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Pengaruh ULLTT terhadap Penurunan Nyeri terhadap Kasus HNP Cervical Lilik Sigit Wibisono; Syurrahmi Syurrahmi; Widya Ervianta; Ni Kadek Krisna Dwi Patrisia; Lulu'ah Feby Purwanti
Jurnal Ilmu Kesehatan dan Gizi Vol. 2 No. 3 (2024): Juli : Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v2i3.3153

Background: Hernia Nucleus Pulposus (HNP) is a condition when the pad or disc (soft gel disc or nucleus pulposus) between the vertebrae (spine) comes out of its original position or is torn and pinches the nerve behind it. Many people know it as "pinched nerve". HNP most often occurs in the cervical (neck) and lumbar (waist) vertebrae. The neck has 7 vertebrae. Cervical HNP (pinched neck nerve) most often affects the C6-C7 segment followed by the C5-6 segment because this segment is the part that moves most often and is easily affected by the degeneration process. Neck HNP most often occurs in men aged 45-55 years. Risk factors that increase the appearance of cervical HNP or pinched neck nerves include genetics, smoking, being overweight (obesity), work that often involves bending over and lifting heavy objects or operating machines with vibrating forces, and injury. Nerve mobilization in the Upper Limb Tension Test ( ULTT) is performed on branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses ULTT on the median nerve, namely ULTT 1 which is related to CTS. The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the ULTT 1 method in cases of Carpal Tunnel Syndrome on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating cervical HNP patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.

Pengendalian Faktor Confounding Stroke Dwi Mulianda; Margiyati Margiyati; Ainnur Rahmanti; Yuni Astuti; Novita Wulan Sari; Syurrahmi Syurrahmi; Aura Anastasya; Cintya Putri Anisah
Jurnal Pengabdian Masyarakat Waradin Vol. 4 No. 2 (2024): Jurnal Pengabdian Masyarakat Waradin
Publisher : Sekolah Tinggi Ilmu Ekonomi Pariwisata Indonesia Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/wrd.v4i2.344

Stroke is a functional disorder of the brain with varied clinical manifestations, which occurs suddenly due to disturbances in cerebral blood circulation. Stroke is a major cause of mortality and disability despite its increasing prevalence. Promotive and preventive efforts are still the main priority in efforts to reduce morbidity, disability and mortality. Early detection of someone who has risk factors is very necessary considering that stroke can attack anyone at any time. STIKES Kesdam IV/Diponegoro is a health university that has a vision of global competitiveness, so it really supports the Tri Dharma of Higher Education activities at the international level, including carrying out community service activities in the health sector in the Philippines. This community service activity is a promotional activity in the form of education about stroke and a preventive activity in the form of screening for stroke risk factors directly to the community. Screening is carried out for 3 stroke risk factors, namely blood pressure, cholesterol levels and blood sugar levels. The results of community service showed that after providing education using posters and leaflets, there was an increase in the knowledge of LBB Mabini Apartelle residents regarding definitions, modifiable risk factors, and stroke prevention. The health screening results of the 20 people examined showed that 40% had a risk of stroke from measuring blood pressure and 20% had a risk of stroke from measuring cholesterol.

Peningkatan Kualitas Hidup Kesehatan Masyarakat Jomblang Candisari Kota Semarang Syurrahmi Syurrahmi; Purna Luberto; Auliya Rahma Putri; Lu’luah Feby Purwanti; Panji Satria Wiraguna
SAFARI :Jurnal Pengabdian Masyarakat Indonesia Vol. 3 No. 2 (2023): April : Jurnal Pengabdian Masyarakat Indonesia
Publisher : BADAN PENERBIT STIEPARI PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/safari.v3i2.1238

Health is a state of health, both physically, mentally, spiritually and socially, which enables everyone to live a productive life socially and economically. Public health is a condition that describes the level of health that occurs in society. Society is a group of individuals who live together, work together to obtain common interests and have an order of life, norms and customs that are adhered to in their environment. Public Health is a part of science that discusses and studies the prevention and treatment of disease in each individual. Some of the conditions found in the community include complaints of knee pain and back pain. The most common knee pain is osteoarthritis. Osteoarthritis is the most common form of arthritis, affecting millions of people worldwide. This disease occurs as a result of degenerative joints that affect many joint tissues. This problem arises when the protective cartilage at the ends of bones becomes damaged over time. Osteoarthritis usually occurs at the age of 40-60 years. This is caused by the process of degeneration occurring in old age. Apart from osteoarthritis, shoulder diseases are also found, such as spasms and trigger points in the upper trapezius muscle. One of the interventions or modalities provided by infrared physiotherapy. Infrared is one of the physiotherapy modalities in providing services to patients with the aim of causing a relaxation effect and reducing pain. Infrared is a peacock wave that can relieve pain and stiffness in joints and muscles. The process of vasodilation of blood vessels produced by infrared light can accelerate the removal of several pain-stimulating chemicals including bradykinin, serotonin, histamine, and proteolytic enzymes. As well as prostaglandins and substance P which increase the sensitivity of the endings of pain fibers, so that ultimately infrared can reduce the intensity of pain. Apart from providing physiotherapy intervention, they also provide socialization or counseling to the community according to the condition they are complaining about. Providing explanations regarding conditions or complaints from each community by providing education and home programs.

