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Background: The prevalence of extreme pain in medical and surgical patients admitted to the Intensive Care Unit (ICU) is more than 80.0%. One of the nonpharmacological therapies that can be used to control pain is the distraction technique with music therapy, where this application uses gamelan music therapy. Objective: To determine the results of the implementation of gamelan music therapy to reduce postoperative pain intensity in the Intensive Care Unit of Pandan Arang Hospital Boyolali. Method: The design used in this application is using a descriptive case study approach. Application is carried out for 30 minutes 2x a day in 4 consecutive days. Findings: Comparison of the final results of application showed that on the 4th day after the implementation of the VDS scale the two respondents were the same, namely on the pain scale 3. The results of the CPOT scale on the 4th day of Mrs. W after implementation are a scale of 4. The results of the CPOT scale on the 4th day of Mrs. S after implementation are a scale of 3. Implication: From the final results of the application before and after it can be concluded that gamelan music therapy can reduce the intensity of pain in postoperative patients in the ICU of Pandan Arang Hospital Boyolali.  

A 63 year old male patient came to the emergency room with complaints of weakness since 5 days of SMRS. Complaints are accompanied by nausea, vomiting, pain throughout the stomach, and liquid bowel movements. The patient also complained of low back pain that spread to both legs and made it difficult to walk. The patient also feels that he is urinating a little and seems to be stuck. Two weeks ago the patient had a fever accompanied by a cough. On physical examination, BP 90/60 mmHg, HR 111 x/minute, RR 20 x/minute, BMI 20.3 kg/m2, suprapubic area tenderness, right CVA tapping pain. Investigations Hb 11.73 g/dl, urea: 73 mg/dl, creatinine: 3.45 mg/dl, tubex: negative, dengue Ig M: negative, dengue Ig G: positive. Abdominal ultrasound examination revealed multiple nephrolithiasis dextra. On chest X-ray examination, there was an increased bronchovascular pattern, an air bronchogram (+) with an impression of bronchitis. The finding of multiple nephrolithiasis dextra indicates that the patient's kidney failure is chronic in nature, however, DHF that is not treated properly causes worsening of kidney function, giving rise to the condition of ACKD.

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

Background: Arthritis, better known as rheumatism, is a disease that attacks the joints and surrounding structures. Society often perceives rheumatism as a trivial disease because it does not cause death, even though if it is not treated immediately, rheumatism can cause abnormal limb function, ranging from lumps, stiff joints, and walking difficulty, to lifelong disability. Based on data from the Tungoi Health Center in 2022 the number of patients affected by rheumatoid arthritis was 127 people which was among the 10 highest number of diseases in the Tungoi Health Center. The study aimed to analyze the relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Methods: This study used a cross-sectional study approach. The location of the research was the Tungoi Health Center in October 2022. The study population consisted of patients seeking treatment in the working area of Tungoi Health Center with the number of study samples obtained was 92 patients using total sampling. Data analysis was carried out using the chi-square test. Results: the study showed that there was a relationship between rheumatoid pain and the level of independence in the elderly with a value of ? = 0.000. Conclusion: There was a relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Suggestion: Health workers who are responsible for the Integrated coaching unit (POSBINDU) are to provide support to elderly families so that they participate regularly in the elderly programs provided by the Integrated coaching unit (POSBINDU) and Integrated Healthcare Center (POSYANDU).

Background: Osgood-Schlatter (OSD) Including the most common injuries that occur during productive age, this  condition occurs due to inflammation of the patellar tendon insertion at the tuberosity of the tibia. Osgood Schlatter usually occurs in children and adolescents who are active in sports, usually occurs in male adolescents aged 13-14 years and female adolescents aged 10-11 years. Purpose: Reducing pain in the right knee, reducing edema, maintaining muscle strength and increasing muscle mass M.Quadriceps, M.Hamstrings, M.Gastrocnemius, M.Gluteus, M.Adductor hip, M.Pectineus, M.Adductor longus, M. Adductor brevis, M. Adductor magnus, M. Gracilis. evaluated with 8 items sport scale. Methods: This study involved boys aged 12 years who experienced Osgood-schlatter. The exercise program was carried out for 3 weeks. Results: In this study, patients were followed up every week. The patient underwent physiotherapy sessions for 3 weeks. Patients are given measurements for muscle strength, increase in LGS, changes in segment circumference, and are obtained from the patient's ADL. Conclusion: In this study it can be concluded that after being given intervention for 3 weeks there were still no changes in Pain Level, Muscle Strength Level, Range of Joint Motion, Segment Circumference and Activity Daily Living in patients with the Osgood- Schalatter condition.

