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I Putu Gde Surya Adhitya
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Faculty of Medicine Udayana University, Jl. PB. Sudirman Denpasar Bali, Indonesia
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Physical Therapy Journal of Indonesia
Published by Universitas Udayana
ISSN : 27220125     EISSN : 27226034     DOI : https://doi.org/10.51559/ptji.v1i2
Core Subject : Health, Science,
Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health
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 and practitioners as well as to bridge and integrate the intellectual of physical therapy experts
Arjuna Subject : -
Articles 174 Documents
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Comparison of mirror therapy and constraint-induced movement therapy on motor recovery and functional outcomes in post-stroke patients Ogirahma; Mubarak, Husnul; Aritonang, Sylvia Evelyn; Zainuddin, Andi Alfian; Sahlan, Anshory; Warliani, Melda
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): Inpress January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.324

Abstract

Background: Mirror therapy (MT) and constraint-induced movement therapy (CIMT) are rehabilitative techniques for improving upper limb function after stroke; however, direct comparisons of their effectiveness are limited. This study aimed to evaluate and compare the effects of MT and CIMT on upper limb recovery in stroke patients. Methods: A randomized controlled trial of 30 post-stroke patients was undertaken from June to September 2023. Participants were randomly assigned to either the MT or CIMT groups. The primary objective was the Fugl-Meyer assessment for upper extremities (FMA-UE), whereas the secondary outcomes were surface electromyography biofeedback (sEMG-B) and the box and block test (BBT). Results: CIMT significantly improved FMA-UE and BBT scores (p < 0.001), along with sEMG measurements of the middle, anterior, and posterior deltoid, biceps, triceps, wrist extensors, and wrist flexors (p < 0.001). MT also led to significant improvements in FMA-UE, BBT, and sEMG (all p < 0.001). Intergroup comparisons showed greater BBT score gains with CIMT (11) than MT (10), while differences in FMA-UE and sEMG were not significant. Conclusion: Both CIMT and MT enhance upper limb motor function in stroke patients, whereas CIMT results in higher increases in hand dexterity.
Improving family caregiver understanding of range of motion exercises for community-based stroke care: A pre-experimental study within the clinical pathway Asmirajanti, Mira; Handayani, Rini; Nurmawaty, Dwi; Yulhendri
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): Inpress January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.338

Abstract

Background: Family caregivers play a crucial role in the recovery of stroke patients, especially in community settings. An adequate understanding of the range of motion (ROM) exercises enables caregivers to actively support rehabilitation and prevent complications. This study aimed to analyze the improvement of family caregivers' understanding of ROM exercises after training. Methods: This pre-experimental one-group pretest-posttest study involved 25 families with stroke patients for ≥1 month, selected through consecutive sampling in the working area of Puskesmas Tambora, West Jakarta, in July 2025. Interventions included active and passive ROM exercises based on standard operating procedures (SOPs), also it was used to simulate the manual muscle testing (MMT). Measurement instruments used the validity and reliability questionnaires and MMT observation sheets. Data were analyzed by the Wilcoxon test at a significance level of p<0.05. Results: The results showed a significant increase in family caregiver understanding of ROM (p= 0.000). Before the training, 88% of respondents (22 people) had sufficient knowledge, and 12% (3 people) had good knowledge. After the training, the proportion of good knowledge increased to 56% (14 people), while moderate knowledge decreased to 44% (11 people). Conclusion: Structured training effectively enhanced family caregivers' understanding of ROM exercises, supporting their active participation in patient care. These findings suggest that such education can be integrated into community-based non-digital clinical pathways to prevent complications in stroke patients.
Does omega-3 supplementation added to exercise attenuate inflammaging? Effects on circulating interleukin-6 in older adults: A meta-analysis of randomized controlled trials Hartaningsih, Ni Made Dian; Wihandani, Desak Made; Ruma, I Made Winarsa; Prabawa, I Putu Yuda
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): Inpress January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.398

