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FISIOTERAPI UNTUK MENINGKATKAN KESEIMBANGAN PASIEN HEMIPARESE PASCA STROKE NON HEMORAGIK: STUDI KASUS Dwi Purnomo Adi; Isnaini Herawati; Agustina Ariyani
Journal of Innovation Research and Knowledge Vol. 2 No. 9: Februari 2023
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v2i9.5028

Abstract

Latar Belakang: Stroke adalah gangguan neurologik mendadak yang berlangsung cepat (dalam beberapa jam), yang diakibatkan oleh berhentinya suplai darah ke bagian otak. Secara umum, stroke dibagi menjadi 2 yaitu stroke hemoragik dan non hemoragik. Gangguan keseimbangan akibat hilang atau menurunnya fungsi motorik menyebabkan pasien stroke rentan untuk jatuh. Terapi latihan merupakan salah satu metode untuk meningkatkan kemampuan keseimbangan. Tujuan: untuk mengetahui efektifitas terapi latihan core strengthening dengan pelvic PNF terhadap keseimbangan pada pasien hemiparese pasca stroke non hemorogik. Metode: Penelitian ini menggunakan pendekatan case report pada pasien hemiparese pasca stroke yang dilakukan di Rumah Sakit Jiwa Grhasia. Hasil: Pemberian terapi latihan yang dilakukan sebanyak 3 kali didapatkan hasil score Berg Balance Scale sebelum latihan yaitu 21 dan setelah latihan 3 kali yaitu 38 dengan interpretasi resiko jatuh menengah dan memerlukan alat bantu jalan seperti tongkat, kruk, dan walker. Sehingga terdapat efek dari latihan core strengthening dengan pelvic PNF terhadap keseimbangan pada pasien hemiparese pasca stroke non hemorogik.
MANAGEMEN FISIOTERAPI PADA KASUS XEROSIS EC MORBUS HANSEN MULTI BASILLER DI RS KUSTA KELET DONOROJO (STUDI KASUS) Aldhita Inayah Firdausi; Isnaini Herawati; Teguh Prihastomo
Journal of Innovation Research and Knowledge Vol. 2 No. 12: Mei 2023
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v2i12.5626

Abstract

Introduction: Xerosis is a term for dry skin that often occurs on the lower limbs, heels, elbows, and fingers. Xerosis is caused by reduced moisture due to loss of lipids and natural moisturizing factors in the Stratum Corneum. The purpose of this study is to determine the implementation of physiotherapy in reducing xerosis in both lower limbs and maintaining skin elasticity with. Methods: patients are given oiling treatment, ankle pumping, bridging exercise, balance exercise and sensory stimulus exercises on the feet for 4 weeks which are carried out 3x/week. Results: evaluation was carried out using Range Of Motion (ROM), Manual Muscle Testing, Anthropometry, ODSS (Overall Dry Skin Score). Conclusion: there is an increase in ROM, MMT, ODSS (Overall Dry Skin Score) and a decrease in Anthropometry after being given Exercise therapy for 4 weeks.
Edukasi jalan pagi dan latihan slow deep breathing untuk menurunkan hipertensi pada kelompok ibu pemberdayaan kesejahteraan keluarga (PKK) di desa Bangsri kabupaten Jepara Noor Laela Fitria; Isnaini Herawati; Farid Rahman
Hasil Karya 'Aisyiyah untuk Indonesia (Hayina) Vol 1, No 1 (2021): Oktober
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (326.372 KB) | DOI: 10.31101/hayina.2226

