Publication Search

Indonesia is a country where the majority of its population works as farmers. One of the occupational health risks that can affect farmers is low back pain. An initial study, based on health data from the Matesih Health Center, found that many farmers in the area under the Matesih Health Center's jurisdiction reported complaints of low back pain. Therefore, efforts need to be made to reduce the risk of low back pain. The Mulyo Farmers' Group is one of the farmer associations in Gugur Village, Matesih District. Socialization is one of the efforts that can be made to increase knowledge about low back pain among the Mulyo Farmers' Group. This research used a pre-experimental design with a one-group pretest-posttest design. The sample consisted of 48 members of the Mulyo Farmers' Group, selected using simple random sampling. The statistical test used was the Wilcoxon Signed-Rank Test. The research activities included a pre-test, socialization about low back pain, and a post-test. The results showed that there was a significant difference in the level of knowledge before and after the socialization about low back pain in the Mulyo Farmers' Group.

Background: Lower back pain is common in pregnant women, especially in the third trimester, due to physiological changes such as weight gain, shifts in the body’s center of gravity, and ligament relaxation. Prenatal exercise is a non-pharmacological method that improves flexibility, strengthens muscles, and enhances posture, reducing lower back pain. However, its implementation remains limited due to a lack of education and supporting facilities. Objective: This study evaluates the effect of prenatal exercise on lower back pain reduction in third-trimester pregnant women at the Independent Practice of Midwife Novia Br Karo, Sunggal District, Deli Serdang Regency. Method: A pre-experimental design with a one-group pretest-posttest approach was used. The study included 32 third-trimester pregnant women experiencing lower back pain. Prenatal exercise was provided, and pain levels were measured before and after using an observation sheet. Results: Before the intervention, most respondents (53.1%) reported moderate pain. After prenatal exercise, the majority (59.4%) experienced reduced pain in the mild category. The Wilcoxon test yielded a Z value of -3.122 with p = 0.002 (p < 0.05), indicating a significant effect of prenatal exercise in reducing lower back pain. Conclusion: Prenatal exercise effectively reduces lower back pain intensity in third-trimester pregnant women. It should be promoted as a non-pharmacological intervention for pregnancy-related back pain and incorporated into maternal health programs.

In 2023, pregnant women in the working area of Puskesmas Martapura Timur mostly experienced anxiety in the face of childbirth. A total of 10 pregnant women with more than 20 weeks of pregnancy experienced mild anxiety 30%, moderate anxiety 50% and severe anxiety 20%. All pregnant women experienced low back pain and never received material about prenatal yoga during pregnancy. This community service expects pregnant women to increase knowledge and skills about Antenatal Care and yoga exercises to reduce anxiety during pregnancy. The method used is health counseling along with the game Ibu Hamil Ceria (MILRIA) with a peer group approach through pregnant women's classes. This activity was carried out 3 times a meeting of each prenatal class, totaling 9 meetings. When measuring anxiety levels in Pekauman village and Melayu Tengah village, it was found that 13 (61.9%) pregnant women experienced mild anxiety and the knowledge of pregnant women was lacking regarding ANC as many as 15 (71.4%) out of 21 people. So that health counseling and yoga exercises are carried out to reduce anxiety and increase knowledge in pregnant women. The results showed a decrease in anxiety levels to 31.2% and the knowledge of pregnant women increased to 81.2%.

Low back pain (LBP) is a musculoskeletal disorder that is most often found in work activities (Anggraika et al., n.d.). The Directorate General of Health Services, Ministry of Health of the Republic of Indonesia (Kemenkes RI) reports that the prevalence of Low Back Pain (LBP) in Indonesia is 18%. This figure is based on patient visits from several hospitals, and around 3-17% of all LBP complaints occur in Indonesia (Hasby et al., n.d.). This outreach aims to increase the knowledge of Dinoyo ceramic workers about low back pain. This outreach activity includes explanation of the definition, causes, signs and symptoms, prevention, and exercises for LBP. The method of physiotherapy activities used is providing health promotion outreach and physiotherapy exercises carried out independently regarding low back pain. From the results of observations and interviews, several workers complained of lower back pain. It is hoped that this outreach activity can increase workers' knowledge regarding low back pain. The hope is that all ceramic industry workers in Malang City will gain knowledge and prevention about low back pain.

