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PENATALAKSANAAN FISIOTERAPI PADA HERNIA NUKLEUS PULPOSUS LUMBAL DENGAN MODALITAS INFRA RED, TENS DAN MC KENZIE EXERCISE Fanta Pratama Ginting; trisno Susilo
Jurnal Gentle Birth Vol 5, No 1 (2022): Januari
Publisher : Akademi Kebidanan Ika Bina

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Hernia Nucleus Pulposus (HNP) adalah turunnya kandungan annulus fibrosus dari diskus intervetebralis lumbal pada spinal kanal atau rupture annulus fibrosus dengan tekanan dari nucleus pulposus yang menyebabkan kompresi pada element saraf. terutama banyak terjadi di daerah lumbal dan sehingga menimbulkan adanya gangguan neurologi (nyeri punggung) yang didahului oleh perubahan degeneratif. Fisioterapi pada kondisi HNP berperan dalam mengurangi nyeri serta meningkatkan kekuatan otot, lingkup gerak sendinya (LGS) serta meningkatkan kemampuan aktifitas fungsional. Tujuan : Untuk mengetahui manfaat pelaksanaan fisioterapi dalam mengurangi rasa nyeri pada nyeri punggung bawah, meningkatkan luas gerak sendi, dan meningkatkan aktifitas fungsional punggung bawah. Kondisi pada Hernia Nukleus Pulposus dengan menggunakan modalitas Infra Red, TENS, dan Mc Kenzie Exercise. Hasil : Setelah dilakukannya terapi sebanyak 3 kali maka didapatkan hasil penilaian nyeri gerak aktif pada T1 : 7 menjadi T3 : 5, nyeri gerak pasif pada T1 : 6 menjadi T3 : 5, nyeri tekan pada T1 : 4 menjadi T3 : 3, nyeri menjalar pada T1 : 6 menjadi T3 : 3, peningkatan luas gerak sendi pada gerakan fleksi aktif T1 : 20 cm menjadi T3 : 25 cm, gerakan fleksi pasif T1 : 25 cm menjadi T3 : 30 cm, dan peningkatan aktifitas fungsional pada T1 : 28% menjadi T3 : 20%. Kesimpulan : Pelaksanaan fisioterapi pada Hernia Nukleus Pulposus dengan modalitas Infra Red, TENS, dan Mc Kenzie Exercise dapat mengurangi nyeri, meningkatkan luas gerak sendi dan meningkatkan kemampuan aktifitas fungsional pada punggung bawah.

Pengaruh Senam Dismenore Dan Kompres Hangat Terhadap Penurunan Nyeri Haid (Dismenore) Pada Remaja Putri Di Sma N 1 Sorkam Barat Nuraisyah Hutagalung; Trisno Susilo; Yeni Vera
Jurnal Kesehatan dan Fisioterapi Vol 2, No 2 (2022): Jurnal KeFis - April 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Dysmenorrhea is a menstrual disorder in the form of pain or severe pain in the lower abdomen caused by the activity of prostaglandins, where during menstruation the damaged uterine lining is removed and replaced by new compounds called prostaglandins. This prostaglandin compound causes the uterine muscles to contract. In general, uterine muscle contractions are not felt, but the contractions are severe and often cause blood flow to the uterus to be disrupted, causing pain so that it can temporarily interfere with activities. Dysmenorrhea can be treated with non-pharmacological therapy in the form of dysmenorrhea gymnastics and warm compresses to reduce the pain level of dysmenorrhea. The purpose of this study was to examine the effect of dysmenorrhea exercise and warm compresses in reducing the level of dysmenorrhea pain. Methods: This research design uses a quasi experiment with two groups pre-post test with sampling using purposive sampling technique with the same total of 23 respondents in each group and using the Wilcoxson Signed Rank test with a p value of 0.000 (p <0.005) . Research results: The results of this study indicate that the results of statistical tests using the Wilcoxson Signed Rank test. Dysmenorrhea exercise test in group 1 with p value = 0.000 and warm compresses in group 2 with p value = 0.000. Conclusion: It can be seen that dysmenorrhea exercise and warm compresses can reduce the pain scale of dysmenorrhea. Both of these interventions are equally effective in reducing the pain scale of dysmenorrhea. Therefore, researchers recommend using one or both of these interventions to reduce dysmenorrhea pain. Keywords: Dysmenorrhea, Dysmenorrhea Gymnastics, Warm Compress

