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Background: Normal delivery is a significant moment in a mother's life, marked by the expulsion of the fetus after a full-term pregnancy, typically between 37 to 40 weeks, accompanied by intense uterine contractions. During the active phase of labor, mothers often experience peak pain due to increased frequency and strength of these contractions. One effective method to alleviate this pain is through counter pressure massage. This study aims to explore the differences in pain intensity among mothers in the active phase of labor before and after the application of counter pressure massage at RSU Permata Hati Klungkung. Method: This study used a pre-experimental design and purposive sampling technique. The population in this study were all mothers who underwent normal delivery in September to November 2024 with a total of 80 people, until a sample of 39 participants was determined. Data were collected through observations using a rating scale based on the Numerical Rating Score. Result: Data analysis was performed using the Wilcoxon test, revealing that the average pain score before the massage was 6.92, which decreased to 3.20 afterward. The Wilcoxon test yielded a p-value of 0.001, indicating a significant difference in labor pain intensity. Conclusion: This study shows that there is a difference in pain intensity before and after counter pressure massage is performed on mothers giving birth in the first active phase at Permata Hati Hospital, Klungkung with a p-value of 0.001.

Bacground : The 0–12 month period is a critical phase in infant development, covering motor, cognitive, and emotional domains. Early stimulation has been proven to prevent developmental delays that may affect later life stages. Complementary therapies such as infant massage and baby gym are widely applied as non-pharmacological, safe, low-cost interventions that can be practiced at home by parents. Objective: To systematically review the scientific evidence regarding the effectiveness of complementary therapies in stimulating the development of infants aged 0–12 months. Methods: This literature study involved a review of articles published between 2018–2024 from PubMed and Google Scholar. Inclusion criteria included experimental and quasi-experimental studies evaluating the effect of complementary therapies (infant massage, baby gym, or others) on infant development. Results: Six relevant studies were identified, including four on baby gym and two on infant massage. All studies reported significant improvements in gross motor development following intervention. Infant massage also showed additional benefits such as increased weight gain and enhanced mother-infant bonding. Conclusion: Complementary therapies such as infant massage and baby gym are effective and practical strategies for stimulating infant development. However, further research with more robust experimental designs is needed to strengthen the evidence base.  

Tui na massage is one of the non-pharmacological therapies that can be done to overcome picky eaters in toddlers. Tui na massage therapy aims to improve digestion and blood circulation in the spleen. This counseling method is carried out directly with interactive lectures and discussions as well as tui na massage simulations. Discussions are carried out using the Q&A method related to the material. Tui na massage is carried out using techniques such as massaging (Petrissage or Nie), tapping (Tapotement or Da), gliding (Effleurage or Tui), friction, rotating, and vibrating certain points so that they will affect the body's energy. This therapy is carried out once a day for 6 consecutive days. The results of the activity showed that after this activity most mothers had good knowledge about picky eaters and tui na massage. This counseling activity has been achieved by increasing insight in mothers of toddlers.

This study identifies the role of shamans in local wisdom-based wellness tourism in Belumbang Tourism Village, Kerambitan Sub-district, Tabanan Regency. Shamans as traditional spiritual figures play an important role in wellness practices that combine physical healing, spiritual rituals and local ecological understanding. Using observation and interview methods, this research was analyzed based on the six dimensions of wellness in the Extended Wellness Model (Mueller & Kaufmann, 2001), and supported by data from the Global Wellness Institute (Yeung & Johnston, 2018) and the authors' perceptions of shamans. The results show that shaman practices support all dimensions of wellness, especially the spiritual, physical and environmental aspects. Travelers gain benefits such as traditional massages, herbal concoctions, and inner peace through rituals that touch on emotional and mental aspects. Shamans also play a role in educating tourists about the harmony of humans and nature through the responsible use of resources. Thus, shamans not only function as healers, but also as guardians of local culture and tourist attractions that strengthen village identity and support sustainable health and culture-based tourism.

