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THE EFFECT OF THE OTAGO EXERCISE PROGRAM AND BRIDGING EXERCISE IN THE ELDERLY WITH THE RISK OF FALL IN RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO: A CASE REPORT Wahyundari, Dhanti; Naufal, Adnan Faris; Wijayaningsih, Anteng
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Falls` is the third leading cause of disability among the elderly and a public health problem with major social impacts worldwide in countries with significantly aging populations. More than 30% of people over the age of 65 fall each year and half of the cases fall again. Dynamic balance and leg muscle strength have a close relationship with the risk of falling. Reduced hip muscle activity also affects the body's ability to maintain balance which has negative consequences on functional performance. Case Presentation: Mr. IW is 74 years old with complaints of pain from the lower back sometimes radiating to the left side of the leg since 1 year ago. The left lower leg feels heavy and the pain increases when doing strenuous activities and walking long distances. Complaints reduced with rest. The patient's history of comorbidities has heart disease and gout. Management and Outcome: Patients received the Otago Exercise Program and Bridging Exercise in 1 month with a prescribed dose. Based on the results of the BBS examination, 30 second Chair Stand, TUG Test, and the Indonesian version of the ODI modification, there was an increase in balance and muscle strength of the lower extremities as well as an increase in functional activity seen in patients Discussion: History of low back pain that can causes changes in balance and postural control so that it has a higher postural sway and greater displacement of the center of pressure. For the elderly to be able to enjoy a healthy life and be free from worries about accidents that result in bruises such as falls, they need good muscle strength and balance skills. Lower leg muscle weakness is one of a predictor of falls. Another study found that regular exercise, lumbar muscle strengthening exercises and balance exercises were effective in preventing injury in the elderly and improving the function of the sensory-motor system, which is necessary to keep the body safe. The specially designed OEP consists of strengthening and balance exercises targeting and improving dynamic balance outcomes in the elderly. Core strengthening exercise in the form of Bridging Exercise can restore the body's postural control function and increase range of motion and is considered an appropriate exercise for the elderly. Conclusion: Physiotherapy programs for the elderly at risk of falling using the Otago Exercise Program and Bridging Exercise can improve balance and muscle strength in the lower extremities as well as increase the ability to functional activity in elderly individuals.
THE EFFECT OF BRIDGING EXERCISE AND GAIT INTERVENTION FOR HEMIPARASE AFTER STROKE ISCHEMIC AT PROF. DR. MARGONO SOEKARJO HOSPITAL PURWOKERTO: A CASE REPORT Pradani, Frita Aulia; Naufal, Adnan Faris; Wijayaningsih, Anteng
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Stroke is a disease of functional brain disorders in the form of paralysis of the nerves that causes muscle weakness or imbalance, reduced postural control, muscle flexibility, and body asymmetry. As many as 80% of stroke patients will experience walking problems. Lack of muscle use for a long time can also cause secondary changes in muscles and nerves, causing musculoskeletal problems in the joints and problems coordinating activities in the neuromuscular system which is responsible for limb control and balance. The provision of bridging exercise and gait interventions can improve dynamic balance, leg muscle strength, walking speed and mobility after stroke so that it will also increase the patient's functional activity. Case Presentation: A 60-year-old housewife with a history of left hemiparase complains of dizziness, stiffness in the back area and feels heavy when trying to stand up since having a stroke 5 months ago. From the results of the examination, it was found that there was weakness in the lower extremities, balance disorders and disturbances in walking patterns. The patient has a history of hypertension and diabetes mellitus and a family history of similar diseases. Management and Outcome : Giving bridging exercise and gait intervention to patients aims to overcome problems in patients, especially strengthening the muscles of the lower extremities. From the results of measurements and examinations using BBS and NKT there was an increase in muscle strength and balance in patients. Discussion: Disorders of balance and gait patterns are often found in cases of hemiparase after a stroke. This is due to a decrease in strength in the core muscles and lower extremity muscles due to stroke, therefore it is necessary to reactivate these muscles so that the body can function properly. In the study, it was found that giving bridging exercise and gait intervention can activate core muscles and leg muscles so that there is an increase in these muscles. This can improve balance and change in the pattern of walking for the better. Conclusion: In this case, it was found that there was an increase in balance, leg muscle strength and stride length after the intervention of Bridging Exercise and Gait Intervention every 2 weeks for one month.
