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FISIO MU: Physiotherapy Evidences
Published by Universitas Muhammadiyah Surakarta
ISSN : 27229629     EISSN : 27229610     DOI : https://doi.org/10.23917/fisiomu.v4i3.5044
Core Subject : Health,
Health Professions Nursing
Aim: This journal aims to publish articles with special interest in the development of physiotherapy and health sciences. Not only limited to discussing musculoskeletal, but this journal covers broader health sciences seen from the development of motion and activity. Scope: - Physiotherapy Musculoskeletal - Physiotherapy Neurology - Physiotherapy Cardio Pulmonal - Physiotherapy Pediatric - Physiotherapy Integumen - Physiotherapy Reproduction Health - Physiotherapy Geriatric - Physiotherapy Sport - Physiotherapy Wellness
Arjuna Subject : Profesi Kesehatan - Terapi Fisik, Olah Raga dan Rehabiltasi
Articles 158 Documents
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Differences in Tibialis Anterior Muscle Activity in the Lower Limb During the Lunge Phase in Female Fencers With and Without a History of Injury Satroda Muryanto; Hikmatul Laili Nur'aini
FISIO MU: Physiotherapy Evidences Vol. 7 No. 3 (2026): Movement to Recovery: Contemporary Physiotherapy in Practice
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v7i3.17900

Abstract

Introduction: Fencing is a sport involving explosive movements that carry a high risk of injury to the lower limbs, particularly when performing lunges. Injuries can affect the activation patterns of muscles involved in stabilisation and movement control. This study aimed to investigate differences in tibialis anterior muscle activity in the lower leg during the lunge phase in female fencers with and without a history of injury. Methods: This study employed a quantitative observational approach with a cross-sectional design. The study subjects comprised 12 female fencers divided into two groups: those with a history of injury and those without. Muscle activity was measured using surface electromyography (sEMG) of the tibialis anterior muscle during the lunge phase. Data were analysed using the Shapiro-Wilk test for normality and the Mann-Whitney test to determine differences between groups. Results: The results showed that tibialis anterior muscle activity in the group with a history of injury was lower (141.91 ± 30.21) compared to the group without a history of injury (251.29 ± 88.50). Statistical analysis revealed a significant difference between the two groups (p = 0.028). These findings suggest that a history of injury influences the activation of the tibialis anterior muscle in female fencers. Conclusion: In conclusion, there is a difference in tibialis anterior muscle activity between female fencers with and without a history of injury during the lunge phase.
Comparison of Conventional Balance Exercise and Tai Chi Exercise on Balance and Fall Risk in Older Adults Bintang Arsy Wahyu Prananto; Dwi Agung Prasetyo
FISIO MU: Physiotherapy Evidences Vol. 7 No. 3 (2026): Movement to Recovery: Contemporary Physiotherapy in Practice
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v7i3.18007

Abstract

Introduction: Balance impairment in older adults is one of the main factors increasing fall risk and contributing to reduced functional mobility, independence, and quality of life. Structured physical exercise is required as a non-pharmacological intervention to improve balance and reduce fall risk among older adults. This study aimed to compare the effectiveness of conventional balance exercise and Tai Chi exercise in improving balance and reducing fall risk among older adults. Methods: This study used a quasi-experimental design with a pretest–posttest two-group design. The subjects consisted of 50 older adults divided into two groups, namely 25 participants in the conventional balance exercise group and 25 participants in the Tai Chi group. The intervention was conducted for 6–8 weeks with a frequency of 2–3 sessions per week. Balance was measured before and after the intervention using the Timed Up and Go test, while data were analyzed using normality testing, paired t-test, and independent t-test. Results: The results showed that the conventional balance exercise group experienced a decrease in mean Timed Up and Go time from 14.61 ± 1.52 seconds to 12.52 ± 1.65 seconds with p < 0.001. The Tai Chi group showed a decrease in mean Timed Up and Go time from 14.56 ± 1.66 seconds to 11.33 ± 1.54 seconds with p < 0.001. The change in Timed Up and Go time was greater in the Tai Chi group than in the conventional balance exercise group, namely 3.23 ± 0.57 seconds compared with 2.08 ± 0.64 seconds with p < 0.001). Conclusion: Conventional balance exercise and Tai Chi are effective in improving balance among older adults; however, Tai Chi demonstrates greater effectiveness in improving balance and reducing fall risk.
The Effectiveness of the William Flexion Exercise in Alleviating Chronic Low Back Pain in Workers Farrah Rizky Mutiara; Mahendra Wahyu Dewangga; Tiara Fatmarizka; Erma Juana Br Ginting
FISIO MU: Physiotherapy Evidences Vol. 7 No. 3 (2026): Movement to Recovery: Contemporary Physiotherapy in Practice
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v7i3.18425

