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All Journal Media Kesehatan Masyarakat Indonesia Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Althea Medical Journal WARTA Jurnal Kesehatan AKSIOLOGIYA : Jurnal Pengabdian Kepada Masyarakat Didaktis: Jurnal Pendidikan dan Ilmu Pengetahuan Jurnal Keperawatan dan Fisioterapi (JKF) To Maega: Jurnal Pengabdian Masyarakat Ahmar Metastasis Health Journal (AMHJ) Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) Jurnal Cakrawala Ilmiah Journal of Innovation Research and Knowledge NUSANTARA: Jurnal Pengabdian Kepada Masyarakat KREATIF: Jurnal Pengabdian Masyarakat Nusantara Prosiding SNPBS (Seminar Nasional Pendidikan Biologi dan Saintek) Academic Physiotherapy Conference Proceeding Prosiding University Research Colloquium Jurnal Keilmuan dan Keislaman Cakrawala: Jurnal Pengabdian Masyarakat Global Jurnal Keperawatan Prosiding Seminar Informasi Kesehatan Nasional Jurnal Pengabdian Masyarakat Bangsa Jurnal KeFis : Jurnal Kesehatan dan Fisioterapi Warta LPM Jurnal Pengabdian Masyarakat Jurnal Medika Nusantara Jurnal Ilmiah Fisioterapi Muhammadiyah Jurnal Kesehatan Quantum Wellness : Jurnal Ilmu Kesehatan Vitamin: Jurnal Ilmu Kesehatan Umum Holistik Jurnal Kesehatan FISIO MU: Physiotherapy Evidences Jurnal Akademika Baiturrahim Jambi Physiotherapy and Physical Rehabilitation Journal ACTIVE: Journal of Physical Education, Sport, Health and Recreation
Umi Budi Rahayu
Universitas Muhammadiyah Surakarta
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PENGARUH NEUROMUSCULAR TAPING TERHADAP PENURUNAN NYERI PUNGGUNG BAWAH PADA PENGEMUDI OJEK ONLINE Mahendra Wahyu Dewangga; Umi Budi Rahayu
Prosiding University Research Colloquium Proceeding of The 8th University Research Colloquium 2018: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Latar Belakang: Nyeri punggung bawah merupakan gangguan musculoskeletal yang sering terjadi pada aktivitas kerja. Nyeri punggung bawah pada pengemudi ojek online disebabkan karena biomekanik, usia, jenis kendaraan, IMT, lama bekerja, dan jenis kelamin. Keluhan nyeri punggung bawah dapat dikurangi dengan pemberian Neuromuscular Taping. Tujuan Penelitian: Penelitian ini untuk mengetahui pengaruh pemberian Neuromuscular Taping terhadap penurunan nyeri punggung bawah pada pengemudi ojek online. Metode Penelitian: Penelitian ini menggunakan metode quasi experiment dengan pendekatan two group pre dan post test design with control. Subjek dibagi menjadi dua kelompok, kelompok perlakuan diberikan Neuromuscular Taping sedangkan pada kelompok kontrol diberikan Taping. Pemberian Taping pada kelompok kontrol hanya untuk pembutaan kepada responden. Alat ukur nyeri yang digunakan adalah VAS (Visual Analog Scale). Uji normalitas menggunakan uji Shapiro Wilk, uji pengaruh menggunakan uji paired sampel t-test, uji beda pengaruh menggunakan uji Independent Sample T-Test. Hasil Penelitian: Pada kelompok kontrol hasil pre test rata-rata 4,08 dan post test rata-rata 4,12. Pada kelompok perlakuan hasil pre test ata-rata 4,96 dan post test rata-rata 1,97. Kesimpulan: Dari hasil penelitian disimpulkan bahwa terdapat pengaruh Neuromuscular Taping pada penurunan nyeri punggung bawah (p=0,0001), dan Neuromuscular Taping lebih efektif menurunkan nyeri punggung bawah.
Perbedaan Tandem Exercise dengan Virtual Reality Exercise dalam Mengatasi Resiko Jatuh pada Lanjut Usia: A Pilot Project Umi Budi Rahayu; Nora Eny Zulekha
Prosiding University Research Colloquium Proceeding of The 10th University Research Colloquium 2019: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Berbagai studi dilakukan untuk mengupayakan penurunan angka kejadian jatuh pada lanjut usia (lansia), dari upaya yang sederhana sampai dengan penggunaan peralatan yang canggih. Tujuan dari studi ini adalah untuk mengamati efektifitas perbedaan teknologi yang sederhana, yaitu tandem exercise dengan teknologi modern yaitu virtual reality exercise dalam mengatasi resiko jatuh pada lanjut usia. Penelitian eksperimental pada 15 responden lansia dengan desain sebelum dan setelah perlakuan untuk dua kelompok selama 6 minggu. Kelompok kontrol (n=8) diberikan tandem exercise sedangkan kelompok perlakuan (n=7) diberikan virtual reality exercise. Resiko jatuh pada lansia diukur dengan timed up and go test (TUGT). Analisis statistik untuk melihat perbedaan efektifitas kedua kelompok dilakukan dengan uji independent samples t-test. Tidak ada perbedaan efektifitas yang signifikan antar kedua kelompok dalam mengatasi resiko jatuh pada lansia (p<0,05). Secara umum rata-rata setiap minggu kedua kelompok menunjukkan pencegahan resiko jatuh dengan indikator penurunan nilai TUGT sebesar 1 detik. Rata-rata nilai TUGT sebelum perlakuan; setelah minggu ke-2; setelah minggu ke-4; dan setelah minggu ke-6 adalah 18,75 detik (resiko jatuh rendah); 17,12 detik; 14,87 detik; 12,87 detik (resiko jatuh rendah) pada kelompok kontrol dan 20 detik (resiko jatuh tinggi); 17,71 detik; 15,42 detik; 13,14 detik (resiko jatuh rendah) pada kelompok perlakuan. Tandem exercise dan virtual reality exercise mampu mengatasi resiko jatuh pada usia lanjut.
Management Fisioterapi pada Kasus Cervical Root Syndrome dengan Pemberian Neck Calliet Exercise: Case Report Imtiyaz Nisa; Umi Budi Rahayu; Muhamad Nasuka
Ahmar Metastasis Health Journal Vol. 3 No. 1 (2023): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v3i1.178