Background: Bell's Palsy is a condition of facial muscle weakness due to inflammation or damage to the VII cranial nerve (facial nerve), which is classified as a primary acute idiopathic lower motor neuron (LMN) type. This condition is characterized by unilateral facial paralysis and pain in the mastoid area, which can affect the patient's quality of life. Method: This study design used a case report method which observed one patient with a case of Bell Palsy Right. Physiotherapy intervention was carried out during four meetings at Dr. Moewardi Hospital, with therapy modalities including Transcutaneous Electrical Nerve Stimulation (TENS), massage, and mirror exercise. Evaluation was carried out using the Numeric Rating Scale (NRS) for pain, Manual Muscle Testing (MMT) for facial muscle strength, and the Ugo Fisch scale for functional ability. Results: This study shows that physiotherapy treatment during 4 meetings resulted in decreased pain, increased muscle strength, and increased functional ability with Bell palsy. Conclusion: Physiotherapy interventions in the form of TENS, massage, and mirror exercise are effective in reducing pain, increasing muscle strength, and improving functional abilities in patients with Bell's Palsy Right.

Inadequate breast milk production remains a significant challenge in achieving exclusive breastfeeding success during the postpartum period. This study aimed to analyze the effectiveness of oxytocin massage intervention on breast milk quantity among postpartum mothers at Hospital X. A quasi-experimental design with one-group pretest-posttest approach was employed, involving 17 postpartum mothers who met the inclusion criteria. Data collection utilized demographic questionnaires and measuring instruments to assess milk volume before and after the intervention. Oxytocin massage was performed using back massage technique for 30-60 minutes duration. Statistical analysis employed Wilcoxon signed-rank test due to non-normal data distribution. Results demonstrated significant improvement in milk volume from mean 12.95 ml (pretest) to 50.59 ml (posttest) with p-value 0.000 (p<0.05), indicating statistical significance. The intervention showed substantial effectiveness with approximately 291% increase from baseline condition. These findings suggest that oxytocin massage represents an effective non-pharmacological modality for optimizing lactogenesis through neurohormonal stimulation mechanisms, supporting milk ejection reflex enhancement in postpartum mothers.

Plantar fasciitis is a common cause of heel pain that is often found in the population aged 40-60 years, especially women with prolonged standing activities and high body mass index. This case report discusses physiotherapy management in a 41-year-old female patient with plantar fasciitis dextra who underwent therapy at Panembahan Senopati Hospital. The physiotherapy interventions provided included ultrasound, gastrocnemius muscle massage, stretching (Towel Stretch), and exercises (Calf Raise and Towel Toe Curl) for three sessions in three weeks. Evaluation was performed using Wong Baker Scale, Manual Muscle Testing (MMT), Goniometer, and Foot and Ankle Disability Index (FADI). The results showed a decrease in tenderness and pain during movement, increased plantar fascia flexibility, and an increase in FADI score from 63.28% to 77.88%, indicating improved function. Physiotherapy interventions proved to be effective in managing plantar fasciitis symptoms conservatively and improving the patient's quality of life.

The 0–12 month period is a critical phase in infant development, covering motor, cognitive, and emotional domains. Early stimulation has been proven to prevent developmental delays that may affect later life stages. Complementary therapies such as infant massage and baby gym are widely applied as non-pharmacological, safe, low-cost interventions that can be practiced at home by parents. To systematically review the scientific evidence regarding the effectiveness of complementary therapies in stimulating the development of infants aged 0–12 months. This literature study involved a review of articles published between 2018–2024 from PubMed and Google Scholar. Inclusion criteria included experimental and quasi-experimental studies evaluating the effect of complementary therapies (infant massage, baby gym, or others) on infant development. Six relevant studies were identified, including four on baby gym and two on infant massage. All studies reported significant improvements in gross motor development following intervention. Infant massage also showed additional benefits such as increased weight gain and enhanced mother-infant bonding. Complementary therapies such as infant massage and baby gym are effective and practical strategies for stimulating infant development. However, further research with more robust experimental designs is needed to strengthen the evidence base.

Cor Pulmonale Chronic Decompensata (CPCD) is a chronic pulmonary complication characterized by hypertrophy and/or dilatation of the right ventricle due to increased pulmonary artery pressure (pulmonary hypertension). due to increased pulmonary artery pressure (pulmonary hypertension). Symptoms include severe dyspnea, leg edema, hepatomegaly, and activity intolerance, which significantly reduce quality of life. Using the report method case study that assesses the effectiveness of a combination breathing exercise intervention using Diaphragm Breathing, Pursed Lip Breathing, thoracic expansion exercise, Gentle Massage, Active Cycle of Breathing Technique (ACBT) in patients with CPCD. The parameters assessed include the degree of tightness and thoracic expansion and functional ability. This study showed significant results with a decrease in the degree of tightness, an increase in lung expansion and an increase in functional ability. and improved functional ability.

