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Joint pain is one of the most common health problems among older adults and may reduce mobility and quality of life. Community self-survey data in Cepoko Village indicated that 55% of residents, particularly older adults, experienced joint pain complaints. One non-pharmacological intervention that can be applied is warm lemongrass foot soaking therapy known as SEHATI (Serai Hangat untuk Kaki). This community service activity aimed to improve elderly knowledge regarding self-management of joint pain and demonstrate warm lemongrass foot soaking therapy as a complementary treatment. The methods included health education, demonstration of warm lemongrass preparation, direct practice by participants, and evaluation through discussion and question-answer sessions. The participants were elderly individuals experiencing joint pain in Cepoko Village, Panekan District, Magetan Regency. The results showed that participants actively engaged in all activities, were able to explain the preparation steps of SEHATI, and understood the benefits of warm lemongrass foot soaking therapy for reducing joint pain. This program provides an easy, affordable, safe, and home-based complementary therapy alternative for elderly people.

Fraktur femur merupakan salah satu cedera muskuloskeletal yang sering menyebabkan gangguan fungsi ekstremitas bawah, terutama setelah tindakan operasi fiksasi internal seperti pemasangan plate and screw. Kondisi ini dapat menimbulkan nyeri, keterbatasan luas gerak sendi, penurunan kekuatan otot, serta gangguan kemampuan berjalan dan aktivitas fungsional sehari-hari. Studi kasus ini bertujuan untuk mengevaluasi efektivitas program fisioterapi berbasis prinsip FITT (Frequency, Intensity, Time, Type) pada pasien pascaoperasi fraktur shaft femur kiri. Penelitian dilakukan di RSUD Salatiga pada bulan September 2025 terhadap satu pasien laki-laki berusia 20 tahun yang berada pada fase dua bulan pascaoperasi. Program fisioterapi diberikan sebanyak lima kali dalam satu minggu dengan durasi 60 menit setiap sesi. Intervensi yang diberikan meliputi latihan range of motion (ROM) aktif dan pasif, latihan penguatan otot isometrik pada quadriceps dan hamstring, gait training menggunakan alat bantu kruk, latihan fungsional seperti transfer dan latihan berdiri, serta edukasi home exercise untuk mendukung keberlanjutan terapi di rumah. Evaluasi dilakukan menggunakan Numeric Rating Scale (NRS) untuk mengukur tingkat nyeri, goniometer untuk mengukur luas gerak sendi, Manual Muscle Testing (MMT) untuk menilai kekuatan otot, serta Lower Extremity Functional Scale (LEFS) untuk menilai kemampuan fungsional pasien. Hasil menunjukkan adanya penurunan nyeri, peningkatan ROM fleksi panggul dari 90° menjadi 100° dan ekstensi dari 10° menjadi 15°, peningkatan kekuatan otot dari 3/5 menjadi 4/5, serta peningkatan skor LEFS dari 41 menjadi 47. Disimpulkan bahwa fisioterapi berbasis FITT efektif dalam mempercepat pemulihan fungsional pasien pascaoperasi fraktur femur tanpa menimbulkan komplikasi tambahan.

Carpal Tunnel Syndrome (CTS) merupakan gangguan muskuloskeletal pada ekstremitas atas akibat penekanan nervus medianus di terowongan karpal yang dapat menimbulkan nyeri, parestesia, penurunan kekuatan otot, serta keterbatasan fungsi aktivitas. Kondisi ini sering dijumpai pada individu dengan aktivitas tangan berulang dan berpotensi menurunkan kualitas hidup apabila tidak ditangani secara adekuat. Penelitian ini bertujuan untuk menggambarkan asuhan fisioterapi berbasis International Classification of Functioning, Disability and Health (ICF) pada pasien dengan Carpal Tunnel Syndrome unilateral. Penelitian menggunakan desain studi kasus pada seorang pasien perempuan berusia 55 tahun dengan keluhan nyeri dan kesemutan pada pergelangan tangan kiri selama ±2,5 bulan. Pemeriksaan meliputi asesmen nyeri menggunakan Numeric Rating Scale (NRS), lingkup gerak sendi (ROM), kekuatan otot menggunakan Manual Muscle Testing (MMT), serta fungsi aktivitas menggunakan Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ). Intervensi fisioterapi diberikan selama tiga minggu dengan frekuensi dua kali per minggu, meliputi ultrasound terapeutik, terapi manual, latihan ROM aktif, latihan penguatan genggaman, stretching, nerve gliding, tendon gliding exercise, serta edukasi ergonomi dan home exercise program. Hasil evaluasi menunjukkan penurunan nyeri, peningkatan ROM palmar dan dorsal fleksi, peningkatan kekuatan otot fleksor dan ekstensor wrist, serta perbaikan fungsi aktivitas berdasarkan BCTSQ. Studi kasus ini menunjukkan bahwa asuhan fisioterapi berbasis ICF memberikan dampak positif terhadap perbaikan gejala dan fungsi pada pasien dengan Carpal Tunnel Syndrome unilateral.