Abstract

Cervical Root Syndrome (CRS) merupakan kondisi klinis yang disebabkan terjadinya penekanan pada akar saraf yang terletak pada area cervical. Sejumlah 14,8% kasus, ditemukan adanya riwayat trauma yang menyebabkan nyeri leher. Struktur yang paling sering bermasalah ditemukan pada C6 dan C7. Intervensi fisioterapi yang diberikan yaitu Neck Calliet Exercise. Penelitian ini bertujuan untuk mengetahui apakah intervensi fisioterapi berupa latihan isometric memberikan dampak positif pada kasus Cervical Root Syndrome. Penelitian ini menggunakan metode case report yang dilakukan pada pasien Cervical Root Syndrome di Poli Rehab Medik RSUD RAA Soewondo Pati pada Bulan Oktober 2022. Hasil dari case report ini yaitu setelah diberikan intervensi fisioterapi secara terprogram selama dua minggu dengan empat kali pertemuan dapat meningkatkan Lingkup Gerak Sendi (LGS), menurunkan nyeri gerak dan nyeri tekan, sehingga mempengaruhi pada peningkatan kemampuan aktivitas fungsional yang dievaluasi menggunakan Neck Disability Index (NDI). Kesimpulan dari penelitian ini yaitu pemberian Neck Calliet Exercise pada kasus Cervical Root Syndrome dapat menurunkan nyeri gerak dan nyeri tekan serta meningkatkan Lingkup Gerak Sendi (LGS) sehingga kemampuan aktivitas fungsional dapat meningkat.
MANAGEMENT FISIOTERAPI PADA CARPAL TUNNEL SYNDROME: A CASE REPORT Ayu Tri Kusumaningrum Subiyanto; Umi Budi Rahayu; Katno Asha
Ahmar Metastasis Health Journal Vol. 3 No. 2 (2023): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v3i2.203

