Background: Total Joint Arthroplasty (TJA) has been proven as the common procedure for end-stage disease in both hip and knee OA. TJA surgery is usually elective. There is a long waiting time between the diagnosis and the surgery, creating a potential for functional decline during the preoperative period that makes a greater effect of disease severity on postoperative result. Therefore, preoperative management is important in TJA preparation in allowing an opportunity window to improve function in patients waiting for TJA surgery and improve postoperative functional recovery. Preoperative exercise programs, known as prehabilitation, have been studied to improve results, before and after surgery. The implementation of prehabilitation before TJA in the recent literature has been shown has many benefits to improve functional status
Objectives: This literature review sought to assess the effects of prehabilitation on the functional status of patients undergoing TJA.
Methods: This review made use of articles obtained through online search on the database of EBSCO, Science Direct, Proquest, and Scopus, with inclusion criteria having full text, published in 2016-2021, and written in English which then matched with certain specific keywords to get the appropriate article.
Results: A total of 7 selected articles have been reviewed in accordance with the search objectives and the results are presented in tabular form. The results of the article indicate that the participants in this study consisted of patients who underwent TKA or THA.
Conclusions: Based on a review conducted on selected articles, it was revealed that prehabilitation provides several benefits including increasing muscle strength, increasing ROM, reducing pain, reducing hospital stay duration, and allowing faster physical and functional recovery after TJA surgery.
Background: The COVID-19 pandemic has resulted in a global wave of crises that have a massive impact on all aspects of life. The world of education, especially learning activities, is also an impact that is in the spotlight. The change in learning activities from face-to-face to distance learning makes it difficult for early childhood education levels. Studies prove the impact of the Covid-19 pandemic on disorders of fine motor development in children aged 3-4 years with a high category of 60.71%. Early age is the golden age of rapid child development, so positive stimulation is needed for optimal growth and development. An important aspect that affects the overall development of children is fine motor skills. Fine motor skills can be developed through various fun activities through the smart book educational game tool.
Objectives: The purpose of this study was to test the effectiveness of smart book educational game stimulation on fine motor skills in early childhood.
Methods: This research was an action research with nonequivalent control group pretest-posttest design. Stimulation using smart books was carried out for five days with 90 minutes. The number of samples was 80 PAUD children, consisting of 40 children in the intervention group who were given smart book stimulation and 40 children in the control group without smart book stimulation only using conventional educational game tools that are usually done in everyday schools. Statistical test using general linear model + posthoc bonferroni.
Results: The results showed that there was a significant effect on the fine motor skills of early childhood who were given smart book stimulation and those that were not given with a p value of 0.001.
Conclusions: Educational game-based learning can be used to stimulate children's fine motor skills and is expected to be integrated into children's learning activities with various methods.