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Gross motor development is an essential aspect of early childhood education because it contributes to body coordination, balance, muscle strength, and children’s readiness for physical activities. One of the activities that can be used to stimulate gross motor skills is dancing, particularly regional creative dance. This community service program aims to implement the Janger creative dance as a medium to develop gross motor skills in kindergarten group B children. The method used was evaluative with the CIPP model (Context, Input, Process, Product), involving observation, interviews, and documentation. The activity was carried out once a week through stages of rhythm introduction, basic movements, body coordination, and simple dance sequences. The results showed that more than 80% of the children experienced improvement in aspects of balance, movement coordination, agility, and large muscle control. In addition, the activity also enhanced children's self-confidence, courage, and social interaction. Therefore, the Janger dance is proven to be effective as a gross motor stimulation and is suitable to be used as a culturally based learning strategy in early childhood education.

Gross motor development is an essential aspect of early childhood education because it contributes to body coordination, balance, muscle strength, and children’s readiness for physical activities. One of the activities that can be used to stimulate gross motor skills is dancing, particularly regional creative dance. This community service program aims to implement the Janger creative dance as a medium to develop gross motor skills in kindergarten group B children. The method used was evaluative with the CIPP model (Context, Input, Process, Product), involving observation, interviews, and documentation. The activity was carried out once a week through stages of rhythm introduction, basic movements, body coordination, and simple dance sequences. The results showed that more than 80% of the children experienced improvement in aspects of balance, movement coordination, agility, and large muscle control. In addition, the activity also enhanced children's self-confidence, courage, and social interaction. Therefore, the Janger dance is proven to be effective as a gross motor stimulation and is suitable to be used as a culturally based learning strategy in early childhood education.

Gross motor development is an important aspect of an infant’s growth. Infants aged 6–12 months are in a golden period where physical stimulation plays a vital role in supporting coordination, balance, and muscle strength. Hydrotherapy provides an experience of free movement in water with light resistance, which can strengthen muscles and improve body control. This study aimed to determine the effect of hydrotherapy on the gross motor development of infants aged 6–12 months at Posyandu Dahlia, Palembang City. This research used a quasi-experimental design with a pretest–posttest control group involving 30 infants (15 intervention and 15 control). The intervention was conducted twice a week for four weeks in water with temperatures of 36–37°C. The Denver II instrument was used for assessment. Data were analyzed using paired t-tests and independent t-tests with a significance level of 0.05The average gross motor development score increased significantly in the intervention group from 45.2 to 60.4 (p = 0.001), while the control group showed no significant change (p = 0.094). Hydrotherapy has a significant effect on improving the gross motor development of infants aged 6–12 months. Health workers are encouraged to use this therapy as an alternative stimulation for early childhood development in community health centers.

Balance is a crucial component in maintaining independence in the elderly and preventing the risk of falls. Decreased balance function with aging can increase the incidence of falls, impacting the elderly's quality of life. This activity aims to screen balance in the elderly using the One Leg Standing Test (OLST) as a simple measurement tool to assess static balance. The activity was conducted in the elderly community in RT 05/RW 08, Karang Anyar Village, Central Jakarta. The test was conducted by asking participants to stand on one leg, and a time was determined until they lost their balance. The screening results showed variations in balance ability, with some elderly still in the good category, while others showed a decline in balance ability and were at risk of falls. These findings demonstrate the importance of balance training programs, muscle strengthening, and fall prevention education for the elderly. This screening activity is expected to form the basis for planning further health interventions to improve the safety and quality of life of the elderly in the community.

The purpose of this discussion is to examine the expression of dynamic sports movements in deformative sculpture. Humans naturally produce various movements that have aesthetic value, both consciously and unconsciously. These movements appear in static daily activities and in structured physical activities such as sports, which are classified as dynamic movements. Dynamic movements have patterns, rhythms, and intensities that create strong, harmonious, and meaningful body expressions. Sports provide physical benefits while displaying beauty through variations in tempo, space, energy, and time. In sports such as swimming, running, and pole vaulting, athletes' movements demonstrate a combination of muscle strength, body flexibility, and balance that create high visual aesthetics. The beauty of these movements inspires the creation of works of art, particularly in deformative sculpture. Deformative styles are used to express human body movements at certain moments in sports. This sculpture aims to convey that sports are not only physical activities, but also as an expression of the beauty of body movements that can be appreciated artistically. Through this work, the author hopes to demonstrate that sports as a visual art has aesthetic value that deserves to be appreciated and interpreted more deeply.

