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Komalasari, Dwi Rosella
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Penatalaksanaan fisioterapi pada kasus sprain ankle sinistra: A Case Report Setyaningratri, Yeni; Komalasari, Dwi Rosella
Journal Physical Therapy UNISA Vol. 2 No. 2 (2022): November
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (243.661 KB) | DOI: 10.31101/jitu.2840

Abstract

Latar Belakang: Sprain ankle adalah cedera pada ligament ankle karena adanya overstretch dengan posisi plantar flexi dan inversi yang terjadi secara mendadak saat kaki tidak mampu menumpu pada permukaan tanah dengan sempurna. Rehabilitasi pasca cedera harus dilakukan dengan tepat untuk menghindari terjadinya cedera berulang. Salah satu rehabilitasi fisioterapi menggunakan elektroterapi dan terapi latihan secara aktif maupun pasif. Yang dapat membantu pemulihan kekuatan otot, tendon, ligament, serta dapat mempertahankan stabilitas sendi dan menambah range of motion (ROM). Tujuan: Untuk mengetahui penatalaksanaan fisioterapi pada sprain ankle terhadap nyeri, kekuatan grup otot flexor, extensor, inversor, eversor ankle, serta peningkatan range of motion ankle. Metode: Studi kasus ini dilakukan pada seorang pasien sprain ankle di Bintang Physio Klinik. Problematika yang dialami pasien adalah terdapat nyeri dan terdapat kelemahan otot dorsi flexor, plantar flexsor, invertor, evertor ankle. Intervensi fisioterapi yang diberikan adalah elektroterapi yang dikombinasikan dengan terapi latihan dilakukan selama 1 kali/minggu selama 1 bulan. Hasil: Pemeriksaan nyeri dengan menggunakan Numeric Rating Scale (NRS) menunjukkan penurunan nyeri tekan 3 menjadi 0, nyeri gerak 4 menjadi 2, dan nyeri diam tetap 0. Kekuatan otot diukur dengan Manual Muscle Testing (MMT) otot dorsi flexor, plantar flexsor, invertor, evertor ankle dengan nilai 4 menjadi 5.Range of motion (ROM) diukur dengan goniometer pada gerakan plantar-dorso flexi S:15°-0°-35° menjadi S.20o-0o-35o, sedangkan pada gerakan inversi-eversi R:30°-0°-15° menjadi R:30°-0°-20° Kesimpulan: Intervensi elektroterapi dikombinasika dengan terapi latihan 1x/minggu selama 1 bulan mampu menurunkan nyeri, meningkatkan kekuatan otottungkai bawah serta meningkatkan range of motion ankle.
Efektifitas Home Program untuk Meningkatkan Kekuatan Otot Ekstremitas Bawah dan Resiko Jatuh Bagi Lanjut Usia di Posyandu Lanjut Usia Dusun Plosokerep, Bendosari, Sukoharjo Komalasari, Dwi Rosella; Perdana, Suryo Saputra
Warta LPM WARTA LPM, Vol. 27, No. 1, Maret 2024
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/warta.v27i1.1878

Abstract

Background: The incidence of falls in the elderly is increasing in the elderly population in worldwide and has been recorded decreasing the quality of life in the elderly. Exercise programs can increase lower extremity muscle strength, improve postural balance and reduce falling risk. Objective: to determine the effectiveness of the home program in increasing lower extremity muscle strength and reducing falling risk among the elderly in Plosokerep Village, Bendosari, Sukoharjo. Methods: Used counselling and providing home programs for strengthening lower extremity muscles to the elderly in Plosokerep Village, Bendosari and evaluated those observed between 19 February to 19 March 2022. Results: The home program showed increasing lower extremity muscle strength effectively (p<0.001). The improvement of knowledge about the importance of lower extremity muscle strength was indicated by an increase of average of muscle strength assessed by 5XSTS. The average of lower extremity muscle strength increased from 15.08 seconds to 13.45 seconds. The number of elderly who had a high risk of falling decreased by 25%. Home program exercise of lower extremity muscle showed effective results in increasing lower extremity muscle strength (p<0.001) and decreasing falling risk. Conclusion: Home program exercise is effective to the elderly to improve muscle strength of lower extremity and diminish falls in the elderly.
Utilization Community-Based Rehabilitation Methods to Improve Independence and Quality of Life for Patients with Disabilities in Nara Phirom Health Promoting Hospital, Thailand Komalasari, Dwi Rosella; Rahayu, Umi Budi; Perdana, Suryo Saputra; Chaiyawat, Pakaratee; Rosidah, Nikmatur
Warta LPM WARTA LPM, Vol. 27, No. 2, Juli 2024
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/warta.v27i2.4782

