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All Journal Jurnal Pendidikan Kesehatan (e-Journal) Jurnal Terapi Wicara dan Bahasa
Ningsih, Cica Trimandasari
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Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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PEMBERIAN LAYANAN PROSTHESIS DAN PENDAMPINGAN DIRI PASIEN PASCA AMPUTASI TRANSTIBIAL SETELAH MENDAPATKAN PROSTHESIS BAGI MASYARAKAT DENGAN EKONOMI KURANG MAMPU Syaifuddin, Muhammad; Ningsih, Cica Trimandasari
Jurnal Pendidikan Kesehatan (e-Journal) Vol. 14 No. 1 (2025): Jurnal Pendidikan Kesehatan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jpk.v14i1.4392

Abstract

Amputation is the act of separating part or all of an extremity of the body as a last option if the organ problem cannot be repaired by other methods or can pose a risk of infection. Post-amputation often results in feelings of loss, and lack of self-confidence, and hinders daily activities. A prosthesis is a solution to replace missing body parts, allowing amputees to be independent and not dependent on other people. However, cost is an obstacle for economically disadvantaged people to be able to have a prosthesis. This research aims to provide prosthesis services and assistance for post-amputation people with economic limitations. This research method uses qualitative research with a case study research type. Data were collected using analytical interviews and observations on respondents who had experienced transtibial amputation aged 45 years. The results demonstrate respondents' understanding of the importance of social support and prosthesis accessibility. Motivation and quality of life increase, so that respondents can carry out their daily activities better and more independently.
Balance and Gait Outcomes Following Four Square Step Exercise in Transtibial Amputees: Implications for Prosthetic Rehabilitation Nugroho, Surya Adi; Syafi'ie, Hisyam; Ningsih, Cica Trimandasari; Setyawan, Dwi
Jurnal Terapi Wicara dan Bahasa Vol. 3 No. 2 (2025): Juni 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v3i2.186

Abstract

Background: This amputation not only affects the ability to walk but can also lead to a loss of sensory receptors in the somatosensory system, increasing the risk of falls. Research shows that transtibial prosthesis users often experience instability and difficulty maintaining balance, which can compromise their ability to walk safely. Effective rehabilitation methods are crucial for enhancing balance and reducing the risk of falls in individuals using transtibial prostheses. Four Square Step Exercise (FSSE). Objectives: The purpose of this study was to investigate the effect of the Four Square Step Exercise on walking balance in individuals using transtibial prostheses. Methods: This quasi-experimental study employed a one-group pre-test and post-test design to analyze the data, aiming to provide strong evidence of the effectiveness of FSSE in improving balance. Results: Statistical tests using a paired sample t-test yielded a p-value of <0.05, and a decrease in mean values from the pre-test to the post-test was observed. Conclusion: These findings provide strong evidence that individualized physical interventions can significantly reduce the risk of falls and improve the quality of life for individuals with lower limb amputations. Keywords: Four Square Step Exercise, Walking Balance, Transtibial Prosthesis
The Impact of Lower Limb Prosthesis Use on Quality of Life Among Patients with Lower Limb Amputation Syafi'ie, Hisyam; Ningsih, Cica Trimandasari; Arumsasi, Herwasti
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 1 (2025): Desember 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i1.250

Abstract

Background: Lower limb amputation leads to a substantial decline in physical, psychological, and social function, all of which negatively affect an individual’s quality of life (QoL). The use of lower limb prostheses serves as a crucial rehabilitative intervention designed to restore mobility, independence, and psychosocial well-being. Objectives: This study aimed to examine the effect of lower limb prosthesis use on the quality of life of patients with lower limb amputation. Methods: This analytical observational study employed a cross-sectional design involving 30 participants with lower limb amputations residing in the Soloraya region, Indonesia, from January to February 2025. Data were collected using the Orthotics and Prosthetics Users’ Survey (OPUS) QoL subscale, which assesses four domains—physical, psychological, social, and environmental. Data were analyzed using the Shapiro–Wilk test for normality, the Pearson product–moment correlation, and simple linear regression.Results: The data were normally distributed (p > 0.05). A strong positive correlation was observed between the duration of prosthesis use and QoL (r = 0.755, p < 0.001). Simple linear regression revealed that prosthesis use contributed to 57.0% of the variance in QoL among amputees. Conclusion: The use of lower limb prostheses significantly improves the quality of life in individuals following lower limb amputation. Sustainable rehabilitative interventions, continuous user education, and equitable access to orthotic– prosthetic services are essential to optimize patient adaptation and long-term well-being. Keywords: Lower limb amputation, Lower limb prosthesis, Quality of life, OPUS, Rehabilitation.
Co-Authors Arumsasi, Herwasti Dwi Setyawan Muhammad Syaifuddin Nugroho, Surya Adi Syafi'ie, Hisyam