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PENGARUH PEMBERIAN ISCHEMIC COMPRESSION DAN CONTRACTRELAX STRETCHING TERHADAP INTENSITAS NYERI MYOFASCIAL TRIGGER POINT SYNDROME OTOT UPPER TRAPEZIUS Isidorus - Jehaman; Sri Masyuni Berasa; Sabirin Berampu; Timbul Siahaan; Miftahul Zannah
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 2 No 2 (2020): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (266.428 KB) | DOI: 10.35451/jkf.v2i2.354

Abstract

Myofascial trigger point syndrome is a hypersensitive pain point in the tightened area that can cause local pain, if pressed it will give spesific, and the muscle that has the most myofascial trigger point syndrome is the upper trapezius. Purpose: This study is to find aims to determine the effect of ischemic compression and contract relax stretching on the intensity of myofascial trigger point syndrome upper trapezius muscle in Nurse station (Ns) administration employees at Granmed Lubuk Pakam Hospital in 2019. This type of research is a type of pure experimental research using one group pre and post test design research, conducted at Grandmed Lubuk Pakam hospital. The population and sample used in this study were 13 people. The statistical test of the hypothesis with the t test obtained p- value α < (0.001 >0,05). Ther is the effect of fiving ischemic compression and contract relax stretching to the intensity of myofascial pain trigger point syndrome upper trapezius muscle in Nurse station (Ns) administration employees in Granmed Lubuk Pakam Hospital in 2019. The researcher recommends that the next researcher add a longer sample size and research time so that the result of the research obtained are more maximal.
PENGARUH PEMBERIAN SENAM LANSIA TERHADAP PENINGKATAN KEBUGARAN DAN FLEKSIBILITAS SERTA KECEPATAN PADA LANSIA DI DESA SIONOM HUDON SELATAN TAHUN 2020 Siti Sarah Bintang Sarah Bintang; Novi Wulandari Tinambunan; Sabirin Berampu; Miftahul Zannah; Isidorus Jehaman
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 3 No 1 (2020): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v3i1.485

Abstract

The fitness condition of the elderly is an indicator that can be used to determine the health level of the elderly. The level of physical activity is one of the factors that determine body composition from childhood to old age, proper flexibility helps people to have a functional balance throughout their life and to participate fully in countless recreational and communitarian activities. Lack of reasonable flexibility a greater chance of developing lesions and functional problems. Gymnastics for the elderly is a sport that can be done regularly so that the fitness of the elderly can increase. The study was to determine the effect of elderly exercise on improving fitness and flexibility and speed in the elderly in Sionom Hudon Selatan Village in 2020. Method of research is Quasi Experiment or quasi-experimental research with the design or research design used is one group pre and post test conducted in the Village of Sionom Hudon Selatan.The sample consisted of 12 people in each action taken. The results of the hypothesis test with the Wilcoxon signed rank test test p value α = (0.002 <0.05) which means "There is an effect of Giving Elderly Gymnastics Against Improvement of Fitness and Flexibility and Speed in the Elderly in the Village of Zion South Hudon in 2020".
PENGARUH PEMBERIAN ISCHEMIC COMPRESSION DAN STRETCHING UNTUK MENGURANGI NYERI MYOFASCIAL TRIGGER POINT OTOT UPPER TRAPEZIUS PADA PEGAWAI KLAIM BPJS DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2020 Miftahul Zannah; Rio Septian; Timbul Siahaan; Isidorus Jehaman; Siti Sarah Bintang
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 3 No 1 (2020): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v3i1.492

