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Journal : Academic Physiotherapy Conference Proceeding

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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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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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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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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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.
Physiotherapy Management in Cases of Stiffness Elbow Joint Sinistra ec Posterior Dislocation of Elbow Joint Sinistra at RSUD Salatiga Izzuddin, Amar Maulana; Komalasari, Dwi Rosella; Yanuar, Reza Arshad
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Elbow dislocation is the second most frequently dislocated joint in adults after the shoulder. The incidence of elbow dislocations in the United States is. 7,000 per year. Elbow dislocation can cause stiffness in the elbow. This impacts pain, muscle spasms, limited range of motion and functional activities. Hence, therapy for elbow dislocation can be in the form of deep friction massage, muscle energy technique and exercise therapy. Case Presentation: This study reported a women patient, aged 21 years old with posterior elbow dislocation in sinistra side because fallen on July 2023. After a month, the patient was done for surgery at Orthopaedic Hospital of Surakarta and then referred to RSUD Salatiga to do intensive physiotherapy treatment. Management and Outcome: There were pain arround elbow by NRS, limited range of motion by goniometer, reduce muscle strength by MMT and reduced functional activities by DASH scale. Patient got deep friction massage, MET and exercise therapy 5 times Discussion: There were significant improvement form pain where tenderness (3 to 2) and movement pain (4 to 3), increasing extension range of motion from 350 to 250 especially for sagital plane, increasing muscle strength m. biceps brachii (4 to 5), as well improving score of DASH of functional activities from 5 to 25. Conclusion: Comprehensive treatment of Physiotherapy techniques gives positive effects to patient with the condition of elbow dislocation. This study might can be a reference to guide other physiotherapist doing rehabilitation to the patient with elbow dislocation.
Manajemen Fisioterapi pada Penderita Interstitial Lung Disease di RSUD Dungus Madiun: Case Report Motik, Annisa Firsita; Komalasari, Dwi Rosella; Utami, Mulatsih Nita
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Interstitial Lung Disease merupakan sekumpulan penyakit paru yang ditandai dengan adanya fibrosis atau jaringan parut di jaringan interstitial. Kondisi ini dapat mempengaruhi kemampuan paru-paru untuk mendapatkan cukup oksigen, sehingga akan mengalami kesulitan dalam bernapas, kelelahan, dan penurunan toleransi aktivitas. Case Presentation: Case report ini merupakan single subject research, dimana subjek diberikan intervensi fisioterapi sebanyak 9x terapi dan dilakukan evaluasi untuk melihat efek dari pemberian terapi yaitu nebulizer, breathing control, pursed lip breathing, TEE (thoracic expansion exercise), dan stretching otot sternocleiodomastoideus pada kondisi Interstitial Lung Disease. Management and Outcome: Intervensi fisioterapi yang diberikan berdasarkan hasil dari assessment subjektif dan objektif pasien. Pemberian intervensi fisioterapi dilakukan sebanyak 9x dalam waktu 3 hari, dan dilakukan evaluasi sebanyak 2x dalam sehari. Outcome yang di evaluasi adalah vital sign, ekspansi thorax, skala sesak, serta kemampuan fungsional. Hasil studi adalah vital sign cenderung stabil, adanya peningkatan ekspansi thorax, serta skala sesak dan kemampuan fungsional tetap memiliki skor yang sama. Discussion: Pemberian intervensi nebulizer diberikan untuk melonggarkan jalan napas sehingga mucus dapat keluar, breathing control untuk memperbaiki pola napas, pursed lip breathing (PLB) mengurangi sesak dengan meningkatkan compliance paru untuk melatih otot pernapasan agar berfungsi dengan baik, TEE (thoracic expansion exercise) untuk meningkatkan ekspansi thorax, serta stretching otot sternocleiodomastoideus untuk mengurangi tightness/kekakuan akibat overuse. Conclusion: Manajemen fisioterapi berupa nebulizer, breathing control, pursed lip breathing, TEE (thoracic expansion exercise) dapat mengurangi sesak, memperbaiki pola pernapasan, meningkatkan ekspansi thorax, serta mempertahankan kemampuan fungsional pasien.
