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All Journal Indonesian Journal of Medicine STRATEGY : Jurnal Inovasi Strategi dan Model Pembelajaran Academic Physiotherapy Conference Proceeding
Septiani, Icha
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THE EFFECTIVENESS OF CO-CONTRACTION EXERCISE WITH EXTERNAL CLUE FOR QUALITY RULES IN INDIVIDUAL KNEE OA PATIENTS: SINGLE CASE REPORT Septiani, Icha; Wahyuni, W; Perdana, Suryo Saputra
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Osteoarthritis (OA) is one of the most common conditions that cause disability, especially in the elderly population. Osteoarthritis (OA) is a degenerative and chronic disease of the knee joint. The recommended intervention is Task-Specific Training with Co-Contraction, namely muscle co-activation (coordinated agonist and antagonist muscle activity simultaneously) for joint stability, even in OA knee individuals who function dynamically as a stabilizer, controlling movement during walking. Augmented feedback (External Clue) commonly used in clinical practice and can play an important role in motor learning. Case Presentation: Mrs. S is 68 years old. The patient has a height of 155 cm and a weight of 70 kg. Mrs. S works as a housewife. The patient had this complaint several years ago. There is no history of illness in the family. Supporting data in the form of X-ray with the interpretation of knee osteoarthritis grade 2. The patient also suffered from mild deformity of the foot towards varus , the presence of crepitus, but the patient did not have local oedema , the absence of pes anserinus bursitis and the absence of joint tendenes. Management and Outcome: The patient underwent treatment consisting of Task-Specific Training based on Co-Contraction/ Co-contraction with External Clue. The patient is instructed to contract the muscles while walking. Coactivation occurs when the flexor muscles are active during the moment of extension. (External Clue) is the therapist providing additional information about the performance of motor skills so that the patient can get feedback from the patient himself. The data analysis used in this study is a single case report. The design for this study used the ABA design. The sampling technique is the consecutive method with 1 person who fits the inclusion criteria. The research measurement instrument related to the quality of walking used the 6 Minute Walking Test (6MWT). The data analysis technique used descriptive analytic. This exercise program uses Task- Specific Muscle Co-contraction Training with External Clue for one week starting from January 7 to January 14, 2020, with Ethical Clearance Letter no. 2682/B.2/KEPKFKUMS/ XI/2019 conducted by the Health Research Ethics Commission (KEPK) FK UMS. Discussion: The subjects of this study have typical symptoms of osteoarthritis of the knee, so there is no need for additional examinations to diagnose knee osteoarthritis. This is supported by the existence of pain, stiffness, and locomotor which are common symptoms of knee OA that is focused on a functional approach, namely component important in locomotor retriction is running. Task- specific training is understanding how distraction-based exercise can affect certain functional tasks which helps improve exercise protocols for people with knee OA. The concept of muscle coactivation from a specific task is muscle co-activation (coordinated agonist and antagonist muscle activity simultaneously) for joint stability, even in OA knee individuals who function dynamically as a stabilizer, controlling movement during walking. Muscle co-activation to help stabilize the joints in the ligaments and distribute pressure on the joint surfaces. Conclusion: There was a significant increase in individual walking distance of osteoarthritis knee patients.
