Health Science and Rehabilitation Journal http://journals.insightpub.org/index.php/hsrj Insightpub & LPPM Stikes Siti Hajar Medan en-US Health Science and Rehabilitation Journal 2808-9944 Hubungan Tingkat Pengetahuan Masyarakat dengan Tindakan Pencegahan Diabetes Melitus di Wilayah Kerja Puskesmas Kartini http://journals.insightpub.org/index.php/hsrj/article/view/580 <p><em>Diabetes Mellitus is a non-communicable disease with a continuously increasing prevalence and remains a major public health challenge. Limited community knowledge may contribute to inadequate preventive practices. To analyze the relationship between community knowledge and Diabetes Mellitus preventive practices in the working area of Kartini Primary Health Center, Pematangsiantar.This quantitative study employed a correlational design with a cross-sectional approach. A total of 97 respondents were selected using convenience sampling. Data were collected using structured questionnaires and analyzed using the Pearson Chi-Square test at a 5% significance level.Most respondents had poor knowledge (73.2%) and poor preventive practices (72.2%). Statistical analysis revealed a significant relationship between community knowledge and Diabetes Mellitus preventive practices (?² = 42.611; p &lt; 0.001). Community knowledge was significantly associated with Diabetes Mellitus preventive practices. Strengthening community-based health education is essential to improve knowledge and promote effective preventive behaviors</em></p> Rovina Efranti Br Barus Copyright (c) 2026 Health Science and Rehabilitation Journal 2026-07-27 2026-07-27 6 3 Hubungan Pengetahuan Etika Profesi dan Kesadaran Hukum Kesehatan dengan Perilaku Profesional Mahasiswa Kesehatan dalam Praktik Klinis http://journals.insightpub.org/index.php/hsrj/article/view/556 <p><em>Healthcare professionals are required not only to have clinical competence but also to apply professional ethics and health law principles in healthcare services. Health students as future professionals need adequate ethical knowledge and legal awareness to develop professional behavior during clinical practice. This study aimed to determine the relationship between professional ethics knowledge and health law awareness with professional behavior among health students in clinical practice. This study employed a quantitative approach with a cross-sectional design. The sample consisted of 60 health students at STIKes Assyifa selected using purposive sampling. Data were collected using questionnaires measuring professional ethics knowledge, health law awareness, and professional behavior. Data analysis was performed using the Chi-Square test with a significance level of p&lt;0.05. The results showed that most students had good professional ethics knowledge (70.0%), high health law awareness (66.7%), and good professional behavior (75.0%). There was a significant relationship between professional ethics knowledge and students’ professional behavior (p=0.001). Furthermore, health law awareness was significantly associated with professional behavior (p=0.002). Professional ethics knowledge and health law awareness are associated with professional behavior among health students in clinical practice. Strengthening ethics and health law education is essential to develop competent, ethical, and professionally responsible future healthcare providers</em></p> Erwin Syahputra Irsan Armadi Copyright (c) 2026 Health Science and Rehabilitation Journal 2026-06-23 2026-06-23 6 3 Pengaruh Latihan Ankle Weight Terhadap Peningkatan Kecepatan Lari Pemain Sepakbola Generasi Medan Krio http://journals.insightpub.org/index.php/hsrj/article/view/564 <p><em>Running speed is a crucial component in modern football performance, but a preliminary survey at Medan Krio Generation Football School showed that players' running speed is still relatively slow (average 17 seconds for 100-meter sprint). The use of ankle weight is believed to increase leg muscle strength and explosive power, which has the potential to increase running speed. Objective: This study aims to determine the effect of ankle weight training on increasing the running speed of Medan Krio Generation football players. Method: This study used a pre-experimental design with a one group pretest-posttest approach. The research sample was 20 U-15 football players from Medan Krio Generation Football School who were selected using the total samplingtechnique. The intervention in the form of ankle weight training was carried out for 4 weeks with a frequency of 3 times a week. Running speed measurements were carried out using a stopwatch at a distance of 100 meters. Data were analyzed using a paired sample T-test. Results The Wilcoxon test analysis showed a significance value (p &lt; 0.001), indicating a significant difference between pretest and posttest results. Conclusion The use of ankle weights in a structured and consistent training program proved to significantly improve running speed.