Abstract

Hipertensi menjadi silent killer karena pada sebagaian besar kasus tidak menunjukkan gejala apapun hingga pada suatu hari hipertensi menjadi stroke dan serangan jantung yang mengakibatkan penderitanya meninggal. Hipertensi terkait erat dengan masalah psikologis dan emosional, terutama dalam tekanan hidup yang berat. Upaya penanganan pada penderita hipertensi yang dapat dilakukan yaitu dengan cara jalan pagi. Jalan pagi mampu mendorong jantung bekerja secara optimal dan dapat meningkatkan aktivitas pernapasan. Upaya penanganan lain pada hipertensi yaitu dengan cara terapi komplementer. Salah satu bentuk terapi komplementer yang menggunakan teknik relaksasi adalah latihan slow deep breathing. Metode pengabdian masyarakat ini dengan pemberian penyuluhan kepada Kelompok Ibu PKK yang bertujuan untuk manambah pengetahuan terkait jalan pagi dan latihan slow deep breathing untuk menurunkan hipertensi. Jalan pagi dapat dilakukan setiap pagi dan latihan slow deep breathing dilakukan sebanyak 6 kali permenit selama 10 menit. Pengabdian masyarakat ini dilakukan di Desa Bangsri Kabupaten Jepara dan didapatkan hasil yaitu meningkatnya pengetahuan kelompok tersebut tentang jalan pagi dan latihan slow deep breathing untuk menurunkan hipertensi dengan hasil 79% (baik) pada nilai rata-rata pre-test dan post-test sehingga masyarakat dapat melakukan latihan tersebut dengan mandiri. 
Efektivitas Proprioceptive Neuromuscular Facilitation Terhadap Kemampuan Motorik Wajah Pasien Bell’s Palsy: Case Report Dinda Ayudya Puspitaningrum; Isnaini Herawati; Eko Prihati; Farid Rahman
Jurnal Kesehatan dan Fisioterapi Vol 2, No 2 (2022): Jurnal KeFis - April 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.938 KB)

Abstract

Introduction: Bell's palsy or also known as idiopathic facial nerve paralysis is a common type of facial muscle weakness caused by lesions of the cranial nerve facialis (VII). One of method that can be used to treat Bell's palsy is Proprioceptive neuromuscular facilitation (PNF). PNF can facilitate neuromuscular performance to accelerate healing from Bell's palsy and improve facial muscles including strength, flexibility, and coordination. Objective: to proved the effectiveness of PNF on the motor control ability of Bell's palsy. Methods: Single subject research conducted on an 18 year old teenager with Bell's palsy. Subjects were given exercise using the PNF method for 4 weeks which was carried out 2x/week and motor evaluation was carried out at the end of the study. Results: The evaluation was carried out using the Manual Muscle Testing and Ugo Fisch Scale. At baseline, facial muscle strength is worth 1 which means it has minimal contraction, after 8 treatment sessions there is an increase in muscle strength to 5 and some muscles are worth 3. Facial functional measurements using the Ugo Fisch Scale at baseline had a total score of 38 then after being given treatment for 4 weeks it increased to 76 Conclusion: There was an increase in motor function in the form of muscle strength and facial function in Bell's palsy patients after being given training with the PNF method for 4 weeks.Keywords: Bell’s Palsy, Exercise, Facial Nerve, Motoric, Proprioceptive Neuromuscular Facilitation
PENATALAKSANAAN FISIOTERAPI PADA KASUS LANSIA DENGAN PENURUNAN FUNGSIONAL LOW BACK PAIN DI KLINIK ATIK HIDAYATI Davini Dwi Maycahyasari; Isnaini Herawati; Atik Hidayati; Farid Rahman
Jurnal Kesehatan dan Fisioterapi Vol 2, No 2 (2022): Jurnal KeFis - April 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (238.568 KB)

Abstract

Low Back Pain (LBP) is one of the most common musculoskeletal problems in Indonesian society, with a prevalence rate of 80%. In some patients, the initial acute pain may persist for a period of 3 months and eventually progress to chronic LBP. One method that can be used to treat Low Back Pain Active isometric strengthening exercises can strengthen the anterior oblique muscle group, deep oblique muscle, and back muscle. For hamstrings, lumbar extensors and hip flexors. McKenzie Exercise is an exercise that aims to strengthen the back muscles and relax the abdominal muscles. Objective: to improve functional without discomfort in Low Back Pain clients. Methods: Subjects were given isometric strengthening exercises and McKenzie Exercise for 4 weeks which were carried out 2x/week. Results: Evaluation was carried out using Visual analogue scale and oswestry low back pain measurement instruments. Conclusion: There was an increase in function with a decrease in pain levels during daily activities after being given exercise therapy for 4 weeks.Keywords: Low Back Pain, oswestry low back pain, isometric exercise, McKenzie Exercise.
Efektivitas NDT dalam Mengontrol Tingkat Spastisitas dan Meningkatkan Kemampuan Gross Motor Anak dengan Kondisi CP Desy Wahyu Utami; Isnaini Herawati
Jurnal Kesehatan dan Fisioterapi Vol 2, No 3 (2022): Jurnal KeFis - Juli 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (306.467 KB)

