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PENGARUH CORE STABILITY DAN MICRO WAVE DIATHERMY TERHADAP NYERI SPONDYLOARTHROSIS LUMBAL Jhon Roby Purba; Surya Syahputra Berampu; Rostime Hermayerni Simanullang
Jurnal Online Keperawatan Indonesia Vol 4 No 2 (2021): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v4i2.2408

Lumbar spondyloarthrosis is low back pain caused by degeneration of the discs, facet joints in the lumbar, so that there is pressure on the intervertebral foramen which will cause osteophytes where this causes irritation, it will cause tissue inflammation or can also occur pressure on the cauda equine. In other conditions, pain can also be caused by spasm of the muscles causing ischemia, ischemia causes pain.Perpuse: the aim of this study is analyzed effect of Core Stability and Micro Wave Diathermy to reduce pain on patients with Lumbar Spondyloarthrosis.Method: Design of this study is a eksperimental studyPre and Post Test Group Design without control group, used a total sampling teqhniqe and 12 respondents. Before and after is done intervention, measurement of pain scale of respondens. Result: Wilcoxon range test is analized data in this study with p value = 0.002 ( p<0.05).It is mean, there is a significant effect of Core Stability and Micro Wave Diathermy to reduce pain on patients with Lumbar Spondyloarthrosis. Conclusion:conclusion of this study are the core stability exercise and micro wave diathermy can reduce pain in patients with lumbar spondyloarthrosis. The suggestion in this study is to increase the number of respondents for the further reseaerch so they can represent a wider representative.

PENGARUH CORE STABILITY DAN MICRO WAVE DIATHERMY TERHADAP NYERI SPONDYLOARTHROSIS LUMBAL Jhon Roby Purba; Surya Syahputra Berampu; Rostime Hermayerni Simanullang
Jurnal Online Keperawatan Indonesia Vol 4 No 2 (2021): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v4i2.2408

Lumbar spondyloarthrosis is low back pain caused by degeneration of the discs, facet joints in the lumbar, so that there is pressure on the intervertebral foramen which will cause osteophytes where this causes irritation, it will cause tissue inflammation or can also occur pressure on the cauda equine. In other conditions, pain can also be caused by spasm of the muscles causing ischemia, ischemia causes pain.Perpuse: the aim of this study is analyzed effect of Core Stability and Micro Wave Diathermy to reduce pain on patients with Lumbar Spondyloarthrosis.Method: Design of this study is a eksperimental studyPre and Post Test Group Design without control group, used a total sampling teqhniqe and 12 respondents. Before and after is done intervention, measurement of pain scale of respondens. Result: Wilcoxon range test is analized data in this study with p value = 0.002 ( p<0.05).It is mean, there is a significant effect of Core Stability and Micro Wave Diathermy to reduce pain on patients with Lumbar Spondyloarthrosis. Conclusion:conclusion of this study are the core stability exercise and micro wave diathermy can reduce pain in patients with lumbar spondyloarthrosis. The suggestion in this study is to increase the number of respondents for the further reseaerch so they can represent a wider representative.

Survei Persepsi Beban Perawatan Pengasuh Yang Berkaitan dengan Tindakan Terkait Ekskresi Pasien Penyakit Parkinson Surya Syahputra Berampu
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 1 No 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Parkinson's disease (PD) is a progressive disease in which competence in performing activities of daily living declines, increasing caregivers' perception of care burden. Care for excretion-related actions is frequently required in the context of motor and non-motor symptoms, and nursing content. Movement and dressing are examples of care. As a result, the care burden perception in relation to excretion-related actions was investigated and classified in this study based on severity and intra-day changes in symptoms. The study included 25 caregivers from the Gunma Prefecture Branch of the Japan Parkinson's Disease Association. The questionnaire items addressed perceptions of care burden in relation to nine excretion-related actions. The caregiver's movement was classified as easy (ON) or difficult (OFF) (OFF). The subjects were divided into three groups (1/2, 3, and 4) based on the severity scale developed by Hoehn and Yahr. The progression of symptoms was found to increase the perception of care burden. Furthermore, while the difference between ON and OFF was not statistically significant, care burden perception tended to be higher with OFF. The perception of care burden increased as PD symptoms progressed, indicating a proclivity toward greater effects of intra-day symptom variation This could be useful information to consider. Rehabilitation is linked to reducing caregivers' perceptions of care burden in the context of Parkinson's disease and/or reorganization/refurbishment of the domestic environment

