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Background: Respiratory failure is a condition in which the respiratory system fails to perform the function of gas exchange, namely the entry of oxygen and the exit of carbon dioxide. Patients with respiratory failure are usually put on a ventilator. Patients who are put on a ventilator will experience a buildup of secretions, to overcome this, chest physiotherapy and suction will be performed. Chest physiotherapy is a procedure performed on patients who experience secretion retention and oxygenation disorders who require assistance to thin or remove secretions. While suction is the act of inserting a suction catheter tube through the mouth or nose or endotracheal tube (ETT) which aims to reduce sputum retention, free the airway and prevent lung infections. The purpose of this community service is to teach and understand changes in oxygen saturation levels in patients with respiratory failure in the ICU room of the Dr. Ario Wirawan Salatiga Lung Hospital after chest physiotherapy and suction interventions. The methods used are training, lectures and direct demonstrations. The number of patients in this community service is 4 patients. The results of this community service are the effect of increasing oxygen saturation after chest physiotherapy and suction. That is, before chest physiotherapy, the average oxygen saturation level was 93%, after chest physiotherapy for 3 days it became 97%. While before suction, the average saturation level was 95%, after suction for 3 days the 4th saturation became 100%. The conclusion is that there is an increase in oxygen saturation levels after chest physiotherapy and suction in patients with respiratory failure in the ICU Room of the Dr. Ario Wirawan Salatiga Lung Hospital.

Physiotherapy is a form of health service aimed at individuals and communities. The scope of physiotherapy services is to develop, maintain, and restore movement and body function throughout the life span. This service can be done through a promotive, preventive, curative, and rehabilitation approach. One of the many cases of physiotherapy is musculoskeletal complaints. Musculoskeletal complaints can occur due to habits carried out during work. If the body position is not correct and maintained for a long duration, it can trigger the emergence of musculoskeletal complaints. Work that lasts for a long time will decrease a person's body ability and can cause complaints and disorders in the body, especially musculo problems, one of which is neck pain. Neck pain is a multifactorial disease and is a major problem in society today. Some risk factors for neck pain, such as old age, female gender, low social support, and non-ergonomic work postures. The method of community physiotherapy activities used is to provide health promotion counseling and education regarding physiotherapy management in the form of stretching that can be done independently. The media used are leaflets and posters. The purpose of this counseling is to provide education and physiotherapy treatment related to neck pain in Keripik Tempe Sanan workers so that they can improve the complaints that have been felt and minimize the occurrence of injuries.

Physiotherapy is a form of health service aimed at individuals and communities. The scope of physiotherapy services is to develop, maintain, and restore movement and body function throughout the life span. This service can be done through a promotive, preventive, curative, and rehabilitation approach. One of the many cases of physiotherapy is musculoskeletal complaints. Musculoskeletal complaints can occur due to habits carried out during work. If the body position is not correct and maintained for a long duration, it can trigger the emergence of musculoskeletal complaints. Work that lasts for a long time will decrease a person's body ability and can cause complaints and disorders in the body, especially musculo problems, one of which is neck pain. Neck pain is a multifactorial disease and is a major problem in society today. Some risk factors for neck pain, such as old age, female gender, low social support, and non-ergonomic work postures. The method of community physiotherapy activities used is to provide health promotion counseling and education regarding physiotherapy management in the form of stretching that can be done independently. The media used are leaflets and posters. The purpose of this counseling is to provide education and physiotherapy treatment related to neck pain in Keripik Tempe Sanan workers so that they can improve the complaints that have been felt and minimize the occurrence of injuries.

Active Cycle Breathing Exercise (ACBE) is an effective therapeutic method for managing asthma symptoms, particularly in improving lung function and reducing the frequency of attacks. The role of physiotherapists as parental companions in implementing ACBE is crucial, especially at Medan Selayang Community Health Center. This study aims to analyze the contribution of physiotherapists in assisting parents of children with asthma to perform ACBE correctly and consistently. A descriptive research method was used, collecting data through interviews, observations, and questionnaires administered to parents and physiotherapists. The results indicate that physiotherapist involvement not only enhances parents' understanding of ACBE techniques but also improves adherence to regular practice at home. Furthermore, there was a significant reduction in asthma symptoms among children following consistent therapy. The physiotherapists' roles include education, demonstration, supervision, and evaluation of patient progress. Through this assistance, parents gain confidence in helping their children manage asthma, leading to an overall improvement in the quality of life for both children and families. This study recommends strengthening training programs for parents and integrating ACBE into physiotherapy services at the community health center level to ensure sustainable therapy.

Letjen Sutoyo RW 03 Lowowaru is an urban area in Malang City. This area has a Health Center that plays a vital role in maintaining public health. The aging process is characterized by a decrease in the body's ability to adapt to external stress, which leads to a decrease in the physiological function of organs, systems, and overall body ability. One of the important functions of the body is to form balance, which refers to the ability to maintain the center of the body's position against the supporting base when standing, sitting, moving, or walking (Winter, 1995 in Howe, et al., 2008). This balance is essential to maintain stability when moving from one position to another (Lee & Scudds, 2003).

