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Pengaruh Stretching Dan Strengthening Terhadap Penurunan Skala Nyeri Sendi Lutut Ostheoarthritis Genu Di Kwala Bekala Lingkungan XIV Medan Andre Mulyadi Ginitng; Wahyu Wijanarko; Ronald Erwansyah
Jurnal Kesehatan dan Fisioterapi Vol 2, No 5 (2022): Jurnal KeFis - Oktober 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Osteoarthritis or often called degenerative joint disease is a cartilage disorder characterized by clinical, histological, and radiological changes. Osteoarthritis most commonly occurs in the knees, hips, spine, and ankles. One that often occurs in the quadriceps muscle is a muscle in the knee joint that functions as an active stabilization of the knee joint and also plays a role in the wrist joint. as an active stabilizer of the knee joint and also plays a role in the wrist joint. Objective: To determine the effect of pain degree on knee joint reduction in Osteoarthritis Genu patients, to determine the scale of Osteoarthritis knee joint pain after stretching & strengthening. Methods: This research is a quasi-experimental study (quasi-experimental) with pre and post test one group design. Before and after being given treatment, the sample was measured using the NRS scale first to assess the basic functional ability of the patient's knee (undiastirin, 2010). Result: -4.850 because the ASYMP SIG value (P VALUE) > 0.05, the data affect the ability of knee functional activity in knee osteoarthritis patients in Kwala Bekala Village XIV Environment Medan. Conclusion: Based on the results of research and discussion, it can be concluded that there is an effect of stretching and strengthening on reducing knee joint pain scale in Osteoarthritis Genu.Keywords: Pain, joints, knees

Pengaruh Senam Tera Indonesia Terhadap Penurunan Tekanan Darah Pada Lansia Hipertensi Desa Pasar Melintang Kecamatan Lubuk Pakam Evelyn Cristiana Sitinjak; Liza Agustu; Ronald Erwansyah
Jurnal Kesehatan dan Fisioterapi Vol 2, No 3 (2022): Jurnal KeFis - Juli 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Elderly is a condition characterized by a person's failure to maintain a balance against physiological stress conditions. Tera Indonesia Gymnastics is a physical and mental exercise, combining movements of body parts with breathing techniques and rhythms through concentration of thoughts that is carried out regularly, harmoniously, correctly and continuously. The benefits of tera gymnastics are to improve and improve the condition and function of theheart and blood circulation, the respiratory system, the nervous system, food digestion, endocrine, muscle strength and endurance, muscle and joint flexibility, balance and coordination and metabolic processes. In addition to physical health, tera gymnastics also provides spiritual benefits, among others, maintaining stable self-control, reducing stress, training concentration, increasing sensitivity, fostering a sense of togetherness and kinship (Tera Gymnastics Community, 2009). Hypertension or high blood pressure disease is a disorder of the blood vessels resulting in the supply of oxygen and nutrients. This condition causes blood pressure in the arteries to increase and the heart has to work harder to meet these needs. diagnosed for a long time. The purpose of the study was to determine the effect of Indonesian tera gymnastics on reducing blood pressure in the elderly. This study used a one group pre-test-post-test research design with purposive sampling. The population in this study was Pasar Melintang Village, Lubuk Pakam District, which amounted to 12 people. Based on the Wilcoxon test, a significance value or p value = 0.002 (p <0.05) was obtained. So there is an effect of Indonesian tera gymnastics on reducing blood pressure in the elderly with hypertension in Pasar Melintang Village. Keywords: Tera Gymnastics, Elderly, Lowering Blood Pressure