Abstract

Introduction: Chronic low back pain (CLBP) is a common musculoskeletal disorder experienced by workers with highly sedentary lifestyles and obesity. The William Flexion Exercise (WFE) is a physiotherapy intervention aimed at reducing pain and improving function in patients with CLBP. To determine the effectiveness of WFE in reducing pain, improving lumbar flexibility, and reducing functional disability in rattan craftspeople with CLBP. Methods: This study employed a quasi-experimental, single-group, pre-test–post-test design involving 25 rattan craftspeople. The WFE intervention was delivered twice a week for 6 weeks. Pain was measured using the Numeric Rating Scale (NRS), lumbar flexibility using the Schober Test, and functional disability using the Oswestry Disability Index (ODI). Data analysis utilised the Wilcoxon test for non-normally distributed data and the paired t-test for normally distributed data. Results: There was a significant reduction in pain across all components of the NRS (p<0.0001), an improvement in lumbar flexibility in flexion (p=0.003) and extension (p<0.0001), and a reduction in functional disability (p<0.0001). Conclusion: WFE twice a week for 6 weeks effectively reduces pain, improves lumbar flexibility and reduces functional disability in rattan craftspeople with CLBP, prolonged sitting and obesity.
Effects of 3D Shoulder Mobilization Compared to Passive-Active Exercises on Pain and Arm Function in Post-Stroke Hemiplegic Shoulder Pain Dewi Suci Mahayati; Noor Sadhono Kurniaji
FISIO MU: Physiotherapy Evidences Vol. 7 No. 3 (2026): Movement to Recovery: Contemporary Physiotherapy in Practice
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v7i3.18993

Abstract

Introduction: Hemiplegic Shoulder Pain (HSP) is a common musculoskeletal complication in post-stroke patients and significantly restricts rehabilitation and functional independence. 3D shoulder mobilization is an intervention currently being developed to address pain and improve arm function compared to conventional passive-active shoulder exercises. Both interventions have been widely used clinically, but no studies have compared their effectiveness. To investigate the effects of 3D shoulder mobilization and passive-active shoulder exercises on pain relief and arm functional ability in post-stroke patients. Methods: This study used an experimental design. A purposive random sampling technique was used to select participants, with the sample size determined based on previous literature. Participants were randomly allocated into two groups. Interventions were administered six times over a 3-week period. Functional ability and pain intensity were measured using the Visual Analog Scale (VAS) and Shoulder Pain and Disability Index (SPADI) questionnaires before (pretest) and after (post-test) the intervention. Within-group differences (pretest vs. post-test) were analyzed using the Wilcoxon signed-rank test, while between-group differences were analyzed using the Mann-Whitney U test. Results: The statistical test results for each group showed a significant decrease in pain intensity and an increase in functional ability. Result for the Intervention Group are VAS p=0.001; SPADI pain scale p=0.001; and SPADI disability scale p=0.007 and for the Control Group are VAS p=0.001; SPADI pain scale p=0.001; and SPADI disability scale p=0.011. Comparison of the two groups showed equivalent results in both post-intervention groups, with no statistically significant differences in results between the Intervention Group and the Control Group (VAS p=0.063; SPADI pain scale p=0.134; and SPADI disability scale p=0.340). Conclusion: 3D shoulder mobilization and passive-active shoulder exercises are both effective in reducing post-stroke HSP in the short term. However, a 3-week (6-session) intervention is not sufficient to provide significant functional improvements in the arm.
The Relationship Between Upper Extremity Dynamic Balance and Hand Grip Strength in Male Softball Players in Jakarta Nabila Rubianti; Ferian Nugraha; Muthiah Munawarah; Aufa Miftah Firdausy
FISIO MU: Physiotherapy Evidences Vol. 7 No. 3 (2026): Movement to Recovery: Contemporary Physiotherapy in Practice
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v7i3.19548

