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Management of labor pain is an attempt to reduce MMR. Labor pain must be treated in an effective way because if the pain is accompanied by a stress reaction, it will have harmful side effects for the mother and also the fetus. The midwife at the Ngesrep Health Center has never used birth balls as an intervention to treat inpartu mothers. The purpose of this study was to determine the effect of using a birth ball on reducing labor pain in the active phase of the 1st stage. This type of research is a quasi-experimental design with one group pretest posttest design. The population in this study were all mothers with an estimated day of birth in July to August 2022 who will give birth at the Ngesrep Health Center Semarang. The sampling technique was purposive sampling and the number of samples was 31 people. Data collection tools used in this study include Standard Operating Procedures (SOP), Birth Ball Techniques, Numerical Rating Scale (NRS), Observation Sheets and birth balls with a diameter of 55 cm or 65 cm. Data analysis was carried out using the paired sample t test. The results of the study obtained a t value of 9.613 which means that every 1 time birth ball intervention with 4 movements for 30 minutes makes the primigravida have the potential to be 9.613 times to be able to reduce labor pain in the active phase of the 1st stage. The p-value is 0.000 <0.05, so the hypothesis (H0) is rejected and (Ha) is accepted, so it can be concluded that there is an effect of using birth balls on reducing labor pain in the active phase of the 1st stage of labor in primigravida at Ngesrep Health Center Semarang. For health services, it is expected that the use of birth balls can be used as an alternative to reduce labor pain in the active phase of the 1st stage of primigravida.

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.

Dysmenorrhea leads to a time when painful menstruation is generally felt by young female adolescents. Dysmenorrhea is felt within a few days before menstruation and lasts within a few hours and usually occurs within 2-3 days. To find out what factors are related to dysmenorrhea in PMR adolescents at SMA Negeri 5 Palopo in 2021. This study is an analytical cross sectional design. The population in this study is all students who participate in PMR activities at SMA Negeri 5 Palopo, sampling using Total Sampling, namely all populations are sampled as many as 50 respondents. Data collection uses questionnaire sheets and observation sheets. And the data collected was then processed using Microsoft excel programs and statistical programs (SPSS). Univariate analysis by looking for frequency distribution and bivariate analysis by Fisher's Exact Test with significance level (0.05). The results showed a relationship between the length of menstruation and dysmenorrhea in adolescents (p=,001). Nutritional status is related to dysmenorrhea in adolescents (p=,002). And there is a relationship between exercise habits and dysmenorrhea in adolescents (p=.002). The factors of menstrual age, nutritional status and exercise habits with dysmenorrhea in PMR adolescents have a relationship proven through statistical test data with a p value of ≤0.05.  

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  

Menstrual pain caused by the release of excess prostaglandin causes the increasing contraction of the uterus, a common gynecology disorder in young women that can interfere with learning and social activity. Based on a preliminary study in the village of the gadung young women take pharmacological medicines and warm compresses to hold or reduce menstrual pain. The study to learn the aromatherapy of cinnamon on primary menstrual pain in young women in the village of gadung tangerang. This method of research USES quantitative with research design quasi nity, one group pre-existing and post-existing. The study conducted according to the inclusion and exclusion criteria amounts to 38 respondents and instrument of the observation sheet. That was done with Shapiro wilk and a statistic wilcoxon signed rank. Studies show 7 days of cinnamon aromatherapy intervention, a scale of pain reduced from 1.79 to 1. Wilcoxon signed rank test results of a significant influence between the scale of pain before and after an intervention on cinnamon aroma recipients in the village of gadung sand. Aroma of cinnamon therapy may be an alternative to reduce menstrual pain.

Sekitar 40 % dari jumlah total penduduk Indonesia yang berusia di atas 40 tahun mempunyai keluhan nyeri sendi dan otot. Peserta lansia di Posyandu Lansia Talang Aur Wilayah Kerja Puskesmas Talang Aur Kabupaten Ogan Ilir Palembang adalah Lansia penderita rematik yang mengalami nyeri sendi, dalam mengatasinya masih menggunakan terapi farmakologi. Lansia Belum pernah di ajarkan tindakan kombinasi kompres hangat dan masase. Tujuan dari  pengabdian masyarakat ini untuk menerapkan tindakan kombinasi kompres hangat dan masase dalam menurunkan nyeri sendi pada lansia  yang menderita Rematik. Hasil Kegiatan Pemberdayaan Kepada Masyarakat ini, meningkatnya pengetahuan lansia tentang rematik dan penatalaksanaannya., serta mampu melakukan (mendemonstrasikan) tindakan kombinasi kompres hangat dan masase dalam mengurangi nyeri sendi.   Metode pendekatan yang digunakan adalah Edukasi (Penyuluhan), Demonstrasi pemberian kombinasi kompres hangat dan masase dalam mengurangi nyeri sendi. Pelaksanaan PKM ini melibatkan dosen-dosen yang sesuai dengan keilmuan dalam bidangnya yang berpengalaman dalam Keperawatan Medikal bedah.Serta dibantu oleh mahasiswa Keperawatan.          Kata Kunci: Rematik, Nyeri Sendi, Kompres hangat, Masase  