Gothic is a clothing style that is characterized by striking, mysterious, exotic, and complex dark features, in this study the author adds fabric painting with Dayak ethnic motifs on synthetic leather in a gothic look. This study aims to determine the process of making a ready-to-wear gothic look with variations of synthetic leather details and painting of Dayak ethnic motifs. The method used in this research process is a qualitative method. The process of making ready-to- wear which consists of a blazer, crop top, obi belt, and skirt begins with determining the fashion design, making patterns from basic patterns to breaking patterns, cutting materials, marking stitches, then sewing the sides of the crop top, combining with lining, attaching zipper and collar, sewing the sides and lining of the blazer, combining the main material and the lining, attaching the painting to the back, attaching the buttons, then sewing the sides and lining of the skirt, then combining the main material and the lining, reassembling, then combining the main material and the lining , reassembling, painting variations, installing tires on the waist, followed by combining all sides with a furing obi belt, sewing the waist, then installing chicken eyes, finally painting the Dayak ethnic motif on the skin, starting with making a pattern sketch of the motif, then installing it on the cloth, block the motif with white, and the last one gives color to the motif.

Background: Pre-operative anxiety is the fear of pain after surgery, physical changes, facing surgical equipment and staff, death during anesthesia, failure of surgery or complications during surgery. Anxiety in patients who will undergo surgery can be overcome with non-framacological therapy, namely SEFT therapy which has a positive impact on reducing preoperative patient anxiety. Purpose: This case study aims to determine whether implementing SEFT therapy can reduce anxiety in preoperative patients Method : The method is a case study focusing on one patient. First, a numerical rating scale was utilised to measure the intensity of anxiety of the patients using the STAI (State-Traite Anxiety Inventory), then using SEFT therapy over of 3 stages, namely set-up, tune-in, and tapping between 10-15 minutes 1 time per day for 2 days, then re-evaluate using STAI to measure anxiety levels after the intervention  Results: The results show that using the SEFT therapeutic intervention, the preoperative patient's anxiety level decreased from moderate anxiety to mild anxiety Suggestion: Nurses could provide education to patients and their families in order to be able to reduce anxiety in the pre-operative phase so that patients can become more relaxed and comfortable.

Pregnancy is a physiological process that occurs due to the process of growth and development of a fetus. During the development of pregnancy there will be physical and mental changes. One of the physical changes that occur during pregnancy is pregnant women experience complaints of back pain, especially in III trimester. Efforts to reduce back pain in third trimester pregnant women are using prenatal yoga. This case study purpose to determine the effect of applying prenatal yoga on back pain in III trimester pregnant women. The method in this study is a case study on clients of III trimester pregnant women. Patients were measured with OPQRSUV and used NRS instrument to determine pain scale before and after prenatal yoga intervention. The intervention was carried out for 3 days with 15-30 minutes every session. The results of this case study showed that prenatal yoga intervention in pregnant women can reduce the level of back pain from scale 4 to scale 2 within 3 days intervention. The implication of this case study is prenatal yoga which consists of 6 effective movements to help reduce the scale of pain in III trimester pregnant women because it can relax the body of pregnant women.

Sport is one of a person's physical and psychological activities that is useful for maintaining and improving the quality of one's health after exercise. In office workers with very dense routines from morning to late, faced with deadlines, light mobilization, sitting too long, poorly trained muscles and wrong work positions will cause various complaints such as low back pain, neck complaints, shoulder complaints and not only limited to physical, but more susceptible to various diseases, such as coronary heart disease,  high blood pressure, diabetes miletus, stroke etc. This research uses Literature Review research which is one method with collecting literature data, analyzing theories, structured evaluations, classifying and categorizing evidence-based that has existed or been produced before. The results of maintaining health in a busy life order must still be considered, by exercising and maintaining a lifestyle. To maintain motion is to sustain life, to increase the ability to move is to improve the quality of life.  

