Health Science and Rehabilitation Journal

Hubungan Usia Dengan Derajat Disabilitas Fungsional Pada Pasien Osteoarthritis Lutut di RSUP Haji Medan

Marni Sari Syaputri Surbakti — 2026-11-07

Background: Knee osteoarthritis is a degenerative joint disease commonly occurring in older adults and a leading cause of functional disability. Age plays a significant role in determining symptom severity and mobility decline. This study aimed to analyze the relationship between age and the degree of functional disability in knee osteoarthritis patients at RSUP Haji Medan. Methods: An observational analytic study with a cross-sectional approach was conducted using total sampling of 48 respondents at the Rehabilitation Medicine Polyclinic of RSUP Haji Medan between October and November 2025. Functional disability was assessed using the WOMAC questionnaire and analyzed using Pearson correlation and simple linear regression. Results: A significant positive correlation was found between age and the degree of functional disability (r = 0.525; p = 0.000). Simple linear regression analysis showed a regression coefficient of 0.886. Conclusion: Older age is significantly associated with higher degrees of functional disability in knee osteoarthritis patients, highlighting the necessity for early targeted rehabilitation interventions.

Pengaruh Pemberian Hold Relax untuk Meningkatkan Fleksibilitas Otot Hamstring pada Pemain Futsal Academy F.B.S Medan

Dinda Putri Elisabeth Sitorus — 2026-10-18

The development of futsal demands optimal hamstring muscle flexibility to support athletic performance and prevent injuries. This study aims to analyze the effect of Hold Relax Exercise on improving hamstring muscle flexibility among junior futsal players at Academy F.B.S Medan. Employing a quasi-experimental design with a one-group pre-test and post-test approach, this study involved 33 futsal players aged 8–13 years selected via purposive sampling. Flexibility was measured using the Sit and Reach Test before and after the intervention, which was administered over 8 sessions across 4 weeks. Since the data were not normally distributed based on the Shapiro-Wilk test (p < 0.05), bivariate analysis was conducted using the Wilcoxon Signed Rank Test. The results revealed a p-value of 0.000 (p < 0.05), confirming that Hold Relax significantly improves hamstring flexibility in futsal players.

Hubungan Aktivitas Fungsional Terhadap Tingkat Keparahan Osteoarthritis Knee di Desa Pahang Kabupaten Batu Bara

Syafrina Darmi — 2026-11-07

Knee osteoarthritis is a chronic degenerative joint disease characterized by cartilage damage, pain, and functional limitations in patients. This study aims to determine the relationship between functional activity and the severity of knee osteoarthritis in Hamlet I, Pahang Village, Talawi District, Batu Bara Regency. An observational analytic descriptive design with a cross-sectional approach was utilized. Total sampling technique was applied, involving 40 respondents. Data were collected using the WOMAC questionnaire to measure functional activity and the Lequesne Index to assess severity. Data analysis was performed using the Pearson correlation test. Bivariate analysis results showed a correlation coefficient of 0.340 with a p-value of 0.032 (p < 0.05), indicating a significant positive relationship between functional activity and the severity of knee osteoarthritis

Hubungan Q-Angle Dengan Risiko Patello Femoral Pain Syndrome Pada Pelari Rekreasional di Jakarta Pusat

Afni Novita — 2026-11-12

Abstrak: Penelitian ini bertujuan untuk mengetahui hubungan Q-angle dengan Risiko Patellofemoral Pain Syndrome pada Pelari Rekreasional yang berusia dalam kategori usia remaja hingga dewasa muda dengan riwayat gejala nyeri lutut dengan frekuensi latihan berlari 2 – 3 kali dalam seminggu di Gelora Bung Karno, Jakarta Pusat. Penelitian ini menggunakan desain Observasional Analitik menggunakan pendekatan cross-sectional. Penelitian melibatkan 60 responden yang memenuhi kriteria penelitian. Pengukuran Q-angle dilakukan menggunakan goniometer, sedangkan risiko PFPS dinilai menggunakan Kujala Score dan pemeriksaan khusus Clarke’s Test. Analisis data dilakukan secara univariat dan bivariat. Uji statisik yang digunakan disesuaikan dengan distribusi data, dengan tingkat kemaknaan a = 0,05. Hasil penelitian menunjukkan bahwa pengukuran Q-angle pada pelari rekreasional memiliki nilai rata-rata Q-angle kanan sebesar 20,73±5,29° dan Q-angle kiri sebesar 20,8±5,47°. Berdasarkan penilaian risiko PFPS menggunakan Kujala Score, diperoleh 78,36±8,23. Hasil uji Spearman Rank Correlation menunjukkan bahwa terdapat hubungan yang signifikan antara Q-angle dengan risiko PFPS berdasarkan Kujala Score (nilai p = -0,372). Hasil penelitian ini menunjukkan bahwa terdapat hubungan Q-angle dengan Risiko Patellofemoral Pain Syndrome pada Pelari Rekreasional di Jakarta Pusat.