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

Diaper rash is a complaint of red spots on the genitals and buttocks of babies wearing diapers caused by skin rubbing against diapers (Dwi Maryanti, et al, 2011). Diaper rash often occurs in the area around a baby's buttocks due to the use of diapers that are rarely changed, are too tight, or are used for too long. Usually the rash is not dangerous, but it can cause pain and cause anxiety in the baby and parents. According to a report by the Journal of Pediatrics, there were 54% of babies aged 1 month who experienced diaper rash after using "disposable diapers", which were first made by Victor Miller in 1950 under the name pampers and are popular throughout the world. At first, mothers hoped that their babies would be comfortable and stay dry.but in the end the baby experiences diaper rush (diaper rash) and the incidence of diaper rash in babies who use disposable diapers increases to 61% Diaper rash in Indonesia is a skin problem in infants and children. Diaper rash, according to Dr. Siti Aisah Boediarjo, Sp. KK, is a skin disorder in the form of red, inflamed patches. Sometimes accompanied by hard, scaly skin, nodules, even blisters and blisters, which cause itching and burning in babies, approximately 50% of babies and children who wear diapers have experienced a diaper rush. The method of implementing this activity is: providing education or counseling to mothers who have children and still use diapers, distributing leaflets and explaining the use of diapers so that diaper rash does not occur. This activity begins with the preparation of proposals and activity administration and continues with an assessment of the situation. In August 2021 activities were carried out at the Evie Kec Babalan Clinic, Langkat Regency

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.

The post partum period is a sensitive period for mothers which will affect newborn care. Mother's anxiety and fear because she is afraid of stitches that arise causes her not to mobilize early. The most important thing at this time is that midwives provide support on an ongoing basis according to the mother's needs to reduce physical and psychological tension during the postpartum period. This study aims to prove the anxiety level of perineal suture pain in post partum mothers regarding mobilization. This study used an analytic survey with a cross-sectional research design. The data collection technique was carried out by observation, namely data collection on anxiety levels was taken using the Hamilton Rating Scale for Axsiety (HRS-A) while data for perineal suture pain was obtained from a pain level questionnaire. The population was taken with a total of 37 post partum mothers and a total sample of 22 post partum mothers.

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

Low back pain during pregnancy occurs due to changes in pregnancy hormones which increase relaxant hormones that affect the flexibility of the ligament tissue which ultimately increases joint mobility in the pelvis and will have an impact on spinal and pelvic instability and cause back pain. One way to reduce low back pain is to do pregnancy exercises. Pregnancy exercise can relieve lower back pain that is felt by pregnant women because in pregnancy exercise there are movements that can strengthen the abdominal muscles, make the elasticity of the muscles and ligaments in the back and relax, so that pregnant exercise can reduce lower back pain. The purpose of this study was to determine the effect of pregnancy exercise on reducing low back pain in pregnant women in the second and third trimesters in Panei District 2021. This study used a quasi-experimental research design with a pre-post-test design with one group test. The population in this study were all pregnant women in the second and third trimesters in Panei Tongah Health Center many as 30 people. The sample in this study amounted to 28 people. Analysis of the data used is univariate analysis and bivariate analysis using the Paired-Samples T Test. The average lower back pain before treatment was 3.32 and the Std. Deviation was 0.772. The average low back pain after treatment was 2.25 and the Std. Deviation was 1.005. There is an effect of pregnancy exercise on reducing low back pain in pregnant women in the second and third trimesters in Panei Tongah Health Center in 2021 with a value of p = 0.000 p <0.05. It is recommended for further researchers to develop other variables in order to get better results Panei Tongah Health Center.

Early childhood has a high curiosity, so attention is needed that is not only pursuing achievement, but learning orientation that develops attitudes and interest in learning and stimulates various potentials and basic abilities of children. Therefore the design of painting activities will be the right choice to be used for creativity during this covid pandemic. This PKM painting activity was carried out at the Cimone Orphan House in Tangerang with presentation of the material and then continued with painting practice. The target of this service program is the elementary and junior high school level as many as 15 (fifteen) people. The implementation was carried out face-to-face (on the spot training) which began with observation and coordination with the management of the orphanage related to the availability of places, the readiness of the orphans and administrative licensing arrangements with the administrators of the orphanage. The method used in carrying out PKM activities is to increase children's creativity, showing examples of pots that you want to decorate / pictures using Microsoft PowerPoint in the form of pictures, playing games with orphans, and asking questions / quizzes. The results of the service to students increase knowledge, insight and creativity of orphans.

