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Faktor-Faktor Yang Mempengaruhi Terjadinya Penyakit Rheumatoid Arthritis Pada Lansia Di Wilayah UPTD Puskesmas Singkuang Kabupaten Mandailing Natal Tahun 2023 Daulay, Maswan; Fujastawan, I Ngurah Gede Verar; Islahuddin, Islahuddin
BEST Journal (Biology Education, Sains and Technology) Vol 7, No 1 (2024): Juni 2024
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v7i1.8838

Abstract

Rheumatoid arthritis (RA) adalah suatu penyakit imflamasi sistemik kronik dengan manifestasi utama poliatritis progresif dan melibatkan organ keseluruh tubuh. Terlibatnya sendi pada pasien Rheumatoid arthritis terjadi setelah penyakit ini berkembang lebih lanjut sesuai dengan progersifitasnya. Pasien juga menunjukan gejala berupa kelemahan  umum cepat lelah. Rheumatoid arthritis (RA)  menjadi penyakit nomor dua yang banyak menyerang lansia di Indonesiafaktor-faktor yang mempengaruhi dengan terjadinya penyakit Rheumatoid arthritis (RA)  pada lansia diwilayah UPTD Puskesmas Singkuang Kabupaten Mandailing Natal tahun 2023 rentan terjadi pada usia 44 tahun sampai dengan 59 tahun, dan usia 60 tahun sampai 70 tahun. Dengan penderita Rheumatoid arthritis (RA)  pada lansia sebagian besar terjadi pada perempuan dengan jumlah responden sebesar 79 0rang (79,8 %), Menurut (Lukman dan Ningsi 2014), terjadinya Rheumatoid arthritis (RA)  karena adanya gangguan hormonal (estrogen) dalam tubuh. Dari seluruh faktor-faktor tersebut bahwa yang paling mempengaruhi kejadian Rheumatoid arthritis (RA) diwilayah UPTD Puskesmas Singkuang Kabupaten Mandailing Natal tahun 2023, dari 99 orang lansia yaitu faktor aktivitas/pekerjaan yang mencapai sebesar 61 orang (61,8 %) dan faktor genetik sebesar 39 orang (39,4 %).
Faktor-Faktor Yang Mempengaruhi Terjadinya Penyakit Rheumatoid Arthritis Pada Lansia Di Wilayah UPTD Puskesmas Singkuang Kabupaten Mandailing Natal Tahun 2023 Daulay, Maswan; Fujastawan, I Ngurah Gede Verar; Islahuddin, Islahuddin
BEST Journal (Biology Education, Sains and Technology) Vol 7, No 1 (2024): Juni 2024
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v7i1.8838

Abstract

Rheumatoid arthritis (RA) adalah suatu penyakit imflamasi sistemik kronik dengan manifestasi utama poliatritis progresif dan melibatkan organ keseluruh tubuh. Terlibatnya sendi pada pasien Rheumatoid arthritis terjadi setelah penyakit ini berkembang lebih lanjut sesuai dengan progersifitasnya. Pasien juga menunjukan gejala berupa kelemahan  umum cepat lelah. Rheumatoid arthritis (RA)  menjadi penyakit nomor dua yang banyak menyerang lansia di Indonesiafaktor-faktor yang mempengaruhi dengan terjadinya penyakit Rheumatoid arthritis (RA)  pada lansia diwilayah UPTD Puskesmas Singkuang Kabupaten Mandailing Natal tahun 2023 rentan terjadi pada usia 44 tahun sampai dengan 59 tahun, dan usia 60 tahun sampai 70 tahun. Dengan penderita Rheumatoid arthritis (RA)  pada lansia sebagian besar terjadi pada perempuan dengan jumlah responden sebesar 79 0rang (79,8 %), Menurut (Lukman dan Ningsi 2014), terjadinya Rheumatoid arthritis (RA)  karena adanya gangguan hormonal (estrogen) dalam tubuh. Dari seluruh faktor-faktor tersebut bahwa yang paling mempengaruhi kejadian Rheumatoid arthritis (RA) diwilayah UPTD Puskesmas Singkuang Kabupaten Mandailing Natal tahun 2023, dari 99 orang lansia yaitu faktor aktivitas/pekerjaan yang mencapai sebesar 61 orang (61,8 %) dan faktor genetik sebesar 39 orang (39,4 %).
Penatalaksanaan Fisioterapi pada Kasus Brachialgia Akibat Spondyloarthrosis Cervical Fujastawan, I Ngurah Gede Verar; Napitu, Marolop Parlindungan Napitu; Sinuhaji, Simson; Damanik, Firda Akbarrani
Innovative: Journal Of Social Science Research Vol. 2 No. 1 (2022): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v2i1.586

