Budi Utomo
Poltekkes Kemenkes Surakarta

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The Level of Children’s Independence with Cerebral Palsy in Several Regions in Java and Sumatra Bambang Trisnowiyanto; Budi Utomo
Jurnal Keterapian Fisik Vol 5 No 1 (2020): JURNAL KETERAPIAN FISIK
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v5i1.171

Abstract

Background: The most common disorder or disability in childhood is cerebral palsy, obtained during the antenatal, perinatal or early postnatal period. Cerebral palsy is a non-progressive injury or brain lesion with very variable clinical manifestations. children with cerebral palsy have impaired movement, ability levels and functional limitations and affected body parts. Therefore, to find out the level of independence in children with cerebral palsy, it is necessary to have an examination carried out by health workers, especially physiotherapy. In this case, an examination using the Gross Motor Function Classification System (GMFCS). The purpose of this study was to determine the degree of independence of children with cerebral palsy in several regions in Java and Sumatra. Methods: A total of 315 children with cerebral palsy (mean ± SD) participated in this cross-sectional study design. The research was conducted in March-June 2019. GMFCS data was collected from children with cerebral palsy in the parent community of cerebral palsy in 10 cities. The Kolmogorov-Smirnov test used for data normality test. Results: Overall research subjects from 10 cerebral palsy communities with a total sample of 315 children, most cerebral palsy with GMFCS level 4 as many as 117 children (37.1%), then GMFCS level 3 as many as 84 children (26.7%), GMFCS level 5 is 67 children (21.3%), level 2 GMFCS is 24 children (7.6%), and at least children with level 1 GMFCS are 23 children (7.3%). Conclusion: The conclusion is from a total of 315 children with cerebral palsy, the level of Indonesian children's independence based on GMFCS most of them are less independent
Physiotherapy Modalities and Physiotherapy Modalities and its Effect on The Development of Functional Ability in Children with Cerebral Palsyits Effect on The Development of Functional Ability in Children with Cerebral Palsy Bambang Trisnowiyanto; Budi Utomo
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.9551

Abstract

In Indonesia, currently there are various physiotherapy intervention modalities for children with special needs, especially in cerebral palsy. The Bobath concept is a holistic approach to solving the problems of individuals with movement disorders and postural control as a result of lesions in the central nervous system. The purpose of this study was to determine the effect of physiotherapy modalities on functional abilities in children with cerebral palsy. This research was an experimental type that had a control variable with a nonequivalent control group design, but in this design the experimental group and the control group were not randomly selected, functional ability measuring tool used gross motor functional movement (GMFM). All respondents received treatment 16 times (2 times per week), measured as fisrt post-test, followed by treatment 16 times (2 times per week) measured as second post-test. The first post-test (16 times) and the second post-test (32 times), these data were compared. The results of the repeated measured ANOVA test in the control group revealed that there was a significant difference in functional ability after the bobath concept treatment (p=0.060; x1=-0.714; x2=-2.714) and after the bobath concept and taping treatment (p=0.027; x1=-2.400; x2=-6.000). But, there was found not significant after the bobath concept and stretching treatment (p =0.071; x1=-0.333; x2=-3.667), and after the bobath concept and infrared treatment (p=0.126; x1=-1.000; x2=-2.500). The results of the Freadman test there was a significant difference in functional ability after the bobath concept and massage treatment (p=0.023). The conclusion, there was a significant difference in functional ability improvement after being given treatment by the bobath concept, bobath concept plus taping, and/or bobath concept plus massage.