Abstract

Background: Myofascial Trigger point syndrome is a local pain trigger point characterized by irritation, inflammation, and swelling. The main problem is that when the emphasis is made, it creates a hypersensitive pain. Myofacial trigger point occured by adhesions, increase by malnutritions and oxygen to ischemic. The problems are pain on muscle cervical contraction and spasm, tenderness, tightness, stiffness, decrease muscle strength.Physiotherapy modalities that can be used for Myofascial Trigger point syndrome are Ischemic Compression and Stretching exercise. Objectives: The study aims to determine influence of Ischemic Compression and Stretching exercise in patients with the myofascial trigger point syndrome with pain of the Upper Trapezius muscle Trigger Point at the Grandmed Lubuk Pakam Hospital. Research method: uses quasi experiments with one group pre test and post test. Samples for this research are 20 respondents got Ischemic Compression and Stretching exercise intervention. Respondents divided into two variable, dependent variable got stretching and ischemic compression method and independent variable is measure for pain in myofascial trigger point syndrome. Results: Hypotheses test results with the Wilcoxon saigned rank test result obtained by P-value ≤ α (0.000 < 0.05). Mean of pain based on Numeric rating scale before intervention (pre test) is 4,60 and after interventiom (post test) is 2,00. Conclusion:According to experimental decisions, there is an influence Ischemic Compression and Stretching exercise to decrease pain in the Myofascial trigger point syndromeof the upper trapezius muscle trigger point at the Grandmed Lubuk Pakam Hospital.
PERBEDAAN PURSED LIPS BREATHING DENGAN PURSED LIPS BREATHING DAN LATIHAN EKSTREMITAS TERHADAP KEBUGARAN PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK) DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2020 Sabirin Berampu; Isidorus Jehaman; Raynald Ignasius Ginting; Miftahul Zannah; Sri Dayanti
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 3 No 1 (2020): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v3i1.511

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung disease characterized by limited air flow in the respiratory tract that is not completely reversible and is progressive. Patients with COPD tend to experience inactivity that occurs due to reduced oxygen in the tissues, resulting in decreased fitness in helping to improve fitness given Pursed lips breathing treatment and limb training. This study was to determine the difference between pursed lips breathing with pursed lips breathing and exercise extremity on fitness in patients with COPD. Method is a quantitative research with quasi experimental type using the design of two groups pre-test and post-test, has a sample of 18 respondents divided into 2 groups, the control group (Pursed Lips Breathing) and the intervention group (Pursed Lips Breathing And Extremity Exercise) with purposive sampling technique that is adjusted to the inclusion and exclusion criteria. Analysis of the data obtained using the independent sample t test showed a p-value of 0,000 which means that there are differences in Pursed Lips Breathing with Pursed Lips Breathing and Extremity Exercises Against Fitness in Patients with COPD. With a mean of 17.22 with SD 11.487 and p-value α <(0.002 <0.05) in the control group (Pursed Lips Breathing) and mean 65,000 with SD 11.990 and p-value α <(0,000 <0.05) in the group interventions (Pursed Lips Breathing and limb training). Result showed that the average difference in fitness before and after (Pursed Lips Breathing and Extremity Exercises) was greater than in the control group (Pursed Lips Breathing). Conclusion is the difference between Pursed Lips Breathing and Pursed Lips Breathing and Extremity Exercise Against Fitness in Patients with COPD
PENGARUH BLADDER TRAINING TERHADAP PERCEPATAN PENGELUARAN URINE PADA IBU POST SECTIO CAESAREA DENGAN RETENSIO URINE DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2020 Juni Mariati Simarmata; Syatriawati Suhaimi; Miftahul Zannah; Arfah May Syara; Rosita Ginting; Maisyaroh .
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 3 No 1 (2020): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v3i1.539

Abstract

Urinary retention in women is most likely to occur in the post-caesarean section or after pelvic surgery. According to Stanton, urinary retention is the inability to urinate for 24 hours which requires catheter assistance, where the inability to pass urine is more than 25-50% of the bladder capacity. When urinary retention occurs, non-invasive methods are first attempted such as bladder training using Sitz bath hydrotherapy so that the urinary elimination function can occur spontaneously. If these efforts are unsuccessful, bladder training with catheterization is required by inserting a foley catheter in the bladder for 24 - 48 hours to keep the bladder empty and allow the bladder to regain its normal muscle tone to achieve spontaneous urination. Postoperative urinary retention is the patient's inability to urinate after surgery even though the patient's bladder is full, in most cases, postoperative urine retention does not last long, but in some cases postoperative urinary retention can be prolonged even for days after surgery. especially if properly identified and handled. Postoperative urinary retention can cause several complications such as urinary tract infections, bladder overdistention, detrusor damage and can lead to hydronephrosis and kidney damage which can lead to chronic kidney disease, especially in elderly patients.
FAKTOR - FAKTOR YANG MEMPENGARUHI TIMBULNYA NYERI PUNGGUNG BAWAH PADA KARYAWAN WORK FROM HOME DIMASA PANDEMI COVID 19 Siti Sarah Bintang Sarah Bintang; Akhsan .; Rizka Mutiara; Miftahul Zannah; Delly Tunggal Febri Suryanto
JURNAL KESMAS DAN GIZI (JKG) Vol. 4 No. 1 (2021): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v4i1.826

