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Frozen shoulder is a musculoskeletal disorder of the glenohumeral joint characterized by pain, stiffness, and decreased range of motion, generally occurring at the age of 45-60 years and often associated with low physical activity or comorbid diseases. This study aims to evaluate the effectiveness of physiotherapy interventions in the form of a combination of ultrasound, Transcutaneous Electrical Nerve Stimulation (TENS), muscle release, and exercise therapy in a 72-year-old male patient with left frozen shoulder. The method used is a case study with interventions including ultrasound, TENS, muscle release, and active, passive, isometric, pendulum, walking finger, and passive stretching exercises given during three meetings. The results showed a decrease in silent, pressure, and motion pain, as well as a decrease in the SPADI score indicating an increase in shoulder function. The implications of this study indicate that the combination of electrotherapy and exercise therapy modalities can provide positive results in reducing pain and increasing functional activity in cases of frozen shoulder, although further research is needed with more varied intervention designs and durations to strengthen these findings.

Stunting was growth failure in children caused by chronic malnutrition or infectious disease, resulting in impaired physical and cognitive growth. This community service suggests using Moringa oleifera leaves to prevent stunting by making pudding. Moringa leaves are famous for their high nutritional value, containing vitamins A, C, and E and minerals such as calcium, iron, and protein. This community service program aims to increase the skills and knowledge of the community, especially pregnant women, in making Moringa leaf pudding and the importance of improving nutrition in pregnant women. The method used was descriptive, lecture, discussion and direct practice in making Moringa leaf pudding with village midwives, pregnant women at the posyandu in Loram Wetan Kudus village. The results of this community service activity can be seen from the increase in participants' knowledge and ability to make Moringa leaf pudding correctly according to the instructions that have been given previously. This community service activity concludes that participants can make Moringa leaf pudding independently and increase pregnant women's knowledge about the benefits of Moringa leaves, which are rich in nutrients and can be used to improve nutritional status to reduce the incidence of stunting.

Dyslipidemia is one of the most common metabolic disorders among the productive-age population and plays a major role in increasing the risk of cardiovascular diseases, including coronary heart disease and stroke. This condition often remains asymptomatic in its early stages, making regular monitoring of cholesterol and HDL levels a critical step in the early detection of atherosclerosis risk. Community-based screening programs revealed that 42.25% of participants had elevated total cholesterol levels, while 26.76% had very low HDL levels and 43.66% had low HDL levels. These findings highlight the urgency of early detection of dyslipidemia to prevent long-term complications that may impair individual quality of life. Through timely interventions involving nutritional education, dietary modifications, and increased physical activity, blood lipid levels can be effectively managed to prevent the progression of cardiometabolic disease and support long-term heart health.

Childhood represents a pivotal stage in every individual's development, particularly in the social and emotional domains. Young children are highly reliant on the support of their surrounding environment to recognize and manage their emotions. Indeed, emotional awareness develops progressively, commencing from physical. sensations to the capacity to comprehend complex emotions. However, children with intricate life backgrounds and a lack of parental figures tend to encounter obstacles in understanding the emotions they experience. Based on observations conducted on early childhood children at the GA Orphanage, it was found that their level of emotional awareness is still relatively low. Consequently, a structured activity-based approach was implemented to assist these children in understanding and managing their emotions.

Central obesity in women of reproductive age can have a negative impact on their health and is associated with the occurrence of metabolic diseases. This study aims to determine the factors associated with central obesity in women aged 15-49 years in Indonesia in 2023 using 2023 SKI data with a cross-sectional study design. The study sample was 213,309 women of reproductive age obtained using the linear systematic sampling technique. Data analysis was carried out up to multivariate analysis using the Cox Regression test. The results showed that the prevalence of central obesity in women of reproductive age was 49.11%. Age [PR = 1.96 (95% CI: 1.93 - 2.00)], occupation [PR = 1.20 (95% CI: 1.19 - 1.22)], and place of residence [PR = 1.08 (95% CI: 1.07 - 1.10)] were found to be associated with an increased risk of central obesity. Meanwhile, education level [PR = 0.97 (95% CI: 0.95 – 0.98)], physical activity [PR = 0.93 (95% CI: 0.91 – 0.94)], and emotional mental disorders [PR = 0.75 (95% CI: 0.70 – 0.80)] were found to be protective factors against central obesity. The most dominant factor with the occurrence of central obesity is age. Therefore, it is important for WUS to be aware of the risk of central obesity and implement appropriate preventive measures. Preventive efforts can be done by maintaining hormonal balance and body metabolism through a healthy lifestyle, as well as undergoing regular health checks.