Gout arthritis is a metabolic disease characterized by elevated uric acid levels in the blood. This condition causes joint pain, especially in the lower extremities. Elderly people with gout arthritis often experience decreased mobility and quality of life due to chronic joint pain. Stretching exercises are an effective non-pharmacological intervention to reduce pain and increase joint flexibility. The purpose of this study was to examine the implementation of stretching exercises in reducing lower extremity joint pain in elderly people with gout arthritis. This study used a descriptive case study approach that applied the medical-surgical nursing care process, including assessment, diagnosis, intervention, implementation, and evaluation. This study used two elderly subjects with gout arthritis and moderate pain scales. Stretching exercises were implemented twice daily for 25-30 minutes for six days, based on the development of nursing interventions according to SIKI (2018). The results showed a decrease in moderate pain scale to mild pain scale after the implementation of stretching exercises in both subjects for six days. The results of this study are expected to be implemented independently and provide motivation to improve the quality of life of gout arthritis sufferers.

Gout arthritis is an inflammatory joint condition that causes severe pain and impacts the patient's quality of life. Joint pain management involves more than just pharmacological therapy using medications; it also requires non-pharmacological approaches. The goal of this community service activity is to improve the knowledge and skills of gout arthritis sufferers in managing joint pain using various non-pharmacological therapy modalities. The results of the community service program indicate an increase in knowledge about non-pharmacological management of joint pain in gout arthritis patients. Non-pharmacological therapy education is an effective way to help people with gouty arthritis manage their joint pain. The significant increase in knowledge following the intervention demonstrates the importance of ongoing education and hands-on demonstrations. The next step is to increase the scope of education and support for the implementation of non-pharmacological therapies in various communities to ensure sustainability.

Gout is a condition where high levels of uric acid in the blood that causes pain, and pain in the joints. One of the measures to lower joint pain is non- pharmacologically with ergonomic Gymnastics and warm compresses of lemongrass decoction. The purpose of this study is to analyze the effectiveness of ergonomic gymnastics and warm compresses of lemongrass decoction on the scale of joint pain in patients with gout in Alassumur lor village. This type of research was quasi-experimental with cross over group design approach. A population was 38 people selected by purposive sampling technique obtained 34 respondents who meet the inclusion requirements. This research used the numeric pain scale (NRS) observation sheet Instrument. The normality of the data had been tested with Kolmogorov-smirnov. The results of the study obtained ergonomic gymnastics pain scale period I pre-test was 6.94 and post-test was 2.94, stew period II pre-test was 5.18 post-test was was 2.59. In the warm compress group lemongrass stew period I pre-test was 3.18, post-test 1.82, period II pre-test was 3.76, post-test was 1.94. The results of data analysis obtained the value of pV 0.000 with a significant level of p value <a = 0.005, the value of Z prepost period I ergonomic exercise -3.695, warm compress of lemongrass stew -3.676, in period II ergonomic exercise -3.580 and warm compress lemongrass stew -3.531, so that it can be stated that ergonomic exercise is more effective to decrease the joint pain scale in patients with gout in Alassumur lor village. Ergonomic Gymnastics turns out to be more effective to reduce joint pain in gout and is expected to be one of the alternative interventions to reduce joint pain in people with gout.      