Abstract

Carpal Tunnel Syndrome is a peripheral neuropathy in which there is increased pressure around the median nerve which causes various symptoms such as tingling, wrist pain, paresthesia, and a burning sensation in the hands. Various factors have been speculated to contribute to the occurrence of CTS, including hereditary neuropathy, trauma to the forearm, repetitive motion work on the wrist, inflammation of the tendons, metabolic and endocrine diseases, malignancy to degenerative diseases. To reduce pain when the patient is at home, physiotherapists provide independent exercises that can be done at home with modified myofascial stretching. Kinesio tapping is an adjunctive treatment method that is suggested to be effective in regulating normal tissue function and supporting wound healing mechanisms. It has been found to be effective in muscle problems for pain relief by reducing pressure on pain receptors and supporting and protecting muscle tissue. Kinesio tapping is also known to be effective in the conservative treatment of CTS either alone or in combination with other therapeutic agents. To determine the effect of exercise therapy and kinesio tapping given to CTS patients. This study uses a case study. measurement of pain using the Numeric Rating Scale (NRS), measurement of muscle strength using Manual Muscle Testing (MMT), Goniometer to measure the Range of Joint Motion (ROM), Evaluation of Functional Ability with the Buston Questionaire Carpal Tunnel Syndrome (BQCTS) is a measuring tool to measure functional ability in CTS. After 3 physiotherapy interventions, results were obtained which showed a decrease in pain. Silent pain from 1 to 0, tenderness from 5 to 2, and motion pain from 6 to 2. For muscle strength, there was an increase in the wrist flexor muscle group from 3+ to 4. For the range of motion of the joints, there was no significant increase due to the time of intervention very limited. As well as found an increase in functional activity and a decrease in the degree of pain. Exercise therapy and Kinesio Taping are effective for reducing pain, increasing muscle strength, and increasing range of motion resulting in increased functional ability.
Pengaruh Penambahan Back School Terhadap Penurunan Nyeri dan Peningkatan Kemampuan Fungsional Pada Kondisi Low Back Pain Myogenik Agus Setiyawan; Umi Budi Rahayu
FISIO MU: Physiotherapy Evidences Vol 2, No.1, Januari 2021
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v2i1.4964

Abstract

Latar Belakang Low back pain (LBP) atau nyeri punggung bawah termasuk salah satu dari gangguan muskuloskeletal serta akibat dari mobilisasi yang salah. LBP menyebabkan timbulnya rasa pegal linu ngilu atau tidak enak pada daerah lumbal bahkan sacrum nyeri punggung bawah dapat disebabkan pula oleh strain otot-otot vertebra HNP spondylosis spondylolisis myogenik tumor vertebra infeksi. Tujuan Untuk mengetahui pengaruh penambahan Back School setelah pemberian SWD dan TENS terhadap penurunan nyeri dan peningkatan kemampuan fungsional pada penderita LBP myogenik. Metode Penelitian Jenis penelitian ini adalah Quasi Experiment yang sering disebut eksperimen semu dengan desain penelitian Pre post test with control design. Dalam penelitian ini penulis menggunakan data primer yaitu dengan melakukan pengumpulan data sebelum dan sesudah intervensi. Hasil Berdasarkan uji pengaruh SWD TENS dan Back School terhadap penurunan nyeri dan kemampuan fungsional, terlihat bahwa pada T2 T6 dimana p value kurang dari 0.05 maka Ho ditolak yang artinya ada pengaruh terapi SWD TENS dan Back School terhadap penurunan nyeri dan peningkatan kemampuan fungsional. Kesimpulan Terapi pemberian SWD dan TENS saja maupun terapi pemberian SWD TENS dan penambahan Back School berpengaruh terhadap penurunan nyeri dan peningkatan kemampuan fungsional namun pemberian SWD TENS dan Back School lebih efektif dan mempercepat kesembuhan daripada terapi SWD dan TENS saja.
Physiotherapy Management in Spina Bifida Cases Ni Putu Riantini; Umi Budi Rahayu; Edy Waspada
FISIO MU: Physiotherapy Evidences Vol 4, No 3 (2023): Vol 4, No.3 September 2023 Physiotherapy Case Study
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v4i3.5046

