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Nur Susanti
Jurusan Fisoterapi, Fakultas Ilmu Kesehatan, Universitas Pekalongan
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PENGARUH PENATALAKSANAAN FISIOTERAPI PADA ANAK KONDISI AUTISME DENGAN MODALITAS PLAY EXERCISE (PERCEPTUAL MOTOR PROGRAM) DAN HIDROTERAPI (BALANCE AND COORDINATION) DI YPAC SURAKARTA Tiara Arifadhi; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 33, No 2 (2019): PENA SEPTEMBER 2019
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v33i2.902

Abstract

Autism is a condition of clear abnormalities and developmental disorders in social interactions, communication, and obvious limitations in activity and interest. Autism physiotherapy itself is a disorder of attention or behavior, sensory disorders, primitive reflex disorders, muscle strength disorders and functional activity disorders standing and walking. In this case, the intervention technology chosen to overcome the above problems using Play Exercise (Perceptual motor program) and Hydrotherapy (Balance and Coordination). This research was conducted at YPAC Surakarta with descriptive analytic research design. The subjects of this study were patients with autism condition will be given physiotherapy intervention by Play Exercise method (Perceptual motor program) and Hydrotherapy (Balance and Coordination). Data collection method of data analysis using heteroanamnesis interview method The research instrument consists of DSM-IV examination,primitive reflex examination, muscle strength examination and functional activity examination The research design used was case study design. Based on the therapy that has been done, the following results were obtained: Decrease of attention / behavioral disorder in the field of social interaction, T4 = 3 symptoms; sensory increase in auditory, propioseptive, and vestibular T4 = 3, 2, 2; decreased primitive reflexes of supine, prone and sitting equlibrium reaction; increased muscle strength of lower limbs and trunk; Increased functional activity is up and running.
PENATALAKSANAAN FISIOTERAPI PADA ANAK KONDISI TORTIKOLIS KONGENITAL DENGAN MYOFASCIAL RELEASE TEKNIK (MFRT) DAN TERAPI LATIHAN Aida Naurah Septi; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 34, No 2 (2020): PENA SEPTEMBER 2020
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v34i2.1209

Abstract

Congenital Torticollis is a deformity in the position of the head caused by muscle stiffnes on one side that causes limited neck movement to the side that experiences stiffness. The physiotherapy problem is are spasms, decreased muscle strength, shortening of muscle length, limited range motion and decreased functional activity.  The physiotherapy examination includes examination of spasms, muscle stength, muscle length, range of motion, functional activit. Intervention technology is Myofascial Release Technique (MFRT) and Exercise Therapy. The purpose of study to determine the effect of physiotherapy management in condition Congenital Torticollis with Myofascial Release Techniques (MFRT) and Exercise Therapy. This research conducted in YPAC Surakarta with descriptive analytic research design with study design. Subjects patients Congenital Torticollis with Myofascial Release Technique (MFRT) and Exercise Therapy physiotherapy interventions. The data collection method of the heteroanamnesis method. Research instruments in the form of examination of spasm with palpasi, muscle strength with XOTR, muscle length with midline, ROM with goneometer and functional activity with Toronto Western Spasmodic Torticollis Ranting Scale (TWSTRS). Based on the results of the therapy as follows : (1)  there is a decrease in spasm T1=1 become T5=0 (2) increased muscle strength T1=T become T5=X (3) increased muscle length T1=3cm become T5=4 cm (4) increased range of motion cervical flexion motion T1=40° become T5=45°, extension T1=40° become T5=45°, lateral fleksi dekstra T1=35° become T5=45°, lateral fleksi sinistra T1=30° become T5=40°, rotasi dekstra T1=30° become T5=35°, rotasi sinistra T1=60° become T5=60° (5) increased daily functional activity. The research conclusion that physiotherapy interventions with Myofascial Release Technique (MFRT) and Exercise Therapy can reduce problem that arise in Congenital Torticollis condition.
PENATALAKSANAAN FISIOTERAPI PADA KONDISI DEVELOPMENT DELAYED (DD) DENGAN METODE HIDROTERAPI HUBBARD TANK DAN GENERAL MASSAGE DI YPAC SURAKARTA Antonius Adi Susanto; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 34, No 1 (2020): PENA MARET 2020
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v34i1.998