One of the benefits of the semiotic approach is being able to examine in more detail the communication conveyed by works of art. In the current digital era, works of art can take the form of photography, videography, and so on, where these works of art can provide meaning or representation of a communication message. One of the works of art in the form of videography is video clips. One example of a video clip is a song entitled "Perfect My Day" sung by Rey Mbayang, which used to be trending 1 on YouTube in the music category. The background of this video is Dinda Hauw's documentary film when she is going through the process leading up to childbirth, this makes the writer interested in analyzing Ferdinand De Saussure's semiotics because the writer also has personal experience in dealing with the birth process. In this research, the researcher uses Ferdinand De Saussure's semiotic analysis method and examines the signs that refer to the video clip for the song "Sempurnaka Hariku" sung by Rey Mbayang. These signs are data such as images and other visual elements, as well as other supporting data, which will be studied and interpreted in the form of words and language. The results of the research on the video clip for the song "Perfect my day" sung by Rey Mbayang has signifiers and signifieds. It can be analyzed that the overall meaning of the various signs in the semiotic analysis is an explanation that the video clip tells about the struggles of the process of giving birth to Rey Mbayang and Dinda Hauw's first child from the beginning of the process full of anxiety, resignation, and pain until after birth it changes with a feeling of emotion, relieved and happy also grateful to have been given the mandate and gift in the form of a son from Allah SWT. The sign is that in the process of struggling to give birth, there is the role of the husband and family which are very important to support the success of the process.

Pregnancy is a period in which a woman carries an embryo or fetus in her body. The period of pregnancy starts from conception to the birth of the fetus. During pregnancy, the mother will experience physical and psychological changes. The physical changes that occur sometimes even cause discomfort for the mother, one of which is back pain. This study aims to determine the effect of Pregnancy Exercise on Reducing Back Pain in Pregnant Women at Elisabeth Midwife Independent Practice, Mandailing Natal District in 2022. This type of research is a quasi-experimental study with a research approach with a prepost test design with one group test. Population is all pregnant women in the Elisabeth Midwife Independent Practice, Mandailing Natal District in 2022, totaling 28 pregnant women. The number of samples used was 28 people obtained by using total sampling technique. The data analysis technique uses the Paired-Samples T Test. The results obtained in this study were from 28 respondents, there was an effect of pregnancy exercise on reducing back pain in pregnant women with a value of p = 0.000. Conclusion: there is an effect of pregnancy exercise on reducing back pain in pregnant women. It is recommended for health workers to improve counseling related to reducing back pain in pregnant women with pregnancy exercise.

Pain in labor is an unpleasant emotional and sensory experience arising from actual or potential tissue damage or demonstrated. Pain is a natural process in labor. If it is not handled properly, it will cause other problems, namely increased anxiety or worry due to lack of knowledge in the mother about the processes that occur when facing labor. This study aims to determine the effect of back massage on reducing the pain scale of labor in the first active phase at UPTD Puskesmas Maga, Mandailing Natal district in 2022. This type of research is a quasi-experimental study with a research approach using a prepost test design with one group test. The population is all pregnant women who are at the UPTD Puskesmas Maga, Mandailing Natal Regency in 2022, totaling 54 mothers in partu. The number of samples used was 54 people obtained by using total sampling technique. The data analysis technique uses the Paired-Samples T Test. The results obtained in this study were from 54 respondents, there was an effect of back massage on a decrease in the active phase of labor pain scale in the first active phase with a value of p = 0.011. There is an Effect of Back Massage on Reducing the Pain Scale of Labor in the Active Phase I. It is recommended for health workers to improve counseling related to reducing the pain of the active phase of labor in the first stage of labor for mothers in labor with back massage

Pain in labor is a physiological process.contractions are used to divert women from pain during contractions, Yoga is a movement that is relatively safe and is performed on pregnant women, very useful for dealing with shortness of breath, back pain. Hypnobirthingdeep relaxation, through slow and deep breathing patterns so that the body automatically releases endorphins which are natural morphines in the body which are useful for reducing and even eliminating pain during contractionscan also increase the formation of endorphins DestinationIncrease the knowledge of midwives about effluerage massage and Hypnobirthing in pregnant women. The process of giving birth becomes very pleasant, smooth and fast with trainingeffluerage massageand hypnobirthing on imom is pregnant so that mothers enjoy a safe, gentle, smooth and comfortable delivery process through pregnant women classes in Silian Satu village, K1 and K4 in pregnant women will be achieved. After being evaluated from 10 pregnant women, there were 7 pregnant women who felt comfortable after doing effluerage massage followed by Hypnobirthing.

