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Study Kasus : Penatalaksanaan Fisioterapi Pada Kondisi Varises Vena Tungkai Bawah (VVTB) Fitriana Citra; Ade Irma Nahdliyyah
Jurnal Fisioterapi dan Rehabilitasi Vol 6 No 2 (2022): Jurnal Fisioterapi dan Rehabilitasi
Publisher : Universitas Widya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33660/jfrwhs.v6i2.167

Abstract

Varises tungkai bawah adalah kelainan pada vena akibat peningkatan tekanan vena yang dapat menyebabkan penonjolan kulit seluruh tungkai terutama tungkai bawah. Masalah pada varises tungkai bawah adalah nyeri, penurunan kekuatan otot dan penurunan aktivitas fungsional. Pemeriksaan fisioterapi meliputi pengkajian nyeri dengan Visual Analogue Scale (VAS), kekuatan otot dengan Manual Muscle Testing (MMT) dan kemampuan aktivitas fungsional dengan Foot and Ankle Disability Index (PADI). Dalam hal ini intervensi yang dipilih adalah Infra Red (IR) dan Terapi Latihan. Tujuan penelitian ini adalah untuk mengetahui pengaruh manajemen fisioterapi terhadap Varises Vena Ekstremitas Bawah (VVTB) dengan modalitas Infra Red (IR) dan terapi latihan. Penelitian ini dilakukan di RSUD Bendan Kota Pekalongan dengan metode penelitian deskriptif analitik. Subyek penelitian ini adalah pasien dengan Varises tungkai bawah. Metode pengumpulan data penelitian menggunakan autoanamnesis dan pemeriksaan fisik. Hasil penelitian antara lain: (1) terjadi penurunan nyeri, (2) terjadi peningkatan kekuatan otot, dan (3) terjadi peningkatan kemampuan aktivtias fungsional. Kesimpulan dari penelitian ini adalah intervensi fisioterapi dengan modalitas Infra Red dan Terapi latihan dapat mengurangi masalah yang timbul pada pasien dengan kondisi VVTB.
CORE STABILITY EXERCISE LEBIH BAIK DIBANDINGKAN BACK STRENGTHENING EXERCISE DALAM MENINGKATKAN AKTIVITAS FUNGSIONAL PADA PENGRAJIN BATIK CAP DENGAN KELUHAN LOW BACK PAIN DI KABUPATEN PEKALONGAN ade irma Nahdliyyah; N Adiputra; Sugijanto -
Sport and Fitness Journal Volume 3, No.2, 2015
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (80.67 KB)

Abstract

Preservation batik has become cultural heritage of Indonesia also needs to be balanced with the protection of the health of batik craftsmen. The health condition of batik craftsman is one off factor in the sustainability of batik in Indonesian because the capital of craftsman working productivity. Workloads such as position and wrong posture at works can lead to complaints of the musculoskeletal system. One of them is low back pain (LBP). LBP can reduce the functional abilities of the craftsmen. LBP is a very common problem in people working age. Structured exercise an option for the treatment of low back pain. Exercise to reduce pain and improve functional activities. The most important component in LBP is strength training exercises and one spinal stability with back strengthening exercises and core stability exercise. The purpose of this study to determine that core stability training exercise is better than a back strengthening exercise in increasing the functional activity of the batik craftsmen with low back pain in Pekalongan. The research designs is experiment true by the one group pre-test and post-test group design, conducted in January to August 2014. Samples were taken by purposive sampling with inclusion and exclusion criteria. In this study consist of 28 people with batik craftsmen low back pain who have worked a minimum of 5-20 years. Subjects were divided into two groups: group 1 (were given training back strengthening exercises) and group 2 (were given training core stability exercise). Measurement instruments to assess the functional activity used the Pain Disability Index (PDI). The result of statistical test with paired t-test found that the reduction in PDI scores of group 1 with p value = 0.001 and data reduction PDI score group 2 p value = 0.001. Different of PDI scores after treatment were analisys by Independent t-test in 2 groups with p value = 0.001 (p
PENGARUH TERAPI LATIHAN MC KENZIE MENGURANGI KETERBATASAN GERAK THORACAL PADA PEKERJA BATIK DENGAN KELUHAN JOINT BLOCKADE THORACAL Ade Irma Nahdliyyah; Dani Prastiwi
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 28, No 2 (2015): Pena Maret 2015
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v28i2.146