EFFECTS AEROBIC EXERCISE ON VO2 MAX IN PHASE 2 REHABILITATION POST PERCUTANEOUS CORONARY INTERVENTION (PCI) AT DR. MOEWARDI HOSPITAL Nurrahman, Muhammad Rizqa; Naufal, Adnan Faris; Susilo, Ridwan Andi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction Coronary Heart Disease (CHD) is a disease that occurs due to the formation of atherosclerotic plaques in the lumen of blood vessels. Case Presentation: Aerobic exercise was carried out for 2 months and evaluated every month. Aerobic exercise is carried out based on the Cardiovascular Rehabilitation Manual compiled by the Indonesian Association of Cardiovascular Specialists. Based on the Cardiac Rehabilitation Manual, patients who will be given aerobic exercise are examined first using the 6 minute walking test to determine the dose to be used for exercise. Exercise intensity using the target Heart Rate Reserve (HRR). Management and Outcome: Aerobic exercise can increase VO2 Max from before being given aerobic exercise until the second month evaluation. This proves that Aerobic exercise can increase VO2 Max in coronary heart patients after Percutaneous Coronary Intervention. Discussion: The mechanism underlying the increase in VO2Max due to the intensity of aerobic exercise in the elderly is an improvement in the adaptation mechanisms at the central and peripheral levels to exercise. The increase in VO2Max that occurs after endurance training in healthy elderly men is due to an increase in peak stroke volume and a lower CO difference, thereby increasing A-VO2Max.. Conclusion: After the patient on behalf of Mrs. S carried out a phase 2 rehabilitation program with Aerobic exercise or walking exercise for 2 months, the results obtained were a fairly good increase in VO2 Max in post-Percutaneous Coronarry Intervention patients.
PHYSIOTHERAPY MANAGEMENT OF ANKLE SPRAIN IN THE ACUTE PHASE: A CASE STUDY Tristian, Deviana; Naufal, Adnan Faris; Maulana, Hakny Kusuma
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Ankle sprain is a condition in which the ligaments in the ankle are injured due to sprains. According to research, injuries to the ankle are less than 10% due to PTFL and CFL, and injuries in an inversion state or to the lateral ligaments of the foot occur in 85% of cases. The meta-analysis found that 13.6 occurred in female athletes and 6.94 occurred in male athletes per 1000 exposures to soccer, basketball, hockey, tennis, and other sports. In the problem of acute ankle sprains will cause symptoms of pain and swelling. Case Presentation: a case study of three databases (PubMed, Pedro, Science Direct) with the aim of knowing the effect of ultra sound, ice packs, exercise therapy and kinesio tape in The purpose of this paper is to influence the effect of giving ice, ultrasound, exercise, and kinesio tape in the acute phase of the right lateral ankle sprain patients.. The keyword used in the search was ankle sprain related to "acute phase exercise". Inclusion criteria were athletes who had a grade 1 ankle sprain and had no fractures. Management and Results: The use of ultrasound and ice packs can reduce pain intensity and can reduce edema, as well as the implementation of exercise therapy prescriptions and the use of kinesio taping can increase functional activity. Discussion: the study showed a decrease in silent pain from 5 to 3, tenderness from 8 to 6, and motion pain from 8 to 6. a decrease in edema from a difference of 3cm to 2cm, an increase in the functional activity of the FADI index, a decrease in the level of limitation after physiotherapy actions from 41.3% to 36.3%. Conclusion: physiotherapy management in the acute phase of ankle sprain cases uses a therapeutic program twice. Ultrasound, ice packs, exercise therapy, and kinesio tape are used to treat pain and swelling in ankle sprains.
