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Pengaruh Neuro Senso Motorik Terhadap Kemampuan Motorik Anak Umur 1-3 Tahun pada Pasien Development Delay di Surabaya: The Effect of Neuro Senso Motoric on the Motor Skills of 1-3 Year Old Children in Development Delay Patients in Surabaya Saputra, Indra Kurniari Anggi Hari; Halimah, Nurul; Sartoyo, Sartoyo; Fariz, Achmad
Journal of Aafiyah Health Research (JAHR) Vol. 6 No. 1 (2025): JANUARY-JUNE
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v6i1.1908

Abstract

ABSTRAK Latar Belakang: Anak usia 1-3 tahun merupakan periode perkembangan yang sangat penting dalam kehidupan seorang anak. Pada rentang usia ini, anak sedang aktif mengembangkan berbagai kemampuan motoriknya, baik yang berhubungan dengan gerakan kasar maupun gerakan halus. Kemampuan motorik anak pada usia ini dipengaruhi oleh berbagai faktor, termasuk faktor neurosensorik yang melibatkan interaksi antara sistem saraf dan sensorik dalam mengatur gerakan tubuh. Dengan pendekatan yang tepat dan konsisten, inervensi fisioterapi berupa neuro senso motorik diharapkan dapat memberikan manfaat yang signifikan bagi perkembangan motorik anak usia 1-3 tahun. Tujuan: Untuk mengetahui pengaruh neuro senso motorik terhadap kemampuan motorik anak umur 1-3 tahun pada pasien development delay di Surabaya. Metode: Penelitian ini merupakan penelitian pre eksperimental dengan desain penelitian mengacu pada one group pretest-posttes. Penelitian ini dilaksanakan di Surabaya pada Juni sampai Agustus 2024, yang diawali dengan pengumpulan sampel, pemeriksaan variabel pasca intervensi hingga penyusunan laporan. Populasi merupakan pasien dengan keterlambatan motorik dengan umur 1-3 tahun pada pasien development delay di surabaya. Populasi yang akan di teliti 15 pasien yang home visit. Sampel merupakan keseluruhan populasi pasien dengan keterlambatan motorik di surabaya. Analisis data yang digunakan yaitu analisis univariat dan bivariat. Hasil: Ada pengaruh neuro senso motorik terhadap kemampuan motorik anak umur 1-3 Tahun pada pasien development delay di Surabaya; diperoleh skala kemampuan motorik sebesar 5,47 (lebih kecil lebih baik) pada penderita development delay sebelum neuro senso motorik; diperoleh skala kemampuan motorik sebesar 3,07 (lebih kecil lebih baik) pada penderita development delay sesudah neuro senso motorik; serta terdapat perbaikan nilai kemampuan motorik sebesar 2,40 pada penderita development delay sebelum dan sesudah pemberian neuro senso motorik. ABSTRACT Background: Children aged 1-3 years are a very important developmental period in a child's life. In this age range, children are actively developing various motor abilities, both those related to gross and fine movements. Children's motor abilities at this age are influenced by various factors, including neurosensory factors that involve the interaction between the nervous and sensory systems in regulating body movements. With the right and consistent approach, physiotherapy intervention in the form of neuro senso motor is expected to provide significant benefits for the motor development of children aged 1-3 years. Objective: To determine the effect of neuro senso motor on the motor skills of children aged 1-3 years in development delay patients in Surabaya. Method: This study is a pre-experimental study with a research design referring to one group pretest-posttes. This study was conducted in Surabaya from June to August 2024, which began with sample collection, post-intervention variable examination to report preparation. The population is patients with motor delays aged 1-3 years in development delay patients in Surabaya. The population to be studied is 15 patients who are home visiting. The sample is the entire population of patients with motor delays in Surabaya. The data analysis used is univariate and bivariate analysis. Results: There is an effect of neuro senso motor on the motor skills of children aged 1-3 years in development delay patients in Surabaya; obtained a motor ability scale of 5.47 (smaller is better) in patients with development delay before neuro senso motor; obtained a motor ability scale of 3.07 (smaller is better) in patients with development delay after neuro senso motor; and there is an improvement in motor ability scores by 2.40 in patients with development delay before and after neuro senso motor administration.
EFEK TENS DAN WILLIAM FLEXION TERHADAP FUNGSIONAL DAN NYERI PADA PASIEN MYOGENIC LOW BACK PAIN Maharani, Louise gabriella Kurnia; Halimah, Nurul; Sartoyo, Sartoyo; Fariz, Achmad
Kieraha Medical Journal Vol 6, No 2 (2024): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v6i2.8987