Background: Restaurant workers are a profession that complains neck pain due to high intensity, lifting heavy loads, often using wrong postures while working. Physiotherapy interventions such as education using leaflets, stretching and education about correct posture while working, can be given to increase knowledge and prevent pain progression. Purpose: To provide education related to neck pain with physiotherapy treatment for the Rumah Makan Pangeran Kota Jambi workers. Method: This activity is community service which held on January, 5-6th 2022. Results: After being given education, there is an increased understanding of neck pain in the Rumah Makan Pangeran Kota Jambi workers, and there is a decrease in level of pain felt, whether it is static pain or tenderness after being given stretching. Conclusion: The provision of education and treatment of physiotherapy can reduce complaints and increase understanding regarding neck pain in the Rumah Makan Pangeran Kota Jambi workers.

Back pain during pregnancy peaks at week 24 to week 28, when abdominal enlargement reaches its maximum. Pregnancy and childbirth are natural processes that can cause pain. However, many women feel the pain more severely than they should because they are affected by panic and stress. This is known as the fear-tension-pain concept, where fear triggers tension or panic which causes muscles to stiffen and ultimately increases pain. Overcoming this discomfort requires non-conventional therapy, one of which is pregnant gymnastics. Based on this, the community service team conducted the implementation of pregnant exercises for third-trimester pregnant women with the aim that pregnant women can do pregnant exercises independently at home and reduce complaints of back pain they experience. This training method is carried out using lectures and demonstrations of pregnant exercises. Implementation was carried out 1x / once a week for 1 month at Puskesmas Lembang Lego Village, Lembang Kec. Lembang, Polman Regency in January 2021 which 20 pregnant women attended. The care method used is qualitative with case research (CSR) by collecting pre- test and post-test data with pain scale observation using Numeric Rating Scale (NRS) measurement. Physical training of pregnant women to prepare for their labor through pregnancy exercises is considered effective as a preventive measure for pregnant women in preparing for their labor. It can reduce the intensity of back pain in Trimester III pregnancy.

Background: Temporomandibular joint disorder (TMD) is characterized by craniofacial pain involving the jaw joint, masticatory muscles, or muscles that innervate the head and neck. The causes of TMD are multifactorial, including tooth loss and bad habits. The new DC/TMD protocol is a TMD examination protocol that is highly recommended for use as a clinical and research protocol for dentists. Objective: This study aims to determine the prevalence of TMD diagnosis results using the DC/TMD method, to determine the types of TMD diseases experienced and their relationship to the status of tooth loss in students. Method: The study used a cross-sectional analytical design with samples that met the inclusion criteria of 150 students aged 19-25 years who were taken by total sampling. The research subjects were asked to agree and sign an informed consent in advance by the researcher. Data were obtained from the results of anamnesis and physical examination with a diagnosis of TMD using the DC/TMD protocol based on the International RDC/TMD Consortium Network which has been translated into Indonesian. The examination data were processed using SPSS statistical software with univariate and bivariate tests. Results: 48% of students had tooth loss, 62% of students were diagnosed with TMD, and the results of the relationship analysis using the chi-square test showed that there was a significant relationship between tooth loss and TMD (p-value = 0.024; p  

Background: Lower back pain (NPB) Ischialgia is a pinched ischialgia nerve in the lower back area which causes the buttocks, thighs, lower legs and even feet to become tingling, painful, and sometimes causing weakness. Nerve mobilization is a manipulation technique by moving and stretching nerve tissue to increase axonal transportation so that it can improve nerve conduction. Nerve mobilization can reduce the pressure in the nerves so that there is an increase in blood flow to the nerves, which can have a regenerative and healing effect on injured nerves (Butler, 1991). Nerve mobilization is often used as a form of diagnosis and treatment for musculoskeletal conditions with nerve involvement (Butler, 1991). Nerve mobilization in the Lower Limb Tension Test (LLTT) is carried out at the branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses LLTT in the ishiadic nerve, namely LLTT 1 which is related to lower back pain. The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the LLTT 1 method in cases of lower back pain on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating CTS patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.