Hubungan Antara Tingkat Spastisitas dengan Kemampuan Motorik Anak Cerebral Palsy Spastik di Pusat Rehabilitasi Harapan Jaya Pematang Siantar

Lusianti Simanjuntak — 2026-10-16

Spastic cerebral palsy (CP) is a prevalent neurodevelopmental disorder characterized by velocity-dependent muscle hypertonia, which severely hinders motor execution and functional independence in pediatric populations. This study aimed to analyze the correlation between the level of spasticity and gross motor function among children with spastic CP at the Harapan Jaya Rehabilitation Center in Pematang Siantar, Indonesia. A quantitative observational study with a cross-sectional design was conducted involving 33 pediatric patients aged 4–12 years selected through purposive sampling. Spasticity was evaluated using the Modified Ashworth Scale (MAS), while gross motor capacity was classified via the Gross Motor Function Classification System (GMFCS). The cohort was predominantly characterized by spastic quadriplegia (81.8%), elevated spasticity grades (MAS Grade 4: 42.4%; MAS Grade 3: 36.4%), and severe motor limitation (GMFCS Level V: 72.7%). Spearman’s rank correlation test demonstrated a statistically significant, strong positive correlation between spasticity level and gross motor function impairment (r = 0.710, p < 0.001). These findings confirm that higher degrees of muscle hypertonia correlate directly with increased severity of gross motor limitation. This study contributes empirical evidence from a community-based rehabilitation setting, emphasizing the clinical necessity of combining spasticity-reduction strategies with task-specific gross motor functional training to optimize mobility and independence in children with severe spastic CP

Pengaruh Pemberian Neuromuscular Tapping dan Nerve And Tendon Gliding Terhadap Pengurangan Nyeri Pada Pasien Carpal Tunnel Syndrome Di RSAB Pekanbaru

Adhe Rhafiqa Rezeki — 2026-10-25

Carpal Tunnel Syndrome (CTS) is a compression neuropathy of the median nerve within the carpal tunnel, causing pain, numbness, and functional impairment. This study aimed to determine the effect of Neuromuscular Tapping (NMT) and Nerve and Tendon Gliding Exercise on pain reduction in CTS patients at RS Awal Bros Pekanbaru. A quantitative quasi-experimental study with a one-group pre-test and post-test design was applied. A sample of 20 CTS patients was selected using total sampling. Pain intensity was evaluated via the Visual Analog Scale (VAS) before and after receiving intervention twice weekly for three weeks. The Shapiro-Wilk test indicated non-normally distributed data (p < 0.05). Hypothesis testing using the Wilcoxon Signed Ranks Test showed a decrease in mean pain scores from 4.65 at pre-test to 2.40 at post-test with a p-value of 0.000 (p < 0.05). In conclusion, combined NMT and Nerve and Tendon Gliding Exercise significantly reduce pain in CTS patients.

Pengaruh Active Cycle Of Breathing Technique Terhadap Derajat Sesak Napas Pada Pasien Tuberculosis Paru di UPT Puskesmas Sentosa Baru

Hana Fahira Zahra Lubis — 2026-11-07

Background: Pulmonary tuberculosis is an infectious disease characterized by sputum accumulation in the airway, triggering ventilation impairment and dyspnea. Non-pharmacological management through chest physiotherapy is essential to clear the airway. This study aims to determine the effect of the Active Cycle of Breathing Technique (ACBT) on reducing dyspnea degree in pulmonary tuberculosis patients. Methods: This study employed a pre-experimental design with a one-group pretest-posttest design. A total of 15 respondents were selected using purposive sampling. Dyspnea degree was measured using the Borg Scale before and after the intervention over 12 sessions, and analyzed using the wilcoxon test. Results: The mean pre-test dyspnea degree was 4.20, which decreased to 2.80 at the post-test. The wilcoxon statistical test showed a p-value of 0.001 (p < 0.05). Discussion: The reduction in dyspnea degree occurs because the synergy of ACBT cycles relaxes the airway, opens collateral alveoli, and promotes the mobilization of peripheral secretions toward the proximal airway for clearance, thereby optimizing pulmonary ventilation.

