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Penatalaksanaan Fisioterapi pada Anak Kondisi Tortikolis Sinistra e.c Brachial Palsy dengan Menggunakan Modalitas Infra Red, Massage dan Terapi Latihan di RSUD Bendan Kota Pekalongan Astini Suci Wulandari; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 31, No 1 (2017): Pena Maret 2017
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v31i1.564

Abstract

Torticollis is a state of limited neck movement where the oblique head is tilted and the chin is pointing to the opposite side, which is caused by the shortening of the sternocleidomastoid muscle. In Torticolis Sinistra e.c Brachial Palsy there is a problematic physiotherapy that there is a spasm in the sternocledomastoideus muscle, there is a shortening of the muscle which ultimately leads to a limitation of the scope of joint motion, decreased cervical muscle strength and functional activity of the child is disturbed. In this case the physiotherapy intervention is selected to address the above problems by using Infra Red, Massage and Exercise Therapy.Method approach in this research use descriptive analytic method to know assesment and change that can be known. The research design used was case study design. Research Sites at RSUD Bendan Kota Pekalongan dated 03 to 27 February 2017.Therapeutic results concluded that physiotherapy interventions with Infra Red, Massage and exercise therapy can help problems in childhood conditions Tortikolis e.c Brachial Palsy.
PENATALAKSANAAN FISIOTERAPI PADA KONDISI LOW BACK PAIN SPONDILOSIS LUMBAL DENGAN MODALITAS TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION DAN WILLIAM FLEKSI EXERCISE DI RSUD BENDAN KOTA PEKALONGAN Martharina Friska Pasha; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 28, No 1 (2015): Pena Maret 2015
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v28i1.134

Abstract

Low back pain is a syndrome characterized by major symptoms of pain or a feeling of discomfort in the lower back region and the surrounding bone. Spondyloarthropathy derived from the Greek word for spine. Lumbar spondylosis may  imply changes  in  the spinal  joints,  characterized  by increasing degeneration of the intervertebral discfollowed by changes in bone and soft tissue, or it can mean an  overgrowth  of bone (osteophytes), which  are  mainly located in the  anterior  aspect, lateral, and posterior sometimes from the  edge  of  the superior  and  inferior vertebrae centralis (corpus).To provide an  effective and efficient treatment, then performed a physiotherapy management. Implementation includes any action that checks physiotherapy pain with Sekala Five Story, spasme examination by palpation, examination by range  of  motion with the  midline, and checks the value of muscle strength with Manual MuscleTesting (MMT).In this  case to overcome the  problems  above can be used modality Transcutaneous Electrical Nerve Stimulation in the form of William Flexes And Exercise. After therapy six times, in getting results in a  decrease  in tenderness, and pain of  motion, increase muscle  strength  in  the trunk region, and increase range  of  motion in  the trunk region. Evaluation on the  sixth therapy for functional activity using oswestryability disability index showed an increase infunctional activity.Keywords : Low  Back Pain Spondilosis  Lumbal, Transcutaneous Electrical Nerve Stimulation and William Flexion Exercise.
RANCANG BANGUN SISTEM INFORMASI MANAJEMEN KESEHATAN KLINIK PRATAMA UNIKAL HEALTH CENTER (UHC) Danang Satrio; Ristiawati Ristiawati; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 36, No 1 (2022): PENA MARET 2022
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v36i1.1923

Abstract

The success of health management is largely determined by the availability of health data and information. This data and information serve as the basis for decision-making in the health sector. To obtain quality health data and information, and accurate health information system is needed. The development of a strong Health Information System in producing quality information in decision-making in the health sector requires knowledge of the basic concepts of the health information system itself and the basics in its development. Primary Clinic Unikal Health Center (UHC) is a public clinic under the auspices of a private university called Pekalongan University. The problem that is still encountered is that the recording of medical record data is still not optimal because it is done manually so it is still less effective and efficient in processing the data. Based on this, it is necessary to develop a health management information system to be implemented at the Unikal Health Center (UHC) Primary Clinic. The purpose of this study is to replace the manual recording and data processing system with computerization, to overcome the obstacles that often occur related to the inability to provide information quickly, accurately, and on time with the management information system of the Unikal Health Center Clinic. (UHC) the required reports can be available instantly, such as patient reports, doctor reports, registration reports, medical record reports, prescription reports, and other data. The final result of this research is a prototype of the health information management system of the UHC Pratama clinic.
PENATALAKSANAAN FISIOTERAPI PADA KONDISI DEVELOPMENT DELAYED(DD) DENGAN METODE PLAY EXERCISE Surya Mahendra; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 27, No 1 (2014): Pena September 2014
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v27i1.121

