The Effectiveness of Rheumatic Exercise on Functional Independence among Elderly with Joint Pain: A Study in a Nursing Home
Abstract
Nyeri sendi merupakan salah satu masalah kesehatan yang paling sering dialami oleh lanjut usia dan berdampak pada penurunan mobilitas, timbulnya nyeri, serta ketergantungan dalam melakukan aktivitas sehari-hari. Penelitian ini bertujuan untuk menganalisis efektivitas senam rematik terhadap kemandirian fungsional lansia dengan nyeri sendi. Jenis penelitian ini adalah kuantitatif dengan rancangan quasi-eksperimen menggunakan pendekatan one group pretest–posttest design. Sebanyak 18 lansia yang memenuhi kriteria inklusi menjadi responden penelitian. Senam rematik dilakukan tiga kali seminggu selama empat minggu, terdiri dari fase pemanasan, gerakan inti, dan pendinginan dengan gerakan sendi berulang yang berfokus pada fleksi, ekstensi, dan rotasi. Tingkat kemandirian diukur menggunakan Barthel Index, dan data dianalisis menggunakan uji Wilcoxon Signed Rank Test dengan tingkat signifikansi p < 0,05. Hasil penelitian menunjukkan adanya peningkatan yang signifikan pada kemandirian fungsional setelah intervensi (p = 0,001). Rata-rata skor ADL meningkat dari 71,11 sebelum intervensi menjadi 79,72 setelah empat minggu pelaksanaan senam rematik. Peningkatan ini berkaitan dengan meningkatnya fleksibilitas sendi, kekuatan otot, dan berkurangnya kekakuan akibat gerakan yang teratur dan terkontrol. Hasil penelitian ini menunjukkan bahwa senam rematik efektif sebagai intervensi nonfarmakologis untuk meningkatkan kemampuan fungsional dan kemandirian lansia dengan nyeri sendi.
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Irawan, F. A., Ramadhan, A. T., Junaidi, S., Hadi, H., Romadhoni, S., & Muhibbi, M. (2024). Effectiveness of muscle force and speed of movement carreau shot at distances of 6 and 7-meter petanque sport. Jurnal Keolahragaan, 12(1), 95–102. https://doi.org/10.21831/jk.v12i1.66405
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Mas’adah. (2017). Model senam rematik sebagai upaya peningkatan aktifitas fungsional lansia di pstw puspakarma mataram. In Adi Husada Nursing Journal (Vol. 3, Issue 1).
Matthews, P. (2010). Religion and the secularization of spirituality: A catholic perspective on spirituality in the care of the elderly. Journal of Religion, Spirituality and Aging, 22(4), 283–290. https://doi.org/10.1080/15528030.2010.483944
Minropa, A., Fridalni, N., Reni, I., Hayati, M., Jumaris, I., Zikra, H., III Keperawatan, P. D., & MERCUBAKTIJAYA Padang, Stik. (2022). Upaya peningkatan kesehatan lansia dengan rematik di kelurahan ampang melalui pelaksanaan senam rematik (Vol. 2, Issue 1).
Motamed-Jahromi, M., & Kaveh, M. H. (2021). Effective Interventions on Improving Elderly’s Independence in Activity of Daily Living: A Systematic Review and Logic Model. In Frontiers in Public Health (Vol. 8). Frontiers Media S.A. https://doi.org/10.3389/fpubh.2020.516151
Nasution, F., Rambe, I. M., Ramadani, S. V., Tanjung, N. A., Anjani, N., & Fanani, W. A. (1972). Batasan Usia Dewasa Akhir (Lansia) dan Keadaan Penduduk Lansia di Indonesia. In Edu Society: Jurnal Pendidikan, Ilmu Sosial, dan Pengabdian Kepada Masyarakat (Vol. 4).
Pany, M., & Boy, E. (2019). Literature Review Prevalensi Nyeri Pada Lansia. In Magna Medica (Vol. 6, Issue 2).
Rausch Osthoff, A. K., Niedermann, K., Braun, J., Adams, J., Brodin, N., Dagfinrud, H., Duruoz, T., Esbensen, B. A., Günther, K. P., Hurkmans, E., Juhl, C. B., Kennedy, N., Kiltz, U., Knittle, K., Nurmohamed, M., Pais, S., Severijns, G., Swinnen, T. W., Pitsillidou, I. A., … Vliet Vlieland, T. P. M. (2018). 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis. In Annals of the Rheumatic Diseases (Vol. 77, Issue 9, pp. 1251–1260). BMJ Publishing Group. https://doi.org/10.1136/annrheumdis-2018-213585
Ribeiro, D. K. de M. N., Lenardt, M. H., Lourenço, T. M., Betiolli, S. E., Seima, M. D., & Guimarães, C. A. (2018). The use of the functional independence measure in elderly. In Revista gaucha de enfermagem (Vol. 38, Issue 4, p. e66496). NLM (Medline). https://doi.org/10.1590/1983-1447.2017.04.66496
Salmas Marsiami, A., Fitria Sari, I., Fahrudiana, F., & Dwi, W. W. (2023). Manfaat senam rematik pada lansia yang mengalami rheumatoid arthritis. In Indonesian Journal of Health Development (Vol. 5, Issue 1).
