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Latihan Peningkatan Kemampuan Biomotor (Kelincahan, Kecepatan, Keseimbangan Dan Fleksibilitas) Dengan Teknik Lari (Shuttle Run, Zig-Zag, Formasi 8) Pada Pesilat Bambang Trisnowiyanto
Jurnal Keterapian Fisik Vol 1 No 2 (2016): JURNAL KETERAPIAN FISIK
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.246 KB) | DOI: 10.37341/jkf.v1i2.85

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Abstract : Biomotor Components (Agility, Speed, Flexibilty, Balance), Pencak Silat Athlete. Biomotor such as agility is one of components must had had been own by athlete as physical condition indicator for exellence performance in competition. Agility perform with abilty change of direction and body position in fast and exact at movement without lossing balance and conscious of body position. The purpose of the study was to know influence of agility exercise model for agility, speed, flexibilty and balance in pencak silat athlete. Also to know whereas the efective model of agility exercise can improve physical ability of pencak silat athlete. This research is quantitative research, with quasi experiment design three treatment counterbalance-balance. Data analyses uses Wilcoxon test and Kruskal Wallis test. For measure improvement uses mean different. The significance satandart is p=0.05 (5%). Research result are : There is significant comparation between shutle run, zig-zag run, zig-zag combine 8 numeral run, for agilty and speed (p<0.05), shutle run useful for improve balance and speed, zig-zag run useful for improve agility and zig-zag combine 8 numeral run usefull for improve flexibility.
The Level of Children’s Independence with Cerebral Palsy in Several Regions in Java and Sumatra Bambang Trisnowiyanto; Budi Utomo
Jurnal Keterapian Fisik Vol 5 No 1 (2020): JURNAL KETERAPIAN FISIK
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v5i1.171

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Background: The most common disorder or disability in childhood is cerebral palsy, obtained during the antenatal, perinatal or early postnatal period. Cerebral palsy is a non-progressive injury or brain lesion with very variable clinical manifestations. children with cerebral palsy have impaired movement, ability levels and functional limitations and affected body parts. Therefore, to find out the level of independence in children with cerebral palsy, it is necessary to have an examination carried out by health workers, especially physiotherapy. In this case, an examination using the Gross Motor Function Classification System (GMFCS). The purpose of this study was to determine the degree of independence of children with cerebral palsy in several regions in Java and Sumatra. Methods: A total of 315 children with cerebral palsy (mean ± SD) participated in this cross-sectional study design. The research was conducted in March-June 2019. GMFCS data was collected from children with cerebral palsy in the parent community of cerebral palsy in 10 cities. The Kolmogorov-Smirnov test used for data normality test. Results: Overall research subjects from 10 cerebral palsy communities with a total sample of 315 children, most cerebral palsy with GMFCS level 4 as many as 117 children (37.1%), then GMFCS level 3 as many as 84 children (26.7%), GMFCS level 5 is 67 children (21.3%), level 2 GMFCS is 24 children (7.6%), and at least children with level 1 GMFCS are 23 children (7.3%). Conclusion: The conclusion is from a total of 315 children with cerebral palsy, the level of Indonesian children's independence based on GMFCS most of them are less independent
Correction Posture Tapping Meningkatkan Kemampuan Gerak Fungsional Anak Cerebral Palsy Bambang Trisnowiyanto; Tri Budi Santoso
Jurnal Keterapian Fisik Vol 5 No 2 (2020): JURNAL KETERAPIAN FISIK
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v5i2.222