Effectiveness of Specific Training on Physical Functional Improvement and Walking Speed in Patients with Knee Osteoarthritis Perdana, Suryo Saputra; Anggraeni, Nadya; Norazmi, Ihsan; Septiani, Icha; Zhulfahmi, Moch. Rizki; Kasumbung, Muhammad Tasa
Indonesian Journal of Medicine Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Osteoarthritis (OA) is a musculoskeletal disorder which is a progressive change in joints that is slow and intermittent, usually in the field there are exercises to strengthen muscles which are only supported by the agonist muscles while the antagonistic muscles also participate and even more dominant, the most approved intervention to be able to activate both muscles is a special task. The purpose of this study is to study whether there are functional requirements for specific tasks to improve the functioning and running of osteoarthritis patients.Subjects and Method: This study method uses the type of experimental research with a single case research method using A-B-A research design. The study was conducted in January 2020 located at the University of Muhammadiyah Surakarta. A patient with knee OA was selected using consecutive sampling. Functional ability and walking speed were tested by West Ontario and McMaster Osteoarthritis Index (WOMAC).Results: Specific training improved physical function and speed walking in patients with knee osteoarthritis. There was no effect of specific training on pain and stiffness.Conclusion: Task specific training improves functional ability and walking performance in aptient with knee osteoarthritis.Keywords: Osteoarthritis, task specific training, visual surface electromyograph, augmented feedback, functional ability.Correspondence: Suryo Saputra Perdana. Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Jl. Ahmad Yani, Tromol Pos 1, Pabelan Kartasura, Sukoharjo 57169, Central Java, Indonesia. Phone: +6281298563988. Email: suryo.saputra@ums.ac.id.Indonesian Journal of Medicine (2022), 07(01): 89-101https://doi.org/10.26911/theijmed.2022.07.01.10 
STRATEGI PEMBENTUKAN KEPERCAYAAN DIRI REMAJA PASCA MENGHADAPI BULLYING DI YOGYAKARTA Septiani, Icha; Setiyani S, Ratna Yunita
STRATEGY : Jurnal Inovasi Strategi dan Model Pembelajaran Vol. 6 No. 1 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/strategi.v6i1.8832

Abstract

ABSTRACT Bullying is a serious problem that impacts adolescents' self-confidence. This study aims to analyze strategies for building self-confidence in adolescents after experiencing bullying in Yogyakarta. This qualitative research with a case study approach involved one main subject (female, 20 years old) and two significant others (subject's mother, 53 years old; close friend, 21 years old) selected through purposive sampling. Data were collected through in-depth interviews, observation, and documentation, then analyzed using thematic analysis based on Lauster's four aspects of self-confidence: believing in one's abilities, acting independently in decision-making, having a positive self-concept, and being brave in expressing opinions. The results show that the subject successfully rebuilt self-confidence through internal strategies such as positive affirmations, self-reflection, and self-concept reinforcement, as well as external strategies such as social support from family and friends, and the independent decision to change schools. These findings indicate the effectiveness of combining positive affirmations and social support in recovering self-confidence among adolescent bullying victims, with recommendations for implementing group counseling programs and positive affirmation interventions in schools to support psychological recovery. ABSTRAK Bullying adalah masalah serius yang berdampak pada kepercayaan diri remaja. Penelitian ini bertujuan untuk menganalisis strategi membangun kepercayaan diri pada remaja setelah mengalami bullying di Yogyakarta. Penelitian kualitatif ini dengan pendekatan studi kasus melibatkan satu subjek utama (perempuan, 20 tahun) dan dua orang signifikan lainnya (ibu subjek, 53 tahun; teman dekat, 21 tahun) yang dipilih melalui purposive sampling. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi, kemudian dianalisis menggunakan analisis tematik berdasarkan empat aspek kepercayaan diri Lauster: percaya pada kemampuan sendiri, bertindak mandiri dalam pengambilan keputusan, memiliki konsep diri positif, dan berani mengungkapkan pendapat. Hasil penelitian menunjukkan bahwa subjek berhasil membangun kembali kepercayaan diri melalui strategi internal seperti afirmasi positif, refleksi diri, dan penguatan konsep diri serta strategi eksternal seperti dukungan sosial dari keluarga dan teman, serta keputusan mandiri untuk pindah sekolah. Temuan ini menunjukkan efektifitas kombinasi afirmasi positif dan dukungan sosial dalam pemulihan kepercayaan korban bullying remaja, dengan rekomendasi penerapan program konseling kelompok dan intervensi afirmasi positif di sekolah untuk mendukung pemulihan psikologis.
Co-Authors Anggraeni, Nadya Kasumbung, Muhammad Tasa Norazmi, Ihsan Perdana, Suryo Saputra Setiyani S, Ratna Yunita W Wahyuni, W Zhulfahmi, Moch. Rizki