Introduction: Sport has a significant influence on human life and provides various benefits. First, these activities allow individuals to make productive use of their free time, while also developing skills. However, during matches or training, players are at risk of injury. These injuries can occur due to lack of warm-up, technical errors, physical impacts, excessive training, or inadequate facilities and infrastructure conditions. Purpouse: The purpose of this educational activity is to provide a good overview of training to avoid injuries and correct initial handling in the event of an injury. Method: The method provided in community physiotherapy activities is to provide counseling on the definition, causes, risk factors of injury, types of injuries, first treatment of injuries, and muscle strengthening for badminton players/athletes using posters as promotional media. Result: The counseling process went smoothly, Ciptomulyo Health Center employees further understood sports injuries and the proper first treatment of sports injuries, with the aim of getting employee understanding from 0% to 100% after counseling was carried out. So that there is a decrease in the risk of sports injuries experienced by employees after knowing how to prevent injuries. Counseling activities that have been carried out at the Ciptomulyo Health Center, Malang can increase employees' knowledge and insight about sports injuries and the proper first treatment of sports injuries.

Menopause is a natural phase in a woman's life marked by the permanent cessation of the menstrual cycle, usually occurring at the age of 45-55 years. This period is often accompanied by various physical and psychological changes that can interfere with the quality of life. Education about healthy lifestyles is very important to help menopausal women manage symptoms and prevent long-term health complications. This community service activity aims to provide health education related to healthy lifestyles to menopausal women in Simpursia Village, Wajo Regency. In the menopause phase, decreased estrogen and progesterone hormones can cause various psychological symptoms such as fear of getting old, being unattractive, difficulty sleeping, getting angry easily, being very emotional, feeling depressed and sad for no apparent reason, fear of losing a husband. If left untreated, this condition can cause the elderly to experience anxiety and depression which will affect the quality of life. The methods used are counseling, interactive discussions, The results of the activity showed an increase in participants' understanding of the importance of balanced nutrition, physical activity, stress management, and routine health checks. Health education has been proven effective in increasing awareness and healthy living behavior in menopausal women.

Sleep is a basic need for every human being. Every human being needs adequate sleep in order to obtain a healthy and good body. Poor sleep quality is one of the causes of many medical ailments and has a strong relationship between physical, psychological and sleep health. According to several studies on sleep quality, a person's sleep quality is influenced by several factors such as physical activity, stress and emotion, surfing the internet, watching television and having other habits such as drinking alcohol, smoking and fast food. The student group is a group that has a fairly solid activity. Students can experience disturbances in the circadian cycle due to increased pressure from the academic environment so that groups of students do not have enough sleep. Some of the stressors from Medical Faculty students include busy class schedules, piled up assignments, anxiety before exams that affect the sleep quality of the Medical Faculty students. To determine the relationship between physical activity and emotional stress on decreased sleep quality in students of the Faculty of Medicine, UMSU class 2018. This study used an analytical descriptive method with a cross sectional design. The data was processed using the SPSS Chi-Square test in June 2022 at the Faculty of Medicine, University of Muhammadiyah North Sumatra. Based on the results of the analysis, the demographic characteristics of the average age of respondents were 22 (range 22-24) years and 97 (74%) of respondents were women, the frequency of poor sleep quality was the highest (79.4%), the frequency of light physical activity as much as (55%) and the frequency of moderate emotional stress (84%). Multivariate analysis showed that the factors that influence the decrease in sleep quality were emotional stress with p value = 0.001. Physical activity statistically did not affect the decrease in sleep quality with p value = 0.993. There is a significant relationship between emotional stress and decreased sleep quality in students of the Faculty of Medicine, University of Muhammadiyah North Sumatra, Class of 2018.