Abstract

Spondyloarthrosis cervical atau kondisi proses degenerasi pada discus intervertebralis dan jaringan pengikat persendian antara ruas-ruas tulang belakang sering dirasakan oleh manusia. Penelitian ini bertujuan untuk untuk mengetahui defenisi dari Spondyloarthrosis, anatomi fisiologi Neck and Shoulder, patofisiologi dari Spondyloarthrosis Cervical, dan mengetahui apakah penggunaan TENS, Ultra Sound, dan Terapi latihan dapat mengurangi rasa nyeri dan menjaga aktivitas fungsional pasien. Metode pelaksanaan penelitian melalui pemberian triment fisioterapi yang dilaksanakan pada seorang pasien, Ny. N. Degenerasi menyebabkan diskus mulai menipis karena kemampuannya menyerap air berkurang sehingga terjadi penurunan kandungan air dan matriks dalam diskus menurun. Spondiloartrosis servikalis yang mengenai C4, C5, C6 yang menyebabkan nyeri dan kesemutan yang berlebih sepanjang lengan kanan, sehingga OS membutuhkan penengangan berupa modalitas TENS dengan metode koplanar, 2 channel, arus by-symm dan menggunakan analgesia nyeri dan sensori dan modalitas US serta latihan peregangan pada leher. Dengan harapan nyeri pada bahu dan kesemutan berlebih serta perlengketan jaringan yang di rasakan OS berkurang.
DIRECT EFFECT OF ELASTIC ADHESIVE WITH CORRECTION TECHNIQUE AND MUSCLE FACILITY ON DYNAMIC BALANCE IN CHRONIC ANKLE INSTABILITY INJURY AT PARAPAT HOSPITAL Fujastawan, I Ngurah Gede Verar; Br Ginting, Isaharpika; Herawati, Noni; Apituley, Vicktor Henry Rony
Mount Hope Economic Global Journal Vol. 3 No. 3 (2025)
Publisher : Institut Teknologi dan Bisnis Kristen Bukit Pengharapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61696/mega.v3i3.995

Abstract

Objective: To seethedirecteffectofkinesiotape (KT) with correction and facilitation techniques after ten minutes of dynamic balance using the star excursion balance test (SEBT) on chronic ankle instability injury (CAI). Subjects: 111 subjects were divided into group 1 correction techniques (n = 21), group 2 facilitation techniques (n = 26), andgroup 3 controls normal (n = 64). Method: quasi experimental randomized controlled trial by testing the SEBT percentage pre-postgroup 1 andgroup 2, and testing the SEBT percentage after 10 minutes in groups 1 and 2 compared to the normal 3-ankle group. Result: paired sample t- testpre (87.62% ± 9,631) and post (98.14% ± 10,556) group 1 p = 0,000 (p <0.005) there is difference of dynamic balance, paired sample t-test pre (90, 12.5% ± 8,529) and post (96.5% ± 14.049) group 2 p = 0.015 (p < 0.05) there is difference of dynamic balance, independent sample t-test post group 1 and group 2 p = 0.659 (p> 0.05) and ANOVA group 1, group 2, & group 3 (95.13% ± 11.31) p = 0.585 (p> 0.05) there is no difference of dynamic balance. Conclusions: Both techniques of KT on ankle have a neuro-physiological effect on dynamic balance same US normal ankle.
Proses Fisioterapi dan Peningkatan Pengetahuan tentang Fisioterapi pada Lansia di Raya Fujastawan, I Ngurah Gede Verar; Ginting, Isaharpika Br; Herawati, Noni; Damanik, Rodearni
Jurnal Riset Hesti Medan Vol 9, No 2 (2024): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i2.342

Abstract

One of the vital components in human life is health, if a person's health is disturbed then the person's survival will not go well (Apta, 2011). Especially parents who naturally experience physical and psychological decline. Complaints appear along with these setbacks, such as joint and bone disorders which result in a decrease in the ability to carry out daily activities independently (Collins et al., 2019). This community service activity is carried out as an effort to introduce the science of physiotherapy to the general public through community service activities. counseling and free physiotherapy treatment aimed at parents and the elderly in Gunung Karang Village, Bobotsari District, Purbalingga Regency. This community service activity was held on December 11, 2022, attended by 78 participants. The counseling material includes an understanding of physiotherapy, an introduction to the types of physiotherapy services, and cases handled by physiotherapy. Prior to the extension activities, the participants first answered the questions contained in the pre-test questionnaire to determine the participants' level of knowledge of the material to be delivered. And as an evaluation material, an assessment of the participants' knowledge was also carried out after the counseling was carried out through a post-test questionnaire. Based on the results of the analysis above, there is a significant.  
Efektivitas Terapi Latihan terhadap Peningkatan Kemampuan Fungsional Lutut pada Kasus Dislokasi Patella Dextra di RS Efarina Pematangsiantar Fujastawan, I Ngurah Gede Verar; Herawati, Noni; Hasibuanlumbantoruan, Jesicca
Jurnal Riset Hesti Medan Vol 10, No 1 (2025): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i1.347