Abstract

Joint blockade thoracal can occur as a result of excessive stretching or contraction and repeated that lasts a long time so that muscles experience spasms that eventually cause  pain resulting in limitation  of  thoracal  movement.  One  effort  that  can  be  done  to  improve  the  in    limitation    of thoracal movement is through Mc. Kenzie Ecercise.This  study  aimed  at  investigating  the  effect  of  Mc.  Kenzie  Ecercise in  increasing  the  functional activity  of  the  batik  craftsmen  with Joint  blockade  thoracal.  This    research  was    a    quasy- experimental    design  with  one  group  pre-test  and  post-test.  The  study  population  was batik craftsmen  in  Sijambe  Village,  Wonokerto,  Wiradesa,  Pekalongan,  amounting  to  80  people. Samples  were  obtained  by  using  purposive sampling  so  that  the  sample  of  20  people. Test used paired sample t-test.The    results    showed    that    the significant  difference  before  and  after  exercise  Mc.  Kenzie  with p=0.000.Keyword : Mc. Kenzie, Excercise, Joint blocade thoracal
PENATALAKSANAAN FISIOTERAPI PADA KONDISI TUBERKULOSIS PARU DENGAN MODALITAS INFRARED DAN ACTIVE CYCLE OF BREATHING TECHNIQUE (ACBT) DI BBKPM SURAKARTA Ade Rachma Safira; Ade Irma Nahdliyyah
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 31, No 1 (2017): Pena Maret 2017
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v31i1.562

Abstract

Tuberculosis is an infectious disease and transmitted directly or indirectly caused byMycobacterium tuberculosa transmitted through the air when a tuberculosis patient coughs andspray saliva containing the bacteria are inhaled by another person while breathing and through thesaliva of using camp today eat / drink The same as the sufferer. This bacteria is an aerobic bacteriacapable of diprik living that has high oxygen partial pressure. Problems that occur in patients withpulmonary tuberculosis yaituseperti cough with phlegm, wheezing, shortness of breath, breathing,decreased thorkas cage and decreased functional activity.Management of physiotherapy in thecondition of pulmonary tuberculosis can be administered by using the modality infrared and activebreathing techniques active (ACBT). The research method used by the writer is using case study.After treatment was 5 times the results (1) decrease the breath of T1: 3 to T5: 0, (2) decrease insputum of T1: ++ (ronkhi loud voice) into T5: + (sound ronkhi downhill), (3 ) decrease in musclespasm of T1 results: 1 (no spasm) into T5: 0 (no spasm), (4) an increase in the expansion of thethoracic cage, (5) an increased functional activity.From the results already obtained, it can beconcluded that physiotherapy treatment on the condition of pulmonary tuberculosis by usinginfrared modalities and active cycle of breathing techniques (ACBT) can help reduce problemsarising on the condition of pulmonary tuberculosis.
PENATALAKSANAAN FISIOTERAPI PADA KONDISI ASMA BRONCHIALE DENGAN MODALITAS INFRA MERAH, CHEST FISIOTERAPI DAN LATIHAN PROGRESSIVE MUSCLE RELAXATION DI BBKPM SURAKARTA Rizza Mustafa; Ade Irma Nahdliyyah
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 33, No 1 (2019): PENA MARET 2019
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v33i1.820

