Jurnal Terapi Wicara dan Bahasa

Efektifitas Core Stability Exercise terhadap Penurunan Nyeri Punggung Bawah Non Spesifik

2025-07-30T02:39:37+00:00

Background: Non-specific low back pain is a health problem that is often experienced by many individuals, especially among workers, and can interfere with daily activities and productivity. Objective: This study aims to explore the effectiveness of Core Stability Exercise in reducing non-specific low back pain. Method: The method used was an experimental design with a pre test-post test control group approach, involving 30 subjects who experienced non-specific low back pain. Subjects were divided into two groups: a treatment group that received the Core Stability Exercise intervention, and a control group that only received education. The intervention was carried out 12 times with a frequency of 3 times a week for 4 weeks. Pain levels were measured using the QVAS scale before and after the intervention. Results: The results of the analysis showed that there was a significant reduction in the level of non-specific low back pain in the group that received the intervention compared to the control group. Conclusion: Core Stability Exercise has been proven to be effective in reducing non-specific low back pain.

Keywords : Core Stability Exercise, Physiotherapy, Lower Back Pain

Gambaran Tingkat Pengetahuan tentang Germas pada Masyarakat Desa Sumber, Kecamatan Trucuk, Kabupaten Klaten

2025-07-30T08:22:29+00:00

Background: Non-communicable diseases in Indonesia are increasing epidemiologically. This is marked by an increase in the prevalence of non-communicable diseases such as hypertension, Diabetes Mellitus, hyperlipidemia, stroke, coronary heart disease. and increasing mortality rates. National policies related to health through the Ministry of Health of the Republic of Indonesia in order to realize a better level of public health, the government has created the Healthy Living Community Movement (GERMAS) program. It is hoped that the GERMAS program will be able to prevent the high rate of non-communicable diseases by changing the behavior of the Indonesian people regarding healthy living. Objectives: to determine the level of knowledge of the people of Sumber village, Trucuk District, Klaten Regency regarding the Healthy Living Community Movement (GERMAS). Methods: This quantitative research has a cross sectional design. The research will be carried out in April 2025 in Sumber Village, RT 19 RW 8, Trucuk District, Klaten Regency. The sampling technique uses a proportional random sampling approach with measuring instruments using a questionnaire. The statistical test that will be used is descriptive analysis. Results: The majority of people's knowledge about the Healthy Living Community Movement (Germas) in Sumber Village, Trucuk District, Klaten Regency already has good knowledge, namely 93.3%, while only 6.67% have poor knowledge about GERMAS. Conclusion: A good level of knowledge is supported by the implementation of a healthy lifestyle in daily life such as physical activity, consuming vegetables and fruit but routine checks have not been carried out

Keywords : GERMAS, Knowledge, Non-Communicable Diseases

Efektivitas Latihan Fisik terhadap Nyeri Dismenore pada Remaja

2025-08-05T07:10:45+00:00

Background: Dysmenorrhea or menstrual pain is one of the gynecological conditions often experienced during adolescence, significantly disrupting activities and often requiring sufferers to rest and abandon their activities. Objectives: This research was conducted to determine the Effectiveness of Physical Exercise on Dysmenorrhea Pain in Adolescents. Methods: This study is a quasiexperimental study with a Two group Pre and Post Test design, using purposive sampling technique. Subjects: The total sample consisted of 30 adolescent girls experiencing dysmenorrhea, where 15 subjects were given physical exercise and 15 other subjects served as a control group. Each research subject underwent pain degree measurement before and after treatment using VAS. Results: The difference test between group 1 and group 2 using Independent T-test showed a result of p = 0.001 (p<0.05), indicating a difference in effect. Conclusion: The group that received physical training was more effective in reducing the degree of dysmenorrhea pain in adolescents.

Keywords: Physical exercise, Pain, Dysmenorrhea

Ayat Amtsal Al-Qur’an sebagai Media Terapi Wicara untuk Anak Disleksia: Pendekatan Melodi, Makna, dan Multisensorik

2025-08-04T14:06:05+00:00

Background: Dyslexia is a specific learning disorder affecting reading skills, especially phonological awareness and language processing. Multisensory speech therapy based on Amthal (Quranic parables) offers rhythmic stimulation, symbolic meaning, and cultural contexts that can enhance neuroplasticity and reading abilities in children with dyslexia. Objectives: This study aims to explore the potential of Amthal verses as a speech therapy medium that integrates melody, symbolic meaning, and multisensory stimulation to improve reading skills and brain activation in children with dyslexia. Methods: A qualitative literature review was conducted, synthesizing scientific and theoretical sources related to neurocognition, neuroplasticity, and multisensory speech therapy to identify mechanisms of Amthal use in therapy. Results: Findings indicate that Amthal verses contain rhythmic linguistic patterns enhancing phonological awareness through superior temporal gyrus activation; culturally meaningful contexts strengthen emotional engagement via cortisol reduction and ventral striatum activation; and visual metaphors support semantic processing via fusiform gyrus and hippocampus integration. Conclusion: Quranic Amthal verses serve as an effective therapeutic medium within multisensory speech therapy for dyslexic children, offering holistic neurocognitive and cultural benefits. This approach is promising as an evidence-based intervention in the Indonesian context.

Keywords: Amthal, Dyslexia, Multisensory speech therapy, Neuroplasticity, Local culture

Pengaruh Terapi Kelompok Ekspresi terhadap Kualitas Hidup Pasien Skizofrenia di RSJD Dr. RM. Soedjarwadi Klaten

2025-08-19T05:52:03+00:00

Background: Schizophrenia is a severe mental disorder that affects behavior, emotions, thoughts, and hallucinations. Schizophrenia patients often experience difficulties interacting, avoiding activities, social environments and decreased motivation, which impacts their quality of life. Art therapy within occupational therapy intervention can improve the quality of life of schizophrenia patients by helping them express their feelings and thoughts. Objectives: This study aims to determine the effect of expression group therapy on the quality of life of schizophrenia patients. Methods: Quantitative pre-experiment research (one group pretest-posttest) with sampling technique using purposive sampling based on inclusion criteria with a final total of 25 samples. Measurement of quality of life using the Indonesian version of the AQoL-4D instrument. Comparative test using paired sample t-test analysis technique with SPSS. Results: Majority of patients were aged 26-35 years (44.0%), male (60.0%), had a primary school education (36.0%), and were unmarried (44.0%). The average pretest score was 26.92, and the posttest was 21.92, with a difference of 5.00, which means there is a difference in the results of the AQoL-4D examination. The paired sample t-test results showed p value = 0.000 (p < 0.05), which means that expression group therapy affects the quality of life of schizophrenia patients. Conclusion: This study proves that there is an effect of expression group therapy on the quality of life of schizophrenia patients at RSJD Dr. RM. Soedjarwadi Klaten.

Keywords : Schizophrenia, Expressive Group Therapy, Quality of Life

Pengaruh Terapi Musik terhadap Tingkat Hiperaktivitas pada Anak dengan Kondisi Attention Deficit Hyperactivity Disorder (ADHD)

2025-08-25T06:44:58+00:00

Background: Attention Deficit Hyperactivity Disorder (ADHD) is a common disorder in children, characterized by symptoms of inattention, hyperactivity, and impulsivity that can interfere with individual development. The prevalence of ADHD in Indonesia reaches 26.4%, with a higher rate in boys. Objectives: This study aims to explore the effect of music therapy on the level of hyperactivity of children with ADHD at YPAC Surakarta. Music therapy has been shown to stimulate the brain and reduce symptoms of hyperactivity through increased concentration and impulse control. Through the music intervention program, it is hoped that children can experience a decrease in hyperactive behavior, as well as an increase in social and emotional skills. This research contributes to the understanding of the use of alternative therapies in the treatment of ADHD in Indonesia. Methods: This study uses a quantitative approach with a pre-experimental design, especially one group pretest-posttest design. Samples were taken using purposive sampling techniques based on inclusion criteria. Data analysis was carried out univariate and bivariate, including normality tests and hypothesis tests using paired sample t-tests. This method is designed to provide a clear picture of the impact of music therapy interventions on children with ADHD. Results: The research sample consisted of 17 children, dominated by the category of children with an age range of 5-9 years, totaling 11 people and the majority of whom were male. The results of the paired sample t-test showed that before the music therapy intervention, the average score of the participants was 14.65, while after the intervention, the average decreased to 12.24. The average difference between the two measurements was 2.412. A value of (ρ) less than 0.001 indicates a statistically significant difference. These results indicate that music therapy has a positive effect in reducing the level of hyperactivity in children with ADHD. Conclusion: The application of music therapy can be implemented as an intervention program to reduce hyperactivity levels in children with ADHD. Further research with a larger sample size is also needed, along with the involvement of parents in the therapy to strengthen the intervention outcomes.

