Physical Therapy Journal of Indonesia
Vol. 6 No. 2 (2025): Inpress July-December 2025

Exercise therapy for preventing physical and psychological trauma in earthquake-prone areas: A systematic review

Wijoyo, Eriyono Budi (Unknown)
Mustikasari, Mustikasari (Unknown)



Article Info

Publish Date
27 Sep 2025

Abstract

Background: Earthquakes impose both physical injuries and psychological disorders such as post-traumatic stress disorder (PTSD), depression, and anxiety. This study aimed to evaluate the effectiveness of exercise therapy in preventing and managing physical and psychological trauma among populations in these regions. Methods: The protocol was registered in PROSPERO (registration number: CRD420251130734) and followed the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. A literature search was conducted in PubMed, ScienceDirect, and ProQuest (January 2014–August 2025) using MeSH terms and Boolean operators. Eligible studies included the randomized control trial (RCT), quasi-experimental, cohort, and controlled field trials examining exercise interventions for trauma-related outcomes in earthquake settings. Two reviewers independently screened studies, extracted data, and assessed quality using the PEDro scale. Results: Nine studies met the criteria, covering adolescents, older adults, disaster survivors, and refugees. Interventions ranged from yoga and aerobic training to strengthening and community-based rehabilitation. Exercise therapy consistently improved physical (pain, mobility, function) and psychological outcomes (PTSD, anxiety, depression), but methodological flaws, lack of blinding, concealed allocation, and intention-to-treat analysis limited the evidence to moderate quality. Conclusion: Exercise therapy supports both physical recovery and psychological resilience in earthquake-affected populations, but more high-quality RCTs with standardized protocols are needed to strengthen evidence and inform its integration into disaster management.

Copyrights © 2025






Journal Info

Abbrev

ptji

Publisher

Subject

Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

Description

The Physical Therapy Journal of Indonesia or PTJI is an open access journal that publishes scientifically content two editions per year June and December to promote clinical practice and research in the physical therapy area The Journal aims to promote a lively exchange of ideas between academics ...