Articles
Gambaran Proses Pembuatan Transfemoral Prosthesis Menggunakan Polycentric Knee Joint Untuk Pasien Amputasi Atas Lutut
Ismi Dwi Syafitri;
Nur Rachmat
Jurnal Keterapian Fisik Vol 3 No 1 (2018): JURNAL KETERAPIAN FISIK
Publisher : Poltekkes Kemenkes Surakarta
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DOI: 10.37341/jkf.v3i1.103
Abstract : Transfemoral Amputasi, Transfemoral Prosthesis, Polycentric Knee Joint. World Health Organization (WHO) estimated that there are 40 million amputees throughout the developing countries. Amputation in the lower limbs reached 85% -90% of all amputations. Transfemoral amputation because of this amputation occurs in the thigh that passed through the femur bone. Amputation causes significant gait abnormalities. amputation levels increased, the functional level is reduced, and the characteristic of the gait abnormality is immediately apparent. Transfemoral Prosthesis is artificial limb that made for above knee amputation. making process of transfemoral prosthesis includes assessment, measurement, casting, fabrication, fitting, finishing. Of all components for transfemoral patients, prosthetic knee joints are the most important components that can affect to gait stability. The choice for the type of popular passive knee mechanism is polycentric knee. The polycentric knee joint mechanism, linkage of 4 and 6 bar mechanisms have been used to increase stability during the stance and kinematic phase of the swing phase.
Pengaruh Penggunaan Afo Fleksibel Terhadap Keseimbangan Dinamis Pada Hemiparetic Cerebrovascular Accident (CVA)
Nur Rachmat;
Agus Seto Nugroho;
M Syafii
Jurnal Keterapian Fisik Vol 3 No 2 (2018): JURNAL KETERAPIAN FISIK
Publisher : Poltekkes Kemenkes Surakarta
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DOI: 10.37341/jkf.v3i2.112
Abstract Background: Stroke or Cerebrovascular Accident (CVA) is a primary neurologic problem in the United States and in the World. There are approximately 2 million people surviving from strokes that have a disability of 40% need help in daily activities (Brunener & Suddarth, 2002). The restoration of the functioning of the limbs and the ability to move within a community is a top priority for individual adoption after experiencing CVA. Ankle Foot Orthosis (AFO) can be used by someone with a CVA hemiparetic to help restrain ambulation abilities. AFO can prevent drop foot, controls the ankle in the coronal and sagittal areas during standing and walking and improves the stability of the knee during ambulation. Method: This research use cross sectional study method to find out what happened now by using correlative design design research. The researcher discusses the strength of the relationship between variables that is dynamic balance in drop foot because CVA, when using AFO Flexible. This data is obtained from direct measurement of dynamic balance of Flexible AFO users using Time up and go Test. Results :Differences in the effect of AFO on the dynamic balance of Hemiaretic Cerebrovascular Accident (CVA) patients in the intervention and control group. The results showed the average dynamic balance of hemiaretic cerebrovascular accident patients in the intervention group (28.20) while the mean equilibrium was maintained in the control group (12.80). The result of statistical test with man whitney showed p value 0,000 <0,05 so there was difference of influence of AFO use to dynamic balance of Hemiaretic Cerebrovascular Accident (CVA) patient in intervention group and control group. This means that the more frequently the patient uses AFO in daily activities it can improve the optimal dynamic balance and can perform activities independently. Conclusion: There is a difference in the effect of AFO on the dynamic balance of Hemiaretic Cerebrovascular Accident (CVA) patients in the intervention and control group with p value 0,000 <0.05.
An Overview Of The Quality Of Life Of Knee Osteoarthritis Patients At The Surakarta Orthopedic Hospital
Nur Rachmat;
Aji Janmo Minulyo;
Alfan Zubaidi
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 6 Number 1 Year 2021
Publisher : Poltekkes Kemenkes Surakarta
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DOI: 10.37341/jkf.v0i0.271
ABSTRACT Background: Osteoarthritis is a chronic degenerative disease of the joints. Functional limitations experienced by people with knee osteoarthritis are related to changes in quality of life. Knee Osteoarthritis needs to be assessed as a whole which includes several domains of quality of life, namely the domains of pain, stiffness and physical function. This study was conducted to determine the correlation between pain intensity and quality of life in patients with knee osteoarthritis. Methods: a quantitative study using an analytic observational method with a cross-sectional approach. Population of 70 patients, a sample of 33 patients. The research was conducted in October 2020 at the Orthopedic Hospital in Surakarta City, Central Java, Indonesia. Data were collected by direct interviews to assess pain intensity based on the Numeric Rating Scale (NRS) and assess quality of life based on the Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) questionnaire. Normality test using Sapiro Wilk because the data is normaly distributed. Hipotesis test using Pearson correlation. Results: Age range of patients with knee osteoarthritis mostly occurred at the age of 56-60 years, women had a greater frequency of experiencing knee osteoarthritis with a frequency of 78.8%, the most incidence of knee osteoarthritis was experienced by patients with normal BMI, namely 54.5%, The results of the Pearson correlation test showed a significance value of Sig. (2-tailed) is 0.000149 <0.05, which means that there is a significant correlation between the variables between pain and quality of life. Has a positive relationship and strong relationship strength (r = 0.613). Conclusion: There is a significant correlation between pain intensity and quality of life in patients with osteoarthritis
Effect Of Use Of Flexible Transfemoral Prosthesis On Level Of Independence In Performing Daily Activities Of Transfemoral Amputee
Nur Rachmat;
Bambang Kuncoro
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 7 Number 1 Year 2022
