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PHYSIOTHERAPY MANAGEMENT FOR CERVICAL RADICULOPATHY: A CASE STUDY Wachidah, Rahayu Noor; Herawati, Isnaini
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Cervical radiculopathy (CR) is a disorder of the peripheral nervous system where the resulting cervical nerve root (CNR) pathology produces chronic pain and disability.11 which is manifested by neurological impairments caused by thightness of neck muscles due to poor postural alignment.13 Cervical radiculopathy(CR) patients demonstrate sensori motor problems radiating along the distribution of a nerve root in the upper limb, multimodal therapeutic program had significant improvement in CR.7,14,21 Case Presentation: A 45-year-old female administration worker presented as direct access to physical therapy with symptoms suggestive of cervical radiculopathy. Her examination revealed strength, tingling sensation, and restriction of rotate her neck to the left side. Following two weeks of conservative treatment, consisting of multimodal intervention, exercise therapy, home program and education. Management and Outcome: A multimodal physical therapy was shown to be effective in reducing pain, functional disability and increasing cervical range of motion in old people with degenerative cervical radiculopathy.22,23 Discussion: In most patients with cervical radiculopathy, nonoperative treatment is effective. In a oneyear cohort study of 26 patients diagnosed with herniated nucleus pulposus and symptomatic radiculopathy, a focused, non-operative treatment program was successful in 92% of patients. Little high- quality evidence supports the use of an individual nonoperative treatment; however, a multimodal approach may lighten symptoms.23,20, Conclusion: Physiotherapy management in the group setting use the two weeks of multimodal intervention and exercise program. The specific technique of multimodal intervention and exercise were used to treat the cervical radiculopathy.23,24,25
PHYSIOTHERAPY MANAGEMENT OF KNEE OSTHEOARTHRITIS IN ELDERLY: A Case Study Arizona, Diara; Herawati, Isnaini; Arifin, Akhmad Zainal
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Osteoarthritis (OA) knee is a degenerative and chronic disease of the knee joint due to damage to hyaline cartilage and the most common type of arthritis among individuals over 65 years of age. OA knee is directly related to disability related to physiotherapy problems such as pain, quadriceps dysfunction, and proprioceptive disorders. Therefore, proper management of knee OA is needed to prevent disease progression, reduce pain, and improve knee function in daily functional activities. Case presentation A female patient named MH aged 66 years. The patient had a chief complaint of pain in the right knee. Complaints worsens especially when going up and down stairs and when standing for long periods and walking long distances. The patient also feels stiffness in the knee joint in the morning with a duration of less than 30 minutes. Management and outcomes Giving several optional interventions such as ultrasound, exercise program including static quadriceps exercise, and land base exercise itseffectives for reduce pain, increase muscle strength, increase joint range of motion and improve stability and balance in OA knee. Discussion After being given physiotherapy intervention and exercise programs including static quadruceps exercise and land base exercise, the results were a decrease in motion pain and pressure, and there was an increase in flexor and extensor muscle strength from T1 with a muscle strength value of 4/5 , to 5/5 at T4, There is an increase in the range of motion of the joint at T1the result is 1000 becomes 1300 at T4. and a decrease in risk factors for falls and an increase in balance and stability in the knee joint. Conclusion After physiotherapy intervention in the form of ultrasound and exercise program that includes static quadriceps exercise, land base exercise for 4 therapy sessions can reduce pain levels, increase leg muscle strength, improve balance and reduce the risk of falls and functional activities in the elderly with OA knees.
Pentingnya Edukasi Tentang Latihan yang Dianjurkan untuk Mengurangi Nyeri pada Dismenore pada Remaja Putri di Pondok Pesantren Walisongo Kec. Karangmalang Kab. Sragen Rizqillah, Indah Prima; Yoran, Yoseph Evan; Khanza, Namira Mutia; Pratamasari, Nastiti; Salsabila, Mutia; Nuraminazkiya, Muhammad Zulfa Rangga; Prasetyo, Arya Tri; Putri, Asnatul Baida; Saputri, Shinta Claudia; Herawati, Isnaini; Widodo, Agus; Wahyuni, Wahyuni; Susilo, Taufik Eko
Jurnal Pengabdian Masyarakat Bangsa Vol. 2 No. 11 (2025): Januari
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v2i11.1976