PHYSIOTHERAPY MANAGEMENT FOR CARPAL TUNNEL SYNDROME: A CASE STUDY Ni'mah, Dita Nurul; Naufal, Adnan Faris; Wijayaningsih, Anteng
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Carpal tunnel syndrome (CTS) is the most common neuropathy caused by compression of the median nerve in the carpal tunnel, which can cause symptoms such as pain, tingling, and numbness,the prevalence is 5.8% in adult women and 0.6% in men. The purpose of this study was to determine the effectiveness of a physiotherapy program using manual therapy, and exercise therapy to reduce pain and increase functional activity in patients with Carpal Tunnel Syndrome (CTS). Case Presentation: Mr. H complained of tingling in his left hand from the wrist to the 4th finger and sometimes felt pain. Complaints are exacerbated at night so that it is difficult to sleep. Mr. H has difficulty driving a motorbike or car, buttoning clothes, opening bottles, and doing activities requiring the left hand. Management and Outcome: The patient attended therapy four times once a week for four weeks with a physiotherapy program manual therapy, stretching exercises and strengthening exercises. Patients were evaluated using the Numerical Rating Scale (NRS), Manual Muscle Testing (MMT), and Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ). Conclusion: Physiotherapy management in the form of manual therapy, stretching exercises and strengthening exercises performed once a week for four weeks can reduce pain and increase the functional activity.
PHYSIOTHERAPY MANAGEMENT FOR LUMBAL STRETCHING EXERCISE AND LUMBAL CORE STABILIZATION EXERCISE IN CHRONIC LOW BACK PAIN: A CASE STUDY Putri, Yulinda Permata; Naufal, Adnan Faris; Wijayaningsih, Anteng
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Chronic low back pain refers to the low back, lumbosacral and sacroilliac pain over 3 months which is sometimes accompanied by radiating pain in the lower extremities. LBP is one of the most common musculoskeletal disorders with a prevalence rate of 80%. LBP treatment can be done with medication and physiotherapy programs.The purpose of this study was to determine the effectiveness of a physiotherapy program using MWD, Tens, stretching exercise and lumbal core stabilization exercise to reduce pain, improving range of motion and optimizing functional ability in patient with CLBP. CasePresentation: Mr. Y feels pain in the lower back, left buttocks and left hamstring since 1 year ago, sometimes he feels tingling and cramping in his left leg. The patient also complained of pain in the left hip area and was known to have a history of falling from his motorcycle and cracking his left hip. The patient is unable to walk long distances, feels pain in the waist if he sits too long, feels pain when bending his back and unable to lift heavy weights from the floor. The complaints will be reduced when used to rest. Management and Outcome: The patient attended therapy three times once a week with a physiotherapy programs MWD, Tens, Stretching Exercise and Lumbal Core Stabilization Exercise. Patient were evaluated using Numerical Rating Scale (NRS), Meterline, Goneometer, Manual Muscle Testing (MMT), and Oswestry Disability Index (ODI). Conclusion: Physiotherapy program for 1 months with the intensity of patient visits once a week with the intervention of MWD, Tens, Stretching Exercise and Lumbar Core Stabilization Exercise can reduce pain intensity, increasing left hip range of motion and increase the patient's functional ability.