Abstract

Introduction: Cerebral palsy is a condition in which the brain is damaged, resulting in a crucial abnormality because the brain is the center of human activity. The severity of cerebral palsy is classified into 4 categories, namely mild, moderate, severe, and no cerebral palsy. will affect the level of spasticity and gross motor skills of children. Children with cerebral palsy experience gross motor disorders which result in limitations in carrying out activities so that interventions are needed to support the gross motor development of children with cerebral palsy. NDT is a common intervention given to children with physical development disorders. This intervention focuses on normalizing hypertone muscles. Objective: To determine the effectiveness of NDT in controlling spasticity and improving gross motor skills in children with cerebral palsy. Methods: The study used a single-subject research conducted on children with cerebral palsy. This research was conducted for 3 weeks and the treatment was carried out 6 times with the provision of neuro development treatment interventions.Results: The evaluation was carried out using the Ashworth scale and GMFM measurement instruments. After 6 treatment sessions, there was a decrease in the level of spasticity and an increase in gross motor ability. Conclusion: The results showed that the Neuro Development Treatment was effective in controlling the level of spasticity and increasing the gross motor ability of children with cerebral palsy. Keywords: Cerebral palsy, neuro development treatment, spastisitas, gross motor
MANAGEMENT FISIOTERAPI PADA KASUS LOW BACK PAIN EC HERNIA NUCLEUS PULPOSUS DI RSUP Dr SARJITO YOGYAKARTA: CASE REPORT Ferlina Fidya Atmaja; Isnaini Herawati; Kuwadi Kuwadi
Journal of Innovation Research and Knowledge Vol. 3 No. 1: Juni 2023
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v3i1.5822

Abstract

Background: Low back pain often occurs in middle age, namely between 45-65 years. Where one of the causes of low back pain is due to trauma or improper body position when bending so that over time it can cause a Hernia Nucleus Pulposus (HNP). HNP itself is a condition where the nucleus pulposus comes out and protrudes, which then presses towards the spinal canal through the torn annulus fibrosus. In Indonesia, the prevalence of HNP has not been specifically stated, but the prevalence of joint disease increases significantly at the age of more than 45 years. Objective: To know the physiotherapy management using the ir, tens, and exercise therapy methods (core exercise) in cases of low back pain ec hernia nucleus pulposus L5-S1. Methods: Research using the Case Report method conducted at Dr Sarjito General Hospital Yogyakarta in a 62 yearold female patient diagnosed with physiotherapy for low back pain ec hernia nucleus pulposus L5-S1 with complaints of easy aches and pain from the lower back radiating to the legs. Patients were given interventions in the form of ir, tens, and exercise therapy (core exercise) which was done once a week. Results: Physiotherapy modalities in the form of IR, TENS, and Exercise Therapy in the form of Core Exercise are able to reduce muscle spasms, tenderness and motion pain, increase range of motion of joints, and increase in functional activity. Conclusion: Based on this study using the Case Report, it shows that physiotherapy management with the exercise therapy method in cases of low back pain ec hernia nucleus pulposus L5-S1, as a whole, the evaluation results obtained showed an improvement.
PEMBERIAN ARUS FARADIK DAN COMPRESSION BANDAGE PADA LIMFEDEMA PASCA OPERASI PENGANGKATAN PAYUDARA Miftakhul Jannah; Isnaini Herawati; Arik Dwindayani
Journal of Innovation Research and Knowledge Vol. 3 No. 1: Juni 2023
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v3i1.5867

