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Jurnal Keperawatan dan Fisioterapi (JKF)
Published by Institut Kesehatan Medistra Lubuk Pakam
ISSN : -     EISSN : 26550830     DOI : -
Core Subject : Education,
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Jurnal Keperawatan & Fisioterapi (JKF) terbit dua kali setahun, yakni periode Mei-Oktober, dan November- April tiap tahunnya. Jurnal ini memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan dibidang keperawatan dan fisioterapi yang berbasis ilmiah dan dapat dipertanggung jawabkan. Jurnal ini menyajikan hasil penelitian, pengabdian masyarakat serta artikel ilmiah dibidang keperawatan dan fisioterapi. Artikel penelitian dan pengabdian masyarakat yang dimuat dalam jurnal ini merupakan topik penting dalam pengembangan ilmu pengetahuan di bidang keperawatan dan fisioterapi serta membantu pemecahan masalah seputar keperawatan dan fisioterapi.
Arjuna Subject : -
Articles 364 Documents
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The Effect of Transcutaneous Electrical Nerve Stimulation and Median Nerve Mobilization on Pain Reduction in Carpal Tunnel Syndrome Berampu, Sabirin; Ardianto Saputra; Winda Alfiana; Karnirius Harefa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/mdw70b38

Abstract

Carpal Tunnel Syndrome (CTS) is a peripheral nerve disorder that occurs in the hands and wrists which is characterized by complaints of pain, tingling, numbness and even in severe cases there will be muscle weakness and atrophy of the hand muscles. One of the non-pharmacological or conventional treatments for CTS cases is Transcutaneous Electrical Nerve Stimulation (TENS) and Median Nerve Mobilization. TENS and Median Nerve Mobilization can reduce pain complaints in various neuromuscular cases including CTS. The purpose of the study was to determine the effect of TENS and Median Nerve Mobilization on Pain Reduction in CTS Patients in 2025. Research Methods: type of research was a Quasi Experiment with a Purposive Sampling approach technique. The study population of CTS sufferers was 35 people with a sample size of 15 people. The Action Dose was given 3 times per week for 2 weeks or 6 training sessions. The measuring instrument used was the Visual Analog Scale (VAS). Data Analysis Method: Primary Questionnaire Data was Recapitulated and entered into the SPSS Application and Data Normality Test was carried out with Shapiro-Wilk and Wilcoxon Sign Rank Test with a confidence level of 95%. The results of this study obtained the Normality Value of VAS Pretest with a Significance value of 0.015 and Posttest Significance Value of 0.009 with Interpretation of Non-Normally Distributed Data. And the Results of the Wilcoxon Sign Rank Test obtained a P (Value) of 0.001. And the Average Value of VAS Pretest was 6.4 points, Posttest 2.13 points and the average difference value was 4.27 points. The conclusion of this study is that there is a Difference in the Average Value of Pretest and Posttest Pain After being given TENS and Median Nerve Mobilization Physiotherapy interventions so that it can also be concluded that there is an Effect of Transcutaneous Electrical Nerve Stimulation (TENS) and Median Nerve Mobilization on reducing pain in CTS Patients in 2025.
Strengthening the Role of Husbands in Preventing Anemia Among Pregnant Women in 2025 Wahyuni, Faradita; Dika Saraswati; Vicky Arfeni Warongan; Wynda Myke Nola
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/5agjm050

Abstract

Background: Anemia in pregnant women is a significant health concern that can increase the risk of pregnancy and childbirth complications. One of the key determinants in anemia prevention is the involvement of husbands. Objective: This study aimed to assess the improvement in husband participation in the prevention of anemia among pregnant women following an educational intervention at Hayati Clinic, Marelan, in 2025. Methods: A pre-experimental design with a one-group pretest-posttest approach was used. The sample consisted of 30 pregnant women and their husbands. The intervention included direct education and the distribution of informational leaflets. Data were analyzed descriptively and using paired t-tests. Results: The average score of husband participation increased from 2.48 to 4.14 after the intervention. All aspects of husband involvement showed a significant improvement (p < 0.05). Conclusion: Educational interventions for husbands are effective in enhancing their participation in the prevention of anemia during pregnancy.
Effectiveness of Ultrasound and Functional Strength Training on  Quadriceps Muscle in Patients Post Anterior Cruciate Ligament Injury at Fisiohands Clinic Elvida Rahmy Zaen; M. Doni Kusuma
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/0t7a5q70