PENGARUH MOBILITATION WITH MOVEMENT DAN BASIC EXERCISE THERAPY TERHADAP PENINGKATAN FUNGSIONAL GERAK SHOULDER JOINT PADA PENDERITA CAPSULITIS ADHESIVA Surya Syahputra Berampu
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 2 No 1 (2023): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v2i1.1194

Capsulitis Adhesive yaitu kondisi kaku sendi disebabkan oleh perubahan pada membrane synovial, dimana sering terjadi synovitis atau peradangan maupun degenerasi pada cairan synovium disekitar capsule sendi dan mengakibatkan reaksi fibrosus, kontraktur ligamentum Coracohumeral, penebalan ligamentum Glenohumeral superior, middle dan inferior, pengerutan pada ressesus axilaris dan capsule sendi bagian posterior mengalami kontraktur sehingga yang khas pada kasus Capsule Adhesive adalah pola kapsuler. Penelitian ini bertujuan untuk mengetahui pengaruh Mobilitation With Movement dan Basic Exercise Therapy terhadap peningkatan fungsional shoulder joint pada penderita Capsulitis adhesive. Metode : Penelitian ini adalah penelitian Quasi Experimental dengan One group pre-test & post-test design. Populasi sampel adalah penderita Capsulitis Adhesive Poliklinik Fisioterapi Rumah Sakit Umum Mitra Medika Tanjung Mulia Medan. Pengambilan data pasien dengan menggunakan Shoulder Pain and Disability Index Scale pre-test dan post-test. Selama masa penelitian jumlah sampel sebanyak 15 responden yang diambil menggunakan teknik total sampling yaitu seluruh penderita. Hasil : Hasil penelitian menunjukkan penderita yang mengalami Capsulitis Adhesive lebih banyak dialami kelompok usia ≥ 35 tahun dan jenis kelamin sebagian besar perempuan. Uji Paired Sample T - test sebelum & sesudah pemberian Mobilitation With Movement dan Traksi Oscilasi menunjukkan ada pengaruh yang signifikan dari nilai p = 0,000 dengan tingkat kepercayaan 95%. Berdasarkan Uji Paired Sample T - test dengan nilai p= 0,000 < (0,05) bahwa ada pengaruh Mobilitation With Movement dan Traksi Oscilasi terhadap peningkatan fungsional gerak Shoulder Joint pada penderita Capsulitis Adhesive. Kesimpulan : Disimpulkan bahwa fungsional gerak Shoulder Joint sebelum & sesudah pemberian Mobilitation With Movement dan Basic Exercise Therapy memperlihatkan ada peningkatan fungsional gerak Shoulder Joint setelah diberikan Mobilitation With Movement dan Basic Exercise Therapy.

Pengaruh Pemberian Core Stability Dan Swiss Ball Exercise Terhadap Skala Nyeri Pada Pasien Spondylosis Lumbal Di Rumah Sakit Umum Mitra Medika Tanjung Mulia Medan Surya Syahputra Berampu
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 2 No 2 (2023): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v2i2.2024