Bamboo crafts are works of art that have many benefits, such as musical instruments and household utensils. One way to make bamboo crafts is by weaving. The largest craft industry in the city of Trenggalek is the bamboo weaving industry. There are many health problems and work accidents in bamboo weavers such as complaints of low back pain, CTS or work accidents such as cuts, stabs, etc. The purpose of this physiotherapy education is to increase the understanding and knowledge of bamboo weaving craftsmen in order to avoid or resolve problems with the health and safety of workers. This activity shows results, namely that bamboo weaving craftsmen can understand the material well after being evaluated with a pre-test and post-test.

The process of aging in the course of human life is a natural thing. A common problem experienced by elderly people related to physical health is that they are susceptible to various diseases, due to reduced body resistance in dealing with external influences. Low back pain or lower back pain is a feeling of discomfort that can cause various kinds of disorders that can cause health problems in human life. So it is important for people to understand about low back pain. Therefore, there is a need to increase knowledge and understanding at community health centers about low back pain, including signs of symptoms, prevention and treatment for the elderly at Posyandu, Kedungkandang Village. The method used is to provide physiotherapy education in the form of health promotion about low back pain to elderly posyandu participants using posters as an educational medium. Questions and answers to participants to measure effectiveness and provide independent training education. The activity ran smoothly and was easily understood by the elderly at the Posyandu, Kedungkandang Village and could increase participants' knowledge about cases of low back pain.

Nguter is one of the villages in Nguter Subdistrict, Sukoharjo Regency, Central Java. The geographical location of Nguter Subdistrict is at an altitude of 104 meters above sea level. One of the healthcare facilities in Nguter Village is the Nguter Community Health Center (Puskesmas). From January to July 2024, the number of low back pain cases treated at Nguter Community Health Center reached 285 people. This figure is considered quite hi gh, as it continues to show a significant increase each year. The goal of this program is to provide education on William Flexi Exercise for myogenic low back pain in the elderly, helping alleviate the complaints of lower back pain. The method used involves counseling sessions through lectures and leaflets for the Elderly Posyandu Community in RW 07, Nguter Subdistrict, Sukoharjo Regency, Central Java. The result of this community service program is that the elderly understood the material provided and are able to perform the exercises independently at home.

As cities in Indonesia continue to develop, there will inevitably be ignorance of the elderly's knowledge of their own health. For example, elderly people with working backgrounds are generally at risk of lower back pain, pinched nerves, complaining of various muscle tension problems and so on which can disrupt their daily activities. This problem is caused by incorrect positioning while working, such as frequently pushing, lifting, bending, sitting or standing for long periods of time and unergonomic body posture while working. Physiotherapy outreach activities related to increasing knowledge of daily activity disorders, efforts to educate the elderly regarding activity disorders, especially about definitions, signs of symptoms, causes, prevention, and daily activity activity therapy independently after work to reduce the symptoms suffered. This outreach activity uses leaflets as media, containing educational material for the elderly, then education and training depending on the location of the disorders the elderly complain of. The counseling activities at the Mobile Health Center Posyandu which are held every day by the Kendalsari Community Health Center, Malang City, went smoothly, the response was good, full of enthusiasm. The results obtained show the results of the pretest so that there is increased knowledge among workers which shows that workers have knowledge and insight regarding prevention and independent treatment after work. The results obtained showed that most of them were mild complaints, so that the majority of complaints involving disruption of daily activities were experienced by women, 68% of which were indicated by questionnaires for 25 elderly people at the Kendalsari Community Health Center and Posyandu for the Elderly in Malang City.

