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This community service activity aims to increase the knowledge of students participating in sports extracurriculars about developing physical fitness, regarding forms of physical fitness tests, and compiling menus for coaching physical fitness training. This activity was carried out at SMA Negeri 3 Sentani as an activity partner. The results of this activity show that: 1) sports extracurricular participants understand various aspects of physical fitness, 2) sports extracurricular participants are able to take a physical fitness test, and 3) sports extracurricular participants can design a physical fitness training menu. The monitoring and evaluation process is carried out through a pretest and posttest to measure students' knowledge of aspects of physical fitness, fitness tests, and exercise menus before and after activities are carried out. Based on the results of the pre-test and post-test, the average pre-test score was 7.5 and the post-test was 13.4. These results indicate an increase in student knowledge after participating in physical fitness development training in sports extracurriculars at SMA Negeri 3 Sentani.

Dementia is a cognitive decline that is so severe that it interferes with activities of daily living and social activities. Cognitive decline in dementia usually begins with a decline in memory or memory (forgetfulness). Cognitive function is the main human capital in the activities of daily life. Brain gymnastics is a light exercise that is carried out with cross movements in order to harmonize and optimize the performance of the right and left brain so that it can improve cognitive function. This study aims to determine the results of the application of brain exercise on cognitive function in the elderly with dementia. Quantitative research with a cross sectional approach and sampling collection technique with purposive sampling with a sample of 34 respondents. The data collection tool used was the Mini Mental Status Examination (MMSE) questionnaire. It was found from this study that before brain exercise, normal cognitive function was 0, while moderate was 2 respondents (5.9%) and mild cognitive function was 32 respondents (94.1%). After brain exercise, normal cognitive function was 14 respondents (41.2%) while 20 respondents (58.8%) had moderate cognitive function and 0. mild cognitive function.

The research was conducted since there were many problems in reading ability which were correlated with students critical thinking. Some students who had critical thinking but their reading ability was low. It can be proved by the teacher given as test reading some students with critical thinking are able to understand a reading text well, but some students who do not think critically do not understand the reading text. Some students had good reading ability but critical thinking was low. It can be proved when students are given a reading test, there are some students who are able to read the reading text well, but their critical thinking is low so they can not do the exercises well. The design of this research was correlational research. The researcher was use the quantitative approach. The population of this research was all at the tenth grade of PPTQ Muallimin Pakan Sinayan which consist of 113. The sample was 23 students taken by class X IPA Pi. The research was carried out in May 2022. The instruments of this research were questionnaire and test for measuring students critical thinking and students reading ability at the tenth grade. To find out that the students critical thinking and students reading ability correlate or not, the researcher used the Pearson Product Moment Correlation Coefficient. There were two finding of this research. The first finding was a positive and significant correlation between students critical thinking and students reading ability at the tenth grade in PPTQ Muallimin Pakan Sinayan. It means that Ha was accepted and Ho was rejected. Second finding was a enough direction correlation between students’ critical thinking and students’ reading ability at the tenth grade of PPTQ Muallimin Pakan Sinayan. The researcher found that the coefficient of correlation between students critical thinking and students reading ability at the tenth grade of PPTQ Muallimin Pakan Sinayan was 0.603. In conclusion, this research was done for finding the correlation between students critical thinking and students reading ability at the tenth grade in PPTQ Muallimin Pakan Sinayan.

Leadership in the church is not the exercise of human power or authority but an activity of service, service aimed at Jesus Christ. therefore a Christian Leader must have Effective Characteristics. One of the efforts is to make Christian leadership with good character and capable of anticipating the future of the church. namely a leader must lead with integrity and have the ability to lead, serve like Christ. the church has a responsibility in creating leaders with character, a leader is not born but is created because of that a leader, has a character that is committed, good, honest, humble, disciplined to produce such a figure requires a good and right character education so that quality and effective church leaders.

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.  

This study aims to evaluate the effectiveness of aerobic exercise combined with physiotherapy in reducing injury risk among individuals with obesity. Obesity is a global health issue that significantly increases the risk of injuries, particularly within the musculoskeletal system. The research employed an experimental design with pre-test and post-test, involving 40 obese participants divided into two groups: an intervention group that underwent a 12-week program combining aerobic exercise and physiotherapy, and a control group that received no intervention. The intervention program included aerobic exercises designed to improve cardiovascular endurance and flexibility, alongside physiotherapy sessions focused on muscle strengthening and balance enhancement. The results showed that the intervention group experienced a significant reduction in injury risk and improvement in physical abilities compared to the control group (p < 0.05). Additionally, participants in the intervention group reported reduced pain levels and improved quality of life. These findings indicate that the combination of aerobic exercise and physiotherapy is effective in mitigating injury risks for individuals with obesity. This study provides valuable insights for healthcare practitioners in designing better rehabilitation programs for obese populations and encourages individuals to actively participate in safe and effective exercise regimens.