Pemeriksaan Kesehatan Dan Home Program Pada Kondisi Carpal Tunnel Syndrome Di Tlogosari Wetan, Semarang Timur Syurrahmi Syurrahmi; Purna Luberto; Dana Faricha; Mutiara Andriyani; Eriga Yessyra Syafitri
SAFARI :Jurnal Pengabdian Masyarakat Indonesia Vol. 2 No. 2 (2022): April : Jurnal Pengabdian Masyarakat Indonesia
Publisher : BADAN PENERBIT STIEPARI PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/safari.v2i2.1241

Carpal Tunnel Syndrome is a disorder that occurs when the median nerve is compressed, which is the nerve that controls the sense of feeling and movement in the wrist and hand. This problem arises when the median nerve, which controls the sense of feeling and movement in the wrist and hand, is compressed. The nerve passes through a structure in the wrist that takes the form of a median nerve tunnel that shrinks and moves towards the wrist. Typically, carpal tunnel syndrome gets worse over time. At a mild level, symptoms of carpal tunnel syndrome can be relieved by using a wrist splint, or avoiding certain activities in the first place.If the pressure on the median nerve continues, the nerve will eventually be damaged and symptoms will worsen. To prevent this from happening, patients may have to undergo surgery to relieve pressure on the median nerve. Carpal Tunnel Syndrome is a condition often experienced by computer users, cashiers, butchers, janitors, and other workers who allow both hands to perform repetitive movements for a long time. Home program is a therapy program that is done at home. This program Home programs can be conducted by parents or parents together with a therapist, as long as they are integrated. Home programs are very diverse and broad, they are not formal. However, they can be more flexible and "homey", learning by playing, learning by talking, and learning by communicating. Although simple, these activities are of great significance for improving functional abilities. The Gasem Wulung Asri community, especially the PKK association, often complains of wrist pain. To prevent Carpal Tunnel Syndrome, it is necessary to provide knowledge about the symptoms, especially the Home program in preventing Carpal Tunnel Syndrome. The output target is the achievement of community empowerment and increased awareness and knowledge about Carpal Tunnel Syndrome, the publication of community service results in national journals, and electronic media.

Pemberdayaan Usaha Kecil Menengah Mikro (UMKM) Berbasis Kemitraan dalam Memodernisasi Alat Bantu Gerak dan Mainan Edukasi Margiyati Margiyati; Ainnur Rahmanti; Syurrahmi Syurrahmi; Novita Wulan Sari; Diana Dayaningsih; Lilik Sigit W; Dwi Mulianda
SEWAGATI: Jurnal Pengabdian Masyarakat Indonesia Vol. 2 No. 4 (2023): Desember : Jurnal Pengabdian Masyarakat Indonesia
Publisher : BADAN PENERBIT STIEPARI PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/sewagati.v2i4.1149

Partnership-based UMKM assistance is an increasingly important and strategic approach in supporting the development of MSMEs in Indonesia. The interaction of higher education elements will be interesting because it creates mutually beneficial conditions where this can become a source of inspiration for the development of UMKM. This is in line with the scientific vision at STIKES Kesdam IV/Diponegoro which tries to collaborate with several UMKM partners including Ouja Medika and Hakim Edukatif Toys. The aim of this assistance is to develop partners' businesses and realize young entrepreneurial learning for students. Methods of this assistance include Focus Group Discussion (FGD, holding several supporting workshops, organizing work workshops according to work safety culture and arranging permits and expanding product sales networks. The output results of this activity include the production of several product development training modules, social media accounts and e-commerce and business legality with the issuance of NIBs and CVs for both partners.

