Physical Therapy Journal of Indonesia

Musculoskeletal Disorders Mapping among Workers of Community Health Center

Bayu Prastowo — 2023-06-20

Background: The second most common work-related disease has been identified as musculoskeletal disorders (MSDs). That affect muscles, tendons, ligaments, joints, peripheral nerves, and supporting structures are inflammatory and degenerative conditions. This study identified the job activity of community health centers with the risk of MSDs.

Methods: The Nordic musculoskeletal questionnaire (NMQ) was identified as a non-professional way of determining MSDs risk with modifications from statistical investigation models. The study was conducted with fifty-seven respondents of workers at a community health center (CHC).

Results: The majority of respondents were female (82%) and showed obesity categories I and II. The correlation between age and work experience is 0.9. A prevalence of MSDs at the hand and wrist of 49% was found.

Conclusion: Workers at CHC experienced the mild category of MSDs in the hand and wrist regions. Age and work experience are risk factors for MSDs in CHCs.

The relationship between fatigue level and dyspnea in post-COVID-19 patients

Ali Multazam — 2023-07-03

Background: Post-coronavirus disease 2019 (Post-covid-19) is a term used to describe people with COVID-19 symptoms that persist after two weeks from the onset of symptoms. Some of the most common post covid-19 symptoms are fatigue and dyspnea. Fatigue is a feeling of physical or mental debilitation resulting from a person's immune and psychological changes. Breathing becomes faster and shorter when insufficient oxygen reaches the lungs, a condition known as dyspnea.

Methods: This study used the cross-sectional design. The population of this study consisted of post-COVID-19 patients who live in Malang Raya, with a sample size of 56 respondents. Data collection using the Fatigue Severity Scale questionnaire to measure fatigue levels and the Borg Scale to measure dyspnea levels.

Results: The results of Spearman's test obtained a value of r= 0.498, with a moderate correlation, indicating there was a relationship between the level of fatigue and dyspnea.

Conclusion: There was a relationship between fatigue level and dyspnea in post-COVID-19 patients.

Relationship between anxiety levels and dyspnea among post-COVID-19 patients

Ali Multazam — 2023-07-05

Background: Post-corona-virus disease 2019 (Post-COVID-19) syndrome also known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a condition where symptoms arise in COVID-19 patients who have been declared cured according to negative swab results. The level of anxiety can cause it because when anxiety occurs, there is a "fight or flight" response to protect oneself. The sympathetic nervous system works and releases the adrenaline hormone, causing dyspnea. Research objective knowing the relationship between anxiety levels and dyspnea in post-COVID-19 patients in Malang Raya.

Methods: This study used a cross-sectional design. The population of this study consisted of post-COVID-19 patients who live in Malang Raya, with a sample of 56 respondents. This study collected data of the Hamilton rating scale for anxiety (HRS-A) questionnaire to measure the level of anxiety and the Borg Scale to measure the level of dyspnea.

Results: Based on Spearman's statistical test, the level of anxiety and dyspnea obtained a value of p= 0.00, r= 0.503 with quite strong results, so there is a relationship between the level of anxiety and dyspnea.

Conclusion: There was a strong relationship between the level of anxiety and dyspnea in post-COVID-19 patients.

The relationship between blood pressure and risk of fall of the elderly in Kelating Village, Tabanan, Bali

Dewa Ayu Ketut Indriani Putri — 2023-07-05

Background: Increasing the age of the elderly will cause a decrease in body functions. One is a decreased cardiovascular function, triggering cardiovascular disorders such as increased blood pressure. Increased blood pressure in the elderly can affect postural balance, so that it can cause an increase in the risk of falls in the elderly.

Methods: The study used a cross-sectional analytic design. This study was conducted on May 22, 2022. The sample in this study was selected using a simple random sampling technique. The number of samples in this study was 78 people. The data was analyzed using the SPSS software, which was divided into three parts, namely univariate analysis to describe the frequency distribution of each variable, normality test to determine whether the distribution of data was normally distributed or not where the normality test used the KoImogrov-Smirnov test and bivariate analysis to determine the relationship between the two variables analysis method used Spearman's Rho test.

Results: The relationship between systolic blood pressure and risk of fall was p=0.000 and r=0.866, while the relationship between diastolic blood pressure and risk of fall was p=0.000 and r=0.520.

Conclusion: This study concludes that there was a relationship between blood pressure and the risk of falls in the elderly in Kelating Village.

The relationship between flat foot and Q-angle in elementary school students

Dewa Gede Gangga Kusuma Putra — 2023-07-11

Background: Elementary school students have unique characteristics. Each child has their ways of doing their activities. In its activities, of course, there are risks, especially in the lower extremities, namely flat foot, which is the condition of the medial arch treading with the ground or flat due to emphasis on the medial part, excessive or over foot conditions will result in an increase in valgus shape in the knee joint; thus the degree of quadriceps angle (Q-angle) can increase. This study aims to determine the relationship between flat foot and Q-angle in elementary school children in Kusamba Village, Dawan District, Klungkung Regency.