Managemen Fisioterapi pada Kasus Cerebral Palsy Spastik Quadriplegi: Case Report Saadah, Raihanah Nur; Komalasari, Dwi Rosella; Muazarroh, Salma
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Pendahuluan: Cerebral Palsy merupakan kelainan permanen pada anak, kelainan ini menyebabkan berubahnya postur dan gerak yang disebabkan karena keterbatasan dalam beraktifitas. Kelainan ini disebabkan karena gangguan non-progresif pada fase awal perkembangan otak janin atau bayi. Tujuan Penelitian ini untuk mengetahui efek penatalaksanaan fisioterapi pada kasus Cerebral Palsy spastik quadriplegi. Case Presentation: yaitu single subject research yang didasarkan pada anak laki-laki usia 6 tahun dengan diagnosis Cerebral Palsy spastik quadriplegi. Pemberian intervensi selama 4 kali pertemuan dalam jangka waktu 1 bulan. Management and Outcome: neurosenso motor reflex, Myofascial Release, neuro developmental treatment dan head control. Conclutions: Pada penelitian ini belum didapatkan perubahan pada spastisitas otot, kemampuan sensoris, gross motor serta activity daily living pada anak dengan kondisi Cerebral Palsy spastik quadriplegi. Penulis berharap pada penelitian yang akan datang dapat melakukan penelitian dalam jangka waktu yang lebih lama untuk mengetahui efek pemberian intervesi fisioterapi pada anak Cerebral Palsy quadriplegi.
Validity and Reliability of The Numeric Rating Scale in Non-Myogenic Low Back Pain Patients Adha, Faradila Risky; Komalasari, Dwi Rosella
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Pain is the main problem in LBP that can reduce quality of life. Several tools are used to determine the pain, including Numeric Rating Scale (NRS). NRS need validity and reliability to evaluate pain. Objective: To determine the validity and intra-rater and inter-rater reliability of the NRS in Non-Myogenic Low Back Pain patients. Methods: This research was an observational study with a methodological approach using a purposive sampling technique. The total sample were 55 people. Results: The validity of NRS showed well with p<0.001 and r calculated was higher than 0.9 (higher than r table=0.260). SEM value: 0.20 and MDC: 0.55. While, intra-rater and inter-rater reliability of NRS was very high, with Cronbach Alpha and ICC being more than 0.9 and p<0.05. Conclusion: The NRS was valid and reliable in terms of intra-rater and inter-rater for measuring the level of pain in non-myogenic low back pain.
Manajemen Fisioterapi pada Kasus Osteoarthritis Knee Bilateral di RSUD Ir. Soekarno Sukoharjo: Case Report Azzahra, Najla Lutfhi; Komalasari, Dwi Rosella; Sari, Priyanika Candra
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Pendahuluan: Seiring bertambahnya usia, maka semakin banyak permasalahan degeneratif yang dialami oleh lansia, salah satunya yaitu Osteoarthritis Knee. Osteoarthritis Knee merupakan penyakit sendi degeneratif yang biasanya disebabkan oleh keausan dan hilangnya tulang rawan artikular secara progresif yang berdampak pada penurunan fungsi fisik. Presentasi Kasus: Seorang pasien laki-laki berusia 65 tahun sebagai pensiunan teknisi mesin mengeluhkan nyeri dan kaku pada kedua lututnya namun lebih berat pada lutut kiri daripada lutut kanan sejak 5 bulan yang lalu (Juni 2023). Pasien merasakan nyeri saat posisi jongkok ke berdiri dan naik turun tangga. Berdasarkan hasil inspeksi statis didapatkan postur tubuh pasien kifosis, bentuk kaki pasien normal, sedangkan pada inspeksi dinamis terlihat langkah kaki pasien saat berjalan terlihat pendek. Hasil