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Background: Cerebral palsy (CP) is a collection of motor disorders caused by brain damage that occur before, during or after birth which can be caused by many factors such as, congenital, genetic, inflation, infection and poisoning during pregnancy, trauma and metabolic disorders. Children with cerebral palsy will mostly have problems with posture. Muscular spasticity found in CP children is not only found in the muscles of the limbs but also the muscles forming posture (body posture), the condition of the body shape of children with CP will be exacerbated by the omission of postures that are not functional. Taping provides convenience in initiating motion, to help people with CP be able to move easily. The objectives of this study is to determine the effect of giving correction posture taping to the ability of motion of cerebral palsy children. Methods: The design in this study is a quasi experiment with a pretest and posttest design. The research will be conducted on the CP community in Yogyakarta, namely the Wahana Cerebral Palsy Family (WKCP) for 8 weeks. The research instrument used in this study was a blank check on the basic functional ability of GMFM. Results: After getting treatment in the form of Correction Posture Taping for 8 consecutive weeks, there was an increase in the functional ability of motion during sleep by 5.1385 with P = 0.000 (α <0.05), when seated by 1.0254 with P = 0.000 (α<0.05), when crawling by 0.44 with P = 0.000 (α <0.05), when standing and walking by 0.6523 with P= 0.000 (α <0.05), when crawling by 0.32 with P = 0.000 (α <0.05). Conclusion: Based on the results of research and the results of data processing, there is the effect of posture taping correction on the functional ability of children with cerebral palsy.
Beda Pengaruh Intervensi Peregangan Dan Mobilisasi Sendi terhadap Perbaikan Keterbatasan Lingkup Gerak Sendi Bambang Trisnowiyanto
Jurnal Kesehatan Vol 7, No 2 (2016): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.915 KB) | DOI: 10.26630/jk.v7i2.186

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Keterbatasan sendi adalah hilangnya kemampuan mobilitas aktif dan pasif dari suatu persendian tubuh yang mengakibatkan terganggunya aktivitas kegiatan sehari-hari. Tujuan dilakukan penelitian ini adalah untuk mengetahui perbedaan pengaruh intervensi peregangan sendi dengan teknik end range mobilization dan mobilization with movement terhadap perbaikan keterbatasan lingkup gerak sendi dengan subjek penelitian 20 orang pasien frozen shoulder dengan rentang usia 40-65tahun. Metode penelitian yang digunakan adalah experimental, dengan rancangan two group pre and post test design. Hasil uji beda post test kelompok mobilization with movement diperoleh hasil selisih rerata nilai LGS pre dan post, untuk LGS eksternal rotasi bahu adalah 19,5o, untuk LGS abduksi bahu adalah 31,5o, dan LGS internal rotasi bahu adalah 27o. Sedangkan hasil selisih rerata pada kelompok end range mobilization untuk LGS eksternal rotasi bahu adalah 5,5o, untuk LGS abduksi bahu adalah 11,5o dan untuk LGS internal rotasi bahu adalah 7,5o. Maka dapat disimpulkan intervensi teknik mobilization with movement lebih berpengaruh dibandingkan teknik peregangan dengan end range mobilization terhadap perbaikan keterbatasan lingkup gerak sendi.
Pengaruh Abdominal Muscle Strengthening dengan Metode Pilates Bambang Trisnowiyanto
Jurnal Kesehatan Vol 7, No 3 (2016): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (62.195 KB) | DOI: 10.26630/jk.v7i3.228

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Seseorang yang memiliki kebiasaan melakukan aktivitas pasif seperti duduk lama saat bekerja dapat meningkatkan resiko terjadinya muscle power imbalance pada otot-otot penyangga tubuh yang pada akhirnya mudah mengalami nyeri pada punggung bagian bawah, sehinga bila melakukan aktifitas atau pekerjaan yang melebihi kapasitas fisik yang dimiliki, akan mudah mengalami kelelahan dan bila dipaksakan dapat terjadi cedera, seperti terjadinya spasme atau kram pada otot perut. Peningkatan kekuatan otot perut, salah satunya dapat dicapai dengan latihan Pilates yang memiliki keunggulan memiliki fokus latihan yang bertujuan menguatkan otot-otot core stability diantaranya adalah otot perut. Tujuan: Untuk mengetahui pengaruh latihan Pilates terhadap peningkatan kekuatan otot perut. Subyek Penelitian Sebanyak 34 terdiri dari ibu-ibu rumah tangga dengan rentang usia antara 30–50 tahun. Metode Penelitian: Eksperimen dengan rancangan one group pre-post test with control dengan kriteria inklusi dan ekslusi. Bentuk latihan pilates yang dipilih adalah khusus gerakan yang ditujukan untuk latihan otot-otot perut sebanyak 16 gerakan, program latihan diberikan selama 2 bulan, dengan durasi selama 45 menit/sesi latihan, 2 kali/minggu. Pengukuran kekuatan otot perut menggunakan curl up test. Analisis Statistik: Uji beda pre-post test dengan Wilcoxon Test, didapatkan p=0,000 (p<0.05) dan uji beda pre-pre test dan post-post test dengan Mann-whitney U Test kedua kelompok p=0,849(p<0.05)  dan post-post test kedua kelompok p=0,007 (p<0.05). Kesimpulan: Latihan Pilates berpengaruh terhadap peningkatan kekuatan otot perut.
DIFFERENCES INFLUENCE OF AQUATIC THERAPY AND NEURO DEVELOPMENTAL TREATMENT ON THE MOTOR FUNCTIONAL DEVELOPMENT ABILITY OF CHILDREN WITH CEREBRAL PALSY Bambang Trisnowiyanto; M Mudatsir Syatibi
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 (214.532 KB) | DOI: 10.35451/jkf.v2i2.413

