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All Journal JTH: Journal of Technology and Health Inovasi Kesehatan Global
Indraprastha, Annya Shakty
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Health Professions Medicine & Pharmacology Nursing Public Health

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EFFECTIVENESS OF CRYOTHERAPY VERSUS THERMAL THERAPY IN REDUCING PAIN IN ACUTE ANKLE SPRAIN: A SYSTEMATIC REVIEW AND META-ANALYSIS Iffat, Fatima Azhara; Pitaloka, Ganis Sekar Dhea; Indraprastha, Annya Shakty; Putri, Risma Salsabila Isnaini; Altrisnisa, Anindya Syaharani; Pristianto, Arif
JTH: Journal of Technology and Health Vol. 2 No. 4 (2025): April: JTH: Journal of Technology and Health
Publisher : CV. Fahr Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61677/jth.v2i4.197

Abstract

This study aims to compare the effectiveness of cryotherapy and thermal therapy in reducing pain among patients with acute ankle sprain. A systematic search was conducted using PubMed, Google Scholar, and Scimago databases, yielding 907 articles. After applying strict inclusion criteria, seven randomized controlled trials (RCTs) with a total of 203 participants were included in the meta-analysis. Data were analyzed using Review Manager 5.3 with a random-effects model, and methodological quality was assessed using the PEDro Scale. The meta-analysis showed no statistically significant difference between cryotherapy and thermal therapy in pain reduction, with a Standardized Mean Difference (SMD) of 0.09 (95% CI: -0.90 to 1.08) and substantial heterogeneity (I² = 88%). Funnel plot analysis indicated potential publication bias. Despite the high methodological quality of the included studies, variations in intervention type, duration, and patient population limit the generalizability of the findings. This study offers a novel contribution by being one of the few meta-analyses to directly compare these two modalities specifically in acute cases. The findings support flexible, evidence-based clinical decision-making tailored to individual patient needs and available resources.
Efektivitas Intervensi Fisioterapi dalam Mengurangi Nyeri dan Meningkatkan ROM pada Lansia Penderita Osteoarthtritis Genu di RST. Soedjono Magelang Zain, Siti Azzura; Razzaq, Aliyah Nadhifah; Indraprastha, Annya Shakty; Salsabila, Anida Nasywa; Septian Tri Wicaksono; Arjuna Fatkhur Roziq Pahlavi; Arif Pristianto; Munawar Munawar
Inovasi Kesehatan Global Vol. 2 No. 4 (2025): November: Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i4.2372

Abstract

Background: Knee osteoarthritis is one of the most common degenerative conditions in older adults, often causing pain and limited range of motion (ROM), which negatively affects quality of life. Physiotherapy management plays an important role in reducing pain, improving flexibility, and maintaining joint function. Objective: This study aims to evaluate the effectiveness of physiotherapy interventions in reducing pain and improving ROM in elderly patients with knee osteoarthritis. Method: A case study was conducted on a 63-year-old patient at Dr. Soedjono Level II Hospital, Magelang, who underwent three therapy sessions consisting of Infrared (IR), Transcutaneous Electrical Nerve Stimulation (TENS), Proprioceptive Neuromuscular Facilitation (PNF) with the hold-relax technique, and static cycling. Assessments were carried out using the Numeric Rating Scale (NRS), Likert Gait Scale (LGS), and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results: The findings showed a significant reduction in pain on palpation (from 4/10 to 1/10), improvement in knee flexion ROM (from 110° to 135°), and functional enhancement indicated by a decrease in WOMAC scores from 39.58% to 27.08%. Conclusion: These results suggest that structured physiotherapy interventions provide therapeutic benefits in reducing pain, improving joint flexibility, and enhancing functional ability in elderly patients with knee osteoarthritis.
Co-Authors Altrisnisa, Anindya Syaharani Arif Pristianto Arjuna Fatkhur Roziq Pahlavi Iffat, Fatima Azhara Munawar Munawar Pitaloka, Ganis Sekar Dhea Putri, Risma Salsabila Isnaini Razzaq, Aliyah Nadhifah Salsabila, Anida Nasywa Septian Tri Wicaksono Zain, Siti Azzura