Keywords: Attention Deficit Hyperactivity Disorder, Hyperactivity, Music Therapy

Efektivitas Otago Exercise Program terhadap Keseimbangan Lansia

2025-08-25T06:50:44+00:00

Background: As individuals aged, they experienced a decline and morphological changes in the neuromuscular system, which led to functional changes. A common health problem among the elderly was impaired physical function, characterized by a decrease in body balance. One of the efforts that could be made to improve body balance, lower limb muscle strength, and the vestibular system was through the Otago Exercise Program. Objectives: This study aims to determine and analyze the effect of giving otago exercise program in improving balance in the elderly. Methods: This study used a quantitative approach through the type of Quasi-Experimental research with the method of one group pre and post-test with control group design. The treatment group was given the otago exercise program and education and the control group was given education. Sampling using purposive sampling method Results: The results of statistical tests using paired sample t-test obtained results p = <0.001 (<0.05) means that there is an effect of giving otago exercise program on the balance of the elderly. Conclusion: Otago exercise program can improve balance in the elderly.

Keywords : Otago Exercise Program, Balance, Elderly

Hubungan Kemandirian Activity Daily of Living dengan Kepuasan Hidup Lansia Pedesaan

2025-08-28T00:40:53+00:00

Background: Independence in performing Activities of Daily Living (ADL) is a key indicator of quality of life among the elderly. Older adults who are able to carry out ADL independently tend to report higher levels of life satisfaction. However, rural areas have distinct social and environmental characteristics compared to urban settings, which may influence this relationship. Objectives: This study aims to examine the relationship between the level of ADL independence and life satisfaction among older adults living in rural areas of Karanganyar Regency. Methods: This research employed an analytical quantitative design with a cross-sectional approach. A total of 100 older adults were selected through purposive sampling from several villages in Karanganyar Regency. The instruments used were the Katz Index for ADL and the Satisfaction With Life Scale (SWLS) for measuring life satisfaction. Data were analyzed using the Cho-Square correlation test. Results: The results showed a significant relationship between ADL independence and life satisfaction among the elderly (p = 0.002; α < 0.05). Older adults who were independent in performing ADL tended to report moderate to high levels of life satisfaction compared to those who were not independent. Conclusion: There is a positive and significant relationship between independence in daily activities and life satisfaction among older adults in rural areas of Karanganyar Regency. Enhancing community-based assistance and rehabilitation programs can support elderly independence and improve their quality of life.

Keywords: Aging, KATZ Index, Health community, Satisfaction of Life

Pengaruh Relaksasi Autogenik dengan Mendengarkan Musik Klasik terhadap Penurunan Tekanan Darah pada Lansia Hipertensi

2025-09-03T15:12:21+00:00

Background: Hypertension is one of the leading causes of death among degenerative diseases, leading to heart failure, stroke, and other complications in the elderly. Hypertension can be treated pharmacologically or non-pharmacologically. One non-pharmacological method that can be used is autogenic relaxation combined with listening to classical music. This study aims to determine the effect of autogenic relaxation combined with listening to classical music on reducing blood pressure in elderly hypertensive patients. Objectives: To determine the effect of autogenic relaxation combined with listening to classical music on reducing blood pressure in elderly hypertensive patients. Methods: This study was quantitative with a pre-experimental one-group pretest-posttest design. The study was conducted in Gunung Sinogo Hamlet, Ngargorejo Village, Ngemplak District, Boyolali Regency. The sampling technique used was purposive sampling. The intervention was conducted eight times over four weeks, each session lasting 20 minutes. The autogenic relaxation session was accompanied by classical music, Mozart's Piano Concerto No. 21, II. Data analysis used the Shapiro-Wilk test and paired sample t-test. Results: The results showed that the majority of respondents with hypertension were aged 60-74 years (81%), and the majority of respondents were female (81%). Furthermore, a decrease in systolic blood pressure of 16 mmHg and a decrease in diastolic blood pressure of 11.57 mmHg was found. The statistical test yielded a p-value <0.001, indicating a significant effect of autogenic relaxation through listening to classical music on lowering blood pressure. Conclusion: This study demonstrates a significant effect of autogenic relaxation through listening to classical music on lowering blood pressure in hypertensive patients.

Keywords: Autogenic relaxation, Classical music, Hypertension, Elderly.

Perbedaan Pengaruh Efektifitas Pemberian Myofascial Release dan Stretching terhadap Penurunan Nyeri pada Neck Pain Non Spesifik

2025-09-15T05:58:39+00:00

Background: Non-specific neck pain is defined as pain in the posterior and lateral aspects of the neck between the superior nuchal line and the first thoracic spinous process without any signs or symptoms of structural pathology. Objectives: To determine which intervention is more effective between myofascial release and stretching in reducing pain in non-specific neck pain. Methods: This study employed a two-group pre-test and post-test design involving 30 respondents who were randomly assigned into two groups. Group I received myofascial release intervention, while Group II received stretching. Both interventions were administered three times per week for two weeks. Pain intensity was measured using the Visual Analogue Scale (VAS) before and after intervention. Data were analyzed using non-parametric tests: the Wilcoxon Signed Rank Test for within-group comparisons and the Mann-Whitney U Test for between-group comparisons. Results: The Wilcoxon test showed significant differences between pre-test and post-test scores in both the myofascial release group (Z = -3.477; p < 0.001) and the stretching group (Z = -3.432; p < 0.001). The Mann-Whitney test indicated no significant difference in pre-test scores between groups (p = 0.839), but a significant difference was found in post-test scores (p = 0.009). Conclusion: Both myofascial release and stretching are effective in reducing pain in non-specific neck pain. However, myofascial release is more effective compared to stretching.

Keywords: Pain, Neck Pain, Myofascial Release, Stretching.

Pengaruh Elastic Band Exercise terhadap Penurunan Tekanan Darah pada Lansia

2025-09-24T03:04:54+00:00

Background: High blood pressure or commonly known as hypertension is a non-curable disease characterized by systolic pressure ≥140 mmHg and diastolic pressure ≥90 mmHg. Exercise is a non-pharmacological treatment that has a significant effect in lowering blood pressure and exercise can be done by anyone because it is easy. Physiotherapy plays a role in providing elastic band exercise (EBE) which is one of the exercises that can improve muscle strength, body composition, and cardiovascular fitness in the elderly. When someone does exercise, there is a decrease in activity in the sympathetic nerves and the parasympathetic nerves experience an increase in activity, which causes the body to automatically respond to a decrease in blood pressure. Objectives: To determine the effect of elastic band exercise on lowering blood pressure in the elderly. Methods: The subjects in this study were 30 members of the Elderly Posyandu (Poslan) in Tohudan Hamlet, Colomadu Karanganyar. The inclusion criteria in this study are as follows: (1) subjects aged 60-79 years (2) hypertension with systolic pressure ≥140 mmHg and/or diastolic pressure ≥90 mmHg, (3) communicate well and are able to follow the instructions given (4) willing to participate in the study by signing an informed consent. This study is a pre-experimental study, the research design uses a one group pre-post test design, namely one group of elderly people who will be given treatment in the form of elastic band exercise. Results: The results of the difference in the effect of pre-test and post-test on research subjects using the Wilcoxon Test obtained results for systole p = 0.00 (p <0.05) and diastole p = 0.00 (p <0.05). This shows the influence of research subjects on reducing blood pressure in the elderly. Conclusion: Providing elastic band exercise has an effect on reducing blood pressure in the elderly.

Keywords: Elastic band exercise, Blood pressure, Elderly, Hypertension.

Hubungan Usia, Indeks Massa Tubuh (IMT), Aktivitas Fisik, Riwayat Merokok terhadap Tekanan Darah pada Lansia

2025-09-25T01:39:10+00:00

Background: Elderly individuals are an age group vulnerable to various health problems, one of which is hypertension. Hypertension in the elderly can be influenced by several factors, including age, Body Mass Index (BMI), physical activity level, and smoking history. Objectives: This study aimed to determine the relationship between these factors and blood pressure in the elderly. Methods: This research employed a cross-sectional design with a quantitative approach. The study subjects were elderly aged ≥60 years living in the area of Posyandu Lansia Brotoseno, Indronatan Village, Kartasura Subdistrict, Sukoharjo Regency. Data were collected through interviews, BMI measurement, and blood pressure examination, then analyzed using Spearman and Kendall’s Tau correlation tests. Results: The findings showed a significant positive correlation between age and blood pressure (p=0.00; r=0.630), no significant correlation between BMI and blood pressure (p=0.263; r=-0.161), a significant negative correlation between physical activity and blood pressure (p=0.00; r=-0.572), and no significant correlation between smoking history and blood pressure (p=0.196; r=0.169). Conclusion: The study concludes that age and physical activity are significantly associated with blood pressure in the elderly, while BMI and smoking history are not significantly related.