The main thing that distinguishes between 2D and 3D animation lies in the quality of the resulting display, namely the appearance of 2D animation that seems flat and the appearance of 3D animation that seems more volume. This study aims to manually apply 2D visual effects as an alternative in making an animated visual effect. The process of uniting a 3D animation combined with 2D animation visual effects that are created manually frame by frame and using Clip Paint Studio and Blender software. The results of this study indicate that the application of 2D animation visual effects in 3D animation is able to display a visual style that resembles 2D animation and does not require computer engine performance that is too heavy, rather than using 3D simulation methods or 3D procedural which requires strong computer resources. It is good to use in making a 3D animation with a visual style of 2D animation.

Almost all surgeries cause pain, the pain that is felt is the result of the incision. The effects of pain that do not subside are myocardial ischemia, increased morbidity, and hopelessness. One intervention to relieve postoperative pain is Spiritual Emosional Freedom Technique (SEFT). The purpose of this case study is to describe the reduction in pain scale of postoperative patients in Nusa Indah Room TK.III 04.06.02 Bhakti Wira Tamtama Semarang Hospital after SEFT intervention. This type of research is descriptive using a case study approach. The subjects in this study were 2 postoperative patients with criteria of moderate to high pain. Analysis of pain measurements using the Numerical Scale Branch scale. The analysis showed that there was a decrease in pain scale after the intervention. On subject 1 the pain scale 7 (high pain) became the pain scale 4 (moderate pain) and subject 2 the pain scale 8 (high pain) became the pain scale 4 (moderate pain). Effective SEFT therapy is used to reduce postoperative pain in the room because it is easy and simple. Good therapy is applied by nurses in the room to reduce the scale of pain in postoperative patients.

Low back pain termasuk salah satu gangguan muskuloskeletal yang menyebabkan penurunan produktivitas kerja dan disabilitas. Low back pain diklasifikasikan ke dalam tiga kategori berdasarkan lamanya waktu dari gejala yaitu akut, sub akut, dan kronis. Upaya pencegahan nyeri punggung bawah dengan melakukan kegiatan sehari-hari dengan baik dan benar seperti ketika duduk posisinya harus tegak dan tidak membungkuk bisa dibantu dengan menggunakan bantal pada punggung untuk membantu menopang tulang belakang, mengangkat barang dengan beban yang tidak berat, dan posisi tidur yang benar seperti side lying atau miring dengan kaki salah satu ditekuk, karena nyeri punggung sering diakibatkan karena postur yang salah serta akibat beban di tulang belakang. Kegiatan penyuluhan ini bertujuan agar ibu-ibu PKK dapat mengetahui dan melakukan pencegahan maupun penanganan pada kasus low back pain. Metode yang digunakan adalah ceramah dan tanya jawab. Penyuluhan ini terkait permasalahan kesehatan yang terjadi pada ibu PKK yaitu nyeri punggung bawah. Kegiatan ceramah dimulai dengan melakukan pre-test dan diakhiri dengan post-test untuk mengukur pemahaman dan pengetahuan pada ibu-ibu PKK terhadap topik yang disampaikan. Berdasarkan pre-test dan post-test yang telah dilakukan didapatkan hasil bahwa terdapat peningkatan pemahaman pada ibu-ibu PKK mengenai low back pain.

Protracted labor is correlated with an increase in maternal and fetal motility, an increase in abnormalities in the physiology of labor, and an escalation in the rate of caesarean section delivery. In women with prolonged labor, there is an increased risk of death due to atonic uterus, birth canal lacerations, infection, fatigue, and shock, however in infants, prolonged labor is not associated with an increase in infant mortality, decreased APGAR score, trauma, and infection. With adequate physical and psychological preparation, the impact of prolonged labor can be reduced. The (PRE) is a bodywork involving waist and hip rotations. This research employs Systeematic Literature Reviews (SLR), a synthesis of systematic, clear, and comprehensive literature studies, by identifying, analyzing, and evaluating existing data using explicit research methods and incorporating critical review procedures into the selection study. The data consists of 6 national journals and 1 international publication indexed by Shiinta Indonesia and Scopus with Q2standard Results in 7 journals utilizing observation sheets and parttographs for data collection instruments. In one of the seven journals reviewed, the Pellvic Rocking Exercise technique was applied at TM 3 gestational age, between 34 and 35 weeks. When the laboring mother enters the first stage of the active phase, another publication employs the Pelvic Rocking Exercise technique. Conclusion: Pelvic Roccking Exercise is effective in shortening the active phase till the full opening of the cervix in primiparous moms. Pelvic rocking using a birth ball helps the baby to rotate into the optimal position and shortens the first stage of labor, therefore reducing labor pain and providing comfort to the mother. It is anticipated that health care workers will become facilitators for expectant mothers and provide physical support for the profession.