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Perbedaan Pengaruh Open Kinetic chain dan Close Kinetik Chain Dengan Kombinasi TENS Terhadap Kemampuan Fungsional Pada Penderita Ostheoarthritis Knee Siti Kholifah; Rachma Putri Kasimbara; Ahmad Abdullah; Yohanes Deo Fau
Jurnal Keperawatan Muhammadiyah Vol 7, No 1 (2022): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v7i1.10836

Abstract

Objective: Osteoarthritis knee is one of the most common musculoskeletal disorders and is caused by degenerative factors. Osteoarthritis of the knee is the cause of the dysfunction. People with knee osteoarthritis commonly complain of pain, stiffness, and dysfunction. Motor chain tension and motor chain proximity to improve functionality in patients with osteoarthritis knee.Methods:  This research is a quasi-experimental research. The study design, on the other hand, used a pre-test and post-test group design. Two treatment groups were used in this study. That is, treatment group 1: TENS and open kinetic chain up to 8 people, treatment group 2: TENS and closed kinetic chain up to 8 people. Both groups of samples were measured for functionality using WOMAC. Frequency of exercise 3 times a week for 4 weeks.Results: Data collection was carried out using the WOMAC index. The data collected were tested for normality using the Shapiro Wilk method & analyzed using an independent t-test.Conclusion: Differences in the effect of open and closed kinetic chains on TENS on functional improvement in patients with knee osteoarthritis.
Pengaruh Perubahan Legheel Alignment terhadap Lordosis Lumbal pada Penderita Overweight Di Komunitas Senam Aerobik Blukid Sidoarjo Rosse Tirta Sari; Ahmad Abdullah; Rachma Putri Kasimbara; Yohanes Deo Fau
Jurnal Keperawatan Muhammadiyah Vol 7, No 1 (2022): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v7i1.10876

Abstract

Objective:   The foot has two main functions, first as the foundation of the body (base of support) and second as a lever in advancing the body when walking or running. The arch of the foot or arcus pedis is one of the most important parts that affect biomechanics and musculoskeletals in the feet (Ozdinc, et al., 2016). The presence of structural and functional abnormalities in the feet can cause posture abnormalities in the legs, based on the structure of foot posture is divided into three types, namely normal arch, low arch / flat and high arch / cavus. (Mootaah et al,2014)Methods: This study using non-parametric statistical methods is a statistical method that can be used by ignoring assumptions that underlie the use of study results of treatment of leg hell alignment respondents obtained a value of p 0.00 (p < 0.05), which shows statistically the Effect of Leg heel Alignment Changes On Lumbar Lordosis In Overweight Sufferers In The Aerobic Gymnastics Community Blukid SidoarjoResults:   With the change in the angle of leg hell alignment, it also affects the change in the angle of lumbar lordosis in aerobic gymnastics respondents in Bluru Kidul Sidoarjo. Conclusion: With the provision of insole and aerobic gymnastics is expected to be a solution related to handling if there are symptoms due to hyperlordosis from lumbar, especially in overweight sufferers, by also paying attention to the condition of leg heel alignment.
Pengaruh Pemberian Neurosensorimotor Reflex Integration Pada Perubahan Hiperaktivitas Anak Dengan Autism Spectrum Disorder (ASD)) Dwi Livia Sari; Yohanes Deo Fau; Angria Pradita; Achmad Fariz
Jurnal Keperawatan Muhammadiyah Vol 7, No 1 (2022): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v7i1.10806

Abstract

Autism Spectrum Disorder (ASD) is a developmental disorder that causes social dullness and hyperactive behavior in children that is difficult to control. This study aims to analyze the level of hyperactivity in children with Autism Spectrum Disorder (ASD) before and after Neurosensorimotor Reflex Integration.
Poor Sleep Quality of Hospitalized Geriatric Patients in General Hospital in Karawaci, Tangerang, Banten Province, Indonesia Nata Pratama Hardjo Lugito; Theo Audi Yanto; Andree Kurniawan; Indra Wijaya; Margaret Merlyn Tjiang; Resa Setiadinata; Stevent Sumantri; Euphemia Seto
Medicinus Vol 6, No 1 (2016): October 2016 - January 2017
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v6i1.1136