Keywords: Age, BMI, Physical activity, Smoking history, Blood pressure, Elderly

Effectiveness of Early Intervention on Language Development in Children with Hearing Loss: A Systematic Review

2025-10-11T12:41:06+00:00

Background: Hearing loss in children is one of the main causes of delayed language development, which affects cognitive, social, and academic domains. Early interventions such as hearing aids (HA), cochlear implants (CI), and speech therapy have been developed to minimize these impacts. Objectives: This study aims to review the effectiveness of early intervention on language development in children with hearing loss using a systematic review approach. Methods: Literature searches were conducted through PubMed, Scopus, ScienceDirect, CINAHL, and Google Scholar databases, with inclusion criteria focusing on children aged 0–6 years who received intervention before six months of age. Results: Seven studies met the eligibility criteria and were included in the synthesis. The results indicate that children who received intervention before six months demonstrated significantly better receptive and expressive language outcomes compared to those who were treated later. Factors such as family involvement, consistent device use, and the application of auditory-verbal therapy contributed substantially to successful intervention outcomes. Conversely, delayed diagnosis and limited service accessibility remain major barriers in developing countries. Conclusion: early intervention is proven effective in enhancing language development among children with hearing loss; therefore, early screening and timely therapy should be prioritized within pediatric healthcare services.

Keywords: Early intervention, Hearing loss, Language development, Effectiveness

Pengaruh Knee Support terhadap Risiko Jatuh pada Lansia Ditinjau dari Keseimbangan Statik dan Keseimbangan Dinamik

2025-10-20T02:53:23+00:00

Background: The risk of falls among the elderly was a significant public health issue, as it could lead to serious injuries, decreased quality of life, and increased healthcare costs. One of the main contributing factors to falls was the decline in knee joint stability and balance function. The use of simple orthoses such as knee supports was suspected to provide additional stabilization and enhance proprioceptive input, thereby improving balance and reducing the risk of falls. Objectives: This study aimed to determine the effect of knee support use on the risk of falls in the elderly in terms of static and dynamic balance. Methods: This study used a quasi-experimental design with a one-group pre-test and post-test approach. The sample consisted of 15 elderly individuals at the Posyandu Lansia in Dusun Pepe, Kelurahan Gedongan. The instrument used to measure static balance was the Berg Balance Scale (BBS), and for dynamic balance, the Timed Up and Go (TUG) test was used. Data were analyzed using a Paired T-Test and Wilcoxon, preceded by a normality test using the Shapiro-Wilk method. Results: The results of the pairedsample t-test and wilcoxon test showed that the significance value was less than 0.05. There was an increase in BBS scores and a decrease in TUG time after the knee support intervention was given. Knee support had an effect on the risk of falls in the elderly in terms of both static and dynamic balance. All research participants were female. Conclusion: This study showed that knee support intervention affected the risk of falls in the elderly as seen from improvements in static and dynamic balance.

Keywords: Elderly, Fall risk, Knee support, Balance

Motivasi Mahasiswa SST Fisioterapi dalam Belajar Bahasa Inggris

2025-11-30T17:26:11+00:00

Background: English plays a crucial role in education and professional life, including in physiotherapy, as most scientific literature and other sources of knowledge are written in it. However, students of the Physiotherapy Specialization Program (SST) at the Ministry of Health Polytechnic of Surakarta still exhibit low learning motivation, which results in suboptimal English learning achievement. Objectives: This study aims to analyze the relationship between learning motivation and English learning achievement of physiotherapy students. Methods: The study used a quantitative correlational design with a cross-sectional approach, involving 300 respondents selected using a total sampling technique. The research instrument was a learning motivation questionnaire that had been tested for validity and reliability (r count > 0.113; Cronbach's Alpha = 0.966). Data were analyzed using the Pearson Product Moment correlation test after meeting the assumptions of normality and linearity. Results: The results showed a positive and significant relationship between learning motivation and English learning achievement (r = 0.661; p < 0.01), with an effective contribution of 43.7%. This means that the higher a student's learning motivation, the higher their English learning achievement. Conclusion: Learning motivation plays a crucial role in determining the academic success of physiotherapy students. The results of this study are expected to serve as a basis for developing learning strategies that can foster learning motivation and improve the quality of English language learning in vocational health education settings.

Keywords: Motivation, Learning Achievement, English

Pengaruh Durasi Penggunaan Gawai terhadap Keluhan Nyeri Leher Mahasiswa Jurusan Fisioterapi Poltekkes Kemenkes Surakarta

2025-11-17T09:06:09+00:00

Background: Gadgets are modern communication tools designed with advanced technology to facilitate communication. Prolonged use of gadgets can lead to excessive load on the cervical spine, resulting in neck pain. Objectives: This study aims to determine the effect of gadget usage duration on neck pain complaints among students of the Physiotherapy Department at Poltekkes Kemenkes Surakarta. Methods: This research employed a comparative analytical design with a cross-sectional approach. A total of 212 active students from the Physiotherapy Department at Poltekkes Kemenkes Surakarta were selected through an online questionnaire. The variables examined included daily gadget usage duration and the level of neck pain, measured using the Numeric Rating Scale (NRS). Data were analyzed using the Chi-square test. Results: The findings showed that the majority of respondents used gadgets for more than 6 hours per day (117 respondents), and most reported mild neck pain (138 respondents). However, the Chi-square test produced a p-value of 0.941 (p > 0.05), indicating that there was no significant relationship between gadget usage duration and neck pain complaints among the physiotherapy students. Although neck pain complaints were more commonly found among respondents with longer gadget use duration, the relationship was not statistically proven. Conclusion: Based on the results, it can be concluded that the duration of gadget use does not affect the frequency level of neck pain complaints among students of the Physiotherapy Department at Poltekkes Kemenkes Surakarta.

Keywords : Gadget, Usage duration, Neck pain, Students, Physiotherapy

Sistematik Review Pengaruh Story Telling terhadap Kemampuan Bahasa Ekspresif Anak Usia Prasekolah

2025-10-22T01:12:43+00:00

Background: Child development is a form of continuous and natural stages, therefore each aspect that is developed influences each other. One aspect of development that greatly influences children is language development, both receptively (understanding) and expressively (expression). One of the factors that influences language development is early reading practice (early literacy) and storytelling. Early literacy skills are the knowledge, attitudes and skills of an early age child related to reading and writing before mastering formal skills at school age. The components of early literacy are reading interest, language skills, phonological awareness, reading skills, and writing skills. In addition to early age reading skills (literacy), to improve expressive language skills, also by getting children used to telling stories (story telling). Story telling is a mechanism for conveying stories using words, images, sounds, or movements with the intention of communicating messages or influencing the audience. Objectives: This study is to determine the effect of Early Literacy Skills and Story Telling on the Expressive Language Skills of Preschool Children. Methods: This study design uses a systematic review conducted by searching and selecting various kinds of data from the results of previous research and data from the results of clinical trials conducted across ethnicities, races, and also the location in the world, the time of the study results to be selected is in the period 2000-2023. The article search will be conducted for a maximum of 2 months. Instrument: Research data is searched from databases, including: PubMed and Google Scholar. Results: By using the search keywords "early language intervention" AND "clp" AND "observational". Conclusion: The storytelling method has been proven effective and significant in improving the language skills of early childhood, especially in the aspects of expressive language, vocabulary, and oral communication. A variety of media (digital, puppets, children's work, and local wisdom) strengthens the effectiveness of this method. Storytelling is recommended as the main learning strategy in stimulating the language development of early childhood.

Keywords: Storytelling, Expressive Language Skills

Pengaruh Fine Motor Play terhadap Kemampuan Motorik Halus pada Anak Autism Spectrum Disorder (ASD)

2025-10-23T09:07:44+00:00

Background: Autism disorders are often accompanied by fine motor problems, which can affect daily activities and children's development at school. Intervention through occupational therapy, namely fine motor play activities, is one alternative in improving children's fine motor skills. Objectives: To determine the effect of fine motor play activities on fine motor skills in children with Autism Spectrum Disorder (ASD). Methods: This study used a quantitative approach with the General Linear Model Repeated Measures (GLM-RM) Test method. The instrument used was The Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2). With a sample size of 11 autistic children using the purpose sampling technique. Results: The average BOT-2 score on the fine motor component of boys and in the age group of children (5-11 years) tended to be higher. The results of the hypothesis test using the Friedman test and repeated ANOVA obtained values of 0.001; 0.024; and 0.000 (p <0.05), which means there is a difference between the average BOT-2 scores in each measurement. Conclusion: This study shows that there is an influence of fine motor play on fine motor skills in children with Autism Spectrum Disorder (ASD).

