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Zuhdiana, Hindun
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Pengaruh penambahan Radial Shock Wave Therapy terhadap ketangkasan tangan (Studi pada penderita stroke kronik yang mendapatkan terapi infrared dan latihan peregangan) Agustiawan, Ramandhani; Kartadinata, Robby Tjandra; Darodjah, Siti Hanan; Kusumawati, Noviolita Dwi; Zuhdiana, Hindun
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 1 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.665 KB) | DOI: 10.36408/mhjcm.v7i1.430

Abstract

Latar Belakang : Kelemahan anggota gerak akibat stroke terjadi pada 70% populasi. Teknik yang sering digunakan untuk meningkatkan ketangkasan tangan dengan pemanasan dan latihan peregangan. Radial Shock Wave Therapy (RSWT) merupakan teknologi baru yang menggunakan sumber balistik untuk menghasilkan gelombang tekanan yang dapat mengurangi spastisitas yang mempengaruhi ketangkasan tangan. Tujuan : Menganalisis pengaruh penambahan RSWT terhadap ketangkasan tangan pada penderita stroke kronik yang mendapatkan terapi infrared dan latihan peregangan. Metode : Simple randomized control trial pre-post test design. Tiga puluh pasien stroke kronik dirandomisasi, lima belas orang dimasukkan ke dalam kelompok yang mendapatkan penambahan RSWT, terapi infrared dan latihan peregangan dan lima belas orang masuk kelompok kontrol diberikan terapi infrared dan latihan peregangan. Ketangkasan tangan diukur dengan nilai nine hole peg test (NHPT) pada sebelum dan 6 minggu setelah perlakuan. Analisis data dengan uji Wilcoxon, nilai p<0,05 merupakan nilai signifikan. Hasil : Tiga puluh pasien menyelesaikan penelitian dan tidak ada yang mengeluhkan efek samping. Tidak terdapat perbedaan bermakna rerata delta nilai NHPT pada kedua kelompok (p=0,307), namun rerata delta penurunan pada kelompok perlakuan cenderung lebih besar dibanding kelompok kontrol. Simpulan : Penambahan RSWT tidak berpengaruh terhadap ketangkasan tangan. Kata kunci : RSWT; stroke kronik; ketangkasan tangan. Background : Limb weakness besause of stroke was happend 70% of the population. The technique that is often used to improve hand dexterity are with thermal therapy and stretching exercises. Radial Shock Wave Therapy (RSWT) is a new technology that uses ballistic sources to produce pressure waves that can reduce spasticity that affect hand dexterity. Purpose : Analyze the effect of adding RSWT to hand dexterity in chronic stroke sufferers who received infrared therapy and stretching exercises. Methods : simple randomized control trial pre-post test design who thirty chronic stroke patients were randomized, fifteen patients into a group that received additional RSWT, infrared therapy and stretching exercises and fifteen patients into control group. Hand dexterity is measured by the mean of the nine hole peg test before and 6 weeks after the intervention. Results : Thirty patients completed the study without any significant side effects. There was no significant difference in the mean nine-hole peg test in the two groups (p = 0.307), but the mean decrease in the treatment group greater than the control group. Conclusion : the additional RSWT was not proven to affect hand dexterity. Keywords : RSWT; chronic stroke; hand dexterity.
Efek Radial Shock Wave Therapy pada Latihan Gliding Nervus Medianus terhadap Derajat Nyeri dan Fungsional Tangan Penderita Carpal Tunnel Syndrome Amalina, Nurika; Indriastuti, Lanny; Julianti, Hari Peni; Zuhdiana, Hindun; Kusumawati, Noviolita Dwi
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (341.233 KB) | DOI: 10.36408/mhjcm.v8i3.616

Abstract

Background: Carpal tunnel syndrome (CTS), which was resulted from local compression of the median nerve, was a common entrapment neuropathy. Median nerve gliding exercise required a combination of other conservative therapies to provide optimal clinical improvement in CTS. Radial shock wave therapy (RSWT) was a safe, effective, practical, and non-invasive therapeutic method, can be used as a additional therapy for relieving pain and disability in CTS patients. Objective: This study was aimed to examine the effect of RSWT on median nerve gliding exercise on improving the degree of pain and hand functional scores in patients with CTS. Method: This study was a randomized controlled trial. The subjects were 22 patients from the Physical Medicine and Rehabilitation Polyclinic of RSUD KRMT Wongsonegoro, Semarang. They were divided into 2 groups randomly. The intervention group (n=11) was received RSWT 4 times in median nerve gliding exercise 3 times a day, every day for 4 weeks. The control group (n=11) was received only median nerve gliding exercise. The degrees of pain were measured with a manual algometer and hand functional scores were assessed by BCTQ. Results: The mean of improving pain degree were 2,53 + 0,74 kg/cm2 and 2,38 + 1,25 kg/cm2 in intervention and control group, respectively. An independent t-test showed that there were significant differences in improving pain degree between intervention and control group (p=0,016). The mean of improving BCTQ scores were -11,36 + 4,59 and -6,18 + 3,76 in intervention and control group, respectively. An independent t-test showed that there were significant differences in improving BCTQ scores between intervention and control group (p=0,009). Conclusion: RSWT was improved the degree of pain and increased the hand functional scores of CTS patients who received median nerve gliding exercises. Keywords: radial shock wave therapy, carpal tunnel syndrome, gliding exercise
Effect of Kinesio Taping on Muscle Spasticity in Post-Stroke Patients Receiving Infrared Therapy and Stretching Exercise : A Quasi-Experimental Study Riswanti, Andirezeki; Kartadinata, Robby Tjandra; Julianti, Hari Peni; Zuhdiana, Hindun; Wibisono, Lilik Sigit
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 3 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i3.952

Abstract

BACKGROUND: Spasticity is one of the symptoms of a stroke. One of the muscles with increased tone is the plantar flexor (66%). Spasticity is commonly treated with infrared therapy and stretching exercises. Kinesio Taping is a skin-based therapeutic procedure that uses elastic tape and can be used with infrared therapy and stretching exercises. Kinesio Taping is predicted to reduce spasticity in the plantar flexor muscle as determined by the Tardieu scale, improving functional walking.   OBJECTIVE: To demonstrate the efficacy of adding Kinesio Taping on lower extremity muscular spasticity in post-stroke patients who had previously received infrared and stretching exercises.   METHOD: This study is a controlled group design with a quasi experimental pre and post test. Post-stroke patients were divided into two groups: the control group (16 patients) and the treatment group (16 patients) who received the addition of Kinesio Taping. Before and after 6 weeks of treatment, the Tardieu scale was measured.   RESULT: Before and after treatment, there was a significant difference in Tardieu scale (both on quality and angle of resistance) in each group (p < 0.05), and there was a significant difference in Tardieu scale in the two groups (p < 0.05).   CONCLUSION : Kinesio Taping has been demonstrated to significantly reduce plantar flexor muscle spasticity in stroke survivors.  
Co-Authors Agustiawan, Ramandhani Amalina, Nurika Darodjah, Siti Hanan Hari Peni Julianti Indriastuti, Lanny Kartadinata, Robby Tjandra Kusumawati, Noviolita Dwi Riswanti, Andirezeki Wibisono, Lilik Sigit