Osteoarthritis of the knee is a degenerative condition of the knee joint characterized by the thinning of cartilage, leading to friction between the femur and tibia. This condition results in pain, limited joint mobility, and reduced strength of the quadriceps and hamstring muscles. Physiotherapy plays a crucial role in reducing these symptoms through modality-based approaches and structured exercise therapy. This study is a case study involving a single patient with right knee osteoarthritis. Data were collected through direct observation and evaluation of therapeutic outcomes. Interventions were conducted over four sessions using Transcutaneous Electrical Nerve Stimulation (TENS) to reduce pain, Ultrasound to enhance blood circulation and reduce inflammation, and exercise therapy focusing on improving muscle strength and joint range of motion. After four therapy sessions, there was a reduction in pain intensity, improved strength of the quadriceps and hamstrings, and increased joint range of motion. These results demonstrate that the combination of TENS, ultrasound, and exercise therapy is effective in improving function and quality of life for patients with right knee osteoarthritis. This study emphasizes the importance of a multimodal physiotherapy approach in managing chronic musculoskeletal disorders.

A safe and healthy environment is crucial to minimizing accidents and occupational diseases, and this is where Occupational Health and Safety (OHS) comes in. Workers in the informal sector, such as online drivers, are more likely to experience musculoskeletal problems, especially low back pain (LBP), because they frequently lack proper occupational protection and health services. LBP is a complaint of lower back pain that can be brought on by extended periods of static sitting, bad posture, and personal characteristics like body mass index, smoking, and length of service. The purpose of this program is to educate online drivers in Malang City, East Java, and help them avoid LBP. The risk of LBP can be decreased in part by promoting physical activity and education. One recommended intervention is the William Flexion Exercise (WFE), an exercise aimed at improving posture, increasing muscle strength and flexibility, and reducing lower back pain. Implementing WFE education and training for online car drivers is anticipated to strengthen OHS awareness and reduce the incidence of LBP among informal sector workers.

Osteoarthritis is a degenerative joint disease whose exact cause is not yet fully understood. This condition is characterized by damage to the articular cartilage, resulting in pain, joint stiffness, decreased muscle strength, muscle spasms, and reduced functional activity of the patient. Several factors contribute to the development of osteoarthritis, including age, gender, race, genetic factors, smoking habits, history of trauma, type of occupation or physical activity, exercise habits, and obesity. The prevalence of osteoarthritis increases with age; among individuals aged 65–74 years, approximately 39% experience knee osteoarthritis and 23% experience hip osteoarthritis. In those over 70 years old, almost all individuals, both men and women, show symptoms of this condition. Osteoarthritis is a chronic progressive disease characterized by inflammation of the articular cartilage and synovial membrane, which causes persistent pain, joint stiffness, decreased muscle strength, and reduced mobility. Physiotherapy management for this condition aims to reduce pain, improve muscle strength, and enhance joint function. Common therapeutic modalities used include Shortwave Diathermy (SWD), Transcutaneous Electrical Nerve Stimulation (TENS), and the Hold Relax exercise technique, which helps relax muscles and increase joint range of motion

Tennis elbow, or lateral epicondylitis, is an inflammatory condition of the lateral epicondyle commonly caused by repetitive overuse of the forearm extensor muscles. It is characterized by pain, limited joint range of motion, decreased muscle strength, and reduced functional capacity. Physiotherapy interventions, particularly ultrasound and exercise therapy, have been widely applied to reduce pain and restore functional performance. This study employed a case study design involving a 42-year-old female patient diagnosed with left-sided tennis elbow. The intervention was conducted over four therapy sessions. The modalities consisted of ultrasound, providing thermal and micromassage effects to reduce pain, combined with exercise therapy, including passive stretching to increase soft tissue flexibility and eccentric exercise to improve tendon strength and function. After four sessions, the patient showed significant improvement, including reduced pain during movement and palpation, increased joint range of motion in elbow flexion-extension, forearm pronation-supination, and wrist dorsiflexion-palmarflexion. Muscle strength, particularly in the extensors, pronators, supinators, and wrist dorsiflexors, also improved. Functional activity, measured using the PRTEE scale, demonstrated notable enhancement from mild disability to better functional independence. The combination of ultrasound, passive stretching, and eccentric exercise is effective in reducing pain, enhancing range of motion, strengthening muscles, and improving functional ability in patients with left-sided tennis elbow.