Ankle injuries are among the most common injuries experienced by adolescent soccer players, often caused by poor stability and neuromuscular control. Ankle instability not only affects athletic performance but also increases the risk of recurrent injuries. One effective preventive and rehabilitative approach is dynamic balance training, such as the Star Excursion Balance Test (SEBT). This study aimed to analyze the effect of education and SEBT exercises on ankle stability enhancement in U-15 soccer players at SSB Mandiri Medan. This research employed a pre-experimental design with a one-group pre-test and post-test approach, involving 20 male participants aged 13–15 years. The SEBT training program was conducted for four weeks, with a frequency of three sessions per week. Ankle stability was measured using reach distances in all eight directions of SEBT and the Cumberland Ankle Instability Tool (CAIT) questionnaire. Data were analyzed using a paired t-test to compare pre- and post-intervention results. The findings showed a significant improvement in SEBT reach scores (p < 0.05) and increased CAIT scores, indicating enhanced functional ankle stability. These results suggest that structured education and SEBT training can serve as an effective strategy for injury prevention and performance enhancement in young soccer athletes.

Geriatrics is a branch of gerontology that studies the level of health in the elderly from various aspects, including: promotive, preventive, curative and rehabilitative which includes physical, mental and social health. In principle, geriatrics strives for a happy and useful old age. Throughout the world today, the number of elderly people is estimated to be more than 629 million people, and in 2025 it is projected that the number of elderly people will reach 1.2 billion. Indonesia is a country that has a fairly high number of elderly people. In 2010 the number of elderly aged 65 years and over was 11 million, and it is projected that in 2020 the number of elderly will increase by 7.2%. Even the United States Census Bureau estimates that Indonesia will experience the largest increase in elderly citizens in the world in 2025, namely 414%. The increasing number of elderly will affect the welfare of the elderly (Ministry of Welfare of the Republic of Indonesia. 2012). The increase in the elderly population is of course accompanied by the risk of various degenerative diseases such as diabetes mellitus, coronary heart disease, osteoarthritis, neuromuscular disease and lung disease. Around 50-80% of elderly people aged more than 65 years will experience more than one chronic disease. This is related to the fact that the older you get, the more health problems you experience. One way to improve the quality of life for the elderly is to do physical exercise. Physical exercise can maintain or improve flexibility, cardiopulmonary endurance, agility, strength and balance. Several studies show that physical exercise has a consistent effect in reducing the risk of falls in healthy older adults. Kuptniratsaikul's research in 2009-2010 showed that simple balance exercises carried out by elderly people with a history of falls could reduce the incidence of falls in the elderly and significantly improve body balance. A 2017 Cuevas meta-analysis study showed that balance training programs showed the greatest effect in reducing the risk of falls in the elderly. For elderly people who are not yet able to do balance exercises independently, they need professional assistance

One way to improve the quality of life for the elderly is to do physical exercise. Physical exercise can maintain or improve flexibility, cardiopulmonary endurance, agility, strength and balance. Several studies show that physical exercise has a consistent effect in reducing the risk of falls in healthy older adults. Kuptniratsaikul's research in 2009-2010 showed that simple balance exercises carried out by elderly people with a history of falls could reduce the incidence of falls in the elderly and significantly improve body balance. A 2017 Cuevas meta-analysis study showed that balance training programs showed the greatest effect in reducing the risk of falls in the elderly. For elderly people who are not yet able to do balance exercises independently, they need assistance from professional staff. Elderly people are an age group that is vulnerable to falls. The aim of implementing this service is to detect the risk of falls in the elderly and provide assistance with balance exercises as an effort to prevent the risk of falls in the elderly. Falls occur due to an unintentional loss of balance which results in failure of postural stability, or an unexpected and sudden change which results in the position landing on the floor . Associated risk factors include current health status (living in the community, nursing home, hospital, weak or active state), existing diseases (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, strength muscle, visual disturbances, etc.). The output targets to be achieved include publication of accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using the Time Up and Go Test and continued by providing balance training, so that elderly people who are at risk of falling can be identified as early as possible so that providing balance training can maintain and improve the elderly's body balance.