Abstract

Background: In Indonesia, geriatric population in the year 2005 was 15.8 million (7.2 % population), and expected to reach 11.34% in the year 2020. There was growing evidence for poor sleep as an independent risk factor for poor physical and mental health. Geriatric population may be particularly vulnerable to effects of sleep disturbance due to significant age-related changes in both sleep and inflammatory regulationObjective: To study the epidemiological (gender, age group) and health status (co-morbidities), sleep quality according to Pittsburgh Sleep Quality Index (PSQI) and its associations in geriatric population hospitalized in General Hospital in Karawaci, Tangerang, Banten Province, Indonesia.Materials and Methods: A hospital based cross sectional study was conducted from January to June 2014. A total of 92 subjects aged 60 years and above were selected consecutively from hospitalized geriatric patients for this study. The data was analyzed by means and proportions.Results: The male and female subjects were 51.1% and 48.9%. Mean age was 66.79 + 5.448 years. The age group of 60 – 75 years and above 75 years was 92.4% and 7.6% consecutively. Subjects with diabetes, hypertension, allergy, asthma, cardiac failure and chronic kidney disease were 30.4%, 62.0%, 18.5%, 21.7%, 21.7%, 20.7% consecutively and 63.0% with more than 2 co-morbidities. According to PSQI 72.8% subjects have poor sleep quality. Associations between poor sleep quality to epidemiological and health status were not significant except for diabetes (RR= 3.208 [95% CI: 1.045 – 9.848], p = 0.022) and chronic kidney disease (RR= 6.247 [95% CI: 0.902 – 43.279], p = 0.017)Conclusions: Seventy two percents of subjects have poor sleep quality, and associations between poor sleep quality to epidemiological and health status were not significant except for diabetes.
Edukasi Virtual Efektif pada Penurunan Nyeri dan Peningkatan Activity Daily Living pada Kondisi Knee Osteoarhtritis Yohanes Deo Fau; Angria Pradita
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 2 (2022): April 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i2.2278

Abstract

Virtual education is an internet-based distance medicine that can be an effective and cost-effective alternative during the COVID-19 pandemic. The purpose of this study was to determine the benefits of virtual education on knee osteoarthritis after 6 interventions. This study is a quasi-experimental that compares a group of patients with knee osteoarthritis before and after being given virtual education described through a zoom meeting. The population of this study was 28 respondents at the Physio Move Care clinic during May-July 2021. The sample selection technique was purposive sampling, so that 20 patients were obtained. Virtual education is carried out by physiotherapists and respondents with 6 treatments for 2 weeks with physiotherapist supervision through zoom meetings. By using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in the pre-virtual education phase, the median value = 3.00 and in the post-intervention phase = 1.50. Wilcoxon test results showed p value = 0.001. It was concluded that virtual education was effective in reducing pain and increasing daily living activities in patients with knee osteoarthritis.Keywords: virtual education; osteoarthritis; Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)ABSTRAK Edukasi virtual merupakan pengobatan jarak jauh berbasis internet yang dapat menjadi alternatif yang efektif dan hemat biaya di masa pendemi COVID-19. Tujuan penelitian ini adalah untuk mengetahui manfaat edukasi virtua pada knee osteoarthritis setelah 6 kali intervensi. Penelitian ini merupakan kuasi eksperimen yang membandingkan satu kelompok penderita knee osteoarthritis sebelum dan sesudah diberikan edukasi virtual yang dijabarkan lewat zoom meeting. Populasi penelitian ini adalah 28 responden di klinik Physio Move Care selama bulan Mei-Juli 2021. Adapun teknik pemilihan sampel adalah purposive sampling, sehingga diperoleh 20 pasien. Edukasi virtual dilakukan oleh fisioterapis dan responden dengan 6 kali treatment selama 2 minggu dengan pengawasan fisioterapis melalui zoom meeting. Dengan menggunakan Western Ontario and McMaster Universities Osteoarhtritis Index (WOMAC) pada fase sebelum virtual edukasi diperoleh nilai median = 3,00 dan pada fase sesudah intervensi = 1,50. Hasil uji Wilcoxon menunjukkan nilai p = 0,001. Disimpulkan bahwa edukasi virtual efektif untuk menurunkan nyeri dan meningkatkan activity daily living pada pasien dengan knee Osteoarthritis.Kata kunci: edukasi virtual; osteoarthritis; Western Ontario and McMaster Universities Osteoarhtritis Index (WOMAC) 
Efek Kombinasi Terapi Edukasi dan Strengthening Exercise Terhadap Peningkatan Activity Daily Living dan Range of Motion Pasien Osteoarthritis Knee Yohanes Deo Fau; Byba Melda Suhita; Prima Dewi Kusumawati; Nurwijayanti Nurwijayanti
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 4 (2022): Oktober 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13432