Abstract

The disability community activity, Nara Phirom Health Promoting Hospital in Banglen District, Nakhon Pathom, Thailand, collaborated with the Faculty of Physiotherapy, Mahidol University to support the disability community. Using the Community-based rehabilitation (CBR) method, the aim to enhance independence and quality of life. Evaluation includes IADL for independence and WHOQoL Bref-100 for quality of life. Education on health, immobilization, and exercise was provided to patients, families, and caregivers. Therapists teached physical exercises, to be repeated 2-3 times daily by caregivers and family. The 1-month program, supervised by therapists, includes standing and walking for patients with lower extremity strength of 3/5 (measured by manual muscle testing). Rehabilitation involves crafting items like wallets and bags, stamps, and flowers from bottles. Results, patients with low function status (very dependent on other people) decreased by 64.3%, moderate function increased by 116.7% and independence increased by 111.1%. There was a significant improvement in quality of life (WHOQoL) and all domains after CBR program.
Penyuluhan Fisioterapi Mengenai Low Back Di Posyandu Lansia "Aisyiyah" Surakarta Ramona, Dela; Rendranandini, Widya; Putra, Rezky Guna; Khairullah, Fakhri; Komalasari, Dwi Rosella; Pristianto, Arif; Wahyuni, Wahyuni
Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat Vol. 3 No. 5 (2023): September 2023 - Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat
Publisher : Indonesian Scientific Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59395/altifani.v3i5.486

Abstract

Low Back Pain (LBP) merupakan salah satu masalah kesehatan yang sering dijumpai di masyarakat. World Health Organization (WHO) menyatakan ratusan juta manusia menderita penyakit ini dengan keluhan nyeri dan inflamasi yang sangat lama menyebabkan keterbatasan fungsional serta disabilitas. Selain itu, beban LBP yang lebih berat terjadi pada populasi lanjut usia dan perempuan. Upaya-upaya untuk mengendalikan angka kejadian LBP dan mencegah komplikasi akibat LBP yang bisa diterapkan oleh komunitas. Low Back Pain rentan terjadi pada seluruh kalangan masyarakarat, salah satunya lansia. Banyaknya jumlah presentase pra lansia dan lansia yang cukup banyak serta kepedulian terhadap kesehatan yang masih kurang akan berdampak terhadap kehidupan psikososial baik secara pribadi maupun bermasyarakat. Pelayanan fisioterapi yang dapat diberikan dalam menangani permasalahan diatas yaitu salah satunya dengan memberikan penyuluhan dan pemeriksaan kesehatan terkait low back pain. Bentuk penyuluhan dan pemeriksaan yang dilakukan kepada lansia berupa pemberian edukasi dan pemeriksaan fisik seperti vital sign, dan exercise. Hasil yang didapatkan yaitu terjadi peningkatan pemahaman dengan rata-rata sebesar 64,5%.
PENYULUHAN PROGRAM BALANCE WALK SEBAGAI UPAYA PENINGKATAN KESEIMBANGAN TUBUH LANSIA DI PANTI USIA LANJUT AISYIYAH SURAKARTA Komalasari, Dwi Rosella; Afifatuzzahra, Sabina; Khotimah, Annisa Khusnul; Jannah, Hanabila Rawdhatul; Putri, Nafisa Destriana; Kurniasari, Fitri
SEMANGGI : Jurnal Pengabdian kepada Masyarakat Vol. 3 No. 1 (2024): April 2024
Publisher : LPPM Universitas Wijaya Putra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38156/sjpm.v3i1.256