Health problems in older adults, particularly oral function disorders, often lead to serious complications such as chewing difficulties, which disrupt adequate nutritional intake and may trigger broader health issues including malnutrition, aspiration pneumonia, and a decline in overall quality of life. One intervention that has been introduced to address these challenges is the PATAKARA exercise, a simple oral rehabilitation technique designed to strengthen oral and facial muscles. This study aimed to analyze the effect of PATAKARA exercise on the oral function of older adults at Roujin Home Seseragi No Sato Zao, Japan. The research employed a quasi-experimental approach with a One Group Pretest-Post Test Design. The study population consisted of 75 older adults, with 40 participants selected through purposive sampling. Data were collected using the Oral Health Impact Profile-14 (OHIP-14) questionnaire and analyzed with the Wilcoxon test. Findings showed that most participants were in the advanced elderly category (≥80 years), predominantly female, and had a secondary education background. Prior to the intervention, the majority exhibited moderate oral function, while after the exercise, most participants demonstrated improved oral function categorized as good. Statistical analysis revealed a significant effect of the PATAKARA exercise on oral function (p = 0.000). The results suggest that PATAKARA exercise effectively enhances oral muscle strength, including the lips, tongue, pharynx, and larynx, thereby improving chewing, swallowing, and speech functions. This exercise can be recommended as a practical, non-invasive, and low-cost intervention to support oral health and overall well-being among older adults.

This research aims to analyze the role of morning exercise activities on the health and physical fitness of fifth-grade students at SD Negeri 48 Pagar alam. Morning exercise as a routine physical activity in the school environment potentially provides significant benefits to the physical development and health of elementary school-aged children. The research method used is descriptive qualitative with an observational approach. The research subjects were 28 fifth-grade students of SD Negeri 48 Pagar alam, located in Rimba Candi Village, Candi Jaya Sub-district, Dempo Tengah District. Data collection was carried out through participatory observation, structured interviews with teachers and students, and physical fitness measurements using the Indonesian Physical Fitness Test (TKJI) for children aged 10-12 years. The results showed a significant improvement in components of students' physical fitness including cardiorespiratory endurance, muscle strength, flexibility, and balance after the implementation of routine morning exercise programs for one semester. Additionally, it was identified that morning exercise activities contributed to increased learning concentration, discipline, and school enthusiasm. Several factors supporting the success of this program include support from the school, availability of adequate facilities, and active participation of teachers as role models. Meanwhile, inhibiting factors include unpredictable weather conditions, student tardiness, and limited variation in exercise movements. This research concludes that morning exercise plays a strategic role in improving the health and physical fitness of fifth-grade students at SD Negeri 48 Pagaralam, thus it is recommended to be established as a sustainable program with the development of movement variations and provision of competent instructors.

Background : Appendectomy is a surgical procedure to remove the appendix which is done as soon as possible to reduce the risk of perforation. Nursing problems that arise after appendectomy is acute pain. Objectives: Gaining real experience and knowledge and being able to document the application of deep breathing relaxation techniques is an appropriate non-pharmacological action in reducing pain scale. Method: this type of scientific paper uses a descriptive method with a descriptive case study approach with a case study approach to explore the problem of nursing care carried out on two patients carried out on June 15 - 20 2021. Results: from the results of nursing care to Mrs "S" and Mr "M" with a nursing diagnosis in the first patient, namely acute pain related to physical injury agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), impaired sense of comfort related to symptoms of the disease ( pain), impaired physical mobility related to decreased muscle strength (pain), and the second patient's diagnosis was acute pain related to physical injuring agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), discomfort related to symptoms of disease (pain), anxiety related to situational crises, lack of exposure to information, impaired physical mobility associated with decreased muscle strength (pain). The interventions in both patients were: identification of location, characteristics, duration, frequency, quality and intensity of pain, identification of pain scale, identification of non-verbal pain responses. The evaluation of the first patient had a pain intensity scale of 6 (moderate), and the second patient a pain scale of 7 (severe). The results of the study in the Surgery Room of the Palembang Bari Regional General Hospital after the deep breathing relaxation technique was carried out in the first patient on a pain scale of 6 (moderate) to 3 (mild), and the second patient pain scale of 7 (severe) to 4 (moderate). Conclusion: Progress notes to both patients on the application of deep breathing relaxation techniques to reduce pain intensity. The results of the nursing evaluation of the problem were partially resolved.