Abstract

Bronchial asthma is a disorder characterized by continuous broncus hypersecretion and empysema, in which loss of lung supporting tissue causes severe respiratory tract narrowing that is especially noticeable when breathing out. In asthma, there are 3 (three) types of concurrent processes, namely inflammation (inflammation) in the respiratory tract, narrowing of the airway (bronkokonstriksi), excessive exposure of mucus / mucus fluid resulting from the three processes in the asthma, the asthma patients may experience difficulty breathing or tightness accompanied by coughing and wheezing.Management of physiotherapy in the condition of Bronchial asthma can be administered by using the modality Infrared, Chest Physiotherapy and Exercise Progressive Muscle Relaxation (PMR). The research method used by the writer is using case study. after physiotherapy action five times, the result of decreased shortness of breath was measured by borg scale from T1 = 4 to T5 = 0, the decrease of respiratory muscle spasm was measured by palpation from T1 = 1 to T5 = 0, presence sputum production decline is measured by auscultation and the number of sputum that comes out from the results T1 = wheezing (++) Crackles (++) Vout = 30 ml to T1 = wheezing (-) Crackles (+) Vout = 0 ml, the increasing expansion of the thoracic cage metline from results measured using T1 = 1 cm difference in axillary axis, ICS 4-5 and P. xyphoideus into T5 = 1.5 cm difference in axillary axis, ICS 4-5 and P. xyphoideus and an increase in functional activity was measured using the 6MWT From the result of T1 = 357.8 meters to T5 = 440 meters.From the results already obtained, it can be concluded with physiotherapy treatment on the condition of Bronchial asthma by using Infrared, Chest Physiotherapy and Exercise Progressive Muscle Relaxation (PMR) can help reduce problems arising on the condition of Bronchial asthma.
PENGARUH PENAMBAHAN Mc. KENZIE EXERCISE DENGAN DORONGAN SEGMENTAL PADA INTERVENSI MOBILISASI PACVP DAN MANIPULASI NELSON TRAKSI TERHADAP PENINGKATAN ROM EKSTENSI THORACAL AKIBAT JOINT BLOCKADE UPPER THORACAL. Ade Irma Nahdliyyah, SST.FT
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 19, No 1 (2010): Pena September 2010
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v19i1.13

Abstract

Penelitian ini bertujuan untuk mengetahui perbedaan pengaruh penambahan Mc. Kenzie exercise dengan dorongan segmental pada intervensi PACVP dan Nelson traksi terhadap peningkatan ROM ekstensi thoracal akibat joint blockade upper thoracal. Sampel terdiri dari 20 orang mahasiswa/i Universitas INDONUSA Esa Unggul dan dipilih berdasarkan teknik purposive sampling dengan menggunakan tabel assessmen yang tersedia. Sampel terdiri dari kelompok kontrol 10 orang dengan intervensi yang diberikan adalah mobilisasi PACVP dan manipulasi Nelson traksi dan kelompok perlakuan 10 orang dengan intervensi yang diberikan adalah Mc. Kenzie exercise dengan dorongan segmental, PACVP dan Nelson traksi. Penelitian ini merupakan jenis penelitian kuasi eksperimental untuk mengetahui efek suatu intervensi yang dilakukan terhadap obyek penelitian. Analisis statistik penelitian dengan uji T-Test Related dan T-Test Independent. Hasil uji homogenitas dengan uji F menunjukkan bahwa nilai P=0,505 (P>α=0.05) berarti bahwa pada awal penelitian antar kelompok kontrol dan kelompok perlakuan tidak terdapat perbedaan ROM ekstensi thoracal yang bermakna. Hasil uji T-Test Related pada kelompok kontrol (mobilisasi PACVP dan manipulasi Nelson traksi) nilai P=0.00 (P<0.05) dan pada kelompok perlakuan (Mc. Kenzie exercise dengan dorongan segmental, mobilisasi PACVP dan manipulasi Nelson traksi) nilai P=0.00 (P<0.05) berarti intervensi yang dilakukan pada kelompok kontrol dan perlakuan berpengaruh terhadap peningkatan ROM ekstensi thoracal. Dan hasil uji T-Test independent menunjukkan nilai P=0.018 (P>0.05) yang berarti ada perbedaan pengaruh yang signifikan antara intervensi PACVP dan Nelson traksi dengan intervensi penambahan Mc. Kenzie exercise dengan dorongan segmental, PACVP dan Nelson traksi terhadap peningkatan range of motion ekstensi thoracal akibat joint blockade upper thoracal. Kesimpulan : Dapat disimpulkan bahwa ada perbedaan pengaruh yang signifikan antara antara pemberian PACVP + Nelson traksi dan pemberian penambahan Mc.Kenzie exercise dengan dorongan segmental pada intervensi PACVP + Nelson traksi terhadap peningkatan ROM ekstensi thoracal akibat joint blockade upper thoracal.Kata Kunci : Mc. Kenzie Exercise, Mobilisasi PACVP, Manipulasi Nelson Traction, Jonit Blockade Upper thoracal, ROM.
Physiotherapy Management To Prevention Of Covid-19 By Improved Physical Activity In Elderly Andung Maheswara Rakasiwi; Ade Irma Nahdliyyah
Procedia of Social Sciences and Humanities Vol. 1 (2021): Proceedings of the 2nd International Conference On Intelectuals Global Responsibility
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pssh.v1i.34

