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Jurnal Terapi Wicara dan Bahasa
Published by Politeknik Kesehatan Kemenkes Surakarta
ISSN : -     EISSN : 29621070     DOI : 10.59686
Core Subject : Health,
Dentistry Medicine & Pharmacology Veterinary
Journal of Speech and Language Therapy contains research studies in the areas of: Speech production Language Fluency Voice Resonance Cognition Feeding and swallowing Aural habilitation/rehabilitation Augmentative and alternative communications Developmental psychology Mental health Occupational and physical therapy Neurodevelopmental therapy Public health issues Special needs in children Early childhood educational programs, Acupuncture
Arjuna Subject : Profesi Kesehatan - Speech and Hearing
Articles 254 Documents
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Pengaruh Penggunaan Metode Minimal Pairs terhadap Kemampuan Fonologi pada Anak Down Syndrome di Surakarta Asyifa Aisyah Nuraini; Dodiet Aditya Setyawan; Hafidz Triantoro Aji Pratomo
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.295

Abstract

Background: Down syndrome is a common genetic condition associated with intellectual limitations, specific health conditions, developmental delays, and distinctive physical characteristics. Children with Down syndrome experience delays in language development, particularly in phonological, syntactic, and pragmatic aspects, resulting in slower acquisition of speech sounds compared to typically developing children. Minimal pairs is a linguistically based, production-oriented approach that uses pairs of words differing by only one phoneme to train sound discrimination. Objectives: This study aims to determine the effect of the use of the Minimal pairs method on the phonological abilities of children with Down syndrome in Surakarta. Methods: This study employed a quantitative approach with an experimental design using a one-group pre-test–post-test design. The sampling technique used was purposive sampling, with a total of 6 participants. Data analysis was conducted using parametric statistical tests, namely the Shapiro-Wilk test and the Paired T-Test. Results: The results of the Paired T-Test showed a p-value (Sig.) of 0.037, where p < 0.05, indicating that the null hypothesis (Ho) was rejected and the alternative hypothesis (Ha) was accepted. This means that there is a significant difference in phonological abilities of children with Down syndrome before and after the intervention. Conclusion: There is a significant effect of the use of the Minimal pairs method on the phonological abilities of children with Down syndrome in Surakarta. Keywords: Children, Down syndrome, Phonology, Minimal Pairs.
Pengaruh Auditory Biofeedback dalam Meningkatkan Aktivasi Otot pada Latihan Beban Fendy Nugroho; Aditya Johan Romadhon; Mashaf Fahrur Murdo Furqon
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.298

Abstract

Background: The use of biofeedback in training programs can provide direct visual or auditory feedback so that muscle activation needs can be monitored and maintained to produce more efficient muscle contractions. This makes energy use and contractions more selective in the muscles being trained. In addition, the use of biofeedback also provides motivation during exercise. Biofeedback can display changes in muscle activation patterns such as onset and peak contraction of several muscles during weightlifting. A common problem in weight training is the magnitude of co-contraction between agonist and antagonist muscles, which often leads to decreased energy efficiency and disrupted movement patterns, indicated by compensatory movements during lifting. Co-contraction of agonist and antagonist muscles is very high in beginners during weight training and decreases as motor control improves. Objectives: To determine the effect of using auditory biofeedback in increasing selective activation of the pectoralis muscle during dumbbell chest press weight training. Methods: The study design was a cross-sectional observation involving 50 adolescent subjects. Surface electromyography (sEMG) was attached to the pectoralis muscle to monitor muscle activation values during dumbbell chest press exercise. In the first session, the dumbbell chest press was performed without auditory feedback, but the sEMG remained attached and muscle activation results were monitored by the sEMG operator. In the second session, the dumbbell chest press was performed with auditory feedback. The results of pectoralis muscle activation based on sEMG recordings between exercises without and with auditory feedback were then compared. Results: The pectoralis muscle activation value during dumbbell chest press without auditory feedback had an average value of 63.38 ± 23.48 µV, whereas with auditory feedback the average was 82.55 ± 26.72 µV, with a significance value of p < 0.001. Conclusion: The average value of pectoralis muscle activation is higher when using auditory feedback compared to without it. Therefore, pectoralis muscle activation is greater when auditory feedback is used in weight training than without auditory feedback. Keywords: Auditory Biofeedback, Muscle Activation, Weight Training.
Hubungan antara Kekuatan Menggenggam dan Kecepatan Berjalan pada Lanjut Usia Marti Rustanti; Nur Basuki
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.302