Abstract

This study uses an observational design with a cross sectional approach 30 respondents who are currently still working at home during the COVID-19 pandemic have met the inclusion and exclusion criteria. The research instrument used was a questionnaire to assess work from home and a Nordic Body Map (processed in google form format) to measure back pain complaints of employees who work online/WFH. The data obtained were tested for normality with the Chi - Square test . The results showed there is no a relationship between the sexes with the onset of lower back pain in the employees work from home days of the pandemic COVID 19, the value of ?-value of 0.795 > ? (0.05) and t There is no relationship between years of service and the incidence of low back pain in employees working from home during the COVID-19 pandemic, the value of is 0.977 > (0.05). But there is a relationship between age and the incidence of lower back pain in the employees work from home days of the pandemic COVID 19, with a value of ?-value of 0.001 < ? (0.05), there is a relationship between length of employment with the onset of lower back pain in the employees work from home future pandemic COVID 19, with a value of p-value (0.000) < ? (0.05) and there is a relationship between working attitude with the onset of lower back pain in the employees work from home days of the pandemic COVID 19, with a value of ?-value of 0.002<(0.05).
The effect of circuit weight training under ultraviolet B rays as vitamin D supplementation in preventing COVID-19 Miftahul Zannah; Isidore Jehaman
International Journal of Health Science and Technology Vol 4, No 2 (2022): November
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/ijhst.v4i2.2561

Abstract

The body's immune stability is essential by increasing fitness through exercise and getting enough vitamin D from ultraviolet B rays from sunlight. The exercise that is carried out, namely circuit weight training, is a mechanical exercise that can be applied outdoors to get exposure to ultraviolet B rays as a natural source of vitamin D. Exposure to sunlight is the best source of vitamin D for the synthesis of vitamin D from pre-vitamin D which is found under the skin. UVB rays (290 – 315 nm) originating from the sun will be absorbed by the skin and will then convert 7-dehydrocholesterol in the skin to pre-vitamin D3 which is then converted to vitamin D3 to be processed in the liver into 25(OH)D and in the kidneys into 1,25(OH)2D3. The purpose of this study was to determine the effect of circuit weight training under ultraviolet B rays as vitamin D supplementation in preventing Covid-19. Associated with the severity of Covid-19 occurred because reduced vitamin D supplementation could be used as a better control of SARS-COV-2. This research method was a quasi-experimental design with a pretest-posttest with a control group on 80 subjects with a ratio of 1:1 for each group. Test the normality of normally distributed data. Hypothesis analysis found a significant effect on vitamin D levels (p=0.001) circuit weight training exercise under UV-B light sourced from sunlight and there was no significant effect on increasing vitamin D levels (p=0, 710) with circuit weight training exercises performed not under UV-B rays from sunlight. This study states that there is an effect of circuit weight training under ultraviolet B rays as vitamin D supplementation in preventing Covid-19. 
Latihan Theraband dan Senam Tera Indonesia Pada Wanita Menopause Miftahul Zannah; Tati Murni Karokaro; Armansyah Berampu
Jurnal Masyarakat Madani Indonesia Vol. 2 No. 1 (2023): Februari
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (876.984 KB) | DOI: 10.59025/js.v2i1.77