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Cerebral Palsy (CP) is a motor disability disorder that most commonly occurs in children so that sufferers are unable to perform functional activities independently and need special service. Aquatic therapy and neuro developmental are interventions of physical therapy to help improve the motor functional development ability. The purpose of research is to find out the difference between aquatic therapy and neuro developmental treatment on the motor functional development ability of children with cerebral palsy. The type of research is quasi-experimental research with a pretest and posttest design. The subject of the research is the cerebral palsy community in Yogyakarta, namely Wahana Keluarga Cerebral Palsy (WKCP). The mann-whitney test use to test the hypothesis statistically.The results are difference in influence from aquatic therapy and neuro developmental treatment on the motor functional development ability of children with cerebral palsy, especially in the dimension of sitting, crawling and kneeling, standing, walking, running and jumping, and not for dimension of supine and prone. The conclusion is aquatic exercise is more influential on the motor functional development ability of children with cerebral palsy compared to neuro developmental treatment.
TEKNIK PENGULURAN OTOT–OTOT LEHER UNTUK MENINGKATKAN FUNGSIONAL LEHER PADA PENDERITA NYERI TENGKUK NON-SPESIFIK Bambang Trisnowiyanto
Jurnal Kesehatan Terpadu Vol 1, No 1 (2017): JURNAL KESEHATAN TERPADU EDISI MARET
Publisher : LPPM Universitas Dhyana Pura

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.687 KB)

Abstract

ABSTRAKNyeri tengkuk merupakan masalah yang umum dijumpai yaitu 3,5% kasus per 1.000 orang. Kondisi ini dialami dua dari tiga orang selama masa hidupnya, nyeri tengkuk akan mengakibatkan terganggunya aktivitas fungsional sehari-hari. Tujuan penelitian ini ialah untuk mengetahui pengaruh pemberian teknik penguluran otot-otot leher terhadap peningkatan fungsional leher pada penderita nyeri tengkuk non spesifik. Rancangan penelitian yang digunakan ialah one group pre-test and post-test design. Subjek penelitian sebanyak 23 orang yang terdiri dari 10 orang laki-laki dan 13 orang perempuan dengan rentang usia lebih dari 20 tahun. Subjek dipilih dengan kriteria inklusi dan eksklusi. Subjek mendapat perlakuan berupa latihan penguluran sebanyak 6 kali seminggu atau setiap hari berturut-turut selama 1 minggu. Program latihan penguluran diberikan selama 20-30 menit setiap sesi latihan.Hasil uji analisis data dengan non parametrik Wilcoxon test, diperoleh p=0.000 (p<0.05). Nilai kemampuan fungsional dengan neck pain and disability visual analogue scale (NPAD). Terdapat pengaruh latihan penguluran otot-otot leher terhadap peningkatan fungsional leher pada penderita nyeri tengkuk non spesifik.Kata kunci : latihan penguluran, fungsional leherABSTRACTNeck pain is a common problem of 3.5% of cases per 1,000 people. This condition is experienced by two out of three people during life. Neck pain will result in disruption of daily functional activities. The purpose of this study is to determine the effect of the provision of stretching of the neck muscles to the functional improvement of the neck in patients with non specific nape pain.This research design is one group pre-test and post-test design. Research subjects were 23 people consisting of 10 men and 13 women with age range more than 20 years. Subject chosen by inclusion and exclusion criteria. The subject received treatment in the form of stretching exercises 6 times a week or every day for 1 week in a stretching exercise program is given for 20-30 minutes each training session. Results of data analysis test with non parametric Wilcoxon test, obtained p = 0.000 (p <0.05). The value of functional ability with neck pain and disability visual analogue scale (NPAD).There is an effect of neck muscle stretching exercises on the functional improvement of the neck in patients with non specific nape pain.Keyword: stretching exercises, functional neck
Physiotherapy Modalities and Physiotherapy Modalities and its Effect on The Development of Functional Ability in Children with Cerebral Palsyits Effect on The Development of Functional Ability in Children with Cerebral Palsy Bambang Trisnowiyanto; Budi Utomo
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.9551