Publisher : Poltekkes Kemenkes Surakarta
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DOI: 10.37341/jkf.v0i0.310
Background: Transfemoral amputees experience many difficulties in carrying out daily activities. One of the devices that can be used in above-knee amputation patients is transfemoral prosthesis. The use of transfemoral prostheses in post-amputation patients can help with activities, one of which is independence in self-care, mobility, and locomotion. Methods: The study was conducted at PT Kuspito Orthotic Prosthetics and the time of the study was carried out in 2021. The population of this study was users of flexible prostheses at PT Kuspito Ortotik Prosthetic. The samples of this study were flexible prostheses users at PT. Kuspito prosthetic orthotic that meets the criteria as many as 30 users. The sampling technique was purposive sampling, inclusion criteria: subjects aged 17-35 years, subjects in good health, subjects using a flexible unilateral prosthesis, at least using an artificial leg for 1 month, having a strength value of 4, having normal Range Of Motion. Exclusion criteria: the subject had advanced disease, bilateral prosthesis user. The measuring instrument used was the Functional Independence Measure (FIM) questionnaire that is valid and reliable. Results: The value of Sig. is 0.000, there is a significant difference in the level of independence between the results of the pre-test and post-test. there is a significant difference in the results that using a flexible prosthesis can increase the level of independence in above-knee amputees in carrying out daily activities. Conclusion: The functional independence of above-knee amputation patients is strongly influenced by the use of a flexible prosthesis. It is recommended that above-knee amputation patients can use a flexible prosthesis to increase the level of independence.
Counseling Activities and Early Detection of Low Back Pain Cases with Farmers Group of Rukun Sentosa 1 Ngemplak Boyolali
Nur Rachmat;
Bambang Kuncoro;
Fadhila Firmanurulita
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2022): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya
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DOI: 10.35568/abdimas.v5i1.1819
Farming is a job that is mostly done by people in Boyolali. Low back pain in farmers often occurs because of the working position carried out by farmers, namely bending over. The use of a lumbar corset can reduce low back pain in farmers. The purpose of community service at the Rukun Sentosa Ngesrep 1 Ngemplak Boyolali Farmer Group is to empower farmers to know about early detection, prevention and treatment of low back pain that is often experienced by farmers. The activity is carried out in three months starting from May 31, 2021 to August 10, 2021. The stages of activity are preparation, implementation and evaluation. Preparation is carried out by conducting a preliminary survey to see conditions in the field and obtaining permits for activities in farmer groups. The implementation is carried out by empowerment in the form of counseling in the form of discussions with farmer groups, detection of farmers who experience pain, and giving a Lumbar Corset. Evaluation of activities is carried out for each stage by collecting and concluding data from each stage of activity. The result of the activity is the implementation of counseling and early detection of low back pain to farmers and providing a lumbar corset to be used by farmers to reduce back pain when farming. Implementing the activities of lecturers and students and assisted by the management and members of the Rukun Sentosa Ngesrep 1 Ngemplak Boyolali farmer group.
GAMBARAN KEPERCAYAAN DIRI PENDERITA SKOLIOSIS DENGAN PENGGUNAAN SCOLIOSIS BRACE
Nur Rachmat
Jurnal Skala Kesehatan Vol 10 No 2 (2019): JURNAL SKALA KESEHATAN
Publisher : Politeknik Kementerian Kesehatan Banjarmasin
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DOI: 10.31964/jsk.v10i2.213
ABSTRACT : The purpose is to return to the normal contour and align the spine and then makes the feeling of self-confidence sufferers re-arise. This research used quantitative research. The research method used in this study is research carried out with intrinsic case studies, the case taken are interesting cases to study. The research approach is purely qualitative by using direct contact methods, namely interviews. This study focused on the image of the patient's self-confidence using scoliosis.The results of the measurement with scoliosis can be seen from the degree asymmetry stem indicated on the cob angle. From the result of observation that the use of scoliosis brace can be seen, the patient has decreased self-confidence due to the pressure present on the scoliosis brace and the sound produced by the device. Keywords: Self-confidence, Scoliosis, Scoliosis Brace
Indeks Massa Tubuh dengan Keseimbangan Statis Pengguna Transtibial Prosthesis
Nur Rachmat;
Muhammad Syaifudin;
Hanifah Hanifah
Jurnal Kesehatan Vol 8, No 3 (2017): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang
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DOI: 10.26630/jk.v8i3.630
The balance of a person's body is affected by the Body Mass Index. Body Mass Index is the easiest way to estimate obesity as well as to be highly correlated with body fat mass, but it is also important to identify obese patients who have a risk of medical complications. Purpose of this study was to know correlation body mass index with the static balance of transtibial prosthesis user. The study was a quantitative research with a cross-sectional design. Location research in BBRSBD Prof. Dr. Soeharso Surakarta with sample were patients with post-amputation of transtibial as many as 15 people. Analysis of data was used correlation Pearson test. There was a correlation between body mass index with the static balance of transtibial prosthesis user, the coefficient correlation of -0.646 with significant and levels of correlation moderate. The value of normal body mass index has the highest static balance than lean body mass index and fat. Mass Index of the skinny body has a moderate static balance. Obese body mass index has the lowest static balance of body mass index thin and normal.