Perbedaan Pengaruh Penambahan Pernapasan Diafragma Pada Latihan Konsep Bobath Terhadap Kemampuan Fungsional Pasien Stroke Di Rsud Dr. Tengku Mansyur Tanjungbalai Ashri Pramudya Eka Putra; Trisno Susilo; Ronald Erwansyah
Jurnal Kesehatan dan Fisioterapi Vol 2, No 5 (2022): Jurnal KeFis - Oktober 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Background: stroke is an occurred of functional focal brain more than two hours couse occoure of cerebral blood flow. Stroke can cause various kinds of disorders like a brain tissue death, loss of muscle tone, and loss of sensibility in some body parts which can reduce the ability of the body funtion controlled by these tissues. The bobath concept exercise is a personal exercise such as optimizing functionality with increase postural control and selective movement by facilitation of stroke patients. The diafragmatic breathing is one of those breathing exercise technique on focuses on the diafragm muscle which function as spinal stability exercise. In the end the exercise of bobath concept and the diaframatic breathing aims to improve the functional ability of stroke in carrying out daily activities, such as eating, shower, hygine, dressing, defecating, urinating, using the toilet, transfer, mobility, take the stairs.Objective: The purpose of this study was to find the different effect between combination of bobath voncept and diafragmatic breathing and bobath consept training to increase functional activity on case of stroke.Methods: The type of research is a quasi experiment research, two group pre test and post test design. Group A is given a Combination training of Bobath Concept and Diafragmatic Breathing group B is given a training of Bobath Concept toward patient of stroke. The measure of increasing of functional activity it use Indeks Barthel measurement, the assesment is obtained before and after therapy. This research is done at 1 July 2022 – 31 July 2022Results: The statistic test of effect to A group p<0,05 (p=0,000), B group p<0,05 (p=0,000), the two groups comparison is resulting effect differece of p>0,05 (p=0.632).Conclusion: The Combination of Bobath Concept Training and Diafragmatic Breathing given toward patient of stroke both can give improvement of functional activity.Keyword: Stroke, Bobath Concept Training, Diafragmatic Breathing

Pengaruh Rest Dan Ice Terhadap Pengurangan Nyeri Akut Pada Penderita Sprain Ankle Stadium Akut Di Rs Advent Medan Parisco Simbolon; Trisno Susilo; Ronald Erwansyah
Jurnal Kesehatan dan Fisioterapi Vol 2, No 4 (2022): Jurnal KeFis - September 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Ankle is a joint that supports the body to maintain balance when walking on uneven surfaces. These joints are composed of bones, ligaments, tendons, and connective tissue bundles. The ankle joint is formed by four bones, namely the tibia, fibula, talus and calcaneus. The main movements of the ankle joint occur in the tibia, talus and calcaneus. The purpose of this study was to determine pain in the acute stage of ankle sprain after being given rest and ice therapy for three consecutive days. This type of research is a type of quantitative research that is quasi-experimental with a one-group pre-test and post-test design approach. Prior to the intervention, respondents were given a pretest or pain scale measurement using the VAS. The results showed that the effect of rest and ice on reducing acute pain in patients with acute ankle sprains at the Medan Adventist Hospital was 0.002. Which is if Sig < 0.05 then there is a significant effect. The conclusion of this study concludes that there is a significant effect of rest and ice on the reduction of acute ankle sprain pain in the acute stage. Keywords: Acute pain, ankle sprain, rest and ice therapy