Changes in the musculoskeletal system during the third trismester of pregnancy cause changes in body weight, abdominal muscle elasticity, and center of gravity which affect the balance of pregnant women. Back pain in pregnancy can be detrimental to the quality of life of pregnant women and is caused by changes in posture, hyperlordosis, paraspinal muscle tension, and decreased blood flow to the spine. Physiotherapy is a non-pharmacological solution by applying massage and stretching techniques. Massage helps relax muscles, reduce pain, increase blood flow, and improve muscle flexibility. Stretching plays a role in reducing pain, increasing flexibility, muscle strength, and preventing deformity. This activity is carried out by conveying physiotherapy information through leaflets as a promotional medium, pre-test, post-test, and questions to pregnant women to measure knowledge. The results of the activity showed active participation from 12 pregnant women class participants with positive responses to the material presented. Interesting material accompanied by demonstrations of massage and stretching techniques helps increase knowledge of pregnant women. Evaluation before and after the activity showed an increase in knowledge from 5% to 100%, indicating the success of the extension activity.

Lower back pain is pain in the lower back area that is felt down to the buttocks and thighs which is often found in society, especially in housewives. The core is the central part of the body including the pelvis, lower back and hips. Core exercises train the muscles to work in harmony and improve body balance. This study uses leaflet media and direct tutorials to members of the Dharma Wanita Persatuan Balai Perikanan Budidaya Laut (BPBL) Ambon to overcome lower back pain (Low Back Pain).      

Background: Surgical procedures can be a potential or actual threat to a person's integrity that can evoke physiological and psychological reactions. Based on WHO 2022, patients with surgery are recorded at 234 million people. The problem caused by surgery or surgery is pain. Pain management can be done by pharmacological or non-pharmacological methods. The application of dhikr therapy can be used as a non-pharmacological therapy to be combined with pharmacological therapy so that person's pain scale can be further reduced. Objective: Describe results the implementation of dhikr therapy on post-operative patients at RSUD Bagas Waras Klaten. Method: Application of Dhikr Therapy to the Pain Scale in Post-operative Patients with descriptive method was carried out for 3 days in 1 day there were 2 sessions with each session 10 minutes and interval between each session was given 2 hours. Results: There was decrease in the pain scale in 2 post-operative patients, after applying dhikr therapy for 3 days from a controlled severe pain scale to mild pain scale. Conclusion: The results the application of Dhikr Therapy for 3 consecutive days can reduce the pain scale in post-operative patients at RSUD Bagas Waras Klaten.

Background: Menstruation is the process of shedding of the uterine wall (the inner layer of the endometrium) which is accompanied by bleeding that occurs repeatedly every month, except during pregnancy. Dysmenorrhea consists of primary and secondary dysmenorrhea. This study aims to determine the impact of giving sour turmeric infusion on changes in the level of dysmenorrhoea. Giving tamarind turmeric infusion on changes in desmenorrhea in female students at SMPN 19 Bandar Lampung. Research Objective: To determine the impact of giving sour turmeric infusion on changes in the level of dysmenorrhoea in female students at SMPN 19 Bandar Lampung Research Method: The type of research used is quantitative with a cross sectional approach. Pre-experimental research design with a one group pretest-posttest design without a control group. The sampling technique uses the Accidental Sampling technique. The data analysis technique used is the Wilcoxon test. Research result : Giving tamarind turmeric is a feasible intervention given to reduce dysmenorrhea pain experienced by young women. Suggestion for health workers to provide knowledge about treatment non-pharmacological dysmenorrhoea by administering tamarind turmeric drink. Conclusion : Giving tamarind turmeric is a suitable intervention to reduce dysmenorrhea pain experienced by young women. Suggestions for health workers to provide knowledge about non-pharmacological treatment of dysmenorrhoea by giving tamarind turmeric drinks