Abstract

Background: Low-grade systemic inflammation (inflammaging) characterizes older adults, with circulating interleukin-6 (IL-6) as a key biomarker linked to frailty, physical decline, and cardiometabolic risk. Exercise repeatedly elicits anti-inflammatory myokine responses, while long-chain omega-3 (eicosapentaenoic Acid (EPA)/ docosahexaenoic acid (DHA)) promotes resolution of inflammation via membrane remodelling and specialized pro-resolving mediators. This study aimed to determine whether adding omega-3 supplementation to structured exercise reduces resting IL-6 more than exercise alone in older adults. Methods: A systematic search was undertaken in PubMed using a pre-specified medical subject headings (MeSH) strategy that combined terms for long-chain omega-3 fatty acids, structured exercise/physical activity, Interleukin-6, the aged population, and randomized/clinical trial filters; animal-only studies were excluded. This search yielded 22 records. Complementary searches in Scopus (14 records) and ResearchGate (18 records) were pooled with PubMed results and deduplicated prior to screening. Four RCTs (duration 8–18 weeks) met all criteria. Pooled effects were estimated with a random-effects model using restricted maximum likelihood (REML). Between-study heterogeneity was summarized by Q, I², and τ² summarized between-study heterogeneity. Potential small-study effects were explored visually using a funnel plot. Results: Pooled analysis using a REML model shows that post-intervention IL-6 was lower by 0.77 pg/mL when omega-3 supplementation was added to exercise versus exercise alone (MD = −0.77 pg/mL; 95% CI −1.46 to −0.08; p = 0.03; k = 4), indicating a statistically significant, directionally consistent attenuation of resting inflammation. Between-study heterogeneity was moderate (Q = 7.04, df = 3, p = 0.07; I² = 55%; τ² = 0.26), suggesting that differences in trial characteristics (e.g., duration 8–18 weeks, exercise mode, and omega-3 dose/form) contributed to variability in effect sizes. Funnel-plot analysis did not reveal marked asymmetry. Conclusion: Across randomized trials in older adults, omega-3 supplementation added to exercise achieves a modest but statistically significant reduction in resting IL-6 versus exercise alone, consistent with attenuation of inflammaging.
Integrating simulation, role-play, and technology in physiotherapy education: A narrative review on teaching methods for patient education Manuaba, Ida Bagus Amertha Putra; Yani, Made Violin Weda; Indrakusuma, Anak Agung Bagus Putra; Dewi, Ketut Liana Arya; Wulandari, Putri Ayu; Mahadipaka K.A, Ngurah Arya T.; Sasmitha, Ni Luh Ayu; Supadmanaba, I Gede Putu
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): Inpress January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.399

Abstract

Physiotherapists play a crucial role in patient education, as effective communication and educational strategies directly influence treatment adherence, functional outcomes, patient satisfaction, and trust in healthcare services. The increasing global burden of musculoskeletal and neurological disorders has intensified the demand for physiotherapy services, emphasizing the need for graduates who are not only clinically competent but also proficient in patient-centered education. This narrative review aims to synthesize evidence from 2015 to 2025 regarding the integration of simulation, role-play, and educational technology in physiotherapy education, with a particular focus on teaching methods that enhance patient education competencies. Relevant peer-reviewed literature was identified from major academic databases, including PubMed, Scopus, and Google Scholar, and analyzed thematically to examine educational outcomes related to communication skills, learner engagement, confidence, empathy, and clinical preparedness. The findings indicate that simulation-based learning and structured role-play provide safe and experiential environments for students to practice patient communication and education, while technology-enhanced approaches such as virtual simulations and digital learning platforms offer scalable and flexible learning opportunities. Collectively, these methods demonstrate consistent benefits in improving students’ ability to deliver clear, structured, and empathetic patient education, thereby supporting readiness for clinical practice. Integrating simulation, role-play, and technology within physiotherapy curricula represents a strategic approach to strengthening patient education competencies and preparing graduates to deliver high-quality, patient-centered, and trusted physiotherapy care in response to contemporary healthcare demands.

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