The Effect of Myofascial Release on Pain Levels in the Condition of Myofascial Pain Syndrome in the Upper Trapezius Muscle in Students of Stikes Kesdam IV/Diponegoro Semarang Syurrahmi Syurrahmi; Purna Luberto; Cintya Putri Anisah; Aisya Rahmah
International Journal of Medicine and Health Vol. 2 No. 3 (2023): September : International Journal of Medicine and Health (IJMH)
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v2i3.2519

Working position when typing is closely related to ergonomics or comfort issues, especially in the areas of design, position and proper body posture. MTrPs is a condition describing acute or chronic soft tissue pain, which occurs in muscles or muscle fascia. MTrPs cause contraction of knots or nodes that can form in a muscle band junction which is a source of pain. Pain or discomfort in the form of a prickling, throbbing, cutting and burning sensation in the loose connective tissue that covers the trapezius muscle due to trigger points. Data on computer workers in the Pedurungan Wetan area is 24 workers. This research method is a pre-experimental one group pre and post test design and sampling using purposive sampling technique. The population of this research is rental workers who work in Tlogosari Wetan, Pedurungan, Semarang City. The research instrument uses VAS (Vasual Analog Skill). The research stages consist of preparation, implementation and processing of research data. The steps taken at the preparation stage are literature study, field survey, outreach to rental workers. The implementation stage is carried out by collecting data. The results of this study showed that there was a relationship between typing time and the occurrence of MTrPs in the Upper Trapezius Muscle.

Perbedaan Pengaruh Antara SWD dan Mobilisasi Saraf dengan William’s Flexion Exercise Terhadap Kemampuan Fungsional Pasien Nyeri Punggung Bawah Iskhialgia Lilik Sigit Wibisono; Siti Sundari; Syurrahmi Syurrahmi; Putri Soniatus; Almita Ratu Rifanda
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 2 No. 4 (2024): Oktober: Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v2i4.407

The purpose: To determine the effect of differences between SWD and neural mobilization with SWD and William’s flexion exercise to improve of functional ability on patient’s with low back pain ischialgia. Design: Two group pretest and posttest design. Participants and interventions: Ten patients with low back pain ischialgia from both sexes were involved (outpatient hospital clinic). Age of the patients between 46 – 65 years. They were divided into two equal groups, Group (I) received SWD and neural mobilization intervention and Group (II) received SWD and William’s flexion exercise. Outcome measure: The Oswestry disability index (ODI) was used to assess changes in perceived disability. The mean differences between week 0 and week 3 were compared across the two treatment groups using Mann-Whitney. Ninety-five percent (95%) confidence intervals (CIs) for the differences between groups were calculated. Results: The results of study revealed that: there was significant difference in functional ability group I (p=0.034) and group II (p=0.038). Howeverthere wasn’t a significant difference between both groups on functional disabilities improvement (p=0.245), so there wasn’t intervention which better of both. Conclusion: It is concluded that SWD addition neural mobilization and SWD addition William’s flexion exercise may be beneficial in the management of patients with low back pain ischialgia to improving of functional ability in two groups.

Pencegah Masalah Gerak Dan Fungsi Tubuh Pada Masyarakat Tlogosari Wetan Pedurungan, Semarang Syurrahmi Syurrahmi; Purna Luberto; Auliya Rahma Putri; Lu’luah Feby Purwanti; Panji Satria Wiguna
Sejahtera: Jurnal Inspirasi Mengabdi Untuk Negeri Vol. 1 No. 4 (2022): Oktober : Jurnal Inspirasi Mengabdi Untuk Negeri
Publisher : Universitas Maritim AMNI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58192/sejahtera.v1i4.1840

Health is a state of health, both physically, mentally, spiritually and socially, which enables everyone to live a productive life socially and economically. Public health is a condition that describes the level of health that occurs in society. Society is a group of individuals who live together, work together to obtain common interests and have an order of life, norms and customs that are adhered to in their environment. Public Health is a part of science that discusses and studies the prevention and treatment of disease in each individual. Some of the conditions found in the community include complaints of knee pain and back pain. The most common knee pain is osteoarthritis. Osteoarthritis is the most common form of arthritis, affecting millions of people worldwide. This disease occurs as a result of degenerative joints that affect many joint tissues. This problem arises when the protective cartilage at the ends of bones becomes damaged over time. Osteoarthritis usually occurs at the age of 40-60 years. This is caused by the process of degeneration occurring in old age. Apart from osteoarthritis, shoulder diseases are also found, such as spasms and trigger points in the upper trapezius muscle. One of the interventions or modalities provided by infrared physiotherapy. Infrared is one of the physiotherapy modalities in providing services to patients with the aim of causing a relaxation effect and reducing pain. Infrared is a peacock wave that can relieve pain and stiffness in joints and muscles. The process of vasodilation of blood vessels produced by infrared light can accelerate the removal of several pain-stimulating chemicals including bradykinin, serotonin, histamine, and proteolytic enzymes. As well as prostaglandins and substance P which increase the sensitivity of the endings of pain fibers, so that ultimately infrared can reduce the intensity of pain. Apart from providing physiotherapy intervention, they also provide socialization or counseling to the community according to the condition they are complaining about. Providing explanations regarding conditions or complaints from each community by providing education and home programs.