Physiotherapy Program on Claw Hand Condition at Leprosy Hospital Kelet Donorejo: a Case Study Hawari, Dadang; Naufal, Adnan Faris; Prihastomo, Teguh
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Leprosy or known as Morbus Hansen's disease is a bacterium that attacks skin tissue, peripheral nerves, and respiratory tract in humans under the name Mycobacterium leprae. Fourteen countries including Indonesia conducted data collection on cases of leprosy in the world with a total of 199,992 people in 2015 and 17,202 people in Indonesia. Most people with leprosy experience ulnar nerve paralysis which causes partial disruption of the fingers.Case Presentation: Patient S, 21 years old, complains of swelling of the hands and itching and fever. The patient reported numbness in the left hand and difficulty moving the 4th and 5th fingers of the left arm. In January 2021 the doctor recommended taking multi drug therapy (MDT), after taking it the patient had a severe reaction with nodules appearing in several areas.Management and Outcome: Physiotherapy performed an IPPA examination (inspection, palpation, percussion, auscultation), the results were thickening of the left ulnar nerve, the skin surface felt dry and rough. physiotherapy also performs pain assessment using a numerical rating scale (NRS), muscle strength examination using manual muscle testing (MMT), examination of joint range of motion with a goniometer, examination of motor nerve function and nerve palpation with POD, and examination of functional ability of the hand using a wrist hand. disability index (WHDI).Discussion: The physiotherapy program carried out for claw hand patients aims to increase the range of motion of the joints, increase muscle strength, and increase the patient's functional activities.Conclusion: The physiotherapy program for 7 meetings on claw hand conditions at the Leprosy Hospital Kelet Donorojo, Jepara in the form of stretching, strengthning, and functional exercises can increase the range of motion of the joints, there has not been an increase in muscle strength and functional in the patient, although in the range of joint motion which increases, the results are not significant.
Physiotherapy Management for Osteoarthritis Knee: A Case Study Wardhani, Azzahra Irkoshaum Kusuma; Naufal, Adnan Faris
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Osteoarthritis (OA) is the most common form of arthritis affecting approximately 302 million people worldwide. OA is characterized by pathology involving the entire joint including cartilage degradation, bone remodeling, synovial inflammatory osteophyte formation, leading to pain, stiffness, swelling, and loss of normal joint function. The most commonly affected appendicular joints include: knees, hips and hands. Conservative therapy consists of pharmacological and non-pharmacological therapy given to patients with mild tomoderatekneeOA.Nonpharmacologicaltherapy can be in the form of exercise therapy and physical modalities. The purpose of this study was to determine the effectiveness of a physiotherapy program using Ultrasound, TENS, Quadriceps Setting and Passive Hamstring Exercise.Case Presentation: Patients with the initials Mr. M is 60 years old with the main job as a sand porter. Nine months ago, the patient fell under a sandbag while working and hit his head and back. As a result, the back fractured and had to be operated on. One week after surgery the patient had a urinary tract disorder, so he needed to be operated on again. As a result of the operation the patient was required to use a catheter. The patient began to complain of stiffness due to the use of the catheter and bed rest in the long term (8 months). Management and Outcome: The patient attended therapy three times in two weeks with a physiotherapy programs Ultrasound, TENS, Quadriceps Setting and Passive Hamstring Exercise. Patient were evaluated using Numerical Rating Scale (NRS), Meter line, Goniometer, and Manual Muscle Testing (MMT),Conclusion: Physiotherapy with the intensity of patient visits three times in two weeks with the intervention of Ultrasound, TENS, Quadriceps Setting and Passive Hamstring Exercise can reduce pain, decrease edema, improve leg muscle strength, and increase range of motion of knee joint.
Physiotherapy Management of Down Syndrome: Case Report Efendi, Alfina Ramadani Dyah; Naufal, Adnan Faris; Viola, Christine
Academic Physiotherapy Conference Proceeding 2023: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : Down syndrome is a genetic condition or disorder caused by a chromosomal abnormality that occurs threefold in total or part of chromosome 21. Decreased muscle strength and balance are one of the consequences that occur in the condition of down syndrome. In this study the aim was to determine the effect of providing physiotherapy management in cases of Down syndrome. The research method used in this study was a case study involving a 4-year-old girl diagnosed with Down syndrome. Subjects were given physiotherapy interventions for 3 weeks with a frequency of 2 meetings a week. The interventions provided were walking on a textured catwalk, walking on an inclined plane, and jumping on a trampoline based on a stretch-shortening exercise. The examination given for this case is checking muscle strength using the manual muscle testing method and checking balance using the balance beam test. In this study, the results showed that there were changes in the subject's muscle strength and dynamic balance ability.