Community service has been carried out by the service team involving students from the Padangsidimpuan Midwifery Study Program, Poltekkes Kemenkes Medan. The community service activities carried out were to provide counseling and demonstrations about Endorphine massage which is a light touch or massage therapy that is quite important to be given to pregnant women, in the time leading up to and during childbirth. This massage can stimulate the body to release endorphin compounds which are pain relievers and can create a feeling of comfort. Endorphins in the body can be triggered through various activities, such as deep breathing and relaxation, and meditation. Endorphine massage should be done to pregnant women who are 36 weeks pregnant. Because endorphin massage can stimulate the release of the hormone oxytocin which can trigger the labor process (Kuswandi, 2014). This Community Service aims to demonstrate endorphin massage to reduce pain in mothers giving birth in the first stage in the Pintu Padang Health Center work area, South Tapanuli Regency. Target pregnant women in the third trimester, young couples, Participants 40, endorphin massage is expected to be implemented in the management of the first stage to reduce pain and speed up the labor process. The results of this community service are an increase in knowledge of 50% and skills of 87% about endorphin massage correctly applied when pregnant women later undergo the labor process. This community service is carried out in collaboration with partners used as the location of this activity, namely Kalurahan Pintu Padang, Batang Angkola District, South Tapanuli Regency and Health Cadres, Village Midwives at the local Health Center. This activity received a positive response from local participants, and as a follow-up, it can be carried out by Health Cadres and midwives at the Health Center to monitor the skills that have been obtained when pregnant women are in the labor process that will be undergone

The postpartum period, which begins with the delivery of the placenta and ends when the reproductive organs return to their pre-pregnancy state, lasts approximately 6-8 weeks. During this period, many mothers face challenges related to breast milk production, resulting in insufficient or absent milk flow. This condition, if untreated, can hinder the breastfeeding process and affect both maternal and infant health. To address these challenges, several interventions such as warm compresses and oxytocin massage have been explored. The aim of this study was to assess the effectiveness of these two methods in improving breast milk flow among postpartum mothers. A quasi-experimental design was employed, utilizing a non-equivalent control group with pre-test and post-test measurements. The study targeted postpartum mothers who were experiencing difficulties with breast milk production. Purposive sampling was applied to select participants who met the inclusion criteria. The results showed significant differences between the effects of warm compresses and oxytocin massage on postpartum breast milk flow, with a p-value of 0.002 (<0.05), indicating that both methods positively influenced milk production. However, it was found that oxytocin massage had a more pronounced effect on milk flow compared to warm compresses. These findings suggest that oxytocin massage may be a more effective intervention for enhancing breast milk production in postpartum mothers, thus providing valuable information for healthcare professionals aiming to support new mothers in the breastfeeding process. The study also highlighted the importance of personalized care based on individual needs. Further research is recommended to investigate the long-term impact of these interventions and their broader application in various postpartum care settings. Additionally, exploring other complementary approaches could offer a more comprehensive strategy for managing breastfeeding difficulties in the postpartum period.

Sleep disturbances in infants can cause significant physiological and psychological impacts, such as decreased immune function, impaired cognitive development, and an increased risk of emotional problems (Tanty & Pramesti, 2023). Poor sleep not only inhibits physical growth but also affects infants’ mental development, including attention disorders, anxiety, and low cognitive abilities (Hendri & Sari, 2021). Therefore, it is important to provide effective interventions to improve infants’ sleep quality. This study aimed to determine the effect of baby massage on infant sleep quality at BPM Aida Nospita, Manunggal Village, Labuhan Deli Subdistrict, Deli Serdang Regency, North Sumatra Province, in 2025. This research employed a quasi-experimental method with a pretest–posttest design using an experimental group and a control group, also known as a pretest–posttest with control group design, which is a form of quasi-experimental research design. The population of this study consisted of all infants aged 3–6 months at BPM Aida Nospita, Manunggal Village, Labuhan Deli Subdistrict, Deli Serdang Regency, North Sumatra Province, totaling 32 infants, with 16 infants in the experimental group and 16 infants in the control group. The results of the statistical analysis using the Wilcoxon test showed a significant probability value of 0.001 (p < 0.05). This indicates that the null hypothesis (H₀) was rejected and the alternative hypothesis (H₁) was accepted, meaning that baby massage had a significant effect on sleep quality among infants at BPM Aida Nospita, Manunggal Village, Labuhan Deli Subdistrict, Deli Serdang Regency, North Sumatra Province, in 2025.

