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All Journal The Indonesian Journal of Applied Physiotherapy
Nur Arsyi, Reza
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Health Professions

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Occupational Therapy in Stroke: A Case Study Using the Bobath Frame of Reference and Task Oriented Approach Nur Arsyi, Reza; Afifah Fadhilah Nursyam; Muhammad Luthfi; Hermito Gidion; Ayleen Alicia Kosasi; Erna Faryza Mohd Poot; Rosilah Wahab; Nur Atiqah Azman
Jurnal Fisioterapi Terapan Indonesia Vol. 3, No. 1
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Stroke is a sudden neurological disorder caused by vascular injury to the brain, leading to significant functional limitations. This case study examines the use of occupational therapy interventions, specifically the Bobath and Task Oriented approaches, for a 43-year-old male with left hemiparesis to enhance independence in motorcycling. The patient experienced various limitations, including vestibular function, range of motion, muscle tone and strength, postural control, and fine motor skills. Using the Ashworth scale and the Canadian Occupational Performance Measure (COPM) for assessment, occupational therapy interventions showed progress in several aspects, although the primary goal has not yet been fully achieved. This study highlights the importance of intensive and ongoing occupational therapy to improve patient independence in daily activities.
Occupational Therapy Using CBT to Improve Work Productivity in Schizophrenia: A Case Study Artha Nisa Thohiroh Triyantari; Nur Arsyi, Reza; Muhammad Luthfi; Ayleen Alicia K; Hermito Gideon; Zulfa Khoirunisah; Putri Dirgantara; Purnama Betty R. Sitorus
Jurnal Fisioterapi Terapan Indonesia Vol. 3, No. 2
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Schizophrenia is a chronic mental disorder that often impairs an individual's social and occupational functioning, including productivity-related activities. Patients with schizophrenia frequently face challenges in maintaining employment or running an independent business due to cognitive and emotional disturbances affecting their adaptive skills. This single-case study integrates Cognitive Behavioral Therapy (CBT) into occupational therapy to enhance productivity in a schizophrenia patient through an entrepreneurial activity—independently opening a coffee shop. The study subject is a 50-year-old male diagnosed with schizophrenia undergoing psychosocial rehabilitation at RSJ Dr. Soeharto Heerdjan. The CBT-based intervention was designed to develop adaptive thinking patterns and occupational skills through modeling, role-playing, homework assignments, and educational experiences in a small business setting. Evaluation was conducted using the Comprehensive Occupational Therapy Evaluation Scale (COTE) and direct observation throughout the program. The results showed improvements in endurance, categorization of tools and equipment, financial management, and adherence to standard operating procedures (SOP) in customer service. Additionally, the intervention led to enhanced initiative, time management, and self-control, which are key challenges in the productivity of individuals with schizophrenia. The novelty of this study lies in the application of CBT within occupational therapy as an entrepreneurial rehabilitation approach for schizophrenia patients, an area rarely explored in conventional occupational therapy interventions. Findings suggest that occupational therapy not only supports daily living skills but can also serve as an economic empowerment tool, fostering financial independence among individuals with mental health disorders. This approach has the potential for further development in productivity-based psychosocial rehabilitation programs in mental health institutions.
Peningkatan Keterampilan Makan pada Anak Down Syndrome melalui Terapi Okupasi Berbasis Sensory Integration: Studi Kasus Nur Arsyi, Reza; Thresagloria, Tambunan Seselia; Luthfi, Muhammad; K, Ayleen Alicia; Gideon, Hermito
Jurnal Fisioterapi Terapan Indonesia Vol. 4, No. 1
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Children with Down Syndrome (DS) frequently experience feeding difficulties due to hypotonia, sensory processing disorder, and oromotor impairments. This case study aimed to describe the clinical reasoning and effectiveness of a sensory integration (SI)-based occupational therapy intervention in improving feeding skills in a 10-year-old child with DS. The intervention consisted of 12 structured sessions focusing on postural stability, proprioceptive awareness, fine motor control, and oromotor coordination. Evaluation tools included Sensory Profile 2 and the Functional Independence Measure (FIM). Post-intervention outcomes indicated significant improvement in spoon use, posture during mealtime, texture tolerance, and self-feeding independence. FIM scores improved from total assistance (score 1) to supervision (score 5). This case highlights the potential of SI-based occupational therapy in enhancing functional feeding independence in children with DS.
Co-Authors Afifah Fadhilah Nursyam Artha Nisa Thohiroh Triyantari Ayleen Alicia K Ayleen Alicia Kosasi Chatarina Umbul Wahyuni Erna Faryza Mohd Poot Gideon, Hermito Hermito Gideon Hermito Gidion K, Ayleen Alicia Muhammad Luthfi Nur Atiqah Azman Purnama Betty R. Sitorus Putri Dirgantara Rosilah Wahab Thresagloria, Tambunan Seselia Zulfa Khoirunisah