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KOMORBIDITAS PENYANDANG CEREBRAL PALSY DI KOMUNITAS CEREBRAL PALSY METRO AL UM ANISWATUN KHASANAH; Efraldo Yudistira; Bota Muhammad Akbar
Surya : Jurnal Media Komunikasi Ilmu Kesehatan Vol 13, No 3 (2021): Jurnal Surya, Vol. 13, No. 03, Desember 2021
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v13i3.298

Background: Kondisi salah satu difabel macam-macam salah satunya yaitu Cerebral Palsy. Sebagian besar anak Cerebral Palsy paling sedikit memiliki satu kelainan penyerta atau komorbiditas. Pada data SCPE, komorbiditas yang paling umum ditemukan adalah gangguan berbahasa (71%), diikuti oleh gangguan intelektual (62%), epilepsi (39%), dan gangguan penglihatan (22%).Objectives: Tujuan penelitian untuk mengetahui masalah komorbiditas Cerebral Palsy sehubungan dengan angka harapan hidup pasien yang bergantung pada beratnya disabilitas yang dialami pada komunitas Cerebral Palsy MetroDesign: Rancangan Penelitian ini merupakan penelitian deskriptif analitik dengan menggunakan desain cross sectional atau potong lintang. Dalam desain cross sectional digunakan pendekatan transversal, dimana observasi terhadap variabel bebas dan variabel terikat dilakukan hanya sekali pada saat yang sama.Dengan Jumlah sampel penelitian 50.Data Sources: Subjek penelitian laki-laki 31 (62%) dan perempuan 19 (38%), dengan sampel rentang usia antara 0-18 tahun. Peserta paling banyak pada tipe CP Spastik QuadriplegiaResults: hasil Komorbiditas Cerebral Palsy pada subjek penelitian. Pada Disabilitas intelektual berjumlah 30 (60%), Epilepsy berjumlah 19(38%), Gangguan visual 3(6%), Gangguan wicara 37(74%), Gangguan perkembangan dan pertumbuhan 14(28%), Gangguan BAB 10 (20%), Gangguan Pernapasan 4 (8%), Gangguan ortopedi deformitas ankle 23(46%), Gangguan deformitas scoliosis 21 (42%), Gangguan subluksasi Hip 9(18%), Gangguan tidur 11 (22%), yang mana perindividu Cerebral Palsy paling banyak memiliki tiga komorbiditas dan banyak dimiliki oleh tipe CP Spastik QuadriplegiaConclusions: Komorbiditas pada penyandang cerebral palsy di komunitas cerebral palsy metro yang paling banyak pada gangguan wicara serta ditemukan lebih dari tiga komorbiditas pada individu cerebral palsy dengan tipe CP spastik Quadriplegia.

Potensi Cidera Pada Olahraga Hapkido Provinsi Lampung Efraldo Yudistira; Al Um Aniswatun Khasanah; Novi Sefriana
Surya : Jurnal Media Komunikasi Ilmu Kesehatan Vol 13, No 3 (2021): Jurnal Surya, Vol. 13, No. 03, Desember 2021
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v13i3.297

Background: Injury conditions in martial arts based on epidemiological research are in the 10th position in dangerous sports with the potential for injury to reach 2.4% overall. The injury model that occurs each time is determined by a certain dominance technique of a discipline resulting from the philosophy of the sport discipline, training objectives, as well as from the rules of sports competition. The management of hapkido Lampung is aware of the lack of facilities for approaching medical science in injury management to review data and carry out training developments to minimize injuriesObjectives: This study purpose was to determine the risk of injury to Hapkido Athletes in order to develop training programs to focus on preventing or reducing the potential for existing injuries so that athletes have maximum performance.Design: This research is descriptive analytic research using cross sectional design . In this design a transverse approach is used. Where is the observation of the independent variable and the dependent variable is carried out only once at the same time with the number of research samples 60Data Source: The results of this study are data on the incidence of injuries experienced by hapkido athletes based on questionnaire data collectionResults: The data obtained are 53.3% female samples and 46.7% male, with data on the incidence of injury 50.9% in the ankle region, and 44.4% specific tissue injury to joints and ligaments and the incidence of injury during technical training 50.9%Conclusions: The incidence rate of injury to the hapkido martial arts athlete in Lampung has the largest presentation in the ankle region and in specific ligamentous tissues with the risk of it occurring during movement technique training activities where the results can be concluded that hapkido sports require good joint stability, especially in the ankle region.