Abstract

Delayed  development  (DD)  is  dropping  significantly  on  the  physical,  cognitive, behavioral, emotional, or social development of a child when compared with normal children his age are caused by heredity, the child's condition, pregnancy, birth, poor nutrition, psychological, lack of motivation and stimulation that is progressive if not handle dimmediately. Problems faced in DD conditions is a decrease inpostural tone, limited functional capabilities up and running. For effective and efficien thandling, it would require the examination of growth and development with DDST examinations, examination of muscle streng thand postural tone with XOTR scale, sensory examination  and  functional  ability  with  the  GMFM.  To  address  these  problems,  the  technology used is physiotherapy interventions play a pre-play exercise exercise with standing table, sensory, tactile, and implementation neurostrukture play exercise.   Keywords : delayed development (DD), play exercise.  
CORE STABILITY EXERCISES LEBIH MENINGKATKAN AKTIVITAS FUNGSIONAL PADA NYERI PUNGGUNG BAWAH MIOGENIK Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 29, No 1 (2015): PENA SEPTEMBER 2015
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v29i1.599

Abstract

Myogenic low back pain `is located around low back area. It is caused by musculoscletal disorders  without  neurologic  disorders  from  twelve  thoracal  vertebrae  to  the  hip.  It  is  caused  by static  and  dynamic  factors  that  is  causing  pain.  Low  back  muscle  spasms  and  its  surroundings cause  imbalance  muscle  activities.  Therefore,  it  decreases  instability  of  abdominal  and  low  back muscles. Limitation of lumbar movement decreases functional activities. Physiotherapy is intended to  relief  the  pain  and  more  relaxation  for    hospitalized  patience.  Meanwhile,  core  stability exercisesareto  increase  functional  activities  by  moving  transversus  abdominis,  multifidus, diafragma,  and  pelvic  floor  muscles.  The  research  was  aimed  at  testing  core  stability  exercises forimproving  myogenic  functional activities. The  research was designed as a  quasi eksperimental by using pre-test andpost-test design with control group. The research was held at RSUD Bendan Pekalongan Physiotherapy  installation. The research subject covered 28 patients. Measurement of functional  activities  of  myogenic  low  back  pain  was  conducted  by  using    oswestry  disability questionnaire (ODQ) before and after exercises. It was divided into  two groups as the control and treatment group. Control and treatment group was three times a week.  The result of this research was the  increasing of  ODQ score of control group for  p<0.05, and p<0.05 for treatment group. It means  that  control  group  and  treatment  group  can  improve  functional  activities  of  myogeniclow back pain. Comparation test of data by using independent test is p<0.05, whether before and after exercise.  The  average  of  control  group  is  8.14%.  The  average  treatment  group  is  28.57%.  It  is meant  that  treatment  group  is  good  for  improving  functional  activities  than  control  group.  The research  conclusion  was  that    core  stability  exercises  training  improv  the  functional  activities  in basic  therapy  of  myogeniclow  back  pain.  It  is  expected  that  core  stability  exercises  and  basic therapy can be used in patient with myogeniklow back pain to improve of functional activity.
PENATALAKSANAAN FISIOTERAPI PADA KONDISI ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) DENGAN METODE NEURO SENSO MOTOR REFLEX DEVELOPMENT DAN PLAY THERAPYDI YPAC SURAKARTA Hertina Yulianasari; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 33, No 1 (2019): PENA MARET 2019
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v33i1.841