Abstract

Limfedema ekstremitas atas adalah komplikasi fisik yang biasa dialami setelah pengobatan kanker payudara, ditandai dengan pembengkakan jaringan yang terus-menerus di ekstremitas akibat akumulasi getah bening yang tidak normal dalam jaringan. Beberapa penelitian mengatakan bahwa menambahkan terapi dengan arus faradic pada Complex Dekongestif Theraphy pada pasien limfedema menghasilkan penurunan lingkar segmen dan volume serta ketebalan kulit. Penelitian ini merupakan Case Report yang bertujuan untuk mengetahui efektivitas pemberian arus faradic dan compression bandage pada pasien limfedema. Terapi dilakukan selama 3 kali, sebelum dan sesudahnya dilakukan pengukuran lingkar segmen dari pes cubiti 5 & 10 cm kearah distal dan proksimal, serta diukur kemampuan fungsional menggunakan Upper Extremity Functional Index (UEFI). Setelah diberikan terapi selama 3 kali, diperoleh hasil T0 dan T1 , pes cubiti 5 & 10 cm kearah distal hasilnya 36 & 36 cm, sedangkan pada 5 & 10 cm kearah proximal hasilnya 44 & 45 cm. Pada T2 terdapat penurunan lingkar antropometri 5 & 10 cm kearah distal hasilnya 35 & 34,5 cm, sedangkan pada 5 & 10 cm kearah proximal hasilnya 43 & 44,5 cm. Kemudian pada T3 terdapat penurunan lingkar antropometri 5 & 10 cm kearah distal hasilnya 33 & 32 cm, sedangkan pada 5 & 10 cm kearah proximal hasilnya 43 & 42 cm. Intervensi yang diberikan yaitu modalitas elektroterapi dengan arus faradic yang dikombinasikan dengan kompresi oleh elastic bandage. Hasil dari penelitian ini didapatkan adanya sedikit peningkatan aktifitas fungsional pada pasien dengan limfedema post op ca mamae, pada penilaian aktifitas fungsional T0- T2 diperoleh nilai 44, sedangkan pada T3 didapatkan hasil 49.
The Benefits of Ultrasound, Eccentric Exercise, and Neuromuscular Taping in Reducing Elbow Pain Caused by Tennis Elbow Rahma Septiara; Isnaini Herawati
International Journal of Science and Society Vol 5 No 4 (2023): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v5i4.854

Abstract

Tennis elbow, commonly known as lateral epicondylitis, is a problem in the tendons around the elbow, which act as a driving force for the extensor muscles of the hand. Apart from tennis players, this case also often occurs in workers who use heavy equipment or perform repetitive and excessive gripping tasks, lifting, or circular arms movements. Tennis elbow is a prevalent thing for patients who seek medical help because of pain in the elbow. Tennis elbow is caused by muscle contractions in the elbow joint that occur repeatedly in sports activities such as playing badminton, doing daily activities, or other work, which gives repeated loads to the forearm muscles resulting in the appearance of pain on the outside of the elbow. This case study aims to discover the benefits of providing physiotherapy interventions in the form of Ultrasound (US), Eccentric Exercise, and Neuromuscular Taping in conditions of elbow pain due to tennis elbow. The research method used is a case study. The respondent in the study was a 23-year-old patient who was a badminton player at the Badminton UKM Muhammadiyah University of Surakarta. This research was conducted six times for two weeks. Patients were evaluated using the Visual Analogue Scale (VAS). The results of physiotherapy intervention in the form of Ultrasound (US), Eccentric Exercise and Neuromuscular Taping showed a decrease in tenderness in the lateral epicondyle of the right elbow joint from 7 VAS to 3 VAS and movement pain from 7 VAS to 2 VAS. In conclusion, by providing physiotherapeutic interventions in the form of Ultrasound (US), Eccentric Exercise, and Neuromuscular Taping, there are benefits in reducing pain on the outside of the elbow against the condition of the tennis elbow.
Edukasi Pencegahan dan Penanganan Cedera Akut pada Komunitas Taekwondo Indonesia Muda Achmad Briliansyah Arieputra; Luluk Setya Arimbi; Lisa Grafita; Dimas Budi Lestari; Isnaini Herawati; Arif Pristianto
ABDINE: Jurnal Pengabdian Masyarakat Vol. 3 No. 2 (2023): ABDINE : Jurnal Pengabdian Masyarakat
Publisher : Sekolah Tinggi Teknologi Dumai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52072/abdine.v3i2.617