Abstract

Nyeri punggung bawah adalah nyeri yang disebabkan oleh ketegangan atau stres pada otot punggung, tendon, dan ligamen. Nyeri ini biasanya muncul saat melakukan aktivitas sehari-hari yang berlebihan. Nyeri punggung bawah perlu mendapat perhatian karena dapat menjadi masalah seperti hilangnya waktu kerja, penurunan produktivitas kerja. Myogenic low back pain dapat diatasi dengan kombinasi TENS dan William Flexion. Penelitian ini bertujuan untuk mengetahui bagaimana pengaruh kombinasi Transcutaneus Electrical Nerve Stimulation (TENS) dan william flexion terhadap peningkatan fungsional dan penurunan nyeri pada pasien nyeri punggung bawah miogenik. Penelitian ini merupakan penelitian pra eksperimental. Dengan desain penelitian mengacu pada satu kelompok pretest-posttest. Peneliti memberikan pre-test fungsional dengan Oswetry Disability Index (ODI) dan nyeri dengan VAS pada pasien Myogenic low back pain kepada sampel yang akan diberikan perlakuan. Kemudian peneliti melakukan perlakuan berupa T ENS dan William Flexion. Setelah selesai perlakuan, peneliti memberikan post-test fungsional dengan ODI dan nyeri dengan VAS pasien nyeri pinggang miogenik. Penelitian ini dilaksanakan di Rumah Sakit Gotong Royong Surabaya. Populasi Penelitian adalah 105 pasien nyeri pinggang miogenik di Rumah Sakit Gotong Royong Surabaya yang datang ke Instalasi Rehabilitasi Medik. Sampel merupakan bagian populasi pasien nyeri pinggang miogenik di Rumah Sakit Gotong Royong Surabaya sebanyak 20 pasien. Hasil penelitian menunjukkan terjadinya peningkatan fungsional dan penurunan nyeri setelah dilakukan pemberian intervensi berupa Transcutaneous Electrical Nerve Stimulation (TENS) dan william flexion. Kesimpulan dari penelitian ini adalah terdapat pengaruh Transcutaneous Electrical Nerve Stimulation (TENS) dan william flexion terhadap peningkatan fungsional dan penurunan nyeri pada pasien Myogenic low back pain di Rumah Sakit Gotong Royong Surabaya.
EFEK KOMBINASI TENS DAN STATIC CYCLE TERHADAP NILAI NYERI DAN KEMAMPUAN FUNGSIONAL PENDERITA OSTEOARTHRITIS KNEE Natalia, Christovani Eva; Sartoyo, Sartoyo; Fariz, Achmad; Halimah, Nurul
Kieraha Medical Journal Vol 6, No 2 (2024): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v6i2.9029