Abstract

Background: The aging process causes a decrease in body function, especially in the musculoskeletal system, such as reduced muscle strength, flexibility, endurance and bone density which can increase the risk of falls in the elderly. A decrease in muscle strength in the upper extremities is characterized by a decrease in gripping ability, while in the lower extremities it is characterized by a decrease in walking ability, including walking speed. Objectives: This study aims to determine the relationship between grip strength and walking speed in elderly women. Methods: This research uses an observational method with a cross sectional approach. Measurements were made on grip strength using a handgrip dynamometer measuring instrument and walking speed using a 4 meter walk test measuring instrument on elderly women who were physically healthy and did not experience functional disorders, especially the function of grasping and walking independently. The data was analyzed to determine the relationship between the two variables. Results: The results showed that there was a significant relationship between grip strength and walking speed with a p value <0.005 and a correlation coefficient r = -0.555 which showed a fairly strong relationship in the negative direction. where the decreasing grip strength increases the walking speed of the elderly. Conclusion: It was concluded that there is a fairly strong relationship between grip strength and walking speed in elderly women. Keywords: Grip Strength, Walking Speed, Elderly Women.
Pengaruh Isometric Handgrip Training terhadap Tekanan Darah pada Lansia dengan Hipertensi di Wilayah Kerja UPTD Puskesmas Jatirahayu Farouq Muhammad Insaan Kamal; Mohammad Ali; Liza Laela Abida
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.306

Abstract

Background: Hypertension is a common health problem among the elderly and increases the risk of stroke, heart failure, and kidney failure. Isometric Handgrip Training (IHT) is a simple and practical non-pharmacological intervention that may help reduce blood pressure; however, its effectiveness still needs further investigation. Jatirahayu Public Health Center is one of the health centers with a relatively high number of hypertension cases, reaching 252 cases. Objectives: To determine the effect of Isometric Handgrip Training on blood pressure among elderly patients with hypertension. Methods: This study employed a quasi-experimental design with a pretest-posttest control group design. The sample consisted of 20 respondents divided into an intervention group (n=10) and a control group (n=10) selected using purposive sampling. The intervention group received IHT exercises three times per week for four weeks, while the control group only received health education through leaflets. Blood pressure was measured using a digital sphygmomanometer. Results: The paired sample t-test showed a significant reduction in systolic blood pressure in the intervention group with a mean difference of −10.40 mmHg (p=0.004) compared to −1.50 mmHg in the control group, as well as a reduction in diastolic blood pressure with a mean difference of −6.80 mmHg (p=0.016) compared to −0.80 mmHg in the control group. The independent sample t-test showed a significant difference between the intervention and control groups in systolic blood pressure (p=0.008), but not in diastolic blood pressure (p=0.051). Conclusion: Isometric Handgrip Training was effective in reducing systolic blood pressure among elderly patients with hypertension, but it did not show a significant effect on diastolic blood pressure after four weeks of intervention. Keywords: Hypertension, Elderly, Isometric Handgrip Training, Blood Pressure.
Profil Kemampuan Fonologi pada Anak Kelas 1 SD di Kota Surakarta Nisrina Fawwazatha; Virginia Hanandita; Sinar Perdana Putra
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.307

Abstract

Background: Phonological skills are the basic ability to connect sounds with letters and recognize word patterns. Good phonological abilities make it easier for children to recognize letters and words, and increases their confidence when learning language and literacy. Objectives: This study aims to provide an overview of the phonological abilities of first-grade elementary school children and to provide an overview of the phonological abilities of first-grade elementary school girls and boys in Surakarta City. Methods: Quantitative method with descriptive analysis techniques through a cross-sectional approach. The research sample consisted of 102 first-grade elementary school children, comprising 52 girls and 50 boys. The sample was selected using proportionate stratified random sampling. The instrument used was an articulation test analyzed based the phonological processes. Results: There were 9 respondents who were only able to produce 43 of the 44 consonants correctly. The phonological processes experienced included metathesis in two boys and one girl, final consonant deletion in one boy and one girl, gliding in two boys, backing in one boy, and initial consonant deletion in one boy. Conclusion: The phonological abilities of 7-year-old first graders still demonstrate several phonological processes. Overall, girls have superior phonological abilities compared to boys.  Keywords: Elementary School Children, Phonological Processes, Profile of Phonological Skills.
Eksplorasi Penggunaan Media Digital dalam Pelatihan Fonologi pada Anak Disleksia: Studi Kualitatif Rihasya Addina Putriwita; Roy Romey Daulas Mangunsong; Dodiet Aditya Setyawan
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.308

