continue to evolve, one of which is dry needling, which aims to reduce pain through trigger point modulation and improve mobility. However, scientific evidence regarding the effectiveness of this intervention is still scattered and has not been comprehensively mapped. This study aims to map the scientific evidence regarding the role of dry needling in reducing pain and improving mobility in patients with knee osteoarthritis. This study used a scoping review design with reference to the PRISMA-ScR guidelines. A literature search was conducted in several electronic databases such as PubMed, Scopus, ScienceDirect and Google Scholar. Inclusion criteria included studies examining the use of dry needling in patients with knee osteoarthritis, both randomized and non-randomized clinical trials. Extracted data included study characteristics, type of intervention, pain outcomes, and mobility. The search results indicate that dry needling has the potential to reduce pain intensity and improve mobility in patients with knee osteoarthritis. The therapeutic effect is thought to be related to pain modulation through neurophysiological mechanisms, increased local blood flow, and reduced myofascial trigger point activity. However, variations in intervention protocols and methodological limitations in some studies are of concern. Conclusion: Dry needling is a promising intervention in the management of knee osteoarthritis, particularly in reducing pain and improving mobility. However, further studies with more robust designs and consistent intervention standards are needed to strengthen the scientific evidence.
Pengaruh Dynamic Neuromuscular Stabilization (DNS) terhadap Aktivitas Otot Multifidus pada Low Back Pain Astrid Komala Dewi; Catherine Hermawan Salim; Ria Efkelin
Jurnal Ventilator Vol. 4 No. 2 (2026): Juni : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i2.2504

Abstract

Low Back Pain (LBP) is one of the most common musculoskeletal disorders and is closely associated with decreased segmental stability of the spine. The multifidus muscle plays an important role in maintaining lumbar stability; however, patients with LBP frequently exhibit reduced activation and neuromuscular control of this muscle. Dynamic Neuromuscular Stabilization (DNS) is an exercise approach based on developmental kinesiology that aims to optimize the coordination and activation of deep stabilizing muscles. This study aimed to determine the effect of Dynamic Neuromuscular Stabilization on multifidus muscle activity in patients with Low Back Pain. The research employed a quasi-experimental design with a pretest–posttest approach. The study subjects were patients with non-specific Low Back Pain who met the inclusion and exclusion criteria. DNS intervention was administered for 4–6 weeks with a frequency of 2–3 sessions per week. Multifidus muscle activity was measured using electromyography (EMG) before and after the intervention. Data were analyzed using a paired t-test or Wilcoxon test according to data distribution. The results demonstrated a significant increase in multifidus muscle activity following DNS intervention (p < 0.05). In conclusion, Dynamic Neuromuscular Stabilization has a positive effect on increasing multifidus muscle activity in patients with Low Back Pain and can therefore be recommended as a physiotherapy intervention to improve lumbar stability and reduce the risk of pain recurrence.
Effectiveness of Core Exercise in Reducing Work-Related Fatigue Among Workers: A Systematic Review Elyin Artha Karlina Lumban Gaol; Linauli Happy Christina Zega; Ratu Chairunisa; Astrid Komala Dewi
PROMOTOR Vol. 9 No. 4 (2026): AGUSTUS
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i4.3092

Abstract

Work-related fatigue is an occupational health problem that affects workers' productivity, safety, and well-being; however, evidence regarding the effectiveness of core exercise in reducing it remains scattered and has not been comprehensively synthesized. This study aims to analyze and synthesize scientific evidence on the effectiveness of core exercise in reducing work-related fatigue among workers through a systematic review method referring to the PRISMA 2020 guidelines. The literature search was planned to be conducted in the PubMed, Scopus, ScienceDirect, and Google Scholar databases using the PICOS framework, limited to primary experimental or quasi-experimental articles published between 2015 and 2025 in Indonesian and English. A preliminary search identified two studies that met the inclusion criteria, involving hospital nurses and factory workers, both of which reported a statistically significant reduction in work-related fatigue following core exercise or core stability exercise, with a training dose pattern of three times per week for six to eight weeks. Because of the limited number of studies at this stage, the synthesis is presented narratively and the conclusions are considered preliminary. These initial results indicate that core exercise has the potential to become an evidence-based intervention for reducing work-related fatigue; however, a formal literature search across all planned databases remains necessary to strengthen the evidence before it can be widely recommended in physiotherapy and occupational health practice.