Abstract

Patellar dislocation is a category of joint instability with a combined movement pattern of slight rotation accompanied by the impact on the valgus side. Various problems that arise include pain and spasm, knee instability, decreased ROM, and functional limitations. Exercise therapy in the form of active static stretching exercise, core exercise, and CKCE is estimated to improve functional ability by reducing pain and spasm, increasing knee stability, and increasing ROM. This study aimed to determine the effectiveness of exercise therapy on improving the functional ability of the knee. Methods: A single case study implementing a physiotherapy intervention on a 20-year-old woman with a right patellar dislocation. Static stretching exercises and CKCE were given twice per week, while core exercise was given three times a week. Each intervention was evaluated four times using various parameters. Pain intensity using VAS, ROM using Goniometer, and assessment of functional ability using Kujala and NPI scores. Results: There is a decrease in pain and an increase in ROM and functional ability using the Kujala and NPI Score. Conclusion: This study shows that stretching exercise, core exercise, and CKCE can improve the functional ability of the knee in the case of right patellar dislocation as measured using functional parameters Keywords: Patellar dislocation, static stretching exercise, core exercise, CKCE
Pengaruh Perceptual-Motor Training terhadap Perubahan Kemampuan Koordinasi Mata, Tangan dan Kaki Anak Tunagrahita di SLB Pematangsiantar Fujastawan, I Ngurah Gede Verar; Ginting, Isaharpika Br; Herawati, Noni; Ritonga, Rizky Randa
Jurnal Riset Hesti Medan Vol 9, No 1 (2024): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i1.338

Abstract

Background: Children with intellectual disabilities are children who have a lower intellectual level than normal children in their age, it causes intellectual disability children poor in child’s development that effect cognitive, motoric skill, social, and emotions. Mild intellectual disabilities are the largest population of various categories of intellectual disabilities. This study aims to determine the effect of Perceptual-Motor Training on eye, hand, and foot coordination skill of intellectual disability children in SLB Pematangsiantar. Method: This study uses a quasi-experimental design with the type of one group pretest and posttest. The subject of this study were mild intellectual disability children in aged 10-14 years old and able to communicate. The number of respondents was 17 children and attend Perceptual-Motor Training for 12 treatments in 4 weeks. Result: The results of this study after Shapiro Wilk normality test obtained normal distribution data (p >0.05), then carried out hypothesis testing using Paired T - Test and obtained a significant value p < 0.001 (p <0.05). The data analysis from pretest and post test showed that all respondent has an increase on motor coordination. Conclusion: Perceptual-Motor Training have a significant effect to improve eye, hand, and foot coordination skill of intellectual disabilities children in SLB Pematangsiantar.
Efektivitas Penggunaan Telehealth Guna Meningkatkan Kualitas Hidup bagi Pasien Layanan Fisioterapi di RS Efarina Berastagi Fujastawan, I Ngurah Gede Verar; Herawati, Noni; Lumbantoruan, Ruth Mala Livia Theola
Jurnal Riset Hesti Medan Vol 10, No 2 (2025): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i2.357

Abstract

Along with the times, the use of information and communication technology is also applied in the field of health, especially physiotherapy. Telehealth is one of the services offered to overcome problems such as difficult access to Physiotherapy services, limited costs and transportation, as well as pandemic conditions that do not allow to conduct therapy directly. To find out the effectiveness of telehealth use in Physiotherapy services. Conducted a critical review on eight selected Randomized Controlled Trial (RCT) articles, provided Quartile articles 1 and 3. Telehealth services can be an alternative option for individuals who are less able to access conventional services. The effectiveness of telehealth use can be seen through many things such as adequate regional conditions, internet network connections, age factors and understanding of patients using telecommunications equipment, as well as cases of disease suffered. Based on the results of critical review studies of eight selected articles, telehealth services are effectively used and can be an alternative option in conducting real-time interactions anywhere and anytime.
Exercise Therapy yang Berpengaruh Efektif terhadap Penurunan Nyeri dan Disabilitas Penderita Hernia Nucleus Pulposus Lumbal di RSUD Djasamen Saragih Fujastawan, I Ngurah Gede Verar; Ginting, Isaharpika Br; Herawati, Noni; Irwansyah, Ilham
Jurnal Riset Hesti Medan Vol 8, No 1 (2023): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v8i1.353

Abstract

Patellar dislocation is a category of joint instability with a combined movement pattern of slight rotation accompanied by the impact on the valgus side. Various problems that arise include pain and spasm, knee instability, decreased ROM, and functional limitations. Exercise therapy in the form of active static stretching exercise, core exercise, and CKCE is estimated to improve functional ability by reducing pain and spasm, increasing knee stability, and increasing ROM. This study aimed to determine the effectiveness of exercise therapy on improving the functional ability of the knee. Methods: A single case study implementing a physiotherapy intervention on a 20-year-old woman with a right patellar dislocation. Static stretching exercises and CKCE were given twice per week, while core exercise was given three times a week. Each intervention was evaluated four times using various parameters. Pain intensity using VAS, ROM using Goniometer, and assessment of functional ability using Kujala and NPI scores. Results: There is a decrease in pain and an increase in ROM and functional ability using the Kujala and NPI Score.     Results: There is a decrease in pain and an increase in ROM and functional ability using the Kujala and NPI Score. Conclusion: This study shows that stretching exercise, core exercise, and CKCE can improve the functional ability of the knee in the case of right patellar dislocation as measured using functional parameters.