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EFEKTIVITAS PROGRAM REHABILITASI BERSUMBERDAYA MASYARAKAT TERHADAP PENYANDANG DISABILITAS DENGAN GANGGUAN GERAK Aditya Denny Pratama; Jihan Syifa Prayudipta
Jurnal Sosial Humaniora Terapan Vol 4, No 2: January - June 2022
Publisher : Program Pendidikan Vokasi UI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jsht.v4i2.225

Abstract

Children with disabilities with movement disorders are losing (in whole or in part) their body functions in motor activities (moving), such as running, fine motor skills, speaking, and others that for their activity daily living and self-care. To help serve people with disabilities, there are programs that are packaged in the form of community-based rehabilitation. This study aims to determine the effectiveness of community-based rehabilitation programs for persons with disabilities with movement disorders. The method used in this research is descriptive qualitative. The results showed that the implementation of the community-based rehabilitation program at Yayasan Pembinaan Luar Biasa Nusantara di Beji, Kota Depok, Jawa Barat, Indonesia was effective in providing education to create independence for persons with disabilities with movement disorders. Effectiveness is based on respondents who meet the inclusion criteria and indicators of the community-based rehabilitation matrix, namely, parents and persons with disabilities can access to health centers, education, and are involved in every activity in the community. The inhibiting factors that affect the effectiveness of the program, namely the lack of teachers or administrators from Yayasan Pembinaan Luar Biasa Nusantara Depok Guidance Foundation who participate in a series of community-based rehabilitation programs are an obstacle.
Efektivitas Program Rehabilitasi Bersumberdaya Masyarakat terhadap Edukasi Pentingnya Pemberian ASI dan Penanganan Kejang pada Anak dengan Disabilitas Aditya Denny Pratama
Jurnal Keperawatan Vol 14 No 3 (2022): Jurnal Keperawatan: September 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (235.457 KB)

Abstract

Pemberian Air Susu Ibu (ASI) eksklusif menjadi faktor penting dalam pertumbuhan dan perkembangan anak. Kurangnya edukasi orang tua tentang pentingnya pemberian ASI akan menyebabkan tumbuh kembang anak kurang optimal yang sering ditandai dengan kondisi anak dehidrasi, suhu tubuh meningkat hingga menyebabkan tubuhnya bereaksi kejang. Penelitian ini bertujuan untuk mengetahui efektifitas program Rehabilitasi Bersumberdaya Masyarakat (RBM) dalam memberikan edukasi pentingnya pemberian ASI dan penanganan kejang pada anak dengan disabilitas di Yayasan Pembinaan Luar Biasa Nusantara. Metode yang digunakan dalam penelitian ini adalah deskriptif kualitatif. Hasil penelitian menunjukkan bahwa pelaksanaan program RBM di Yayasan Pembinaan Luar Biasa Nusantara efektif dalam memberikan edukasi pentingnya pemberian ASI dan penanganan kejang pada anak dengan disabilitas. Efektivitas didasarkan pada indikator matriks RBM yaitu, orang tua dan penyandang disabilitas dapat mengakses akses ke pusat kesehatan, pendidikan, dan dilibatkan dalam setiap kegiatan yang ada di masyarakat. Faktor penghambat yang mempengaruhi efektivitas program yaitu kurangnya jumlah guru atau pengurus dari Yayasan Pembinaan Luar Biasa Nusantara yang mengikuti rangkaian program RBM menjadi hambatan dalam efektivitas program RBM.
Efektivitas Friction Massage Terhadap Mengurangi Nyeri Pada Kasus Myofascial Trigger Point Syndrome Otot Upper Trapezius Aditya Denny Pratama
Jurnal Ilmiah Fisioterapi Vol 4 No 01 (2021): Februari
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (547.915 KB) | DOI: 10.36341/jif.v4i01.1732

Abstract

Background: Myofascial trigger point syndrome is a musculoskeletal disorder characterized by the presence of a trigger point in a sensitive area within the skeletal muscle band linkages, if pressure is applied to the area it will cause specific pain at a point that is pressed (tenderness). Myofascial trigger point syndrome is influenced both by mechanism and by positioning factors. Myofascial trigger point syndrome upper trapezius muscle radiates along the upper back and neck, behind the ears and at the temples. Methods: The research method used is in the form of a case study with 1 patient who was given physiotherapy intervention and evaluation 4 times. To overcome the problem of muscle pain in bilateral trapezius m.upper in this study, using manual physiotherapy intervention therapy in the form of friction massage. Result: The results obtained, there was a decrease in tenderness in the upper trapezius muscle VAS 5 during the first evaluation to VAS 2 at the fourth evaluation with an average VAS value pre and post after one month for four interventions, namely 1.72. The MDC value (95) is 0.196 and the MCID range is 0.88-1.7, and 1.46-2.28. Conclusion: Based on these results, it can be concluded that physiotherapy intervention with the manual method of therapy, friction massage is considered effective in reducing pain in patients with myofascial trigger point syndrome, upper trapezius muscle with visual analogues scale (VAS) parameters. Keyword : Myofascial Trigger Point Syndrome, Manual Therapy, Friction Massage
Efektivitas Quadriceps Setting Exercise (QSE) Dalam Meningkatkan Kemampuan Fungsional Pada Pasien Osteoartritis Lutut Genu Bilateral Aditya Denny Pratama
Jurnal Ilmiah Fisioterapi Vol 4 No 02 (2021): Agustus
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (600.459 KB) | DOI: 10.36341/jif.v4i02.1738