Perbedaan Pengaruh Penambahan Pernapasan Diafragma Pada Latihan Konsep Bobath Terhadap Kemampuan Fungsional Pasien Stroke Di Rsud Dr. Tengku Mansyur Tanjungbalai Ashri Pramudya Eka Putra; Trisno Susilo; Ronald Erwansyah
Jurnal Kesehatan dan Fisioterapi Vol 2, No 5 (2022): Jurnal KeFis - Oktober 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Background: stroke is an occurred of functional focal brain more than two hours couse occoure of cerebral blood flow. Stroke can cause various kinds of disorders like a brain tissue death, loss of muscle tone, and loss of sensibility in some body parts which can reduce the ability of the body funtion controlled by these tissues. The bobath concept exercise is a personal exercise such as optimizing functionality with increase postural control and selective movement by facilitation of stroke patients. The diafragmatic breathing is one of those breathing exercise technique on focuses on the diafragm muscle which function as spinal stability exercise. In the end the exercise of bobath concept and the diaframatic breathing aims to improve the functional ability of stroke in carrying out daily activities, such as eating, shower, hygine, dressing, defecating, urinating, using the toilet, transfer, mobility, take the stairs.Objective: The purpose of this study was to find the different effect between combination of bobath voncept and diafragmatic breathing and bobath consept training to increase functional activity on case of stroke.Methods: The type of research is a quasi experiment research, two group pre test and post test design. Group A is given a Combination training of Bobath Concept and Diafragmatic Breathing group B is given a training of Bobath Concept toward patient of stroke. The measure of increasing of functional activity it use Indeks Barthel measurement, the assesment is obtained before and after therapy. This research is done at 1 July 2022 – 31 July 2022Results: The statistic test of effect to A group p<0,05 (p=0,000), B group p<0,05 (p=0,000), the two groups comparison is resulting effect differece of p>0,05 (p=0.632).Conclusion: The Combination of Bobath Concept Training and Diafragmatic Breathing given toward patient of stroke both can give improvement of functional activity.Keyword: Stroke, Bobath Concept Training, Diafragmatic Breathing

Pengaruh Rest Dan Ice Terhadap Pengurangan Nyeri Akut Pada Penderita Sprain Ankle Stadium Akut Di Rs Advent Medan Parisco Simbolon; Trisno Susilo; Ronald Erwansyah
Jurnal Kesehatan dan Fisioterapi Vol 2, No 4 (2022): Jurnal KeFis - September 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Ankle is a joint that supports the body to maintain balance when walking on uneven surfaces. These joints are composed of bones, ligaments, tendons, and connective tissue bundles. The ankle joint is formed by four bones, namely the tibia, fibula, talus and calcaneus. The main movements of the ankle joint occur in the tibia, talus and calcaneus. The purpose of this study was to determine pain in the acute stage of ankle sprain after being given rest and ice therapy for three consecutive days. This type of research is a type of quantitative research that is quasi-experimental with a one-group pre-test and post-test design approach. Prior to the intervention, respondents were given a pretest or pain scale measurement using the VAS. The results showed that the effect of rest and ice on reducing acute pain in patients with acute ankle sprains at the Medan Adventist Hospital was 0.002. Which is if Sig < 0.05 then there is a significant effect. The conclusion of this study concludes that there is a significant effect of rest and ice on the reduction of acute ankle sprain pain in the acute stage. Keywords: Acute pain, ankle sprain, rest and ice therapy

HUBUNGAN DURASI KERJA MENYETRIKA TERHADAP TERJADINYA GEJALA CARPAL TUNNEL SYNDROME PADA PEKERJA LAUNDRY DI KOTA BALIGE Dwi Arihta Sari Bangun; Trisno Susilo; Ronald Erwansyah
Jurnal Kesehatan dan Fisioterapi Vol 3, No 3 (2023): Jurnal KeFis - Juli 2023
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Background: Carpal Tunnel Syndrome (CTS) is a common work-related disorder caused by repetitive movements and sedentary positions for long periods of time that can affect the nerves, blood supply to the hand and wrist. The National Health Interview Study (NIHS) estimates the prevalence of CTS in the adult population to be 1.55% (2.6 million). Meanwhile, in Indonesia, the incidence of carpal tunnel syndrome until 2001 is still very difficult to know with certainty due to the lack of data. Duration of work is one of the factors that cause symptoms of Carpal Tunnel Syndrome. The purpose of this study was to determine the relationship between the duration of ironing work on the occurrence of symptoms of Carpal Tunnel Syndrome in Laundry Workers in Balige City. The research design uses Analytical Observational with a Correlational approach or Correlation . The population and sample in this study amounted to 40 people. Based on the results of the study, it is known that there is a relationship between the duration of ironing and the occurrence of symptoms of Carpal Tunnel Syndrome in laundry employees in the city of Balige. This can be seen from the results of the SPSS test, it is found that the P value is 0.000. So it can be concluded that the value is smaller than 0.05, which means it is known that there is a strong relationship between work duration and the occurrence of Carpal Tunnel Syndrome symptoms in Laundry Employees in Balige City.Keywords: Duration of Work, Symptoms of CTS