Background: Adolescent health plays an important role in the growth and development process. It can improve adolescent health, reduce poverty rates, and help achieve the eight goals of the Millennium Development Goals (MDGs). Problems experienced by adolescents can be physical and psychological problems. Health problems in adolescents can be prevented and detected early. One method for detection is to conduct health screening and methods for prevention through counseling. Screening and counseling are very important in reducing risky behavior, so that it can reduce the morbidity and mortality of adolescents. This community service activity aims to: 1. Increase student awareness of the importance of maintaining physical and mental health. 2. Provide information on how to maintain adolescent health. 3. Encourage students to adopt a healthy lifestyle. Method: socialization about adolescent health at Santa Angela High School Atambua. First by using a pre-test, providing materials and then a post-test. Participants in this socialization were 94 people consisting of 79 adolescent students, 1 principal sister, 14 teachers. Results: Level of Knowledge about adolescent health 99% Good. Conclusion: This activity can provide a significant impact on the scientific knowledge gained by Santa Angela High School students about the importance of adolescent health. Community service can result in students' awareness of the importance of maintaining physical and mental health increasing. Providing information on how to maintain adolescent health. Encouraging students to adopt a healthy lifestyle. Suggestion: The PkM Team collaborates with partners in this case higher education, especially for adolescent health. Monitoring and evaluation of students about adolescent health periodically

Diabetes mellitus is a chronic metabolic disease whose prevalence continues to increase due to changes in lifestyle and lack of physical activity, especially in the productive age population. Uncontrolled hyperglycemia can cause various serious complications such as nerve, kidney, vision disorders, and cardiovascular disease. Early detection of blood sugar levels is very important to identify risks early and prevent disease progression. The Community Service Program (PKM) implemented at the Asisi Church, Tebet District, aims to increase public awareness of the importance of early detection of diabetes through blood sugar screening activities. This activity uses the Plan-Do-Check-Act (PDCA) approach, including capillary blood tests with Point-of-Care Testing (POCT) tools and education about risk factors, symptoms, and prevention of diabetes. Of the 68 participants involved, it was found that 10 people (14.7%) had diabetes, 13 people (19.12%) had prediabetes, and 45 people (66.18%) had normal blood sugar levels. These results emphasize the importance of early detection to prevent long-term complications and encourage people to maintain metabolic health in order to improve quality of life sustainably.

Technological advances are closely related to the evolution of the times. The 21st century has seen tremendous digitalization. The number of digital-related activities and activities is increasing in this digital era. Like the rampant online buying and selling that is currently happening in the community. For some organizations, this activity offers many benefits. Because the buying and selling procedure is more effective and realistic. Nowadays, it is possible to search and buy almost anything online without physically meeting the seller. In the modern era, many micro businesses benefit from digitalization, so online buying and selling is not only for corporations or large-scale production. Through digital transformation, digital strategy, and digital capability development, MSMEs, or micro, small, and medium enterprises can now increase their competitiveness in the local market by implementing digital management strategies. While digital tactics can increase customer awareness and loyalty, digital transformation can help MSMEs improve their operational efficacy and efficiency. Through the adoption of digital technology and improving the skills of human resources, MSMEs can also become more competitive through the development of digital capabilities. It is not impossible for MSMEs to grow rapidly and generate significant income with the help of digitalization and a good management plan.

This study aims to examine the extent to which students' abilities are in understanding mathematical concepts in depth, connecting them, and applying them in various life contexts. Improving mathematical understanding is considered to have a significant influence on the world of education. This is reflected in three main aspects: improving learning outcomes, strengthening critical thinking skills, and readiness to face global challenges in the 21st century. Students' learning styles are one of the important factors that influence mathematical understanding. Learning styles can be divided into three, namely visual (relying on sight), auditory (through hearing), and kinesthetic (through physical activity). Each individual generally has all three styles, but one of them will be more dominant. Students' ability to recognize and adjust their learning styles with appropriate learning strategies contributes to their success in understanding the material. This study uses a quantitative approach with a correlational survey technique. The research sample consisted of 30 grade XI students of SMK Ristek Jaya Jakarta. Data analysis was carried out through several stages, including the validity and reliability of learning style instruments and descriptive and inferential statistical tests such as regression and normality. The results of the analysis showed that the scientific approach had a significant influence on students' mathematical understanding, with a determination coefficient of 70.39%. This means that this approach contributes greatly to improving mathematical understanding based on students' learning styles. This study suggests further studies to deepen understanding of this phenomenon and make it a reference in learning practices.