Myofascial pain syndrome (MPS) is a condition characterized by muscle or fascia pain, involving sensory, motor, or autonomic functions, linked to myofascial trigger points (MTrPs). Motor symptoms can include muscle weakness, limited movement, and stiffness. Sensory symptoms may involve tenderness, referred pain, hyperalgesia, or allodynia, while autonomic symptoms include sweating, changes in skin temperature, and salivation. MPS occurs due to increased sympathetic nervous system activity, which worsens pain. Physical therapy is vital in improving movement and function, with Active Exercise Therapy being a recommended treatment. MPS affects 36% of 431 patients, with pain intensity often developing within a week, and in Indonesia, it reaches 40% within a year. MPS is more common in females than males. Active Exercise Therapy, which can be performed at home or work, is essential for preventing MPS. On July 31, 2025, a community service activity was held at RT VIII Tanjung Mas Village, Semarang Utara, with 29 participants. The event included blood pressure checks, blood sugar tests, BMI measurements, and counseling on the importance of exercise therapy to prevent muscle fatigue, particularly in the neck area. The therapy, focusing on improving tendon and ligament strength and muscle strength, helps maintain joint stability and increase the range of motion. Strength training includes isotonic exercises and progressive resistance training, tailored to each individual's needs. The event provided education on managing muscle pain and fatigue through targeted exercise routines and home programs. These initiatives emphasize muscle recovery, physical health, and overall wellness, ensuring participants can manage and prevent MPS effectively. The event highlighted the critical role of regular physical activity in improving quality of life and preventing long-term musculoskeletal pain.

Ankle sprain is a musculoskeletal injury caused by excessive stretching or tearing of the ankle ligaments. This injury often occurs in the ligament due to sudden inversion and plantarflexion movements during activities, resulting in overstretching of the ligament. Objective: aims to determine the benefits of providing theraband exercise and ultrasound in treating ankle sprain patients. Method: This research used a case report method which was carried out at Bung Karno Hospital, Surakarta by taking a sample of one of the sprain patients by observing and providing therapy for 3 sessions. Then, measurements were taken every time therapy was carried out. Results: in this study, the results obtained from the physiotherapy intervention were an increase in muscle strength, a decrease in pain, an increase in Range of Motion and an increase in functional activity. Conclusion: physiotherapy management by providing a program in the form of electrotherapy in the form of ultrasound and exercise therapy using thera-band exercise for ankle sprained patients which was carried out in 3 training sessions gave positive results with a decrease in pain, an increase in muscle strength, and an increase in Range of Motion.

Age 9-10 years is a crucial stage of motor development, where physical abilities such as muscle strength, flexibility and balance significantly affect performance in sports activities, including throwing and catching skills.This study to analyze relationship between arm muscle strength, back muscle flexibility, and balance on the throwing and catching skills children aged 9–10 years at VIO Surabaya. This is quantitative research with correlational design and multiple regression analysis. The sample use 15 children (8 boys and 7 girls) who were athletes from the VIO Baseball Club Surabaya, all aged between 9-10 years. Instruments included a push-up test to measure arm muscle strength, a V-sit and reach test for back muscle flexibility, a one-leg balance test, and a throwing and catching test using a softball. The results is arm muscle strength had a significant relationship with throwing and catching skills (Pearson correlation value of r = 0.921 (p < 0.05)). In contrast, back muscle flexibility (r = 0.328) and balance (r = 0.131) did not show significant relationships. The conclution arm muscle strength is most influential factor in determining throwing and catching in children, therefore, training programs should prioritize arm strength development to support motor skill advancement in early age.