Abstract

Background: Dyslexia is a learning disability that affects a child’s reading ability, particularly in the phonological domain. The use of digital applications such as Bookbot Indonesia offers an alternative approach to phonological training. However, the user experience in its implementation still needs to be examined. Objectives: This study aimed to explore the experiences, perceptions, and significance of implementing digital app-based phonology training in improving the reading skills of children with dyslexia. Methods: A qualitative approach with a phenomenological design involving 7 participants, including children with dyslexia, parents, and teachers at Mojosongo State Elementary School V. Data were collected through semi-structured in-depth interviews and passive observation, and then analyzed using thematic analysis. Results: The study findings indicate that using the Bookbot Indonesia app provides a more interactive learning experience and increases children’s engagement in reading practice. Participants also reported improvements in their ability to recognize sounds and letters. However, several challenges were identified, such as distractions from device use, difficulty understanding instructions, and limited supervision during app use. Conclusion: These findings suggest that digital app-based phonology training has the potential to improve reading skills in children with dyslexia when implemented consistently and accompanied by appropriate support. Optimizing the app’s features and support strategies is necessary to enhance the effectiveness and sustainability of the intervention. Keywords: Digital Applications, Dyslexia, Phonological Training, Reading Ability, Qualitative Research.
Pengaruh Metode Bercerita terhadap Peningkatan Kemampuan Bahasa Ekspresif pada Anak Intelektual Disabilitas di Surakarta Luluk Nasihah; Gunawan Gunawan; Sudarman Sudarman
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.309

Abstract

Background: Children with intellectual disabilities generally experience difficulties in expressive language skills, which impact communication, social interaction, and the learning process. Learning methods appropriate to the child's cognitive characteristics are needed, one of which is storytelling, which is considered effective in stimulating vocabulary, sentence structure, and speaking confidence. Objectives: This study aims to determine the effect of storytelling on improving expressive language skills in children with intellectual disabilities in Surakarta. Methods: The study used a quantitative quasi-experimental design with a one-group pretest–posttest design. The sample consisted of 15 children with intellectual disabilities, selected using a total sampling technique. Data collection was conducted through observation and a validated Expressive Verbal Vocabulary Test (EVO). The storytelling intervention was administered over eight structured sessions. Results: The Wilcoxon Signed Rank Test analysis showed an increase in expressive language skills in the majority of respondents after the storytelling intervention. Fourteen of the 15 children experienced an increase in their post-test scores compared to their pre-test scores, and the statistical test results showed a significant difference (p < 0.05). Conclusion: The storytelling method is effective in improving expressive language skills in children with intellectual disabilities and can be used as an alternative intervention strategy in learning and speech therapy. Keywords: Storytelling Method, Expressive Language, Intellectual Disability.
Penambahan Latihan Core Stability terhadap Performa Ekstremitas Atas pada Atlet Basket Nadia Nesiya T.B. Pertiwi; Restu Arya Pambudi; Ganesa P.D. Kurniawan
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.310