Abstract

Masa remaja salah satu periode dari perkembangan manusia yang sangat penting. Salah satu tanda keremajaan yang muncul secara biologis pada perempuan yaitu menstruasi. Gangguan menstruasi yang dihadapi seorang perempuan yang menyebabkan ketidaknyamanan fisik bagi perempuan yang dapat mengganggu aktivitas mereka. Salah satu gangguan menstruasi yang menyebabkan ketidaknyamanan fisik yaitu dismenore. Fisioterapi sangat berperan dalam mengurangi nyeri dengan memberikan efek relaksasi pada otot-otot dan sistem pembuluh darah di sekitar perut atau area abdominal. Teknik relaksasi otot perut atau Abdominal Muscle Relaxation Technique yang diberikan oleh fisioterapi adalah intervensi modalitas dengan menggunakan hot pack dan abdominal stretching exercise. metode penyuluhan yang digunakan fisioterapi dan terapi latihan untuk penanganan nyeri menstruasi dengan metode pengambilan data primer menggunakan kuesioner dengan pre-test dan post-test hasil pre-test dan post-test dibandingkan untuk mengetahui pemahaman atau keefektifan dari penyuluhan yang dilakukan. Kuesioner tersebut memiliki 19 pertanyaan yang dijawab dengan Benar atau Salah. Berdasarkan hasil pertanyaan pada pre test dan post test terdapat peningkatan signifikan pada pertanyaan nomor sepuluh, lima belas dan delapan belas. yaitu sebanyak 6, 8 dan 9 jawaban benar, sedangkan untuk jawaban salah juga ada beberapa jawaban yang masih sama jumlah salahnya pada saat pre test dan post test. Secara garis besar melihat dari hasil test yang dilakukan dan interaksi para peserta saat penyuluhan, para peserta sudah memahami tentang dismenore. Penelitian ini mengungkapkan pentingnya penyuluhan kesehatan dalam meningkatkan pemahaman remaja perempuan terhadap dismenore dan metode penanganannya. Hasil pre-test dan post-test menunjukkan peningkatan signifikan dalam pemahaman peserta setelah kegiatan edukasi, dengan kenaikan skor jawaban benar sebesar 5,7%.
Intervensi Fisioterapi pada Kasus Sprain Ankle : A Case Report Angger Perdana Wibowo; Isnaini Herawati; Warih Sri Widodo
Jurnal Medika Nusantara Vol. 3 No. 1 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1656

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Background: An ankle sprain is an acute musculoskeletal injury that causes damage to one or more ligaments in the ankle. There are 3 grades of damage to an ankle sprain, namely grade 1: mild ligament tear, grade 2: partial ligament tear, grade 3 : complete ligament tear. Therefore, this study aims to find out how to treat physiotherapy in cases of ankle sprains and the progress that patients find after being given intervention. Methods: This case study was carried out at Panembahan Senopati Hospital Bantul on ankle sprain patients. The problems experienced by patients are pain, weakness of muscle strength, limited range of motion of joints, and decreased functional activity. Findings: Numeric Rating Scale (NRS) pain assessment revealed that quiet pain remained at zero while pressure pain decreased from two to one and movement pain decreased from four to two. Ankle eversion, dorsiflexion, plantar flexion, and inversion are used in Manual Muscle Testing (MMT) to test muscle strength, and the results range from 3 to 4. Goniometers are used to measure range of motion (ROM) when moving plantar-dorso flexi S : 15 °-0-30° becomes S: 18°-0-32°, while in the inversion-eversion movement R: 25°-0-15° becomes R: 27°-0-17°. Functional activity as measured by the Foot and Ankle Disability Index (FADI) showed an increase, initially with a value of 71 which increased to 78. Conclusion: Providing intervention for ankle sprains with 3 meetings where the modalities used were infrared, active resisted exercise and calf raises were able to reduce pain relief, increasing muscle strength, increasing joint range of motion and functional activities
Penatalaksanaan Fisioterapi pada Kasus Frozen Shoulder : a Case Report Andhika Fatir Ath-Thariq; Isnaini Herawati; Warih Sri Widodo
Jurnal Medika Nusantara Vol. 3 No. 1 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1683

