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All Journal Jurnal Kesehatan Islam : Islamic Health Journal Folia Medica Indonesiana
Nugroho, Muhammad Barlian
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Medicine & Pharmacology Neuroscience Public Health

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Evaluation of Wheelchair Fit and Its Impact on Physical Comfort in a Community-Based Program in Malang Firnanda, Sani Widya; Fajarningtyas, Mia; Yudiansyah, Anggi Gilang; Lestari, Dwi Indriani; Anggraini, Vivid Prety; Nugroho, Muhammad Barlian
Jurnal Kesehatan Islam : Islamic Health Journal Vol. 14 No. 1 (2025): Jurnal Kesehatan Islam : Islamic Health Journal
Publisher : Publikasi oleh Fakultas Kedokteran Universitas Islam Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33474/jki.v14i1.24164

Abstract

Background: Proper wheelchair fit is essential to ensure comfort, postural stability, and to prevent secondary health complications in individuals with disabilities. In community-based programs, mismatches between wheelchair dimensions and users' anthropometric characteristics often go unnoticed, potentially leading to long-term issues. Objective: This study aims to evaluate the alignment between users’ body dimensions and the wheelchairs distributed through a community-based program in Malang, and to examine the potential ergonomic and clinical implications of mismatched fit. Methods: A descriptive quantitative design was employed, involving 20 full-time wheelchair users selected purposively. Anthropometric measurements (seated height, popliteal length, hip width, elbow height) and wheelchair dimensions (seat height, seat depth, seat width, backrest height, armrest height) were directly measured. Normality was tested using the Shapiro–Wilk test, followed by Pearson correlation analysis. Outliers were identified using z-score thresholds. Results: Significant positive correlations were found between seat height and armrest height (r = 0.65, p < 0.01), and between backrest height and seat width (r = 0.58, p < 0.05). No correlation was found involving seat depth. Two participants showed notable mismatches requiring individual adjustments, highlighting risks such as discomfort, postural imbalance, and mobility limitation. Conclusion: Mismatch between wheelchair dimensions and user anthropometry can contribute to preventable discomfort and postural strain. Personalized assessments and ergonomic adjustments are crucial in community wheelchair programs. These findings support the implementation of anthropometric-based distribution strategies and training for service providers.
Rehabilitation Impact of Vivifrail Exercise Program Type C on the Cognitive Function of Pre-Frail Elderly People in the Community Soenarti, Sri; Lestari, Dwi Indriani; Nugroho, Muhammad Barlian; Lestari, Harien
Folia Medica Indonesiana Vol. 60, No. 3
Publisher : Folia Medica Indonesiana

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Highlights: 1. This study emphasizes the importance of providing physical exercises to pre-frail elderly individuals, especially in a community setting. 2. This study establishes a foundation for future research to explore the relationship between physical exercise, particularly the Vivifrail Type C Protocol, and cognitive function in pre-frail elderly individuals. Abstract Frailty is a clinical syndrome that increases vulnerability, potentially leading to disability or death. The pre-frail phase is ideal for preventing frailty and improving quality-adjusted life years, particularly through physical exercises that reduce the risk of dementia and cognitive impairment. Multicomponent exercises, such as the Vivifrail Exercise Program, may enhance cognitive function and daily independence by preventing and mitigating frailty through tailored routines. However, its impact on cognitive function in pre-frail elderly people had not been well studied. This study aimed to determine the effect of the Vivifrail Exercise Program Type C on the cognitive function of pre-frail elderly people. This study was a quasi-experiment with a non-randomized control group pretest-posttest design. The sample was chosen by the quota sampling method. Twenty-seven subjects were analyzed, comprising 16 individuals in the exercise group and 11 individuals in the control group. The exercise group participated in the Vivivfrail Type C Exercise Program, with 45-minute sessions conducted biweekly for 12 weeks. The evaluated parameters included the Montreal Cognitive Assessment-Indonesian Version (MoCA-INA) and the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA). The statistical analysis utilized the Kruskal-Wallis test, followed by the post-hoc Mann-Whitney test and independent t-test (p<0.05). A path analysis was performed using simple linear regression. The subjects' average ages were 72.2 years in the control group and 67.47 years in the exercise group. The Vivifrail Exercises Program Type C significantly improved the MoCA-INA scores from 20.25 to 24.06. It also increased the LOTCA scores in several domains, i.e., thinking operations and visual perception. The exercise group demonstrated more improvement than the control group (p=0.032). An enhancement in cognitive function was particularly observed in elderly women with pre-frailty. In conclusion, the Vivifrail Exercise Program Type C can help improve the cognitive function of the elderly within the community.
Co-Authors Anggraini, Vivid Prety Fajarningtyas, Mia Firnanda, Sani Widya Lestari, Dwi Indriani Lestari, Harien Sri Soenarti Yudiansyah, Anggi Gilang