Abstract

Osteoarthritis is a disease that is ranked eleventh worldwide that causes disruption to daily activities and is a major global health problem. Strengthening exercises are muscle strengthening exercises that are considered effective in knee osteoarthritis rehabilitation programs. Education in health services has a strong scientific evidence base in assisting the process of health services, especially knee osteoarthritis, which in essence is a treatment that is prioritized from the start of treatment to evaluation. The purpose of this study was to analyze the educational effect of the strengthening exercise combination treatment on changes in activity daily living and range of motion in conditions of knee osteoarthritis. There were 26 subjects in this study and they were divided into 2 groups, namely 13 people with education on the strengthening exercise combination treatment and 13 people with electrotherapy as controls. Activity daily living was measured using the Western Ontario and McMaster Universities Osteoarthritis Index WOMAC scale and range of motion was measured using a goniometer. The p-value of the parried sample t-test was <0.05 for both the treatment and control groups. The p-value of the independent sample t-test was <0.05, meaning that there was a difference in the effect of the two groups, where the combination strengthening exercise treatment education had more effect. It was concluded that the combination strengthening exercise treatment education greatly influences changes in activity daily living and range of motion in knee osteoarthritis conditions.Keywords: knee osteoarthritis; treatment education; strengthening exercises; daily living activities; range of motion ABSTRAK Osteoartritis merupakan penyakit yang menduduki peringkat sebelas penyakit diseluruh dunia yang menyebabkan gangguan aktifitas keseharian dan menjadi salah satu masalah utama kesehatan global. Strengthening exercise adalah latihan penguatan otot yang dianggap efektif dalam program rehabilitasi knee osteoarthritis. Edukasi dalam pelayanan kesehatan memiliki dasar bukti ilmiah yang kuat dalam membantu proses pelayanan kesehatan khususnya knee osteoarthritis yang pada intinya adalah suatu treatment yang diprioritaskan diawal penanganan sampai pada evaluasi. Tujuan penelitian ini adalah untuk menganalisis pengaruh edukasi treatment kombinasi strengthening exercise terhadap perubahan activity daily living dan range of motion pada kondisi knee osteoarthritis. Subyek penelitian ini adalah 26 dan dibagi menjadi 2 kelompok yaitu 13 orang dengan edukasi treatment kombinasi strengthening exercise dan 13 orang dengan elektroterapi sebagai kontrol. Activity daily living diukur menggunakan skala Western Ontario and McMaster Universities Osteoarhtritis Index WOMAC dan range of motion diukur menggunakan goniometer. Nilai p dari paried sample t-test adalah <0,05 baik untuk kelompok perlakuan maupun kelompok kontrol. Nilai p dari independent sample t-test adalah < 0,05, berarti ada perbedaan pengaruh dari kedua kelompok, dimana edukasi treatment kombinasi strengthening exercise lebih berpengaruh. Disimpulkan bahwa edukasi treatment kombinasi strengthening exercise sangat berpengaruh terhadap perubahan activity daily living dan range of motion pada kondisi knee osteoarthritis.Kata kunci: knee osteoarthritis; edukasi treatment; strengthening exercise; activity daily living; range of motion
Pengaruh Pemberian Ischemic Compression Technique Terhadap Penurunan Nyeri Myofascial Trigger Point Syndrome Otot Upper Trapezius Pada Pegawai Manejerial RS UMM Lutfi Ardi Firmansyah; Achmad Fariz; Rachma Putri Kasimbara; Yohanes Deo Fau
Jurnal Keperawatan Muhammadiyah Vol 8 No 1 (2023): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v8i1.16045