Abstract

Development delayed (DD) is a condition where the pace on the physical, emotional, behavioral and social development. When compared with normal child his age. Problematic conditions delayed development (DD) is a decrease in postural tone, muscle weakness, disruptions in functional capabilities. Handling is done in case of delayed development (DD) is a growth by DDST examination, examination of muscle strength and postural tone with XOTR scale, sensory examination, and functional capabilities with GMFM.In addressing the problem of delayed development conditions (DD) by the method of Hubbard tank hydrotherapy and general massage. The design of the research this scientific paper uses case studies drawn in Surakarta YPAC. After six times of therapy by using the technology intervention and general massage Hubbard tank obtained the following results (1) for growth and development remain the same, namely T1 to T6 = 12 aspects of personal sector gross motor and social late eighth aspects, (2) an increase in muscle strength and postural tone for the wrist, hip, knee, and ankle T1 = T at T4 = X, (3) there is an increase for the sensory examination of the T4 to T6 namely touch, tactile and vestibular propioseptive but there is no improvement (4) the improvement of functional ability T1 = 67% to T6 = 84.6%.From the results obtained, it can be concluded that the use of physiotherapy intervention with Hubbard tank hydrotherapy and General Massage can reduce the problem of delayed development conditions (DD).
PENATALAKSANAAN FISIOTERAPI PADA KONDISI DELAY DEVELOPMENT (DD) DENGAN MODALITAS NEURO SENSO MOTOR REFLEK DEVELOPMENT AND SYNCHRONIZATION (NSMRD & S) DAN MASSAGE ORAL DI YPAC SURAKARTA Fany Anggraeni; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 35, No 2 (2021): PENA SEPTEMBER 2021
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v35i2.1566

Abstract

Delay Development is a delay in two areas/more development of rough motors, smooth motors, languages, personal/social and daily activities. Problematics delay development is decreased growth of flowers, sensory disorders, reflec disorders, muscular strength disorders and decreased functional ability. Physiotherapy examination includes the growth of DDST with Blanko, sensory with sensory Blanko, Reflec with Blanko Reflec, muscle strength with XOTR and functional ability with Blanko GMFM. Its intervention technology is NSMRD & S and Oral Massage. Research aims to determine the influence of physiotherapy management in the condition of delay development with the modalities NSMRD & S and Massage Oral. Research was conducted at YPAC Surakarta with the design of analytical descriptive research. His research draft is case study draft. Research subjects are patients with delay development modalities of NSMRD & S and Oral Massage. The method of collecting data in this study uses the Heteroanamnesis method. Research instruments in the form of DDST, Blanko Sensoris, Blanko Reflek, XOTR, and GMFM. The results of the study 6 times the following therapy: (1) Increased growth of flowers, (2) improvement of the vestibular sensory enhancement, (3) child reflecs found at age 7-9 months, (4) Increased muscle strength, (5) No increase in functional ability. Because of the research that the modalities of NSMRD & S and Oral Massage can reduce problems in the condition of delay development.
PENATALAKSANAAN FISIOTERAPI PADA DELAY DEVELOPMENT DENGAN HALLIWICK DAN NEURO DEVELOPMENT TREATMENT UNDERWATER IN YPAC SURAKARTA Puji Wahyuningrum; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 35, No 1 (2021): PENA MARET 2021
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v35i1.1345

Abstract

Delay Development is a delay in growth and development of children in the form of significant lagging in physical activities including crawling, sitting, standing and walking, cognitive abilities, behaviors, emotions or social development in children when compared to normal children his age. Problems that arise in Delay Development conditions namely postural development hypotonic, growth delay motoric development, postural imbalance and functional limitation. Objective Halliwick to improve bodily functions and maintain balance in water and the Neuro development treatment underwater aims to improve the tone of posture in water. This research was conducted at YPAC Surakarta with a descriptive analytic the research design used is a case study design. The subjects of this study were patients with Delay development conditions who would be given physiotherapy interventions using the Halliwick and Neuro development treatment underwater methods. Methods of data collection and data analysis using the Heteroanamnesis. The research instrument consisted of an examination of Growth and Development assessed 4 aspects, namely: social social, fine motor skills, abusive language and Examination of Motor Muscle Strength with MMT, examination of spontaneous motion reaction reflexes with empty reflexes, Sensory Examination consisting of Visual, hearing, aroma, taste, touch, touch, proprioception and vestibular and Examination of Functional Activity Ability with GMFM. Results After 5 treatment, the following results were obtained: (1) There was an increase in DDST, (2) Increased muscle strength, (3) There was no increase in reflexes, (4) There is a sensory increase in vestibular, (5) There is an increase in functional ability T1=63% to 68%. Conclusion From this research that physiotherapy modality with Halliwick and Neuro development treatment underwater can reduce problems in Delay development conditions. Suggestion Patients are asked to exercise regularly at home so that there is a significant increase.
Beda Pengaruh Latihan McKenzie Dengan William Flexi Terhadap Peningkatan Lingkup Gerak Sendi Lumbal Pada Low Back Pain Miogenik Nur Susanti, SST.FT
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 1, No 1 (2010): Pena maret 2010
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v1i1.3

