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A Mini-Review on Critical Factors in Determining Angle of Pull (AOP) and Assessment Tools in Physiotherapy Kamal, Ahmad Syazwan Ahmad; Hong, Lim Zhen; Rahman, Rabiatul Adawiah Abdul; Jamaluddin, Bahman; Setiawan, Rudi; Shamsuddin, Syamimi
Jurnal IPTEK Vol 29, No 2 (2025): December
Publisher : LPPM Institut Teknologi Adhi Tama Surabaya (ITATS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31284/j.iptek.2025.v29i2.7507

Abstract

The Angle of Pull (AOP) is an essential concept in physiotherapy since it determines the efficiency of rehabilitation exercises by ensuring targeted muscle engagement and optimal force application. Therefore, precise quantification of AOP as well as identification of Range of Motion (ROM) and resistance points is critical when establishing appropriate rehabilitation strategies. However, traditional methods like the universal goniometer are most used but there are certain limitations such as the parallax error and inter-rater variability which can impact the precision required in clinical settings. This mini review examines the foundational elements of ROM, baseline muscle strength, and the resistor point in determining AOP. It also assesses the strength and weakness of the available tools, like the digital HALO goniometer and the AnglePro which is the goniometer that also has laser pointer for identifying the point of resistance. Despite technological advancements, current devices still exhibit significant limitations such as high costs, dependency on traditional goniometers, and lack of comprehensive functionality. The review points out the need for a new precise device that could capture the ROM, AOP and identify specific resistance points as effectively as a digital device but at a lower cost. Such innovations would facilitate the efficiency, accuracy and effectiveness of physiotherapy practice to improve patient results. Moreover, further exploration in this area is needed to eliminate the current shortcomings and develop the above strategies.
BODY MASS INDEX AS A PREDICTOR OF EXERCISE CAPACITY AMONG POSTPARTUM WOMEN: A CROSS-SECTIONAL STUDY Rahman, Rabiatul Adawiah Abdul; Mohd Nasir, Nurul Husna
The Indonesian Journal of Public Health Vol. 20 No. 3 (2025): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v20i3.2025.596-607

Abstract

Introduction: Maternal obesity is a major global health issue, affecting 14.6% of women in Malaysia. An abnormally higher body mass index (BMI) is associated with various health problems, including reduced exercise capacity, affecting daily activities. During the postpartum period, BMI and exercise capacity significantly impact women's fitness and risk of other health problems. Yet, the predictor of exercise capacity related to BMI is not well defined and understood. The study aims to determine the level of exercise capacity and its predictor among postpartum women. Methods: A cross-sectional study was conducted at Kepala Batas Health Clinic, Pulau Pinang. A total of 134 postpartum women were recruited using a purposive sampling method. Descriptive analysis was performed on data pertaining to sociodemographic characteristics, anthropometric characteristics, and exercise capacity level as measured by the 2-Minute Step Test (2MST). Predictors of exercise capacity were analyzed using a stepwise linear regression test. Results: Overall, the mean BMI was 24.7 ± 4.9 kg/m² and the mean score of exercise capacity based on 2MST was 87.93 ± 9.89 heart beats per minute, which was good. The strongest significant predictor of exercise capacity among postpartum women is being overweight (R² = 80.1%). Higher BMI leads to more musculoskeletal pain, inflammation, and fatigue, hindering exercise and physical activity. Conclusions: Postpartum women with an abnormal BMI should be provided with comprehensive intervention by a multidisciplinary team, particularly physiotherapy and dietitian. This intervention is crucial for preserving exercise capacity, which serves as a fundamental indicator of a woman's overall physical fitness.