Abstract

Wanita yang menopause cenderung mengalami penyakit degeneratif. Penyakit degeneratif pada menopause yang sering terjadi adalah osteoarthritis. Keluhan yang terjadi seiring dengan kurangnya konsumsi kalsium dan asupan vitamin D untuk menjaga kepadatan tulang dan dapat diberikan pada gangguan nyeri osteoarthritis hingga terjadi penurunan kualitas hidup pada penderita osteoarthritis. Tindakan fisioterapi yang dapat diberikan pada penderita osteoarthritis adalah latihan theraband dan senam tera Indonesia. Intervensi tersebut digunakan untuk mengurangi nyeri osteoarthritis pada wanita pasca menopause. Kegiatan PKM ini dilakukan pada wanita menopause yang diberikan pendampingan latihan untuk mengurangi nyeri osteoarthritis. Jumlah wanita yang ikut dalam kegiatan PKM ini adalah 18 orang dengan 2 orang narasumber dan 1 orang mahasiswa sebagai fasilitator latihan. Dari hasil latihan TheraBand dan Senam Tera Indonesia dapat mengurangi nyeri Osteoarthritis pada wanita pasca menopause.
PENGARUH LATIHAN FISIK TERSTRUKTUR TERHADAP PENURUNAN KADAR KOLESTROL PADA PASIEN HIPERTENSI DI RS GRANDMED LUBUK PAKAM Miftahul Zannah; Tati Murni Karo-karo; Ida Yolanda; Rosita Ginting; Abdi Lestari Sitepu
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (550.059 KB) | DOI: 10.35451/jpk.v1i1.704

Abstract

Hypertension and elevated cholesterol are two continuous conditions. Cholesterol level in the body is one of the most important factors to determine a person's risk of suffering from heart artery disease. Therefor it is necessary to provide Structured Physical Exercise in the form of regular exercise, in addition to reducing stress, it can also lose weight, burn more fat in the blood, and strengthen the heart muscle. To be able to do light exercise, you don't need to come to a special training ground, because the best program is one that you enjoy and can take place regularly. Methods: This study used a quantitative experimental method using post-test design with a control group (pretest-posttest with control group) with a sample size of 15 people. Sampling was used with purposive sampling technique using the Isac and Mikael formulas, the study was used in April 2021. Results: From the research results found in the experimental group the p value was 0.000 ≤ 0.05 and in the control group the p value was 0.001 ≤ 0.05. So it can be concluded that the experimental group gives a better effect than the control group on hypertension patients at Grandmed Lubuk Pakam Hospital in 2021. Therefor it is hoped that nurses at Grandmed Lubuk Pakam Hospital can improve services in non-pharmacological fields, especially for hypertension patients who suffering from hypercholesterolemia which can be overcome by giving intervention in the form of structured physical exercise.
PEMBERIAN STRETCHING ABDOMINAL DAN REFLEXOLOGY TERHADAP NYERI DISMENORE PRIMER PADA ANAK SMA PEMBANGUNAN NASIONAL PAGAR MERBAU Tati Murni Karokaro; Miftahul Zannah; Nurhapni Pulungan
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (381.573 KB) | DOI: 10.35451/jpk.v1i2.880

Abstract

Primary dysmenorrhea is pain during menstruation without any abnormalities in the genital organs, pain is felt before or on the first day of menstruation and lasts for several hours. To find out the effect of giving stretching abdominal and reflexology on primary dysmenorrhea pain in Senior high school students of SMA Pembangunan Nasional Pagar Merbau 2021. Research design is quasi-experiment. The population in this study were students of class XI SMA Pembangunan Nasional in Pagar Merbau. From January to June there were 30 students. Data were analyzed using the Wilcoxon test. The results obtained are the mean before intervention 2.86 and the mean after intervention 1.12, while the standard deviation after intervention 0.145. The results of the Wilcoxon statistical test with sig (2-tailed) p = 0.000 which means ≤ 0.05, which means that there is an effect of abdominal stretching and reflexology on the level of primary dysmenorrhea pain in high school teenage students. Stretching abdominal and reflexology given before menstruation twice a week for 3 weeks. There is a significant effect on the level of primary dysmenorrhea pain in grade XI students at SMA Pembangunan Nasional Pagar Merbau. Therefore, it is desirable for those who experience primary dysmenorrhea during menstruation to undertake non-pharmacological treatment which has been proven to reduce menstrual pain.