SAINS INDONESIANA

Exercise-Based Physiotherapy Intervention for Optimizing Motor Function and Lung Capacity in Elderly Patients with Physical Weakness and Cardiovascular Dysfunction: A Case Study

Hendrawan Arief — 2025-08-11

Background:Older adults with physical frailty and cardiovascular dysfunction are at high risk of decreased mobility and pulmonary capacity, leading to reduced independence and quality of life. A multicomponent physiotherapy exercise program may optimize both functions. Objective: To evaluate the effects of a multicomponent physiotherapy intervention on mobility and pulmonary capacity in an older adult with physical frailty and cardiovascular dysfunction. Methods: A single-subject research design (A-B-A) was conducted on a 70-year-old female patient diagnosed as frail with a history of hypertension. The 6-week intervention included resistance training, aerobic exercise, balance training, and breathing exercises. Outcomes measured were Six-Minute Walk Test (6MWT), 30-Second Chair Stand Test, Timed Up and Go (TUG), Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 second (FEV₁), Maximal Inspiratory Pressure (MIP), and Borg Dyspnea Scale. Results: After intervention, the 6MWT distance increased by 33.3%, lower limb strength by 50%, TUG time decreased by 23.9%, FVC increased by 13.5%, FEV₁ by 12.0%, MIP by 23.6%, and Borg Dyspnea Scale score decreased by 40%. Most improvements were retained during follow-up. Conclusion: A multicomponent physiotherapy program was effective in improving mobility and pulmonary capacity in an older adult with physical frailty and cardiovascular dysfunction, and was safe for clinical application.

EFFECTIVENESS OF CLOSE KINETIC CHAIN TRAINING METHOD WITH ISOMETRIC QUADRICEPS ON INCREASING QUADRICEPS MUSCLE STRENGTH IN OSTEOARTHRITIS PATIENTS

Wishnu Subroto SST.FT, S.Ft.,M.Or wishnu — 2025-06-30

Osteoarthritis (OA) is a degenerative joint disease with unclear etiology and pathogenesis, characterized by gradual loss of joint cartilage. The primary abnormality in OA is cartilage damage, which can be followed by subchondral bone thickening, osteophyte growth, ligament damage, and mild inflammation of the synovium, resulting in the formation of an effusion in the affected joint. Osteoarthritis generally affects older individuals, particularly weight-bearing joints, such as the knee, hip (coxa), lumbar, and cervical joints. The knee is the most frequently affected joint by OA. One symptom of knee osteoarthritis is pain. This pain can cause a person to fear activity or movement, thus reducing their quality of life. Recommended non-pharmacological therapies include exercise. Other types of exercise that can be done include home exercises, Range of Motion (ROM), strengthening exercises including quadriceps and hamstring exercises, and aerobics such as walking, cycling, and swimming. The goals of this exercise include improving joint function, increasing joint trength, protecting joints from damage by reducing stress, preventing disability, and improving physical fitness. These exercises are tailored to the patient's condition and abilities.The purpose of this study was to determine the effectiveness of Closed Kinetic Chain exercises with Isometric Quadriceps on increasing muscle strength in patients with knee osteoarthritis. Methods: This study used a quasi-experimental method with a randomized pretest-posttest. Twenty patients participated using ordinal regression statistical tests. Inclusion criteria were those over 40 years of age with a diagnosis of osteoarthritis and willing to participate. Results: Closed Kinetic Chain exercises were statistically effective
in increasing muscle strength with a probability value (p=0.005). Conclusion: Based on the analysis and statistical test calculations, the following conclusions can be drawn: 1) Closed Kinetic Chain exercises are effective in increasing
quadriceps muscle strength in patients with osteoarthritis. 2) Isometric quadriceps exercises are effective in increasing muscle strength in patients with osteoarthritis. 3) There is a difference in the effectiveness of closed kinetic chain and isometric quadriceps exercises in increasing muscle strength in people with knee osteoarthritis.

THE RELATIONSHIP BETWEEN PARENTS' KNOWLEDGE ABOUT HIV/AIDS AND HIV/AIDS PREVENTION EFFORTS IN CHILDREN IN THE DONAN AREA, CILACAP

tri budiarti — 2025-08-18

Children's Background is a very valuable future investment as the nation's next generation. The quality of a child's life is very determined by the role of parents so thatparental knowledge is very important, especially in efforts to prevent HIV/AIDS in children. The purpose of knowing the relationship between parental knowledge aboutHIV AIDS and HIV/AIDS prevention efforts in children. This research method is correlational with a cross sectional approach. The sample with a total sampling of 37 parents of toddlers with primary data through a questionnaire and analyzed univariate andbivariate with chi square. The results obtained that the level of parental knowledge aboutHIV/AIDS was mostly in the poor category, which was 20 people (54.1%), HIV/AIDSprevention efforts were mostly in the poor category, namely 21 people (56.8%), theresults of bivariate analysis using the chi square p-value test method of 0.153 showed thatthe p-value was greater than the value of α = 0.05 so that Ho was accepted, This means that there is no relationship between parental knowledge of HIV AIDS and HIV/AIDSprevention efforts in children. The conclusion is that there is no relationship betweenparental knowledge about HIV AIDS and efforts to prevent HIV/AIDS in children.

Physiotherapy Management for Pulmonary and Neuromuscular Disorders in Post-Craniotomy Patients: A Case Study

Setiyawati Dwi — 2025-08-11

Background:Post-craniotomy patients often experience pulmonary complications due to immobility and decreased consciousness, as well as neuromuscular impairments such as hemiplegia and spasticity that hinder functional recovery. Objective: To evaluate the effects of integrated physiotherapy interventions on respiratory function, neuromuscular performance, and functional independence in a post-craniotomy patient. Methods: A single-case study was conducted on a 61-year-old male post-craniotomy patient with right hemiplegia, spasticity, and excessive sputum production. The intervention was delivered 5 times/week for 12 weeks and included breathing exercises, airway clearance techniques, positional changes, passive-active mobilization, proprioceptive neuromuscular facilitation (PNF), and functional training. Outcomes measured included SpO₂, sputum volume, respiratory rate, Borg Dyspnea Scale, Modified Ashworth Scale, Brunnstrom Recovery Stage, Functional Independence Measure, and mobility time. Results: SpO₂ improved from 92% to 96%, sputum volume decreased from 25 ml to 8 ml/day, spasticity decreased (MAS from 3 to 1), BRS improved (stage 2 to 4), and FIM score increased from 35 to 72. Conclusion: Integrated physiotherapy interventions effectively improved pulmonary function, reduced spasticity, enhanced motor ability, and accelerated independence in a post-craniotomy patient, suggesting their potential inclusion in multidimensional rehabilitation protocols for similar cases.

ANTI-INFLAMMATORY ACTIVITY OF CILACAP-ORIGINAL Virgin Coconut Oil (VCO) USING THE PROTEIN DENATURATION METHOD

Tri Fitri Yana Utami — 2025-08-18

Inflammation is the body's attempt to deactivate or destroy invading organisms, eliminate irritation, and prepare the stage for tissue repair. Many anti-inflammatory agents can be used, one of which is Virgin Coconut Oil (VCO). This study aims to determine the anti-inflammatory potential of original Cilacap VCO using the protein denaturation method. Furthermore, absorbance measurements were carried out using UV-Vis Spectrophotometry. The anti-inflammatory potential of VCO using the protein denaturation method has an IC50 of 14.05 ppm, which is categorized as very strong because it has a range of <50. This proves that VCO has the potential as an anti-inflammatory.