Background: The elderly are vulnerable to chronic diseases and musculoskeletal issues, such as rheumatoid arthritis, which is characterized by pain in the joints and extremities. This disease can lead to persistent pain, fatigue, and an increased risk of injury. One effective non-pharmacological therapy for reducing joint pain in patients with rheumatoid arthritis is rheumatic exercise, which focuses on maintaining range of motion and physical health. Objective: The objective of this research is to describe the comparison of the final results between two respondents before and after the application of rheumatic exercises. Method: This research uses a case study approach with a descriptive method. Descriptive research aims to present or describe the events observed in society. The application of rheumatic exercises was carried out for 4 weeks with a frequency of once a week for 8 minutes. Result: From this study, a decrease in pain levels was found in both respondents, with N. Y's pain level dropping from 5 to 1 and Ny. Y's from 6 to 2. Conclusion: Rheumatic exercise therapy can reduce pain levels in patients with rheumatoid arthritis. (RA).

 Mojolaban is one of the sub-districts in Sukoharjo Regency, Central Java, which has 15 villages. The district has Mojolaban main health center, Jatimalang auxiliary health center and Kustati Clinic. Low back pain (LBP) is a disease that is widely suffered in Sukoharjo Regency, according to the Sukoharjo Regency Health Office, LBP sufferers amounted to 3,670 people from 2018-2022. LBP is one of the health problems that is often not taken seriously by the community, especially the elderly. Even though if left unchecked it can interfere with daily life and reduce quality of life. The purpose of this counseling is to prevent, promote health related to LBP with the target participants of the Matahari Elderly Posyandu located in Ds. Wirun Mojolaban. The measurement used in this activity is a pre-test and post-test questionnaire to measure the understanding of the elderly. The results of the questionnaire showed a good improvement with an average pre test and post test increase of 50%. For this reason, posyandu cadres always follow-up so that the elderly can do this exercise not only during counseling but also at home.

Maternal Mortality Rate (MMR) is a component of the development index and quality of life index which is calculated by considering and taking into account women's health status (MMR). The aim of this study was to determine the effect of pregnancy exercise on reducing lower back pain in pregnant women III at the Sidomulyo Banyuasin Community Health Center. The research population was pregnant women in the third trimester at the Sidomulyo Banyuasin Community Health Center with a total of 16 pregnant women. Univariate and bivariate data analysis.  The results of research show that pregnancy exercise has an effect on reducing lower back pain in pregnant women. This shows that 0.018 is smaller than 0.05. Through this research, pregnant women understand the benefits of pregnancy exercise during pregnancy, especially during the third trimester of pregnancy, which has a very good impact so that mothers feel comfortable and reduce complaints during pregnancy, such as lower back pain, especially.

Hypertension is a condition where blood pressure is higher than the normal limit, namely for systolic ≥140 mmHg and for diastolic ≥90 mmHg. The purpose of this writing is to find out and provide nursing care for Mr. B’s family with cardiovascular system disorders: hypertension in Mr. J in Kalibuntu Village Rt 05 Rw 02 Losari District Brebes Regency according to nursing standards. The method used s the data collection method in the form of interviews, observations, documentation studies and physical examinations. From the case rewiew, it was found that the client’s main complaint was pain in the back of the head and pain in the neck, P: pain increases during activity, Q: pain like being cut, R: pain in the back of the head, S: pain scale 4 (moderate), T: pain comes and goes. The nursing problems found were acute pain and knowledge deficit. Interventions are arranged based on the theory in SDKI, SLKI and SIKI as well as on the client’s condition and can be implemented.

The purpose: To determine the effect of differences between SWD and neural mobilization with SWD and William’s flexion exercise to improve of functional ability on patient’s with low back pain ischialgia. Design: Two group pretest and posttest design. Participants and interventions: Ten patients with low back pain ischialgia from both sexes were involved (outpatient hospital clinic). Age of the patients between 46 – 65 years. They were divided into two equal groups, Group (I) received SWD and neural mobilization intervention and Group (II) received SWD and William’s flexion exercise. Outcome measure: The Oswestry disability index (ODI) was used to assess changes in perceived disability. The mean differences between week 0 and week 3 were compared across the two treatment groups using Mann-Whitney. Ninety-five percent (95%) confidence intervals (CIs) for the differences between groups were calculated. Results: The results of study revealed that: there was significant difference in functional ability group I (p=0.034) and group II (p=0.038). Howeverthere wasn’t a significant difference between both groups on functional disabilities improvement (p=0.245), so there wasn’t intervention which better of both. Conclusion: It is concluded that SWD addition neural mobilization and SWD addition William’s flexion exercise may be beneficial in the management of patients with low back pain ischialgia to improving of functional ability in two groups.