Rheumatoid Arthritis is an autoimmune disease.. This system attacks joints and other parts of the body such as tendons, ligaments, and bones. One implementation of reducing rheumatoid arthritis pain is to massage the feet of the painful joints. This study used a quasi-experimental design. The population in this study was 48 people and the research sample was 20 people with two groups, namely the experimental group and the control group. The results of the study were obtained after rheumatoid arthritis foot massage had a significant effect in reducing pain in the experimental group with a p-value of 0.007. Foot massage on painful joints has benefits in reducing the pain scale in the elderly.

High uric acid which causes joint pain is a disease where there is a buildup of purine which causes the joints to become inflamed to the point of swelling. Gout which occurs in people of course when they have a disease that causes gout they will undergo medical treatment to reduce uric acid levels and the pain that occurs in the elderly due to high levels. And most people assume that by taking medication they assume that the pain will disappear, according to Ilham (2019) that to reduce joint pain you can do ginger compress therapy on the joint pain, because the spicy effect of ginger can reduce pain in the joints. Objective: To determine the effect of ginger compress therapy on the level of joint pain in the elderly. Method: The design in this research uses a quasi-experiment using a one group pretest posttest design approach. Results: based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 < 0.05. Conclusion: it can be concluded that there is an influence of ginger compress therapy on the level of joint pain in the elderly in the working area of ??the Central Jampang Community Health Center. Suggestion: It is recommended for future researchers to measure the influence of respondent characteristics such as age, gender, education level, length of time suffering from joint pain, type of work and type of medication used.

Dismenorea yaitu keadaan nyeri saat haid, dan biasanya ditandai dengan rasa kram  pada bagian perut bagian bawah, Keluhan nyeri saat haid amat bervariasi mulai dari ringan hingga berat, nyeri saat haid juga menjadi salah satu penyebab terganggunya kegiatan beraktivitas pada remaja putri. Setiap remaja yang mengalami menstruasi merupakan tahap penting dalam perkembangan pubertas mereka. Ketika menstruasi akan muncul beberapa gejala seperti kram perut atau dismenorea. Dismenorhea itu sendiri merupakan suatu ganguan fisik yang dialami oleh setiap wanita menstruasi berupa gangguan nyeri atau kram perut. Oleh karena itu remaja putri harus mempunyai kemampuan dan pengetahuan dalam mengatasi nyeri haid tersebut. Berdasarkan hal tersebut, maka perlu adanya suatu upaya untuk meningkatkan pengetahuan dan kemampuan remaja dalam mengatasi nyeri menstruasi. Selain itu juga diperlukan kegiatan senam yang dapat membantu remaja dalam mengurangi tingkat nyeri menstruasi yang dialami. Dengan melakukan kegiatan penyuliuhan, remaja dapat meningkatkan pengetahuan mereka dalam mengatasi nyeri menstruasi. Selain penyuluhan dibutuhkan juga pelatihan senam dismenorea.    

Background : An elderly person is someone over 60 years old who experiences changes, one of which is changes in musculoskeletal disorders. Joint pain is a symptom that disturbs the joints due to reduced synovial fluid so that the bones rub against the lining between the joints. Joint pain sufferers in Indonesia reach 81% of the 80 million elderly.  Treatment for joint pain is done with non-pharmacological treatment, one of which can be done with non-pharmacological therapy is Elderly Gymnastics. Objective : To determine changes in the pain scale in the elderly before and after doing elderly exercise. Method : This research is a case study research using descriptive methods, namely by interviewing 2 (two) elderly respondents who experienced joint pain before and after implementing elderly exercise 3 times a week every morning. The instrument used was the Numerical Rating Scale (NRS) to measure delivery pain. Results : Before doing elderly exercise, both respondents experienced right and left knee pain on a scale of 4 (moderate pain) and scale 1 (mild pain). After doing elderly exercise for both respondents, there was a decrease in the pain scale with a scale of 1 (mild pain). Conclusion : This application shows that after implementing elderly exercise for both respondents, there was a reduction in joint pain in the elderly.  