Background: Lumbar spondylosis is a degenerative condition that occurs in the bodies and lumbar intervertebral discs which is characterized by the formation of osteophytes in the inferior and superior bodies of the lumbar vertebrae. This condition is called lumbar spondylosis which causes pain, decreased muscle flexibility and limited range of motion. Core Stability and Swiss Ball Exercise are methods that are implemented for this pathologist. Purpose: To determine the effect of Core Stability and Swiss Ball Exercise on pain scale in Lumbar Spondylosis sufferers. Methods: This research is a Quasi-Experimental study with a one group pre test and post test design design to see the effect of Core Stability and Swiss Ball Exercise on pain scale in Lumbar Spondylosis sufferers. Results: The normality test of the Shapiro wilk test obtained a sig. VAS before physiotherapy was 0.063 and sig. VAS after physiotherapy 0.069 > 0.05 then H0 is accepted and Ha is rejected, which means the data distribution is normal. Hypothesis testing using the Paired Sample T-test obtained results for the Sig VAS value. 2 tailed for a VAS value of 0.00 <0.05, H0 is accepted and Ha is rejected, indicating that there is an effect of Core Stability and Swiss Ball Exercise on reducing the pain scale in Lumbar Spondylosis sufferers. Conclusion: There is an effect of Core Stability and Swiss Ball Exercise on reducing pain scale in patients with lumbar spondylosis at Mitra Medika Hospital Tanjung Mulia Medan.

PENGARUH CLOSED KINETIC CHAIN EXERCISE DAN OPEN KINETIC CHAIN EXERCISE TERHADAP AKTIVITAS FUNGSIONAL PADA PASIEN OSTEOARTHRITIS KNEE DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2022 BERAMPU, SURYA SYAHPUTRA
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 2 No. 2 (2022): JULI : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v2i2.343

Osteoarthritis is the most common degenerative condition among the elderly. Functional disorders are caused by knee osteoarthritis. A person with osteoarthritis knee typically experiences pain, stiffness, and a decrease in functional activity as a result of limited function. The purpose of this study is to compare the effects of open kinetic chain exercise and closed kinetic chain exercise on increasing functional activity in patients with osteoarthritis of the knee. This is a quasi-experimental type of study. To compare two intervention groups, a two-group pre-test post-test research design was used. In addition, WOMAC is being used to assess functional ability. Exercises should be done twice a week for four weeks. Effect analysis using the paired T-test in treatment groups 1 and 2. The paired T-test on closed kinetic chain exercise and open kinetic chain exercise yielded the same result, P = 0.000 (p0.05), indicating that functional ability influences before and after treatment. Meanwhile, an independent t-test resulted in a value of p = 0.153 (p>0.05), indicating that there are differences in the influence of open kinetic chain and closed kinetic chain on increasing functional ability in patients with osteoarthritis knee. Open kinetic chain exercise and closed kinetic chain exercise have different effects on improving functional ability in people with osteoarthritis knee.

Pengembangan Model Latihan-Back Strengthening Exercise Sebagai Terapi Dasar Non Farmakologi Pada Penderita Low Back Pain Di Rumah Sakit Kota Medan Purba, Jhon Roby; Berampu, Surya Syahputra; Sembiring, Hizkianta
BEST Journal (Biology Education, Sains and Technology) Vol 6, No 2 (2023): September 2023
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v6i2.8064

Tujuan: pengembangkan model latihan back strengthening exercise sebagai terapi dasar non farmakologi pada penderita low back pain di rumah sakit kota medan. Uji yang digunakan uji statis paired t-test dengan siginifikan p value 0.05 yang menyatakan hipotesis alternatif di terima dan dengan pembuktian dilakukan untuk membuktikan hipotesis pengembangan model latihan back strengthening exercise sebagai terapi dasar non farmakologi pada penderita low back pain di rumah sakit murni teguh medan . Hasil: Rata-rata nilai nyeri sebelum dilakukan Latihan Back Strengthening Exercise adalah 5.40, dengan nilai standar deviasi 0.821, dimana nilai min 4 dan nilai max 7 dan setelah dilakukan Latihan Back Strengthening Exercise nilai Nyeri adalah 2.80 dengan standar deviasi 0.696, dimana nilai min 2 dan nilai max 4, selain melihat nilai nyeri peneliti juga melihat nilai aktivitas fungsionalnya dengan hasil rata-rata nilai aktivitas fungsional sebelum dilakukan Latihan Back Strengthening Exercise adalah 17.50, dengan nilai standar deviasi 3.663, dimana nilai min 13 dan nilai max 26 dan setelah dilakukan Latihan Back Strengthening Exercise nilai Aktivitas Fungsional adalah 8.25 dengan standar deviasi 4.290, dimana nilai min 2 dan nilai max 19, dengan masing – masing hasil analisis statistic dengan menggunakan paired t-test dengan nilai p value 0.000 0.05 maka dapat disimpulkan terdapat hasil yang baik dengan pemberian Latihan Latihan Back Strengthening Exercise sebagai Terapi Dasar Non Farmakologi Pada Penderita Low Back Pain di Rumah Sakit Kota Medan. Kesimpulan: Pengembangan Model Latihan Back Strengthening Exercise sebagai Terapi Dasar Non Farmakologi Pada Penderita Low Back Pain di Rumah Sakit Kota Medan sangat mempengaruhi nilai pengurangan nyeri serta meningkatkan aktivitas fungsional pada penderita Low Back Pain di Rumah Sakit Kota Medan