Pengaruh William Flexion Exercise Terhadap Penurunan Nyeri Punggung Bawah Myogenik Pada Karyawan Pt. Budi Gadai Indonesia Santana Mesriani Tarigan; Anggriani Anggriani; Ronald Erwansyah
Jurnal Kesehatan dan Fisioterapi Vol 3, No 3 (2023): Jurnal KeFis - Juli 2023
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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− Belakang: Nyeri Punggung Bawah Myogenik yang berhubungan dengan stress/ strain otot punggung, tendon, dan ligament yang biasanya dirasakan setelah melakukan aktifitas berlebihan, seperti mengangkat beban berat dengan posisi yang salah, terlalu lama membungkuk, berdiri/duduk yang terlalu lama dengan posisi yang salah, nyeri punggung bawah yang timbul dapat mengakibatkan kehilangan dan menganggu produktivitas kerja. Karyawan banyak menghabiskan waktu lama duduk sehingga timbul rasa nyeri di punggung bawah, peran fisioterapi dalam mengurangi nyeri pada penderita Nyeri Punggung Bawah Myogenik bisa dilakukan dengan banyak cara salah satunya adalah dengan William Flexion Exercise. Tujuan: Penelitian ini adalah untuk melihat pengaruh William Flexion Exercise dalam menurunkan tingkat Nyeri Punggung Bawah Myogenik. Metode: penelitian ini Quasi Eksperimen dengan rancangan one group pre and post test design. Jumlah sampel yang digunakan sebanyak 30 responden yang dilakukan secara total sampling. Pengukuran nilai nyeri menggunakan Visual Analogue Scale (VAS) sebelum dan sesudah dilakukan intervensi William Flexion Exercise. Pengolahan data dan analisis data menggunakan SPSS ver. 25 Hasil: Hasil dari penlitian ini menunjukkan bahwa hasil uji statistik menggunakan Wilcoxson Signed Rank test dan diperoleh hasil adanya penurunan nilai yang signifikan pre dan post test sesudah dilakukan 12 kali intervensi William Flexion Exercise dengan nilai p = 0,000. Kesimpulan: Terlihat bahwa William flexion exercise dapat menurunkan skala nyeri punggung bawah myogenik. Intrvensi ini efektif dalam menurunkan skala nyeri punggung bawah myogenik. Oleh karena itu peneliti merekomendasikan dapat menggunakan intervensi ini untuk menurunkan nyeri Punggung bawah myogenik. Kata Kunci: William Flexion Exercise, Nyeri Punggung Bawah Myogenik

Sosialisasi dan Penanganan Fisioterapi pada Lansia di Puskesmas Kutalimbaru Sulaiman Sulaiman; Ronald Erwansyah; Maryaningsih Maryaningsih; Anggriani Anggriani; Yeni Vera
Jurnal Pengabdian Masyarakat Ilmu Kesehatan Vol 4, No 1 (2023): Edisi Januari
Publisher : LPPM Institut Kesehatan Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33085/.v4i1.5627

Masyarakat di Indonesia khususnya di Sumatera Utara masih banyak yang mengalami gangguan nyeri pinggang dan masih belum tertangani dengan baik. Selain itu masih banyak yang belum paham tentang peran fisioterapi dalam kesehatan, bahkan tak banyak dari masyarakat yang tidak kenal apa itu fisioterapi terkhusus nya para lansia di pedesaan. Dimana mayoritas lansia di pedesaan memiliki keluhan sakit nyeri pinggang yang memerlukan tindakan penanganan fisioterapi orang tua sangat rentan terhadap masalah kesehatan. Masalah kesehatan ini terkadang dilupakan oleh keluarga lansia untuk dibawa ke Posyandu Lansia terdekat. Dari 100 lansia yang mengikuti sosialisasi pelayanan kesehatan di Desa Kutalimbaru, Kecamatan Kutalimbaru, Kabupaten Deli Serdang rata-rata mengalami masalah fisik terutama di daerah pinggang bagian belakang yang memerlukan tindakan fisioterapi. Tujuan pengabdian masyarakat ini adalah untuk mengenalkan fisioterapi pada masyarakat dan meningkatkan kesehatan masyarakat dengan pemberian sinar infra merah. Dalam pengabdian ini metode yang dilakukan dengan melakukan penyuluhan kesehatan, memberikan tindakan fisioterapi dengan menggunakan infra merah bagi lansia yang membutuhkan. Pemberian tindakan fisioterapi kepada lanjut usia dan diakhir kegiatan pengabdian membagikan sembako kepada masyarakat Kutalimbaru yang mengikuti kegiatan. Kesimpulannya adalah terdapat perubahan penurunan nyeri pada lansia sebanyak 90% setelah mendapatkan treatment fisioterapi dengan menggunakan sinar infra merah dan terjadi peningkatan yang signifikan dalam meningkatkan derajat kesehatan lansia di Puskesmas Kutalimbaru Kecamatan Kutalimbaru

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