There are several treatments for hemiparesis stroke patients, namely medical treatment (conventional) and complementary alternative medicine. So far, in rural areas treating hemiparase stroke patients prefer complementary alternative treatments in the form of reflexology, namely massaging the hands, feet and other body parts by focusing on the nerves of the body. The purpose of this study was to determine the effectiveness of reflexology on hemiparesis muscle strength in stroke patients in the working area of the Puskesmas Guluk-guluk, Sumenep Regency. In this study using analytical methods. The variables in this study consisted of pre-test variables, namely muscle strength before being given reflexology and post-test variables, namely hemiparesis muscle strength after reflexology. The technique of collecting data is purposive sampling in getting 5 respondents. With research data using muscle strength observation sheets with data processing editing, scoring, coding, tabulating, and statistical tests using SPSS. The results of the output test statistics in the Mann-Whitney test found that the asymmp.sig (2-tailed) value in the upper and lower extremities of 0.007 is smaller than the probability value of 005.  Based on the results of the p-value, there are differences in the results of muscle strength before reflexology and after reflexology. Because there is a significant difference, reflexology is effective in increasing the hemiparesis muscle strength of stroke patients. Therefore, good family support is needed for stroke patients in the rehabilitation phase who experience hemiparesis so that reflexology is carried out regularly.Keywords: Reflexology, Muscle strength, Hemiparesis

There are many parents who still didn’t know about the development of school model for children with elementary school levels. This condition clarified by the lack of socialization from government relate with the role of model in elementary. Research design that is use in this research is correlative cross sectional analytical study. Analytical design is research design that testing the correlation between variables which aims to find a relationship of  parental support and students achievement. The result of both variables tested by SPSS Rank Spearman. The population in this research is student’s family of MI Mambaul Ulum from 4-6 grade as many as 34 people. The result showed that sig 2 tailed is 0,001 < 0,05 so the hypothesis is accepted. It means that there is a correlation between parental support with students achievement at Mambaul Ulum boarding school Tlonto Raja Pasean sub-district, Pamekasan regency. The improving  of children’s achievement can increase prosperity in future, children are the next generation who will carry out the interests of nation especially for their area where their live. Keywords : Achievement, children, boarding school

Masalah kesehatan pada Lansia dapat terjadi pada beberapa bagian tubuh termasuk sistem  muskuloskletal antara lain persendian dan kekuatan otot. Perubahan pada jaringan ikat sekitar sendi seperti tendon, ligamen, dan fasia yang mengalami penurunan elastisitas. Latihan ROM merupakan salah satu bentuk latihan dalam proses rehabilitasi yang dinilai masih sangat efektif. Penelitian ini bertujuan untuk menganalisa pengaruh latihan ROM aktif terhadap peningkatan rentang gerak sendi dan kekuatan otot kaki pada lansia di wilayah kerja Puskesmas Kowel Pamekasan. Penelitian kuantitatif, dengan desain pre eksperimen pre dan post test design group. Teknik pengambilan sampel non probability purposive sampling dan sampel 30 orang. Data diperoleh melalui observasi awal dan akhir luas rentang gerak sendi dan kekuatan otot kaki yang diberikan latihan ROM aktif  selama 2 minggu. Analisis statistiknya univariat dengan uji distribusi frekuensi dan bivariate dengan paired t test. Hasil penelitian didapatkan peningkatan rentang gerak sendi kaki pada Lansia yaitu lutut fleksi-ekstensi rata-rata meningkat 4,570  p value 0,000, ankle plantar fleksi rata-rata meningkat 4.530 p value 0,000,  ankle dorsal fleksi rata-rata meningkat 2.270  p value 0,000, dan rata-rata meningkat 0,76 untuk kekuatan otot tungkai p value 0,000 (<0,05), artinya terdapat pengauh latihan ROM aktif terhadap rentang gerak sendi kaki dan kekuatan otot pada Lansia. Latihan ROM yang dilakukan sedini mungkin dan dilakukan dengan benar dan secara terus menerus akan memberikan dampak pada kekuatan otot dan rentang gerak sendi. Responden perlu mendapat pendidikan kesehatan untuk dapat menerapkan latihan ROM di rumah secara rutin dan berkelanjutan. ROM mengurangi kondisi ketidakmampuan untuk mencapai derajat sehat optimal, potensial dan produktif. kata kunci: Range Of Motion (ROM) aktif, Rentang Gerak Sendi, Kekuatan otot kaki, Lanjut Usia.