PENAMBAHAN SENAM OTAK PADA PROGRAM SKJ 2008 LEBIH MENINGKATKAN KOORDINASI ANTARA MATA DAN TANGAN DARIPADA SKJ 2008 al um Aniswatun Khasanah; J.Alex Pangkahila; Muh. Irfan
Sport and Fitness Journal Volume 4, No. 2, 2016
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (52.732 KB)

Children in 7-8 years, the kinesthetic intelligence was more necessary incognitive development phase. Its indicated by the activities of chuildren’s motion suchas coordination between eye and hand. Gymnastics is a serial of simple physical activitywhich helps to optimize the brain function, one of them is coordination. This study wasconducted to determine how much improvement the addition of brain gym at SKJ 2008program to increase the coordination between eye and hand of children in age 7-8 years old. This study used an experimental method. It used the control group by using a studydesign two group pre and posttest control group design. This study was conducted at SDNegeri 3 Sumberjo Central Lampung, the training sessions were given 3 times during 6weeks. The number of samples was 36 children were divided into two groups. Thecontrol group was SKJ 2008 program however in the treatment group was given theaddition of brain gym in SKJ 2008 program. The tool used the wall toss test to measurethe eye and hand coordination which was conducted pre-intervention and postintervention.The results of test used independent t-test to determine eye and handcoordination. From the test was obtained the result that the increasing of eye and handcoordination in the mean post-intervention of group treatment was 7,06 ± 1,63 whichwas compared with control group was 4,44 ± 1,15 with p value = 0,000 (p <0,05). Theaddition of brain gym on SKJ 2008 program was more increasing the coordinationbetween eye and hand of children in age 7-8 years old in sd negeri 3 sumberjo at centrallampung.

KOMORBIDITAS PENYANDANG CEREBRAL PALSY DI KOMUNITAS CEREBRAL PALSY METRO Al Um Aniswatun Khasanah; Efraldo Yudistira; Bota Muhammad Akbar; Anak Ayu Nyoman Trisna Nata Dewi
JURNAL PROFESIONAL FISIOTERAPI Vol 1 No 1 (2022): JANUARY
Publisher : Universitas Muhammadiyah Metro

The condition of one of the disabled people is various, one of which is Cerebral Palsy. Most children with Cerebral Palsy have at least one comorbid disorder or comorbidity. In the SCPE data, the most common comorbidities found were language disorders (71%), followed by intellectual disorders (62%), epilepsy (39%), and visual disturbances (22%). The survival of patients who depend on the severity of disability experienced in the Cerebral Palsy Metro community. Design This study is a descriptive analytic study using a cross sectional or cross-sectional design. In the cross sectional design used a transverse approach, where observations of the independent variable and the dependent variable were carried out only once at the same time. With a total sample of 50. The research subjects were 31 men (62%) and 19 women (38%), with a sample of age range between 0-18 years. Most participants were in the type of Spastic Quadriplegia CP. Outcomes of Comorbid Cerebral Palsy in study subjects. Intellectual disability is 30 (60%), Epilepsy is 19 (38%), Visual impairment is 3(6%), Speech disorder is 37(74%), Development and growth disorders is 14(28%), Defecation disorders 10 (20% ), Respiratory Disorders 4 (8%), Orthopedic disorders Ankle deformities 23(46%), Scoliosis deformity disorders 21 (42%), Hip subluxation disorders 9(18%), Sleep disturbances 11 (22%), which were individual Cerebral Palsy has at most three comorbidities and is mostly owned by the Spastic Quadriplegia CP type. Comorbidities in people with cerebral palsy in the metro cerebral palsy community were the most common in speech disorders and more than three comorbidities were found in cerebral palsy individuals with the type of spastic Quadriplegia CP.