Abstract

Objective:  The Ischemic CompressionApproach is a safe and effective technique for pain relief in myofascial conditions. The purpose of assessing the effect of Ischemic CompressionTechnique on reducing Myofascial Trigger Point Syndrome Upper Trapezius muscle pain in UMM Hospital managerial staffMethods:  This study is classified as a comparative quantitative study, including statistical data processing by comparing or looking for differences between before and after therapy. The population in this study were managerial employees of UMM Hospital with complaints of neck pain in the last 1 month of the July 2022 period at UMM Hospital with a total sample of 30 respondents using Wilcoxon Test data analysisResults:  The results of the analysis showed that the significance value of the Wilcoxon Test was 0.000 <α (α = 0.05), meaning that there was an effect of Ischemic CompressionTechnique on reducing Myofascial Trigger Point Syndrome pain in the Upper Trapezius muscle in managerial employees of UMM HospitalConclusion: 1) The value of pain before administration of the Ischemic CompressionTechnique obtained an average value of 1.37 with a minimum value of 1 and a maximum value of 2 and a standard deviation value of 0.490 2) The value of pain after administration of the Ischemic CompressionTechnique obtained an average value of 0.40 with a minimum value of 0 and a maximum value of 1 and a standard deviation value of 0.498 3) There is an effect of Ischemic CompressionTechnique on reducing Myofascial Trigger Point Syndrome Upper Trapezius muscle pain in managerial staff of UMM Hospital
Kombinasi Isometric Quadriceps Exercises dan Edukasi Treatment Terhadap Perubahan Nyeri Lutut Pada Penderita Osteoarthritis Genu Ari Nugrahanta Koesrul; Yohanes Deo Fau; Angria Pradita; Fransisca Xaveria Hargiani
Jurnal Keperawatan Muhammadiyah Vol 8 No 1 (2023): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v8i1.16057

Abstract

Objective: to find out whats effects give isometric quadriceps exercises and education treatment intervention can reduce knee pain in patient osteoarthritis genu. Methods: This study used the Quasi-Experimental of one group design pre and post group, respondents numbered 20 men and women with purposive sampling techniques, data cellection techniques using NRS test. Normality test using  Shapiro-Wilk and continued with data analisis using  WilcoxonResults: in the NRS measurement of isometric quadriceps exercises and education treatment intervention post-test there is a change in decrease of genu pain, and the results of the hypothesis test with normality data distribution show significance value of <0,000Conclusion: Isometric Quadriceps exercises and education treatment have been show to effect reduce knee pain in patient osteoarthritis genu
Pengaruh Kombinasi Progressive Muscle Relaxation dan Slow Deep Breathing Exercise terhadap Kinesiophobia pada Pasien Rawat Jalan di Surabaya Pusbagijo Pusbagijo; Achmad Fariz; Rachma Putri Kasimbara; Yohanes Deo Fau
Jurnal Keperawatan Muhammadiyah Vol 8 No 1 (2023): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v8i1.16177

Abstract

Objective:   Kinesiophobia is an excessive fear of physical activity or movement so that patients tend to avoid moving their painful limbs. Not many longitudinal studies have reported that progressive muscle relaxation (PMR) and slow deep breathing exercise (SDBE) have a direct impact on the level of Kinesiophobia. Therefore, we explored the effect of a combination of progressive muscle relaxation and slow deep breathing exercise on kinesiophobia in outpatients with chronic musculoskeletal pain in Surabaya.Methods:   This study had 43 respondents who all completed a randomized controlled trial (RCT) for 5 weeks, 21 respondents were randomized to receive a combination of progressive muscle relaxation and slow deep breathing exercise and received standard physiotherapy interventions, while the control group consisted of 22 respondents only with standard physiotherapy interventions. The Tampa Scale of Kinesiophobia (TSK) is used to assess the level of Kinesiophobia experienced by patients.Results:   1. In the experimental group that was given a combination of progressive muscle relaxation and slow deep breathing exercise and standard physiotherapy, the initial mean score without the scale of kinesiophobia (TSK) was 51.73 points, and after the intervention it was 42.32 points.2. As for the control group which was only given standard physiotherapy intervention, the initial average score without the scale of kinesiophobia (TSK) was 51.71 points, and after the intervention it became 48.33 points.3. The Effect of a Combination of Progressive Muscle Relaxation and Slow Deep Breathing Exercise on Kinesiophobia in Outpatients in Surabaya, with a p-value = (p <0.05).Conclusion:  The combined progressive muscle relaxation (PMR) and slow deep breathing exercise (SDBE) combination technique is safe to apply to patients with Kinesiophobia disorder because it has relatively no side effects and is practical in its application. The findings from this study support that combination therapy of progressive muscle relaxation (PMR) and slow deep breathing exercise (SDBE) offers beneficial outcomes for patients experiencing chronic pain, as well as for preventing and treating Kinesiophobia.
Pengaruh Myofascial Release Dan Ultrasound Terhadap Penurunan Nyeri Myofascial Syndrome Upper Trapezius Pada Pasien Rumah Sakit Semen Gresik Moh Adi Bayu Arifin; Yohanes Deo Fau; Fransisca Xaveria Hargiani; Sartoyo Sartoyo
Jurnal Keperawatan Muhammadiyah Vol 8 No 1 (2023): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v8i1.16205