Osteoarthritis is often found in the elderly which is characterized by damage to the cartilage located in the joints caused by mechanical or biochemical stress on the body. Most osteoarthritis is found in the knee joint with complaints of pain and decreased range of motion. Its management can be carried out with non-pharmacological therapy, namely stretching exercise therapy. The purpose of this study was to determine the effect of stretching exercise therapy on decreasing the pain scale and increasing the range of motion of the knee joint in osteoarthritis patients. This study used a pre-experimental design with a one group pre-post test approach, a sample of 30 patients was obtained by total sampling technique. The instrument in this study was the verbal descriptor scale (VDS) pain scale observation sheet. Data analysis used the Wilcoxon signed rank test. The results of the study before stretching exercise therapy showed that the knee joint pain scale in osteoarthritis patients averaged 4.50 and after stretching exercise therapy the knee joint pain scale decreased to 1.93. And the Wilcoxon signed rank test obtained a significance value of p = 0.000 (p <0.05) which means that there is an effect of stretching exercise therapy on reducing the knee joint pain scale in osteoarthritis patients. Stretching exercise therapy is able to optimally increase muscle flexibility and range of joint motion so that it can have the effect of reducing or eliminating joint pain.

Ostheoporosis is a systemic bone disease characterized by a decrease in bone microarchitecture so that bones become brittle and break easily.The purpose of this outreach is specifically to increase awareness among the elderly about the importance of maintaining bone health, apart from that, it also increases knowledge that osteoporosis can be prevented in various ways and by reducing the pain that arises. The method for the presentation of material about the elderly and ostheoporosis accompanied by the practice of osteoporosis exercises with midwives and the elderly in Pucangan Baru II Village, Rt02/Rw07, Pucangan, Kartasura, Sukoharjo. The results of the counseling in Pucangan Baru II Village, Rt02/Rw07, Pucangan, Kartasura, Sukoharjo showed extraordinary participation, marked by the elderly/audience being very enthusiastic about taking part in Osteoporosis exercises and the audience also felt comfortable when learning the Breathing Relaxation Method provided.

Abstrak. Dislokasi  Bahu adalah terlepasnya sebuah sendi dari tempatnya yang seharusnya. Nyeri merupakan suatu gejala yang tidak menyenangkan yang dialami oleh pasien dislokasi bahu. Alternatif untuk menurunkan nyeri yaitu dengan menggunakan teknik relaksasi napas dalam. Tujuan penelitian ini mengetahui pengaruh teknik relaksasi nafas dalam terhadap penurunan tingkat nyeri pada pasien dislokasi bahu di Rumkital dr. Wahyu Slamet Bitung.Penelitian dilakukan dengan menggunakan metode pre experimental dengan tipe One Group pre test and post test disgn. Sampel diambil berdasarkan jumlah responden sebanyak 12 orang dengan menggunakan total sampling. Pengumpulan data dilakukan dengan cara lembar observasi. Selanjutnya data yang telah terkumpul diolah dengan menggunakan bantuan konputer program SPSS versi 16.0 untuk analisa dengan uji Paired T-test dengan tingkat kemaknaan (α) 0.05. Hasil penelitian menunjukkan bahwa didapatkan jenis kelamin terbanyak dalam penelitian ini adalah laki-laki sebanyak 9 responden (75.0 %) dengan usia 15-30 tahun sebanyak 6 responden (50.0 %).Kesimpulan dalam penelitian ini diperoleh beda mean kelompok intervensi antara tingkat nyeri sebelum dan sesudah teknik relaksasi napas dalam  sebesar 2.58 dan p=0.000. Nilai p ini lebih kecil dari nilai α=0.05, terdapat pengaruh teknik relaksasi napas dalam terhadap penurunan tingkat nyeri pada pasien dislokasi bahu di Rumkital dr.Wahyu Slamet Bitung.   Kata kunci: Relaksasi Napas Dalam, Dislokasi Bahu

Gangguan kandung empedu, hati, dan pankreas eksokrin dapat terjadi sebagai gangguan primer. Fungsi satu organ sering mempengaruhi organ lainnya. Inflamasi atau obstruksi duktus dan perubahan menyebabkan dampak. Mendeskripsikan Penatalaksanaan Nyeri dengan Teknik Mobilisasi Dini ROM ( Range Of Motion ) di RSUD Kardinah Kota Tegal. Jenis rancangan penulisan dalam karya tulis ilmiah ini adalah deskriptif dalam bentuk studi kasus dengan pendekatan asuhan keperawatan yang meliputi pengkajian, diagnosa keperawatan, perencanaan, implementasi, evaluasi. Hasil penelitian dapat disimpulkan penerapan terapi ROM ( Range Of Motion ) terbukti dapat mengatasi masalah diagnosa nyeri akut berhubungan dengan agen pencedera fisiologis, pelaksanaan asuhan keperawatan sendiri dilaksanakan selama 3 hari, dengan kriteria hasil nyeri berkurang.