Keywords: Fine motor play, Fine motor skills, Autism Spectrum Disorder (ASD)

Pengaruh Kemampuan Phonological Awareness terhadap Kemampuan Literasi pada Anak Kelas Satu di Kota Surakarta

2025-11-12T08:30:09+00:00

Background: Phonological awareness is crucial in the early school process, as it is foundational for reading and writing skills. However, research data on the phonological awareness of elementary school-age children in Indonesia remains scarce. Objectives: This study aimed to determine the effect of a phonological awareness intervention on the literacy skills of first-grade elementary school children in Surakarta. Methods: This study employed a quasi-experimental design using a one-group pretest-posttest approach23. A sample of 30 children was selected using total sampling. The intervention was administered over 2 weeks, consisting of 6 sessions, each lasting 45 minutes. The instruments used were early literacy and phonological sensitivity tests, analyzed using the Wilcoxon test. Results: Pre-intervention literacy skills showed 28 children (93.3%) in the "poor" category. Post-intervention, 28 children (93.3%) were in the "good" category. The Wilcoxon test analysis yielded a p-value of 0,000 (p < 0,05), indicating that the phonological awareness intervention had an effect on the development of literacy skills. Conclusion: The phonological awareness intervention significantly affects the literacy skills of first-grade elementary school children in Surakarta.

Keywords: First-grade students, Literacy Skills, Phonological awareness

Perbedaan Aktivasi Otot Ekstensor Lumbal pada 3 Posisi Statis

2025-11-12T15:28:58+00:00

Background: Postural control plays a major role in maintaining postural adjustment during daily activities. Calculating body position should be precisely accurate toward gravitational forces to maintain neutral body alignment. Neutral body alignment is influenced by postural muscle activation and kinematics. In static positions, such as standing and sitting, there are different lumbo-pelvic kinematics. Objectives: The purpose of this study was to compare lumbar extensor activation during three static positions: standing, sitting on a chair, and sitting on the floor. Methods: this study uses cross sectional observational method 15 healthy subject was randomly recruited during this observational study, performing three static positions, standing, sitting on a chair and sitting on the floor while Surface Electromyograph (sEMG) placed on erector spine in lumbar segment, we recorded muscle activation on EMG monitor in those three static positions and compared to each static positions. Results: sEMG activation erector spine data in this study showed erector spine muscle activation increased during standing was 12.95 ± 0.94 µV, sitting on a chair was 2.63 ± 0.82 µV and sitting on the floor with mean erector spine activation was 2.63 ± 0.82 µV, in one way ANOVA between and within Group was p < 0.001. Conclusion: erector spine muscle activation during standing are greater than sitting on a chair with mean differences value was 5.6 µV and erector spine muscle activation during sitting on a chair are greater than sitting on the floor with flexed knee with mean differences was 4.62 µV.

Keywords: Erector spine activation, Static position, Surface electromyograph, Neutral body alignment

Efektivitas Metode Drill terhadap Kemampuan Sintaksis pada Anak Autism Spectrum Disorder di Karesidenan Surakarta

2025-11-14T02:39:54+00:00

Background: Abstract Autism Spectrum Disorder (ASD) is a developmental disorder that affects communication, social interaction, and behavior, with signs of difficulty understanding and using language verbally or nonverbally. The language ability of children with autism is different from other children, the syntactic pattern is still simple, often only mentioning phrases in saying something so that they are not able to make meaningful sentences. The prevalence of children with autism in Surakarta City reaches 100 children and is the second highest number of autistic students in Central Java. Objectives: This study aims to determine the effectiveness of the drill method on syntactic abilities in ASD. Methods: The type of research to be conducted is quantitative research with the method used, namely pre- experimental with One Group Pre-test Post-test Design. The number of samples used was 15 children with ASD. The collected data will be analyzed descriptively and bivariously using a statistical test technique, namely the Wilcoxon Signed Rank Test. Results: Based on the pre-test and post-test bivariate tests that have been carried out on 15 ASD children, the results show that the pretest posttest score was obtained with a Z value of -3.334 and an Asymp.Sig (2-tailed) value of 0.001. Because the value is 0.001 < 0.05, Ho is rejected and Ha is accepted. Conclusion: After receiving treatment 12 times, it was found that the average increase in the test score from 12.40 to 16.20 based on the results of the analysis test with the Wilcoxon Signed Ranks Test obtained a p value (sig.) of 0.001 or a p value (sig.) <0.05. So it can be interpreted that there is an increase in syntactic ability using the drill method in children with autism spectrum disorder.

Keywords: Drill Method, Autism, Syntactic Ability

Pengaruh Stimulasi Oral terhadap Peningkatan Refleks Hisap Lemah pada Bayi Premature

2025-11-14T02:54:29+00:00

Background: Preterm infants often experience weak sucking reflexes due to the immaturity of the oromotor neuromuscular system. This condition leads to delays in the development of oral feeding skills, increases the risk of aspiration, and prolongs hospitalization in the NICU. Oral stimulation is a non-invasive intervention aimed at facilitating the maturation of sucking–swallowing abilities in preterm infants. Recent studies have demonstrated the effectiveness of this intervention; however, a comprehensive summary of research findings is needed to strengthen clinical recommendations. Objectives: To determine the effect of oral stimulation on improving weak sucking reflexes in preterm infants. Methods: This study employed a systematic review design using a literature review approach that included five published studies from the past five years. Results: All five studies indicated that weak sucking reflexes in preterm infants are primarily caused by neuromuscular immaturity and poor suck–swallow–breathe coordination. Oral stimulation interventions—such as PIOMI, oral motor stimulation, and non-nutritive sucking—were shown to significantly improve sucking strength, sucking frequency, physiological stability, and the ability to transition to oral feeding. All studies reported accelerated achievement of full oral feeding, and most demonstrated a reduction in NICU length of stay. Conclusion: Oral stimulation has been consistently proven effective in improving the sucking reflex of preterm infants and accelerating readiness for oral feeding. This intervention is safe, easy to administer, and recommended as part of routine NICU care to support feeding maturation and enhance clinical outcomes.

Keywords: Oral stimulation, Sucking reflex, Preterm infants, Oral feeding ability

Teori Integratif dalam Komunikasi Interprofessional Education: Systematic Review

2025-11-14T03:00:20+00:00

Background: The integrative theory argues that theories from the perspective of scientific management and human behavior are seen as failing to integrate various factors within an organization such as organizational structure, technology used, and the environment in which the organization operates. Objectives: The objective of IPE communication is to exchange ideas, opinions, and information involving two or more professions in an effort to establish interprofessional collaboration. The aim is to integrate (compare and contrast) what has been done and said by others' research. Methods: The research was conducted by analyzing open access journals. The methodology of this research is a coverage review using the Google Scholar website accessed through Publish and Perish, with Mendeley and VOS Viewer used as tools for bibliometric analysis and semantic document network visualization. It uses the Google Scholar database and and the inclusion criteria are articles accessible in full text between 2011 and 2024. Results: Collaboration in the field of interprofessional education is quite close within this group, but still centered on a small cluster. Conclusion: This indicates the potential for developing research networks outside the same circle so that research does not stagnate and can gain cross-institutional or disciplinary perspectives.

Keywords: Integratif theory, IPE Communication, Systemic review

Pengaruh Effortfull Swallow Manuver terhadap Peningkatan Fungsi Menelan pada Pasien Disfagia Paska Stroke di Rumah Sakit Umum Pusat Nasional Dr Cipto Mangunkusumo Jakarta

2025-11-17T06:42:16+00:00

Background: Dysphagia is one of the complications that often occurs in stroke patients, which has long-term effects such as dehydration, malnutrition, and aspiration pneumonia, thereby affecting poor quality of life. Objectives: This study aims to determine the effect of the effortful swallow maneuver on improving swallowing function in post-stroke dysphagia patients at Dr. Cipto Mangunkusumo National General Hospital in Jakarta. Methods: This study was a quantitative study with a “One Group Pre-test and Post-test” research design. Statistical tests used the McNemar Test and Pearson's correlation test. The number of respondents in this study was 15 dysphagia outpatients at the Medical Rehabilitation Unit of Dr. Cipto Mangunkusumo National General Hospital in Jakarta. The research instrument used to measure swallowing function was the Toronto Bedside Swallowing Screening Test (TOR-BSST). Results: Before the intervention, 12 respondents were unable to swallow and 3 respondents were able to swallow. After the intervention, 2 respondents were unable to swallow and 13 respondents were able to swallow. There was a significant difference in the swallowing function of respondents before and after the Effortful Swallow Maneuver intervention based on the results of the McNemar Test analysis with a significance value of 0.002. There was a strong and positive correlation between the Effortful Swallow Maneuver and swallowing function based on the results of the Pearson correlation test with a result of 0.705. Conclusion: The Effortful Swallow Maneuver has an effect on improving swallowing function in post-stroke dysphagia patients at Dr. Cipto Mangunkusumo National General Hospital in Jakarta.