This study aims to examine the role of the traditional rope jumping game in stimulating the development of gross motor skills and social skills of early childhood at Kiddi Care Kindergarten. The method used is descriptive qualitative, with data collection techniques through direct observation and interviews with accompanying teachers. The results of the observation indicate that the rope jumping game can enhance children's motor coordination, balance, agility, and muscle strength, which are crucial components of gross motor development. In addition, this game also strengthens children's abilities in concentration, discipline, and cooperation. Children appear enthusiastic, can follow the rules, and show positive social interactions during the activity. Interviews with teachers support these findings, where teachers state that the rope jumping game is an effective means of training physical skills while shaping children's character. Based on these results, it can be concluded that the traditional rope jumping game is a worthy addition to early childhood learning as a fun and holistic educational medium.

Knee stiffness is one of the most common complications experienced by patients with tibial fractures. It can weaken and limit accessory joint movement, inhibit muscle activation, impair gait pattern, and reduce the overall physiological range of motion. Surgical procedures may also affect functional capacity and decrease quality of life due to limitations in the patient's activities of daily living (ADL).This case report aims to explore the management and effectiveness of physiotherapy interventions in a case of knee stiffness. A single-subject research design was used to observe a patient, Mr. JP, aged 53 years, who complained of stiffness, pain, and muscle weakness in the left knee (genu sinistra) following trauma. The study was conducted in February 2025. Physiotherapy sessions were carried out every three days, for a total of four sessions. Interventions included Infrared therapy, Transcutaneous Electrical Nerve Stimulation (TENS), and exercise therapy in the form of passive forced exercises, hold-relax techniques, and active resisted exercises.Progress was observed from session T1 to T4, assessed through various parameters: pain levels measured by the Numerical Rating Scale (NRS), muscle strength evaluated using Manual Muscle Testing (MMT), range of motion (ROM) assessed with a goniometer, and functional ability measured using the International Knee Documentation Committee (IKDC) questionnaire. The physiotherapy intervention using Infrared, TENS, and therapeutic exercises (passive forced, hold-relax, and active resisted) showed improvements in reducing pain, increasing muscle strength, enhancing joint ROM, and improving ADL performance in a patient with post-tibial fracture knee stiffness.

A burn or combustio is a tissue trauma characterized by skin damage due to heat, chemicals, electricity or radiation. Patients with severe root injuries (such as grade IIb-III) often develop serious functional complications. Hypertrophic scarring can lead to contractures and joint movement limitations. In addition, scars often experience itching and pain, especially in superficial partial wounds and skin withdrawal areas. Patients perform therapy 2 times with the aim of physiotherapeutic intervention is to optimize LGS in the lower extremities (knee and ankle dextra), Reduce motion pain AGB dextra, Increase muscle strength AGB dextra, Increase LGS joint Knee and ankle dextra), Increase scar tissue elasticity. Multimodal physiotherapy interventions provided in the form of ROM Exercise, Strengthening, Ankle Pumping, Gait Training. The result is a difference in measurement results in the form of an increase before and after receiving the intervention.

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.

Carpal Tunnel Syndrome (CTS) is a peripheral neuropathy disease that occurs due to compression or pressure on the median nerve which causes narrowing of the carpal tunnel. Common symptoms of CTS are pain, numbness, and paresthesia which usually spread to the fingers, especially the thumb, index finger, and middle finger. To determine the effectiveness of non-operative therapy in cases of Carpal Tunnel Syndrome using modalities of tools and exercise therapy in the form of nerve gliding exercise, free exercise with resistance, hand grip, and manual therapy techniques. Case report study is used as a research method by taking samples from 1 patient with a case of Carpal Tunnel Syndrome (CTS). The measuring instruments used are Visual Analog Scale (VAS) for the pain scale, Manual Muscle Testing (MMT) to measure muscle strength, Goniometer to measure Range Of Motion (ROM), and Wrist Hand Disability Index (WHDI) to measure functional activity ability. After the implementation of the 3rd therapy there were changes, namely decreased pain, increased muscle strength, increased ROM and increased functional activity.  This case study shows that there is effectiveness in providing exercise therapy, manual therapy and electrotherapy in cases of Carpal Tunnel Syndrome (CTS).