Background: The prevalence of gouty arthritis has increased significantly by 2023, reaching 33.3% according to WHO. In Indonesia, 35% of cases occur in men aged over 45 years, while Central Java has a prevalence of 26.4%. In Sukoharjo District, Mandan Village recorded the highest number of gout patients with 150 cases, followed by Gayam (75 cases) and Sukoharjo (35 cases). The use of warm water compresses is recommended to relieve joint pain due to gouty arthritis by increasing blood flow and reducing joint stiffness. Objective: Knowing changes in the pain scale in two respondents with gouty arthritis before and after a warm compress method: This research is applied research with a case study using pre-post test results: There was a decrease in Mrs. S's pain scale which initially 6 decreased to 3 while in Mr. T, the pain scale 7 decreased to 5. Mr. T is a pain scale of 7 decreasing to 5. Conclusion: After the application of warm compresses on Mrs. S and Mr. T, there was a decrease in the pain scale. T there is a decrease in the pain scale. Mrs. S from moderate pain to mild pain, Mr. T from severe pain to moderate pain. T from severe pain to moderatepain. This shows that warm compresses can reduce pain in people with gout.

Background: Menstrual pain in the world is very high, 50% of women worldwide, Bulgaria 8.8%, Finland 94% while Indonesia 64.25%. Menstrual pain causes short and long term adverse effects including interference with daily activities and even an increase in absenteeism at the campus, long-term effects cause tissue growth outside the uterus. Menstrual pain can be treated with pharmacological and non-pharmacological therapies. One of the non-pharmacological therapies is inhaling lemon aromatherapy. Limeone contains lots of vitamin C which will control prostaglandins and reduce pain. Objective: To describe the results before and after the application of lemon aromatherapy on reducing menstrual pain. Methods: Case study with descriptive design on 2 respondents who were given lemon aromatherapy for 15 minutes twice a day for 2 days, and measured using Numeric Rating Scale. Results: After lemon aromatherapy was performed on both respondents with menstrual pain, it showed a decrease in the pain scale from moderate pain to mild pain. Conclusion: The application of lemon aromatherapy can reduce menstrual pain in female students from moderate to mild

Background: Dysmenorrhea is pain experienced during or just before menstruation and is one of the most common gynecological issues affecting women of all ages. Primary dysmenorrhea occurs 6 to 12 months after the first menstruation and is caused by high levels of prostaglandins released from endometrial secretions, leading to painful uterine contractions. Carrots are a vegetable rich in vitamin E, which can help block the formation of prostaglandins and counteract the effects of increased production of prostaglandin hormones. Objective :To analyze the difference in dysmenorrhea pain levels before and after consuming carrot juice. Method : A one-group pretest-posttest approach was used, conducted in Ngablak Village, Kenteng Nogosari, Boyolali, in April-May, involving 20 respondents. Data processing was done using the Wilcoxon statistical test. Results: The majority of respondents before consuming carrot juice (100%) experienced severe pain. After consuming carrot juice, out of 20 respondents (100%), 6 (30.0%) experienced a reduction to mild pain, and 14 (70.0%) experienced a reduction to moderate pain. The Wilcoxon test results showed a significant effect of carrot juice on dysmenorrhea in adolescents, with a p-value of 0.00 (p < 0.05). Conclusion: There is an effect of consuming carrot juice on the reduction of dysmenorrhea in adolescents in Ngablak Village.