Abstract

Spina bifida or neural tube defect (NTD) is a spinal disorder that does not close completely, resulting in disability or developmental failure of the spinal cord. The cause of spina bifida has no definite reason, but there are several factors that are considered to increase the risk, namely folic acid deficiency, family history of spina bifida, and history of taking drugs. Patients with spina bifida will experience weakness in the lower extremity muscles, decreased ability to control urination, and decreased ability to carry out daily activities. The study used a case report study conducted at YPAC Surakarta for boys aged 15 years with spina bifida disorder. Physiotherapy plays a role in optimizing muscle strength, active movement of children, and improving functional abilities by using interventional stretching exercises, myofacial release, strengthening exercises, and a combination of Kegel Exercises and bridging exercises. After being treated for 6 times T1-T6 there was an increase in muscle strength as measured by manual muscle testing (MMT), changes in the range of motion of the joints (LGS) as measured by the goniometer, an increase in functional ability as measured by the Barthel Index.
MANAJEMEN FISIOTERAPI PADA PASIEN POST ORIF RECONSTRUCTIONS ET CAUSA MALUNION TIBIAL PLATEAU FRACTURE SINISTRA: CASE REPORT Muhammad Sena Nurrahman Pasya; Prihantoro Larasati Mustiko; Umi Budi Rahayu
Prosiding University Research Colloquium Proceeding of The 19th University Research Colloquium 2024: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Malunion Tibial plateau fractures is a popular term used to describe fractures that occur in the upper joint of the tibia. This injury is common and accounts for approximately 1% of all fractures in the adult population. Tibial plateau fractures have a substantial impact on patients' lives, resulting in decreased quality of life and decreased participation in sports activities. Rehabilitation plays an important role in patients with Sinistra Tibial Plateau Fracture Malunion because it can help in restoring mobility, strength and function of the fractured extremity. Post ORIF Fracture Tibial Plateau conditions cause pain, edema, decreased joint range of motion, muscle weakness, and decreased ability to perform functional activities. The implementation of the physiotherapy program in this case aims to determine the effect of providing physiotherapy intervention in the form of ankle pumping exercise in reducing pain and reducing edema, active assisted exercise in increasing muscle strength, and walking using a walker to optimize the functional activity of Post ORIF Fracture Tibial Plateau patients. This research method was carried out directly on 1 respondent with the condition Post ORIF Fracture Tibial Plateau Sinistra by giving physiotherapy 4 therapy sessions to Mr. IA (32 years). After the ankle pumping exercise therapy, active assisted exercise, and walking using a walker with an intensity of 8 repetitions, 3 sets were carried out for 4 days (1 session per day). The results of four exercise sessions showed a decrease in pain measured using the Numeric Pain Rating Scale, a decrease in edema using the Meter Line, an increase in muscle strength measured using Manual Muscle Testing, and an increase in functional activity measured using the Barthel Index. The conclusion was that the physiotherapy program in the case of Post ORIF Fracture Tibial Plateau Sinistra was proven to be able to reduce pain, edema, increase muscle strength and increase functional activity.
Edukasi Pijat Bayi Kepada Ibu Dengan Balita Kelurahan Sumber, Kota Surakarta Indiana Radinda; Umi Budi Rahayu; Seliana Sinta Debi
KREATIF: Jurnal Pengabdian Masyarakat Nusantara Vol. 4 No. 1 (2024): Maret : Jurnal Pengabdian Masyarakat Nusantara
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/kreatif.v4i1.2884