Hubungan Karakteristik Dengan Kejadian Skoliosis Pada Siswa Sekolah Menengah Pertama Swasta Al Muslimin Pandan Nurul Dinah Nabilah; Liza Agustin; Trisno Susilo; Lagut Sutandra
Jurnal Kesehatan dan Fisioterapi Vol 2, No 5 (2022): Jurnal KeFis - Oktober 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Background: Scoliosis is a spinal disorder that can interfere with a person's activities and body shape. The prevalence of scoliosis in Indonesia is not known for certain but according to some scoliosis research is more common in girls with low BMI and use heavy bag. General symptoms that are often seen in scoliosis sufferers are spinal abnormality (“C” or “S” form). Scoliosis can be detected by measuring the curvature of spine using a scoliometer. Objective: This study aimed to investigate the correlation of the characteristic to scoliosis of student at SMP Swasta Al Muslimin. Method: The study design is observational analytic with cross-sectional approach. The determination of sample used the purposive sampling wirh a sample of 83 respondent who fulfill the inclusion and exclusion criteria. The respondents were measured their body mass index which obtained from weight dan height of respondents and their scoliosis were measured with the scoliometer. The result of study were analyzed with Chi square. Result: There is association between sex to scoliosis and there are not association between BMI and bag weight to scoliosis. Conclusion: Sex is related to scoliosis while BMI and bag weight is not related to scoliosis of students at SMP Swasta Al Muslimin.Keyword: Characteristic, Sex, BMI, Scoliosis.

Pengaruh Propioseptive Neuromuscular Fascilitation (Pnf) Terhadap Kemampuan Aktivitas Fungsional Pada Post Stroke Tipe Spastik Di RSU. Haji Medan Tahun 2022 Siem Teresia Simbolon; Trisno Susilo; Bibit tri Wahyudi
Jurnal Kesehatan dan Fisioterapi Vol 2, No 5 (2022): Jurnal KeFis - Oktober 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Background: Stroke is a condition when the blood supply to the brain is interrupted due to a blockage (ischemic stroke) or rupture of a blood vessel (hemorrhagic stroke). This condition causes certain areas of the brain to not receive oxygen and nutrients, resulting in the death of brain cells. Factors for stroke due to high blood pressure, smoking, obesity, heart disease, genetics and high cholesterol. PNF is a stimulus with the desired reaction, which in the end will be achieved ability or coordinated movement. Purpose: This study was to determine the effect of Propioseptive neuromuscular facilitation on the ability of functional activity in post-stroke spastic type at Haji Medan General Hospital. Method: used in this research is experimental with one group pre test and post test design with purposive sampling technique with a sample of 15 people. The data were analyzed using the wilcoson test. Results: from the wilcoson test, 0.001 was obtained which was less than 0.005 (sig 0.000 <0.005) so that the hypothesis was decided that there was an effect of propioseptive neuromuscular facilitation on the ability of functional activities in post-stroke spastic type at RSU.Haji Medan. Conclusion: The result of this research is that there is an effect of Propioseptive neuromuscular facilitation on the ability of functional activity in post-stroke spastic type at RSU. Haji MedanKeywords : Stroke, PNF, Functional activity ability.

HUBUNGAN DURASI KERJA MENYETRIKA TERHADAP TERJADINYA GEJALA CARPAL TUNNEL SYNDROME PADA PEKERJA LAUNDRY DI KOTA BALIGE Dwi Arihta Sari Bangun; Trisno Susilo; Ronald Erwansyah
Jurnal Kesehatan dan Fisioterapi Vol 3, No 3 (2023): Jurnal KeFis - Juli 2023
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Background: Carpal Tunnel Syndrome (CTS) is a common work-related disorder caused by repetitive movements and sedentary positions for long periods of time that can affect the nerves, blood supply to the hand and wrist. The National Health Interview Study (NIHS) estimates the prevalence of CTS in the adult population to be 1.55% (2.6 million). Meanwhile, in Indonesia, the incidence of carpal tunnel syndrome until 2001 is still very difficult to know with certainty due to the lack of data. Duration of work is one of the factors that cause symptoms of Carpal Tunnel Syndrome. The purpose of this study was to determine the relationship between the duration of ironing work on the occurrence of symptoms of Carpal Tunnel Syndrome in Laundry Workers in Balige City. The research design uses Analytical Observational with a Correlational approach or Correlation . The population and sample in this study amounted to 40 people. Based on the results of the study, it is known that there is a relationship between the duration of ironing and the occurrence of symptoms of Carpal Tunnel Syndrome in laundry employees in the city of Balige. This can be seen from the results of the SPSS test, it is found that the P value is 0.000. So it can be concluded that the value is smaller than 0.05, which means it is known that there is a strong relationship between work duration and the occurrence of Carpal Tunnel Syndrome symptoms in Laundry Employees in Balige City.Keywords: Duration of Work, Symptoms of CTS