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Background: Frozen shoulder also known as adhesive capsulitis, is a common shoulder disorder that manifests as pain and progressive loss of shoulder motion. Frozen shoulder can be primary or secondary, which refers to whether the condition occurs spontaneously, without known cause or trauma to primary frozen shoulder, or whether it is associated with trauma, surgery or other pathologies, such as secondary frozen shoulder subacromial pain. Method: This study design used a case report method which observed one patient with a case of left frozen shoulder. The observation location was at Panembahan Senopati Bantul Hospital. Examination using the Numeric Rating Scale (NRS) for pain examination, Manual Muscle Testing (MMT) for muscle strength examination, goniometer for joint range of motion (LGS) examination, palpation for spasm examination, Shoulder Pain and Disability Index (SPADI) for functional activity evaluation. Results: This study showed that physiotherapy treatment for 3 meetings increased joint range of motion, increased muscle strength, decreased spasm and reduced pain in patients with frozen shoulder. Conclusion: Infrared, TENS, Massage, Active resisted exercise and SPADI are effective in treating frozen shoulder cases.
Pengaruh Gerakan Senam Asma Terhadap Penurunan Frekuensi Sesak Napas Pada Klub Asma Di RSUP Surakarta Isnaini Herawati; Wahyu Tri Sudaryanto; Alfi Salatina; Rakhma Nur Fitratun Nikmah; Abyori Daru Murtama
Jurnal Pengabdian Masyarakat Vol. 2 No. 2 (2023): Oktober : Jurnal Pengabdian Masyarakat
Publisher : Universitas 45 Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30640/abdimas45.v2i2.1682

Abstract

Asthma is a chronic inflammatory condition of the airways that involves various cells and their components. This chronic inflammation can result in increased hypersensitivity in the airways, which causes recurring symptoms such as wheezing, difficulty breathing, a heavy sensation in the chest, and coughing, especially at night or early in the morning. Asthma greatly affects a person's quality of life, especially when an asthma attack occurs. Asthma attacks can cause severe shortness of breath, prolonged coughing, and chest pain. In severe cases, it can cause death if not treated quickly and appropriately. Method: This community service activity was carried out in several stages, namely as follows: 1) request for permission and interviews with asthma club administrators at RSUP Surakarta; 2) observing asthma exercise activities and collecting pre-data using a questionnaire; 3) education and justification of movements in asthma exercises; 4) post data collection using a questionnaire; 5) evaluate activities by analyzing the results of pre and post questionnaires. Results: After carrying out this activity, the results were obtained that justification of asthma exercise movements had a sufficient impact on reducing shortness of breath in asthma sufferers. Participants who regularly participate in asthma exercises experience a better quality of life.
EDUKASI HIGH INTENSITY INTERVAL TRAINING UNTUK MENINGKATKAN DAYA TAHAN KARDIORESPIRASI (VO2Max) PADA KOMUNITAS SEPEDA GUYUP RUKUN DUKUH TREMBONO GUNUNGKIDUL DIY Isnaini Herawati; Ika Purwaningsih; Sabrina Tristiana Abkhoir; Nafisa Destriana Saputri; Fitri Kurniasari
Jurnal Abdimas Indonesia Vol. 2 No. 3 (2022): Juli-September 2022
Publisher : Perkumpulan Dosen Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53769/jai.v2i3.325