Abstract

Introduction: A This study aimed to analyze the relationship between upper extremity dynamic balance and hand grip strength in active male softball players in Jakarta. Methods: Adhering to STROBE guidelines, a cross-sectional study was conducted in July 2025 involving 32 active male softball players (aged 19–34 years) selected via purposive sampling based on Slovin's formula (10% error margin). Upper extremity dynamic balance was evaluated using the Upper Quarter Y Balance Test (UQYBT) to calculate composite scores for dominant and non-dominant sides. Grip strength was measured using a digital hand grip dynamometer. Statistical analysis was performed using SPSS v25, utilizing Shapiro-Wilk for normality, and Spearman and Pearson correlation tests for side-specific analyses. Results: The results demonstrated a significant, moderate positive relationship on the dominant (right) side (r_s = 0.477, p = 0.006; mean UQYBT: 80.59 ± 6.57%, mean grip strength: 37.07 ± 4.10 kg). Conversely, no significant relationship was observed on the non-dominant (left) side (r = 0.212, p = 0.244; mean UQYBT: 75.48 ± 6.55%, mean grip strength: 35.22 ± 4.29 kg). Conclusion: Upper extremity dynamic balance is positively associated with hand grip strength on the dominant throwing side in male softball players, while no correlation exists on the non-dominant side. Sports coaches and physiotherapists should incorporate bilateral dynamic stabilization exercises into training regimens to correct pathological muscle imbalances and reduce overuse injury risks.
Comparison of Self-SNAGs and Stretching Exercises for Trapezius Myalgia in Office Workers Chofifa Alamri; Fitri Yani; Tyas Sari Ratna Ningrum
FISIO MU: Physiotherapy Evidences Vol. 7 No. 3 (2026): Movement to Recovery: Contemporary Physiotherapy in Practice
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v7i3.19933

Abstract

Introduction: Trapezius myalgia is one of the musculoskeletal complaints frequently experienced by office workers due to prolonged static sitting and computer use. This study aimed to determine the effects of Self-Sustained Natural Apophyseal Glides (Self-SNAGs) and stretching exercises, as well as the differences in their effects on trapezius myalgia in office workers. Methods: The study employed an experimental method with a two-group pre-test and post-test design. A total of 38 office workers were selected using purposive sampling and allocated to two groups, each comprising 19 participants. The first group was given Self SNAGs, whilst the second group was given stretching exercises, each performed three times a week for two weeks. Changes in condition were measured using the Neck Disability Index (NDI) and analysed using a paired-sample t-test and an independent-sample t-test with α = 0.05. Results: The results of the study showed that the NDI score in the Self SNAGs group decreased from 14.79 ± 5.138 (pre-test) to 4.32 ± 3.001 (post-test), p<0.001, whilst the stretching exercise group’s score decreased from 15.26 ± 4.954 (pre-test) to 4.05 ± 3.325 (post-test), p < 0.001. A comparison of the post-test scores between the two groups revealed no significant difference, with 4.32 ± 3.001 in the Self SNAGs group and 4.05 ± 3.325 in the stretching exercise group (p = 0.799). Conclusion: Both interventions showed an improvement in NDI scores among the office workers who were the subjects of the study, but there was no significant difference in effect between the two.
Effects of Traditional Games on Balance in Children and Adolescents: A Systematic Literature Review Putu Premanatara Pradnyadewi; Susy Purnawati
FISIO MU: Physiotherapy Evidences Vol. 7 No. 3 (2026): Movement to Recovery: Contemporary Physiotherapy in Practice
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v7i3.20339