Abstract

Coronavirus 2019 (COVID-19), is an acute respiratory syndrome caused by the corona-2 virus (SARS-CoV-2). Elderly is a condition where the tissue's ability to repair itself or replace itself slowly disappears and maintains its normal structure and function so that it cannot survive. Problems that may arise, it is necessary to improve or improve the physical condition of the elderly, which can help them to maintain their health in their retirement. This study aims to reduce the impact of the Covid 19 pandemic on the elderly, provide an overview of the physical problems of Covid 19 in the elderly and prevention of Covid 19 in the elderly. This type of research is a type of experimental research that uses a pre- experimental research design in the form of a one-group pretest-posttest design. showed a probability value with a value of p <0.05. These results indicate that physiotherapy management in the elderly during Covid 19 provided support for increased physical activity, so that the risk of being exposed to Covid 19 can be eliminated. management physiotherapy for covid 19 the p value is 0.000, p value <0.05, this shows that there are significant results between the pre test and post test on the physiotherapy management of the elderly during the Covid 19 pandemic. For the physical activity for elderly the p value is 0,015 this shows that the physical activities carried out by the elderly during a pandemic have not changed but can be given motivation to do physical activity. For the information fear of ctracting corona virus p value 0,007 this shows that the information on physical activity provided by physiotherapy does not change the fear of the elderly still being exposed to Covid
UPAYA PENCEGAHAN PENULARAN COVID-19 DENGAN MELAKUKAN BATUK YANG BENAR DAN KEBERSIHAN CUCI TANGAN DI KOMUNITAS KELUARGA DI DESA PEKUNCEN KECAMATAN WIRADESA KABUPATEN PEKALONGAN Ade Irma Nahdliyyah; Jihan Febrina Adella
PENA ABDIMAS : Jurnal Pengabdian Masyarakat Vol 2, No 2 (2021): Juli 2021
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (504.773 KB)

Abstract

COVID-19 is a disease caused by a new coronaviru strain. "CO" is taken from corona, "VI" virus, and "D" disease. Previously, the disease was called the '2019 novel coronavirus' or '2019-nCoV.' The COVID-19 virus is a new virus that is related to the same virus family as Severe Acute Respiratory Syndrome (SARS) and several types of common cold viruses. Etiology of COVID-19 severe acute respiratory syndrome coronavirus 2 (SARS-COV V-2): the 2019 coronavirus is different from SARS-CoV, but shares the same host receptor: human protective enzyme 2 (ACE2). From the observation process, the identification of physiotherapy problems in CPVID-19 by Lecturers and Students of the D-III Physiotherapy Study Program of the Faculty of Health Sciences,PekalonganUniversitywas carried out by interviewing the local community. Information obtained was in the form of problems, namely that there are still many people who do not know how to handle and prevent COVID -19. The observation process to identify physiotherapy problems in COVID-19 uses an assessment method. The purpose of this activity is to increase knowledge and understanding from the public, especially in knowing about the prevention of COVID-19 by means of good cough etiquette and how to wash hands properly for virus prevention. The solution offered by the team is to use counseling and training on how to prevent COVID-19 with good cough etiquette and proper hand washing. Five people participated in outreach and training activities. Prior to the extension and training process, the community had been given a pre-test and post-test proving that the level of public understanding had increased after being given counseling in efforts to prevent COVID-19.Keywords : Prevention of COVID-19, proper coughing and hand washing hygiene.
AKTIVITAS FISIK BAGI PEKERJA BATIK DI KECAMATAN WONOKERTO KABUPATEN PEKALONGAN JAWA TENGAH Ade Irma Nahdliyyah; Ristiawati Ristiawati; Eko Budi Prasetyo; Agung Hermawan
PENA ABDIMAS : Jurnal Pengabdian Masyarakat Vol 3, No 2 (2022): Juli 2022
Publisher : LPPM Universitas Pekalongan