Objective: This study aims to determine the relationship between flat feet and Q-angle.

Methods: Observational analytical cross-sectional design that uses simple random sampling techniques with a sample of 51 people according to predetermined inclusion and exclusion criteria. Data were collected with a wet footprint test and Clark's angle to find a flat foot and Q-angle with a 360^o goniometer.

Results: The analysis test results obtained a result of p=0.000 (p<0.05), so it can be explained that there is a significant relationship between flat foot and Q-angle. The results of the spearmen-rho analysis obtained a moderate relationship with the value of the correlation coefficient on the right flat foot with a right Q-angle of 0.527 and the left flat foot with a left Q-angle of 0.597 which means the direction of the relationship is unidirectional.

Conclusion: Based on the study's results, it can be concluded that there is a moderate, unidirectional, and meaningful relationship between flat foot and Q-angle in elementary school children in Kusamba Village, Dawan District, Klungkung Regency.

The effect of proprioceptive neuromuscular facilitation stretching exercises on pain and postural balance in patients with knee osteoarthritis

Dwi Rosella Komala Sari — 2023-07-11

Background: Osteoarthritis is a degenerative disease that can cause pain, stiffness, and reduce balance function, thus interfering with daily activities. Proprioceptive Neuromuscular Facilitation Stretching (PNFS) can increase proprioceptive stimulation and activate muscles, reducing pain and improving postural balance in the OA knee. This study aimed to determine the effect of PNFS on reducing pain and increasing postural balance in patients with knee OA.

Methods: This type of research was an experimental study with a quick experimental approach without a control group. Nineteen respondents with knee OA were taken by purposive sampling and met the inclusion and exclusion criteria. PNFS was done with the hamstring and quadriceps muscles twice a week for four weeks. The pain was evaluated using a numeric rating scale (NRS), while the dynamic balance was assessed by the timed up and go test (TUG), and static balance was examined by the one-leg stance (OLS) as well as Functional Reach Test (FRT).

Results: There was a significant positive effect of PNFS to reduce pain and improve TUG, OLS, and FRT with p-values <0,05, respectively.

Conclusion: Pain is the main problem in OA knee and reduced balance. However, PNFS exercises were recommended for rehabilitation management in patients with knee OA.

Q-angle and postural stability: a review of the relationship and implications for fall risk

Komang Tri Yudartha Widnyana — 2023-07-11

Introduction: One of the condition common types of muscular distortion is retrieved Q-angle and postural stability. The function lower extremities with all the structures assist postural stability in most static postures and dynamic movements or activities. The changes in the Q-angle and postural stability contribute to the development risk of falling. This study aimed to examine the relationship and implications of Q-angle and postural stability for fall risk.

Methods: This study uses a literature review by conducting data through an electronic database such as Pedro, Pubmed, and Google Scholar. They had discussed approximately Q-angle, postural stability, and fall prevention with selection by inclusion and exclusion criteria.

Results: We discovered three research related articles. The studies examined the relationship and implications of Q-angle and postural stability for fall risk. The results of those studies, Q-angle and postural stability had a correlate and implication for fall risk.

Conclusion: Q-angle and postural stability are related to the risk of falling. The risk of falling can be decreased by reducing the Q-angle and improving postural stability. Additionally, it can be achieved through exercise or orthotics to helps reduce the risk of falls, which will eventually avoid injuries.

The effect of strengthening exercise on the balance of athletes with chronic ankle instability: a literature review

Nadia Geovany Aritonang — 2023-07-11

Background: Repetitive ankle sprains can cause chronic ankle instability. More than 40% of athletes experience repeated ankle sprains and tend to be indifferent to these conditions, causing a decrease in ability when exercising or competing due to deficits in lower leg muscle strength, especially ankle propulsion, neuromuscular, proprioceptive, and postural control.

Objective: to determine the effect of strength exercise on athletes with chronic instability ankle conditions.

Method: the method used is a literature review or reviewing several articles that have been published.

Results: The seven journals discussed show that strength exercise can improve the balance of athletes with chronic stability ankle conditions, and there are also several combinations of using tools such as resistance bands and blood flow restriction cuffs that make strength exercise more effective in improving the balance of athletes with chronic stability ankle conditions.

Conclusion: There is an effect of strengthening exercises on the balance of athletes with chronic ankle instability.

The effectiveness of combining ultrasound therapy with splinting and exercise therapy for patients with carpal tunnel syndrome

Sayu Aryantari Putri Thanaya — 2023-07-17

Background: Carpal tunnel syndrome (CTS) can cause patients to experience negative symptoms that can significantly affect their ability to use their hands to perform daily activities. This study aimed to compare the effectiveness of a combination of splinting and exercise therapy with or without ultrasound therapy in improving CTS symptoms and the functional status of patients.

