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The Relationship Between The Degree Of Arcus Pedis And The Degree Of Vertebral Curve In Children Naufal, Adnan Faris; Putri , Nuristiqomah Dwi; Setiawan, Arif; Kurnia, Pramudya; Fitri, Anida Azkia
FISIO MU: Physiotherapy Evidences Vol. 6 No. 1 (2025): Physiotherapy in Management and Prevention
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v6i1.7699

Abstract

Background: Spinal health is the most important part of a child's body posture. Age 2-6 years is a period of rapid growth and during this period the vertebral curve will develop rapidly too. The greater the degree of lateral vertebral curve, the more it will result in a posture abnormality called scoliosis. One of the factors that influences body posture abnormalities is the degree of arcus pedis, which normally forms in the first five years of development in children aged 2-6 years. The degree of the vertebral curve can be measured using a scoliometer and the degree of the arcus pedis using the footprint test (Clarke's Angle). This research aims to see whether there is a relationship between the degree of Arcus pedis and the degree of vertebral curve in children 4-6 years old in the Kartasura area. Methods: This research is quantitative research with research methods using univariate analysis, data normality and bivariate. The number of respondents was 565, and the method used was purposive sampling with inclusion, exclusion and dropout criteria. Results: The results of the correlation test using the Nonparametric Correlation Test with the Spearman Rank Test show that there is no relationship between the degree of the Arcus pedis and the degree of the vertebra with a p-value of 0.228 (p>0.05) and the correlation level is very weak (0.051) and the direction of the relationship is positive or unidirectional. Conclusion: There is no relationship between the degree of arcus pedis and the degree of vertebral curve in children aged 4-6 years in the Kartasura area.
Physiotherapy intervention for posture improvement in individual with scoliosis: A case study Adnan Faris Naufal; Setiawan, Arif; Kurnia, Pramudya; Fitri, Anida Azkia
Physical Therapy Journal of Indonesia Vol. 6 No. 1 (2025): January-June 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i1.232

Abstract

Background: Scoliosis is a structural spinal deformity marked by an abnormal sideways curvature and a loss of the spine's natural front-to-back alignment, resulting in postural imbalances. This study investigates how physiotherapy interventions improve posture in individuals with scoliosis. Methods: This qualitative descriptive-analytic case study utilized physiotherapy interventions such as stretching exercises, Pilates, core stability training, myofascial release, and manipulation therapy. Outcome measures included a scoliometer (spinal curvature), goniometer (lumbar range of motion), McGill's Torso Muscular Endurance Test Battery (core endurance), volumetric exerciser (lung capacity), measuring tape (limb length), Clarke's angle method (foot arch assessment), and Zebris FDM (body force pressure and center of pressure movement during stance). Results: Physiotherapy improved postural alignment, reducing spinal curvature from 9 degrees to 3 degrees and increasing lumbar flexion from 61 degrees to 75 degrees. Core endurance increased, as evidenced by a 1.06-second improvement in the flexion-extension ratio and a 0.90-second bilateral increase in side-bridge endurance. Limb length discrepancy decreased from 2.5 cm to 0.5 cm, enhancing symmetry in both true and apparent lengths. Foot arch asymmetry also improved, with the right arch increasing from 45 degrees to 46 degrees and the left from 39.7 degrees to 42.5 degrees. Conversely, lung capacity declined from 1363 mL to 1238 mL. Force pressure distribution became more asymmetrical in most cases, particularly affecting the longer limb in individuals with scoliosis, and center of pressure movement increased from 51.5 mm to 76.5 mm, indicating altered balance and postural control. Conclusion: Over two months, physiotherapy effectively improved postural alignment and musculoskeletal function in individuals with scoliosis.
Eksplorasi Center of Pressure (COP) Deviasi dalam Kontrol Postur pada Gangguan Muskuloskeletal: Systematic Review Fitri, Anida Azkia; Dewannga, Mahendra Wahyu
Academic Physiotherapy Conference Proceeding 2025: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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

Abstract

Introduction: Gangguan muskuloskeletal merupakan penyebab utama disabilitas global dan berhubungan erat dengan penurunan kontrol postur. Deviasi Center of Pressure (COP) menjadi indikator penting dalam menilai keseimbangan tubuh pada individu dengan gangguan ini. Penelitian ini bertujuan untuk mengeksplorasi deviasi COP dalam kontrol postur pada pasien dengan gangguan muskuloskeletal berdasarkan hasil systematic review.Methods: Penelitian ini menggunakan kerangka PICO dengan pencarian artikel melalui database PubMed untuk publikasi tahun 2020-2025 menggunakan kata kunci "Center of Pressure" AND "Musculoskeletal" AND "Posture". Kriteria inklusi meliputi studi penelitian primer berbahasa Inggris, populasi dewasa usia 19-44 tahun, dan pengukuran COP sebagai variabel utama, dengan lima artikel yang memenuhi syarat.Results: Lima artikel terpilih dari 97 hasil pencarian di PubMed setelah proses seleksi inklusi dan eksklusi, kemudian dianalisis dan dinilai kualitas metodologinya menggunakan JBI Critical Appraisal Tools, dengan hasil dua studi berkualitas tinggi, satu studi baik, dan dua studi moderat. Discussion: Hasil review menunjukkan bahwa obesitas, kelelahan otot, nyeri muskuloskeletal kronis, keterbatasan rentang gerak sendi, serta kesadaran terhadap gangguan eksternal berkontribusi terhadap peningkatan deviasi COP. Deviasi ini mencerminkan penurunan stabilitas postural, terutama dalam arah mediolateral dan anteroposterior, yang meningkatkan risiko jatuh. Conclusion: Deviasi Center of Pressure (COP) berkaitan erat dengan gangguan kontrol postur pada individu dengan masalah muskuloskeletal dan mendukung penggunaannya sebagai alat evaluatif dalam perencanaan intervensi rehabilitatif yang tepat sasaran.