Static Balance Differences in Adolescent with Obesity Before and After The Medial Arch Support Usage
Nur Rachmat;
Dwi Setyawan;
Annisa Eka Septiani;
Esti Novi Andyarini
Journal of Health Science and Prevention Vol. 2 No. 1 (2018): JHSP Vol 2 No 1 - 2018
Publisher : State Islamic University of Sunan Ampel
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DOI: 10.29080/jhsp.v2i1.101
Obesity is a global epidemic and has become a health issue that must be addressed immediately.The purpose of this study was to analyze the Effect of the Medial Arch Support to a Static Balance in adolescent with obesity in SMA N 1 Tangen. This research was using quasi experimental method with a single group pre test and post test designed. Fifteen students were selected as research subject based on inclution and exclution criterias. The subjects were given an explanation of the purpose of this study and voluntarily participated by signing informed consent. The pre test (before using medial arch cupport) and post test (after using medial arch support) stages was conducted by using standing stork test. Data was analyzed using wilcoxon test hypotheses. The result of the study showed a significant influence on the medial arch support usage to increase the static balance in adolescent with obesity in SMA N 1 Tangen. It is showed by probability value p=0.029 for the right leg and p=0.023 for the left leg.
Hubungan Lama Duduk dan Sikap Duduk terhadap Keluhan Nyeri Punggung Bawah pada Penjahit Rumahan Di Kecamatan Tasikmadu
Nur Rachmat;
Prasetyo Catur Utomo;
Esa Ridho Sambada;
Esti Novi Andyarini
Journal of Health Science and Prevention Vol. 3 No. 2 (2019): JHSP Vol 3 No 2 - 2019
Publisher : State Islamic University of Sunan Ampel
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DOI: 10.29080/jhsp.v3i2.204
Di Indonesia, menjahit merupakan pekerjaan yang telah ditekuni banyak individu maupun konveksi. Penjahit sering mengalami NPB karena posisi duduk dan lama duduk yang tidak sesuai sehingga terjadi keadaan postur yang kaku dan beban otot yang statis. Nyeri Punggung Bawah (NPB) merupakan salah satu gangguan musculoskeletal yang disebabkan oleh aktivitas tubuh yang kurang baik. Pekerja perlu diberikan istirahat aktif untuk dapat menghindari pekerjaan yang monoton dalam jangka waktu lama dan, dan relaksasi untuk mengendorkan ketegangan saraf dan otot akibat kerja. Tujuan: Tujuan penelitian ini untuk mengetahui hubungan lama duduk dan sikap duduk terhadap keluhan nyeri punggung bawah pada penjahit rumahan di Kecamatan Tasikmadu. Metode dan Subjek: Jenis penelitian ini adalah analitik observasional dengan studi cross sectional. Subjek yang digunakan adalah penjahit rumahan yang berada di Kecamatan Tasikmadu. Hasil: Ditemukan bahwa lama duduk (p = 0,000) dan sikap duduk (0,038) memiliki hubungan dengan kejadian NPB. Dari kedua hubungan diatas dapat di katakan bahwa lebih berhubungan lama duduk (0,713) dari pada sikap duduk (0,334) terhadap keluhan nyeri punggung bawah. Semakin lama ataupun semakin salah dalam melakukan aktifitas menjahit baik waktu menjahit maupun sikap dalam menjahit maka akan semakin mempengaruhi keluhan nyeri punggung bawah.
Analysis of effectiveness of online learning pandemic COVID-19 in prosthetic orthotic major
Nur Rachmat
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 17 No. 1 (2021): June
Publisher : POLTEKKES KEMENKES YOGYAKARTA
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DOI: 10.29238/jtk.v17i1.984
Background: Prosthetic Orthotics Major in Polkesta conducts online lectures in order to support government efforts in the even semester 2019/2020, starting from March 2020 until the end of the even semester. Several online applications are used in support of online lectures. Method: This study was conducted to analyze the effectiveness of online learning during the covid19 pandemic in the orthotic prosthetic Major in Polkesta Indonesia. This is a quantitative descriptive study. This research uses a survey method using an online Google Form questionnaire. The population is students of Prosthetic Orthotic Major, There are 322 respondents who are willing to contribute to the research. Results: there are 67 % of students felt less effective, 14% of students felt ineffective, and 20 % of students felt effective. Applications used by students and felt to be effective are Google meet, google classroom and WhatsApp Group. Learning methods using Life video conferencing are felt to be the most effective Conclusion: online learning process in the prosthetic orthotic major is not felt to be quite effective by students.