Parental control over adolescents in this study was conducted in  high-risk residential environment where massage parlors with additional services are present. This study aims to determine the driving factors and level of parental control implementation among adolescents in the residential environment using Travis Hirschi's social control theory approach. The data analysis used in this study is descriptive quantitative research. The population consisted of all parents with adolescents aged 15-21 years, totaling 46 families. The entire population was used as samples using census sample technique. Data was collected through questionnaire completion, and central tendency calculations. The research results show that knowledge anda perseption factors have a strong connection to the level of parental control implementation among adolescents in high-risk residential environments in terms of attachment, commitment dan belief aspects. However, the aspect of parential involvement in accompanying adolescents is still relatively moderate thus requiring improvement.

Kabaddi is a traditional outdoor game played with slight variations across India. Prevention of hamstring injuries in kabaddi athletes requires a multifaceted approach, including a balanced muscle strengthening program, regular flexibility training, thorough warm-up before the match, and adequate recovery after intense activity. This study aims to analyze the effect of sports massage on muscle flexibility and pain threshold in the hamstring muscles of Surabaya Kabaddi athletes. The research method used was quantitative with a pretest-posttest design in two groups, namely the experimental group given sports massage intervention and the control group. The sample in this study was 12 Surabaya Kabaddi athletes who were divided into 2 groups, namely the treatment group and the control group using the Total Sampling technique. The results of the Paired t-test showed that there was a significant effect on the hamstring muscles after being given sports massage and a decrease in the pain threshold in the experimental group compared to the control group, as evidenced by the results of the t-test which showed a significant value <0.05. It can be concluded that sports massage can have an effect on hamstring muscle flexibility and pain threshold.

The postpartum period, which begins with the delivery of the placenta and ends when the reproductive organs return to their pre-pregnancy state, lasts approximately 6-8 weeks. During this period, many mothers face challenges related to breast milk production, resulting in insufficient or absent milk flow. This condition, if untreated, can hinder the breastfeeding process and affect both maternal and infant health. To address these challenges, several interventions such as warm compresses and oxytocin massage have been explored. The aim of this study was to assess the effectiveness of these two methods in improving breast milk flow among postpartum mothers. A quasi-experimental design was employed, utilizing a non-equivalent control group with pre-test and post-test measurements. The study targeted postpartum mothers who were experiencing difficulties with breast milk production. Purposive sampling was applied to select participants who met the inclusion criteria. The results showed significant differences between the effects of warm compresses and oxytocin massage on postpartum breast milk flow, with a p-value of 0.002 (<0.05), indicating that both methods positively influenced milk production. However, it was found that oxytocin massage had a more pronounced effect on milk flow compared to warm compresses. These findings suggest that oxytocin massage may be a more effective intervention for enhancing breast milk production in postpartum mothers, thus providing valuable information for healthcare professionals aiming to support new mothers in the breastfeeding process. The study also highlighted the importance of personalized care based on individual needs. Further research is recommended to investigate the long-term impact of these interventions and their broader application in various postpartum care settings. Additionally, exploring other complementary approaches could offer a more comprehensive strategy for managing breastfeeding difficulties in the postpartum period.

The common cold in infants is a frequent health problem that requires proper management to prevent potential complications such as pneumonia, bronchitis, sinusitis, laryngitis, and febrile seizures. Management strategies for the common cold can be carried out through pharmacological approaches, such as the administration of syrups and powders, and non-pharmacological approaches, including traditional methods like common cold massage. This study aims to analyze the effect of providing education about common cold massage on mothers’ knowledge in managing the common cold in infants. The research employed a quantitative method with a quasi-experimental design using a one-group pretest-posttest approach. The study population consisted of 40 mothers who had infants aged 4–12 months registered at the Gunungpati Health Center. A total sample of 36 respondents was obtained through simple random sampling. The research instrument was a structured knowledge questionnaire specifically developed to assess understanding of common cold massage techniques and their role in managing symptoms. Data analysis was conducted using the Wilcoxon signed-rank test to evaluate differences in knowledge levels before and after the educational intervention. The results showed a significant increase in mothers’ knowledge after receiving education, with a p-value of 0.000 (<0.05), indicating that the intervention was statistically significant. These findings highlight the importance of non-pharmacological educational programs, particularly common cold massage, as a complementary approach to infant health care. Implementing such education can empower mothers with practical skills to manage early symptoms and potentially reduce complications. It is recommended that further studies be conducted in different settings with more varied sociodemographic backgrounds to ensure broader applicability and to explore the integration of traditional massage education into community health programs.