Benefits of Ultrasond, Tens and Hold Rilex Streching in Osteoarthritis Genu Dextra: A Case Study Khairunissa, Hatifa; Hidayati, Ina; Naufal, Adnan Faris; Setyawan, Agus
Academic Physiotherapy Conference Proceeding 2023: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Osteoarthritis is a progressive, degenerative joint disease in which the cartilage that protects the ends of the bones begins to break down, accompanied by reactive changes at the joint edges and subchondral bone that cause pain and loss of movement.Based on the results of health research on the basis of Riskesdas in 2013, the prevalence of joint disease based on health diagnoses in Indonesia was 11.9% and 24.7% based on symptoms. The highest prevalence based on diagnosis by health workers was in Bali 19.3% while based on symptoms the highest was in East Nusa Tenggara 33.1%, West Java 32.1%, DKI Jakarta 21.8% when viewed from age characteristics, the highest prevalence was at age ≥ 75 years (54.8%) there were also more female patients (27.5%) compared to men (21.8%). Case Presentation: A 56 year old man came to RSJD Dr. Arif Zainuddin Surakarta with complaints of pain in the right knee and could not fully bend because he had experienced a fall and slipped on the right knee. He has hypertension, diabetes and cholesterol. On physical examination with vital signs heart rate 99 beats/minute, respiration 20 beats/minute, blood pressure 170/100 mmHg with a height of 155 cm and a weight of 74 kg. From the static inspection examination found edema and dynamic inspection it was seen that he walked slowly and endured a little pain and seemed to be using a tripod. Results : From the examination of pain using a vase on the right knee, the results were: silent pain (2), motion pain (4), tenderness (4). Measuring muscle strength with MMT on the right knee with flexion extension movement obtained 4 results. Anthropometric examination of the odema using the mid line with the results of the right knee (42 cm), left knee (36.5 cm) which means a difference of 5.5 cm. Then a special examination was carried out on OA using the Jette scale and measuring the LGS with a goniometer Conclusion : After using ultrasound, electrical stimulation, hold rilex in the Osteoarthritis Genu Dextra Case with Ultrasound, Electrical Stimulation and Exercise at RSJD Dr. Arif Zainuddin Surakarta isA patient with a diagnosis of osteoarthritis, male, 56 years old, was given physiotherapy treatment for two treatments from June 26 2023 to July 4 2023. The problems with physiotherapy were found to be pain, decreased strength of the right knee muscles, edema on the knee dextra and decreased functional activity. After being treated twice, the results showed that there was no increase in MMT in the knee flexor-extensor muscles, there was no decrease in tenderness, silent pain, and motion pain, but there was a decrease in dextra knee edema, and there was no increase in functional activity.
