M. Irfan
Fakultas Fisioterapi Universitas Esa Unggul

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KOMBINASI FOOT MUSCLE STRENGTHENING DAN KINESIOTAPING LEBIH BAIK DIBANDINGKAN DENGAN FOOT MUSCLE STRENGTHENING TERHADAP PENINGKATAN KESEIMBANGAN DINAMIS PADA ANAK DENGAN FLEXIBLE FLATFOOT Luh Ita Mahendrayani; Dewa Putu Gede Purwa Samatra; M. Irfan; Ni Wayan Tianing; Ni Nyoman Ayu Dewi; Sugijanto -
Sport and Fitness Journal Volume 6, No.1, Januari 2018
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (481.561 KB) | DOI: 10.24843/spj.2018.v06.i01.p04

Abstract

Pendahuluan: Keseimbangan dinamis merupakan sistem gerak yang berfungsi mengontrol dan mempertahankan posisi tubuh yang melibatkan sistem neuromuskular, muskuloskeletal dan kognitif dengan perubahan dari center of gravity. Keseimbangan merupakan komponen penting dalam aktivitas motorik dan kontrol postural. Hal ini dapat terganggu karena kondisi flexible flatfoot. Flexible Flatfoot adalah bentuk telapak kaki datar yang disebabkan oleh hilangnya arkus longitudinal medial saat berdiri dan akan muncul saat telapak kaki tidak menyentuh tanah yang akan menyebabkan keseimbangan dinamisnya terganggu. Tujuan penelitian ini adalah untuk membuktikan perbedaan efektivitas kombinasi foot muscle strengthening dan kinesiotaping dengan foot muscle strengthening terhadap peningkatan keseimbangan dinamis pada anak dengan flexible flatfoot.Metode: Penelitian ini adalah eksperimental dengan rancangan pre and post test control group design. Subyek penelitian ini berjumlah 26 orang, yang terbagi menjadi 2 kelompok, dimana Kelompok Perlakuan (n=13) diberikan intervensi foot muscle strengthening dan kinesiotaping sedangkan Kelompok Kontrol (n=13) diberikan intervensi foot muscle strengthening. Diberikan perlakuan 3x seminggu selama 6 minggu. Teknik pengambilan sampel dengan random sampling. Keseimbangan dinamis diukur dengan balance beam walking test dan flexible flatfoot diukur dengan wet foot print test. Hasil: pada Kelompok Perlakuan diperoleh beda rerata keseimbangan dinamis sebelum intervensi sebesar 1,77±0,927 dan sesudah intervensi sebesar 3,54±0,877 dengan nilai p=0,001. Sedangkan hasil penelitian Kelompok Kontrol diperoleh beda rerata keseimbangan dinamis sebelum intervensi sebesar 1,46±0,776 dan sesudah intervensi sebesar 2,62±0,870 dengan nilai p=0,001. Uji beda sesudah intervensi pada Kelompok Perlakuan dan Kelompok Kontrol dengan menggunakan independent samples t-test didapatkan p=0,013 (p<0,05).Simpulan: kombinasi foot muscle strengthening dan kinesiotaping lebih baik dibandingkan dengan foot muscle strengthening terhadap peningkatan keseimbangan dinamis pada flexible flatfoot. Saran: baik intervensi foot muscle strengthening dan kinesiotaping dapat digunakan sebagai intervensi fisioterapi dalam meningkatkan keseimbangan dinamis pada anak dengan flexible flatfoot.Kata Kunci: Flexible Flatfoot, Keseimbangan Dinamis, Foot Muscle Strengthening, Kinesiotaping, Balance Beam Walking Test, Wet Foot Print Test.
PELATIHAN MIRROR NEURON SYSTEM SAMA DENGAN PELATIHAN CONSTRAINT INDUCED MOVEMENT THERAPY DALAM MENINGKATKAN KEMAMPUAN FUNGSIONAL ANGGOTA GERAK ATAS PASIEN STROKE Abdul chalik meidian; Dewa Putu Sutjana; M. Irfan
Sport and Fitness Journal Volume 2, No.1, 2014
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.151 KB)

Abstract

Stroke is an interruption of blood vasculature system in the brain that causes suddenly neurological dysfunction, resulted in clinically brain tissue damage in a relatively long time period, decreased physical mobility and functional ability impaired of upper limb. The purpose of this study is to know an increasing in upper limb functional ability among stroke patients after mirror neuron system exercise and constraint induced movement therapy exercise and to know the comparison of both exercise. This study uses an experimental research with pre-test and post-test control group design. Number of samples of the first group is 13 patients given mirror neuron system exercise for 30-60 minutes , while the second group 13 patients were given constraint induced movement therapy exercise for 30-60 minutes. The research was conducted in 2 month period time. Each patient is taught a variety of upper limb functional ability in accordance with the operational concept guidance and patients were asked to repeat the exercise independently at home as directed. Measuring test of upper limb functional ability is using the wolf motor function test instruments. The result is an increase the upper limb functional ability of 21.7% in the mirror neuron system exercise group and proved a significant difference (p<0.05) and an increase in the upper limb functional ability of 17.1% in the constraint induced movement therapy exercise group and proved a significant difference (p<0.05) while the difference of increasing of upper limb functional ability of the two groups showed no significant difference (p>0,05). It was concluded that the mirror neuron system exercise is similar with constraint induced movement therapy exercise in increasing the upper limb functional ability among stroke patients.
INTERVENSI INTEGRATED NEUROMUSCULAR INHIBITATION TECHNIQUE (INIT) DAN TERAPI ULTRASONIK LEBIH MENURUNKAN DISABILITAS LEHER AKIBAT SINDROMA MIOFASIAL OTOT UPPER TRAPEZIUS DIBANDINGKAN INTERVENSI MYOFASCIAL RELEASE TECHNIQUE (MRT) DAN TERAPI ULTRASONIK Rita Maria; Alex Pangkahila; M. Irfan; Made Jawi; Adiartha Griadhi; Indra Lesmana
Sport and Fitness Journal Volume 5, No.3, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (542.953 KB) | DOI: 10.24843/spj.2017.v05.i03.p14

Abstract

The long term use of analgesic drugs in patients with myofascial syndrome had a bad effect. So it is very important to find another methods. Upper trapezius muscle myofascial syndrome is a collection of symptoms such as chronic pain with increased sensitivity to pressure, muscle spasms, tenderness, stiffness, limited motion, and weakness of the upper trapezius muscle. The aim of this study was to compare the rate of decline in the neck disability of interventions for Integrated Neuromuscular Inhibitation Technique (INIT), Myofascial Release Syndrome (MRT), and ultrasound therapy. This research used experimental method with pre-test and post-test group design. This experiment was conducted in RSPI Puri Indah, Jakarta. These samples included 20 people who were divided into two groups of samples, are 10 people in the first group and 10 people in the second group. Samples in the first group had an average age of 30.9 years old with men as much as 4 people and women as much as 6 people. While the second group had an average age of 32.8 years old with men as much as five people and women as many as five people. The results of testing the hypothesis by using test independent sample t-test showed significantly differences between the average after intervention disability first group with mean after intervention disabilities neck second group, with the value of the first group (21.6 ± 4.6)% and the second group (15.6 ± 3.6)% with values p <0.05. It was concluded that the Inhibitation Integrated Neuromuscular Technique (INIT) and ultrasonic therapy was better in reducing the neck disability in the upper trapezius muscle myofascial syndrome, compared to Myofascial Release Syndrome (MRT) and ultrasound therapy. The decline in neck disability will significantly optimize the functional activity of the cervical spine.