Background: Lower back pain (NPB) Ischialgia is a pinched ischialgia nerve in the lower back area which causes the buttocks, thighs, lower legs and even feet to become tingling, painful, and sometimes causing weakness. Manipulation is a term to cover all forms of passive movement techniques used to treat musculoskeletal disorders. Manipulation techniques are passive movement techniques that are carried out quickly so that the movement is completed before the patient can prevent it. The movement that occurs should not exceed the physiological range of motion of the joint. G.D. Maitland (1997), The aim is to determine the effect of physiotherapy management on manual therapy in cases of lower back pain. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy polyclinic, KRMT Wongsonegoro Hospital. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.00), so there was a better effect between the two groups. Conclusion: It is concluded that manual therapy is useful in treating patients with lower back pain to reduce pain in two groups. The targeted outcome is publication in national indexed journals Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2

Low Back Pain (LBP) is one of the most popular health problem in society. The World Health Organization (WHO) states that there are 150 types of musculoskeletal disorders experienced by millions of people causing pain, inflammation, and functional limitation that will affect psychology and quality of life. Therefore, it is necessary to take steps for control the incidence of LBP and prevent complication due to LBP that can implemented to the community. This activity aims to increase the understanding of community members about Low Back Pain. Community service activities carried out in the form of physiotherapy counseling orderly with talkative method using power point and leaflets. Based on the response of the participants amount 8 respondents, it was found that before the delivered of material there were 3 people (37,5%) who had fair level of knowledge and 5 people (62.5%) had good level of knowledge about LBP. Meanwhile, after the counseling process, there were 8 people (100%) had a good level of knowledge about LBP. In conclusion, education and counseling had a good impact for increasing the knowledge of community members about Low Back Pain.

Low back pain merupakan salah satu gangguan musculoskeletal akibat dari ergonomi yang salah dan dapat didefinisikan sebagai nyeri yang terlokalisasi antara batas costae dan lipatan gluteus inferior yang berlangsung lebih dari sehari. Pada tahun 2018 di Indonesia, tenaga kesehatan pernah mendiagnosis sebanyak 11.9% kasus penyakit musculoskeletal  sedangkan  kasus  yang  terdiagnosis  menurut  gejala  yang  muncul  sebesar  24,7%. Persentase penderita LBP di Indonesia diperkirakan antara 7.6%-37% pada tahun 2018. Pada tahun yang sama didapatkan sekitar 26.74% penduduk Indonesia yang berusia 15 tahun keatas dan bekerja yang mengeluh mengalami nyeri di  daerah  punggung  bawah.  Hal  ini  diakibatkan  karena  seiring  bertambahnya  usia  maka  kekuatan  otot  akan mengalami penurunan sehingga rentan mengalami gangguan kesehatan. Kami berinisiatif untuk memberikan penyuluhan terkait nyeri punggung bawah pada Mahasiswa yang berada di Universitas Muhammadiyah Surakarta khususnya pada program studi fisioterapi angkatan 2019 kelas praktek E dan juga kegiatan pengabdian ini di support dengan pemberian leaflet, pre-test, post-test untuk mengukur tingkat pengetahuan dan penambahan wawasan responden terhadap nyeri punggung bawah baik gejala, faktor resiko, cara pencegahan serta penanganan secara mandiri maupun medis., agar kedepannya para lansia menambah pengetahuan perihal low back pain dan dapat menerapkan pola hidup sehat untuk mencegah penyakit ini. Berdasarkan hasil pengisian kuesioner pre- test dan post-test yang kami berikan, pengetahuan lansia tentang nyeri punggung bawah meningkat dari yang awalnya belum mengerti perbedaan nyeri lutut biasa dengan osteoarthritis menjadi paham, dan adanya peningkatan pengetahuan akan tanda dan gejala low back pain