Hubungan Penggunaan Backpack dengan Keluhan Nyeri Bahu pada Siswa di SDN Barusari 01 Semarang Syurrahmi Syurrahmi; Lilik Sigit Wibisono; Zamroni Zamroni; Putri Soniatus; Almita Ratu Rifanda
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 1 No. 3 (2024): September: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v1i3.715

One of the health problems involving school-aged children is musculoskeletal complaints which are thought to be caused by using backpacks that are too heavy. School bags are used as containers for books and other school equipment to be taken to school. The current trend is that schools often give homework, assignments and extra-curricular activities which have an impact on the amount of material that school students have to bring. Objective: To determine the differences in levels of neck pain when using backpacks in children aged 10 - 12 years among students at SDN Barusari 01 Semarang in terms of gender. The sample in this study consisted of 52 children. Research Method: backpack use questionnaire and REBA (Rapid Entire Body Assessment) observation sheet. This research uses bivariate analysis, namely the Chi-Square test. The results showed that, of the 52 students, 26 students (68.2%) complained of mild pain and 18 students complained of moderate pain (21.7%) and 8 students did not complain of pain (10.10%). There is a relationship between backpack use and complaints of shoulder pain with a P value of 0.011 (P<0.05). Conclusion: There is a relationship between the use of backpacks and complaints of shoulder pain in students at Sdn Barusari 01 Semarang. Suggestion: Awareness of paying attention to the load or weight of backpacks at school is important to implement as a preventive measure to reduce the incidence of complaints of shoulder pain in school-aged children.

Peran Perguruan Tinggi Dalam Pengendalian Faktor Risiko Stroke Melalui Skrining Dengan Pengukur Risiko Jatuh Lilik Sigit Wibisono; Purna Luberto; Fitratun Najizah; Syurrahmi Syurrahmi; Ni Kadek Krisna Dwi Patrisia; Mutiara Andriyani; Rafif Aydin Maheswara; Aisya Rahmah; Cintya Putri Anisah; Bernadiktus Reynaldo Nathanael; Radhita Ananta Putri
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 1 No. 4 (2023): Oktober : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v1i4.118

Stroke is a disease that is the third leading cause of death in the world after heart disease and cancer. Stroke is also the world's leading cause of serious and permanent disability. In the world stroke attacks occur in more than 15 million people each year. Of these 15 million people, 5 million die, and others survive, but experience permanent disability and live dependent on family and society, and a small percentage of people recover as before the stroke (WHO, 2010) to prevent the risk of excessive falls, physiotherapy has a way to prevent it through the Fukuda TEST. This study used a mix-method research design. The participants in this study were parties related to the problem of fall risk prevention, including the community around Tugurejo Semarang Hospital, local government, health cadres and community leaders. Qualitative data collection techniques used structured interview guides and observation and quantitative data in the form of Fukuda Test measurements on the community and IFI members who were present. After the data was obtained, FGD (Focus Group Discussion) was conducted with local government, health cadres and community leaders with the aim of validating the data that had been obtained. A total of 62 patients with unilateral BPPV were included in our study (35 female/27 male). The mean age was 45.3 years (range 23-67 years). Of these patients 51 (83.6%) were posterior and 11 (16.4%) were lateral canal BPPV. Two groups were created due to the FST results. Group 1 consisted of 33 (53.2%) patients with positive FST results and Group 2 consisted of 29 (46.8%) patients with negative FST results. No statistically significant differences were found between the gender and age distributions in Group 1 and Group 2, p=0.7943 and p=0.5262, respectively (Table 1). In addition, the ratio of FST positive and FST negative BPPV patients was not statistically significant. will cause daily activities to be disrupted then Qualitative data processing was carried out using the advocacy method according to the Covey and Miller advocacy framework, so as to obtain complete information related to the root causes of problems to the preparation of fall risk prevention strategies. Based on the results of data processing according to the Covey and Miller advocacy framework, the data is then analyzed through three stages: data reduction, data presentation and conclusion drawing. This research will be conducted at RSUD Tugu, Semarang City, conducted by physiotherapy in collaboration with STIKES KESDAM IV Diponegoro students.

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