The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risk of infectious and non-communicable diseases (NCDs), especially through nutritional interventions in the first 1000 days of life, improving balanced nutritional consumption patterns for the whole family, increasing regular and measurable physical activity. , improve healthy lifestyles, improve a healthy environment and reduce cigarette and alcohol consumption. Interview data showed that the majority of people, 48%, rarely had their health checked as early as possible, residents would go to the nearest health center if signs and symptoms of illness began to appear. Integrated counseling on prevention of emergency non-communicable diseases, Hypertension and Diabetes Mellitus, is carried out in one day, residents are gathered in the Mijen Village hall. The activity begins with simultaneous fitness exercises, then continues with a health check. The health checks carried out include anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and random blood sugar measurements. Of the 50 residents who took part in the implementation of integrated counseling on the prevention of non-communicable disease emergencies. Hypertension and Diabetes Mellitus, as many as 24% of residents (12 people) just found out that they suffer from pre-diabetes mellitus, 16% (8 people) already know that they suffer from hypertension and diabetes mellitus, as many as 6% (3 people) have a stomach circumference of more than 100 cm, 54% (27 people) were in good health. Residents were quite enthusiastic about the activities carried out. The data obtained in the integrated counseling activity for preventing emergency non-communicable diseases, hypertension and diabetes mellitus, was submitted to the Mijen Community Health Center as a recap of data on the health status of the target area. The data obtained will be followed up by motivating residents to have their health checked at the Mijen Health Center.

This Community Service Program aims to strengthen literacy and numeracy in elementary school (SD) students where the focus is to provide assistance to students about the importance of strengthening literacy and numeracy in students. This activity was carried out by lecturers and students from the Mathematics Education Study Program and the Economics Education Study Program, the Teaching and Education Faculty, HKBP Nommensen University Medan. The implementation of Community Service activities in strengthening literacy and numeracy in students began on 06 February 2023 and ended on 25 February 2023. Previously, this Community Service activity had been socialized to students of SD Negeri 040536, in every classroom and it was seen that the cause of the lack of literacy and numeracy in students is still low due to lack of learning and arithmetic exercises. This problem was then minimized by carrying out related Community Service Program activities to strengthen literacy and numeracy for elementary school students. This program is an important matter in efforts to improve the concept of numeracy in schools.

Introduction: Chronic Kidney Disease (CKD) is a condition in which the kidneys have experienced functional or structural damage or disturbances. The condition of the kidney that has decreased function is unable to dispose of waste products through urination which can result in disruption of endocrine, fluid, electrolyte, metabolic and acid-base functions, one of the consequences of which is the occurrence of edema. The prevalence of kidney failure in Central Java reached 0.42% with a total of 96,794 sufferers. The impact of edema that is not treated will result in respiratory, cardiovascular systems, neurological systems. The purpose of this study was to see the effect of a combination of ankle pump exercise and 30° foot elevation on edema in CKD patients at the Sultan Agung Islamic Hospital in Semarang. Method: This research is a quantitative study using a pre-experimental pretest-posttest design approach. The sample is 12 respondents with purposive sampling technique. Results: The results of this study were mostly male with a total of 10 with a percentage of 83.3% with an average age of 44.50. the results of the bivariate analysis with the Marginal Homogeneity Test obtained a significant value of p = 0.001 (<0.05). Conclusion: There is an effect of a combination of ankle pump exercise and 30° foot elevation on foot edema in CKD patients.  

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.

The aging process is a natural phenomenon experienced by every individual, characterized by physical and mental changes that affect the body's functions and capabilities. The speed of the aging process can vary between individuals due to the influence of hormones and other factors. Elderly is often thought of as a disease, whereas aging is actually a natural process of decreasing the body's resistance to external and internal stimuli. During aging, the elderly experience physical, mental and psychological changes. Efforts to improve the health of older adults with chronic diseases are made through the adoption of a healthy lifestyle. This includes regular exercise programs, a healthy diet by limiting salt, fat, and cholesterol intake, quitting smoking, avoiding alcoholic beverages and caffeine, managing emotional stress, and undergoing regular monthly health check-ups. With age, older adults are at risk of various diseases, decreased body functions, imbalances, and the risk of falls. These challenges often conflict with older adults' desire to remain independent and active. The mismatch between expectations and conditions can even lead to depression. Therefore, there is a need for special attention to the health and well-being of the elderly with chronic diseases to maintain their quality of life.

One of the decline in body systems experienced by adult women is the urinary system. In an adult woman, the decrease in the hormone estrogen causes atrophy of the urethral tissue and the effects of childbirth cause weakness of the pelvic floor muscles which can lead to disturbances in controlling urine output, which is called urinary incontinence. The impact of urinary incontinence is experiencing irritation in the area around the vagina, feeling embarrassed, withdrawing from the environment and can lead to depression. Efforts that can be made to overcome urinary incontinence include non-pharmacological therapy in the form of Kegel exercises. The purpose of this study was to determine the level of urinary incontinence before and after being given Kegel exercises. This study uses a quantitative method with a Quasi Experimental design with a Pre-post test approach to Non-equivalent Control Group, the sample in this study amounted to 39 respondents with a sampling technique using purposive sampling. The results of this study showed that the average level of mild urinary incontinence in pre-test women in the intervention group I was 12 people (60%) and post-test was 15 people (75%) then 5 people were normal (25%). While the level of mild urinary incontinence in pre-test women in the intervention group II was 9 people (47.4%) and at the post-test as many as 16 people (84.2%) then found normal as many as 3 people (15.8% )    