Cervical cancer remains one of the leading causes of mortality among women, particularly in developing countries such as Indonesia, where prevalence is high and early detection is often delayed. This study aims to identify and synthesize the major risk factors for cervical cancer through a systematic review of both national and international literature. The core problem addressed is the lack of a comprehensive and context-relevant risk framework for Indonesian women, resulting in suboptimal preventive interventions. The proposed method is a qualitative descriptive literature review, analyzing 15 selected scientific articles based on defined inclusion criteria. Key findings indicate that age ≥35 years, high parity, early sexual activity, smoking habits, prolonged use of hormonal contraceptives, low educational attainment, and physically demanding occupations are significant determinants of increased cervical cancer risk. The synthesis of ideas shows that biological, behavioral, social, and environmental factors interact in complex ways to influence vulnerability to cervical cancer. This study concludes that cervical cancer prevention requires a multidimensional approach that integrates education, routine screening, and increased public awareness of modifiable risk factors. The findings are expected to inform more effective and context-sensitive health policy development in Indonesia.

High blood triglyceride levels indicate impaired fat metabolism and can trigger atherosclerosis, making hypertriglyceridemia a major risk factor for cardiovascular disease (CVD), metabolic syndrome, and acute pancreatitis. The productive-age population often experiences overnutrition due to unhealthy diets and low physical activity, increasing fat and triglyceride accumulation. Stress may also elevate triglyceride levels, necessitating early screening. The Community Service Program (PKM) at Assisi Church aimed to raise awareness of early dyslipidemia detection through triglyceride screening using Point-of-Care Testing (POCT) and educational counseling. Among 76 participants, 39 (57.35%) had high triglyceride levels, while 29 (42.65%) were normal. These findings highlight the importance of regular check-ups and continuous education to reduce cardiometabolic risks and promote healthier lifestyles.

Early childhood represents a critical stage of rapid growth and development, during which children require appropriate stimulation to optimize both their physical health and overall well-being. One effective approach to meet these developmental needs is through engaging and enjoyable physical activities. Creative gymnastics, which combines rhythmic movements with music, offers a practical and appealing method to strengthen children’s immune systems while simultaneously fostering the development of gross motor skills. This community service program was implemented at Early Childhood Education (ECE) Citra Kasih School, Ambon, and involved children aged 4–6 years. The method of implementation emphasized direct practice, where children actively participated in a series of simple, structured, and playful movements accompanied by cheerful music, making the activity easy to follow and enjoyable. Observations during the program indicated that children showed a higher level of enthusiasm, increased activeness, and notable improvements in stamina, balance, and movement coordination. In addition, teachers expressed positive responses, highlighting the added value of integrating structured physical activities into the learning environment. The program not only benefited the children physically but also provided educators with new insights on effective strategies to support children’s health. Therefore, creative gymnastics can be recommended as a routine school activity to strengthen immunity, improve physical endurance, and promote healthy lifestyles in early childhood.

Hypertension is one of the health problems that are often experienced by the elderly. This is caused by various factors such as an unhealthy lifestyle, an unbalanced diet, and a lack of physical activity. Hypertension can result in stroke, heart disease, kidney disorders, and can even result in death. The elderly need to know how to prevent hypertension. The number of elderly people in Borisallo Village, Parangloe District, Gowa Regency is around 310 people (10.75%). The partner in the PKM of the Assisted Village is Borisallo Village which fosters the elderly in its area. Based on the problems faced by partners, the PKM service program of the Assisted Villages that is expected to be a solution is (1) Education on the prevention of hypertension in the elderly (Elderly), (2) Blood pressure checks in the elderly in Borisallo Village. This activity is financed by the UMI Waqf Foundation.  The results of the implementation of PKM in the Assisted Villages (1) Counseling on the prevention of hypertension in the elderly community has been carried out at the Borisallo Village Hall which was attended by 15 elderly people, (2) Then continued with a hypertension examination showing that in general, the blood pressure of the elderly community in Borisallo Village, Parangloe District, Gowa Regency, is still normal unless there are as many as 2 (20%). It is recommended to have comprehensive and periodic health checks on the elderly, not only hypertension, but more comprehensive, including mental health, so that the health status of the elderly can be known