Methods: This randomized pre and post-test control group design study was conducted in private physiotherapy practices in the Denpasar area from August to September 2022. Twenty-four subjects with unilateral CTS were randomly divided into an Intervention Group (n=12; splinting, exercise therapy, and ultrasound therapy) and a Control Group (n=12; splinting and exercise therapy only). Splinting was used all day and night for four weeks. Exercise therapy was given three times per week for four weeks. Ultrasound therapy was given once a day, three times per week, for four weeks. The subject's symptoms and functional status before and after treatment were evaluated using the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ), which consists of the Symptom Severity Scale (SSS) and the Functional Status Scale (FSS).

Results: Significant improvements were found in SSS and FSS in Group 1 (SSS: p=0.000; FSS: p=0.000) and Group 2 (SSS: p=0.000; FSS: p=0.000), and a significant between-group difference was found in SSS (p=0.000) and FSS (p=0.001).

Conclusion: The addition of ultrasound therapy to splinting and exercise therapy is more effective than that in improving the symptoms and functional status of patients with CTS.

Relationship between lifting load and shoulder pain complaints in material transport workers

I Putu Meika Semara Putra — 2023-07-17

Background: Many workers have experienced increased shoulder pain due to lifting and transporting materials. Workers who lift too heavy a load can cause unhealthy body conditions and experience pain complaints in the shoulder area. This study aimed to determine the relationship between lifting weights and shoulder pain complaints of material transport workers in Gianyar.

Methods: This research used the cross-sectional design. The research was conducted offline or directly in the field. The sampling technique used is using total sampling with a total of 64 people. The Spearman rho test was used to analyze the data.

Results: The research results on lifting weights with shoulder pain were obtained from research samples with complaints of shoulder pain. Namely, there were 62 people, 99% without complaints of shoulder pain, as much as 1%. Through the Spearman test, the pain value p = 0.000, and the r-value in the relationship of shoulder pain complaints is r = 0.551.

Conclusion: There was a relationship between lifting weights and shoulder pain complaints in material transport workers in Gianyar.

Relationship between level of physical activity and body mass index among senior high school students

I Gede Panji Harta Danu — 2023-07-17

Background: The development of the times causes technology to also experience development. As a result, many activities that previously required excess energy can now be easily done and also more practical. On the other hand, the development of this technology has a bad impact, where a person becomes less active in carrying out his daily activities, which can affect his lifestyle. Low physical activity can have an impact on body mass index that becomes not ideal. The purpose of this study was to analyze the relationship between physical activity level and body mass index in students of senior high school.

Methods: This study used the cross-sectional design. The research was conducted offline or directly in the field.

Results: The results of Spearman's rho correlation test showed a value of p= 0.000 (p< 0.05) and a correlation coefficient value of -0.502.

Conclusion: There is a significant relationship between physical activity level and body mass index in students of senior high school with sufficient correlation strength. The value of the correlation coefficient shows negative results which indicate a unidirectional relationship between the two variables, where the lower the level of physical activity, the higher the value of a person's body mass index and vice versa.

The relationship between noise level and sleep quality in wood processing factory workers

I Gusti Agung Haryawan — 2023-07-26

Background: Many wood processing factories use giant machines to cut or shave wood according to the required needs. When processing wood, the condition workers experience exposure related to machine-generated noise. Exposure to noise generated from the work on average > 85 dB. Conditions of working hours are also long, up to 8 hours per day. There are several impacts caused by the presence of noise, one of which is the occurrence of sleep disturbances. This study aimed to determine the relationship between noise level and workers' sleep quality at the Rana Bhumi wood processing factory, Gianyar, Bali-Indonesia.

Methods: The research design was a cross-sectional study with a population of 30 samples of wood processing factory workers at Rana Bhumi, Gianyar, Indonesia, who met the inclusion and exclusion criteria. Measure noise level using a sound level meter and measurement of sleep quality using the Pittsburgh sleeping quality index (PSQI). The data were analyzed using computer software with Spearman's rank test to determine the significant relationship between noise level and sleep quality in wood processing factory workers.

Results: The results showed that 30 factory workers were obtained by analyzing the relationship between noise level and sleep quality, where p=0.000 (p<0.05).

Conclusion: There was a significant relationship between noise levels and sleep quality in wood processing factory workers in Rana Bhumi, Gianyar, Bali, Indonesia.

The relationship between mobile online gameplay duration and sleep quality in the latest adolescents

Gede Ariantika Putra — 2023-07-26

Background: One of adolescents' popular physical activities and entertainments is playing online games. Playing online games with excessive duration can cause poor sleep quality. This study aimed to determine whether there is a relationship between the duration of playing mobile online games with sleep quality in late adolescents at senior high school 1 Dawan, Bali, Indonesia.

Methods: The research method used is analytic observational with a cross-sectional design and purposive sampling method. The total sample obtained is 91 samples according to the specified criteria. Data were collected by measuring the duration of playing player unknown's battlegrounds (PUBG) mobile with a questionnaire on the duration of playing online games and measuring sleep quality with the pittsburgh sleep quality index (PSQI) questionnaire.

Results: Based on the results of testing the data using spearman rho analysis, the results obtained were p= 0.002.

Conclusion: Based on the study's results, it can be concluded that there is a relationship between the duration of mobile online games and sleep quality in late adolescents.