Satisfaction is very important in assessing service quality, especially in health services. Physiotherapy services are one of the medical rehabilitation services in hospitals aimed at individuals to restore movement and body functions are required to provide the best service. Dr. Hafiz Hospital (RSDH) Cianjur is the first private hospital in Cianjur, which strives to improve the quality of services in all types of services including physiotherapy services. However, the data on quality indicators of the Physiotherapy Unit showed a decrease in visits. The complaint data that is often received is about administration, service procedures, communication and attitude of officers and others. This study aims to find out the picture of patient satisfaction with physiotherapy services at Dr. Hafiz Cianjur Hospital . This type of research is quantitative with a descriptive method, the population in this study is 87 physiotherapy patients obtained using purposive sampling techniques. Data was obtained using a questionnaire, then the data was processed and univariate analysis. The results showed that satisfaction based on physical evidence (tangible) included high (41.4%), reliability had high satisfaction (41.4%), accuracy (resvonsiveness) had high satisfaction (43.7%), assurance had moderate satisfaction (44.8%), and care (empathy) have moderate satisfaction (47.1%). The hospital is advised to evaluate the quality of service to meet patient satisfaction, so that it can determine the next steps to be taken in measuring wisdom in the future.

Cognitive impairment is one of the adverse effects for the elderly. Physiotherapy plays an important role in improving cognitive function in the elderly, namely by promotive, preventive, curative, and rehabilitative ways. Assessment of cognitive function with neuropsychological examination is the main key. A fairly popular cognitive function examination includes the Mini Mental State Examination (MMSE) Test. The method used was to provide counseling and examination related to cognitive impairment in the elderly using the MMSE (Mini Mental State Examination) questionnaire. Participants in counseling activities consisted of 30 elderly people. Before counseling the elderly are given questions (pre-test) about material about cognitive impairment. Furthermore, the elderly were given education related to cognitive impairment, then continued with a question and answer session, after that, the MMSE (Mini Mental State Examination) questionnaire was distributed. Pretest and posttest were conducted before and after counseling regarding the provision of cognitive function disorder material. Based on the data above, counseling activities carried out on understanding the elderly in the elderly griya husnul khotimah wajak related to the definition of cognitive function disorders, causes, signs and symptoms, and treatment, this is indicated by an increase in insight and knowledge of the elderly regarding cognitive function disorders in the elderly.

Elderly or elderly is someone who has reached the age of 60 years and over which in general the elderly experience a decrease in endurance so that they are vulnerable to various degenerative diseases such as Osteoarthritis. Osteoarthritis is a type of arthritis that most often occurs especially among the elderly or commonly called degenerative diseases, Osteoarthritis is one of the main causes of morbidity, and physical disability. The method given in community physiotherapy activities is to provide counseling on understanding, causes, signs and symptoms, prevention and exercises. From the activities that have been carried out at the Tumpang Health Center on Saturday, October 19, 2024, it can be concluded that it runs smoothly and is well realized. The benefits of this counseling activity are to provide insight and knowledge about the prevention and treatment of Osteoarthritis or knee arthritis so that the knowledge of the elderly about Osteoarthritis increases.

Good posture during activities is a body position that uses little energy to keep the body balanced and comfortable. When the body position tends to be bad, it will also result in incorrect posture if done repeatedly during activities. The impacts that can occur are postural abnormalities such as kyphosis, scoliosis, and lordosis. Incorrect body position during activities, inappropriate forms of learning support, and incorrect use of backpacks can hurt body posture. If the body posture is in good condition, it will support the students' learning activities. Conversely, if the body posture is in bad condition, it will also have an impact on their education. This counseling activity aims to increase the knowledge of the students regarding how to have good body posture. To make it easier for the students to understand the things conveyed, the presentation of the material was carried out using the leaflet method as a printed media which was distributed to 40 students at SMPS Al-Fattah. The results of the counseling were seen through pre-test and post-test data that had been processed so that in this counseling activity it can be concluded that there was an increase in students' knowledge about how to have good and correct body posture.

An ankle sprain is an injury experienced by school-age adolescents due to a lack of caution during activities, as well as high physical activity in sports activities, such as playing soccer, running, and other sports. Signs and symptoms of an ankle sprain are pain and edema. Interventions for ankle sprains can be categorized into functional rehabilitation and initial management by performing the RICE (Rest, Ice, Compression, and Elevation) method followed by joint mobilization to increase the scope of joint motion. This counseling aims to increase the knowledge of seventh-grade students of MTS Almaarif 01 Singosari about ankle sprains.  Counseling was conducted using an interactive demonstration method using leaflet print media, with 14 male and 18 female students. The results of counseling are found in the pre-test and post-test evaluation of increased knowledge about ankle sprain in class VII students of MTS Almaarif 01 Singosari.

