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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

Abstract

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.
Penyuluhan Kesehatan Masyarakat Terhadap Peningkatan Kualitas Hidup Masyarakat Di Banyumanik Widya Ervianta; Lilik Sigit Wibisono; Fitratun Najizah; Anisa Mutiara Hanani; Dana Faricha
Nusantara: Jurnal Pengabdian kepada Masyarakat Vol. 2 No. 4 (2022): November : Jurnal Pengabdian Kepada Masyarakat
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/nusantara.v2i4.2440

Abstract

Health is a valuable asset that we need to take good care of. However, in our daily lives, we often get caught up in hectic routines, poor diets, and unhealthy lifestyles. This is why counseling on improving quality of life is so important. Counseling attempts to raise awareness, provide information, and encourage individuals and communities to adopt healthy behaviors. The counseling materials provided are Preventing Disease and Improving Quality of Life. By increasing awareness of a healthy diet, adequate physical activity, stress management, and other life habits, it can help prevent various chronic diseases such as heart disease, diabetes, and cancer. By adopting healthy behaviors, one can improve their quality of life, reduce the risk of health complications, and enjoy a longer and better life. Increased physical activity or exercise. Physical activity is any movement of the body that causes energy expenditure. The recommendation from the Ministry of Health of the Republic of Indonesia is that physical activity should be done at least 30 minutes per day for 5 times a week or equal to 150 minutes per week. various types of physical activity that can be done such as climbing down stairs, jogging, brisk walking or cycling.
Senam Lansia Di RSJD Dr. Amino Gondohutomo Widya Ervianta; Lilik Sigit Wibisono; Fitratun Najizah; Auliya Rahma Putri; Panji Satria Wiguna
Nusantara: Jurnal Pengabdian kepada Masyarakat Vol. 2 No. 2 (2022): Mei: Jurnal Pengabdian kepada Masyarakat
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/nusantara.v2i2.2453

Abstract

The elderly are an age group that is prone to falls. The purpose of this service is to detect the risk of falling in the elderly and provide assistance in balance training as an effort to prevent the risk of falling in the elderly. Falls occur due to unintentional loss of balance resulting in failure of postural stability, or unexpected and sudden changes resulting in a position landing on the floor. Associated risk factors include current health status (living in the community, nursing home, hospital, frail or active state), diseases suffered (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, muscle strength, visual impairment, etc.). The output targets to be achieved are in the form of publications in accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using. Elderly gymnastics is a series of regular, directed, and planned movements carried out with the intention of improving the functional abilities of the body. Reporting from the Panti Rapih Hospital page, this activity is carried out regularly and with movements that are not too heavy.
Penyuluhan Resiko Jatuh Pada Lansia Di Masyarakat Pudak Payung Widya Ervianta; Lilik Sigit Wibisono; Fitratun Najizah; Ni Kadek Krisna Dwi Patrisia; Lulu'ah Feby Purwanti
ASPIRASI : Publikasi Hasil Pengabdian dan Kegiatan Masyarakat Vol. 1 No. 5 (2023): September : ASPIRASI : Publikasi Hasil Pengabdian dan Kegiatan Masyarakat
Publisher : Asosiasi Periset Bahasa Sastra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/aspirasi.v1i5.320

Abstract

The elderly are an age group that is prone to falls. The purpose of this service is to detect the risk of falls in the elderly and provide assistance in balance training as an effort to prevent the risk of falls in the elderly. Falls occur due to unintentional loss of balance resulting in failure of postural stability, or unexpected and sudden changes resulting in a position landing on the floor. Associated risk factors include current health status (living in the community, nursing home, hospital, frail or active state), diseases suffered (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, muscle strength, visual impairment, etc.). The output targets to be achieved are in the form of publications in accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using the Time Up and Go Test and continued with the provision of balance training, so that the elderly who have a risk of falling can be recognized as early as possible so that the provision of balance training can maintain and improve the balance of the elderly body.
Penyuluhan Resiko Jatuh Pada Lansia Di Masyarakat Pudak Payung Widya Ervianta; Lilik Sigit Wibisono; Fitratun Najizah; Ni Kadek Krisna Dwi Patrisia; Lulu'ah Feby Purwanti
Karunia: Jurnal Hasil Pengabdian Masyarakat Indonesia Vol. 2 No. 1 (2023): Maret : Jurnal Hasil Pengabdian Masyarakat Indonesia
Publisher : Fakultas Teknik Universitas Maritim AMNI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58192/karunia.v2i1.1857

Abstract

One way to improve the quality of life for the elderly is to do physical exercise. Physical exercise can maintain or improve flexibility, cardiopulmonary endurance, agility, strength and balance. Several studies show that physical exercise has a consistent effect in reducing the risk of falls in healthy older adults. Kuptniratsaikul's research in 2009-2010 showed that simple balance exercises carried out by elderly people with a history of falls could reduce the incidence of falls in the elderly and significantly improve body balance. A 2017 Cuevas meta-analysis study showed that balance training programs showed the greatest effect in reducing the risk of falls in the elderly. For elderly people who are not yet able to do balance exercises independently, they need assistance from professional staff. Elderly people are an age group that is vulnerable to falls. The aim of implementing this service is to detect the risk of falls in the elderly and provide assistance with balance exercises as an effort to prevent the risk of falls in the elderly. Falls occur due to an unintentional loss of balance which results in failure of postural stability, or an unexpected and sudden change which results in the position landing on the floor . Associated risk factors include current health status (living in the community, nursing home, hospital, weak or active state), existing diseases (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, strength muscle, visual disturbances, etc.). The output targets to be achieved include publication of accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using the Time Up and Go Test and continued by providing balance training, so that elderly people who are at risk of falling can be identified as early as possible so that providing balance training can maintain and improve the elderly's body balance.
Pengaruh Manual Osilasi Vertebre Terhadap Penurunan Nyeri Terhadap Nyeri Punggung Bawah di RSUD KRMT Wongsonegoro Widya Ervianta; Lilik Sigit Wibisono; Fitratun Najizah; Ni Kadek Krisna Dwi Patrisia; Lulu'ah Feby Purwanti
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 1 No. 2 (2022): Oktober: Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v1i2.2446