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Kebugaran jasmani terkait kemampuan kesehatan mencakup kebugaran kardiorespirasi, komposisi tubuh, fleksibilitas, kekuatan otot. Kebugaran jasmani terkait kemampuan atletis mencakup keseimbangan, waktu reaksi, koordinasi, ketangkasan, kecepatan, dan kekuatan. Olahraga adalah suatu bentuk kegiatan fisik yang dapat meningkatkan kebugaran jasmani. Dalam olahraga tidak hanya melibatkan sistem muskuloskeletal semata, namun juga mengikutsertakan sistem lain seperti sistem kardiovaskular, sistem respirasi, sistem ekskresi, sistem saraf dan masih banyak lagi. Menurut Kolt et al, latihan intensitas tinggi dengan menggunakan interval dapat meningkatkan volume oksigen saat latihan pada volume dan kapasitas maksimum (VO2max) selama latihan. Sehingga tidak hanya berfokus pada otot saja akan tetapi terjadi pelatihan bagi organ vital seperti jantung dan paru.
PENINGKATAN KEBUGARAN FISIK PADA PENDERITA HIPERTENSI DI POSYANDU MENUR X KARTASURA Isnaini Herawati; Dyah Ayu Salimah; Nurul Zulaeka; Luthfiyah Putri; Rahma Alfina; Arif Pristianto
Jurnal Abdimas Indonesia Vol. 2 No. 4 (2022): Oktober-Desember 2022
Publisher : Perkumpulan Dosen Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53769/jai.v2i4.351

Abstract

Saat ini hipertensi menjadi salah satu masalah kesehatan, penyakit tidak menular karena berhubungan dengan morbiditas dan mortalitas yang signifikan termasuk serangan jantung, stroke, penyakit ginjal dan kematian. Hal ini tentunya dipengaruhi banyak factor salah satunya ialah gaya hidup kurang baik sehingga nantinya dapat menurunkan kebugaran fisik seseorang. Kebugaran fisik merupakan kemampuan seseorang dalam melakukan aktivitas sehari-hari tanpa timbul kelelahan serta masih memiliki semangat dan energi dalam menikmati waktu senggangnya. Tujuan: Kegiatan ini bertujuan untuk meningkatkan kebugaran pada pasien dengan indikasi hipertensi. Sehingga dapat meningkatkan kualitas hidup pasien hipertensi di posyandu Menur X Makam Haji. Metode: Senam bagi pasien hipertensi di Posyandu Menur X Makam Haji untuk meningkatkan kebugaran, dilakukan secara langsung di halaman posyandu Menur X Makam Haji dilakukan seminggu satu kali dengan intensitas sedang selama satu bulan. Hasil: Berdasarkan hasil observasi lapangan yang sudah dilakukan, mayoritas pasien hipertensi di Posyandu Menur X Makam Haji berusia 50 tahun ke atas dengan jumlah total 6 orang pasien. Kesimpulan: berdasarkan data pasien hipertensi di Posyandu Menur X Makam Haji tergolong dalam kategori hipertensi tingkat 1 dan tingkat 2.
EDUKASI KEGEL DAN BREATHING EXERCISE UNTUK MENGATASI INKONTINENSIA URIN PADA PENDERITA DIABETES MELLITUS DI PROLANIS KARTASURA Isnaini Herawati; Anggita Nurul Ikshanty; Intan Tri Agitha; Retno Andriani; Diva Anggraeni Yulia Maharani; Dheonita Marsyanda Rofifah; Arif Pristianto
Jurnal Abdimas Indonesia Vol. 3 No. 3 (2023): Juli-September 2023
Publisher : Perkumpulan Dosen Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53769/jai.v3i3.544