Hypertension is a condition of the blood circulation system that causes an increase in blood pressure above normal values ​​or blood pressure ≥140/90 mmHg. Prolonged increase in blood pressure can trigger the risk of stroke, heart failure, and kidney failure. Community service activities are one of the efforts to implement physiotherapy services, one form of counseling is by addressing problems that are widely complained about by the community. The purpose of the counseling is to provide knowledge about hypertension and how to do exercises to reduce neck pain independently at home. The method used is in the form of education and stretching exercises using leaflets as a counseling medium. Counseling is carried out by providing pre-tests and post-tests in the form of questions to patients to assess the effectiveness of the counseling that will be given to the elderly community. The results of the counseling went smoothly and from the evaluation there was an increase in participant knowledge from 0% to 100%, which in counseling activities can increase participant knowledge about how to deal with neck pain caused by hypertension.

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.

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.

Elderly or old age is the final phase of the human life cycle, which is part of the natural life process that cannot be avoided by everyone. The elderly will experience degenerative diseases, one of which is musculoskeletal disease, namely frozen shoulder. Thus, there is a need to increase knowledge about frozen shoulder disease. The method provided in community physiotherapy activities is to provide education regarding the meaning, causes, risk factors, prevention, physiotherapy treatment and physiotherapy exercises using education media in the form of posters. In the question and answer discussion session, the elderly were very active in asking questions about the material presented by the students, because the elderly wanted to know about possible treatments and prevention. From the outreach activities that were carried out at the Buring Village Pustu, Kedungkandang, Malang City on October 25 2023, it can be concluded that it went smoothly and was well realized. The benefit of this outreach activity is to provide insight and knowledge regarding the prevention and treatment of stiff shoulder joints or frozen shoulder so that the knowledge of the elderly regarding frozen shoulder increases.

Impaired cognitive function is still a serious health problem that can cause psychological and socio-economic impacts in the form of social isolation and financial difficulties, delayed mobility, and worsening of other symptoms as well as reducing quality of life. As a basis for elderly health services, it is hoped that healthy elderly people will remain healthy. by optimizing physical, mental, cognitive and spiritual functions, through promotive and preventive efforts, including elderly empowerment activities. This counseling aims to assess cognitive function using the Mini Mental State Examination (MMSE) in the elderly at Posyandu for the elderly RW 8 Tanjung Rejo, Malang City. The method given is an examination using the Mini Mental State Examination (MMSE) questionnaire. The counseling process went smoothly. The results of the examination showed that the majority of elderly people had normal cognitive conditions. A good lifestyle can reduce the risk of dementia.

The Elderly is a stage where organs reach a process of decreasing size and function over time. The elderly's ability to carry out daily activities and measure independence can be done with an Activity Daily Living (ADL) examination. ADL is an activity carried out routinely daily and included in the main activities of self-care. ADL is one of the benchmarks for assessing functional capacity by asking questions about daily activities. The purpose of the examination was to find out and identify the number of elderly people with a level of independence and dependence in the KNDJH Wonokoyo nursing home. The method used is to carry out physiotherapy examinations regarding ADL using the Katz index instrument. The results obtained mostly have a level of total independence to the lightest dependence. However, some elderly people have a level of mild dependence to full dependence.

Carpal tunnel syndrome (CTS) is a disease of the wrist caused by repetitive movements in an abnormal position continuously and for a long time, so that the median nerve in the wrist becomes pinched or compressed. Risk factors that may influence the event CTS include age, gender, and occupational factors. The problem experienced by the patient is pain in the wrist, tingling in the palms that spreads to the fingers. Therefore the provision of interventions using ultrasound aims to reduce pain, andexercise therapy aims to increase the range of motion of the joints, increase muscle strength, and restore functional activity.

Introduction: Stroke occurs when the blood supply to the brain is blocked and blood vessels in the brain burst. The brain can't get the blood and oxygen it needs, so brain cells die. In this case, the patient complained of a feeling of weakness and heaviness in the left side of the body, which made it difficult for him to carry out everyday activities. Objective: To determine the role of physical therapy in individuals with left hemiparesis after stroke on muscle strength, spasticity, and functional ability using infrared intervention, electrical stimulation, and exercise therapy. Method: Subjective and objective examinations were carried out, followed by physiotherapeutic intervention in 3 weeks. Results: After physiotherapeutic intervention, the results showed an increase muscle strength using manual muscle testing (MMT) of  the hip muscle group T1=2 to T3=2+, the knee muscle group T1=2 to T3=-3. Reduced muscle tone according to the Asworth scale in the shoulder area T1=1+ to T3=1, as well as functional ability according to the Barthel index with results from T1=65 to T3=70. Conclusion: Physiotherapeutic interventions using infrared, electrical stimulation, and exercise therapy can increase muscle strength, reduce spasticity, and improve functional ability in individuals with left-sided hemiparesis after stroke