Abstract

Osteoarthritis (OA) merupakan penyakit kronis dan kelainan ortopedi yang paling umum. Sebagian besar beban sosial OA berhubungan dengan pinggul dan knee. Osteoarthritis knee kronis menyebabkan rasa sakit, degenerasi sendi, dan secara bertahap kehilangan tulang rawan sendi. Selain itu, sklerosis subkondral dan osteoarthritis kronis berhubungan langsung, dan osteofit merupakan hasil dari keduanya. Ketikaosteoarthritis kronis menyerang knee, pembengkakan dan rasa sakit bertahan selama lebih dari 12 minggu. Untuk mengetahui pengaruh kombinasi TENS dan Static Cycle terhadap nilai nyeri dan kemampuan fungsional penderita osteoarthritis knee di RS K Ngesti Waluyo Temanggung. Penelitian ini merupakan penelitian pre eksperimental. Dengan desain penelitian mengacu pada one group pretest-posttes. Peneliti memberikan pre-test nyeri dan Fungsional Knee kepada sampel yang akan diberikan perlakuan. Kemudian peneliti melakukan perlakuan berupa TENS (Transcuntaneous Electrical Nerve Stimulation) dan Static Cycle. Setelah selesai perlakuan, peneliti memberikan post-test nyeri dan Fungsional Knee. Penelitian ini dilaksanakan di Di RS Kristen Ngesti Waluyo Temanggung, Jawa Tengah pada Mei - Juni 2024. Populasi pada penelitian ini 45 pasien yang datang dengan keluahan nyeri knee ke instalasi rehabilitasi medik. Sampel dalam penelitian adalah penderita osteoarthritis knee pada Instalasi Rehabilitasi medik RS Kristen Ngesti Waluyo Temanggung yang sesuai dengan krteria inklusi dan ekslusi yang berjumlah 20 sampel. Hasil penelitian menunjukkan kombinasi Transcutaneous Electrical Nerve Stimulation dan Static Cycle dapat mengurangi nyeri dan meningkatkan kemampuan fungsional penderita osteoarthritis. Kesimpulan dari penelitian ini adalah terdapat pengaruh kombinasi Transcutaneous Electrical Nerve Stimulation dan Static Cycle terhadap penurunan nyeri peningkatan kemampuan fungsional pada kondisi Osteoarthritis Knee di RS K Ngesti Waluyo Temanggung, Jawa Tengah.   
LATIHAN PROPRIOSEPTIF PADA ANAK DENGAN AUTISM SPECTRUM DISORDER Yuliati, Wiwik; Halimah, Nurul; Kasimbara, Rachma Putri; Sartoyo, Sartoyo
Kieraha Medical Journal Vol 6, No 1 (2024): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v6i1.7091