Abstract

Background: Osteoarthritis (OA) is a long-term chronic disease characterized by damage to joint cartilage which causes friction between bones, causing stiffness, pain, and restriction of movement in the knee joint. While osteoarthritis genu is a degenerative joint disease associated with cartilage damage in the knee joint. Quadriceps Setting Exercise (QSE) exercise therapy generally provides benefits in reducing complaints which are thought to be able to improve the patient's functional ability to perform activities optimally. The aim of this study was to determine the effectiveness of the Quadriceps Setting Exercise (QSE) method in cases of knee osteoarthritis. Methods: Single case study, giving physiotherapy intervention to a 77-year-old woman with a diagnosis of bilateral genu knee OA. QSE was given for 2 weeks with 4 evaluations. Assessment of muscle strength using MMT. Results: There is an increase in MMT from 4 to 5 which is associated with the WOMAC score from 37 to 27, which indicates that there is an increase in the functional ability of the patient Conclusion: This study shows that the Quadriceps Setting Exercise (QSE) method of exercise can improve functional ability in osteoarthritis knees were measured using the WOMAC parameter.
EFEKTIVITAS BALANCE EXERCISE DAN GAIT TRAINING DALAM MENINGKATKAN KESEIMBANGAN DAN KECEPATAN BERJALAN PADA KASUS STROKE ISKEMIK Aditya Denny Pratama; Aisyah Aji Furqonah
Indonesian Journal of Physiotherapy Vol 1 No 2 (2021): Indonesian Journal of Physiotherapy
Publisher : Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (305.759 KB) | DOI: 10.52019/ijpt.v1i2.3015

Abstract

Stroke merupakan hilangnya fungsi otak secara mendadak dan memicu kelumpuhan unilateral yang dapat mengurangi kontrol postur dan keseimbangan sehingga pasien kesulitan untuk berjalan. Tujuan studi kasus ini adalah mengetahui efektivitas balance exercise dan gait training terhadap peningkatan keseimbangan dan kecepatan berjalan pada pasien stroke menggunakan parameter Timed Up and Go Test (TUGT) dan 10 Meter Walk Test (10MWT). Metode yang digunakan adalah evidence-based case report dengan pertanyaan klinis, “Bagaimana efektivitas balance exercise dan gait training terhadap peningkatan keseimbangan dan kecepatan berjalan pada kasus stroke iskemik?” dengan penelusuran bukti pada 3 database, yaitu Pubmed, science direct, dan scopus. Setelah dilakukan 6 kali evaluasi terdapat peningkatan keseimbangan dan kecepatan dimana pada evaluasi pertama didapatkan hasil pengukuran TUGT sebesar 14,14 detik, self selected velocity 0,63m/s dan fast velocity 0,66m/s. Pada evaluasi keenam didapatkan hasil sebesar 09,50 detik, self selected velocity 1,34m/s dan fast velocity 1,40m/s sehingga dapat disimpulkan bahwa balance exercise dan gait training efektif dalam meningkatkan keseimbangan dan kecepatan berjalan pada pasien stroke dengan nilai minimal detectable change (MDC) TUGT sebesar 2,9 detik dan 10MWT pada self selected velocity sebesar 0,18m/s dan fast velocity sebesar 0,13m/s serta nilai minimally clinically important difference (MCID) TUGT sebesar 3,4 detik dan 10MWT sebesar 0,16m/s.
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.
EFEKTIVITAS MIRROR THERAPY TERHADAP PENINGKATAN MOTOR SKILL EKSTREMITAS ATAS PADA KASUS STROKE : LITERATURE REVIEW Aditya Denny Pratama; Mufida Zahra
Jurnal Ilmiah Fisioterapi Vol 6 No 02 (2023): Agustus
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jif.v6i02.3205