Keywords: Dysphagia, Effortfull Swallow, Manuver

Analisis Penerapan Etika dalam Pelayanan Klinis Terapis Wicara

2025-11-18T02:56:54+00:00

Background: In line with the increasing number of speech therapists, the potential for ethical violations is also greater. Speech therapists must be able to ensure the security, comfort and safety of their clients while receiving speech therapy services in their workplace consistently and avoid ethical problems. Currently, there are hundreds of speech therapists working in the ex-Karesidenan Surakarta area and working in various services such as hospitals, clinics, schools, and independent practices. Objectives: This study aims to find out how the application of ethics in clinical services of speech therapists in Surakarta. Methods: This study has a qualitative descriptive design. Results: The application of ethics to the beneficence element was mostly moderate (67.4%). The application of ethics to the Nonmaleficence element was mostly moderate (65.2%). The application of ethics to the autonomy element was predominantly in the high category (71.7%). The application of ethics to the justice element was mostly in the moderate category (78.3%). This study also found that educational level influences the application of ethics in clinical settings with (p = 0.045). Meanwhile, the gender variable (p = 0.599) and the workplace variable (p = 0.426) so that both did not influence ethical services in clinical settings. Conclusion: There is still a need for systematic efforts from all speech therapy stakeholders to continue to socialize clinical services that apply ethical principles to avoid clinical problems related to ethical issues in the future.

Keywords: Ethics, Speech therapy services

Kontribusi Komunikasi Interpersonal dan Self Confidence Mahasiswa terhadap Pengetahuan Mata Kuliah Communication And IPE di Poltekkes Kemenkes Surakarta

2025-11-18T07:59:28+00:00

Background: Knowledge competence in the Communication and Interprofessional Education course plays an essential role in preparing students for collaborative professional practice. Several factors are believed to influence this competence, particularly students’ interpersonal communication skills and their confidence during the learning process. Understanding these factors is crucial to improving interprofessional education quality in health institutions. Objectives: This study aimed to analyze the contribution of interpersonal communication and confidence to the knowledge competence of students in the Communication and Interprofessional Education course at Poltekkes Kemenkes Surakarta. Methods: This research employed an ex post facto design involving two hundred and ten students enrolled in the course. Interpersonal communication and confidence data were collected through questionnaires, while knowledge competence data were obtained from academic records. Linear regression analysis was used to determine the contribution of each variable. Results: The results show that interpersonal communication contributes 54,1% percent to knowledge competence, while confidence contributes forty-seven point three percent. The combined contribution of both variables reaches 58,5%, indicating a strong influence on students’ academic understanding in the course. Conclusion: Interpersonal communication and confidence significantly contribute to students’ knowledge competence in the Communication and Interprofessional Education course. Strengthening these factors is necessary to enhance the effectiveness of interprofessional education.

Keywords: Interpersonal communication, Confidence, Knowledge competence, Interprofessional education

Aktivitas Art Therapy (Collage) berpengaruh terhadap Self-Efficacy Pasien Skizofrenia

2025-11-20T07:12:57+00:00

Background: Schizophrenia is a functional psychotic condition with major disturbances in thought processes and disharmony (disruption, fragmentation) between thought processes, affect/emotions, volition, and psychomotor activity accompanied by distortions of reality, particularly due to delusions and hallucinations; fragmented associations resulting in incoherence. This condition has the potential to lower self-efficacy in patients, leading to maladaptive coping. One non-pharmacological therapy that can be provided is art therapy (collage). Objectives: This study aims to determine the effect of art therapy (collage) on self-efficacy in schizophrenia patients at Dr. Radjiman Wediodiningrat Hospital. Methods: This study is a quantitative pre-experimental design (one group pretest posttest) with a sampling technique using purposive sampling of 24 samples. Self-efficacy was measured using the Indonesian version of the General Self-Efficacy Scale (GSE). Data analysis techniques used paired sample t-test comparative analysis. Results: The results showed that the distribution based on gender was dominated by male samples (66.7%), based on age it was dominated by the late adult category (41.7%), based on diagnosis it was dominated by F.20.1 samples (Hebephrenic Schizophrenia) (70.8%), based on education level, it was dominated by junior high school graduates (45.8%), based on occupation, it was dominated by working samples (91.7%), and based on marital status, it was dominated by unmarried samples (62.5%). There was an average difference between the pre-test and post-test scores of 2.79. The results of the paired sample t-test showed a Sig.2 tailed value of 0.000 (p-value<0.05), so the hypothesis was accepted. Conclusion: Art therapy (collage) activities have an effect on the self-efficacy of schizophrenia patients at Dr. Radjiman Wediodiningrat Mental Hospital.

Keywords: Art therapy (collage), Self-efficacy, Schizophrenia

Voice Problems in Post-COVID-19 Patients

2025-11-25T01:37:07+00:00

Background: Voice problems, also called dysphonia, are a common sign in people who have COVID-19. Despite this, it is often underestimated as it is a relatively less frequent and life-threatening symptom. These changes are called vocal functional changes. Most of them happen because of the immune system's response after an infection. This then causes the voice to not work as well. Objectives: This research aims to learn how often voice issues linked to COVID happen across the globe. It also checks for possible things that make these issues more likely, both when sick and later on. The purpose is to give ideas for better ways to care for people. Methods: This research design uses a systematic literature review, the selected studies are in the period 2020-2025. Research data was searched from databases, including: PubMed, Science Direct and Google Scholar. By using the search keywords (“COVID-19” OR “SARS-CoV-2”) AND (“voice impairment” OR ‘dysphonia’ OR "aphonia). Results: It was found that dysphonia is a common and significant symptom in COVID-19 patients, with multifactorial causes including laryngeal inflammation, mechanical trauma, and neurological disorders. Conclusion: The prevalence of dysphonia varies depending on the severity of the disease and the presence of risk factors such as gender or smoking habits.

Keywords: Coronavirus disease; Covid-19 patients; Dysphonia, Vocal symptoms, Voice quality.

Pengaruh Senam terhadap Penurunan Gula Darah Puasa pada Lansia dengan Faktor Resiko Stroke

2025-11-25T14:23:52+00:00

Background: Elderly individuals with stroke risk factors increasingly experience hyperglycemia, while structured physical activity such as low-impact aerobic exercise remains underutilized as a strategy to control fasting blood glucose levels. Objectives: This study aimed to determine the effect of aerobic exercise on fasting blood glucose reduction in elderly individuals with stroke risk factors. Methods: The research employed a quasi-experimental design with a two-group pretest-posttest approach. The study involved 20 elderly participants at Posbindu Kenanga, divided into an intervention group (aerobic exercise) and a control group (dietary education). The aerobic exercise was conducted three times a week for four weeks. Data were collected through fasting blood glucose measurements before and after the intervention using paired sample t-test and independent sample t-test. Results: This study showed that the mean fasting blood glucose level in the intervention group significantly decreased from 125.7 mg/dL to 104.4 mg/dL (p = 0.004). In contrast, the control group exhibited a slight increase from 133.9 mg/dL to 134 mg/dL (p = 0.934). The intergroup comparison revealed a p-value of 0.000, indicating a significant effect of aerobic exercise on fasting blood glucose reduction compared to the control group. Conclusions: This study concludes that aerobic exercise effectively reduces fasting blood glucose levels in elderly individuals at risk of stroke. Physical activity, such as aerobic exercise, improves insulin receptor sensitivity and enhances glucose utilization by active muscles, contributing to reduced blood glucose levels. Structured physical exercise and education are recommended as preventive strategies for managing stroke risk in elderly populations.

Keywords: Aerobic exercise, Fasting blood glucose, Elderly, Stroke risk

Pragmatic Language in Children with Autism Spectrum Disorder : A Systematic Review

2025-11-27T04:35:42+00:00

Background: Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects an individual's social, communication, and behavioral abilities. According to data from the Centers for Disease Control and Prevention (CDC), the prevalence of ASD in the United States is approximately 1 in 44 children (CDC, 2021). Objectives: To analyze pragmatic abilities in children with ASD and learning materials for scientific research writing, while also providing additional information regarding pragmatic abilities in children with ASD. Methods: This study is a systematic review. This study uses data from previous studies. A quantitative systematic review combines findings from various independent studies and produces a statistical summary of those findings (Last, 2001 in Murti, 2018). Results: Children with ASD exhibit a continuous state of language difficulties, with social communication skills being a significant issue. Conclusion: Semantic-pragmatic communication skills constitute a core impairment in the narratives of children with ASD. pragmatic aids and deficits in global executive function when compared to children with typical development.

