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Penerapan Respiration Training Untuk Meningkatkan Durasi Fonasi Pada Pasien Disfonia Neurogenik Dewasa Agustina; Fierda Pramesthi Cahyani Putri
Jurnal Terapi Wicara Vol 3 No 1 (2025): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v3i1.47

Abstract

Background: Neurogenic dysphonia is a voice disorder resulting from dysfunction of the nervous system that affect action of vocald cords and controls phonatory mechanisms. One of the key parameters in assessing phonatory ability is maximum phonation time, which reflects the coordination between respiratory and phonatory systems. Respiration training is a training for improving breathing efficiency and stabilizing subglottal pressure during phonation. Objective: This study aims to determine the effect of respiration training on improving phonation duration in an adult patient with neurogenic dysphonia using a Single Subject Design (A–B–A). Methods: This research is a Single Subject Design (A–B–A) involving one adult participant with condition neurogenic dysphonia. Data were collected by measuring the sustained phonation of the vowel /a/ using a digital stopwatch during the baseline (A₁), intervention (B), and withdrawal (A₂) phases. The intervention was conducted during 10 therapy session and consisted of diaphragmatic breathing and respiration–phonation coordination exercises. Data were analyzed visually and descriptively based on mean phonation duration changes across phases. Results: The average phonation duration increased from 1.70 seconds during the baseline phase to 1.81 seconds after intervention, indicating an improvement of approximately 6.5%. Visual analysis revealed a stable and consistent upward trend in phonation duration during the post-intervention phase. Conclusion: Respiration training has a positive effect on improving phonation duration in adults with neurogenic dysphonia. The findings suggest that structured breathing exercises can enhance respiratory–phonatory coordination and voice production efficiency.
Sebuah Penelitian Tunggal: Pendekatan Membaca Mundur Pada Kasus Latah Usia 44 Tahun di Jakarta Barat Agustina; Gilang Ramadhan
Jurnal Terapi Wicara Vol 3 No 2 (2025): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v3i2.57

Abstract

Background: Latah is a linguistic action when someone is surprised and shocked, accidentally uttering words spontaneously and is not aware of what they are saying. Latah symptom are five, Echolalia, Coprolalia, Echopraxia, Automaticobedience, and AutoEcholalia. This deviant behavior can cause someone to be hampered in conveying something to the person he is talking to so that it can cause anxiety, embarrassment or lack of self-confidence, this has a big influence on communication. The prevalence of latah sufferers in Indonesia is dominated by Javanese or those related to Javanese people. Objective: To test whether the Reading Backward method is an effective intervention for patients with latah rhythm disorders. Method: The single subject design ABA type, subject was a 44-year-old woman with latah rhythm disorders. Data collection was conducted through pre-test as baseline (A1), Intervention as baseline (B) ang post-test as baseline (A2). Results: The intervention was conducted during 10 therapy session and consisted of reading bacward indicating improvement. Visual analysis revealed a stable and consistent downtrend in symptom of latah. Conclusion: This emphasizes the importance of appropriate intervention in addressing effective interventions for language rehabilitation in patients with latah rhythm disorders.
Intervensi penguatan otot bibir dan pipi untuk meningkatkan efisiensi fase oral pada pasien stroke berulang: Sebuah studi kasus Pipit Puspitasari; Yulidar; Agustina; Nurul Tirta Kusuma
Jurnal Terapi Wicara Vol 4 No 1 (2026): Jurnal Terapi Wicara (JAWARA)
Publisher : Politeknik Arutala Johana Hendarto [d.h. Akademi Terapi Wicara]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59898/jawara.v4i1.66

Abstract

Latar Belakang: Disfagia Post-Stroke (DPS) sering bermanifestasi sebagai disfungsi orofasial berupa kelemahan otot bibir dan pipi yang memicu drooling serta inefisiensi fase oral. Meskipun prevalensi globalnya tinggi, intervensi spesifik yang mengisolasi penguatan otot perioral masih sangat terbatas. Tujuan: Penelitian ini bertujuan mengevaluasi efektivitas latihan motorik otot bibir (orbicularis oris) dan pipi (buccinator) dalam meningkatkan fungsi pengunyahan, kapasitas pengendalian anterior leaking/spillage, serta menurunkan derajat drooling pada subjek DPS. Metode: Desain pra-eksperimental single-subject murni (N=1) diterapkan pada subjek laki-laki berusia 63 tahun dengan stroke berulang menggunakan data klinis tahun 2019. Instrumen Penilaian Oromotor dan Kontrol Saliva (POKS) modifikasi yang diselaraskan dengan prinsip batere tes TEDIVA digunakan untuk menilai performa klinis non-radiologis menggunakan media bolus standar IDDSI Level 5. Intervensi dilakukan intensif sebanyak 10 pertemuan. Hasil: Terjadi peningkatan skor kumulatif POKS secara signifikan dari skor 0 (disfungsi total) menjadi skor 6 (disfungsi ringan). Pasca-intervensi, subjek mampu melakukan pengunyahan fungsional (3–5 siklus) dan meningkatkan frekuensi transisi labial dari 3 kali menjadi 7 kali dalam 15 detik. Kendati demikian, rembesan saliva pada suapan ketiga tetap muncul sebagai indikator objektif adanya kelelahan otot (muscle fatigue) oromotor akibat penurunan daya tahan (muscle endurance). Kesimpulan: Latihan terisolasi otot bibir dan pipi menunjukkan respon positif dalam memulihkan unit motorik fasial, meningkatkan koordinasi pengunyahan, serta mengurangi drooling secara klinis. Rekomendasi intervensi berikutnya perlu mengintegrasikan latihan ketahanan progresif untuk memperpanjang ambang lelah otot perioral
Co-Authors Fierda Pramesthi Cahyani Putri Gilang Ramadhan Nurul Tirta Kusuma Pipit Puspitasari Yulidar