The elderly group (elderly), aged 60-69 years, is part of the community that is vulnerable to various health problems, both physically, mentally, and socially. Untreated health problems can reduce the quality of life and become a burden for individuals and society. In Borisallo Village, Parangloe District, Gowa Regency, there are around 320 elderly residents. Through the Community Service (PKM) program of the Fostered Village in collaboration with the Borisallo Village Government and funded by the UMI Endowment Foundation, a series of activities were carried out to improve the quality of personal health of the elderly. The activity was carried out in November 2024 at the Borisallo Village Hall and included two main forms, namely: (1) elderly health checks covering blood glucose, cholesterol, uric acid, blood pressure, body temperature, and weight; and (2) counseling on the importance of maintaining overall health quality. Although only 15 participants registered for the counseling, the number of participants who attended exceeded expectations, indicating high enthusiasm from the community. The results of the examination showed that some elderly people required medical follow-up for further treatment. The program also emphasizes the importance of regular and continuous monitoring of the health of the elderly so that their condition can be monitored objectively and early intervention can be carried out. The activity took place in an atmosphere full of empathy, care, and a spirit of service that respects and loves the elderly. 

Hypercholesterolemia is a common metabolic condition found in the adult population and significantly contributes to the increased risk of cardiovascular diseases, such as coronary heart disease and stroke. This condition is often asymptomatic, making early detection of total cholesterol and HDL levels a crucial step in identifying the risk of atherosclerosis at an earlier stage. A screening program conducted at the Asisi Church revealed that out of 68 participants, 34 individuals (50%) had abnormal total cholesterol levels, while 10 individuals (14.71%) had very low HDL levels, and 33 individuals (48.53%) had low HDL levels. These findings emphasize the importance of routine lipid profile assessments to prevent more severe cardiometabolic complications. Through education on healthy eating patterns, increased physical activity, and better control of risk factors, the community is expected to maintain optimal lipid profiles and improve overall quality of life.

Adolescence is a transition period from childhood to adulthood marked by various physical, emotional, and social changes. One of the main challenges faced by adolescents is a lack of self-confidence, which can hinder the development of self-potential and social interaction. Based on observations at the Taruna Yodha Sukoharjo Children's Social Service Center, it was found that many adolescents showed an inferior attitude, were afraid of being wrong, and were reluctant to express their opinions in public. Therefore, this community service aims to increase awareness of the importance of self-confidence through interactive socialization. The implementation method includes four stages, namely the presentation of material on the concept of self-confidence, discussion of personal experiences, providing positive affirmations, and ice breaking to build familiarity. This activity was attended by most of the adolescents at the center and succeeded in increasing active participation from 20% to 50%. Although there were still obstacles such as limited time and the difficulty of some participants in expressing themselves verbally, the evaluation results showed an increase in social interaction and enthusiasm in implementing positive affirmations. This activity proves that an interactive approach can be an effective solution in fostering adolescent self-confidence. For more optimal results, ongoing programs such as public speaking training and psychological assistance are needed. It is hoped that teenagers in the shelter can continue to develop their potential and face social challenges with more confidence.

Cerebral palsy (CP) is a permanent, non-progressive motor disorder that occurs due to brain damage experienced before, during, or after birth. This condition is generally characterized by activity limitations and can be accompanied by various other disorders, such as delayed cognitive development, visual impairment, speech disorders, and neuromuscular disorders. Management of cerebral palsy is usually multidisciplinary, including physiotherapy, behavioral therapy, speech therapy, nutritional management, pharmacotherapy, and surgical intervention, with the aim of improving the patient's quality of life. This case report discusses a male patient, An. AZ, aged 4 years and 6 months, who was brought by his parents to the Emergency Department of Cut Meutia General Hospital, North Aceh with the chief complaint of seizures that had occurred two days before admission and had worsened in the past day. The patient had been diagnosed with cerebral palsy since early childhood and regularly underwent physiotherapy. From the anamnesis, it was revealed that the patient experienced weakness on the left side of the body, which was more dominant than the right side. This condition is consistent with the manifestation of hemiplegia in cerebral palsy patients. Physical examination revealed delayed motor development, increased muscle tone on the left side, and enhanced pathological reflexes. Acute seizure management included administering anticonvulsant medication according to protocol, monitoring vital signs, and close observation in the inpatient ward. In addition to pharmacological therapy, the patient was advised to continue regular physiotherapy to maintain motor function, prevent contractures, and support the development of daily activities. This case emphasizes the importance of a comprehensive approach to the management of cerebral palsy, particularly when complicated by seizures. Integration of acute medical care, rehabilitative therapy, and family support plays a crucial role in improving the patient's quality of life.