Perbedaan Efektivitas Ultrasound dan Kombinasi Ultrasound-Stretching Terhadap Nyeri Trigger Point Otot Upper Trapezius di RS Awal Bros Botania

Agustina — 2026-11-13

Upper trapezius trigger points are one of the causes of musculoskeletal pain that may interfere with daily activities. Ultrasound therapy and stretching can be used for pain management; however, the difference in pain reduction between ultrasound therapy alone and its combination with stretching remains important to investigate. This study aimed to determine the difference in the effectiveness of ultrasound therapy and combined ultrasound therapy with stretching in reducing pain associated with upper trapezius trigger points based on the Numeric Pain Rating Scale (NPRS). This quantitative study employed a quasi-experimental design with a two-group pre-test and post-test design, involving 40 participants divided into an ultrasound therapy group and a combined ultrasound therapy and stretching group, with 20 participants in each group. Pain intensity was assessed using the NPRS before and after six intervention sessions. Data were analyzed using a paired t-test to assess within-group changes and an independent-samples t-test to compare pain reduction between groups. Effect size was assessed using Cohen’s d with a significance level of ? = 0.05. The ultrasound therapy group showed a reduction in pain intensity with a mean delta of 3.150 and p < 0.001. The combined ultrasound therapy and stretching group showed a reduction in pain intensity with a mean delta of 4.300 and p < 0.001. The independent-samples t-test showed a significant difference in pain reduction between the two groups (p = 0.004), with a mean difference of -1.150 and a 95% CI of -1.986 to -0.314. Cohen’s d was -0.881, indicating a large effect size. Both ultrasound therapy and combined ultrasound therapy with stretching significantly reduced pain intensity. There was a significant difference in the magnitude of pain reduction between the two groups, with the combined group showing a greater mean delta than the ultrasound therapy group. The between-group difference demonstrated a large effect size.

Pengaruh Resistance Circuit Training Terhadap Activity Daily Living pada Lansia di Puskesmas Gonting Mahe

Diade Junti Sibagariang — 2026-10-18

The aging process triggers a decline in physiological function and the musculoskeletal system, resulting in limitations in the Activities of Daily Living (ADL) among older adults. This quantitative quasi-experimental study with a one-group pre-test and post-test design aimed to analyze the effect of Resistance Circuit Training (RCT) on ADL independence levels among elderly individuals at Gonting Mahe Public Health Center. A total of 36 older adults were selected using a purposive sampling technique. ADL independence levels were measured using the Katz Index before and after the RCT intervention, which was delivered across eight exercise sessions over one month. Prior to the intervention, the majority of respondents were classified as moderately dependent (83.3%) and mildly dependent (16.7%). Following the intervention, functional independence improved significantly, shifting to slightly dependent (55.6%), fully independent (25.0%), and mildly dependent (19.4%). Results from the Wilcoxon Signed Rank Test revealed a statistically significant value of p = 0,000 (p < 0,05), demonstrating a significant effect of RCT on improving ADL scores. This study concludes that Resistance Circuit Training effectively enhances functional independence in older adults, highlighting the need for structured resistance programs using simple equipment in primary healthcare settings

Pengaruh Latihan Plyometric Depth Jump Terhadap Peningkatan Vertical Jump Pada Pemain Bola Voli Dishub Gor Bumi Sejahtera Pekanbaru

Widodo Rahmad Suryadi — 2026-10-25

Vertical jump ability is a critical biomotor component in volleyball, essential for optimizing smash and block execution. This study aims to analyze the effect of plyometric depth jump training on improving vertical jump performance among volleyball players at Dishub GOR Bumi Sejahtera Pekanbaru. A quantitative quasi-experimental design with a one-group pre-test and post-test approach was utilized. The study involved 20 male volleyball players aged 18–23 years selected via total sampling. Vertical jump height was measured using the Sargent Jump Test before and after a 4-week depth jump intervention from a 40-cm box, performed 3 times weekly (10 repetitions, 4 sets). Normality and homogeneity tests confirmed normal data distribution (Shapiro-Wilk, p > 0.05) and variance equality (p > 0.05). Bivariate analysis using the Paired Sample t-Test revealed a significant increase in mean vertical jump score from 46.63 cm at pre-test to 53.75 cm at post-test with a p-value of 0.000 (p < 0.05). In conclusion, plyometric depth jump training significantly enhances vertical jump height in volleyball player.