Abstract

Low Back Pain miogenik berhubungan dengan stress / strain otot-otot punggung, tendon dan ligamen yang biasanya ada bila melakukan aktivitas sehari-hari secara berlebihan, seperti mengangkat beban berat dengan cara yang salah,posisi berdiri/duduk lama cara yang salah. Nyeri bersifat tumpul, intensitas bervariasi seringkali menjadi kronik, dapat terlokalisir atau meluas sekitar glutea. Nyeri ini tidak disertai parestesi, defisit neurologi. Bila batuk atau bersin nyeri tidak menjalar ke tungkai. Masalah nyeri pinggang yang timbul akibat aktifitas yang berlebihan dalam waktu lama akan menyebabkan ketegangan padaotot, nyeri, keterbatasan mobilitas sendi lumbal. Penelitian ini bertujuan untuk mengetahui apakah ada beda pengaruh latihan Mckenzie dengan William flexi terhadap peningkatan lingkup gerak sendi lumbal low back pain miogenik. Desain penelitian yang dipakai adalah quasi experiment dengan pre and post test design whitout control dengan jumlah sampel 24 orang. Hasil analisis data statistic non parametric dengan metode Wilcoxon Signed Ranks Test dan Mann Whitney Test dengan bantuan komputer Program SPSS Versi 11 diperoleh hasil wilcoxon p=0,000 < 0,05 maka H01 & H o2 ditolak yang berarti bahwa terdapat pengaruh yang signifikan baik latihan Mckenzie maupun William flexi terhadap peningkatan lingkup gerak sendi lumbal low back pain miogenik. Sedangkan untuk mengetahui perbedaan peningkatan Linkup gerak sensi lumbal antara perlakuan mckenzie dan william flexi menggunakan Mann Whitney didapatkan nilai p=0,176>0,05 yang berati tidak ada pengaruh yang signifikan antara kedua latihan tersebut. Dengan demikian dapat disimpulkan bahwa tidak ada penagaruh yang signifikan antara perlakuan mckenzie dan william flexi terhadap peningkatan lingkup gerak sendi lumbal pada low back pain miogenikKeyword : LGS flexi & extensi, nyeri otot pinggang bawah, Mckenzie & William flexi. 
RANCANG BANGUN SISTEM INFORMASI MANAJEMEN KESEHATAN KLINIK PRATAMA UNIKAL HEALTH CENTER (UHC) Danang Satrio; Ristiawati Ristiawati; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 36, No 1 (2022): PENA MARET 2022
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v36i1.1923

Abstract

The success of health management is largely determined by the availability of health data and information. This data and information serve as the basis for decision-making in the health sector. To obtain quality health data and information, and accurate health information system is needed. The development of a strong Health Information System in producing quality information in decision-making in the health sector requires knowledge of the basic concepts of the health information system itself and the basics in its development. Primary Clinic Unikal Health Center (UHC) is a public clinic under the auspices of a private university called Pekalongan University. The problem that is still encountered is that the recording of medical record data is still not optimal because it is done manually so it is still less effective and efficient in processing the data. Based on this, it is necessary to develop a health management information system to be implemented at the Unikal Health Center (UHC) Primary Clinic. The purpose of this study is to replace the manual recording and data processing system with computerization, to overcome the obstacles that often occur related to the inability to provide information quickly, accurately, and on time with the management information system of the Unikal Health Center Clinic. (UHC) the required reports can be available instantly, such as patient reports, doctor reports, registration reports, medical record reports, prescription reports, and other data. The final result of this research is a prototype of the health information management system of the UHC Pratama clinic.
CORE STABILITY EXERCISES LEBIH MENINGKATKAN AKTIVITAS FUNGSIONAL PADA NYERI PUNGGUNG BAWAH MIOGENIK Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 29, No 1 (2015): PENA SEPTEMBER 2015
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v29i1.599