Abstract

Background: Anterior Cruciate Ligament (ACL) injury is a common injury caused by sports. This injury impacts the functional activities of sufferers because it can cause a long healing process. The Anterior Cruciate Ligament (ACL) is one of the four main ligaments in the knee that functions to maintain the stability of the knee joint by preventing excessive movement of the tibia bone against the femur bone. Anterior Cruciate Ligament (ACL) injuries usually occur due to direct trauma, such as impact, or indirect trauma involving a sudden twisting movement of the knee while the foot is resting on the ground. The main symptoms of Anterior Cruciate Ligament (ACL) injury include severe pain, rapid swelling, knee instability, and significant limitation of motion. The purpose of this study was to determine the effect of Ultrasound and Functional Strength Training (FST) interventions on increasing Quadriceps muscle strength in patients with Anterior Cruciate Ligament (ACL) injuries at the Fisiohands Physiotherapy Clinic. Methode of this research used a Quasi Experimental method with a One-group pre-test and post-test design. The sample of this study was 21 patients. Data analysis using the Non-Parametric Wilcoxon Test. The results of this study based on the analysis obtained that there was a significant change in the value of Quadriceps muscle strength before and after physiotherapy (P <0.05) so it was concluded that the administration of Ultrasound and Functional Strength Training (FST) was effective in increasing the strength of the Quadriceps muscle in patients with Anterior Cruciatum Ligament (ACL) injuries. Conclusion: From the results of this study, the administration of Ultrasound and Functional Strength Training (FST) is expected to be an alternative in the implementation of physiotherapy in patients with Anterior Cruciatum Ligament (ACL) injuries.
Regulatory Role of SIRT1 in Skeletal Muscle Hypertrophy: Molecular Implications Rahman, Dara Hanifa; Ardinata, Dedi; Sari, Mutiara Indah
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/k6g79c98

Abstract

Background: Skeletal muscle hypertrophy is an adaptive process influenced by molecular signals and metabolic conditions. Sirtuin 1 (SIRT1), a NAD-dependent deacetylase, plays a crucial role in regulating skeletal muscle growth and regeneration through its interaction with key pathways such as mTOR, PGC-1?, FOXO, and myogenic factors. Aim: This literature review summarizes the current scientific evidence on the role of SIRT1 in muscle hypertrophy, including its effects on mitochondrial efficiency, oxidative stress reduction, and suppression of catabolic genes such as atrogin-1 and MuRF1. Method: A literature search was conducted using databases such as PubMed, ScienceDirect, and Google Scholar, focusing on articles from the last 10 years. Result: These findings indicate that SIRT1’s effects are highly context-dependent, varying with cellular energy status and external stimuli such as exercise or caloric restriction. Rather than directly inducing hypertrophy, SIRT1 facilitates a favorable cellular environment that enables sustained muscle growth. Conclusion: These insights offer promising potential for the development of molecular-based therapies to preserve or enhance muscle mass, particularly in aging populations or pathological conditions.
The Differences in the Effects of Single Leg Hopping and TherabandExercise on Dynamic Balance in Soccer Players with Chronic AnkleInstability -, Novia Jati Ramadhani; -, Tyas Sari Ratna Ningrum; -, Andry Ariyanto
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/kb2h3863

Abstract

Background: Chronic Ankle Instability (CAI) occurs in soccer players who have experienced ankle sprains without receiving appropriate physiotherapy intervention. This condition can lead to decreased proprioceptive response, increased ligament weakness, and reduced muscle strength, ultimately affecting dynamic balance. Interventions that can be applied in this condition include single leg hopping and theraband exercises. Objective: This study aims to determine the effect of single leg hopping on dynamic balance in soccer players with chronic ankle instability, to assess the effect of theraband exercise on dynamic balance in these players, and to compare the effects of single leg hopping and theraband exercise on dynamic balance in soccer players with chronic ankle instability. Method: This research employed a quasi-experimental design with a pre-test and post-test two-group design, comparing a treatment group that received single leg hopping exercises with another group that performed theraband exercises. The measurement tool utilized in this study was the Star Excursion Balance Test (SEBT) to assess dynamic balance. A total of 26 participants were sampled. Data analysis was conducted using the Paired Sample T-test for hypotheses 1 and 2, and the Independent T-test for hypothesis 3. Result: Based on the results of the Paired Sample T-test for hypotheses 1 and 2, a p-value of &lt; 0.05 was obtained. However, the Independent T-test for hypothesis 3 revealed a p-value of &gt; 0.05 for the post-exercise Star Excursion Balance Test (SEBT) scores. Conclusion: There is an effect of single leg hopping on dynamic balance in individuals with chronic ankle instability, as well as an effect of theraband exercise on dynamic balance in this population. However, there is no significant difference in the effects of single leg hopping and theraband exercise on dynamic balance in soccer players with chronic ankle instability.
The Effect of Backpack and Totebag Use on the Movement of the Center of Pressure in Children Aged 8-12 Years Kurniasari, Avida; Naufal, Adnan Faris
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/stt5wz18