Abstract

Autism Spectrum Disorder (ASD) adalah gangguan perkembangan pervasif yang terjadi pada anak usia dini, dilihat tanda dan gejalanya pada dua tahun pertama kehidupan. Anak dengan ASD mengalami kesulitan dalam mengintegrasikan informasi sensoris, termasuk indera proprioseptif. Defisit pemrosesan informasi sensori dapat menyebabkan defisit kemampuan motorik kasar. Penelitian ini bertujuan untuk mengidentifikasi pengaruh latihan proprioseptif dengan peningkatan kemampuan motorik kasar pada anak dengan Autism Spectrum Disorder. Desain Penelitian ini iyalah latihan proprioseptif pada penggunaan sinyal somatosensori yaitu proprioseptif atau taktil aferen tanpa melalui informasi dari bantuan atau modalitas lain seperti penglihatan. Jenis latihan yang diberikan meliputi latihan lompat trampoline, monkey climbing, pijat bola, dan gulung matras. Penelitian ini menggunakan one group pretest-postest pada 20 pasien ASD berusia 3-4 tahun yang sudah mendapatkan program latihan 2-3x/minggu selama 1 bulan. Hasil penelitian diperoleh nilai p = 0,000 (p 0,01) antara skor Peabody Development Measurement Scale-2 sebelum dan sesudah diberikan latihan proprioseptif. Terdapat pengaruh latihan proprioseptif terhadap peningkatan keterampilan motorik kasar.
The Effect Of Task-Oriented Gait Training Program On Improve The Walk Ability In Post Stroke Patients Nurul Halimah; Sartoyo Sartoyo; Achmad Fariz
Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health Vol. 2 No. 1 (2022): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Stroke is the main cause of disability and death in the world, which can make sufferers experience a decrease in quality of life, such as common problems from stroke are balance disorders, endurance, walking speed, cognitive function and walking ability. This study aims to determine the effect of task-oriented gait. training on changes in balance, endurance, walking speed, cognitive function and the ability to walk in post stroke patients. This research is a quasy experimental research with a pre-test-post-test two group design approach. This study evaluated the balance, endurance, walking speed, cognitive function and walking ability of post-stroke patients. This research was conducted at RSKD South Sulawesi (Stroke Center) Makassar and RSUD Haji Makassar with a total sample of 15 patients aged 40 years and over, diagnosed with post stroke movement function disorders, confirmed medical records that were scheduled to undergo physiotherapy. Samples were taken using purposive sampling method. Balance is measured by the Berg Balance Scale (BBS), endurance is measured by a 6-minute Walk Test (6MWT), walking speed is measured by a 4-meter Timed Walk (Gait Speed Test), and walking ability is measured by Modified Functional Ambulation Categories (mFAC). Measurements were made before the intervention and after the treatment group and the control group. The results of the intervention group study showed that Task-Oriented Gait Training gave significantly better resultsthan the control group.
The Relationship Of Physiotherapy Services With The Compliance Level Of Elderly Patients At Running The Physiotherapy Program In Dr. Soepraoen Malang Hospital Rachma Putri Kasimbara; Ikhtiqod Suhernanda; Sartoyo; Agung Hadi Endaryanto
Poltanesa Vol 23 No 2 (2022): Desember 2022
Publisher : P2M Politeknik Pertanian Negeri Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51967/tanesa.v23i2.2079

Abstract

Based on the results of observations of researchers at dr. Soepraoen the physiotherapy services provided are not optimal, as seen from the level of patient compliance which is lacking, this is influenced by several factors, namely reliability, responsiveness, lack of empathy for the physiotherapist, plus incomplete and inadequate facilities. So this study aims to see. There is a relationship between physiotherapy services and patient satisfaction. This research was conducted at dr. Soepraoen with a sample of 85 respondents using a purposive sampling technique. The research instrument used was a questionnaire and the data was analyzed using the chi-square test with a significant level (α=0.05). The results of this study indicate that there is a relationship between physiotherapy services and patient satisfaction (p=0.000). Based on research results. It can be concluded that there is a relationship between physiotherapy services and patient compliance.
PENGARUH DRY NEEDLING TERHADAP PENURUNAN NYERI PADA PASIEN KASUS SPASME UPPER TRAPEZIUS DI RW 1 DESA GURAH KECAMATAN GURAH KABUPATEN KEDIRI Rizky Pratama Putra; Agung Hadi Endaryanto; Sartoyo Sartoyo; Nurul Halimah
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 01 (2024): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i01.603

Abstract

Background: Spasm is an informal, non-specific term often used to describe musculoskeletal pain. Pain is an uncomfortable and unpleasant feeling associated with tissue damage. Pain is also a subjective feeling that is felt. Spasm pain that often occurs is pain in the upper trapezius muscle area which is caused by work, stress and posture. Dry needling is a method that uses dry and sterile needles which is often used to help reduce pain in muscle trigger points. The aim of this study was to determine the effect of dry needling on reducing pain in patients with cases of upper trapezius spasm. Methods: The research design used was quasi experimental with a pre and post-test one group design research type with a total of 17 respondents who met the exclusion and inclusion criteria using a purposive sampling technique. Pain was measured using a visual analog scale (VAS) which was carried out before and after physiotherapy treatment in 1 group, namely; dry needling with 1 administration. Statistical tests use the Wilcoxon test. Results: When giving dry needling, the median value was pre 6 to post 2 with a P value = 0.00. Conclusion: it can be concluded that dry needling is effective in reducing upper trapezius spasm pain. Keywords: Dry Needling, Pain, Spasm
PENGARUH ULTRASOUND DIATHERMY DAN OPEN KINETIC CHAIN EXERCISE TERHADAP KEMAMPUAN FUNGSIONAL PADA PENDERITA OSTEOARTHRITIS GENU Kristiani Hariskawati; Sartoyo Sartoyo; Yohanes Deo Fau; Fransisca Xaveria Hargiani
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 01 (2024): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i01.605