Abstract

Stroke is a neurological deficit that occurs suddenly caused by vascular disorders in the form of a lack of oxygen supply to the brain that lasts more than 24 hours, resulting in damage or necrosis of brain tissue. Clinical problems that are usually found include motor, language, sensory, cognitive and emotional disorders. One of the therapeutic methods that can be used to improve upper extremity motor skills in stroke patients is mirror therapy. The purpose of this study was to determine the effectiveness of mirror therapy to increase upper extremity motor skills in stroke cases. This study is a literature review study with a narrative method used. An evidence search was conducted on 5 databases, namely, Proquest, Scopus, Science Direct, Sage Publications and Taylor and Francis. The keywords used were “Mirror Therapy” AND “Stroke” AND “Upper Limb OR Upper Extremity” AND “Motor Skill” with the inclusion criteria of full text articles, appropriate medical diagnosis and the last 5 years publication. There are 6 articles that will be reviewed. Based on a review conducted on 6 research articles, 4 of them stated that mirror therapy is effective for improving upper extremity motor skills in stroke patients with various parameters such as the upper extremity full-meyer assessment test (FMA-UE), action research arm test (ARAT). ), box and block test and wolf motor functional test (WMFT)
Studi Kasus Penatalaksanaan Terapi Okupasi BersumberdayaMasyarakat Dalam Aktivitas Memasak Pada Penderita StrokeDi Desa Setisari Gidion, Hermito; Luthfi, Muhammad; Fajariani, Dini; Pratama, Aditya Denny
Jurnal Fisioterapi Terapan Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

Stroke is a health problem that affects a person's independence. Occupational therapists can carry out community-based occupational therapy (TOBM) in intervening in stroke patients. The aim of this intervention is to improve the patient's ability to cook from an occupational therapy perspective. In community service through TOBM, stroke patients in Siteari village were given an intervention for 1 month to assess an increase in independence in cooking. There are results that TOBM can increase patient independence in cooking.
Efektivitas Balance dan Core Exercise untuk meningkatkanKeseimbangan Statis pada Kasus Stroke Hemiparese Sinistra Pratama, Aditya Denny; Fatimah, Fatimah; Noviana, Mita; Pahlawi, Riza
Jurnal Fisioterapi Terapan Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

Stroke is a rapidly developing loss of brain function due to interruption of the blood supply to the brain. This can be caused by a blockage or bleeding in the blood vessels in the brain. The purpose of this study is to find out and understand how the effectiveness of balance and core exercise is to improve static balance in cases of left hemiparese stroke at Karmel Stroke Services. Of the various physiotherapy methods that can be done to overcome problems that can arise such as muscle weakness, balance disorders, posture disorders, and Activity Daily Living (ADL) disturbances in cases of left hemiparese stroke, in writing this final paper, the author chooses to use Balance and Core. Exercise. The writing method used in this case is an evidence-based case report with clinical questions. "How is the effectiveness of balance and core exercise to improve static balance with functional reach test parameters in cases of hemiparese sinistra et causa stroke haemorrhage?" To be able to answer this question, a search for evidence was carried out on 3 databases, namely Pubmed, Science Direct, and the Chocrane Library. The keywords used were "balance exercise OR core exercise AND Stroke" with full text article inclusion criteria, medical diagnosis of stroke, handling with balance exercise and core exercise. In the search, 8 articles were found that met the inclusion criteria. Then the search stage was continued by reading the entire article and 2 articles were found that matched on Pubmed, 0 articles on Science Direct, and 1 article on the Cochrane Library.
Efektifitas ACBT Dalam Meningkatkan Ekspansi Dada Pada Kasus Bronchiectasis : Studi Kasus Pahlawi, Riza; Pratama, Aditya Denny; Noviana, Mita; Iskandar, Anastasia Viastuti
Jurnal Fisioterapi Terapan Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

Bronchiectasis is a major chronic disease characterized by infection, inflammation, and permanent dilation of the bronchial walls. Interaction of chronic infection, exacerbation, and inflammation resulting in lung injury. Patients with bronchiectasis have several clinical manifestations of primary bronchiectasis, which is the occurrence of recurrent, chronic infections. In patients with bronchiectasis, mechanical efficiency of breathing leads to decreased rib movement and increased abdominal movement leading to a paradoxical breathing pattern. Treatment goals include achieving symptom control, preventing or reducing exacerbations. Various alternative airway techniques have been used in the physiotherapeutic management of patients with bronchiectasis. Techniques are considered the way to be considered an integral component of management. The breathing technique consists of an intermediary that regulates breathing control, hard expansion exercises. ACBT (Active Cycle Breathing Technique) is an intervention that aims to improve the condition of the chest wall. ACBT has a significant effect on the rate of chest expansion. So that these interventions can increase chest expansion and can reduce fatigue in taking a breath.. The therapist does not huff because the patient can cough effectively. In addition to increasing chest expansion, the effectiveness of ACBT is also useful for reducing shortness of breath, reducing phlegm, and exacerbations. Appropriate ACBT can also exacerbation of symptoms and reduce patient morbidity and mortality. Because of its effectiveness, it is preferred by the patient and if the cost is really enjoyed by the patient, it can be done at home. Other airway treatments have also shown benefit for the treatment of bronchiectasis, but ACBT shows a great effect on symptoms.1 ACBT has a significant effect in improving airways and improving lung function in bronchiectasis, but ACBT has a better effect on improving airways.