Prolonged delivery is a contributing factor to the mortality rate of mothers with a prevalence of 20% in Demak regency. Based on the survey in First Clinic Irma Solikin, Mranggen district, Demak regency, the birth data in January 2022 showed that 40% of mothers of 15 mothers experienced prolonged partity. One of the physiological efforts to prevent prolonged delivery is promoting pelvic rocking with a birthing ball. This technique requires the mothers to sit on the ball and rock the ball. This action makes the mothers feel comfortable and help them to promote the delivery due to the influence of gravity force. Thus, the fetus or the lower part of the fetus could move to the pelvis and shorten the delivery time. This research determined the influence of pelvic rocking exercise with a birthing ball on the delivery advancement of primipara mothers. The sample consisted of 20 mothers in the intervention group with pelvic rocking intervention with a birthing ball. Then, the other 20 mothers in the control group received normal delivery. The applied instruments were an observation sheet and a partograph. The researchers analyzed the data with univariate and bivariate analyses. The results found the influence of pelvic rocking exercise with birthing ball technique toward the delivery progress of primipara mothers in the First Clinic, Irma Solikin, Mranggen district, Demak regency.   Keywords: Pelvic Rocking, Birthing ball, Delivery progress, Primipara mothers

It is estimated that 60% of deaths in pregnancy occur after delivery and 50% of deaths postpartum within the first 24 hours. After the baby is born, the uterus which during labor contracts and retracts will become hard so that it can close the large blood vessels that lead to the former implantation of the placenta. If the involution process does not go well, a condition called uterine sub involution will arise. If the sub involution of the uterus is not handled properly, it will result in bleeding, for that the mother needs certain exercises that can accelerate the process of involution. According to several studies, to speed up the process of uterine involution, one of the recommended exercises is postpartum gymnastics, an integration model of relaxation techniques and exercises for the 'Otaria' abdominis muscles. The purpose of this study was to determine whether postpartum exercise model integration of relaxation techniques and 'Otaria' abdominis muscle exercises had an effect on the speed of uterine involution in post partum mothers at PKM Sayung 2, Demak Regency. This study uses a quantitative approach, the method used in this study is a quasi-experimental or quasi-experimental. The design used in this study was Post-test Only Control Group Design. Data analysis used univariate analysis and bivariate analysis. The results showed that respondents who did puerperal exercise 'otaria' experienced uterine involution faster than respondents who did postpartum exercise with a value of (p-value <0.05) at TFU and (p-value <0.05) at lochia.   Keywords: Otaria Postpartum Gymnastics, Uterine Involution Speed

Foot sensitivity is very important for people with Diabetes Mellitus because of the risk causing trauma, because there is a decrease in sensitivity, the feet of people with diabetes mellitus often do not feel stimulation, and wounds often occur so that they can make the wound bigger and smelly or diabetic ulcers occur and make sufferers experience a decrease in self-confidence.The purpose of this research is to know the effects of diabetic foot exercise on foot sensitivity of patients for Diabetes mellitus Type 2 at Talawaan Health Centre. This research is quantitative study through using experimental research. Involving the sample of 15 respondents and  used the sampling technique with total sampling. Collecting and processing using the Wilcoxon test with P Value of 0.001 with value (? = 0.05). The result of this study indicates that Ha is accepted, and Ho is rejected. The conclusion of study that can be drawn is that there is an effect that foot exercise therapy on has patients with Diabetes Mellitus Type 2 in the Talawaan Health Centre.

Exercise has many physical benefits, including reducing stress. People who exercise regularly tend to appear more relaxed and cheerful, making them more resilient to physical and emotional stress. This is especially relevant for students who may experience stress due to the change in learning style from junior high school to higher education. The purpose of this study was to investigate the relationship between exercise habits and stress levels in the community of area X. This study used a cross-sectional design and used two basic instruments: the Exercise Habits Questionnaire and the DASS-42. This questionnaire was specifically intended for all adults aged 25-55 years, totaling 96 people and respondents were sampled and analyzed using the Chi Square test. The results showed that 38 respondents (39.6%) exercised regularly, while 58 respondents (60.4%) did not exercise. A total of 57 respondents (59.4%) reported normal stress levels, while 9 respondents (9.4%) reported mild stress levels, 13 respondents (13.5%) reported moderate stress levels, 12 respondents (12.5%) reported severe stress levels, and 5 respondents (5.2%) reported very severe stress levels. The Chi Square test produced a p-value of 0.144. The results showed that there was no significant correlation (p=0.144) between exercise habits and stress levels among residents of Village X.

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.