Abstract

Myogenic low back pain `is located around low back area. It is caused by musculoscletal disorders  without  neurologic  disorders  from  twelve  thoracal  vertebrae  to  the  hip.  It  is  caused  by static  and  dynamic  factors  that  is  causing  pain.  Low  back  muscle  spasms  and  its  surroundings cause  imbalance  muscle  activities.  Therefore,  it  decreases  instability  of  abdominal  and  low  back muscles. Limitation of lumbar movement decreases functional activities. Physiotherapy is intended to  relief  the  pain  and  more  relaxation  for    hospitalized  patience.  Meanwhile,  core  stability exercisesareto  increase  functional  activities  by  moving  transversus  abdominis,  multifidus, diafragma,  and  pelvic  floor  muscles.  The  research  was  aimed  at  testing  core  stability  exercises forimproving  myogenic  functional activities. The  research was designed as a  quasi eksperimental by using pre-test andpost-test design with control group. The research was held at RSUD Bendan Pekalongan Physiotherapy  installation. The research subject covered 28 patients. Measurement of functional  activities  of  myogenic  low  back  pain  was  conducted  by  using    oswestry  disability questionnaire (ODQ) before and after exercises. It was divided into  two groups as the control and treatment group. Control and treatment group was three times a week.  The result of this research was the  increasing of  ODQ score of control group for  p<0.05, and p<0.05 for treatment group. It means  that  control  group  and  treatment  group  can  improve  functional  activities  of  myogeniclow back pain. Comparation test of data by using independent test is p<0.05, whether before and after exercise.  The  average  of  control  group  is  8.14%.  The  average  treatment  group  is  28.57%.  It  is meant  that  treatment  group  is  good  for  improving  functional  activities  than  control  group.  The research  conclusion  was  that    core  stability  exercises  training  improv  the  functional  activities  in basic  therapy  of  myogeniclow  back  pain.  It  is  expected  that  core  stability  exercises  and  basic therapy can be used in patient with myogeniklow back pain to improve of functional activity.
PENATALAKSANAAN FISIOTERAPI PADA KONDISI ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) DENGAN METODE NEURO SENSO MOTOR REFLEX DEVELOPMENT DAN PLAY THERAPYDI YPAC SURAKARTA Hertina Yulianasari; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 33, No 1 (2019): PENA MARET 2019
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v33i1.841

Abstract

Attention Deficit Hyperactivity Disorder (ADHD) is a behavioral disorder characterized by concentration disorders and impaired concentration, and delayed speech in patients. Factors influencing the occurrence of ADHD are factors prenatal and postnatal prenatal complications, and environmental factors. Problematic on ADHD condition of postural hypotonus, spasm in M. Extensor Trunk, M. Trapesiuz Upper and M. Gastrocnemius, presence of postural hypotonus, sensory impairment with sensory blast, behavioral disorder, presence of reflux, Presence of functional activity disorder.Physiotherapy modalities that used under ADHD conditions are by administering NeuroSenso Motor Reflex Development &Syncronization modalities and play therapy. In this research use descriptive analytic method, and research design used is case study design. After 6 treatments (1)There is a change of postural tone from sitting 2 seconds to 15 seconds, standing 5 seconds to 10 seconds. (2) there was a decrease of spasm in M. Extensor Trunk, M. Trapesiuz Upper and M. Gastrocnemius on T4-T6. (3) There is a change in sensory examination of visual, auditory, tactile, touch, vestibular, and propioceptive on T4-T6. (4) There is a change in the examination of moro reflex, graps, stnr toward extension and extensor thrust on T4-T6. (5) There is a change in the examination of ADHD Test on T6.From the results obtained can be concluded that using the intervention of physiotherapy with NeuroSenso Motor Reflex Development &Syncronizationmodality and play therapy can help reduce the problems that arise in Attention Deficit Hyperactyvity Disorder (ADHD).
PENATALAKSANAAN FISIOTERAPI KASUS ATELEKTASIS PADA ANAK CEREBAL PALSY DENGAN MODALITAS IR, CHEST THERAPI DAN METODE NDT DI YPAC SURAKARTA Lusiani Arum Fadhilah; Nur Susanti
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 31, No 2 (2017): PENA SEPTEMBER 2017
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v31i2.676

Abstract

Atelectasis is one of the complications of cerbral palsy, this is because children with CP condition almost all have low levels of activity than children usually. If the activity of motion is low, the body does not move optimally thorax cage is difficult to inflate and deflate fully and relax. Factors that affect the occurrence of atelectasis are among other abnormalities during pregnancy, CMV viral infection. Problematic atelectasis in atelectasis in children hypothonic spiral hypothonic spastic athetoid quadriplegi type of flexion is respiratory muscle spasms, shortness of breath, decreased thorax expansion, sensory disturbance with, reflex disorders, functional activity. Physiotherapy modalities that can be given in this condition is by giving the modality of infrared, chest therapi, and neuro development treatment. The conclusion is that using physiotherapy interventions with IR, therapeutic chest, and NDT may help reduce the problems that arise in the condition of atelectasis in children with cerebral palsy.
Co-Authors Aida Naurah Septi Andung Maheswara Anggun Rahmawati Putri Antonius Adi Susanto Ardiana Priharwanti Ayu pangestuningtyas Danang Satrio Dwi Edi Wibowo Fany Anggraeni Hertina Yulianasari Irine Dwitasari Wulandari Lusiani Arum Fadhilah Meri Istikomah Nila Oktaviani Nisfa Prihanani Puji Wahyuningrum Remilda Armika Vianti Rini Utami Ristiawati Tiara Arifadhi Wahyuningsih Wahyuningsih