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All Journal Jurnal Indonesia Mengabdi (JIM) (MJN) Jurnal Terapi Wicara dan Bahasa
Syafi'ie, Hisyam
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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
PENGGUNAAN ANKLE FOOT ORTHOSIS (AFO) TERHADAP KESEIMBANGAN FUNGSIONAL PADA ANAK PENDERITA CEREBRAL PALSY Syafi'ie, Hisyam; Firmanurulita, Fadhila
Medical Journal of Nusantara Vol. 3 No. 2 (2024): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v3i2.888

Abstract

Children with cerebral palsy will experience problems with their movements. Cerebral palsy affects muscles and a person's ability to control them. One of the disorders that occur in children with CP is disturbances in walking balance, which ultimately results in disturbances in walking motor skills, so children experience disturbances in daily living (ADL) activities in their daily lives. This research aims to determine the effect of using Anke Foot Orthosis on children's functional balance. Cerebral Palsy. Method: This type of research uses a Quasy Experiment with a pretest-posttest with a control group design. The total sample for this study was 10 respondents. Data collection was carried out using observation sheets. Analysis of this research data using univariate and bivariate analysis with Wilcoxon. Results: The influence of using Anke Foot Orthosis on the functional balance of Cerebral Palsy children, data taken before and after treatment with a value > 0.05. The conclusion is that there is no significant effect between using Anke Foot Orthosis and functional balance in children with cerebral palsy.
PEMBERIAN LAYANAN DAN EDUKASI AFO (ANKLE FOOT ORTHOSIS) BAGI ANAK CEREBRAL PALSY DENGAN EKONOMI KURANG MAMPU Syafi'ie, Hisyam
Jurnal Indonesia Mengabdi Vol. 3 No. 1 (2024): Jurnal Indonesia Mengabdi (JIM)
Publisher : Tahta Media Grup

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/jim.v3i1.870

Abstract

Children diagnosed with cerebral palsy will have problems walking. Control of one's muscles is impaired by cerebral palsy (CP). A child with cerebral palsy may contract their muscles excessively, very little, or all simultaneously. It's probable that limbs stiffen up and take odd positions. The limbs may tremble, wobble, or hang due to fluctuating contractions of the muscles. Cerebral palsy can also impact posture, balance, and physical coordination. Things like sitting, standing up, and walking will be challenging. Ankle foot orthoses, or AFOs, are a type of therapy that can assist children with cerebral palsy improve their locomotor motor function. Research on the impact of AFO use on these children's walking balance is one way to address this issue.
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 Firmanurulita, Fadhila Ningsih, Cica Trimandasari Nugroho, Surya Adi