Mutu Pelayanan Fisioterapi Dengan Tingkat Kepuasan Pasien Low Back Pain Spondylosis Lumbalis Di Poliklinik Fisioterapi Rumah Sakit Grandmed Berampu, Surya Syahputra; Purba, Jhon Roby
JURNAL SOCIAL LIBRARY Vol 1, No 3 (2021): JURNAL SOCIAL LIBRARY NOVEMBER
Publisher : Granada El-Fath

Pelayanan kesehatan akan dipersepsikan berkualitas oleh pasien jika penyampaiannya dirasakan melebihi harapan pengguna jasa. Tujuan penelitian ini adalah untuk mengetahui hubungan dimensi mutu pelayanan kesehatan dengan kepuasan pasien rawat jalan di poli fisioterapi rumah sakit GrandMed. Penelitian ini menggunakan accidental sampling dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh pasien rawat jalan di poliklinik fisioterapi sebanyak 166 pasien per bulan, sampel 62 pasien diambil secara accidental sampling dan metode pengumpulan data menggunakan kuesioner. Analisis data bivariat menggunakan uji chi square dengan tingkat kepercayaan 95%, = 0,05. Berdasarkan hasil penelitian, ada hubungan dimensi fisik berwujud dengan dimensi kepuasan pasien (p value = 0,002), ada hubungan dimensi reliabilitas dengan dimensi kepuasan pasien (p value = 0,015), ada hubungan dimensi responsiveness dengan dimensi kepuasan pasien. kepuasan pasien (p value = 0,030), ada hubungan dimensi assurance dengan kepuasan pasien (p value = 0,007), ada hubungan dimensi empati dengan kepuasan pasien (p value = 0,086) dan hasil multivariat menunjukkan, dimensi assurance paling banyak dominan kualitas dalam kaitannya dengan kepuasan pasien (rasio prevalensi 10,543).

EDUKASI KESEHATAN TENTANG CORE STABILITY EXERCISE PADA LANSIA DI KLINIK PRATAMASANTA ELISABETH MEDAN Siahaan, Timbul; Lumbantoruan, Sontiar; Silitonga, Santo Damerius; Berampu, Surya Syahputra; Sitepu , Floresta br; Sitepu, Murniati br
Jurnal Pengabdian Kesehatan Vol. 4 No. 2 (2025): Jurnal Pengabdian Kesehatan (JUPKes), Edisi Juni 2025
Publisher : STIKes Santa Elisabeth Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52317/jupkes.v4i2.60

Lansia merupakan usia yang rentan terhadap jatuh akibat perubahan fisik seperti penurunan fungsi pada semua sistem dalam tubuh terutama fungsi sistem saraf sensorik dan muskuloskletal. Terganggunya fungsi muskuloskletal mempengaruhi fungsi dan kerja otot atau kelemahan otot sehingga dapat mengakibatkan ketidakseimbangan pada lansia. Pengabdian ini bertujuan untuk menganalisa Pengaruh edukasi terhadap peningkatan pemahaman lansia terhadap Core Stability Exercise di klinik Pratama Santa Elisabeth Medan. Metode yang dilakukan observasi: Persiapan, Pelaksanaan dan Evaluasi. Hasil yang diperoleh dari 15 responden terdapat adanya peningkatan pemahaman Core Stability Exercise dengan hasil obesrvasi dedapatkan responden mampu melakasanakan Stability Exercise dengan baik dan merasa nyaman serta kekakuan pada otot otot tangan menjadi rileks.