Abstract

Cedera olahraga seringkali diakibatkan oleh trauma ringan maupun berat. Tujuan kegiatan ini untuk memberikan edukasi pencegahan dan penanganan cedera pada komunitas taekwondo di Desa Sinduadi, Kecamatan Mlati, Kabupaten Sleman. Metode penyuluhan ini adalah pengisian kuesioner, pemberian materi, demonstrasi dan pemberian treatment mengenai pencegahan dan penanganan cedera akut dengan core stability, star excursion balance exercise serta PEACE and LOVE. Hasil assessment pengetahuan materi yang disampaikan pada anggota komunitas Taekwondo Indonesia Muda yang dilakukan pre-test didapat 15 orang (23%) memiliki pengetahuan dalam kategori paham, 52 orang (77%) memiliki pengetahuan dalam kategori tidak paham. Sedangkan pada post- test didapat 56 orang (83%) memiliki pengetahuan paham, 11 orang (17%) memiliki pengetahuan dalam kategori tidak paham. Hasil evaluasi nyeri menggunakan NRS pada atlet yang cedera didapatkan nilai pre-test untuk nyeri diam (5), nyeri tekan (6), nyeri gerak (5). Sedangkan untuk nilai post-test pada evaluasi nyeri didapatkan nilai nyeri diam (4), nyeri tekan (4) dan nyeri gerak (3). Berdasarkan hasil pre dan post test kegiatan didapat peningkatan pemahaman pada responden sebanyak 60% dan penurunan tingkat nyeri.
Co-Authors A.A. Ketut Agung Cahyawan W Abyori Daru Murtama Achmad Briliansyah Arieputra Adelin, Shafira Prajawati AGUS WIDODO Agustianti, Ega Fahla Agustina Ariyani Ajeng Sabtorini Ajitirtiono, Ramadanu Aldhita Inayah Firdausi Alfi Salatina Alfi Salatina Almadani, Zahra Amalia Prasetyaningtyas Amalia Prasetyaningtyas Amar Busro Anam, Maulana Chairul Andhika Fatir Ath-Thariq Angger Perdana Wibowo Anggita Nurul Ikshanty Anis Dwi Charisa Annisa Amaliah Annisa Dwi Rahayu Annisa Rizky Amalia Annissa Mustika Ayu Aprilia Nurlita Dwi Putri Apriliyani, Intan Dwi Ardhiani, Miftah Rizky Ardhita Hilwa Zakia Ardiansyah, Faizin Arif Pristianto Arifin, Akhmad Zainal Arik Dwindayani Arizona, Diara Atik Hidayati Atina Fauziyah Ayu Dwi Lestari Ayu Sulistiani Dianingtyas Ayu, Annissa Mustika Bakri As Syafiq Bhisma Murti Cafin Surya Putra Pratama Cahyaningsih, Arum Cartika Volta Pradanov Chafsoh, Zannuba Alifah Cindi Permata Sari Damayanti, Dyah Ayu Kusuma Davini Dwi Maycahyasari Dea Linia Romadhoni Desy Wahyu Utami Dheonita Marsyanda Rofifah Dianingtyas, Ayu Sulistiani Dimas Budi Lestari Dinda Ayudya Puspitaningrum Dini Afriani Khasanah Dita Hafsari Diva Anggraeni Yulia Maharani Dwi Purnomo Adi Dyah Ayu Kusuma Damayanti Dyah Ayu Salimah Dyah Kusuma Ayu Kinanti Eko Prihati Endang Nur Widiyaningsih Ervianta, Widya Evita Sari Fadhil