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Aditya Denny Pratama
Physiotherapy Department, Vocational Education Program, Universitas Indonesia
Arts Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Journal : Physical Therapy Journal of Indonesia

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The Effectiveness of Core Stability Exercise to Improve Functional Ability in A Lumbar Herniated Nucleus Pulposus Patient: A Case Study Aditya Denny Pratama; Muhamad Elfitra Salam
Physical Therapy Journal of Indonesia Vol. 2 No. 2 (2021): July-December 2021
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v2i2.24

Abstract

Background: Hernia Nucleus Pulposus (HNP) is a condition in which the nucleus pulposus has bulged from the intervertebral disc, consequently damages the walls of the annulus fibrosus and compresses the nerves. Clinical problems such as radiating pain, sensory disturbances according to dermatomes, muscle weakness, restricted range of motion, especially during flexion, and decreased functional ability. Core stability exercise is one of the physiotherapy treatments to reduce pain and improve the patient's functional ability with lumbar HNP. The purpose of this study is to determine the effectiveness of core stability exercise on increasing functional ability in cases of lumbar HNP with Modified Oswestry Low Back Pain Disability Questionnaire as a parameter. Methods: A single case study provided a physiotherapy intervention to a 56-year-old female patient for four weeks with four evaluations. The dose of exercise given was three times a week, three sets, five repetitions, 6-9 minutes of each type of exercise, and hold time 5-10 seconds. The improvement of functional ability is measured by using the Modified Oswestry Low Back Pain Disability Questionnaire. Results: There was an improvement in functional ability as measured by Modified Oswestry Low Back Pain Disability Questionnaire. At pre-intervention, the Modified Oswestry score was 52% meaning the patient had severe disability. On the 4th week evaluation, the patient's Modified Oswestry score decreased to 26%, indicating moderate disability. Conclusion: This study showed that core stability exercise effectively improved functional ability in a patient with lumbar HNP.
Prioritization of key areas of the resilience in children with cerebral palsy strategy based on the analytical hierarchy process Denny Pratama, Aditya; Purwana, Rachmadhi; Sopaheluwakan, Jan; Pranita, Diaz; Akbar, Bintang Mukhammad Burhanudin; Chen, Jein-Wen
Physical Therapy Journal of Indonesia Vol. 6 No. 1 (2025): January-June 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i1.267

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Background: Children with cerebral palsy (CP) often require various forms of support to fulfill their basic rights and achieve a good quality of life. This research aimed to identify strategies to enhance the resilience and sustainability of children with CP. Methods: This research used the analytic hierarchy process (AHP) developed by T. Saaty. We identified key elements, such as social, economic, and environmental factors, that enhance resilience in children with CP. This study used expert respondents, including the government, academics, the community, the private sector, society, and people with CP. Results: The research results indicated that the main strategies were strengthening central and regional regulations, updating integrated data, enhancing the ecosystem of inclusive disability services, increasing the quantity and quality of medical and educational personnel, massive social movements related to disabilities, and building inclusive areas. The government plays a key role in determining policies that would have an overall impact. The potential for the sustainability of children with CP could be realized by paying attention to the key factors crucial for the sustainability of children with CP. Conclusion: According to this study, local governments should be better equipped to create policies based on reliable disability data. Teachers and medical staff should also get continual training on how to help children with CP. To ensure the strategy's durability, stakeholder collaboration using the Penta Helix approach must be institutionalized. This study suggested that we should increase the public advocacy through social movements and the media to end stigma and promote inclusive public space design.
The effect of non-invasive treatment based on neurodevelopmental treatment on trunk control and upper extremity functional ability in children with spastic diplegia cerebral palsy Pratama, Aditya Denny; Hasyim, Hana; Moffat, Marilyn
Physical Therapy Journal of Indonesia Vol. 6 No. 1 (2025): January-June 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i1.271

Abstract

Background: Children with spastic diplegia cerebral palsy often showed impaired trunk control and upper limb function, which limited their daily activities and independence. Neurodevelopmental treatment (NDT) was used as a physiotherapy approach to improve motor control and reduce abnormal muscle tone. However, the evidence on its effectiveness for upper limb function and trunk control remained limited. This study aimed to examine the effect of non-invasive treatment based on NDT on trunk control and upper extremity functional ability in children with spastic diplegia. Methods: This pre-experimental one-group pre-test–post-test study involved 20 children aged 5–12 years with spastic diplegia cerebral palsy (gross motor gunction classification system (GMFCS) Level III) who received NDT-based physiotherapy twice a week for eight weeks at Yayasan Ramah Cerebral Palsy (RCP), Bogor. The study excluded children with spastic hemiplegia, quadriplegia, athetoid CP, comorbid conditions such as heart disease, non-active members, and those who did not undergo therapy at RCP. Researchers measured upper extremity function using the quality of upper extremity skills test (QUEST) and assessed trunk control using the trunk control measurement scale (TCMS). They analyzed the data using paired sample t-tests to compare pre- and post-intervention results and applied Pearson’s correlation to examine the relationship between trunk control and upper limb function. Results: Post-intervention evaluation revealed a significant improvement in upper extremity function (QUEST mean increase: 22.45±3.05, p< 0.001) and trunk control (TCMS mean increase: 16.15±5.01, p< 0.001). The relationship between improved trunk control and enhanced upper extremity function was significant, as indicated by Pearson's correlation of 0.696, p < 0.001. Conclusion: In children diagnosed with spastic diplegia CP, an 8-week NDT intervention significantly improved upper extremity functional capacity and trunk control. The findings emphasized that the application of NDT in enhancing motor coordination and independence, thereby contributing to an improved quality of life for this population.
Co-Authors Agus tiyawan Aisyah Aji Furqonah Aisyah Aji Furqonah Akbar, Bintang Mukhammad Burhanudin Amany, Inas Chen, Jein-Wen fatimah Fatimah Hasyim, Hana Jihan Syifa Prayudipta Moffat, Marilyn Mufida Zahra Muhamad Elfitra Salam Nabiel, Muhamad Naufal Rafi Raihan Nisrinaa, Nadaa Nadiyah Noviana, Mita Pahlawi, Riza Pranita, Diaz Rachmadhi Purwana Riza Pahlawi Sopaheluwakan, Jan Widyadhana, Rakha Shidqi Fajariani, Dini Gidion, Hermito Iskandar, Anastasia Viastuti Luthfi, Muhammad Pahlawi, Riza