</em></p> <p>&nbsp;</p> Aulia Anugrah Pane Trisno Susilo Sulaiman Copyright (c) 2026 Health Science and Rehabilitation Journal 2026-07-11 2026-07-11 6 3 Pengaruh Core Stability Exercise terhadap Penurunan Intensitas Nyeri dan Peningkatan Disabilitas Fungsional pada Pasien Low Back Pain Non-Spesifik http://journals.insightpub.org/index.php/hsrj/article/view/574 <p><em>Non-Specific Low Back Pain (NSLBP) is a common musculoskeletal disorder causing pain and functional limitation. Core Stability Exercise (CSE) is widely recommended as an evidence-based physiotherapy intervention. To analyze the effect of CSE on pain intensity and functional disability in patients with NSLBP. This study employed a quasi-experimental one-group pretest–posttest design. Thirty participants were recruited using purposive sampling. Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS), while functional disability was measured using the Oswestry Disability Index (ODI). Participants received CSE three times per week for four weeks. Data were analyzed using the Paired Sample t-test with a significance level of 0.05. The mean NPRS score decreased from 6.53±1.14 to 2.87±0.94, while the mean ODI score decreased from 36.20±7.85 to 18.47±5.92. Both outcomes showed statistically significant improvements (p&lt;0.001). Core Stability Exercise is effective in reducing pain intensity and improving functional ability in patients with Non-Specific Low Back Pain.</em></p> Marolop Parlindungan Napitu Meyana marbun Copyright (c) 2026 Health Science and Rehabilitation Journal 2026-07-24 2026-07-24 6 3 Internalisasi Nilai Thibbun Nabawi Melalui Edukasi Hijamah: Analisis Perubahan Persepsi dan Penerimaan Santri Terhadap Praktik Hijamah di Madrasah Kencana Langsa http://journals.insightpub.org/index.php/hsrj/article/view/581 <p><em>Hijamah is one of the health practices in the concept of Thibbun Nabawi that continues to face challenges due to limited understanding and perceptions regarding its procedures and safety aspects. This study aimed to analyze changes in students’ perceptions and acceptance of hijamah practices after participating in an educational program based on Thibbun Nabawi values. The study employed a mixed methods approach (simple explanatory design) using quantitative data from pre-test, post-test, and questionnaires, as well as qualitative data obtained from participants’ written reflections. The study was conducted at Madrasah Kencana Langsa, Aceh, in April 2026 involving 28 students who participated in educational activities consisting of material delivery, hijamah practice demonstrations using sterile equipment, interactive discussions, and the utilization of QR Code media as learning support. The results showed an improvement in participants’ understanding, indicated by an increase in the average score from 64.2 in the pre-test to 84.6 in the post-test. The education program also contributed to positive changes in perceptions and increased acceptance of hijamah practices among participants. The integration of Thibbun Nabawi values, safe practical demonstrations, and QR Code-based learning media provided a more interactive learning experience and supported continuous access to educational information. This study demonstrates that a health education model integrating religious values and digital technology has potential for further development as an innovative health education approach.</em></p> Khairia Agustina Yeni Vera Copyright (c) 2026 Health Science and Rehabilitation Journal 2026-06-27 2026-06-27 6 3 Pengaruh Mobilisasi Dini Terhadap Percepatan Penurunan Involusi Uteri pada Ibu Post Partum di PMB Bd.Sri Hartati S.Keb Desa Binjai Baru http://journals.insightpub.org/index.php/hsrj/article/view/560 <p><em>The postpartum period is a recovery period after childbirth, where the process of involution or the return of the uterus to its original size is an important indicator in the recovery of the postpartum mother. One of the non-pharmacological interventions that can help accelerate uterine involution is early mobilization. To find out the effect of early mobilization on accelerating the reduction of uterine involution in postpartum mothers at PMB Bd. Sri Hartati, S.Keb Binjai Baru Village in 2026. The postpartum period is a recovery period after childbirth, where the process of involution or the return of the uterus to its original size is an important indicator in the recovery of the postpartum mother. One of the non-pharmacological interventions that can help accelerate uterine involution is early mobilization. To