Keywords: Pragmatic Language, ASD, Systematic review

Beda Pengaruh Post Isometric Relaxation dan Stretching Exercise terhadap Penurunan Nyeri Leher Non Spesifik : Studi Kasus

2025-09-15T06:10:42+00:00

Background: Non-ergonomic work positions and monotonous postures, when maintained for extended periods, can have detrimental effects on workers, leading to muscle tension in the neck and shoulders, which may result in neck pain. Non specific neck pain refers to pain that can be provoked by static neck postures over long durations, neck movements, and tenderness upon palpation of cervical muscles without accompanying pathological conditions. Physiotherapy interventions that can be applied to reduce non-specific neck pain include post-isometric relaxation and stretching exercises. Objectives: To determine which intervention is more effective between post-isometric relaxation and stretching exercises in reducing non-specific neck pain. Methods: An experimental study with a two-group pre-and-post test design was conducted over two weeks in September 2024. Subjects were workers in a garment factory who met the inclusion criteria. A total of 52 subjects were randomly divided into two groups. Group I (n=27) received treatment through post isometric relaxation, while Group II (n=25) received treatment through stretching exercises. The Visual Analog Scale (VAS) was used to measure the reduction in neck pain. Results: Based on the results of the pre-post test statistical test of groups I and II, a value of p = 0.000 (p< 0.05) was obtained, which means that there is an effect of the pre-post test statistical test of groups I and II. For the post-test statistics of groups I and II, a value of p = 0.000 (p < 0.05) This indicates a difference in effect, with a mean difference of 26.51 in the PIR group and 14.2 in the stretching exercise group.Conclusion: Post-isometric relaxation is more effective in reducing pain in non-specific neck pain.

Keywords: Non-specific neck pain, Post isometric relaxation, Stretching exercise, Visual Analogue Scale (VAS).

Pengaruh Workplace Stretching Exercise (WSE) terhadap Nyeri Muskuloskeletal pada Mahasiswa Tingkat 3 Sarjana Terapan Terapi Okupasi Poltekkes Surakarta

2025-11-28T03:18:27+00:00

Backgroud: The learning process is carried out by student tend monotone and demanded for sit down in period quite a long time. This can cause happening painful musculoskeletal. Objectives: This study aim for know is Workplace Stretching Exercise (WSE) has an effect to painful musculoskeletal on student. Stretching muscles that can done for relax muscle and expedite circulation blood. Tool data collection on this study use questionnaire Nordic Body Map for measure mark painful musculoskeletal on student. Methods: Type this study is quasi experimental design using the pretest-posttest control group design. Amount sample is 100 students obtained with convenience sampling technique. There are 2 groups that is intervention group and control group each group totaling 50 students. Intervention group will do stretching in between lectures for 10 days. Results: Data tested use paired sample t-test as well as test as well as independent sample t-test for sample no in pairs with level error 5% or α = 0.05. Obtained test paired sample t-test after the pretest p-value 0.000 (0.05) at intervention group so which result are difference painful musculoskeletal. Whereas for control group obtained the result of p-value 0.261 (>0.05) which result are no difference painful musculoskeletal. Then for test independent sample t-test was obtained p-value = 0.000 (<0.05), which result are difference in mean pain musculoskeletal significant between intervention and control group. Conclusion: This Study show that exists influence Workplace Stretching Exercise (WSE) against decline painful musculoskeletal on student level 3 undergraduate applied therapy occupation Poltekkes Surakarta.

Keywords: Students, Workplace stretching exercise, Pain musculoskeletal.

Analisis Profil Naratif Berbasis Gender: Aspek Produksi, Kompleksitas Sintaksis dan Penggunaan Bahasa pada Dewasa

2025-11-29T04:27:16+00:00

Background: Narrative analysis serves as a fundamental component in assessing language proficiency. From a Speech-Language Pathology (SLP) perspective, gender is considered a potential influencing factor on an individual's narrative profile, particularly affecting speech output and syntactic complexity. This study compared the narrative skills of adult male and female participants.Objectives: This research aims to analyze and compare the narrative skills of adult male and female participants by examining output quantity, syntactic complexity, and vocabulary usage in stories generated from the wordless picture book Frog, Where Are You?. Methods: This study utilized a descriptive qualitative approach with a comparative case study design. It involved two adult participants, one male and one female, both aged 34. Narrative data was collected using the wordless picture book "Frog, Where Are You?" and subsequently analyzed based on several parameters: the number and type of sentences, the frequency of borrowed vocabulary, and the use of narrative elements such as sound effects and embedded dialogue. Results: The findings reveal distinct narrative profiles. The male participant produces a higher quantity of output, which is dominated by simple sentences and features a high frequency of borrowed vocabulary and sound effects. Conversely, the female participant generates less output but demonstrates significantly greater syntactic complexity, employing more compound and complex sentences while using minimal borrowed vocabulary. Conclusion: This study concludes that clear differences exist in narrative profiles based on gender among adults. The male participant exhibits a report-oriented style emphasizing quantity, while the female participant demonstrates a rapport-oriented style characterized by superior syntactic complexity. These findings underscore the importance of considering gender as a variable in language assessments within speech-language pathology.

Keywords: Narrative Skills, Syntactic Complexity, Gender, Language Assessment, Frog Story

The Impact of Lower Limb Prosthesis Use on Quality of Life Among Patients with Lower Limb Amputation

2025-11-30T07:34:10+00:00

Background: Lower limb amputation leads to a substantial decline in physical, psychological, and social function, all of which negatively affect an individual’s quality of life (QoL). The use of lower limb prostheses serves as a crucial rehabilitative intervention designed to restore mobility, independence, and psychosocial well-being. Objectives: This study aimed to examine the effect of lower limb prosthesis use on the quality of life of patients with lower limb amputation. Methods: This analytical observational study employed a cross-sectional design involving 30 participants with lower limb amputations residing in the Soloraya region, Indonesia, from January to February 2025. Data were collected using the Orthotics and Prosthetics Users’ Survey (OPUS) QoL subscale, which assesses four domains—physical, psychological, social, and environmental. Data were analyzed using the Shapiro–Wilk test for normality, the Pearson product–moment correlation, and simple linear regression.Results: The data were normally distributed (p > 0.05). A strong positive correlation was observed between the duration of prosthesis use and QoL (r = 0.755, p < 0.001). Simple linear regression revealed that prosthesis use contributed to 57.0% of the variance in QoL among amputees. Conclusion: The use of lower limb prostheses significantly improves the quality of life in individuals following lower limb amputation. Sustainable rehabilitative interventions, continuous user education, and equitable access to orthotic– prosthetic services are essential to optimize patient adaptation and long-term well-being.

Keywords: Lower limb amputation, Lower limb prosthesis, Quality of life, OPUS, Rehabilitation.

Exploring The Challenges in Intervention Programs for Speech Sound Disorders: A Systematic Review

2025-11-30T15:38:02+00:00

Background: Speech Sound Disorders (SSD) are among the most common communication problems treated by speech-language therapists. Despite its high prevalence, intervention remains challenging due to diverse error patterns, limited resources, and varying clinical decision-making. Objectives: This study aims to identify challenges in SSD intervention programs through a systematic review, providing insight to strengthen clinical practice and guide future research. Methods: A systematic review was conducted following PRISMA guidelines. Articles published between 2015–2025 were retrieved from Google Scholar, PubMed, ScienceDirect, and manual searches using predetermined keywords. Inclusion criteria consisted of full-text English studies reporting challenges in SSD intervention, while effectiveness trials and conceptual-only literature were excluded. Results: Nine studies met the criteria. Four major challenges were identified: (1) limited intervention intensity; (2) clinical decision-making influenced more by therapist experience and context than by structured evidence; (3) low implementation of evidence-based approaches; and (4) inconsistent assessment tools and limited home practice support. These barriers impact diagnosis accuracy, target selection, and treatment outcomes. Conclusion: SSD intervention faces clinical, practical, and institutional barriers. Strengthening evidence-based practice, improving assessment consistency, and optimizing support systems—including parent involvement—may enhance service quality and outcomes.