Seraji-Bzorgzad, N., Paulson, H., & Heidebrink, J. (2019). Neurologic examination in the elderly. In Handbook of Clinical Neurology (Vol. 167, pp. 73–88). Elsevier B.V. https://doi.org/10.1016/B978-0-12-804766-8.00005-4
Sima, L., Chen, Y. S., & Liu, B. (2022). Randomized Controlled Trial Radiofrequency Denervation on Lumbar Facet Joint Pain in the Elderly: A Randomized Controlled Prospective Trial. www.painphysicianjournal.com
Sitinjak, V. M., Hastuti, M. F., & Nurfianti, A. (2016). Pengaruh Senam Rematik terhadap Perubahan Skala Nyeri pada Lanjut Usia dengan Osteoarthritis Lutut.
Srisuharny, M., Diyah, M., Mahtuti A A Prodi, Y., Keperawatan, S., Maharani, S., Kemenkes, P., & Kesehatan, A. (2020). Perbedaan Tingkat Activity of Daily Living (ADL) antara Lansia Aktif dengan Lansia Tidak Aktif Melakukan Kunjungan ke Posyandu Lansia. In PROFESIONAL HEALTH JOURNAL (Vol. 1, Issue 2). https://www.ojsstikesbanyuwangi.com
Sumarsih, G., Kp, S., & Biomed, M. (2023). Hubungan dukungan keluarga dengan fungsi kognitif pada lansia.
Suri, M., Yanti, R. D., Putri, V. S., S1, P., Keperawatan, I., & Kesehatan, I. (2024). Upaya Peningkatan Kesehatan Lansia Sehat Mandiri dan Produktif di Kelurahan Legok. Seminar Kesehatan Nasional, 3. https://prosiding.ubr.ac.id/
Suryani, N., Jailani, Ms., Suriani, N., Raden Mattaher Jambi, R., & Sulthan Thaha Saifuddin Jambi, U. (2023). Konsep Populasi dan Sampling Serta Pemilihan Partisipan Ditinjau Dari Penelitian Ilmiah Pendidikan. http://ejournal.yayasanpendidikandzurriyatulquran.id/index.php/ihsan
Suryanto, D. (2005). Etika Penelitian. Berkala Arkeologi, 25(1), 17–22. https://doi.org/10.30883/jba.v25i1.906
Susilowati, T., Suratih, K., Tinggi, S., Kesehatan ’, I., & Surakarta, A. (2017). Senam rematik tingkatkan kemandirian lansia dalam melakukan activity daily living di panti wreda dharma bakti surakarta. In Senam Rematik Tingkatkan (Vol. 28, Issue 1).
World Health Organization. (2025, October 1). Ageing and health. Https://Www.Who.Int/News-Room/Fact-Sheets/Detail/Ageing-and-Health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Zeng, H., Liu, Y., Zhang, C., Zhang, X., Shen, M., & Zhang, Z. (2024). The mediating effect of expectations regarding aging between psychological resilience and quality of life in rural elderly. Archives of Public Health, 82(1). https://doi.org/10.1186/s13690-024-01470-7
Zhang, W., Li, S., & Feldman, M. W. (2005). Gender differences in activity of daily living of the elderly in rural China: Evidence from chaohu. In Journal of Women and Aging (Vol. 17, Issue 3, pp. 73–89). https://doi.org/10.1300/J074v17n03_06
Published
2026-04-30
How to Cite
PARDEDE, Romayuli; IRAWAN, Fajar Awang.
The Effectiveness of Rheumatic Exercise on Functional Independence among Elderly with Joint Pain: A Study in a Nursing Home.
Physical Activity Journal (PAJU), [S.l.], v. 8, n. 1, p. 47-58, apr. 2026.
ISSN 2686-5807.
Available at: <https://jos.unsoed.ac.id/index.php/paju/article/view/18223>. Date accessed: 16 july 2026.
doi: https://doi.org/10.20884/1.paju.2026.8.1.18223.
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Articles
This work is licensed under a Creative Commons Attribution 4.0 International License.