Background: The World Health Organization (WHO) notes that 33% of babies experience sleep problems. A survey of 10 babies in Paciran Village, Lamongan Regency revealed that seven babies experienced sleep problems where the baby woke up more than once at night so that the baby became fussy during the day. Purpose: The purpose of the research is to prove that baby swimming and baby massage affect the quality of baby's sleep. Methods: The design in this research is the experimental One Group Pre-Post Test Design. The sample used for research was 20 babies aged 3 – 12 months. The sampling technique uses accidental sampling. The research was carried out in Paciran Village, Paciran District, Lamongan Regency. The interventions provided are baby massage and baby swimming. The measuring tool uses the Brief Infant Screening Questionnaire (BISQ) to observe the quality of the baby's sleep. Results: The baby's sleep quality was measured before and after baby swimming and baby massage. Data analysis used the Mc Nemar test with ?=0.05. The results of the study showed that before being given the intervention, all babies had poor sleep quality, but after being given the intervention, more than half of the babies had good sleep quality (55%). Statistical data analysis found p = 0.001, meaning that baby massage and baby swimming affect the quality of baby's sleep. Conclusion: Baby massage and baby swimming can be used as alternatives to improve the quality of baby's sleep.

The need for continuous midwifery care (Continuity of Care) is crucial given the high maternal and infant mortality rates that still frequently occur. One common problem in neonates is flatulence, which can cause discomfort to the baby and anxiety to parents. One non-pharmacological treatment that has been proven effective for flatulence in infants is the "I Love You" (ILU) massage technique. This technique has been widely recognized for its simplicity and safety in providing comfort to infants experiencing flatulence. This study aims to explore the effectiveness of the ILU massage technique on an 11-day-old infant experiencing flatulence symptoms. The research design used was a descriptive case study, in which Mrs. Q's baby, who complained of flatulence, was the subject of the study. The ILU massage technique consisted of movements that form the letters I, L, and U on the infant's abdominal area, which aims to stimulate gas movement in the digestive tract. In addition to the ILU massage technique, the intervention also included other supporting movements such as the moon-sun movement and flexing the infant's legs to increase the effectiveness of gas expulsion. The results of this intervention showed a positive response from the infant, with the infant beginning to pass gas after the massage. This suggests that therapy using the ILU massage technique can reduce the symptoms of bloating in infants. Furthermore, mothers were educated on proper breastfeeding positions to prevent air intake, which can exacerbate bloating. Mothers were also taught how to perform ILU massage independently at home, enabling parents to be more active in their infant's care.

The marmet technique is a technique used to express breastmilk. This technique provides a relaxing effect and also reactivates the milk ejection reflex (MER) so that milk begins to drip. With the MER activated, breast milk will often spray out by itself. The marmet technique is a massage using two fingers. This method is often referred to as back to nature because it is simple and does not require cost. The purpose of the study was to determine the effect of the marmet technique on the smoothness of breast milk in postpartum mothers in the working area of the Mowewe health center in 2021. This type of pseudo-experimental research uses a nonequivalent control group design model. The research sample was the experimental group who were given treatment with marmet massage techniques on postpartum mothers as many as 10 people and the control group was those who were not given marmet massage treatment on postpartum mothers as many as 10 people. The results showed that there was no effect of marmet technique on the smoothness of breast milk in postpartum mothers in the working area of Mowewe health center. The difference between the average pretest and posttest in the control group using the paired sample t-test test obtained a t value = 3.240 and a p value = 0.010 (p < 0.05). It is hoped that the results of the study will serve as a source of information and add insight into the marmet method for smooth breastfeeding for postpartum mothers.  

Hypertension is one of the major health problems frequently experienced by the elderly and can lead to serious complications if not properly managed. Simple physical activities such as massage can serve as a non-pharmacological intervention to help reduce blood pressure. This study aimed to determine the effect of physical activity in the form of massage on reducing blood pressure in elderly individuals with hypertension at PSTW "Meci Angi" in Bima City. This research employed a quasi-experimental design with a pre-post test control group design. The sample consisted of 20 elderly people divided into two groups, an experimental group and a control group, with 10 respondents in each group. Data were collected using an observation sheet to measure blood pressure before and after the intervention. The t-test analysis showed a significance value (2-tailed) of 0.009, which was less than α = 0.05, indicating a significant effect of physical activity on lowering blood pressure among the elderly. Therefore, massage as a simple form of physical activity can be considered an alternative intervention in managing hypertension among the elderly in social care institutions.