Abstract

Attention Deficit Hyperactivity Disorder (ADHD) is a behavioral disorder characterized by concentration disorders and impaired concentration, and delayed speech in patients. Factors influencing the occurrence of ADHD are factors prenatal and postnatal prenatal complications, and environmental factors. Problematic on ADHD condition of postural hypotonus, spasm in M. Extensor Trunk, M. Trapesiuz Upper and M. Gastrocnemius, presence of postural hypotonus, sensory impairment with sensory blast, behavioral disorder, presence of reflux, Presence of functional activity disorder.Physiotherapy modalities that used under ADHD conditions are by administering NeuroSenso Motor Reflex Development &Syncronization modalities and play therapy. In this research use descriptive analytic method, and research design used is case study design. After 6 treatments (1)There is a change of postural tone from sitting 2 seconds to 15 seconds, standing 5 seconds to 10 seconds. (2) there was a decrease of spasm in M. Extensor Trunk, M. Trapesiuz Upper and M. Gastrocnemius on T4-T6. (3) There is a change in sensory examination of visual, auditory, tactile, touch, vestibular, and propioceptive on T4-T6. (4) There is a change in the examination of moro reflex, graps, stnr toward extension and extensor thrust on T4-T6. (5) There is a change in the examination of ADHD Test on T6.From the results obtained can be concluded that using the intervention of physiotherapy with NeuroSenso Motor Reflex Development &Syncronizationmodality and play therapy can help reduce the problems that arise in Attention Deficit Hyperactyvity Disorder (ADHD).
PENATALAKSANAAN FISIOTERAPI PADA KONDISI PIRIFORMIS SINDROME DEKSTRA DENGAN MODALITAS MICRO WAVE DIATHERMI, ULTRA SOUND DAN TERAPI LATIHAN Faisol Ridho; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 30, No 2 (2016): Pena September 2016
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v30i2.493

Abstract

Piriformis syndrome is a neuromuscular disorder that occurs due to sciatica nerve (nerve ischiadicus) compressed or irritated by the piriformis muscle causing pain, tingling, and numbness in the buttocks area until the sciatica nerve travels. Approximately 15% of the population of cases of sciatica (ischialgia) is piriformis syndrome. To determine the implementation of physiotherapy in reducing pain, muscle spasms, increase muscle strength, and improve the ability of functional activity in conditions with piriformis syndrome modalities micro wave diathermy, ultrasound and exercise therapy. After treatment for 6 times in getting the results of the reduction of pain, decrease muscle spasms, increased muscle strength and functional capacity building activity. Micro wave diatermy can reduce pain and muscle spasm in conditions of piriformis syndrome, and exercise therapy can improve muscle strength and functional activities can improve the condition of the piriformis syndrome.
ANALISIS PROBLEM STRUCTURING SECARA BERTINGKAT PROGRAM REVITALISASI POSYANDU DI KECAMATAN WONOKERTO KABUPATEN PEKALONGAN Yuniarti .; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 21, No 1 (2011): Pena September 2011
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v21i1.53

Abstract

The purpose of this study is to arrange the structuring problems of Posyandu revitalization program. The  method  of  the  study  is  stepping  qualitative  analysis  method;  problems  finding,  problems grouping, problems specification, and problems understanding. The method of collecting data used is  hierarchy  method  in  each  problem.  The  research  informant  is  the  head  of  Wonokerto  Public Health Center and Posyandu representative in random sampling. The units of analysis are the time series  of  Posyandu  in  the  last  three  years,  the  result  of  the  interview  with  the  informant,  and  the result  of  observation  in  Posyandu  services.  The  result  of  the  study  shows  that  the  structuring revitalization  program  consists  of  three  aspects;  input,  process, and  out  put.  In  the  aspect  of  input shows that the number of Posyandu representative is increasing by the integration of representative groups, almost all Posyandu have facilities and adequate amount of medicine to support the services, all  of  Posyandu representative have been trained  but  the  activeness is  still law, the  public funding can support the work of Posyandu, the other support by Universities, and PKK participation. In the aspect  of  process  shows  that  the  number  of  representative  trainings  has  increased,  there  are  only basic services and there is no additional service, the involvement of public is not significant but the number of visit has increased, and the survey of children growth is held by Posyandu representative. The aspect of out put shows that the increasing of diseases problems finding by the house visitation, such as; ISPA, mal-nutrient, and hydrocephalus.Key words: Stepped Structuring Problems, Posyandu Revitalization Problems
PENATALAKSANAAN FISIOTERAPI KASUS ATELEKTASIS PADA ANAK CEREBAL PALSY DENGAN MODALITAS IR, CHEST THERAPI DAN METODE NDT DI YPAC SURAKARTA Lusiani Arum Fadhilah; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 31, No 2 (2017): PENA SEPTEMBER 2017
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v31i2.676