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In Indonesia, currently there are various physiotherapy intervention modalities for children with special needs, especially in cerebral palsy. The Bobath concept is a holistic approach to solving the problems of individuals with movement disorders and postural control as a result of lesions in the central nervous system. The purpose of this study was to determine the effect of physiotherapy modalities on functional abilities in children with cerebral palsy. This research was an experimental type that had a control variable with a nonequivalent control group design, but in this design the experimental group and the control group were not randomly selected, functional ability measuring tool used gross motor functional movement (GMFM). All respondents received treatment 16 times (2 times per week), measured as fisrt post-test, followed by treatment 16 times (2 times per week) measured as second post-test. The first post-test (16 times) and the second post-test (32 times), these data were compared. The results of the repeated measured ANOVA test in the control group revealed that there was a significant difference in functional ability after the bobath concept treatment (p=0.060; x1=-0.714; x2=-2.714) and after the bobath concept and taping treatment (p=0.027; x1=-2.400; x2=-6.000). But, there was found not significant after the bobath concept and stretching treatment (p =0.071; x1=-0.333; x2=-3.667), and after the bobath concept and infrared treatment (p=0.126; x1=-1.000; x2=-2.500). The results of the Freadman test there was a significant difference in functional ability after the bobath concept and massage treatment (p=0.023). The conclusion, there was a significant difference in functional ability improvement after being given treatment by the bobath concept, bobath concept plus taping, and/or bobath concept plus massage.
PENGARUH PROGRAM PILATES TERHADAP EKSTENSIBILITAS OTOT HAMSTRING Trisnowiyanto, Bambang; Hapsanti, Wirdi
Jurnal Fisioterapi dan Kesehatan Indonesia Vol 3 No 2 (2023): Jurnal Fisioterapi dan Kesehatan Indonesia
Publisher : Ikatan Fisioterapi Indonesia cabang kota bekasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59946/jfki.2023.256

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Lingkup gerak sendi (LGS) sangat bergantung pada karakteristik struktural dan biomekanik jaringan ikat di sekitarnya. Tingginya dampak pemendekan otot hamstring yang secara langsung dapat berdampak pada penurunan ekstensibilitas. Oleh karena itu, diperlukan suatu peregangan untuk mengembalikan panjang otot dan diharapkan dapat mengembalikan ekstensibilitasnya secara bertahap, salah satunya dengan menggunakan program Pilates. Tujuan penelitian ini adalah untuk mengetahui pengaruh program pilates terhadap peningkatan ekstensibilitas otot hamstring. Metode penelitian yang digunakan adalah quasi eksperimen dengan desain one group pre and post test with control group. Kelompok eksperimen diberi perlakuan latihan peregangan dan pilates, sedangkan kelompok kontrol hanya diberi latihan peregangan. Tes sit andreach merupakan instrumen penelitian yang digunakan untuk mengukur ekstensibilitas otot hamstring pada sebelum dan sesudah perawatan. Hasil penelitian menunjukkan bahwa: (1) terdapat perbedaan yang signifikan sebelum dan sesudah diberikan perlakuan berupa latihan peregangan dan latihan pilates pada kelompok eksperimen (p-value 0,000; mean=7,000), (2) terdapat perbedaan yang signifikan sebelum dan sesudah diberikan perlakuan berupa latihan peregangan pada kelompok kontrol (p-value=0,000; mean = 1,800), dan (3) program pilates dan latihan peregangan lebih berpengaruh terhadap peningkatan ekstensibilitas otot hamstring dibandingkan untuk latihan stetching saja. Kesimpulannya program pilates berpengaruh signifikan terhadap peningkatan ekstensibilitas otot hamstring.
The Relationship Between Age and Stress on Sleep Quality Trisnowiyanto, Bambang; Andriani, Isna; Adriani, Rita Benya
Jurnal Kesehatan Vol 17, No 3 (2024): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jk.v17i3.5188