Potensi Cidera Pada Olahraga Hapkido Provinsi Lampung Efraldo Yudistira; Al Um Aniswatun Khasanah; Novi Sefriana
JURNAL PROFESIONAL FISIOTERAPI Vol 1 No 1 (2022): JANUARY
Publisher : Universitas Muhammadiyah Metro

Injury conditions in martial arts based on epidemiological research are in the 10th position in dangerous sports with the potential for injury to reach 2.4% overall. The injury model that occurs each time is determined by a certain dominance technique of a discipline resulting from the philosophy of the sport discipline, training objectives, as well as from the rules of sports competition. The management of hapkido Lampung is aware of the lack of facilities for approaching medical science in injury management to review data and carry out training developments to minimize injuries.This study purpose was to determine the risk of injury to Hapkido Athletes in order to develop training programs to focus on preventing or reducing the potential for existing injuries so that athletes have maximum performance. This research is descriptive analytic research using cross sectional design . In this design a transverse approach is used. Where is the observation of the independent variable and the dependent variable is carried out only once at the same time with the number of research samples 60. The results of this study are data on the incidence of injuries experienced by hapkido athletes based on questionnaire data collection.The data obtained are 53.3% female samples and 46.7% male, with data on the incidence of injury 50.9% in the ankle region, and 44.4% specific tissue injury to joints and ligaments and the incidence of injury during technical training 50.9%. The incidence rate of injury to the hapkido martial arts athlete in Lampung has the largest presentation in the ankle region and in specific ligamentous tissues with the risk of it occurring during movement technique training activities where the results can be concluded that hapkido sports require good joint stability, especially in the ankle region.

PENGARUH TRUNK BALANCE EXERCISE DALAM MENINGKATKAN KESEIMBANGAN KINERJA OTOT ERECTOR SPINE PADA PENGHOBI FUTSAL Yusuf Nasirudin; Efraldo Yudistira; Al Um Aniswatun Khasanah
JURNAL PROFESIONAL FISIOTERAPI Vol 1 No 1 (2022): JANUARY
Publisher : Universitas Muhammadiyah Metro

Di dalam permainan futsal, keseimbangan kinerja otot postural dibutuhkan untuk menjaga kestabilan tubuh untuk menerima operan dan memasukkan bola ke gawang tim lain pada saat menyerang, mengubah arah gerakan dengan cepat ketika kembali ke posisi masing–masing serta menghindari gangguan pada punggung..Penelitian ini adalah bentuk penelitian eksperimental yang akan menguji efektifitas dari pemberian trunk balance exercise dalam meningkatkan keseimbangan kinerja otot erector spine pada pemain futsal pemula, pada penelitian ini sampel akan diberikan trunk balance exercise untuk meningkatkan keseimbangan kinerja otot erector spine pada pemain futsal pemula. Penelitian ini dilakukan selama 6 minggu dan intervensi dilakukan sebanyak 18 kali selama periode penelitian. Sampel diukur dengan surface electromyography dengan mengukur kerja dari otot erector spine kanan dan kiri dengan menghitung proporsi kerja pada otot tersebut , di ukur pada sebelum intervensi kemudian dilakukan intervensi kemudian setelah dilakukan intervensi, sampel di ukur kembali untuk mendapatkan nilai hasil intervensi.Hasil dari pemberian trunk balance exercise menunjukkan nilai rerata pada sebelum perlakuan dengan nilai (83,82±2,94) % dan nilai rerata pada setelah perlakuan sebesar (96,74 ±2,39) %, dengan nilai probailitas pada sampel adalah 0,000 (p<0,05) dan dinyatakan ada perbedaan yang signifikan pada penelitian tersebut. dan dapat dinyatakan secara analisis statistik ada perbedaan yang signifikan antara sebelum dan sesudah perlakuan yang dilakukan dan artinya pemberian trunk balance exercise dapat meningkatkan keseimbangan kinerja otot erector spine pada pengghobi futsal.

