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All Journal Jurnal Medika: Medika Service Quality (Jurnal Pengabdian Masyarakat) International Journal of Health Science
Linauli Happy Christina Zega
Sekolah Tinggi Ilmu Kesehatan RS Husada
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Tele-Physiotherapy for Older Adults: A Scoping Review of Feasibility, Accessibility, and Clinical Outcomes Catherine Hermawan Salim; Astrid Komala Dewi; Linauli Happy Christina Zega
International Journal Of Health Science Vol. 5 No. 3 (2025): November : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i3.6179

Abstract

The rapid expansion of digital health technologies has increased interest in tele-physiotherapy as an alternative or complementary approach to traditional in-person rehabilitation for older adults. However, evidence regarding its feasibility, accessibility, and clinical outcomes remains fragmented across different populations and delivery models. This scoping review aimed to explore and synthesize current evidence on the feasibility, accessibility, and clinical effectiveness of tele-physiotherapy interventions for older adults published between 2020 and 2025. A systematic search was conducted across four major databases, PubMed, Scopus, and Google Scholar, for studies published from 2020 to 2025. Inclusion criteria comprised peer-reviewed articles involving older adults (≥60 years) who received physiotherapy via telehealth platforms. Studies focusing on feasibility, usability, or clinical outcomes were included. After screening 490 articles and removing duplicates, 8 studies met the inclusion criteria. Data were extracted on study design, sample characteristics, interventions, and outcomes. Tele-physiotherapy represents a promising, cost-effective, and accessible rehabilitation strategy for older adults, particularly in contexts with restricted physical access to healthcare. Although feasibility and short-term effectiveness are well-supported, further research is required to evaluate long-term outcomes. Integrating tele-physiotherapy into geriatric care models could enhance continuity of care and promote functional independence in the aging population.
Enhancing English Communication Skills Through Palliative Contexts for Secondary Students Linauli Happy Christina Zega; Elyin A K Lumban Gaol; Catherine Hermawan Salim
Jurnal Medika: Medika Vol. 5 No. 1 (2026)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/p1sj1s27

Abstract

This activity aims to improve the English speaking skills of tenth-grade students through the implementation of role play activities in a palliative context through Classroom Action Research (CAR). The research was conducted in two cycles, each consisting of planning, action, observation, and reflection stages. The subjects were 32 students of SMAN 19 Jakarta. Data were collected through speaking tests and classroom observations. The speaking test assessed aspects of fluency, accuracy, vocabulary, pronunciation, and pragmatic appropriateness, while the classroom observations documented student participation, engagement, and their responses during the role play activities. The results in Cycle I showed that 46.87% of students achieved the “Good” category, while 53.13% were in the “Fair” category, with an average score of 49.35. The observation results showed moderate student engagement, with 62.50–78.13% of students showing positive behaviors such as active participation, attention, and willingness to use English in the role play. However, some students were still hesitant with a negative percentage of 25–37.50%. Improvement was seen in Cycle II. The proportion of students achieving the “Good” category increased significantly to 84.37%, while only 15.63% remained in the “Sufficient” category. No students fell into the “Poor” or “Very Poor” categories. Observations also confirmed stronger engagement, with over 87% of students demonstrating positive behaviors, including enthusiasm, active discussion, and confidence in using English. It can be concluded that the integration of role play with a palliative context effectively improved students’ English speaking skills and participation in class. Suggestions for repeated improvement were found to improve both linguistic competence and students’ communicative confidence.
Gerak Sehat Mandiri: Senam Fisioterapi untuk Meningkatkan Mobilitas dan Mencegah Jatuh pada Lansia Jemaat GPIB Surya Kasih Ftr. Elyin A K Lumban Gaol M.K.M, M. Erg; Linauli Happy Christina Zega; Astrid Komala Dewi
Jurnal Pengabdian Kesehatan Vol 3 No 1 (2026): SerQua : Service Quality (Jurnal Pengabdian Masyarakat)
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Populasi lansia secara global dan nasional terus meningkat, memicu berbagai tantangan kesehatan masyarakat seperti penurunan fungsi muskuloskeletal, gangguan keseimbangan, berkurangnya mobilitas, serta risiko jatuh yang tinggi. Faktor fisiologis penuaan, termasuk kehilangan massa otot, penurunan propriosepsi, dan lambatnya respon neuromotor, berpadu dengan faktor lingkungan dan perilaku, sehingga diperlukan intervensi promotif dan preventif yang mudah diakses di tingkat komunitas. Penelitian ini mengevaluasi perubahan distribusi tingkat keseimbangan pada lansia setelah intervensi senam fisioterapi melalui kegiatan pengabdian masyarakat di Gereja GPIB Surya Kasih. Seluruh peserta lansia yang hadir (n = 30; usia 60–78 tahun) mengikuti satu sesi senam fisioterapi mencakup pemanasan, latihan inti penguatan anggota bawah dan keseimbangan statik-dinamik, serta pendinginan, yang disampaikan melalui ceramah singkat, demonstrasi, praktik bersama, dan pendampingan individual. Tingkat keseimbangan diukur sebelum dan segera setelah intervensi menggunakan kategorisasi ordinal: Kurang, Cukup, Baik, dan Sangat Baik. Analisis deskriptif menunjukkan pergeseran distribusi dari Kurang 60,00% menjadi 3,33%, Cukup dari 33,33% menjadi 20,00%, dan Baik dari 6,67% menjadi 76,67%, sedangkan kategori Sangat Baik tetap 0%. Hasil ini mengindikasikan bahwa senam fisioterapi terstruktur yang dilaksanakan di komunitas keagamaan dapat meningkatkan tingkat keseimbangan lansia secara signifikan dalam waktu singkat. Kata Kunci : Lansia; keseimbangan; senam fisioterapi; komunitas keagamaan; pencegahan jatuh
Co-Authors Astrid Komala Dewi Catherine Hermawan Salim Elyin A K Lumban Gaol Ftr. Elyin A K Lumban Gaol M.K.M, M. Erg