Keywords: Speech sound disorders, Articulation intervention, Phonological intervention, Clinical practice, Systematic review

Hubungan Status Gizi Ibu Hamil Trimester I terhadap Kejadian Stunting pada Bayi Baru Lahir di Puskesmas Kalikotes, Klaten

2025-12-01T20:45:56+00:00

Background: Stunting remains a major public health issue in Indonesia, with a prevalence of 21.6% according to the 2022 Indonesian Nutrition Status Survey (SSGI). Maternal nutritional status during the first trimester is considered a critical factor influencing fetal growth and early childhood nutrition. Objectives: To examine the relationship between first-trimester maternal nutritional status and the incidence of stunting among newborns at Kalikotes Primary Health Center, Klaten, in 2024. Methods: This analytical observational study included all pregnant women in 2024 at the Kalikotes Primary Health Center. Bivariate analysis using the Spearman Rank test was performed to assess the association between maternal BMI, LILA, and haemoglobin levels during the first trimester and newborn stunting. A p-value < .05 indicated statistical significance. Results: Most respondents were 20–35 years old (85.3%) and multigravida. Normal BMI was observed in 42.6%, 25% had no chronic energy deficiency (LILA ≥ 23.5 cm), and 89.7% were non-anaemic. Newborns had an average birth weight of 3057 g and a mean birth length of 48.51 cm. Stunting prevalence was 19.1%. No significant association was found between maternal BMI, MUAC, or haemoglobin levels and stunting. Conclusion: First-trimester maternal nutritional status was not significantly associated with newborn stunting. Stunting is multifactorial, and maternal nutritional indicators alone do not determine its occurrence.

Keywords: Stunting, Maternal nutrition, Pregnancy, First trimester, Newborn health, Indonesia

Dampak Mindfulness Based Stress Reduction (MBSR) terhadap Stress Ibu yang Mengasuh Anak Berkebutuhan Khusus (ABK)

2025-12-02T02:19:42+00:00

Background: Stress is defined as a state of being pressured, both physically and psychologically. Stress experienced by mothers in raising children with special needs is called parenting stress. Mothers experience stress during the parenting process. Therefore, it is important to implement appropriate interventions. One form of intervention that can reduce stress is Mindfulness-Based Stress Reduction. Objectives: This study aims to examine the impact of Mindfulness-Based Stress Reduction (MBSR) on the stress of mothers of children with special needs (CWSN) at the Bunda Kirani Foundation in Boyolali. Methods: The research design is a quantitative, pre-experimental, one-group, pre-test and post-test design. The intervention using MBSR techniques includes body scanning, sitting meditation, hatha yoga, and walking meditation, with a total of 15 respondents. MBSR interventions were conducted 10 times. The measurement instrument used in this study was the Perceived. The assessment instrument used in this study was the Perceived Stress Scale. The sampling technique used was purposive sampling. The data analysis was performed using the Paired t-test. Results: The largest sample had a high school education background, totaling 9 people (60%), the majority were 38 years old, totaling 3 people (20%), and the oldest sample was 48 years old, totaling 1 person (6.7%). There was a decrease in scores, with an average of 5.34 after being given MBSR treatment. The hypothesis test showed a p-value of 0.000 (p < 0.05), indicating that there was a statistically significant effect of MBSR treatment on the stress of mothers who have children at Yayasan Bunda Kirani Boyolali. Conclusion: MBSR impacts the reduction of stress in mothers who have children with developmental disabilities and provides direct caregiving.

Keywords : Children with special needs, Stress, Mindfulness, MBSR.

Pengaruh Terapi Relaksasi Autogenik terhadap Kualitas Tidur Lansia

2025-12-02T06:45:56+00:00

Background: The Elderly are the final stage of a life phase that will experience gradual changes in both physical, psychological, and social aspects. As they age, the elderly often experience problems with their sleep. The decline in the quality of sleep in the elderly will have a negative impact on health, characterized by the presence of physiological and psychological balance disorders. Autogenic relaxation therapy is a non-pharmacological therapy that comes from within oneself in the form of words and thoughts that make the body feel calm and peaceful, so that it can overcome sleep problems that occur in the elderly. Objectives: This study aims to determine the effect of autogenic relaxation therapy by listening to classical music on the quality of sleep of the elderly in the Gunung Sinogo Ngargorejo Ngemplak Boyolali. Methods: This study used a quantitative research design. This type of research is a pre-experimental study with a one-group pretest-posttest design. The sampling technique used was purposive sampling with a sample size of 21 people. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Data normality was tested using the Shapiro-Wilk test and hypothesis testing using the paired sample t-test. Results: The research sample was dominated by elderly people aged 60-74 years (elderly) (71.4%), female gender (76.2%), samples who were not in school (71.4%), samples who were not working (71.4%), and samples who lived with their families (57.1%). The p-value was 0.000 (p-value <0.05), meaning that there was an effect of autogenic relaxation therapy by listening to classical music on the quality of sleep of the elderly. Conclusion: Autogenic relaxation therapy using classical music has an impact on the sleep quality of elderly people in Gunung Sinogo, Ngargorejo, Ngemplak, Boyolali

Keywords: Autogenic relaxation therapy, Sleep quality, Elderly

Upaya dari Segi Pendekatan Makro untuk Mengatasi Kecanduan Judi Online di Kalangan Mahasiswa

2025-12-05T22:58:41+00:00

Background: Technological developments and economic factors have increased the prevalence of online gambling among college students, negatively impacting their mental health, finances, and academic performance. This phenomenon requires serious attention for effective prevention and management. Objectives: This study aims to determine the impact of online gambling on college students and design a holistic and sustainable intervention based on Bronfenbrenner's theory. The scope of the study includes causal factors, psychological and financial impacts, and intervention measures that can be implemented in college and family environments. Methods: The methods used include literature review and qualitative analysis of various data sources, including journals, case reports, and policy documents. Results: The results indicate that online gambling causes financial losses, mental disorders such as stress and depression, and decreased academic performance in students. The proposed interventions include education, counseling, group support, and synergy between families and educational institutions. Conclusion: The conclusions of this study emphasize the importance of collaborative, multi-stakeholder-based preventive and rehabilitative measures to reduce the negative impacts of online gambling and improve students' awareness and mental health.

Keywords: Online gambling, Psychological impact, Bronfrenbener's theory

Hubungan Stunting dengan Keterlambatan Perkembangan Bahasa pada Anak Usia 6-36 Bulan: A Systematic Review

2025-12-07T23:22:14+00:00

Background: Stunting represents a global public health challenge affecting neurological development in children, particularly language abilities during the critical period of 6-36 months. Chronic malnutrition underlying stunting is suspected to disrupt brain structure and function essential for language acquisition. Objectives: This systematic review aimed to synthesize empirical evidence regarding the association between stunting and language developmental delays in children aged 6-36 months and to explore the underlying neurological mechanisms. Methods: A systematic literature search was conducted across four electronic databases (PubMed, Google Scholar, ScienceDirect, and ERIC) until November 2024 following PRISMA 2020 guidelines. Of 588 records identified, 12 studies met inclusion criteria for analysis. Quality assessment used the Newcastle-Ottawa Scale (NOS). Results: Eleven of twelve studies (91.7%) reported significant associations between stunting and increased risk of language delay (OR: 2.45-4.12). Neurological mechanisms included impaired myelination, synaptogenesis, and reduced brain volume particularly in white matter and corpus callosum affecting language area connectivity. Conclusion: Stunting represents a significant risk factor for language developmental delay through structural and functional brain impairments, emphasizing the importance of nutritional intervention and early stimulation during the critical first 1000 days of life.

Keywords: Stunting, Language Development, Speech Delay, Chronic Malnutrition, Neurological Mechanisms.

Perilaku Pengasuhan Orang Tua dan Bayang-Bayang Depresi Mahasiswa

2025-12-07T06:23:04+00:00

Background: The current study examined the relationship between perceptions of parenting styles and depressive symptoms in college students. Depression is a mood disorder characterized by major symptoms of depressed mood, loss of interest, and loss of energy, characterized by fatigue. Depression can be a serious health condition, as it can lead to suicide. Suicide is the second leading cause of death in 15-29 year olds. Objectives: The purpose of this study was to determine the relationship between perceptions of parenting styles and depressive symptoms in Occupational Therapy students. Methods: The research method used was a quantitative research method using a scale of perceptions of parenting styles (Parental Authority Questionnaire Revised-PAQ-R) and a depression scale using the Hamilton Depression Rating Scale (HDRS). The sample size was 200 people taken using incidental sampling technique. The data analysis of this study used a product moment correlation analysis technique with the help of Statistical Product and Service Solution (SPSS) 20.0 for Windows. Results: The results of the analysis produced a value of r = 0.247 which means there is a significant positive relationship between the variable of perception of parenting patterns (authoritarian) with symptoms of depression with a value of p = 0.000 (p <0.05) with an effective contribution of 6.1%. Conclusion: Based on the results of the study, it can be concluded that the higher the perception of parenting patterns (authoritarian) the higher the symptoms of depression, conversely, if the lower the perception of parenting patterns (authoritarian) the lower the symptoms of depression. From these findings support that the perception of parenting (authoritarian) will be related to anxiety and symptoms of depression.

Keywords: Perception of Parenting Patterns, Depressive Symptoms, Students, Adults.