Abstract

Baby massage is one of communication design from a person to a baby with so many benefits for the baby that receive baby massage. Sadly, the knowledge about baby massage in this community is not enough. Education about baby massage was given for a mother with 1 – 36 months old toddler that usually checking their child at RW 14 Kelurahan Sumber, Surakarta City, that aim to increase the knowledge about the definition to how to do baby massage. The education given by oral presentation and leaflet, and also a demo on how to do a baby massage. Leaflet that contains the theory given to audiences so the education can be applicated based on the instructions. Pretest and Posttest was given and contain some simple questions with “Yes/No” answers includes the knowledge of effects, contraindication, and procedure of baby massage and how of then their baby receive it. Pretest was given before the education and it results the knowledge of baby massage in mother with toddler were just about 30% and it increased after the education for 70% with similar questions after the education so it canbe conclude that publicly, especially people that usually checking their children, knows how to do baby massage.
Management Of Physiotherapy Programs In Skin Flap For Thumb : Case Report Della Annisa Thalib; Umi Budi Rahayu; Nilam Nur Hamidah
JURNAL FISIOTERAPI DAN ILMU KESEHATAN SISTHANA Vol. 6 No. 1 (2024): Januari : Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jufdikes.v6i1.1026

Abstract

Skin flap is a skin graft procedure that will repair damaged skin by removing the soft tissue underneath. Objective: to determine Physiotherapy management in the form of giving electro therapy (ultrasound and Infrared) and exercise. Methods: The research method includes a "case report" case study conducted on 1 male patient with a diagnosis of Stiffness wrist digiti 1-5 manus dextra hand function disorders, ec. Amputation of fingers manus dextra post flap). The measuring instruments used are using the Numeric Rating Scale (NRS) for pain scale, Wrist Hand Disability Index (WHDI) to measure functional activity ability, Gonimeter to measure joint motion scope, Manual Muscle Testing (MMT) to measure muscle strength, mitline to measure odema segment circumference. Results: After 3 times of therapy, the patient's assessment results were obtained, namely a significant change in the level of joint scope of motion, muscle strength, skin integrity, motion pain in the wrist and fingers of the right hand, and functional ability. Conclusion: This case study shows that the administration of electrotepsy and exercises in the case of Skin Flap of the thumb of the hand, proved to be effective.
Upaya Promotif Aktivitas Fisik Pada Komunitas Lansia Di Wilayah Puskesmas Banyuanyar Kota Surakarta Khairi Rizqi Fadhlika; Umi Budi Rahayu; Seliana Sinta Debi
NUSANTARA Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 1 (2024): Februari : Jurnal Pengabdian Kepada Masyarakat
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/nusantara.v4i1.2452