Abstract

Diabetes mellitus adalah penyakit kencing manis akibat adanya permasalahan metabolisme pada organ pancreas, ditandai dengan tingginya angka gula darah sewaktu. Diabetes dapat terjadi dari usia 39–81 tahun, yang disebabkan karena gaya hidup yang tidak sehat dan faktor genetic. Berbagai macam komplikasi dapat timbul akibat penyakit ini, salah satunya yaitu inkontinensia urine. Inkontinensia urine adalah kondisi ketika individu tidak mampu menahan air kencingnya sebelum sampai ke kamar mandi, hal ini disebabkan oleh otot panggul yang melemah. Tujuan: meningkatkan pemahaman dan pengetahuan terkait diabetes mellitus serta komplikasi yang mungkin akan terjadi. Metodologi: pengabdian masyarakat ini dilakukan dengan pendekatan melalui penyuluhan kepada 18 pasien Prolanis, menggunakan media leaflet dengan alat ukur penunjang keberhasilan berupa kuisioner pre-test dan post-test serta skala RUIS. Hasil dan kontribusi: pemahaman dan pengetahuan 18 responden Prolanis meningkat 22,8% setelah diberikan penyuluhan dan interpretasi total skor dari skala RUIS yakni ditemukan sebanyak 5 responden mengalami inkontinensia urine ringan dan 1 responden mengalami inkontinensia urine berat.
Ultrasound therapy and stretching of wrist extensors on pain, motion and functional impairment of the wrist in patients with carpal tunnel syndrome Sari, Cindi Permata; Herawati, Isnaini
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 12 (2025): Volume 7 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i12.655

Abstract

Background: Carpal tunnel syndrome (CPT) is a medical situation when there is pressure on the median nerve, where the wrist is located, which makes parasthesias, numbness and weak hand muscles. Several interventions can be done to overcome patient problems, one of which is physiotherapy. This study is intended to identify in-depth information related to the effectiveness of ultrasound therapy along with wrist stretching to reduce pain and make functional improvements in the wrists of patients with CTS. Purpose: To determine the benefits of ultrasound therapy also wrist stretching for patients with CTS. Method: This quasi-experimental study employs a pre-test and post-test design with a control group of ten respondents who have had CTS. This study employs the DASH questionnaire, the VAS, and a goneometer to measure joint mobility area. Wilcoxon and Mann-Whitney tests used to analyze the data. Results: It was found that, motion pain decreased, joint motion area increased, and increased functional potential after intervention. The impact varied between group 1 and group 2 (p<0.05). However, in compressive pain and silent pain, the value of p>0.05 was found, so there was no difference in effect between the 2 groups, but group 2 had more changes than group 1. Conclusion: Ultrasound therapy and wrist stretching were shown to result in decreased pain, enhanced functional routine, also increased joint range of motion.
Co-Authors A.A. Ketut Agung Cahyawan W Abyori Daru Murtama Achmad Briliansyah Arieputra Adelin, Shafira Prajawati AGUS WIDODO Agustianti, Ega Fahla Ajeng Sabtorini Ajitirtiono, Ramadanu 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 Arizona, Diara 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 Dea Linia Romadhoni Dheonita Marsyanda Rofifah Dianingtyas, Ayu Sulistiani Dimas Budi Lestari Dini Afriani Khasanah Dita Hafsari Diva Anggraeni Yulia Maharani Dyah Ayu Kusuma Damayanti Dyah Ayu Salimah Dyah Kusuma Ayu Kinanti Endang Nur Widiyaningsih Ervianta, Widya Evita Sari Farah Hanifah Setiarahmawati Farid Rahman Fathya Rahma Kamilatunnuha Fauziyah, Atina Fazaumi Nuriya Sayekti Filmasari, Fitri Fitri Filmasari Fitri Kurniasari 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 Khairina Zulfah Khanza, Namira Mutia Khasanah, Dini Afriani Kinanti, Dyah Kusuma Ayu Komalasari, Dwi Rosella Kurnia Lutfi Farizqi 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 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 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 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 Setiawan, Rizki Shafira Prajawati Adelin Siti Chodijah Siti Helmyati Sri Isnin Kadarti Sugianto, Rega Syafiq, Bakri As Tanjung Anitasari Indah Kusumaningrum Taufik Eko Susilo Tiara Fatmarizka Ulfa Munawaroh Diniyah Ulfah Zulfahmi 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 Wisnu Sri Hertinjung Yoran, Yoseph Evan Yusuf Arianto Zulfah, Khairina