find out the effect of early mobilization on accelerating the reduction of uterine involution in postpartum mothers at PMB Bd. Sri Hartati, S.Keb Binjai Baru Village in 2026. This study uses a pre-experimental design, with a one group pretest-posttest design. The sample in this study amounted to 30 postpartum mothers who were selected using the purposive sampling technique. The research instrument used a uterine fundus height observation sheet measured before and after early mobilization. Data analysis was conducted using the paired sample t-test. Showing a significant decrease in the height of the uterine fundus after early mobilization. The average height of the uterine fundus before early mobilization was 12.89 cm, while after early mobilization decreased to 9.83 cm. The results of the paired sample t-test showed a value of p = 0.000 (p &lt; 0.05), which means that there is a significant influence between early mobilization on the acceleration of the decrease in uterine involution. From this study, early mobilization is effective in accelerating the decrease in uterine fundus height in postpartum mothers. It is hoped that early mobilization can be applied routinely in postpartum obstetric services to accelerate maternal recovery and prevent further complications</em></p> Joharmi Ustifina Hasanah Hasibuan Fazira Suhaila Copyright (c) 2026 Health Science and Rehabilitation Journal 2026-06-27 2026-06-27 6 3 Efektivitas Konsep Bobath untuk Meningkatkan Kualitas Berjalan pada Pasien Stroke di RSU Haji Medan http://journals.insightpub.org/index.php/hsrj/article/view/565 <p><em>Stroke is a leading cause of disability and frequently results in impaired gait, requiring effective physiotherapy rehabilitation. This study aimed to analyze the effect of the Bobath Concept on gait quality in post-stroke patients at the Monginsidi Physiotherapy Clinic. A quasi-experimental study with a one-group pretest–posttest design was conducted. Eighteen participants were recruited using purposive sampling. The Bobath Concept intervention was administered over 12 treatment sessions, while gait quality was assessed using the Wisconsin Gait Scale (WGS). Data were analyzed using the Shapiro–Wilk test and paired </em><em>t</em><em>-test</em><em> with a significance level of 5%. The mean WGS score decreased from 26.94 ± 3.59 before the intervention to 25.67 ± 3.58 after the intervention. The paired </em><em>t</em><em>-test</em><em> demonstrated a statistically significant difference between pretest and posttest scores (</em><em>p</em><em> &lt; 0.001). These findings indicate that the Bobath Concept is effective in improving gait quality in post-stroke patients and may serve as an evidence-based physiotherapy intervention in neurological rehabilitation.</em></p> Khairianti Trisno Susilo Ronald Erwansyah Copyright (c) 2026 Health Science and Rehabilitation Journal 2026-07-11 2026-07-11 6 3 Efektivitas Terapi Microcurrent Terhadap Penurunan Intensitas Nyeri dan Peningkatan Fleksibilitas pada Pasien Low Back Pain di Klinik Fisioterapi Siti Hajar Medan http://journals.insightpub.org/index.php/hsrj/article/view/576 <p><em>Low Back Pain (LBP) is one of the most prevalent musculoskeletal disorders worldwide, imposing a substantial burden on individual productivity and quality of life. This study aimed to comprehensively evaluate the effectiveness of Microcurrent Electrical Neuromuscular Stimulation (MENS) in reducing pain intensity and improving lumbar flexibility among patients with Low Back Pain treated at the Siti Hajar Physiotherapy Clinic, Medan. A quantitative experimental study was conducted using a pretest–posttest control group design. Pain intensity was assessed using the Numeric Rating Scale (NRS), while lumbar flexibility was measured using the Modified Schober Test (MST). Statistical analyses were performed using the Paired Sample t-test to examine within-group differences and the Independent Sample t-test to compare outcomes between the treatment and control groups. The results demonstrated a statistically significant reduction in pain intensity (p &lt; 0.001) and a significant improvement in lumbar flexibility (p &lt; 0.001) in the intervention group receiving microcurrent therapy compared with the control group receiving conventional physiotherapy alone. These findings indicate that microcurrent therapy is an effective non-invasive intervention for reducing pain and enhancing lumbar flexibility in patients with Low Back Pain. Therefore, Microcurrent Electrical Neuromuscular Stimulation (MENS) is recommended as an evidence-based therapeutic modality in the physiotherapeutic management of Low Back Pain.