Abstract

Objective: This study was conducted to analyze whether myofascial release therapy and ultrasound intervention had an effect on reducing the intensity of upper trapezius pain with upper trapezius myofascial syndrome in patients at Semen Gresik Hospital. Methods: This article uses pre and post test experiments conducted on 20 patients with myofascial syndrome upper trapezius pain at Semen Gresik Hospital. The sampling technique used was purposive sampling, with the sampling technique according to predetermined inclusion and exclusion criteria. Results: Myofascial release exercise therapy and ultrasound intervention had a significant effect on reducing myofascial pain syndrome upper trapezius in 20 patients at Rs. Semen Gresik as the respondent. Significant results between myofascial release exercise therapy and ultrasound intervention on myofascial pain syndrome upper trapezius were shown from asymp. sig. 2-tailed in the Wilxocon signed rank test is 0.000 <0.05. Conclusion: Myofascial release therapy and ultrasound given to patients had a significant effect on reducing myofascial pain syndrome upper trapezius in 20 patients at Rs. Semen Gresik with significant results asymp. sig. 2-tailed in the Wilxocon signed rank test is 0.000 <0.05.
Co-Authors Abdillah, Najlah Abdur Rahman Achmad Abdullah Achmad Fariz Achmad, Fariz Agata Sukha Kartika Agung Hadi Endaryanto Ahmad Abdullah Ahmad Abdullah Ahmad Abdullah Ahmad Abdullah Amin Zakari Amin Zakaria Andree Kurniawan Andy Kurniawan, Andy Aniswati, Aniswati - Ari Nugrahanta Koesrul Arief Efendi Arief Efendi, Arief Besty Mergyaning Utami Byba Melda Suhita Cahyanti, Meisa Alvalen Darmawan, Dwi Dewi Retno Wulandari Dewi Wahyuningrum Dewi Wulaningsih Dwi Livia Sari Endaryanto, Agung Hadi Euphemia Seto Fariz , Achmad Fariz, Achmad Fransisa Xaferia Hargiani Fransisca Xaveria Hargiani Fransisca Xaveria Hargiani Hargiani, Fransica Xaveria Hargiani, Fransisca Xaveria Hargiani, Fransisca Xaveria Hargiani, Fransiska Xaveria Hidayani, Atik Kasimbara , Rachma Putri Kasimbara, Rachma Putri Katmini, Katmini Kristiani Hariskawati Lutfi Ardi Firmansyah Maharani, Marsa Mukita Malik, Yuliana Motu Manuputty, Irene Jeane Maryorin Margaret Merlyn Tjiang, Margaret Merlyn marli susanti Martyana Deborah Sanggel Moh Adi Bayu Arifin Murjito Murjito Nagara, Ardyan Taruna Nata Pratama Hardjo Lugito Nurul Halimah Nurwijayanti Octavian, Hasanuddin Pelohy, Riko Ronaldo Patti Pradita, Angria Prasetyo, Samuel Vincentius Dani Prima Dewi Kusumawati Purwati Purwati Pusbagijo Pusbagijo Putri Kasimbara, Rachma Putri, Atiatul Maulana Azmi Putri, Lidya Shafika Rachma Putri Kasimbara Rahmadi, Redi Resa Setiadinata Riska Jeje Nur&#039;aini Rosse Tirta Sari Sampurno, Adi Sartoyo Sebianto, Odhe Laga Setyo, Hanif Sipahutar, Akbar Febriandree Siti Kholifah Siti Rahmaniyah Stevent Sumantri Sulistyawati, Aulia Ika THEO AUDI YANTO, THEO AUDI Theresita Kurniawati Tikfi Diani Kartika tubagus, rama anugrah Wagiyanto Wagiyanto Wahyuningrum, Esti Karini Wardoyo, Puspo Wati, Risa Laras Wiwin Prasetyo Yudistira Dimas Puhwanto