Abstract

Keseimbangan adalah salah satu aspek kritis dalam kehidupan sehari-hari manusia yang mencakup kemampuan tubuh untuk mempertahankan pusat gravitasi dan equilibrium baik secara statis atau dinamis saat ditempatkan dalam berbagai posisi (Swandari et al, 2016). Penurunan keseimbangan pada lansia terjadi karena faktor usia, kelemahan otot ekstremitas bawah, nyeri atau kekakuan pada sendi dan yang lainnya. Pengaplikasian balance walk exercise menjadi salah satu alternatif latihan yang dapat digunakan guna peningkatan keseimbangan pada lansia. Kegiatan pengabdian masyarakat ini bertujuan agar lansia di Panti Usia Lanjut Aisyiyah Surakarta mengetahui beberapa aspek penting terkait balance walk, termasuk faktor-faktor yang memengaruhi keseimbangan, teknik dan latihan untuk meningkatkan keseimbangan, aplikasi klinis dan praktis, serta implikasi balance walk. Penggunaan media edukasi berupa poster yang didalamnya terdapat gambar serta tata cara melakukan balance walk exercise serta simulasi gerakan latihan akan lebih mempermudah lansia untuk memahami apa yang kami sampaikan. Metode yang digunakan dengan melakukan pre test dan post test pemeriksaan keseimbangan, yaitu Time Up and Go Test. Setelah terlaksananya kegiatan penyuluhan dan simulasi balance walk exercise didapatkan hasil yang baik, dilihat dari hasil selisih pre test dan post test pemeriksaan keseimbangan dan juga respon serta antusia dari lansia saat mengikuti kegiatan ini. Pengaplikasian program latihan ini dapat digunakan sebagai program jangka panjang di panti usia lanjut aisyiyah surakarta sehingga selaras dengan tujuan utama dari program kegiatan ini.
Reliability and Validity of The Visual Analogue Scale in Non-Myogenic Low Back Pain Patients Syinta, Ahmada Norma; Komalasari, Dwi Rosella
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Non-myogenic low back pain is a health issue characterized by the primary complaint of pain in the lower back, extending from the costal area to the buttocks, typically radiating down to the legs. LBP can lead to decreased function, reduced work productivity, and high treatment costs. Non-myogenic LBP is classified into four categories based on its causes: herniated nucleus pulposus, spondylitis, spondylosis, and spondylolisthesis. Objective: To determine the reliability and validity of VAS scales in the case of intra rater and inter rater in non-myogenic LBP patients. Methods: This type of research is an observational study with the approach of methodological research and uses purposive sampling, total samples of 55 people. Visual analogue scale is used to measure the pain scale of non-myogenic lbp patients. Results: Intra- rater or test-retest VAS reliability was very high (Cronbach's alpha: 0.951, ICC: 0.951, 95% CI: 0.916-0.971, p<0.001) and inter-rater VAS reliability was very high (Cronbach's alpha: 0.959, ICC: 0.959, 95% CI: 0.929-0.976, p<0.001). The validity test seemed VAS was valid for intra-rater and inter-rater with p<0.05 and r calculated was higher than r of table (r=0.260). SEM value: 0.19 and MDC: 0.55. Conclusion: The visual analogue scale demonstrates reliability and validity for both intra-rater (test-retest) and inter-rater evaluations as a measurement tool for pain scale in patients with non-myogenic LBP.
Description of Postural Balance of The Body of Elderly Age based on Age Category 45-90 Years Sari, Etik Yunita; Komalasari, Dwi Rosella
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Balance is a position to maintain a certain position in both static and dynamic conditions. Low balance performance is caused by age and cognitive function and increases fall risk. Objective: To determine the difference between static and dynamic postural balance in the elderly based on age categories of 45-90 years. Method: This research used an observational study method with a cross-sectional study approach. There were 220 people involved in this study and conducted by purposive sampling method. Static balance was measured by mCTSIB and dynamic balance used TUG. The cognitive function was measured by the MOCA-Ina questionnaire. The Anova test was conducted to analyse the data. Results: There was a significant difference between static and dynamic balance based on age category 45-90 years (p<0.05). No significant correlation between cognitive and dynamic balance in those aged 55-64 years, and no significant correlation in static balance in those aged more than 70 years. Conclusion: the age group over 70 years has the lowest dynamic balance (TUG) and static balance (MCTSIB).
Validity and Reliability of The Verbal Descriptive Scale in Non-Myogenic Low Back Pain Patients Salatina, Alfi; Komalasari, Dwi Rosella