PENGARUH STEP LENGTH DAN STRIDE LENGHT DALAM MENINGKATKAN KESEIMBANGAN BERJALAN PADA LANSIA DENGAN RESIKO JATUH STUDI KASUS : PRAKTEK FISIOTERAPI ASSYIFA PHYSIO HEALTH Berampu, Surya Syahputra
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol 8, No 2 (2025): May 2025
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v8i2.4000

Abstract: This study aims to evaluate the effect of physiotherapy interventions involving the optimization of step length and stride length on walking balance in the elderly with a risk of falling. A total of 10 elderly people at risk of falling followed a 4-week physiotherapy therapy program, which focused on improving leg muscle strength, flexibility, and walking techniques. Data were collected by measuring step length and stride length before and after the intervention, and using the Berg Balance Scale (BBS) to assess changes in walking balance. The results showed a significant increase in step length (from 55 cm to 62 cm, an increase of 12.7%), stride length (from 100 cm to 108 cm, an increase of 8%), and a Berg Balance Scale score (from 42 to 48, an increase of 14.3%). Statistical tests using paired t-tests showed significant differences between pre and post-intervention data (p < 0.05), indicating that physiotherapy interventions targeting stride length can improve walking balance in the elderly. This study concludes that optimizing step length and stride length through physiotherapy can be an effective method in improving balance and reducing the risk of falls in the elderly. It is recommended for further research exploring other factors that contribute to walking balance in the elderly, as well as the development of more integrated and efficient intervention methods. Keywords: Step Length, Stride Length, Walking Balance, Elderly, Risk of Fall Abstrak: Penelitian ini bertujuan untuk mengevaluasi pengaruh intervensi fisioterapi yang melibatkan pengoptimalan step length (panjang langkah) dan stride length (panjang langkah ayun) terhadap keseimbangan berjalan pada lansia dengan risiko jatuh. Sebanyak 10 lansia yang berisiko jatuh mengikuti program terapi fisioterapi selama 4 minggu, yang difokuskan pada peningkatan kekuatan otot kaki, fleksibilitas, dan teknik berjalan. Data dikumpulkan dengan mengukur step length dan stride length sebelum dan setelah intervensi, serta menggunakan Berg Balance Scale (BBS) untuk menilai perubahan dalam keseimbangan berjalan. Hasil penelitian menunjukkan peningkatan yang signifikan pada step length (dari 55 cm menjadi 62 cm, peningkatan 12.7%), stride length (dari 100 cm menjadi 108 cm, peningkatan 8%), dan skor Berg Balance Scale (dari 42 menjadi 48, peningkatan 14.3%). Uji statistik menggunakan t-test berpasangan menunjukkan perbedaan yang signifikan antara data pre dan post-intervensi (p < 0.05), yang mengindikasikan bahwa intervensi fisioterapi yang menargetkan panjang langkah dapat memperbaiki keseimbangan berjalan pada lansia. Penelitian ini menyimpulkan bahwa pengoptimalan step length dan stride length melalui fisioterapi dapat menjadi metode yang efektif dalam meningkatkan keseimbangan dan mengurangi risiko jatuh pada lansia. Disarankan untuk penelitian lebih lanjut yang mengeksplorasi faktor lain yang berkontribusi terhadap keseimbangan berjalan pada lansia, serta pengembangan metode intervensi yang lebih terintegrasi dan efisien. Kata kunci: Step Length, Stride Length, Keseimbangan Berjalan, Lansia, Risiko Jatuh Nilai

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