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The Effect of Physiotherapy Education on Parents on Reducing Spasticity in Children of The Spastic Type of Cerebral Palsy Hidayati, Nitaya Putri Nur; Triyana, Triyana; Noerdjanah, Noerdjanah
Gaster Vol 22 No 2 (2024): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v22i2.1284

Abstract

Background: Cerebral Palsy is a group of children with movement and posture development disorders caused by brain nerve damage. The development of children with Cerebral Palsy is influenced by the role of parents in caring for and raising them daily. This ability must be based on good and specific knowledge and skills, because cerebral palsy children have many problems and disorders, both from physical, psychological, and social aspects. This knowledge and skills can be obtained from professional health workers. Objective: To determine the effect of physiotherapy education for parents on reducing spasticity in children with spastic type of cerebral palsy. Methods: This is an experimental research with one group pre and post-test design with control which was carried out on parents of children with cerebral palsy at the Forum Buah Hati. Results: The difference test between before and after providing physiotherapy education, obtained a value of p=0.157. Meanwhile, the analysis using different means for each group received a difference in the Modified Ashworth Scale (MAS) value in the treatment group of 0.33 and the control group of 0.17. Conclusion: There is a less significant effect of providing parental education on reducing spasticity in spastic-type Cerebral Palsy children.
Benefits Of Neurodevelopment Treatment And Trunk Mobilization In Spastic Diplegi Cerebral Palsy: Case Study Andayani, Enggal -; Hidayati, Nitaya Putri Nur; -, Sugiono -
Jurnal Fisioterapi Terapan Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

ABSTRACT: Background: Spastic diplegia cerebral palsy is a movement disorder with the lower limbs being heavier than the upper limbs which occurs due to brain damage. This disorder makes it difficult for children to carry out functional activities. Neurodevelopmental treatment (NDT) and trunk mobilization are approaches to treating cerebral palsy cases. Objective: To find out the management of neurodevelopmental treatment (NDT) physiotherapy and trunk mobilization in cases of diplegic spastic cerebral palsy. Results: Shortly after the therapy, the results showed a decrease in spasticity, but during subsequent therapy the muscle spasticity returned to normal. For the results of therapy carried out in 5 meetings over 1 month with measurements using the Ashworth scale, the results were T1: 1 and 2 and T5: 1 and 2, functional ability assessment using GMFCS obtained T1 and T5: Level 3, measurement results using GMFM obtained T1 and T5: Dimension A 98%, Dimensions B and C 83.3%, Dimension D 51.2%, Dimension E 5.5%, and the measurement results with XOTR T1 and T5 are T and X. Conclusion: From the results of evaluations carried out using the Ashworth scale, GMFM, GMFCS, and XOTR from T1 to T5 there was no decrease in spasticity, increase in muscle strength or functional ability.
Flat Foot berdasarkan Clark’s Angle dan Indeks Massa Tubuh pada Remaja Usia 11 – 13 Tahun Hidayati, Nitaya Putri Nur; Ramadhani, Raihan Putri
Jurnal Terapi Wicara dan Bahasa Vol. 3 No. 2 (2025): Juni 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v3i2.187

Abstract

Background: Body mass index is an indicator used to determine a person's body composition, its relation to nutritional status. An imbalance in nutritional intake in the body can result in abnormal BMI values ​​in the form of overweight to obesity. Being overweight in children over a long period of time can result in certain deformities in the feet, one of which is flat foot. Objectives:  This study examined the relationship between flat foot that measuring using Clarke’s Angle and Body Mass Index. Methods: This study used an Observational analytic design with a cross-sectional method. The subjects who met the inclusion and exclusion criteria. Each subject had their body mass index measured and a foot print test. Flat foot is measured using the footprint test with the Clarke's angle parameter. The correlation test used to test between variables is the Spearman test. Results: 265 samples meeting inclusion criteria, most flat foot cases occurred in males. A total of 36 research subjects were overweight, evenly between females and males. Spearmen test analysis indicated a highly significant p=0,001 (p<0,05), suggesting a significant relationship between flat foot and overweight. Conclusion: Flat foot that measuring using Clarkes’s angle had a significant relationship with overwight. Keywords: Flat foot; Body Mass Index, Adolescence