Kusuma Ningrum Farah Hanifah Setiarahmawati Farid Rahman Fathya Rahma Kamilatunnuha Fauziyah, Atina Fazaumi Nuriya Sayekti Ferlina Fidya Atmaja Filmasari, Fitri Fitri Filmasari Fitri Kurniasari G. Gunawan Galih Adhi Isak Setiawan Habiibatusy Syaahidah Hafiza Amalia Hanifa, Miftahul Fauziah Hapsari, Dela Oktavia Ihza Risqi Praditya Ika Purwaningsih Ika Yuli Ayuningrum Ilyas, Muhammad Taufik Indri Setyaningsih Intan Tri Agitha Kamilatunnuha, Fathya Rahma Khairina Zulfah Khanza, Namira Mutia Khasanah, Dini Afriani Kinanti, Dyah Kusuma Ayu Komalasari, Dwi Rosella Kurnia Lutfi Farizqi Kuwadi Kuwadi Lalu Surya Rizky Pratama Latifah, Alifia Putri Lesmana, Doan lestari, sulis Lisa Grafita Luluk Setya Arimbi Luthfiyah Putri M. Halim Meidania, Monalisa Miftah Rizky Ardhiani Miftakhul Jannah Muflihah, Nurul Muh Ridhuwan Muhammad Andhika Fajrin Noval Fajrin Muhammad Lukman Hakim Muhammad Taufik Ilyas Muhammad Zulfa Rangga Nuraminazkiya Mursyida, Luthfa Mutalazimah Mutalazimah Nafisa Destriana Saputri Nita, Siska Alfia Noor Laela Fitria Nuraminazkiya, Muhammad Zulfa Rangga Nurhayati, Kofifah Indri Nurul Zulaeka Oktaviani Fitriyah Okti Sri Purwanti Pramudya Putri, Anggun Prasetyo, Arya Tri Pratama, Cafin Surya Putra Pratama, I Putu Aditya Pratamasari, Nastiti Prihastomo, Teguh Prima Afifah Purbasasana, Purbasasana Purnomo Gani Putri, Asnatul Baida Putri, Fatati Nurainni Putri, Nuristiqomah Dwi Qomariyah Qomariyah Qomariyah Qomariyah Rahayu, Annisa Dwi Rahma Alfina Rahma Septiara Rahmawati, Aulia Fahriza Rahmi, Nurul Fikria Fauzia Raihani, Ferrarista Nadja Rakhma Nur Fitratun Nikmah Rania, Ratu Rasyidi, Arba’Atur Ratnasari, Eka Febri Ratu Rania Raveena Wulan Octavia Retno Andriani Ridhuwan, Muh Ririt Ika Lestari Rizka Salsabila Putri Rizqillah, Indah Prima Rochmah, Yunita Nur Rosyad, Hanif Ar RR. Ella Evrita Hestiandari S Sakinah Sabrina Tristiana Abkhoir Salma Hira Ayu Setyara Salma Muazzaroh Salsabila, Mutia Saputri, Shinta Claudia Sari, Cindi Permata Sepfiana, Gerarda Setiarahmawati, Farah Hanifah Setiawan, Galih Adhi Isak Setyawan, Annisa Putri Amalia Shafira Prajawati Adelin Siti Chodijah Siti Helmyati Sri Isnin Kadarti Sugianto, Rega Syafiq, Bakri As Tanjung Anitasari Indah Kusumaningrum Taufik Eko Susilo Teguh Prihastomo Tiara Fatmarizka Ulfa Munawaroh Diniyah Ulfah Zulfahmi Umi Budi Rahayu Utami, Mulatsih Nita W Wahyuni Wachidah, Rahayu Noor Wahyu Tri Sudaryanto Wahyuni Wahyuni wahyuni wahyuni Wardhana, Muhamad Fikry Abrar Yoga Warih Sri Widodo Widya Ervianta Wijayanti, Christina Wahyu Wisnu Sri Hertinjung Yoran, Yoseph Evan Yusuf Arianto Zulfah, Khairina