</em></p> Lagut Sutandra Roy Daniel Nainggolan Copyright (c) 2026 Health Science and Rehabilitation Journal 2026-07-25 2026-07-25 6 3 Hubungan Antara Stres Akademik dan Kualitas Tidur pada Mahasiswa Menjelang Akhir Semester http://journals.insightpub.org/index.php/hsrj/article/view/555 <p><em>Toward the end of the semester, students face various academic demands that can trigger stress and affect sleep quality. Adequate sleep quality is a crucial aspect of physical health, cognitive function, and academic performance. However, research findings regarding the relationship between academic stress and sleep quality remain inconsistent. This study aims to analyze the relationship between academic stress and sleep quality among students towards the end of the semester. This quantitative study utilized a cross-sectional design involving 41 respondents selected through total sampling. Academic stress was measured using the Perception of Academic Stress Scale (PASS), while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). The analysis revealed that the correlation coefficient between academic stress and sleep quality was 0.064, with a significance value (p-value) of 0.693. These findings indicate that there is no significant relationship between academic stress and sleep quality among students towards the end of the semester.</em></p> Rini Widarti Binuko Amarseto Copyright (c) 2026 Health Science and Rehabilitation Journal 2026-06-23 2026-06-23 6 3 Analisa Hubungan Sikap Duduk, Berat Tas dan Jenis Kelamin terhadap Terjadinya Skoliosis pada Siswa/I SMP Negeri 2 Pancur Batu http://journals.insightpub.org/index.php/hsrj/article/view/563 <p><em>Scoliosis is a musculoskeletal disorder that often occurs in adolescents and can be affected by a variety of factors, including posture habits, school bag loads, and individual characteristics. Identification of risk factors is important to be carried out as the basis for prevention efforts from an early age in the school environment. This study aims to analyze the relationship between sitting posture, bag weight, and gender to the incidence of scoliosis in students of SMP Negeri 2 Pancur Batu. The study used an observational analytical design with a cross-sectional approach. The research sample amounted to 80 students who were selected using stratified random sampling techniques. Data were collected through seated observation, bag weight measurement, gender identification, and scoliosis screening using the Adam's Forward Bend Test. Data analysis was carried out univariately, bivariately using the Chi-square test, and multivariate using logistic regression with a significance level of p&lt;0.05. The results showed that bag weight was significantly related to the incidence of scoliosis (p&lt;0.001; OR=7.426), while sitting posture (p=0.080) and gender (p=0.923) showed no significant relationship. The weight of the bag is the most dominant factor in the incidence of scoliosis in students. Bag weights that exceed the recommendations increase the risk of scoliosis in students. Therefore, ergonomic education, weight monitoring of school bags, and regular posture screening are needed as a promotive and preventive effort to maintain the health of the adolescent spine.</em></p> Arief Michael Budianto Trisno Susilo Ida Aryani Pasaribu Copyright (c) 2026 Health Science and Rehabilitation Journal 2026-07-03 2026-07-03 6 3 Profil Burnout Tenaga Fisioterapis Berdasarkan Pendekatan Job Demands-Resources di Siti Hajar Health Care Medan http://journals.insightpub.org/index.php/hsrj/article/view/566 <p><em>Burnout is a syndrome resulting from chronic workplace stress that is commonly experienced by healthcare professionals, including physiotherapists. The Job Demands–Resources (JD-R) approach is used to describe the balance between job demands and job resources that influence burnout. This study aimed to describe the burnout profile of physiotherapists based on the JD-R approach at Siti Hajar Health Care Medan. This study employed a quantitative descriptive design with a cross-sectional approach. The sample consisted of six physiotherapists selected using a total sampling technique. Data were analyzed descriptively. The results showed that most respondents experienced moderate burnout (5 respondents; 83.3%), while 1 respondent (16.7%) experienced low burnout, and no respondents experienced high burnout. The Emotional Exhaustion dimension had the highest mean score. The average Job Demands score was in the moderate category, while Job Resources were in the good category. In conclusion, most physiotherapists experienced moderate burnout, indicating that the available job resources were sufficient to balance job demands and help prevent more severe burnout.</em></p> Nurul Aini Ronald Erwansyah Zulkarnain Copyright (c) 2026 Health Science and Rehabilitation Journal 2026-07-12 2026-07-12 6 3