palpasi didapatkan bahwa tidak terdapat bengkak pada knee joint dan suhu normal pada knee joint. Hasil pemeriksaan fisik oleh fisioterapi didapatkan adanya nyeri tekan dan nyeri gerak knee joint, penurunan kekuatan otot hamstring dan quadriceps, dan keterbatasan lingkup gerak sendi fleksi knee joint. Manajemen dan Hasil: Setelah diberikan intervensi fisioterapi berupa Infrared (IR), Transcutaneous Electrical Nerve Stimulation (TENS), dan exercise berupa range of motion exercise (heel slide) dan resistance exercise sebanyak 3 kali diperoleh hasil bahwa terdapat penurunan nyeri tekan dan nyeri gerak pada knee joint, peningkatan lingkup gerak sendi fleksi knee joint, peningkatan kekuatan otot fleksor dan ekstensor knee joint, dan peningkatan kemampuan fungsional pada pasien. Pembahasan: Infrared berfungsi untuk menstimulasi reseptor panas sehingga mengurangi rasa nyeri serta meningkatkan kekuatan otot. Transcutaneous Electrical Nerve Stimulation (TENS) banyak digunakan dalam penatalaksanaan OA Knee untuk mengurangi nyeri dan memfasilitasi kinerja aktivitas terapeutik untuk mempertahankan atau bahkan meningkatkan fungsi. Exercise therapy merupakan salah satu terapi latihan non-farmakologis yang sangat utama untuk OA knee yang telah terbukti menunda perkembangan penyakit, menghilangkan rasa sakit, dan meningkatkan fungsi lutut. Beberapa jenis latihan untuk OA Knee, yaitu resistance exercise atau latihan ketahanan untuk memperkuat otot di sekitar lutut dan range of motion exercise untuk menambah lingkup gerak sendi. Kesimpulan: Intervensi fisioterapi berupa Infrared (IR), Transcutaneous Electrical Nerve Stimulation (TENS), dan exercise berupa range of motion exercise (heel slide) dan resistance exercise terbukti efektif pada kasus Osteoarthritis Knee Bilateral.
Co-Authors Abdul Haris Adha, Faradila Risky Afifatuzzahra, Sabina Agustyaningsih, Nur Afni Amanda, Mutiara Sabta Ananda, Risti Aquariza, Eliska Elok Arianti, Bella Arif Pristianto Az-Zahra, Fadhilah Azzahra, Najla Lutfhi Billa, Azizah Shalsa Chaiyawat, Pakaratee Dermin, D Dewangga, Mahendra Wahyu Dewi, Diani Qomara Fadhilla, Fahra Fadilah, Yustitya Aprila Nur Farid Rahman Firdaus, Muhammad Rais Hasan Fitriani, Dessy Fitriyah, Oktaviani Gani, Purnomo Hamidah, Nilam Nur Hanafi, Muhammad Isa Handayani, Tri Mukti Hanifah, Zahrani Bakhita Hifayati, Laily Maulida Nur Isak, Galih Adhi Ismadi, I Isnaini Herawati Izzuddin, Amar Maulana Jannah, Hanabila Rawdhatul Kaidah, Muh Anugerah Dzul Kasumbung, Tasa Khairullah, Fakhri Khotimah, Annisa Khusnul Kingkinarti, K Kurniahadi, Tsania Haifa’ Kurniasari, Fitri Lathifani, Nabila Rizka Masitha, Sita 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 Prayitno, P Putra, Rezky Guna Putri, Adelia Kurnia Putri, Aprilia Nurlita Dwi Putri, Fatati Nurainni Putri, Nafisa Destriana Putri, Sulista Ramona, Dela Rendranandini, Widya Rosidah, Nikmatur Saadah, Raihanah Nur Safari Wahyu Jatmiko Salatina, Alfi Salsabila, Dika Tiara Saputra, Hendi Saputro, Sigit Sari, Etik Yunita Sari, Mely Erlika Sari, Priyanika Candra Setiawan, Rizki Setyaningratri, Yeni Silaen, Nevada Bulandari Sukatwo, S Supriadi, Arin Susanti, Eka Widya Syinta, Ahmada Norma Taufik Eko Susilo Tiara Fatmarizka Totok Budi Santoso Triasari, Ana Umi Budi Rahayu Utami, Mulatsih Nita Viola, Christine Vitasari, Lingga Wahyu Anita Sari wahyuni wahyuni Wardhani, Desvita Savitri Kusuma Wijayanti, Christina Wahyu Wijayanti, Wahyu Kusuma Yanuar, Reza Arshad Yulia Rahmawati, Yulia Zain, Siti Azzura Zalfa, Raden Andrea Zulfah, Khairina