Abstract

Atelectasis is one of the complications of cerbral palsy, this is because children with CP condition almost all have low levels of activity than children usually. If the activity of motion is low, the body does not move optimally thorax cage is difficult to inflate and deflate fully and relax. Factors that affect the occurrence of atelectasis are among other abnormalities during pregnancy, CMV viral infection. Problematic atelectasis in atelectasis in children hypothonic spiral hypothonic spastic athetoid quadriplegi type of flexion is respiratory muscle spasms, shortness of breath, decreased thorax expansion, sensory disturbance with, reflex disorders, functional activity. Physiotherapy modalities that can be given in this condition is by giving the modality of infrared, chest therapi, and neuro development treatment. The conclusion is that using physiotherapy interventions with IR, therapeutic chest, and NDT may help reduce the problems that arise in the condition of atelectasis in children with cerebral palsy.
STRATEGI AKSELERASI PENURUNAN STUNTING WILAYAH PESISIR KABUPATEN PEKALONGAN Nur Susanti; Ardiana Priharwanti; Remilda Armika Vianti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 36, No 1 (2022): PENA MARET 2022
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v36i1.1917

Abstract

Stunting is a chronic nutritional problem caused by lack of nutritional intake for a long time, resulting in growth disorders in children, namely the child's height is lower or shorter than the standard age. The incidence of stunting in Indonesia is ranked fifth in the world, where 38 percent of the total number of children under five are stunted. The number of stunting rates in Pekalongan Regency is still quite high, recorded in 2020 from 10.316 children under five who were weighed, as many as 1.631 toddlers or 15.81 percent, although this was better than 2019, which recorded 21.43 percent of toddlers suffering from stunting. Stunting. The research objectives are to identify stunting problems in coastal areas, identify efforts and health programs that have been carried out related to the SUN (Scaling up Nutrition) program, and analyse the SWOT efforts and health programs that have been carried out as an effort to handle stunting reduction acceleration. The research design used by the writer was exploratory research with a qualitative approach supported by statistical data by triangulation of sources through in-depth interviews with key informants, and accompanying informants to seek apperceptions of various sources. The research instrument used guidance interviewing. The location of this research was in Jeruk Sari, Tegal Dowo and Karang Jompo villages. The results of the research on Handling Stunting through the SUN (Scaling up Nutrition) program in the three research areas (Jeruk Sari Village, Tegal Dowo Village and Karang Jompo Village) have been carried out quite well. Several SUN programs were carried out in the form of giving PMT, measuring toddlers, giving PMT to high-risk mothers and also Posyandu activities and mother's classes. Based on the results of in-depth interviews with triangulated informants, it was stated that the implementation of the program was more of a specific nutrition intervention. Sanitation improvements due to the tidal wave are still getting attention considering the condition of the third region being in an area affected by the tidal wave throughout the year. Culture and public trust are also considered as obstacles in accelerating stunting handling programs. The writer concludes that the SUN program that has been carried out in the three research areas is still in the form of specific nutrition interventions, namely interventions in the form of giving PMT to toddlers and pregnant women with rest and measuring toddlers. Sensitive nutrition interventions are still not optimally carried out. It is necessary to increase good cooperation between other cross-sectors so that the acceleration of stunting handling can be carried out.