Co-Authors Agus Setyawan AGUS WIDODO Almadani, Zahra Amalia, Farah Rizki Amanda, Mutiara Sabta Andhini, Nur Intan Lia Putri Andi Saputra Ardiani, Savilla Dara Arieputra, Achmad Briliansyah ARIF KURNIAWAN Arif Pristianto Arif Setiawan Arimbi, Cindy Kartika Arimbi, Luluk Setya Artika, Prilliya Arwida, Neriya Asmarasikha, Aldila Lutfi Astari, Rahmi Windhy Asyifa. , Nabila Kultsum Atik Hidayati Awanis, Almas Azizah, Hauna Nur Azizah, Hikmah Ma’rifatul Azizah, Ummi Azizi, Laili Rahmawati Azkia, Anida Fitri Baehaqi, Daru Mukti Bagassabirin, Nugrah Satria Billa, Azizah Shalsa Darojati, Hafizhah Putri Ilma Deistriany, Zehra Karil Dewangga, Mahendra Wahyu Dharmawan, Yan Ari Tya Diki Retno Yuliani, Diki Retno Efendi, Alfina Ramadani Dyah Efendi, Elif Nur Fadhil, Adnan Rizqy Farid Rahman Farlinda, Anzela Rosepti Fikriyah, Istimrorul Najibatil Firdaus, Zahrina alyani Fitri, Anida Azkia H, oor Ifah Wahyuni. Handayani, Dwi Putri Puspita Hastuti, Nimah Hawari, Dadang Hidayah, Fenisa Nurul Hidayat, Egalia Novika Hidayati, Ina Hizza, Rifqi Warnedi Ilmi, Dhiki Fadhilah Islamiatun, Zunitasari Kholifah istiqomah istiqomah Izzatul Arifah Jeara, Orlens Rambu Juriansari, eti Karyanto, Muhammad Dhaffa Keumala, Melati Ulee Khairullah, Fakhri Khairunissa, Hatifa Khairunnisa, Fatimah As-Syifa Khasanah, Dini Afriani Khotimah, Annisa Khusnul Kinasih, Putri Kingkinarti, Kingkinarti Kurniawati, Innie Lathifani, Nabila Rizka Latif, Syariah Latifa, Devi Indah Latifah, Yayu lestari, sulis Lutfi, Idvan Maharani, Silvia Putri Manun, Arumi Lulul Marasabessy, Mahdi Ramadhani Idris Marinto, Luklu Eko Marlis, Dinik Ayundya Maulana, Hakny Kusuma Maulana, Jais Rizki Muazarroh, Salma Muna, Naliatul Nabila, Aulia Safa Nabilah, Hana Laila Naim, Karimatun Nasuka, Muhammad Ni'mah, Dita Nurul Noviyana, Ulfa Nur Azizah Nurrahman, Muhammad Rizqa Nurulinsani, Atikah Nurwahidah, Kamila Oktaviana, Riast Eka Olivia, Septina Permatasari, Ayu Amalia Pradana, Anas Pradani, Frita Aulia Pradipta, Puspita Asri Pramudya Kurnia Prasetyani, Marlita Prasojo, Wildan Prima Jalu Pratiwi, Anisa Asri Prihastomo, Teguh Purwagayatri, Diajeng Sabina Puspitaningrum, Dinda Ayudya Putri , Nuristiqomah Dwi Putri, Amanda Permata Putri, Fatati Nurainni Putri, Nuristiqomah Dwi Putri, Rafika Sakina Putri, Yulinda Permata Rachmat, Ahdiyat Ananta Rachmatika, Bahertha Radinda, Indiana Rahmadhani, Desty Tri Rahmania, Ifitita Nayla Rahmayanti, Adelia Raihani, Siti Ramadhanti, Alya Yuanita Ramahandika, Achmad Kukuh Ramona, Dela Ridwan, Yumnariffa Ulayya Risbiyanto, Stevenny Aulia Rizky , Aisyah Shabrina Rizqi, Muhammad Ziddan Rizqillah, Indah Prima Rohmadhani, Wina Safitri, Amaliyah Hana Safitri, Eri Fersiana Salsabila, Sherin Nada Samiyem, Samiyem Sari, Eva Arnaz Setiyaningsih, Rita Siddiq, Muhammad Nizar Siti Khadijah Sri Yunanto Sukatwo, S Sukmawati, Andera Prastina Sulistiowati, Nabilah Tri Susilo, Ridwan Andi Syarif Hidayat Taufik Eko Susilo Tiara Fatmarizka Totok Budi Santoso Triasari, Ana Tristian, Deviana Triyani, Lusi Amalia Ulfah, Nadiah Uswatun Hasanah Utami, Atika Rianti Viola, Christine Wahyu Tri Sudaryanto Wahyundari, Dhanti Wardani, Rina Kusuma Wardhani, Azzahra Irkoshaum Kusuma wati, Mida Wibowo, Olga Syahfitri Widyaningrum, Ni Luh Gadung Widyastuti, Anggitya Wijayaningsih, Anteng Wijianto Wijianto Wulan Adis Aranti Yanuar, Reza Arshad Zahra, Izdihar Zahra, Nabila Ardelia Zein, Renny Hidayati Zulfatirrohman, Atikah Itsna