Abstract

Introduction: Traditional games are a form of culturally-based physical activity with the potential to support the development of motor skills, including balance, in children and adolescents. This study aims to analyse the scientific evidence regarding the effects of traditional games on balance ability, identify the characteristics of the interventions used, and examine the measurement methods and outcomes reported in previous research. Methods: This study employed a systematic literature review approach based on the PRISMA guidelines. A literature search was conducted using the Scopus, Web of Science, PubMed, Google Scholar, and other relevant scientific databases, employing keywords related to traditional games, balance, postural control, children, and adolescents. Priority was given to publications from 2021 to 2026 that discussed physical activity-based traditional games involving measurements of balance or related motor skills. A total of 14 articles met the inclusion criteria and were analysed narratively. Results: The results of the review indicate that traditional games involving movement patterns such as single-leg jumps, changes of direction, landings, shifts in centre of mass, and body control on a limited support surface are reported to have the potential to support balance, particularly dynamic balance. Games such as engklek, egrang, and traditional games based on plyometric activities showed relatively consistent results across several studies. However, variations in participant characteristics, game types, intervention duration, study design, and measurement instruments led to heterogeneity in the findings; therefore, the results must be interpreted with caution. Conclusion: Overall, traditional games have the potential to serve as a contextual, easily implementable and enjoyable physical activity strategy to support the development of postural control and motor skills in children and adolescents. Further experimental research with more standardised designs is still required to strengthen the evidence regarding their effectiveness on balance.
Effectiveness of Myofascial Release for Upper Trapezius Myofascial Pain: A Systematic Literature Review Ni Putu Diah Anantari; I Dewa Ayu Inten Dwi Primayanti
FISIO MU: Physiotherapy Evidences Vol. 7 No. 3 (2026): Movement to Recovery: Contemporary Physiotherapy in Practice
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v7i3.20440

Abstract

Introduction: Myofascial pain in the upper trapezius is one of the causes of neck pain, often associated with myofascial trigger points, tenderness, stiffness, restricted cervical movement and reduced function. Myofascial release (MFR) is a physiotherapy intervention aimed at reducing soft tissue restrictions and modulating pain; however, its effectiveness still varies due to differences in technique, intervention dosage, population characteristics, and comparison groups. This review aims to analyse the effectiveness of MFR on pain, pressure pain threshold (PPT), cervical range of motion (CROM), neck disability, and function in individuals with upper trapezius myofascial pain. Methods: A literature review was conducted via a structured search of publications from 2021 to 2026, adhering to the PRISMA principles, through PubMed/PMC, Google Scholar, publishers’ websites, and a search of relevant references. A total of ten core publications, comprising clinical trials, randomised controlled trials, and systematic reviews/meta-analyses, were narratively synthesised as the primary basis for the analysis, whilst additional sources were used to strengthen the methodological context and discussion. Results: The results of the synthesis indicate that MFR is generally associated with a reduction in pain intensity, an increase in PPT, improvements in CROM, neck disability, and several aspects of function, particularly in the short term. However, the evidence regarding the superiority of MFR over other interventions such as IASTM, trigger point release, dry needling, or stretching remains inconsistent. Variations in MFR techniques, therapeutic dosage, the use of co-interventions, subject characteristics, follow-up duration, and differences in measurement instruments have led to study heterogeneity, which limits the certainty and generalisability of the results. Conclusion: MFR may be considered as one of the non-invasive interventions within a multimodal rehabilitation approach; however, further research is required with more standardised protocols, clearly defined comparison groups, and longer follow-up periods.

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