Gout Arthritis is an inflammatory joint disease caused by the accumulation of monosodium urate crystals in the body. Onion compress is a current form the treatment of gout arthritis with no side effects. The aim of this research is a to determine the effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. The research conducted by using a pre-experimental (pre and post test design). The samples were 13 subjekts which taken using total sampling technique. Research instruments used observation sheet and SOP for measurement with the NRS (Numeric Rating Scale). Analyzed data by using a Wilcoxon test with the significance level α = 0,01. The results of this research obtained a value p=0.002 (α≤0.05), which means that Ha is accepted and Ho is rejected, so that can be concluded there were an effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. The conclusion of this research is that there is an effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. Advice to subjekts who often experience gout arthritis pain is to treat it themselves by using shallot compresses.

Rheumatoid arthritis is an autoimmune disease that occurs when the body's immune system mistakenly attacks healthy joints. The disease can start at any age, but the likelihood of onset is highest in older adults. In Rheumatoid Arthritis the tissue lining the joints becomes thickened resulting in swelling and pain. Elderly is an age that has a greater possibility of having an autoimmune this is based on the statement that the older you are, the greater the chance of having an autoimmune. Early diagnosis and treatment isthe key to successful treatment of Rheumatoid Arthritis because joint damage cannot be restored once it occurs. Rhematoid Factor examination is largely used to help diagnose rheumatoid arthritis. Community service activities aim to determine the description of RF levels in the elderly with supply disorders, descriptive research type with a cross sectional approach. The sampling technique used purposive sampling as many as 62 elderly people in the Social Service of NTT Province. The results of RF examination in all elderly samples 6.45% have positive results and 93.55% negative results.

Pasien Laki laki berusia 58 tahun mengeluhkan nyeri kuduk dan nyeri sendi lutut. Pasien memiliki pola hidup yang tidak sehat yaitu seringkali mengkonsumsi makanan dan minuman yang berlemak dan berminyak seperti gorengan, kuah lemak dan juga jarang berolahraga. Pasien didiagnosis dengan Hiperkolesterolemia pada tahun 2021. Terapi yang digunakan pada pasien yaitu Na. Diclofenat 2x1, Simvastatin 1x20 mg, Vit B1 2x1, dan Metil prednison 2x1. Data primer diperoleh melalui anamnesis dan pemeriksaan fisik dengan melakukan kunjungan rumah, mengisi family folder, dan mengisi berkas pasien. Penilaian dilakukan berdasarkan diagnosis holistik awal, proses, dan akhir kunjungan secara kuantitatif dan kualitatif. Diperlukan berbagai pendekatan untuk melakukan tatalaksana komprehensif terhadap masalah kesehatan, baik secara medikamentosa dan non medikamentosa serta edukasi untuk memperbaiki kualitas hidup dan mencegah komplikasi yang lebih lanjut pada pasien

Rheumatoid apabila tidak segera ditangani akan menimbulkan kecacatan baik ringan seperti kerusakan sendi maupun berat seperti kelumpuhan. Tindakan non farmakologi yang dapat dilakukan secara mandiri dalam menurunkan nyeri dengan melakukan kompres hangat dengan jahe. Tujuan dari penelitian ini untuk mengetahui apakah ada pengaruh pemberian kompres hangat jahe dalam  penurunan nyeri pada penderita rematik. Metode penelitian kuantitatif menggunakan Quasi eksperimental pre-postest. Teknik pengambilan sampel purposive sampling. Sampel dalam penelitian ini adalah 17 responden. Hasil penelitian ini terdapat pengaruh kompres hangat jahe terhadap penurunan nyeri dengan nilai p value = 0,000 <α = 0,005. Sebagian besar responden mengalami nyeri sedang sebelum diberikan perlakuan kompres hangat jahe. Sebagian besar responden mengalami nyeri ringan setelah diberikan perlakuan kompres hangat jahe dalam penurunan nyeri artritis rheumatoid. Kesimpulan dalam penelitian ini yaitu ada pengaruh sebelum dan setelah pemberian kompres hangat jahe dalam penurunan nyeri artritis rheumatoid.    