DEFORMITAS ANKLE PADA ANAK CEREBRAL PALSY DI FORUM KELUARGA CEREBRAL PALSY (FKCP) LAMPUNG YANG TELAH MENDAPAT PELAYANAN FISIOTERAPI Al Um Aniswatun Khasanah; Sri Yuliana; Bota Muhammad Akbar; Dhofirul Fadhil Dzil Ikrom Alhazmi; Khabib Abdullah
JURNAL PROFESIONAL FISIOTERAPI Vol 1 No 2 (2022): July
Publisher : Universitas Muhammadiyah Metro

Deformitas ankle yang terjadi pada cerebral palsy dapat berbentuk Pes Planus, Pes Cavus, Pes Palnovagus, Talipes Calcaneuvalgus, Talipes Calcaneus, Talipes Valgus, Talipes Varus, Equino Varus. Deformitas umumnya dirasakan dan dievaluasi dalam perspektif biomekanik dalam program Fisioterapi. Disini Peneliti melakukan penelitian yang spesifik dengan mengambil sampel pada anak yang telah melakukan tindakan Fisioterapi di Klinik maupun RS yang lokasinya di Kota Metro. Dari data tersebut diperoleh. Pada tipe CP Spastik Quadriplegia berjumlah 9 (64,28%), CP Spastik diplegia berjumlah 4 (28,57%), dan CP berjumlah Athetoid 1 (7,14%), Untuk Riwayat Operasi berjumlah 1 (7,14%), tidak ada riwayat berjumlah 13 (92,85%), menggunakan AFO berjumlah 8(57,14%), tidak menggunakan AFO berjumlah 2 (14,28%), Kadang-kadang menggunakan AFO berjumlah 4 (28,57%). Banyaknya Jenis Deformitas Ankle Anak CP (N=14) Pada Kaki Kanan, Kaki Kiri, dan Keduanya. Pada Deformitas Ankle Talipe Varus Kaki Kanan 1 (7,14%), Pada Deformitas Ankle Talipe Varus Kaki Kiri 1 (7,14%), Pada Deformitas Ankle Talipe Varus Keduanya 2 (14,28%), Pada Deformitas Ankle Talipe Valgus Kaki Kanan 1 (7,14%), Pada Deformitas Ankle Talipe Valgus Keduanya 6 (42,85%), Pada Deformitas Ankle Talipe Equinus Keduanya 2 (14,28%), Pada Deformitas Ankle Talipe Calcaneus Kaki Kanan 1 (7,14%). Berdasarkan Klasifikasi tipe CP . Pada tipe CP Spastik Quadriplegia ada deformitas ankle Talipes Calcaneus 1 (7,14%) untuk ekstremitas kaki kanan, ada deformitas ankle Talipes Varus 1 (7,14%) untuk ekstremitas kaki keduanya, ada deformitas ankle Talipes Valgus 6 (42,85%) untuk ekstremitas kaki keduanya, ada deformitas ankle Talipes Equinus 1 (7,14%) untuk ekstremitas kaki keduanya. Pada tipe CP Spastik Diplegia ada deformitas ankle Talipes Varus 1 (7,14%) untuk ekstremitas kaki kanan, ada deformitas ankle Talipes Varus 1 (7,14%) untuk ekstremitas kaki kiri, ada deformitas ankle Talipes Varus 1 (7,14%) untuk ekstremitas kaki keduanya, ada deformitas ankle Talipes Equinus 1 (7,14%) untuk ekstremitas kaki keduanya. Pada tipe CP Athetoid ada deformitas ankle Talipes Valgus 1 (7,14%) untuk ekstremitas kaki kanan. Kata Kunci: deformitas ankle, cerebral palsy, FKCP Lampung, pelayanan fisioterapi

PREVALENSI PENDERITA OSTEOARTHRITIS LUTUT YANG MENDAPATAKAN PELAYANAN FISIOTERAPI DI RS YUKUM MEDICAL CENTER, LAMPUNG TENGAH Al Um Aniswatun Khasanah; Diah Purnama Fitri; Efraldo Yudistira
JURNAL PROFESIONAL FISIOTERAPI Vol 2 No 1 (2023): JANUARY
Publisher : Universitas Muhammadiyah Metro