Abstract

Background: Upper extremity performance is an important component in basketball that influences the success of techniques such as passing and shooting. Core muscle stability serves as the linking mechanism for force transfer from proximal to distal segments; insufficient core stability can reduce movement accuracy and arm strength. Objectives: This study aimed to determine the effect of adding core stability exercises on upper extremity performance in basketball athletes. Methods: A quasi-experimental design with a two-group pretest-posttest design was employed. The sample consisted of 28 basketball athletes aged 14–18 years selected by purposive sampling, divided into a treatment group (routine training + core stability, n=14) and a control group (routine training only, n=14). The intervention was conducted for 4 weeks at a frequency of 3 times per week. Upper extremity performance was measured using the Upper Quarter Y-Balance Test (UQYBT). Results: Based on paired Sample T-Test results showed significant improvement in upper extremity performance in both the treatment group (p=0.000) and the control group (p=0.001–0.002). The mean improvement of the treatment group was greater than the control group: 1.21±0.53 (right) and 0.93±0.45 (left) compared to 0.41±0.37 (right) and 0.29±0.29 (left). The Independent T-Test showed a significant difference between the two groups (p=0.000). Conclusion: The addition of core stability training significantly improved upper extremity performance in basketball athletes, with a greater effect compared to routine training alone. Keywords : Upper Extremity Performance, Basketball Athletes, Core Stability Exercise, Upper Quarter Y-Balance Test.
Perbedaan Pengaruh Latihan Aerobik dan Interval Walking Training terhadap Kadar Gula Darah Puasa pada Individu dengan Risiko Stroke R. Trioclarise; Ganesa Puput Dinda Kurniawan; Nina Mustikasari; Yoni Rustiana Kusumawati; Restu Arya Pambudi; Liza Laela Abida; Abiyyu Hilmy Haidar
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.311

Abstract

Background: High fasting blood sugar levels are one of the main risk factors for stroke, especially in the elderly population. Aerobic exercise and Interval Walking Training (IWT) are physical activity interventions that can help improve glycemic control. Objectives: To determine the difference in the effect of aerobic exercise and Interval Walking Training (IWT) on fasting blood sugar levels in individuals at risk of stroke. Methods: This study used a quasi-experimental design with a pre-test and post-test approach in two treatment groups. A total of 48 respondents aged 45–70 years were divided into an aerobic exercise group and an Interval Walking Training (IWT) group. The intervention was conducted for 4 weeks with a frequency of 3 times per week. Fasting blood sugar levels were measured using Point of Care Testing (POCT). Data analysis was performed using the Wilcoxon and Mann-Whitney tests. Results: The aerobic exercise group showed a significant decrease in fasting blood sugar levels (p = 0.000), whereas the Interval Walking Training (IWT) group did not show a significant decrease (p = 0.157). The Mann-Whitney test indicated a significant difference between the two groups (p = 0.012). Conclusion: Aerobic exercise is more effective than Interval Walking Training (IWT) in reducing fasting blood sugar levels in individuals at risk of stroke. Keywords: Aerobic Exercise, Interval Walking Training, Fasting Blood Glucose, Stroke Risk.
Analisis Hubungan Tingkat Keparahan dan Intervensi Terapi dengan Kemampuan Fungsional Anak Cerebral Palsy Sukadarwanto Sukadarwanto; Nitaya Putri Nur Hidayati; Eka Sulistiyawati
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.313

Abstract

Background: Cerebral palsy (CP) is a permanent neurological disorder that causes motor impairments in children, affecting their functional abilities, mobility, and social participation. Therapeutic interventions and the severity of cerebral palsy are thought to play a role in improving the functional abilities of children with CP. However, studies that comprehensively assess these factors remain limited, particularly in Indonesia. Objectives: This study was conducted to identify factors contributing to the functional abilities of children with CP using an evidence-based approach. Methods: This study employed a retrospective cohort design with multivariate analysis. Secondary data were obtained from the 2024 PPRBM database. Analysis was conducted in stages, beginning with descriptive analysis to characterize the sample, followed by bivariate analysis using the Chi-square test and General Linear Model. Results: A combination of physical therapy, occupational therapy, and speech therapy was found to be significantly associated with improved functional ability (OR = 4.3; 95% CI: 1.15–16.16). Children with mild CP showed a significant reduction in the risk of functional disability (OR = 0.0; 95% CI: 0.00–0.02; p < 0.001), while those with moderate CP also showed a significant effect (OR = 0.2; 95% CI: 0.03–0.81; p < 0.05). In the severe and moderate-to-severe CP categories, there was a trend toward a negative association, though it was not statistically significant. Conclusion: The severity of Cerebral Palsy is the most dominant and significant factor influencing the functional ability of children with CP. Keywords: Cerebral Palsy, Functional Ability, Therapy.

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