Andy Martahan Andreas Hariandja
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PENGARUH LATIHAN NEURO DEVELOPMENTAL TREATMENT (NDT) TERHADAP TONUS OTOT DAN KEMAMPUAN MOTORIK PADA ANAK DOWN SYNDROME Rusdiyah Nur Imani; Dwi Agustina; Andy Martahan Andreas Hariandja
Jurnal Fisioterapi dan Kesehatan Indonesia Vol 3 No 1 (2023): Jurnal Fisioterapi dan Kesehatan Indonesia
Publisher : Ikatan Fisioterapi Indonesia cabang kota bekasi

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Background: Down syndrome is a condition in which a child has an extra triple of chromosomes or trisomy of all or part of chromosome 21 which causes impairment in brain growth and development. Purpose: This study was to determine the effect of Neuro-Developmental Treatment (NDT) exercise on muscle tone and motor skills in children with Down syndrome. Methods: The research design in this study was pre-experimental. This study used secondary data from medical records at KKTK and IRM in the physiotherapy section of Harapan Kita Hospital from January 2017 to December 2020 with a sample size of 15 respondents who were selected using quota sampling. The independent variable was NDT, and the dependent variable, muscle tone was measured by Asworth and motor skills by GMFM. Data collection techniques was medical record documentation. Results: The average muscle tone increased significantly by about 0.86 from 0.67 to 1.06 with a P value of 0.000. Motoric ability also experienced a significant increase of 55.93 from 10.01 to 65.94. Conclusion: In children with Down syndrome, muscle tone and motor skills experience correlated disorders, so these two aspects must be considered when carrying out physiotherapy. NDT is an effective therapy in increasing muscle tone and motor skills in children with Down syndrome.
PENGARUH ISCHEMIC COMPRESSION TERHADAP MYOFASCIAL PAIN SYNDROME OTOT UPPER TRAPEZIUS PADA SISWA DI SMPN 209 JAKARTA Andy Martahan Andreas Hariandja; Achwan Achwan; Diah Ayu Larasati
Jurnal Fisioterapi dan Kesehatan Indonesia Vol 3 No 2 (2023): Jurnal Fisioterapi dan Kesehatan Indonesia
Publisher : Ikatan Fisioterapi Indonesia cabang kota bekasi

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Background: Myofascial pain syndrome (MPS) is a pain disorder characterized by sensory, motor and autonomic symptoms caused by trigger points. The international prevalence of myofascial pain syndrome is 13.5% to 47%, while in Indonesia the incidence of myofascial pain syndrome occurs as much as 54% in women and 45% in men. The purpose of this study was to determine the effect of ischemic compression on myofascial pain syndrome of the upper trapezius muscle in students at SMPN 209 Jakarta. Methods: This study used a pre experimental research with a one group pretest and posttest design. The sample consisted of 13 students at SMPN 209 Jakarta, selected by purposive sampling technique based on predetermined inclusion criteria. The measuring tool used is the Visual Analog Scale (VAS). Data analysis included univariate and bivariate analysis using the Wilcoxon test. Results: there was a change in the myofascial pain syndrome upper trapezius muscle pain scale of 4.08 from 5.46 to 1.38 with p-value = 0.001. Conclusion: Ischemic compression has a significant effect on reducing myofascial pain syndrome upper trapezius muscle pain.