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Pain is the most common problem in patients with low back pain (LBP) non-myogenic. There are many tools to measure pain, one of which is the Verbal Descriptive Scale (VDS). It needs validity and reliability to evaluate pain in patients with non-myogenic LBP. Therefore, this study aimed to determine the validity and reliability of VDS to evaluate pain in patients with non-myogenic LBP. Method: This research was an observational study method with a methodological research approach and a purposive sampling technique. The total sample was 55 people. Results: The validity of VDS showed well with p<0.001 and r calculated was higher than 0.9. Intra-rater and inter-rater reliability of VDS revealed excellent with Cronbach Alpha and Intra Class Correlation were more than 0.9 and p<0.05. While the SEM=0.068 and MDC=0.188. Conclusion: The VDS was valid and reliable for measuring pain in patients with non-myogenic low back pain.
Manajemen Fisioterapi Bekas Luka Bakar Grade 2 pada Anak: Case Report Vitasari, Lingga; Komalasari, Dwi Rosella; Hamidah, Nilam Nur
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Sekitar 86% luka bakar yang disebabkan oleh thermal lebih sering terjadi daripada faktor penyebab lainnya seperti listrik, gesekan, radiasi dan bahan kimia. Populasi anak-anak menjadi kelompok yang paling rentan mengalami luka bakar dikarenakan rasa ingin tahu tinggi dan pemahaman yang terbatas mengenai suatu risiko perbuatan tertentu pada lingkungannya. Rehabilitasi fisioterapi pasca luka bakar sangat penting di karenakan bekas luka bakar yang timbul dapat mempengaruhi kualitas hidup penderita. Case Presentation: Desain penelitian ini dengan menggunakan metode pendekatan studi kasus. Penelitian ini dilaksanakan di RSUP Prof. Dr. I.G.N.G Ngoerah Bali pada bulan Januari hingga Februari 2024 pada seorang anak kecil berumur 4 tahun dengan kasus post debridement dan Splint-Thickness Skin Graft (STSG) pasca luka bakar akibat minyak panas yang dialaminya bulan Oktober 2023. Management and Outcome: Penatalaksanaan fisioterapi dalam 4 sesi terapi dengan active exercise (ankle pumping, heel raises, towel toe curl exercise), active resisted exercise (bicycle exercise), passive assisted exercise, stretching dan scar massage. Pemeriksaan fisioterapi dengan integritas kulit, vancouver scar scale, manual muscle testing untuk kemampuan kekuatan otot, pengukuran lingkup gerak sendi dengan goniometer, pengukuran lingkar segmen dengan antropometri, 5D pruritus scale untuk pemeriksaan skala gatal dan Foot and Ankle Disability Index pada kemampuan fungsional pada ankle pasien. Discussion: Dalam rehabilitasi luka bakar, pemberian exercise merupakan salah satu intervensi yang memainkan peran penting dalam memaksimalkan potensi rehabilitasi korban luka bakar. Conclusion: Penatalaksaan fisioterapi bekas luka bakar pada anak diperlukan untuk meningkatkan kemampuan fungsional dan mencegah keparahan dari keluhannya.
Reliability and Dominant Factors of The Indonesian Version of Social Participation in Non-Myogenic Low Back Pain Patients Firdaus, Muhammad Rais Hasan; Komalasari, Dwi Rosella
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Low back pain (LBP) reflects pain between the lower edge of the ribs and the buttocks. LBP can affect mental well-being, quality of life, and work activities. Therefore, this study aimed to determine the reliability, validity and dominant factors of social participation in patients with non-myogenic LBP using the PSSS scale. Method: This research used an observational study with a cross-sectional and predictive approach. Used purposive sampling data collection techniques, the total sample was 55 respondents. Results: The reliability of the PSSS scale in non-myogenic LBP patients with a Cronbach alpha value = 0.982 (excellent), the ICC value shows >0.9 (very high agreement) for all items. Construct validity was <0.05 (valid) and >0.40 for all items, except item number 13 (r=0.277 or poor validity). Multiple linear regression showed no significant association between pain and range of motion to social participation (p>0.05). Conclusion: The PSSS questionnaire is reliable regarding intra-rater as a tool for measuring social participation in non-myogenic LBP patients. Pain and range of motion did not associate with social participation in patients with non-myogenic LBP.
Co-Authors Adha, Faradila Risky Afifatuzzahra, Sabina Aquariza, Eliska Elok Arianti, Bella Arif Pristianto Az-Zahra, Fadhilah Azzahra, Najla Lutfhi Chaiyawat, Pakaratee Dewangga, Mahendra Wahyu Dewi, Diani Qomara Fadhilla, Fahra Fadilah, Yustitya Aprila Nur Farid Rahman Firdaus, Muhammad Rais Hasan Fitriyah, Oktaviani Gani, Purnomo Hamidah, Nilam Nur Hanafi, Muhammad Isa Isak, Galih Adhi Izzuddin, Amar Maulana Jannah, Hanabila Rawdhatul Khairullah, Fakhri Khotimah, Annisa Khusnul Kurniahadi, Tsania Haifa’ Kurniasari, Fitri Maisaroh Maisaroh Maulana, Hakny Minalloh, Aldin Nasrun Motik, Annisa Firsita Muazarroh, Salma Musyafa, Zafaf Nabilah, Hana Laila Ningrum, Tyas Sari Ratna Ningrum Nurma, Hanifah Dwi Perdana, Suryo Saputra Prakoeswa, Ramona Sigit Pratama, I Putu Aditya Pratiwi, Rossy Eka Putra, Rezky Guna Putri, Adelia Kurnia Putri, Aprilia Nurlita Dwi Putri, Nafisa Destriana Ramona, Dela Rendranandini, Widya Rosidah, Nikmatur Saadah, Raihanah Nur Salatina, Alfi Sari, Etik Yunita Sari, Priyanika Candra Setyaningratri, Yeni Silaen, Nevada Bulandari Syinta, Ahmada Norma Totok Budi Santoso Umi Budi Rahayu Utami, Mulatsih Nita Vitasari, Lingga Wahyu Anita Sari wahyuni wahyuni Wijayanti, Wahyu Kusuma Yanuar, Reza Arshad Zain, Siti Azzura Zalfa, Raden Andrea