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The Relationship Between Flatfoot and Static Balance in School-Aged Children Mulyoto, Raufina Riandhani; Jannah, Suci Muqodimatul; Supinganto, Agus
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Flatfoot is one of musculoskeletal deformities in the foot that is commonly seen in children. Previous study found that children with flatfoot have balance differences during standing as well as fatigue compared with children with normal feet that are associated with falling. Therefore, the purpose of this study was to investigate the correlation between flatfoot and static balance in children with flatfoot.Method: This was a cross sectional study design with purposive sampling data. The total sample was 16. Children were assessed using Chippaux-Smirak Index (CSI). The one-legged stance balance was used to assess static balance. Spearman correlation was conducted to examine the relationship between flatfoot and static balance in children.Results: The mean age of the participants was 7.94 years old in which they tend to have a second degree of flatfoot. There were significant differences in static balance between eyes open and eyes close in which the subject can maintain their balance longer while eyes open. However, there was no correlation between flatfoot and static balance in children.Conclusion: Flatfoot in school-aged children affects the balance performance where visual input plays an important role, even though there was no correlation between flatfoot and balance ability.
Optimalisasi Kesadaran Postur Tubuh dan Penggunaan Gadget Sehat dalam Pencegahan Forward Head Posture Anak Sekolah Mulyoto, Raufina Riandhani; Karang, Ni Nyoman Melani; Adyasputri, A A I Ayesa Febrinia; Wicaksana, Hendika Dwinanda
Jurnal Pengabdian Masyarakat (JUDIMAS) Vol. 4 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/judimas.v4i1.779

Abstract

Forward Head Posture (FHP), also known as "text neck," has become an increasingly prevalent postural issue among school-aged children due to the non-ergonomic use of electronic devices. This condition, characterized by an abnormal forward projection of the head, places chronic stress on the cervical spine, leading to various complaints such as neck pain, headaches, and reduced respiratory function. In response, a community outreach program was implemented to optimize postural awareness and promote healthy gadget usage habits. The intervention employed an educational and participatory methodology, including interactive sessions, demonstrations of correct posture, and hands-on practice of stretching exercises to alleviate muscle tension. The program's success was quantitatively evaluated by comparing pre-test and post-test results to assess the students' level of knowledge and awareness. The findings revealed a significant improvement, with student comprehension scores increasing dramatically following the intervention. While a majority of students initially demonstrated a low understanding of ergonomic principles, a substantial increase in knowledge was observed post-program. This outcome confirms that an educational approach combined with practical application is highly effective in instilling the awareness and skills necessary for FHP prevention, underscoring the importance of early intervention for the musculoskeletal health of the digital generation.
Effectiveness of Multicomponent Elderly Exercise on Balance and Fall Risk: SKILAS-based Screening in West Lombok Elderly Schools Supinganto, Agus; Mulyoto, Raufina Riandhani; Metri, Ni Ketut; Karang, Ni Nyoman Melani; Adyasputri, A A I Ayesa Febrinia; Hidayatullah, M. Syarif
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 16 No. 1 (2026): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Sekolah Tinggi Ilmu Kesehatan YARSI Mataram

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Abstract

Background: Falls are a major public health problem among older adults, leading to injuries, disability, and loss of independence. Community-based exercise programs are recommended as a preventive strategy. Objective: This study aimed to evaluate the effectiveness of a 4-week multicomponent elderly exercise program on balance and fall risk among Elderly School participants in West Lombok, Indonesia. Methods: A quasi-experimental one-group pretest–posttest design was conducted in February 2025 in Gunungsari, Mambalan Village. Sixty older adults aged ≥60 years were recruited using purposive sampling. Balance and fall risk were assessed using the Berg Balance Scale (BBS) and Timed Up and Go (TUG), while functional status was recorded using the SKILAS form. The intervention consisted of multicomponent exercise sessions conducted twice weekly for four weeks (eight sessions). Paired t-test or Wilcoxon signed-rank test was applied for continuous variables, and McNemar or chi-square test for categorical outcomes. Statistical significance was set at α = 0.05, with effect sizes and 95% confidence intervals (CI) reported. Results: Mean BBS scores significantly increased from 38.5 (95% CI: 37.42–39.58) at baseline to 45.7 (95% CI: 44.72–46.68) post-intervention, indicating a mean improvement of 7.2 points (p < 0.001; Cohen’s d ≈ 0.72). The proportion of participants at risk of falls decreased from 40% (24/60; 95% CI: 28.6–52.6%) to 18% (10/60; 95% CI: 9.3–28.0%), representing an absolute reduction of 22 percentage points (p = 0.002). Conclusion: A 4-week multicomponent elderly exercise program significantly improved balance and reduced fall risk among older adults. This intervention is recommended for routine implementation in Elderly Schools and primary healthcare settings as a practical and effective fall-prevention strategy.