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Osteoartritis lutut ini lebih umum seiring mengenai apabila seiring bertambahnya usia.Modalitas konservatif yang tersedia untuk pengobatan Osteoartritis lutut dengan melakukan pelayanan fisioterapi yang mana fisioterapi membantu memulihkan gerak dan fungsi pada tubuh manusia, dan fokus utama dalam manajemen Osteoartritis lutut adalah mempromosikan manajemen diri, mengurangi rasa sakit, mengoptimalkan fungsi, dan memodifikasi proses penyakit dan efeknya.Untuk itu perlu mengetahui bagaimana prevalensi kasus Osteoartritis lutut yang mendapatkan pelayanan fisioterapi terutama di RS Yukum Medical Center, Lampung Tengah. Rancangan Penelitian ini merupakan penelitian deskriptif analitik Penelitian dilakukan bulan Januari 2023, dan data penelitian diperoleh dari bulan Januari- Desember 2022, dengan kriteria data sampel yang diambil diagnosa oleh dokter Osteoartritis lutut yang melakukan pelayanan Fisioterapi di RS Yukum Medical Center, Lampung Tengah dengan jumlah sampel yaitu 143. dari data tersebut diperoleh bahwa penderita Osteoarthritis Lutut paling banyak direntang usia 51-60 tahun, jenis kelamin perempuan paling banyak, pekerjaan petani juga paling banyak mengalami Osteoarthritis Lutut dan rata-rata dalam 6x kunjungan fisioterapi mengalami penurunan nyeri.

Pencegahan Resiko Cidera Punggung Yang Dialami Oleh Prajurit Kodim 0429 Lampung Timur Dengan Pendekatan Keilmuan Fisioterapi Bota Muhammad Akbar; Efraldo Yudistra; AL UM ANISWATUN KHASANAH
JURNAL PROFESIONAL FISIOTERAPI Vol 1 No 1 (2022): JANUARY
Publisher : Universitas Muhammadiyah Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/fisioterapi.v1i1.3331

Tanpa disadari dalam aktivitas proses latihan fisik yang dilakukan oleh prajurit Dandim 0429 Lampung Timur banyak dilakukan secara manual dan dengan periode berulang, hal ini dapat menyebabkan masalah yang sering dijumpai pada latihan yang bersifat berkelanjutan seperti simulasi di lapangan seperti cedera punggung, nyeri leher dan kaki. Serta belum adanya identifikasi secara klinis dibidang medis dalam penanggulangan cidera dan pemahaman karakteristik jenis cidera manajemen otot ataupun metode pemulihan dalam paket latihan. Tujuan dari pencegahan ini adalah memberikan latihan serta penanggulangan berdasarkan data resiko cidera, pemeriksaan dengan prinsip latihan fisik anggota TNI AD sekaligus pendekatan keilmuan fisioterapi. Selain itu, tujuan lainnya adalah agar prajurit Dandim 0429 Lampung Timur mampu membuat program latihan yang terukur khususnya bagi prajurit yang bersifat perorangan agar dapat memberikan program latihan yang spesifik dalam penanggulangan terjadinya cidera serta latihan tepat guna berdasarkan kebutuhan prajurit secara fisik dan performa.

Pengaruh Terapi Mandiri Oleh Orang Tua Terhadap Kelurusan Tengah Tubuh Anak CP Spastic Quadriplegia Khabib Abdullah; Al Um Aniswatun Khasanah; Anik Muwarni Darajatun; Mutiara Firdaus; Atik Swandari; Fadma Putri
FISIO MU : Physiotheraphy Evidences Vol 4, No 2 (2023): Vol 4, No.2 Juli 2023
Publisher : Program Studi Fisioterapi Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v4i2.22102

Background: Cerebral palsy (CP) is a disorder of movement and posture during the growth and development of children that is not progressive. One type of CP is spastic quadriplegia with one of the problems, namely the alignment of the middle body that is not optimal. This will result in increased spasticity and impaired respiratory and digestive functions. Research method: one group pre and posttest design on 10 children with CP spastic quadriplegia who experience difficulties in orienting the mid-body alignment in the supine position in the happy CP family community in Surabaya. Parents are taught how to massage the back and lie on their back according to the alignment of the middle of the body, then the parents independently massage the child's back for 15 minutes, 2x per day for 14 days. Proof of treatment is done by video call. Measuring instrument with GMFM dimension A (supine and roll) in percent. Results: The subjects in this study totaled 10 children with CP spastic quariplegia with an average age of 2.9 ± 1.1 years with a total of 5 male and 5 female subjects. The mean pre-treatment GMFM value was 0.38 ± 0.8% and the mean GMFM increased post-treatment, namely 4.2 ± 1.2 %, with a significant Wilcoxon test at 0.003. Conclusion: independent therapy by parents in the form of back muscle massage and position adjustment affects the mid-body alignment of children with CP Spastic Quadriplegia.

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