Pengaruh Terapi Hortikultura terhadap Tingkat Stres Lanjut Usia

2025-12-09T09:14:37+00:00

Background: Elderly is someone who enters the age of 60 years and over and experiences the aging process which results in physical, cognitive, emotional, social, and sexual changes that trigger stress in the elderly. Horticultural therapy is one of the effective nonpharmacological interventions to overcome stress problems. Objectives: The purpose of this study was to determine the effect of horticultural therapy on elderly stress levels. This type of research is quantitative research using a pre-experimental design with one group pretest-posttest. This research was conducted in RW 08 Sumber Village, Trucuk District, Klaten Regency. Methods: Data collection methods were interviews, questionnaires, observation, and documentation. The sampling technique used was purposive sampling with asample size of 30 respondents. The instrument used to measure stress levels was the Perceived Stress Scale (PSS). The majority of the research sample was in the elderly category with an age range of 60-74 years (96.7%), female (56.7%), married (76.7%), and had an elementary education level (53.3%). %). Results: The results of data analysis obtained t=7.763, p=0.000. There is an effect of giving horticultural therapy on the stress level of the elderly. Conclusion: Based on the results of this study, horticultural therapy is an effective way to overcome stress problems in the elderly.

Keywords: Horticultural Therapy, Stress level, Elderly.

Persepsi Terapis Wicara dalam Penggunaan Komunikasi Augmentatif Alternatif (KAA) untuk Pasien Afasia di Surakarta

2025-12-13T01:03:59+00:00

Background: Services for stroke patients with language impairment are growing. There are 30 speech therapists who are members of IKTWI DPC Surakarta working in speech therapy services for aphasia patients in Surakarta. Objectives: This study aims to determine the perception of speech therapists regarding the use of AAC in the selection of therapy methods for aphasia patients in Surakarta. Methods: Quantitative descriptive research design using purposive sampling totalling 30 speech therapists. Data collection through questionnaires using google form media and analysed descriptively and univariately to find out the description of speech therapy perceptions. Results: There were 30 speech therapists who became respondents from 289 active speech therapists in Surakarta, the perception of speech therapists about AAC knowledge (86.56%), the perception of speech therapy about the benefits of AAC in aphasia patients in Surakarta (74.2%), the perception of speech therapists about the role of speech therapists in the use of AAC in aphasia patients in Surakarta (77.36%), the perception of speech therapists about the obstacles to the application of AAC in Surakarta (74.5%). Conclusion: Most speech therapists in Surakarta believe that AAC can help in the intervention process of aphasia patients. However, there are difficulties in the availability of working field books to access, making it difficult for speech therapists to gain knowledge about effective evidence-based approaches in using AAC.

Keywords: AAC, Aphasia, Perception, Speech Therapy.

Pengaruh Kualitas Tidur terhadap Tekanan Darah Diastolik sebagai Indikator Dini Risiko Hipertensi pada Mahasiswa

2025-12-12T16:41:33+00:00

Background: High academic demands, intense device use, and irregular lifestyles among college students can impact their sleep quality. Poor sleep quality is suspected to be associated with increased diastolic blood pressure (DDP), which contributes to the risk of long-term hypertension. Objectives: This study aimed to examine the effect of sleep quality on diastolic blood pressure in college students. Methods: The study used a quantitative observational method with a cross-sectional design. The study was conducted at the Occupational Therapy Department of the Health Polytechnic of the Ministry of Health, Surakarta. The study population was first-year undergraduate students of the Applied Occupational Therapy Study Program, with a sample size of 91 people (total sampling). The study variables were measured using the Pittsburgh Sleep Quality Index (PSQI) and a digital sphygmomanometer. Data were analyzed using spearman rank and binary logistic regression using SPSS version 23. Results: The majority of study subjects had normal sleep quality (50,55%) and normal diastolic blood pressure (51,65%). The Spearman rank test results for sleep quality and TDD showed a correlation coefficient (r) of 0,475 with a p-value of 0,008. The binary logistic regression test obtained a coefficient value (B) of 1,128, Exp. (OR) of 3,088 with a p-value of 0,010. Conclusion: Sleep quality significantly affects the increased risk of TDD 3 times higher in students.

Keywords: Sleep, Diastolic, Hypertension

Culture Shock dan Strategi Penyesuaian Diri Mahasiswa Perantau

2025-12-16T05:17:30+00:00

Background: Migrant students often experience culture shock when entering a new environment. This occurs because of the reaction in finding cultural differences that have been adhered to. The effect can potentially experience difficulties in adjusting such as lack of interaction, having negative prejudices, and sometimes causing stress. Culture shock can be overcome if a person is able to adapt and adjust to the culture where the individual is. Objectives: The purpose of this study was to determine whether there is a relationship between culture shock and the adjustment of migrant students in the Occupational Therapy Department of the Ministry of Health Polytechnic of Surakarta Class of 2024. Methods: This type of research is cross-sectional. The sample selection technique used purposive sampling where there are special criteria in selecting the sample, namely Occupational Therapy Department students class of 2024 who come from outside Central Java. Furthermore, students were given a google form link containing a culture shock questionnaire consisting of 54 items and an adjustment questionnaire consisting of 30 items. The total number of respondents obtained was 78 students. Hypothesis testing used product moment correlation. Results: Showed that respondents were predominantly female, namely 66 respondents (84.6%), coming from East Java, namely 32 respondents (41%). Based on the product moment regression analysis, the value of r = -0.643 was obtained, which means there is a significant negative relationship between the culture shock variable and the student's self-adjustment variable with a p value = 0.000 (p <0.05) with an effective contribution of 41.34% and 58.65% from other factors. Conclusion: There is a negative relationship between culture shock and the self-adjustment of migrant students, where the higher the level of culture shock of migrant students, the lower the level of their adjustment and the lower the level of culture shock of migrant students, the higher the level of their adjustment.

Keywords: Culture Shock, Adjustment, Out-of-Town Students, New Students

Efektivitas Durasi Intervensi Terapi Wicara terhadap Peningkatan Kemampuan Artikulasi pada Anak Hearing Impairment di SLB YRTRW Surakarta

2025-12-22T08:48:19+00:00

Background: Hearing loss is the partial or complete loss of the ability to hear sound in one or both ears. The problem of hearingimpaired children is a communication problem, their inability to communicate has a wide impact, both on language skills, reading, writing and social adaptation and academic potential. Articulation disorders are disorders that arise due to the formation of speech sound errors reviewed from location, force, speed, time, and pressure. Duration includes an overview of how long an individual spends time on various purposes. This means that the duration of therapy can be measured through how long the therapist spends in conducting the therapy program. Objectives: To determine the effectiveness of the duration of speech therapy intervention on improving articulation in children with hearing impairment in SLB YRTRW Surakarta. Methods: This study is a quantitative study. The research design was carried out by experimental method, namely a two-group pretest-post test design. The sampling technique in this study is the total sampling and the number of samples taken by 10 respondents. The data were analyzed by univariate and bivariate analysis. The statistical test used is Mann-Whitney. Results: This study received a p-value of .011 which means that this value is smaller than p = 0.05 so it can be concluded that there is a real difference between the results of the post-test of 30 and 45 minutes of therapy, so that the duration of 45 minutes of therapy is more influential than 30 minutes in improving articulation in hearing impaired children. Conclusion: The longer the duration of the intervention given, the more likely it is to have the potential to improve the articulation of hearing impairment children.

Keywords: Articulation, Duration of Intervention, Hearing Impairment

Risiko Diabetes Melitus Tipe 2 pada Mahasiswa Keperawatan dalam Perspektif Kesehatan Masyarakat

2026-01-26T01:01:52+00:00

Background: Type 2 diabetes mellitus (T2DM) is a global public health problem with an increasing prevalence among young adults. Nursing students, as future health professionals, have a strategic role in T2DM prevention; therefore, assessing their risk from a public health perspective is essential. Objectives: This study aimed to evaluate the risk of T2DM among nursing students and to compare the risk between early- and final-year students. Methods: A cross-sectional design was employed involving 114 respondents equally divided into two groups. T2DM risk was assessed using the Finnish Diabetes Risk Score (FINDRISC). Data were analyzed using the Mann–Whitney test. Results: The results showed that the mean T2DM risk score among early-year students was 4.16 ± 2.67, while among final-year students it was 3.96 ± 3.05 (p = 0.494), indicating no significant difference between the groups. Most respondents were classified as having a low risk. Conclusion: These findings suggest that T2DM risk among nursing students is relatively low and homogeneous, highlighting the importance of early risk screening, healthy lifestyle education, and promotive–preventive interventions as part of public health strategies.

Keywords: Diabetes risk, FINDRISC, Nursing students, Public health, Type 2 diabetes mellitus