Latar belakang: Bertambahnya usia menimbulkan dampak perubahan pada tubuh dan yang paling dirasakan adalah kemunduran pada fisik baik dari tulang maupun otot. Oleh karena itu banyak patologis yang muncul seiring bertambahnya usia, salah satunya yaitu Osteoarthritis (OA). Osteoarthritis (OA) adalah suatu penyakit yang disebabkan oleh perubahan yang bersifat patologis pada struktur sendi yang menimbulkan rasa nyeri pada penderitanya. Osteoarthritis (OA) sendiri terdiri dari 2 kelompok, yaitu OA primer dan sekunder. Oleh karena itu perlu adanya tindakan untuk membantu mengatasi permasalahan tersebut, salah satunya dengan pemberian program fisioterapi. Program fisioterapi yang dapat diberikan untuk mengurangi nyeri antara lain dengan menggunakan modalitas infrared radiationdan exercise therapy. Tujuan: Untuk mengedukasi serta memberikan intervensi fisioterapi komunitas pada Paguyuban Ibu-Ibu Graha Aisyiyah Bojonegoro. Metode: Kegiatan ini merupakan pengabdian masyarakat pada Paguyuban Ibu-Ibu Perumahan Graha Aisyiyah Bojonegoro yang dilaksanakan pada tanggal 10 Desember 2021. Hasil: Pada penelitian ini didapat bahwa pemberian modalitas infrared radiation, latihan strengthening quadriceps dapat mengurangi derajat nyeri dan juga edukasi menggunakan leaflet dapat memberikan informasi terkait dengan OA genu. Simpulan: Setelah diberikan intervensi fisioterapi komunitas berupa infrared radiation,  latihan strengthening quadriceps serta edukasi menggunakan leaflet didapatkan hasil adanya penurunan derajat nyeri serta peningkatan tingkat pengetahuan mengenai tentang OA genu dari mulai pengertian, penanganan, pencegahan dan latihan yang dapat dilakukan untuk mengurangi keluhan. Kata Kunci: Fisioterapi Komunitas; Osteoarthritis (OA) Genu

Osteoartritis lutut adalah penyakit degeneratif kronis yang banyak diderita orang dewasa yang lebih tua, dan ditandai dengan kerusakan tulang rawan pada sendi lutut. Pasien mungkin mengalami nyeri sendi, kekakuan, dan deformitas sendi. Harapan diadakannya penyuluhan ini agar masyarakat bisa memahami bagaimana cara penanganan saat mengalami keluhan. Kegiatan pengabdian Masyarakat ini berupa penyuluhan dan pemberian terapi latihan dengan kompres air hangat dan isometric exercise dengan menggunakan media leaflet dan demo teknik pencegahan nyeri. Penyuluhan ini dilakukan di Kelurahan Kauman, Kabupaten Batang, kepada ibu-ibu Dawis RT 01/ RW10 yang berjumlah 10 orang. Berdasarkan data yang diperoleh, menunjukkan bahwa lebih dari 6 orang ibu-ibu dawis mengeluhkan nyeri lutut. Peningkatan pemahaman dan pengetahuan masyarakat tentang fisioterapis dan nyeri lutut atau osteoarthritis diukur dengan kuesioner pre test dan post test. Hasil penelitian ini menunjukkan bahwa pada pre test pemahaman peserta hanya 21% dan mengalami peningkatan menjadi 54% setelah dilakukan post test atau setelah pemberian materi tentang osteoarthritis. Disimpulkan bahwa kegiatan penyuluhan yang telah dilakukan mampu meningkatkan pemahaman masyarakat tentang osteoarthritis.