Stretching and Strengthening Exercises Improve Functional Activities and Independence in Individuals with Physical Disabilities in Pekalongan Regency
คำสำคัญ:
physiotherapy, physical disability, functional activitiesบทคัดย่อ
This study aimed to evaluate the effectiveness of a structured physiotherapy program, specifically designed to include a series of PNF-based active stretching exercises and progressive strengthening exercises, in improving functional activity and walking independence in people with physical disabilities. The increasing number of people with disabilities in Pekalongan Regency indicates the urgency of effective health services to improve their quality of life. This study used a quasi-experimental one-group pretest-posttest design with a 20-day intervention. The target population consisted of individuals with disabilities aged 21–50 years, selected because they were in their productive years and had optimal exercise adaptation capacity, with FIM scores ≥ 65 and GMFCS ≤ 4, to ensure participants had a basic level of independence that enabled active participation. A sample of 50 people was selected purposively. Data analysis used a paired t-test after the Kolmogorov-Smirnov normality test. Results showed significant improvements in FIM (p < 0.001; SD ± 2.949) and GMFCS (p < 0.001; SD ± 1.864) scores following the intervention. This program has the potential to be widely implemented in community and clinical rehabilitation services to improve the independence and productivity of people with physical disabilities.
เอกสารอ้างอิง
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