Atikah Adyas
Public Health Department, Mitra Indonesia University, Lampung

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ANALYSIS OF PRACTICAL METHODS OF EARLY DETECTION OF SCOLIOSIS Feryanda Utami; Atikah Adyas
Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 2 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY
Publisher : POLITEKNIK KESEHATAN KEMENKES JAKARTA I

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1058.553 KB) | DOI: 10.36082/jpost.v1i2.830

Abstract

Scoliosis screening in school is essential for early detection before the curve worsens. Many idiopathic scoliosis patients occur in women with an average age of 14 years. They seek treatment when the age has reached skeletal maturity, and abnormalities have interfered with daily activities. Spinal surgery tends to require high costs, ranging from tens of millions to hundreds of millions of rupiah. Knowledge related to the basics of scoliosis is vital for the community because it affects the proper treatment according to their condition. The role of the Orthotist is still lacking in conducting regular scoliosis screening. We use data by purposive sampling based on inclusion criteria in clinics and hospitals that have spinal workshops or treat scoliosis. The study was conducted at two scoliosis clinics in Jakarta and two in Bogor, with quantitative methods via questionnaires and qualitative methods via Forum Group Discussion (FGD). Factors that influence orthotics in conducting scoliosis screening in patients are a lack of orthotic knowledge about appropriate scoliosis screening methods, especially related to indicators of ignorance of the SOSORT Guideline, not knowing the need to screen six parts of the patient's body, knowing the function of ATR and Scoliometer but not knowing how to apply them, and lack of active participation between orthotist and doctors. Several recommendations can be taken to improve scoliosis screening methods. Also a need to increase scoliosis screening knowledge, maximize scoliosis screening performance, and screen for scoliosis diagnosis by involving orthotics.
ANALYSIS TRANSTIBIAL PATIENT’S LEVEL OF KNOWLEDGE IN MAINTAINING THE HEALTH OF THE STUMP IN PROSTHETICS AND ORTHOTICS CLINIC POLYTECHNIC OF HEALTH JAKARTA 1 Firdha Alwani Lestari; Syifa Fauziah; Atikah Adyas
Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 2 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY
Publisher : POLITEKNIK KESEHATAN KEMENKES JAKARTA I

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (912.617 KB) | DOI: 10.36082/jpost.v1i2.867

Abstract

Below the knee amputation (transtibial) is the most common amputation (Vitriana, 2002). Prosthesis is a device that has a function to replace part of the body after amputation. Prosthesis is aimed to help patients in daily activities, especially walking. After giving the prosthesis, the patient is given an explanation of how to wash the stump and prosthesis correctly. Prosthetist also suggested that prosthesis should be washed every day when not being used. Based on the data of Prosthetic and Orthotic clinics report in 2013, the majority of patient knowledge in maintaining health of stump is still limited. It’s shown with stump condition and prosthesis poor hygiene during the monitoring process. This study aimed to analyze the knowledge of patients transtibial amputation in maintaining stump health in Prosthetic and Orthotic Clinic Polytechnic Jakarta I. This study aimed to analyze the knowledge of patients transtibial amputation stump in maintaining health Prosthetic and Orthotic Clinic Polytechnic Jakarta I. There were 10 respondents who came to Prosthetics and Orthotics Clinic Polytechnic Jakarta I in June 2014. Data retrieval method performed with pre and post. Data collected by interviewing respondents via questionnaire. Leaflets are used as media to explain patients. There is a significant difference of patient’s knowledge before and after given explanation (p=0.002). Knowledge value of transtibial patients increased from 10% "Good" to be 80% "Good" after given explanation. Meanwhile, there is no significant relationship between age, gender and level of education to patient’s knowledge of maintaining the health of the stump.
2D-MOTION ANALYSIS: KNEE JOINT ANGULATION OF TRANSTIBIAL AMPUTEE PATIENT WHO USE SACH FOOT AT CLINIC LABORATORY OF PROSTHETICS AND ORTHOTICS DEPARTMENT IN POLYTECHNIC OF HEALTH MINISTRY OF HEALTH JAKARTA 1 Kinanti Restiana Putri; Olle Hjelmström; Tri Riana Lestari; Atikah Adyas
Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 2 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY
Publisher : POLITEKNIK KESEHATAN KEMENKES JAKARTA I

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (810.215 KB) | DOI: 10.36082/jpost.v1i2.869

Abstract

The neutral foot position of the prosthetic SACH foot has a higher heel surface from the front of the foot (metatarsal line) with 1cm heel height. The prosthesis will be aligned to match the shoes that patient will use. When the patient is using shoes, the prosthetic SACH foot will be placed in a neutral position and will be supported by the shoe. When the patient does not use the shoe, the prosthesis will tilt backward especially when the foot is mid-stance and will force the pressure of the knee toward the extension of the knee joint which can cause damage to the knee joint structure. Therefore, knee joints will be measured at the time of the patient's use and not wearing shoes during mid-stance. Objective: To find out if there are significant differences in knee joint degree during mid-stance when using and not using shoes with 1cm heel height. Methods Quantitative comparative by observation of 2-dimensional motion in transtibial amputation patients using shoes and not using shoes with cross-sectional study design. Result : The degree of knee joints generated during mid-stance by patients with transtibial amputation when using shoes was 10.8o of flexion (p = 0.004) while at the time of not using the resulting knee boots was 4.5o of flexion (p = 0,000), normal degree of knee joint during mid- stance is 10o-20o of flexion. The results of paired t-test showed that there were significant differences in knee joint degree from standard degree, but when using the shoe showed a result of 0.8o larger than the lowest normal range while when not using shoes the resulting degree of 6.3o is smaller than lowest normal range.