Abstract

Introduction: Osteoarthritis is one of the joint disorders that has decreased joint function, resulting in decreased functional ability in daily activities. Physiotherapy treatment to reduce complaints felt by giving ultrasound diathermy and open kinetic chain exercises. The purpose of this study was to determine the effect of ultrasound diathermy and open kinetic chain exercises in improving functional ability in patients with osteoarthritis genu. Methods: This study used pre-experimental methods in a one-group pretest-posttest design. Functional ability was measured using the knee injury and osteoarthritis outcome score (KOOS) scale before and after treatment, namely the administration of diathermic ultrasound and open kinetic chain exercises 2 times a week for 1 month, with a sample of 22 randomly selected respondents. Results: The paired sample t-test hypothesis showed a p-value = 0,000 (0,000<0,05). Conclusion: there is an effect of ultrasound diathermy and open kinetic chain exercise on improving functional ability in patients with osteoarthritis genu. Keywords: functional ability, open kinetic chain exercise, osteoarthritis genu, ultrasound diathermy
EFEKTIFITAS ULTRASOUND DIATHERMY DAN MUSCLE ENERGY TECHNIQUE DENGAN TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION DAN MUSCLE ENERGY TECHNIQUE TERHADAP KEMAMPUAN FUNGSIONAL PASIEN OSTEOARTHRITIS GENU : PERBANDINGAN MUSCLE ENERGY TECHNIQUE DAN ULTRASOUND DIATHERMY DENGAN MUSCLE ENERGY DAN TENS TERHADAP KEMAMPUAN FUNGSIONAL PASIEN OSTEOARTHRITIS GENU marli susanti; Sartoyo Sartoyo; Yohanes Deo Fau; Fransisca Xaveria Hargiani
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 02 (2024): Jurnal Kesehatan Hesti Wira Sakti Vol. 12 Issue 02
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i02.610

Abstract

Osteoarthritis is a disease that damages the knee joint due to aging and progressivity It affects two-thirds of humans over 65 years old. The physiotherapy treatment used is a combination of ultrasound and muscle energy technique with transcutaneous electrical nerve stimulation and muscle energy technique The purpose of this study was to determine the difference in the effectiveness of ultrasound diathermy and muscle energy technique with transcutaneous electrical nerve stimulation and muscle energy technique on changes in functional abilities of patients with genu osteoarthritis. The design of this study was quasi-experimental with a pre test post test with a study population consisting of 30 knee pain respondents at rsud dr.iskak tulungagung in july-september 2023, who met the inclusion criteria of 30 respondents with purposive sampling technique. Functional ability of genu osteoarthritis patients was measured by the womac scale before and after physiotherapy treatment, namely; giving ultrasound and muscle energy technique 15 respondents and transcutaneous electrical nerve stimulation and muscle energy technique 15 respondents every 2 times a week for 4 weeks.Using the Wilcoxon hypothesis test with the results of the median value of usd and met; pre value 65; post value 59; and P value 0.001, and median value of tens and met; pre value 61; post value 57; and P value 0.000. Shapiro-wilk comparison test sig value usd and met 0.271 > 0.05 means the data is normally distributed, sig value tens and met 0.802 > 0.05 means the data is normally distributed. Because the data is normally distributed, the statistical test to determine the treatment comparison, using the Independent Sample T Test p / sig value (2-tailed) 0.601> 0.05, conclusion: H0 accepted H1 rejected. So it can be concluded that there is no significant difference between the administration of usd and met with the administration of tens and met on changes in the functional abilities of patients with genu osteoarthritis.
COMPARISON OF SPORTS MASSAGE AND ICE COMPRESS ON CHANGES IN THE DURATION OF DECREASING THE PAIN VALUE OF HAMSTRING MUSCLE DOMS RUGBY ATHLETES PON JABAR TO XXI: PERBANDINGAN SPORT MASSAGE DAN ICE COMPRESS TERHADAP PERUBAHAN DURASI PENURUNAN NILAI NYERI DOMS OTOT HAMSTRING ATLET RUGBY PON JABAR KE XXI Diki Permadi Pratama; Fransiska Xaveria Hargiani; Angria Pradita; Sartoyo Sartoyo
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 02 (2024): Jurnal Kesehatan Hesti Wira Sakti Vol. 12 Issue 02
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i02.713