Abstract

Background: Lower back pain (NPB) Ischialgia is a pinched ischialgia nerve in the lower back area which causes the buttocks, thighs, lower legs and even feet to become tingling, painful, and sometimes causing weakness. Manipulation is a term to cover all forms of passive movement techniques used to treat musculoskeletal disorders. Manipulation techniques are passive movement techniques that are carried out quickly so that the movement is completed before the patient can prevent it. The movement that occurs should not exceed the physiological range of motion of the joint. G.D. Maitland (1997), The aim is to determine the effect of physiotherapy management on manual therapy in cases of lower back pain. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy polyclinic, KRMT Wongsonegoro Hospital. 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 = 0.00), so there was a better effect between the two groups. Conclusion: It is concluded that manual therapy is useful in treating patients with lower back pain to reduce pain in two groups. The targeted outcome is publication in national indexed journals Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2
Pengaruh Manual Mobilisasi Saraf Terhadap Penurunan Nyeri Pada Pasien Ischialgia Pasca Terapi IR Dan TENS Di RSD KRMT Wongsonegoro Semarang Widya Ervianta; Lilik Sigit Wibisono; Rafif Aydin Maheswara; Aisya Rahmah
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 1 No. 4 (2023): October : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v1i4.99

Abstract

Low back pain (NPB) Ischialgia is the pinching of the ischiadic nerve in the lower back region which causes the buttocks, thighs, lower legs and even feet to tingle, pain, sometimes causing weakness. Nerve mobilization is a manipulation technique by moving and stretching the nerve tissue to improve axonal transport so as to improve nerve conduction. Nerve mobilization can reduce the pressure in the nerve so that there is an increase in blood flow to the nerve, which can have a regenerating and healing effect on the injured nerve (Butler, 1991). Nerve mobilization is often used as a form of diagnosis and treatment in musculoskeletal conditions with nerve involvement (Butler, 1991). Nerve mobilization in the Lower Limb Tension Test (LLTT) is performed on the branching of the lumbosacral plexus such as the ishiadicus nerve, peroneal nerve, and tibial nerve. But here the author only discusses LLTT on the ishiadicus nerve, namely LLTT 1 which is associated with low back pain. The purpose of knowing the effect of manual nerve mobilization on pain reduction in Ischialgia patients after IR and TENS therapy at RSD KRMT Wongsonegoro Semarang. Method two group pre test and post test. The place of this research is in the physiotherapy clinic of KRMT Wongsonegoro Hospital. Using Visual Analouge Scale (VAS) measuring instrument. The results were treated using the mann-Whtney test. With confidence interval (CI) (95%) The results revealed that there was a significant difference in pain between group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups on pain improvement (p = 0.152), so there was no better treatment between the two groups. It is concluded that ULTT is useful in the treatment of LBP patients to reduce pain in two groups. The targeted output is publication in Sinta indexed national journals and IPR. The TKT target of the implementation of gamelan accompaniment gymnastics is at level 2.
Pengaruh Pemberian Terapi Latihan pada Nyeri Leher Non Spesifik Akibat Kesalahan Postur di Masyarakat Delik Sari, Gunung Pati Syurrahmi Syurrahmi; Lilik Sigit Wibisono; Widya Ervianta; Auliya Ayu Kusuma Warnadi; Aisya Rahmah; Radhita Ananta Putri; Rafif Aydin Maheswara
Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat. Vol. 1 No. 4 (2023): November : Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/natural.v1i4.789

Abstract

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. Physiotherapy as a health worker plays a very important role and must have the ability to maximize the potential for movement and function within the promotive, preventive, curative and rehabilitative scope. Therefore, it is proof that physiotherapy not only plays a curative and rehabilitative role but also plays a big preventive role. Nape pain or neck pain is generally not a serious condition that needs to be watched out for. This condition can heal in a few days or weeks without special treatment. However, neck pain can also occur due to certain diseases. Bending over, looking down for too long, often gritting your teeth, or reading in bed, using a cell phone for a long time can cause the neck muscles to become tense. Over time, this condition will cause Kornik's neck pain, which is a myofascial condition. Smartphones are a real manifestation of technological progress and are devices that work very complexly with access to the internet, social media and games. Excessive smartphone use can cause musculoskeletal disorders. Musculoskeletal disorders associated with smartphone use cause neck muscle fatigue caused by poor posture. Using smartphones for a long time can cause muscle tension. Apart from using smartphones, household activities can also cause neck pain such as ironing and washing. Providing exercise therapy in the form of Free Active Movement can reduce complaints of neck pain.