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Abstract

Industri batik merupakan tiang perekonomian di Kabupaten Pekalongan salah satunya di wilayah Wonokerto. Aktivitas dari proses pembatikan memberikan dampak positif yaitu peningkatan perekonomian masyarakat baik melalui manufaktur maupun home industry batik dan tekstil. Selain itu juga membawa konsekuensi terhadap gangguan kesehatan para pekerjanya. Muskuloskeletal Disorders (MSDs) salah satu gangguan kesehatan yang sering di keluhkan oleh para pekerja batik. Proses pembuatan batik yang masih tradisional, manual serta kegiatan yang menetap secara terus menerus membuat otot-otot menjadi spasme dan menimbulkan nyeri pada beberapa bagian tubuh.  Selain itu uap lilin dan uap hasil pewarnaan akan mencemari udara dan menjadi polutan di lingkungan tempat kerja. Udara yang tercemar oleh polutan hasil dari kegiatan membatik akan berisiko terhadap gangguan kapasitas paru-paru. Identifikasi gangguan muskuloskeletal didapat dari pemeriksaan nordic body map indeks, nilai scoring nordic bady map indeks pada pekerja di dapatkan 30 – 73 dengan rerata 51,40 yang artinya mungkin diperlukan tindakan di kemudian hari(Wijaya K, 2019). Dengan keluhan para pekerja nyeri pada beberapa bagian tubuh yang mana di karenakan dari proses bekerja.Permasalahan ini terjadi karena kurangnya pemahaman para pekerja batik tentang dampak paparan uap malam, gangguan kesehatan terkait postur tubuh yang tidak ergonomis dan kurangnya aktivitas fisik pendukung pekerjaan.Tim PkM Universitas Pekalongan menawarkan solusi berupa kegiatan untuk menanggulangi permasalahan tersebut dengan memberikan penyuluhan dan pelatihan aktivitas fisik. Adapun aktivitas fisik yang akan berikan adalah metode Progressive Muscle Relaxation (PMR) yang merupakan suatu gerakan mengencangkan dan melemaskan otot pada suatu bagian tubuh untuk mengurangi dan mengendalikan dampak kesehatan yang dialami para pekerja batik tersebut.Kegiatan ini dilaksanakan dalam upaya untuk mengoptimalkan produktivitas pekerja serta perlindungan kesehatan pekerja batik melalui keilmuan Fisioterapi dan Kesehatan Masyarakat.Kata kunci : MSDs, paparan uap malam, Progressive muscle reaxation.
PENYULUHAN DAN PELATIHAN FISIOTERAPI PADA LANSIA DI POSYANDU HANDAYANI PUSKESMAS TONDANO KECAMATAN PEKALONGAN TIMUR KOTA PEKALONGAN Tema: Latihan Keseimbangan, Pernafasan untuk Meningkatkan Aktivitas Fungsional pada Lansia Ade Irma Nahdliyyah; Nur Achiri M; Tiara Arifandi
PENA ABDIMAS : Jurnal Pengabdian Masyarakat Vol 1, No 1 (2020): Juli 2020
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (487.808 KB)

Abstract

Counseling and Physiotherapy Training with Balance, Respiratory Exercise to Improve Functional Activities in the Elderly in Posyandu Handayani Tondano Health Center in East Pekalongan District Pekalongan City was attended by posyandu cadres, physiotherapists, and the main target is the elderly Posyandu Handayani in Puskermas Tondano Timur Pekalongan District Pekalongan City was attended by posyandu cadres, physiotherapists, and the main target is the elderly Posyandu Handayani in Puskermas Tondano Timur Pekalongan District Pekalongan City. Posyandu Handayani consists of 7 posts, each post consists of approximately 70 elderly with an age range of 50 years and over. Most of the elderly posyandu handayani members are women, half of them are still productive and others are not able to perform functional activities to the full. The majority of posyandu handayani members come from the lower middle class with low education levels. From the observation of the identification of physiotherapy problems in the elderly carried out by 6th semester students and lecturers of Study Program D III Physiotherapy, Faculty of Health, Pekalongan University, it was found that the elderly at Posyandu Handayani in Puskermas Tondano with poor balance conditions, when walking away the elderly experience their breathing wheezing. and the daily activities of the elderly tend to make the wrong moves. The solution offered to solve the problem is to use a situation analysis method in the form of observation with a physiotherapy assessment method. Participants who attended counseling and training as many as 40 people, 20 of whom experienced impaired balance and breathing. From the results of the pre-test and post conducted before and after counseling and training there are significant results about the knowledge of the elderly will increase functional activity with breathing and balance training methods.Keywords: Elderly, balance training, breathing exercises, functional activities