Abstract

Delayed Onset Muscle Soreness (DOMS) is muscle discomfort that varies from mild tension to severe pain that can impair function. DOMS pain is caused by the accumulation of metabolic waste in the muscle, such as lactic acid, as well as extracellular fluid that irritates the sensory fiber endings. Physiotherapy modalities, such as Sports Massage and Ice Compress, can be applied to prevent and treat DOMS. This quasi-experimental study used a two group pre-post test design that compared the effect of sports massage and ice packs on changes in DOMS pain values. This research was conducted at the Yonzipur 9 Ujung Berung field, Bandung City, with a population of 24 rugby athletes PON XXI JABAR, sampling using the total sampling method which was divided into 2 groups, namely (1) sports massage and (2) ice compresses with each group totaling 12 respondents. The measuring instrument used to assess the DOMS pain scale is the Numeric Rating Scale (NRS). The results of the study based on the median of the sport massage group before and after with a value of 7.5 and 4; the ice pack group showed a median value of 5 and 3 (before and after). Based on the Mann-Whitney analysis hypothesis test, the p value = 0.269> 0.05. It can be concluded that there is no significant difference in the effectiveness of the two methods. These findings indicate that Sports Massage and Ice Compress have comparable effectiveness in the management of DOMS muscle pain in athletes after intensive physical activity.
Co-Authors Achmad Fariz Achmad, Fariz Agung Endaryanto Agung Hadi Endaryanto Agung Hadi Endaryanto Agung Hadi Endaryanto Ahmad Fariz Anang Bekti Yulianto Anis Ansyori Aprilia, Mia Athirah, Luthfiyah Azra Binarti Widyanti Binti Karimatun Nikmah Candra Hermawan Candra, Kristian Ady Cesario Prima Rahmadani Christian, Gideon May Diki Permadi Pratama Ernayanti, Tasiya Bella Fariz, Achmad Fransisca Xaveria Hargiani Fransiska Xaveria Hargiani Hana Thrisminarsih Handini, Rr. Tri Retno Hargiani, Fransisca Xaveria Hargiani, Fransisca Xaveria Ikhtiqod Suhernanda Jamilatus Sholeha Kasimbara, Rachma Putri Kavita Yunanda Saphna Kristiani Hariskawati Kurniawan, Dedi K kusuma, fitria ary Maharani, Louise gabriella Kurnia marli susanti Moh Adi Bayu Arifin Natalia, Christovani Eva Novianto Agus Prabowo Nurul Halimah Nurul Halimah Pradita, Angria Pratiwi, Paulla Roro Putri, Silviana Rachma Putri Kasimbara Rizky Pratama Putra Saputra, Indra Kurniari Anggi Hari Sri Lestari Wati Wahyu Tejakusuma, Wahyu Wahyu, Ardhiles Wardoyo, Puspo Widyaningtyas, Erlina Yohanes Deo Fau Yuliati, Wiwik