The Effectiveness of Rheumatic Gymnastics on Patella Joint Flexibility in Elderly with Rheumatoid Arthritis at the Elderly Integrated Service Post (Posyandu Lansia) in Mipiran Village, Purbalingga


  • Candra Aprian Dwika Prasetyo Universitas Muhammadiyah Purwokerto
  • Mustiah Yulistiani Universitas Muhammadiyah Purwokerto



Rheumatoid arthritis, Rheumatic gymnastics, Joint flexibility


Background: Based on data from the 2018 Riskesdas, 7.30% of the Indonesian population is estimated to suffer from rheumatoid arthritis. Rheumatoid arthritis (RA) is a chronic disease that causes joint pain, swelling, stiffness, and limited joint movement. As the most common autoimmune rheumatic disease, rheumatoid arthritis is a chronic inflammatory condition that permanently damages the joints, where the body's immune system, which generally protects the body from infections and diseases, attacks joint tissues for unknown reasons. Method: The research design used in this study was the Pre-Experimental one-group pre-test post-test method. The sample consisted of 31 individuals selected using a total sampling technique. The research instruments used were rheumatic gymnastics SOP and the Long-arm universal goniometer (UG) for measuring patella joint flexibility. Data were analyzed using the Wilcoxon statistical test. Results: There was an increase in the average value of right and left patella joint flexibility before and after the application of rheumatic gymnastics. The obtained P value was 0.005 for the right patella and 0.001 for the left patella. Both statistical analyses discovered that P-value was less than 0.05. Conclusion: Rheumatic gymnastics significantly affects patella joint flexibility in elderly patients with rheumatoid arthritis at the elderly integrated service post (Posyandu Lansia) in Mipiran Village, Purbalingga.


A. Nurul and Bu. Widiyanto, “The Effect of Aerobic Training In Rheumatoud Arthritis Patients: A Literature Study,” J. Appl. Heal. Manag. Technol., vol. 3, no. 1, pp. 26–32, 2021.

A. L. Sutton, Arthritis Sourcebook (Health Reference Series). Detroit: Omnigraphics, 2010.

L. Serhal, M. N. Lwin, C. Holroyd, and C. J. Edwards, “Autoimmunity Reviews Rheumatoid arthritis in the elderly?: Characteristics and treatment considerations,” no. January, 2020.

J. Andri, Padila, A. Sartika, S. E. N. Putri, and H. J, “Tingkat Pengetahuan Terhadap Penanganan Penyakit Rheumatoid Arthritis Pada Lansia,” J. Kesmas Asclepius, vol. 2, no. 75, pp. 147–154, 2020, doi: DOI:

A. Arfianda, M. Tharida, and S. Masthura, “Faktor-Faktor yang Mempengaruhi Terjadinya Penyakit Rheumatoid Arthritis Pada Lansia di Gampong Piyeung Manee Kecamatan Montasik Kabupaten Aceh Besar Factors Affecting the Occurrence of Rheumatoid Arthritis Disease in the Elderly in Piyeung Manee Village ,” vol. 8, no. 2, pp. 992–1002, 2022.

T. Sokka et al., “Women, men, and rheumatoid arthritis: Analyses of disease activity, disease characteristics, and treatments in the QUEST-RA Study,” Arthritis Res. Ther., vol. 11, no. 1, 2009, doi: 10.1186/ar2591.

A. M. R. Lumban, D. Mahendra, and I. M. M. Jaya, Buku Ajar Promosi Kesehatan. 2019.

K. Sunandar, H. Cahyaningsih, and T. Suheti, “The Effectiveness of Rheumatic Exercise With Citronella Oil on Decreasing Pain Intensity in Pre-Elderly Experiencing Rheumatism,” KnE Life Sci., vol. 2022, pp. 134–144, 2022, doi: 10.18502/kls.v7i2.10296.

N. H. Saida, S. Setiawan, and I. Shalahuddin, “Nonpharmacological management on reducing rheumatoid arthritis pain in the elderly: studies in social rehabilitation services unit of elderly in Garut West Java,” J. Aisyah J. Ilmu Kesehat., vol. 4, no. 2, pp. 167–176, 2019, doi: 10.30604/jika.v4i2.215.

R. Hidayat, Diagnosis dan Pengelolaan Artritis Reumatoid (Rheumatoid Arthritis Diagnosis and Management). Jakarta: Perhimpunan Reumatologi Indonesia, 2021. [Online]. Available:

J. K. Cooney et al., “Benefits ofExercise in Rheumatoid Arthritis Jennifer,” J. ofAging Res., vol. 21, no. 6, pp. 297–310, 2011, doi: 10.4061/2011/681640.

Field, A. P., Discovering statistics using SPSS (3rd ed.). British Library Cataloguing.




How to Cite

Prasetyo, C. A. D., & Yulistiani, M. (2024). The Effectiveness of Rheumatic Gymnastics on Patella Joint Flexibility in Elderly with Rheumatoid Arthritis at the Elderly Integrated Service Post (Posyandu Lansia) in Mipiran Village, Purbalingga. Proceedings Series on Health & Medical Sciences, 5, 47–52.