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Pendahuluan: Kualitas tidur pada masa remaja akhir seringkali terganggu oleh kebiasaan tidur larut malam. Selain itu, kualitas tidur juga dipengaruhi oleh faktor biologis, usia, dan gangguan psikologis seperti stres. Tujuan penelitian ini adalah menganalisis hubungan antara usia dan stres terhadap kualitas tidur pada remaja akhir. Metode: Jenis penelitian ini merupakan penelitian observational analystical dengan desain penelitian cross sectional. Sampel penelitian terdiri dari remaja akhir berusia 17 hingga 25 tahun yang diidentifikasi menggunakan teknik simple random sampling. Instrumen yang digunakan adalah Perceived Stress Scale-10 untuk mengukur tingkat stres dan Pittsburgh Sleep Quality Index untuk mengukur kualitas tidur. Analisis data dilakukan secara multivariat dengan menggunakan regresi linier berganda. Hasil: Seiring bertambahnya usia, rata-rata skor kualitas tidur meningkat sebesar 0,112 unit dibandingkan dengan usia lebih muda, namun hal ini tidak terbukti signifikan secara statistik (b = 0,112; CI 95% = -0,501 hingga 0,724; p-value = 0,717). Remaja akhir dengan skor stres tinggi memiliki rata-rata skor kualitas tidur 0,099 unit lebih tinggi dibandingkan remaja dengan skor stres rendah, dan hal ini terbukti signifikan secara statistik (b = 0,099; CI 95% = 0,000-0,198; p-value = 0,050). Hasil: Seiring bertambahnya usia, rata-rata skor kualitas tidur meningkat sebesar 0,112 unit dibandingkan dengan usia lebih muda, namun hal ini tidak terbukti signifikan secara statistik (b = 0,112; CI 95% = -0,501 hingga 0,724; p-value = 0,717). Remaja akhir dengan skor stres tinggi memiliki rata-rata skor kualitas tidur 0,099 unit lebih tinggi dibandingkan remaja dengan skor stres rendah, dan hal ini terbukti signifikan secara statistik (b = 0,099; CI 95% = 0,000-0,198; p-value = 0,050). Usia dan stres merupakan faktor yang mempengaruhi kualitas tidur sebesar 2,88%, dan sisanya dipengaruhi oleh faktor lainnya. Kesimpulan: Kualitas tidur terbukti dipengaruhi secara signifikan oleh stres, namun jelas tidak dipengaruhi oleh usia.   Introduction: Sleep quality in late adolescence was often compromised by late-night sleeping habits. In addition, sleep quality was also influenced by biological factors, age, and psychological disorders such as stress. The purpose of this study was to analyze the relationship between age and stress on sleep quality in late adolescents. Methods: This type of research was an observational-analytical research with cross sectional research design. The study sample consisted of late adolescents aged 17 to 25 years who were identified using simple random sampling technique. The instruments used were Perceived Stress Scale-10 to measure stress levels and Pittsburgh Sleep Quality Index to measure sleep quality. Data analysis was performed multivariately using multiple linear regression. Results: As age increased, the mean sleep quality score increased by 0.112 units compared to younger ages, but this did not prove statistically significant (b = 0.112; 95% CI = -0.501 to 0.724; p-value = 0.717). Late adolescents with high stress scores had a mean sleep quality score 0.099 units higher than adolescents with low stress scores, and this proved statistically significant (b = 0.099; 95% CI = 0.000 to 0.198; p-value = 0.050). Age and stress were factors that affect sleep quality by 2.88%, and the rest was influenced by other factors. Conclusion: Sleep quality was shown to be significantly affected by stress, but clearly not by age.