Abstract

Introduction: Two commonly used types of bags are backpacks that distribute weight evenly and totebags that put weight on one side of the body. The use of bags by school-aged children can affect their postural balance. Physiotherapy plays a role in ergonomics education, corrective exercises and core muscle strengthening to prevent muskuloskeletal disorders due to unbalanced loads. Purpose: This study aims to analyze the effect of using backpacks and totebags on the movement of Center of Pressure (CoP) in children aged 8-12 years. Method: This study used 25 samples selected by purposive sampling technique with observational method and cross-sectional approach. CoP measurements were taken using the Zebris FDM-s in the gymnasium laboratory of the Faculty of Health Sciences, Universitas Muhammadiyah Surakarta. Data analysis included univariate, bivariate, Shapiro-Wilk normality test, and Mann Whitney test with a significance of p<0.05. Result: The Mann-Whitney statistical test showed that there was no significant difference between the two types of bags on CoP movement (p=0.826). Despite the change in load distribution, the child's body is still able to adapt. Conclusion: The use of backpacks and totebags does not directly affect a child's postural balance in the short term, but it is important to pay attention to the weight and duration of use to prevent long-term muskuloskeletal disorders.
Gluteus Muscle Activation Training On Myogenic Low Back Pain: A Case Report Bagas Anjasmara; Soffil Yudha Mulyandi; Suci Ariani
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/s96jhr58

Abstract

Myogenic low back pain is one of the musculoskeletal disorders caused by dysfunction of muscles and supporting soft tissues such as tendons and ligaments. This condition is often associated with repetitive activities, excessive muscle use, and poor postural habits during daily activities. Myogenic low back pain can lead to reduced functional capacity and decreased productivity, therefore requiring appropriate and comprehensive management. This study aimed to evaluate the effect of a combination of physiotherapy interventions, particularly gluteus medius muscle activation exercises, in reducing pain and improving functional ability in a case of myogenic low back pain. This study used a case report design conducted in a private physiotherapy clinic. The subject of this study was a 22-year-old male diagnosed with myogenic low back pain who complained of pain during physical activities. The physiotherapy intervention program consisted of transcutaneous electrical nerve stimulation (TENS), manual therapy in the form of muscle release techniques, and gluteus medius activation exercises. The intervention was administered twice a week for four weeks, totaling eight therapy sessions. The outcomes of the intervention were evaluated using the Visual Analog Scale and the Oswestry Disability Index. The results showed a reduction in pain intensity and an improvement in the patient’s functional activity after eight therapy sessions. These findings indicate that a physiotherapy approach combining electrotherapy modalities, manual therapy techniques, and muscle activation exercises can contribute positively to improving the clinical condition of patients with myogenic low back pain.
Readiness of Hospitals at Deli Serdang Regency and Pematang Siantar City Responding to The Covid-19 Pandemic: Implementation of the N-CovHospital Readiness EL- Matury, Herlina Jamaludin; Nabila Syahlan; Fatma Lestari; Mohd Rafee B. Baharuddin
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/0stxxj15