Hubungan Dukungan Sosial Keluarga Terhadap Motivasi Diri Pasien Stroke Yang Melakukan Rehabilitasi Fisioterapi Di RSU Haji Medan Mhd. Choiril Fitra Bangun; Trisno Susilo; Lagut Sutandra
Jurnal Kesehatan dan Fisioterapi Vol 3, No 3 (2023): Jurnal KeFis - Juli 2023
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Background: Family support is very important for patients because the healing process of stroke patients takes a relatively long time, it needs deep understanding and patience from all parties, especially families, the family is expected to talk and interact with stroke patients at all times because psychologically, the motivation is very strong. For sufferers to express something, it will encourage their ability to speak and move/act (Setiadi, 2009 in Nugraha, 2016). Objective: This study aims to see how the family relationship to the motivation of stroke patients to do physiotherapy at Haji Hospital Medan. Methods: This study used a cross sectional approach with a purposive sampling technique of sampling. Results: Based on the test, it was found that the hypothesis test above was found to be 0.000 where the number was smaller than 0.05, so it can be concluded that there is a relationship between family support and self-motivation of stroke patients. Conclusion: It is hoped that the family can fully support the patient in doing therapy in the hospital in order to increase the patient's self-motivation to recover. Keywords: Family Support, Self Motivation, Stroke.

Pengaruh Teknik Proprioceptive Neuromuscular Facilitation Terhadap Peningkatan Kualitas Berjalan Pada Pasien Stroke Di RSU. Haji Medan Winda Fadilah Rahma; Trisno Susilo; Yeni Vera
Jurnal Kesehatan dan Fisioterapi Vol 3, No 2 (2023): Jurnal KeFis - April 2023
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Latar Belakang : Stroke masih menjadi salah satu masalah utama kesehatan, bukan hanya di Indonesia namun di dunia. Penyakit stroke merupakan penyebab kematian kedua dan penyebab disabilitas ketiga di dunia. Stroke menurut World Health Organization adalah suatu keadaan dimana ditemukan tanda klinis yang berkembang cepat berupa defisit neurologik fokal dan global, yang dapat memberat dan berlangsung lama selama 24 jam atau lebih dan atau dapat menyebabkan kematian. Masalah umum setelah stroke adalah gangguan fungsi motorik termasuk keseimbangan dan gaya berjalan, defisit sensorik, defisit persepsi, keterbatasan kognitif, defisit visual, afasia dan depresi. Stroke adalah penyebab utama kecacatan di kalangan orang dewasa dan sering mengakibatkan gangguan mobilitas. Defisit neurologis yang menyebabkan hilangnya kekuatan kaki dan gangguan keseimbangan adalah dua faktor yang berkorelasi dengan kemampuan berjalan, Banyak pasien tetap tidak dapat berjalan atau mengalami kesulitan berjalan setelah stroke. Kemampuan berjalan secara mandiri merupakan prasyarat untuk banyak aktivitas sehari-hari.Tujuan : penelitian dilakukan untuk mengetahui apakah ada pengaruh teknik proprioceptive neuromuscular facilitation terhadap peningkatan kualitas berjalan pada pasien stroke di Rsu.haji medan. Metode : penelitian ini menggunakan metode Quasi Eksperimen dengan pendekatan one groups pre and post test. Penetapan sampel berdasarkan buku Roscoe dengan judul “research methods for business” dengan jumlah sampel 20 orang Hasil : Uji pengaruh dengan uji paired t-test didapatkan hasil pvalue 0,018 artinya ada pengaruh yang singnifikan terhadap pemberian latihan pnf terhadap peningkatan kualitas berjalan pada pasien stroke di rsu.haji medan. Kesimpulan : Adanya pengaruh teknik proprioceptive neuromuscular facilitation terhadap peningkatan kualitas berjalan pada pasien stroke di RSU .Haji Medan.Kata Kunci: Proprioceptive Neuromuscular Facilitation, Kualitas berjalan,

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