Abstract

Physical activity is body movement produced by skeletal muscles that requires energy expenditure to carry out physical activities. When you are elderly, a degenerative process occurs which can put you at risk of disease and injury resulting in a decline in aspects of your health status. The thing that needs to be considered in this condition is the importance of the quality of life of the elderly in an active and effective manner, one of which is physical activity which is related to physical well-being. Based on the results of a survey in the elderly community, namely Pos Lansia Seruni RW 08, Sumber sub-district, it was found that most of the elderly population has low daily activity. The aim of this community service is to promote physical activity in the elderly so that they can improve their functional abilities independently and efficiently and effectively in everyday life. The method used for counseling is promotional and provides media that can be read and taken home in the form of leaflets containing efforts to promote physical activity in the elderly community in the Banyuanyar community health center area, precisely at the Seruni Elderly Post RW 08, Sumber Village, Surakarta City. The results obtained are that the elderly understand and can apply promotional efforts regarding the importance of physical activity.
Co-Authors Abi Muhlisin Adhy Kurniawan Agus Setiya Agus Setiyawan Ajeng Marshela Tiara Ningrum Ajeng Sabtorini Akib, Marliyanti Nur Rahmah Al-Kubro, Putri Balqis Alfiyani, Lina Alinda Nur Ramadhani Alviana Dwi Lestari Amanda, Tasya Ghea Ambarwati Amelia Dwi Putika Sari Amir, Suliati P Andiyani, Rhavida Anniza Anindita, Putri Maharani Annisa Fitri Dewi Arif Pristianto Arifin Agung Prehanto Arum Pratiwi Atik Hidayati Atik Hidayati Ayu Tri Kusumaningrum Subiyanto Baihaqi, Muhamad Adzib Cahyana, Aris Alfaldieka Cahyo Setiawan Chaiyawat, Pakaratee Della Annisa Thalib Dewangga, Mahendra Wahyu Dwiky Yudhistira Edy Waspada Effran, Endy Faizah Betty Rahayuningsih Firnadia Septika Rahajeng Fitri Dwi Jayanti Fitriyya, Munaaya Guswiyamto, G Hafiduddin, Muhammad Harun, Andi Qonita Hasmar, Wanti Ida Untari Imtiyaz Nisa Indiana Radinda Intan Herlinawati Irfan Muhammad Ismadi Ismail Setyopranoto Kadek Agustini Aryani Kasumbung, Muhammad Tasa Katno Asha Khairi Rizqi Fadhlika Khairunissa, Hatifa Kingkinnarti Kingkinnarti Kingkinnarti Kingkinnarti, K Komalasari, Dwi Rosella Kurnia Kusuma Ramadhan Kurniawati, Susilo Lusia Intan Purnamasari M. Halim Mardianto, Halim Maulidia, Kamila Mufidati, Husna Muhamad Nasuka Muhammad fauzan Muhammad Fawwaz Malik Azhari Muhammad Nasuka Muhammad Raffi Muhammad Sena Nurrahman Pasya Muhammad Taufik Ilyas Muliyono, Didik Mulyadi, Farah Ekawati Mulyanto Mulyanto Mustiko, Prihantoro Larasati Mutalazimah Namirah, Hanna Aulia Napisah, Sri Nastiti, Rindang Rizky Natalia, Ike Ni Putu Riantini Ni Putu Riantini Nia Hayati Nilam Nur Hamidah Nora Eny Zulekha Nurhidayah, Indah Suci Nusaibah, Yasmin Oktiva, Yayuk Dwi Perdana, Suryo Saputra Pramaisella, Inggrid Pitaloka Pramesti, Redita Salma Ayusandra Prihantoro Larasati Mustiko Puad, Laylin Ramadhani, Muhammad Mumtaz Rini Mustikasari Kurnia Pratama Ririt Ika lestari Ririt Ika Lestari Rivan Danuaji Rizy, Muhammad Hasbi Alfa Rosidah, Nikmatur sakinah sakinah Salsabila, Savira Rizka Meidy Samekto Wibo Samekto Wibowo Seliana Sinta Debi Seliana Sinta Debi Setiawan, Purnomo Gani Setyawati, Yayuk Silvia Rahma Maulida Sirajuddin Handalguna Siti Raihani Siti Soekiswati Sri Sat Titi Hamranani Sri Utami Subandi Sudarsono, Wahyu Tri Sugiarto, Rahmat Sulistyawati, Irma Sunyiwara, Arum Sekar Syavira Nooryana Tiara Paramitha Sugiri Syah Putri Trisnandhika Galang Pratama Ulfah Zulfahmi Umam, Devid Noor Umar Jamaludin W Wahyuni, W Wahyu Tri Sudaryanto Wanda Kurnia Yuda Yakob, Asmirati Yantini, Sri Yuli Kusumawati Yunita Nur Rochmah