Abstract

During the COVID-19 pandemic, hospitals faced tremendous pressure to handle the surge of patients while maintaining essential health services, and many were unprepared for such an unprecedented situation. Hospitals play a critical role in disaster response by providing medical care to affected populations. This study aims to evaluate the readiness of hospitals in Deli Serdang Regency and Pematang Siantar City, North Sumatra, in responding to the COVID-19 pandemic using the WHO Rapid Hospital Readiness Checklist for COVID-19. A cross-sectional survey was involving evaluators from three hospitals in Deli Serdang and two hospital in Pematang Siantar. The checklist consisted of 12 key elements covering essential components of hospital preparedness. Results showed that hospitals in Deli Serdang demonstrated high levels of readiness, with scores above 80%, categorized as Level A (high readiness). In contrast, RSUD DJS in Pematang Siantar achieved a readiness score of 59.6%, categorized as Level B (moderate readiness), indicating the need for improvement in prevention and control efforts. Meanwhile, RSU HRP reached 82%, also categorized as Level A. In conclusion, hospitals in Deli Serdang Regency showed strong preparedness in facing the COVID-19 pandemic, while RSUD DJS in Pematang Siantar requires enhancement in planning, inter-unit coordination, and monitoring to strengthen overall readiness. The findings provide valuable insights for policymakers and healthcare professionals to improve hospital preparedness and resilience in future public health emergencies
The Effect Of Senior Exercise In A Sitting Position Using Cloth On Cardiovascular Load AL AZHAR, MUHAMMAD ZAFFARUL AZZALNA; Supriyadi, Arin
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/w4hjwe25

Abstract

Introduction: The aging process causes a decline in physiological functions, including the cardiovascular system, which increases the risk of hypertension and heart disease in the elderly. Physical activities like elderly gymnastics have been shown to maintain fitness and reduce the risk of these diseases. However, mobility limitations and concerns about injury make it difficult for some elderly individuals to participate. Therefore, safe and effective modifications of gymnastics are needed, one of which is seated exercises using fabric to assist movements without adding excessive strain to the body. Objective: This study aimed to determine the effect of seated elderly exercise using a cloth as an aid on cardiovascular load in older adults.. Method: This quantitative study used a pretest–posttest single group design. The subjects were older adults in Mantren Hamlet, Klodran Village, Colomadu District, Karanganyar Regency, who met the inclusion criteria. The intervention was conducted in 10 sessions, each lasting 1 hour (10 minutes warm-up, 40 minutes core exercise, and 10 minutes cool-down). Blood pressure, oxygen saturation, and pulse rate are measured before and after the intervention using a sphygmomanometer and oximeter. Data are analyzed using the Shapiro–Wilk normality test and paired t-test or Wilcoxon test as appropriate. Results: Analysis of the study shows that the average systolic and diastolic blood pressure decreased in the first week and fourth week after the intervention, while SpO₂ values remained within the normal range. The normality test indicated that the data did not follow a normal distribution, so the test was continued using the Wilcoxon test. The Wilcoxon test results showed a significant difference between the values before and after the intervention in all physiological parameters (p < 0.05), marked by a decrease in blood pressure and an increase in SpO₂ values after the intervention. Conclusion: The intervention applied was proven to have a positive effect on cardiovascular and oxygenation parameters in the elderly, as indicated by a significant decrease in blood pressure and an increase in oxygen saturation. This study shows that the intervention has the potential to be an effective approach to support cardiovascular health in the elderly, although further research with a larger sample and more optimal control of variables is still needed to strengthen the generalization of the findings
The Association Between Body Mass Index and Physical Activity Among Elementary School Children at Suka Asih 02 Public Elementary School Ceger Bekasi Regency Reshma Khairunisa; Zulfi Narrifa Putri; Previarsi Rahayu; Beatrix Elizabeth
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/25ch3g03

Abstract

Nutritional status and physical activity are important indicators in assessing the health of elementary school–aged children. An imbalance between nutritional intake and physical activity may adversely affect children’s growth and development. A preliminary study conducted at Suka Asih 02 Public Elementary School, Ceger, Bekasi Regency, indicated a potential prevalence of undernutrition among some students, despite generally adequate levels of physical activity. This study aimed to analyze the association between Body Mass Index (BMI) and physical activity among elementary school children at Suka Asih 02 Public Elementary School. This study employed a quantitative observational analytic design with a cross-sectional approach. The sample consisted of 40 students from grades IV, V, and VI, selected using purposive sampling. Body Mass Index was measured using a calibrated weighing scale and stadiometer, while physical activity levels were assessed using PAQ-C. Data were analyzed using the Spearman Rank correlation test. The results showed that the majority of respondents (65.0%) were classified as underweight, whereas most respondents (82.5%) demonstrated good levels of physical activity. The Spearman Rank test revealed a statistically significant association between physical activity and BMI (p = 0.001; p < 0.05). The correlation coefficient (ρ = –0.496) indicated a moderate negative correlation between the two variables.  

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